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…

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….

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…

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…

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…

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…

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…

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…

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…

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…