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Urologic Clinics of North America

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https://www.readbyqxmd.com/read/30466709/controversies-in-vaginal-surgery
#1
EDITORIAL
Craig V Comiter
No abstract text is available yet for this article.
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466708/reconstruction-of-the-female-pelvis-a-fundamental-pillar-of-urology
#2
EDITORIAL
Samir S Taneja
No abstract text is available yet for this article.
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466707/transvaginal-suture-based-repair
#3
REVIEW
Ekene A Enemchukwu
An estimated 300,000 women undergo pelvic organ prolapse (POP) surgery in the United States every year at a cost of more than 1 billion dollars per year. The prevalence of POP is approximately 2.9% to 8%, and increases with age. Apical support is required to achieve successful prolapse repair. As the search for the safest, most durable, surgical repair continues, transvaginal native tissue repairs have the advantage of providing minimally invasive surgical repairs without the added risk of abdominal, laparoscopic, or robotic surgery while avoiding the risk of mesh augmentation...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466706/surgery-for-posterior-compartment-vaginal-prolapse-graft-augmented-repair
#4
REVIEW
Sunchin Kim, Grant R Pollock, Christian O Twiss, Joel T Funk
Posterior compartment vaginal prolapse can be approached with multiple surgical techniques, including transvaginally, transperineally, and transanally, repaired with either native tissue or with the addition of an augment. Augment material for posterior compartment prolapse includes biologic graft (dermal, porcine submucosal), absorbable mesh (Vicryl polyglactin), or nonabsorbable synthetic mesh (polypropylene). Anatomic success rates for posterior compartment repair with augment has ranged from 54% to 92%...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466705/posterior-vaginal-wall-prolapse-suture-based-repair
#5
REVIEW
Juan M Guzman-Negron, Michele Fascelli, Sandip P Vasavada
Pelvic organ prolapse is common in parous women, although few report symptoms. The incidence of posterior compartment prolapse, or rectocele, is less well-reported. Posterior vaginal wall prolapse is associated with pain, constipation, and splinting. Surgery is the mainstay of therapy for symptomatic rectoceles. Though several surgical techniques have been described, no clear indications for type of repair have emerged. This article reviews the management strategies and draws conclusions about suture-based and site-specific techniques...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466704/surgery-for-anterior-compartment-prolapse-synthetic-graft-augmented-repair
#6
REVIEW
Osnat Israeli, Adi Y Weintraub
Pelvic organ prolapse is a common and bothersome problem that affects women's work, traveling, physical exercise, sleep, and sexual function. Synthetic implants show superiority in reducing recurrence of pelvic organ prolapse. However, inserting foreign materials carries an increased risk of complications. In this article containing the most updated available literature, we look back at the history of synthetic mesh repair, examine its efficacy and advantages, assess common complications, review current opinions, and look at the future for ways to improve the use of mesh for better results and fewer complications in an attempt to improve women's quality of life...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466703/surgery-for-anterior-compartment-vaginal-prolapse-suture-based-repair
#7
REVIEW
Katherine Amin, Una Lee
Native tissue anterior compartment prolapse repair remains an important surgical procedure for pelvic prolapse. Native tissue repair has been well-studied and is successful in relieving vaginal bulge symptoms and reducing prolapse within the vagina. Native tissue cystocele repair has been performed safely since the advent to modern vaginal surgery for prolapse. Reoperation rates are low and the contribution of apical support in the durability of vaginal wall defect repair surgery has been well-established. Native tissue cystocele repair addresses symptom relief for women, and should continue to be a part of pelvic floor reconstructive surgery...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466702/burch-colposuspension
#8
REVIEW
Ericka M Sohlberg, Christopher S Elliott
The Burch colposuspension has a 50-plus year history demonstrating strong long-term outcomes with minimal complications. Iterations of the procedure, including laparoscopic, robotic, and mini-incisional approaches, appear to have equal efficacy to the open procedure. Although the current use of the Burch colposuspension has waned with the growing shift toward sling surgery, it continues to have a role in the treatment of stress urinary incontinence. Specifically, a Burch procedure should be considered when vaginal access is limited, concurrent intra-abdominal surgery is planned, or mesh is contraindicated...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466701/surgery-for-stress-urinary-incontinence-autologous-fascial-sling
#9
REVIEW
Jerry G Blaivas, Vannita Simma-Chiang, Zeynep Gul, Linda Dayan, Senad Kalkan, Melissa Daniel
This article describes the operative technique of autologous fascial pubovaginal sling (AFPVS) surgery, examines the senior author's outcomes with AFPVS, compares these outcomes with those of other large studies and meta-analyses, and compares the safety and efficacy of AFPVS with those of the synthetic midurethral sling (SMUS). Recently, the SMUS has become the treatment of choice for most surgeons. The efficacy of the SMUS remains unchallenged and comparable with that of AFPVS, but SMUS are associated with more severe complications...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466700/management-of-the-exposed-or-perforated-midurethral-sling
#10
REVIEW
Laura L Giusto, Patricia M Zahner, Howard B Goldman
The synthetic midurethral sling has become the gold standard for treatment of stress urinary incontinence since its introduction more than 20 years ago. With its utilization, the incidence of mesh-related complications has also increased. Mesh exposure and perforation are 2 common mesh complication scenarios that pelvic floor surgeons should be prepared to treat. This article highlights preoperative, perioperative, and postoperative factors to minimize the chance of vaginal wall mesh exposure or perforation of mesh into the lower urinary tract...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466699/synthetic-midurethral-slings-roles-outcomes-and-complications
#11
REVIEW
Brian J Linder, Daniel S Elliott
Synthetic midurethral sling placement is the most studied anti-incontinence procedure available. Multiple randomized trials demonstrate its safety and efficacy, with results out to 5 years. With long-term follow-up, it seems there may be some benefit in efficacy to retropubic sling placement compared with the transobturator approach. Single-incision slings are a newer modification to multi-incision sling placement, and the data regarding safety and efficacy are not as mature as other forms of sling placement...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466698/abdominal-approach-to-vesicovaginal-fistula
#12
REVIEW
Elishia McKay, Kara Watts, Nitya Abraham
Principles of abdominal vesicovaginal fistula (VVF) repair include good exposure of the fistulous tract, double-layer bladder closure, retrograde fill of the bladder to ensure a water-tight seal, tension-free closure and continuous postoperative bladder drainage. Minimally invasive approaches, particularly robot-assisted laparoscopy, have demonstrated shorter operative times, decreased blood loss, improved visibility, and similar cure rates without increased adverse events. These techniques are therefore rising in popularity among surgeons...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466697/vaginal-approach-to-vesicovaginal-fistula
#13
REVIEW
Dominic Lee, Philippe Zimmern
Vesicovaginal fistula is the most commonly encountered sequela of genitourinary trauma. Although the etiology differs between developed and developing countries, the principles of fistula repair must be strictly adhered to for success. Timing and route of repair remain contentious, because of a lack of randomized data. Evaluation and management is dictated by the surgeon's experience. Minimally invasive techniques with laparoscopy and robotic technology are generating wider interest with reduced postoperative morbidity, but a transvaginal technique should be in the arsenal of all pelvic reconstructive surgeons...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466696/surgery-for-apical-vaginal-prolapse-after-hysterectomy-abdominal-sacrocolpopexy
#14
REVIEW
Wai Lee, Justina Tam, Kathleen Kobashi
The number of surgeries for pelvic organ prolapse in the United States is increasing. Abdominal sacrocolpopexy has become the gold standard for women desiring a restorative repair of their apical pelvic organ prolapse. Despite the associated morbidity of abdominal sacrocolpopexy, advances in minimally invasive approaches have safely increased the number of these surgeries performed, especially among urologists. Moreover, a number of studies have demonstrated superior objective outcomes after abdominal sacrocolpopexy when compared with vaginal approaches...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466695/surgery-for-apical-vaginal-prolapse-after-hysterectomy-transvaginal-mesh-based-repair
#15
REVIEW
Shannon L Wallace, Raveen Syan, Eric R Sokol
Several transvaginal mesh products have been marketed to address vaginal vault prolapse. Although data are limited, prolapse recurrence rates and subjective outcome measures seem to be equivalent for vaginal mesh compared with native tissue apical prolapse repair, and the different vaginal meshes have not proven superior to one another. Given the known unique complications specific to vaginal mesh with equivalent outcomes for the apical vaginal prolapse, it is reasonable to reserve mesh use for specific high-risk cases, such as patients with large apical prolapse recurrence after native tissue repair who are not candidates for sacrocolpopexy...
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30466694/injection-of-urethral-bulking-agents
#16
REVIEW
Hanhan Li, Ouida Lenaine Westney
Urethral injection is a safe and minimally invasive method of treating female stress urinary incontinence with multiple bulking agents currently commercially available. Although there are numerous studies that demonstrate efficacy, long-term success is not yet proven. This article aims to describe the mechanism of action and properties of various agents, patient selection factors, available techniques for injection, outcomes of urethral injections, and complications associated with the procedure.
February 2019: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30316320/pediatric-urology
#17
EDITORIAL
Hillary L Copp, Armando J Lorenzo, Aseem R Shukla, Anthony A Caldamone
No abstract text is available yet for this article.
November 2018: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30316319/surgery-of-anomalies-of-gonadal-and-genital-development-in-the-post-truth-era
#18
REVIEW
Daniela B Gorduza, Charmian A Quigley, Anthony A Caldamone, Pierre D E Mouriquand
This article aims to examine the current issues of debate concerning the management of atypical gonadal and genital development (AGD). Understanding this complex subject begins with defining the distinct AGD conditions, the aims and nature of surgical treatments, and the perceptions of affected individuals and their families. The evolving societal and medical contexts in this field are confronting facts and opinions, leading to a significant change in attitudes and approaches.
November 2018: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30316318/prenatal-urinary-tract-dilatation
#19
REVIEW
Andrea Balthazar, C D Anthony Herndon
Urinary tract dilatation (UTD) is the most common congenital anomaly detected on prenatal ultrasonography (US), affecting 1% to 3% of all pregnancies. This article focuses on the prenatal detection of UTD and the postnatal evaluation and management based on the UTD grading system risk assessment. Prophylactic antibiotics and postnatal imaging are discussed. The recent management trend is for a more conservative approach to minimize unnecessary testing and exposures to the fetus and neonate while detecting those who may have clinically significant disorder...
November 2018: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30316317/bladder-bowel-dysfunction
#20
REVIEW
Liza M Aguiar, Israel Franco
Bladder bowel dysfunction (BBD) describes a spectrum of lower urinary tract symptoms associated with bowel complaints. The true incidence of BBD is unknown; however, BBD symptoms represent approximately 40% of pediatric urology consultations. Given the close interaction between the bladder and bowel due to their common innervation as well as associated pelvic floor muscles, patients often present with bowel complaints as well. Increasing awareness of BBD over the past 30 years has led to better diagnostic criteria and treatment methods...
November 2018: Urologic Clinics of North America
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