Reoperative Anti-incontinence Surgery

Dec 10, 2016 by in UROLOGY Comments Off on Reoperative Anti-incontinence Surgery

Fig. 9.1 Representative images in the evaluation of mechanical failure. These demonstrate: normal reservoir contour (a), early mechanical failure with deformation of the abdominal reservoir (b), late mechanical failure with…

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Management of Vesicourethral Anastomotic Stricture

Dec 10, 2016 by in UROLOGY Comments Off on Management of Vesicourethral Anastomotic Stricture

Fig. 7.1 Typical appearance of a bladder neck contracture on cystoscopic evaluation. There is a well defined annular scar at the level of the urethrovesical anastomosis Fig. 7.2 Bladder neck…

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Post-RT Urinary Incontinence and Stricture

Dec 10, 2016 by in UROLOGY Comments Off on Post-RT Urinary Incontinence and Stricture

Fig. 10.1 Diagnostic RUG/VCUG demonstrates bulbomembranous urethral stricture. Brachytherapy seeds are present within the prostate Urethral ultrasound is typically performed under anesthesia prior to urethral repair by placing the ultrasound…

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Rectourethral Fistula

Dec 10, 2016 by in UROLOGY Comments Off on Rectourethral Fistula

Fig. 8.1 Workup and treatment algorithm for rectourethral fistulas Retrograde urethrogram (RUG) may be may be performed while the patient is under anesthesia or in the office setting. This will…

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Post-prostatectomy Incontinence Initial Evaluation

Dec 10, 2016 by in UROLOGY Comments Off on Post-prostatectomy Incontinence Initial Evaluation

Increase risk Decrease risk Obesity Strong pelvic support Older age  Preoperative urinary incontinence  Prior radiation therapy  While preoperative risk factors may be important in counseling patients prior to radical prostatectomy,…

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