Abdominal Key

Radical orchiectomy is typically the first step in any multidisciplinary approach to the management of men with testicular germ cell neoplasia. It yields histologic confirmation of the diagnosis, provides important…

Preoperative Planning Palpate the spermatic cord while the patient is erect. Proceed with varicocele ligation in the setting of a palpable varicocele ( Table 108.1 ) in a patient who…

Indications The autologous pubovaginal sling is accepted as one of the gold-standard treatments for female stress urinary incontinence (SUI). The original indications for the pubovaginal sling include the correction of…

Introduction Neuromodulation in the form of sacral nerve modulation (SNM) for the treatment of refractory voiding dysfunction was first described by Tanagho and Schmidt in 1998. A commercially available device,…

Anatomy and Physiology of the Epididymis The epididymis is a long, tightly coiled single tubule located on the posterolateral aspect of the testis. The epididymis has a rich blood supply…

Preoperative Preparation and Planning Injectable urethral bulking agents are a minimally invasive treatment option for stress urinary incontinence (SUI). Bulking agents aim to restore continence by increasing urethral resistance at…

True strictures of the fossa navicularis represent a unique challenge for the reconstructive surgeon. It is essential that the etiology of the meatal stenosis and fossa stricture be understood to…

Vasectomy is a reliable procedure to attain permanent male sterilization. Interested men should be counseled on the nature of the procedure; the risks; what to expect before, during, and after…

Acute testicular torsion is one of the few true pediatric urologic surgical emergencies. If the diagnosis of acute testicular torsion is delayed, it can lead to late treatment and subsequent…

The first modern radical perineal prostatectomy (RPP) for the treatment of prostate cancer was performed by Hugh Hampton Young in 1904. The technique was later modified in 1939 by Belt,…