Artificial Urinary Sphincter
Indications The most common indication for placement of an artificial urinary sphincter (AUS) is postprostatectomy incontinence (PPI) from radical prostatectomy for prostate cancer, with 8% to 12% of patients seeking…
Simple Orchiectomy
Simple Orchiectomy Simple orchiectomy refers to the surgical removal of one or both testicles through a scrotal or subinguinal approach. Indications for bilateral surgery include achieving castrate levels of testosterone…
Sperm Retrieval
Spermatic Cord Block Any patient undergoing a sperm retrieval procedure under local anesthesia will appreciate a well-done spermatic cord block. The nerves that innervate the contents of the scrotum travel…
Enterocele Repair
Preoperative Preparation and Planning An enterocele is a hernia in which the peritoneum and the intestinal contents displace the vagina, and can be a significant component of pelvic organ prolapse…
Testis Biopsy
Principles of Operations on the Testis The scrotum has two layers, a richly vascularized rugous skin and a thin nonstriated dartos muscle (dartos tunic). The three layers of fascia that…
Bulbocavernosus Muscle and Fat Pad Supplement
The Martius fibrofatty flap serves as a source of a substantial, well-vascularized tissue to provide coverage in distal vaginal repairs. The Martius flap has a greater tensile strength than typical…
Spermatocelectomy
A spermatocele is a paratesticular, sperm-containing cystic structure attached to the superior aspect of the epididymis. Spermatoceles are commonly asymptomatic, and conservative management is appropriate for the majority of patients….
Reconstruction of Pelvic Fracture Urethral Distraction Defect
Preoperative Management and Planning Acute Management A pelvic fracture urethral distraction defect (PFUDD) occurs as a result of significant trauma. Initial management is directed at resuscitation and treatment of concomitant…
Botox Injection for Urologic Conditions
Introduction Intravesical injection of onabotulinumtoxinA (Botox) is a great treatment option for neurogenic and idiopathic detrusor overactivity or urgency urinary incontinence refractory to behavioral therapy and medical management. Mechanism of…
Tension-Free Vaginal Tape/Suprapubic Midurethral Sling
Introduction The polypropylene midurethral sling is now well established for the treatment of stress urinary incontinence. Although there has been recent concern over the use of mesh in female pelvic…
