Indication Congenital Myelodysplasia Posterior urethral valves Exstrophy/epispadias complex Acquired neurogenic bladder Spinal cord injury Multiple sclerosis Acquired non-neurogenic bladder Overactive bladder Infectious Tuberculosis Schistosomiasis Inflammatory Radiation cystitis (Interstitial cystitis)…
References Patients Fistula rate (%) Zimmern et al. [1] 6 0 Nielsen and Bruskewitz [11] 5 20 Eckford et al. [12] 50 22 Levy et al. [3] 4 50 Andrews…
Fig. 13.1 (a) Cystoscopic view of a stone at the bladder neck in a patient with pelvic pain and UTIs following a Burch procedure. (b) Prolene suture and stone following…
Fig. 3.1 Countrywide frequency , physicians. (Source: National Practitioner Data Bank. https://www.npdb.hrsa.gov/) With respect to severity, the country has seen a slight uptick over the past 15 years, but only…
© Springer International Publishing AG 2017Howard B. Goldman (ed.)Complications of Female Incontinence and Pelvic Reconstructive SurgeryCurrent Clinical Urology10.1007/978-3-319-49855-3_29 29. Botulinum Toxin Injection Melissa R. Kaufman1 (1) Department of Urologic Surgery, Vanderbilt Medical Center, Nashville, TN, USA…
Model Definition and problems Professional model Disclosure and discussion based on what other physicians would disclose in similar circumstances Problem: Promotes generalizations and diminishes importance of individual patient values and…
Preoperative considerations Patient history and physical exam • Thorough assessment of tolerance of abdominal insufflation/Trendelenberg positioning – Smoking history, exercise tolerance, obesity – Cardiopulmonary/renal disease – Increased ICP – Hypovolemic state • Abdominal survey for scars,…
Fig. 8.1 Sagittal cadaveric dissection demonstrating the relationship of the coccygeus-sacrospinous ligament (C-SSL) to the sacral nerve roots and pudendal nerve (PN). Important vascular structures include the internal pudendal artery…
Time General Specific Reoperation Perioperative Acute bleeding Hematoma drainage Transfusion Organ injury Repair organ injury Pneumonia, atelectasis Ileus Arrhythmia, MI, CVA, PE, DVT, death Postoperative <30 days MI, CVA, PE,…
Complication Prevention Bleeding Dissection in correct plane Avoid retropubic space Ureteral injury Cystoscopy with assessment of ureteral patency Bladder injury Proper dissection SUI Preoperative assessment Bladder outlet obstruction Preoperative assessment…
