Uterosacral Ligament Suspension

Jun 30, 2017 by in UROLOGY Comments Off on Uterosacral Ligament Suspension

Fig. 7.1 Abdominal view illustrating the relationship between the ureter and the uterosacral ligament. Proceeding cephalad, the uterosacral ligament proceeds medially while the ureter proceeds laterally. Vault suspension to the…

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General Complications of Pelvic Reconstructive Surgery

Jun 30, 2017 by in UROLOGY Comments Off on General Complications of Pelvic Reconstructive Surgery

Level of risk Definitiona Recommended prevention strategy Very low <0.5% risk of VTE (Most outpatient or same-day surgery) No specific recommendations Low Minor surgery (1.5% risk) (ex: spinal surgery for…

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Bladder Augmentation

Jun 30, 2017 by in UROLOGY Comments Off on Bladder Augmentation

  Indication Congenital Myelodysplasia Posterior urethral valves Exstrophy/epispadias complex Acquired neurogenic bladder Spinal cord injury Multiple sclerosis Acquired non-neurogenic bladder Overactive bladder Infectious Tuberculosis Schistosomiasis Inflammatory Radiation cystitis (Interstitial cystitis)…

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Transvaginal Bladder Neck Closure

Jun 30, 2017 by in UROLOGY Comments Off on Transvaginal Bladder Neck Closure

References Patients Fistula rate (%) Zimmern et al. [1] 6 0 Nielsen and Bruskewitz [11] 5 20 Eckford et al. [12] 50 22 Levy et al. [3] 4 50 Andrews…

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Retropubic Bladder Neck Suspensions

Jun 30, 2017 by in UROLOGY Comments Off on Retropubic Bladder Neck Suspensions

Fig. 13.1 (a) Cystoscopic view of a stone at the bladder neck in a patient with pelvic pain and UTIs following a Burch procedure. (b) Prolene suture and stone following…

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Botulinum Toxin Injection

Jun 30, 2017 by in UROLOGY Comments Off on Botulinum Toxin Injection

© Springer International Publishing AG 2017Howard B. Goldman (ed.)Complications of Female Incontinence and Pelvic Reconstructive SurgeryCurrent Clinical Urology10.1007/978-3-319-49855-3_29 29. Botulinum Toxin Injection Melissa R. Kaufman1   (1) Department of Urologic Surgery, Vanderbilt Medical Center, Nashville, TN, USA…

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Patient Consent and Patient Perception of Complications

Jun 30, 2017 by in UROLOGY Comments Off on Patient Consent and Patient Perception of Complications

Model Definition and problems Professional model Disclosure and discussion based on what other physicians would disclose in similar circumstances Problem: Promotes generalizations and diminishes importance of individual patient values and…

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Robotic/Laparoscopic Female Pelvic Reconstructive Surgery

Jun 30, 2017 by in UROLOGY Comments Off on Robotic/Laparoscopic Female Pelvic Reconstructive Surgery

Preoperative considerations Patient history and physical exam • Thorough assessment of tolerance of abdominal insufflation/Trendelenberg positioning  – Smoking history, exercise tolerance, obesity  – Cardiopulmonary/renal disease  – Increased ICP  – Hypovolemic state • Abdominal survey for scars,…

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