Robotic/Laparoscopic Prolapse Repair
This article addresses uterine preservation at the time of pelvic floor repair. Currently available data on the effectiveness of pelvic organ prolapse repairs is based on studies in which women…
Posterior Compartment Prolapse
Posterior compartment prolapse is often caused by a defect in the rectovaginal septum, also known as Denonvillier’s fascia. Patients with symptomatic posterior compartment prolapse can present with bulge symptoms as…
Vaginal Prolapse Repair
Based on the growing evidence within our literature, mesh is clearly needed for long-term success for the repair of anterior/apical defects. Clear credentialing and clinical privilege criteria policies are long…
Contemporary Role of Autologous Fascial Bladder Neck Slings
Fascial slings remain a successful and durable option for treatment of female stress urinary incontinence (SUI). With limited risk of disease transmission, extrusion, or complications associated with mesh, use of…
Midurethral Slings for All Stress Incontinence
The midurethral sling (MUS) is now the most commonly performed surgical treatment for stress urinary incontinence (SUI), and is considered the gold standard for patients with genuine SUI. This article…
Role of Autologous Bladder-Neck Slings
The concept of the autologous pubovaginal sling involves supporting the proximal urethra and bladder neck with a piece of graft material, achieving continence either by providing a direct compressive force…
Midurethral Slings for Stress Urinary Incontinence
Stress urinary incontinence (SUI), the involuntary leakage of urine associated with an increase in intraabdominal pressure (coughing, laughing, and sneezing), affects 12.8% to 46.0% of women. SUI is the most…
Urethral Bulking
Urethral bulking therapy (UBT) is a minimally invasive procedure for stress urinary incontinence that is beneficial for properly selected patients. Many different materials are available for UBT, although none fulfill…
Bulking Agents
A bulking agent is a material injected into the wall of the urethra to improve urethral coaptation in women suffering from stress incontinence. The concept was initially described in the…
Making Sense of Urodynamic Studies for Women with Urinary Incontinence and Pelvic Organ Prolapse
The support for routine urodynamic testing in the management of women with urinary incontinence or pelvic organ prolapse is eroding. The reasons for this change largely reflect the growing evidence…
