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,…
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…
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…
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,…
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…
The end goal of any cancer treatment is to control or cure the disease with minimal complications and side effects. To do this, the number of years of life gained…
Preoperative Preparation and Planning Diagnosis of urethrovaginal fistula is based on a complete evaluation, including a thorough history, and a full physical examination, including a speculum examination. Cystourethroscopy can be…
Pelvic lymph node dissection (PLND) is an important component of the surgical management of prostate cancer, particularly for patients with high-risk features ( ). At the time of radical prostatectomy…
Mirandolino in 2002 originally described the laparoscopic technique as trans-vesico-capsular prostatectomy. Since then, different descriptions of this technique (such as the Millin technique) that replicate known open surgery techniques have…
Patient Selection Permanent prostate brachytherapy (PPB) is an excellent treatment option for prostate cancer patients, demonstrating durable cancer control rates with relatively low morbidity ( , , , ). Patient…
