Fistula and Urethral Diverticulum Ralph R. Chesson Jr., Okechukwu A. Ibeanu INTRODUCTION Vesicovaginal fistulas are a most distressing condition for women. Their constant drainage of urine creates emotional and physical…
Voiding Dysfunction Jennifer Miles-Thomas James E. Wright Normal voiding function relies on complex interactions between the autonomic and somatic nervous systems. Precise coordination allows the lower urinary tract to accomplish…
Mixed Urinary Incontinence Patrick J. Woodman DEFINITION Mixed urinary incontinence (MUI) is the complaint of involuntary leakage associated with urgency and also with exertion, effort, sneezing, or coughing (1). Thus,…
Surgical Treatment of Stress Urinary Incontinence Matthew D. Barber Surgery for stress urinary incontinence (SUI) represents one of the most common indications for surgery in women. Approximately 4% of women…
Periurethral Bulking Alfred E. Bent The injection treatment of stress incontinence using sodium morrhuate was reported in 1938 (1). Injectable polytetrafluoroethylene (PTFE) was developed in the 1970s (2). The major…
Conservative Therapy for Stress Incontinence Laura Scheufele Karen Abraham INTRODUCTION Stress urinary incontinence (SUI) is “the complaint of involuntary leakage on effort or exertion, or on sneezing or coughing,” as…
Intractable Overactive Bladder: Neuromodulation and Botulinum Toxin Therapy Mary T. McLennan SACRAL NEUROMODULATION Indications Tanagho and Schmidt introduced sacral neuromodulation in 1981 (1). Medtronic (Medtronic Inc., Minneapolis, MN) received initial…
Management of Overactive Bladder Joseph M. Montella DEFINITION As defined by the International Continence Society, overactive bladder (OAB) is the condition in which a patient has symptoms of urgency with…
Lower Urinary Tract Infection Mickey M. Karram Sam Siddighi Urinary tract infections (UTIs) in women produce significant health problems. They are among the most common infections dealt with by primary…
Cystou reth roscopy Geoffrey W. Cundiff Alfred E. Bent Cystourethroscopy provides a minimally invasive method of visually evaluating the lower urinary tract. It has broad applications in general gynecology and…
