Transobturator Midurethral Sling

Jan 2, 2020 by in UROLOGY Comments Off on Transobturator Midurethral Sling

Preoperative Preparation and Planning Midurethral synthetic slings are the most common antiincontinence procedure performed for stress urinary incontinence, owing to their minimally invasive placement, quick postoperative recovery, relatively high success…

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Direct Vision Internal Urethrotomy

Jan 2, 2020 by in UROLOGY Comments Off on Direct Vision Internal Urethrotomy

Urethral stricture disease (USD) remains a significant and often recalcitrant urologic condition frequently encountered by the majority of urologists. Treatment algorithms for management of recurrent stricture often involve attempts at…

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Anterior Pelvic Organ Prolapse Repair

Jan 2, 2020 by in UROLOGY Comments Off on Anterior Pelvic Organ Prolapse Repair

Anterior compartment defects result from attenuation or separation of the pubocervical fibromuscularis. This defect results in a protrusion of anterior compartment structures, most commonly the bladder, leading to what is…

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Rectocele Repair

Jan 2, 2020 by in UROLOGY Comments Off on Rectocele Repair

Symptoms of rectocele may include vaginal bulge, defecatory dysfunction such as constipation, tenesmus, splinting, or fecal incontinence or dyspareunia. Rectoceles are frequently present with some degree of concomitant apical and/or…

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Robotic-Assisted Laparoscopic Prostatectomy

Jan 2, 2020 by in UROLOGY Comments Off on Robotic-Assisted Laparoscopic Prostatectomy

Although a pure laparoscopic approach to radical prostatectomy is feasible, the operation is formidable for a surgeon without advanced laparoscopic skills. The surgical robot is a computerized system of mechanical…

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Female Urethral Reconstruction

Jan 2, 2020 by in UROLOGY Comments Off on Female Urethral Reconstruction

Urethral reconstruction in the female may be done for a variety of conditions. These include urethral stricture, short or ablated urethra (congenital or acquired), sling erosion, urethral diverticulum, urethral prolapse,…

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York–Mason Closure of Rectourinary Fistula in the Male

Jan 2, 2020 by in UROLOGY Comments Off on York–Mason Closure of Rectourinary Fistula in the Male

Preoperative Preparation and Planning Rectourinary (rectovesical or rectourethral) fistulas typically occur as a result of iatrogenic causes such as prior radiation or operative injury. They may also occur from congenital…

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Female Urethral Diverticulum

Jan 2, 2020 by in UROLOGY Comments Off on Female Urethral Diverticulum

Introducton Repair of urethral diverticulum was first described as early as the 19th century but the modern era in the diagnosis and treatment of female urethral diverticula (UD) began in…

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Urethral Prolapse-Caruncle

Jan 2, 2020 by in UROLOGY Comments Off on Urethral Prolapse-Caruncle

A urethral caruncle is a protrusion of urethral mucosa from the urethral meatus and is almost exclusively a diagnosis in women. By definition, a urethral caruncle is an incomplete protrusion,…

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Vaginal Reconstruction

Jan 2, 2020 by in UROLOGY Comments Off on Vaginal Reconstruction

Congenital or acquired absence of the vagina may be managed with progressive perineal dilation alone or with internal traction (Vechietti procedure) or surgical reconstruction. The McIndoe procedure is a perineal…

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