Synthetic Midurethral Slings: Urinary Tract Sequelae

Jun 30, 2017 by in UROLOGY Comments Off on Synthetic Midurethral Slings: Urinary Tract Sequelae

Fig. 16.1 Cystoscopic view of MUS trocar passed through the bladder wall. The offending trocar should be carefully withdrawn and repassed Postoperative Urinary Tract Infection Approximately 4–15 % of women…

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Female Urethral Reconstructive Surgery

Jun 30, 2017 by in UROLOGY Comments Off on Female Urethral Reconstructive Surgery

Fig. 19.1 Inspection of the anterior vaginal wall in a woman with a seemingly straightforward urethrovaginal fistula. She underwent a simple repair with vaginal wall flaps and a Martius flap,…

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Posterior Compartment Repair

Jun 30, 2017 by in UROLOGY Comments Off on Posterior Compartment Repair

Fig. 6.1 The Miyazaki retractor is shown here (a). This retractor has a fiber optic light on the end (b) that is useful when the surgeon is working in a…

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Urethral Diverticulectomy

Jun 30, 2017 by in UROLOGY Comments Off on Urethral Diverticulectomy

Leiomyoma Skene’s gland abnormalities Gartner’s duct abnormalities Vaginal wall cysts Urethral mucosal prolapse Urethral caruncle Periurethral bulking agents Malignancy Endometriosis Fig. 20.1 Skene’s gland abscess clinically (top) and on MRI…

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Abdominal Sacrocolpopexy

Jun 30, 2017 by in UROLOGY Comments Off on Abdominal Sacrocolpopexy

Fig. 9.1 Type 1 macroporous mesh is sutured to the sacral promontory and the vaginal cuff Fig. 9.2 The mesh graft is affixed to the apex of the vagina with…

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Martius Labial Fat Pad Construction

Jun 30, 2017 by in UROLOGY Comments Off on Martius Labial Fat Pad Construction

Fistula (vesico-vaginal/urethrovaginal/ano-rectal vaginal) Iatrogenic bladder injury Urethral diverticulectomy Mesh (prolapse/mid-urethral sling) erosion Urethrolysis Vaginal/neovaginal reconstruction Bladder neck augmentation for artificial urinary sphincter Bladder neck closure In regard to the repair…

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Anal Sphincteroplasty

Jun 30, 2017 by in UROLOGY Comments Off on Anal Sphincteroplasty

Fig. 24.1 A transverse incision along the perineum. Note the patient is positioned in the prone position with the anus superior and vagina inferior (Reprinted with permission, Cleveland Clinic Center…

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Colpocleisis

Jun 30, 2017 by in UROLOGY Comments Off on Colpocleisis

Fig. 11.1 Incisions in the vaginal epithelium are mapped out in a woman with post-hysterectomy vaginal prolapse. Note that the vertical incision stops at least 1.5 cm proximal to the…

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Mesh Prolapse Repair

Jun 30, 2017 by in UROLOGY Comments Off on Mesh Prolapse Repair

Fig. 12.1 (a–h) Excision of transvaginal mesh . (Reprinted with permission, Cleveland Clinic Center for Medical Art & Photography © 2010–2016. All Rights Reserved) Surgical Technique for Excision of Mesh…

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