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Urodynamics and fistula

Danilo Budib Lourenço, Fernando Korkes, José Eduardo Vetorazzo, Silvia da Silva Carramão, Antônio Pedro Flores Auge, Luis Gustavo Morato de Toledo
Surgical correction is the most efficient treatment for stress urinary incontinence (SUI), and transobturator sling (TO) has optimal results. The high cost of commercially available sling kits makes it difficult the access in most Brazilian public health services. Hand-made polypropylene slings, on the other hand, have been previously reported. The aim of the present study was to compare the effectiveness and safety of commercial vs. hand-made polypropylene mesh slings. Data from 57 women who underwent consecutive TO sling surgery to treat SUI were pros-pectively collected between 2012 and 2014, and divided in two groups for further comparison...
February 28, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
A C Strine, B A VanderBrink, Z Alam, M Schulte, P H Noh, W R DeFoor, E Minevich, C A Sheldon, J S Frischer, P P Reddy
INTRODUCTION: Patients with anorectal malformations (ARMs) have a high incidence of genitourinary anomalies. Those with a recto-bladder neck fistula may represent a high-risk group, but their long-term urologic outcomes are poorly described. OBJECTIVE: To evaluate the clinical and urodynamic outcomes in a large cohort of patients with an ARM subtype of recto-bladder neck fistula. MATERIALS AND METHODS: A retrospective cohort study was performed of patients who had been treated for a recto-bladder neck fistula at the present institution since 2007...
August 2017: Journal of Pediatric Urology
Nora Baker, Carmen Tong, Jay Simhan
PURPOSE OF REVIEW: Technological advancements in urologic endoscopy within the last decades have improved outcomes following bladder outlet reduction surgery while minimizing risks of short- and intermediate-term complications. This review aims to examine late complications of endoscopic reduction of the prostate and the various treatment options available. RECENT FINDINGS: Urinary incontinence, ejaculatory dysfunction, urethral strictures, bladder neck contractures, and fistula formations are the most common delayed complications following bladder outlet reduction surgery...
April 2017: Current Urology Reports
Javier Pizarro-Berdichevsky, Michelle P Goldman, Howard B Goldman
INTRODUCTION AND HYPOTHESIS: Urethral perforations after synthetic midurethral sling (MUS) placement are uncommon. Transvaginal removal is an option. The objective of this English and Spanish video is to demonstrate removal of an MUS that had perforated the urethra and the concomitant urethral reconstruction. METHODS: A 66-year-old woman with a history of an anterior and posterior colporrhaphy and a retropubic MUS 12 years earlier presented with difficulty voiding, recurrent urinary tract infections, and mild stress incontinence (SUI)...
December 2016: International Urogynecology Journal
Luping Li, Yingzhong Fan, Hao Li, Qian Zhang, Li Gou
OBJECTIVE: To investigate the effectiveness of ileal mucosal seromuscular patch for bladder expansion combined with rehabilitation training for treating neurogenic bladder dysfunction (NBD) with hyperreflexia. METHODS: A retrospective study was performed on the clinical data of 61 patients with NBD and hyperreflexia who were treated and followed up between July 2008 and June 2013. There were 36 males and 25 females, aged 6-23 years (mean, 10 years). The reasons included meningomyelocele operation (43 patients),surgery for lipoma in lumbar vertebra (4 patients), operation of thoracolubar teratoma (2 patients), and lumbosacral spina B3ifida (12 patients)...
February 2016: Chinese Journal of Reparative and Reconstructive Surgery
Joceline S Liu, Laura Jo Dickmeyer, Oluwarotimi Nettey, Matthias D Hofer, Sarah C Flury, Stephanie J Kielb
AIMS: To examine surgical case volume characteristics in certifying urologists associated with common female urologic procedures to evaluate the practice patterns, given the recent establishment of subspecialty certification in Female Pelvic Medicine and Reconstructive Surgery (FPMRS) and changes in urologist gender composition. METHODS: Six-month case log data of certifying urologists (2003-2013) was obtained from the American Board of Urology (ABU). We examined case logs for 26 CPT codes for common female urologic procedures focused on four procedure groups: incontinence, prolapse, vesicovaginal fistula (VVF), and revision/removal of vaginal mesh/graft...
February 2017: Neurourology and Urodynamics
Tamsin J Greenwell, Marco Spilotros
Female urethral diverticula are rare, benign epithelium-lined outpouchings of the female urethra. Patients can present with a multitude of symptoms, most commonly urinary incontinence, recurrent UTIs and dyspareunia. These presenting symptoms are often confused with other diagnoses leading to delayed diagnosis or misdiagnosis. Diagnosis and preoperative assessment of bladder function is most accurate using a combination of clinical examination, T2-weighted postvoid MRI and videocystometrography. Best treatment is by vaginal excision, a procedure with a very low recurrence rate and high patient acceptability...
December 2015: Nature Reviews. Urology
Marie-Aimée Perrouin-Verbe, Emmanuel Chartier-Kastler, Alexia Even, Pierre Denys, Morgan Rouprêt, Véronique Phé
OBJECTIVE: To report the long-term complications of continent cutaneous urinary diversion(CCUD) in spinal cord injured(SCI) patients unable to perform intermittent self-catheterization(ISC) through the urethra. MATERIALS AND METHODS: Between July 2001 and January 2012, adult SCI patients with a neurogenic bladder who underwent CCUD according to Mitrofanoff's/Monti's/Casale's principle were enrolled. A concomitant supratrigonal and augmentation enterocystoplasty were performed because of refractory detrusor overactivity or low bladder compliance...
November 2016: Neurourology and Urodynamics
Nikolaos Kostakopoulos, Vassilis Protogerou, Andreas Skolarikos, Ioannis Varkarakis, Athanasios Papatsoris, Theodore Troupis, Maria Piagou, Charalambos Deliveliotis
The Authors report a complete study concerning complications, the imaging and functional results, the clinical outcome and the quality of life in patients treated with VIP. 95 patients with localized bladder TCC (T2N0M0) were evaluated. Follow up points were 1st, 3rd, 6th, 12th, 18th, 24th and 36th month with clinical and ultrasound evaluation. At 6th, 12th and 36th month CT pyelography and urodynamic evaluation were performed and we used a questionnaire for subjective bladder function and the EORTC QLQ C-30 questionnaire to evaluate quality of life...
July 2015: Annali Italiani di Chirurgia
Yuke Chen, Wei Yu, Yang Yang, Jie Jin, Shiliang Wu, Yunxiang Xiao
PURPOSE: To present the experience of repairing iatrogenic vesicovaginal fistulas (VVFs) using a rotational bladder flap and peritoneal interposition technique. METHODS: Between January 2009 and June 2014, a total of 18 patients (mean age, 44.0 years; age range, 29-51 years) with VVFs were treated using a transperitoneal approach. All VVFs were complications of gynecologic procedures. Twelve patients experienced recurrent VVFs and one patient had a concomitant rectovaginal fistula after radiotherapy...
November 2016: Neurourology and Urodynamics
Burhan Coskun, Rebecca S Lavelle, Feras Alhalabi, Gary Lemack, Philippe E Zimmern
INTRODUCTION: We reviewed the role of urodynamics (UDS) in the management of women with incontinence following mid-urethral sling removal (MUSR). METHODS: Following IRB approval, women from a longitudinal database who had persistent or recurrent urinary incontinence (UI) after MUSR, desired further therapy, and subsequently underwent UDS were reviewed. Women with neurogenic bladder, obstructive symptoms without UI, urethra-vaginal fistula, anterior compartment prolapse >Stage 2, or those who had concomitant autologous sling surgery at the time of MUSR were excluded...
November 2016: Neurourology and Urodynamics
John Patrick Selph, Ramiro Madden-Fuentes, Andrew C Peterson, George D Webster, Aaron C Lentz
OBJECTIVE: To determine the long-term outcomes of artificial urinary sphincter (AUS) implantation following a successful rectourethral fistula (RUF) repair. MATERIALS AND METHODS: Between January 1, 2006 and January 1, 2012, a total of 26 patients underwent successful repair of an RUF. Stress urinary incontinence was treated in 6 patients (23%) with implantation of an AUS. Preoperative and postoperative evaluation included demographic variables, voiding diaries, 24-hour pad weight, urodynamic characteristics, operative time, estimated blood loss, complication rates, follow-up time, and cuff selection...
September 2015: Urology
M Zornoza, J M Angulo, A Parente, S Simal, L Burgos, R Ortiz
CLINICAL PROBLEM: We diagnosed 8 patients with late-stage posterior urethral valves (PUV) between 1 and 14 years of age. Five patients complained of symptoms related to voiding dysfunction. The other 3 patients required urethrocystoscopy for other reasons (hypospadias fistulae, difficulty with catheterisation and high-grade vesicoureteral reflux [VUR]). A second review of the first 2 patients' medical history showed voiding dysfunction symptoms. All patients underwent preoperative ultrasonography: 3 patients had normal results and 5 had renal or vesical disorders...
December 2015: Actas Urologicas Españolas
Ekene Enemchukwu, Caroline Lai, William Stuart Reynolds, Melissa Kaufman, Roger Dmochowski
OBJECTIVE: To describe our experience with concomitant repair of urethral diverticula and stress urinary incontinence (SUI) with autologous pubovaginal sling (PVS). METHODS: A retrospective chart review between January 2006 and 2013 identified 38 women undergoing concomitant diverticulectomy and rectus sheath PVS. Patient demographics, presenting symptoms, prior urethral surgery, concomitant procedures, postoperative outcomes, and complications were evaluated. RESULTS: The mean duration of symptoms was 56...
June 2015: Urology
Ali Borazjani, Helina Tadesse, Fekade Ayenachew, Howard B Goldman, Margot S Damaser, L Lewis Wall
INTRODUCTION AND HYPOTHESIS: Most patients in regions where obstetric vesicovaginal fistulas (VVF) are endemic void using a squatting posture. Additionally, many patients continue to have lower urinary tract symptoms (LUTS) following fistula closure. We designed and validated a prototype platform that allows urodynamic studies to be performed in a squatting position and conducted a pilot study to assess uroflowmetry in this patient population. METHODS: Sixteen patients with persistent LUTS following fistula surgery were recruited...
May 2015: International Urogynecology Journal
Abdulmuttalip Simsek, Faruk Ozgor, Bahar Yuksel, Onur Kucuktopcu, Sinan Levent Kirecci, Mehmet Toptas, Omer Sarılar, Ahmet Yalcin Berberoglu, Zafer Gokhan Gurbuz, Saban Mimaroglu, Fatih Akbulut, Murat Baykal, Burak Arslan, Metin Savun, Burak Ucpinar
We evaluate quality of life and sexual function before and after transobturator tape procedure (TOT) using the International Consultation on Incontinence Questionnaire (ICIQ -SF) and Female Sexual Function Index (FSFI). Between 2008 and 2013, 92 patients with stress urinary incontinence (SUI) underwent TOT procedure. A total of 81 patients were sexual active and enrolled in the study. All patients completed the Turkish translation ICIQ -SF and FSFI forms before and 1, 3, 6, 12 months after surgery. To evaluate the impact of incontinence and TOT success on sexual function, we compared patients that were dry after surgery and patients still incontinent and/or facing complication...
2014: SpringerPlus
Maude E Carmel, Howard B Goldman, Courtenay K Moore, Raymond R Rackley, Sandip P Vasavada
AIM: We present the surgical management and outcomes of patients who underwent transvaginal neo-bladder vaginal fistula (NBVF) repair at our institution. METHODS: Between 2002 and 2012, eight patients underwent transvaginal NBVF repair. The surgical management entailed placing a Foley catheter into the fistula tract. A circumferential incision was made around the fistula tract after which a plane between the serosa of the neobladder and the vaginal epithelium was created...
January 2016: Neurourology and Urodynamics
Matthieu Nkumu Loposso, Jean Ndundu, Gunter De Win, Dieter Ost, Augustin Maole Punga, Dirk De Ridder
OBJECTIVE: To study the profile of classification, etiology, and the relation between initial classification, and the results of vesicovaginal fistula surgery in a district hospital in DR Congo. METHODS: This study was based on the analysis of all consecutive patients being treated for VVF in Kisantu between November 2006 and November 2012. The fistula was classified according to the classification of Waaldijk. The location of VVF and degree of fibrosis were noted...
June 2015: Neurourology and Urodynamics
Jia-Fong Jhang, Yuan-Hong Jiang, Hann-Chorng Kuo
INTRODUCTION AND HYPOTHESIS: Detrusor underactivity (DU) is a common urologic problem and usually presents with urine retention or large postvoid residual (PVR). Medical treatment of DU does not always achieve satisfactory results. We report the surgical outcomes of transurethral incision of the bladder neck (TUI-BN) in women with DU and urine retention. METHODS: A total 31 woman with DU in whom medical treatment failed underwent TUI-BN and were retrospectively studied...
May 2014: International Urogynecology Journal
Mayank Mohan Agarwal, Sathishkumar Mothilal Raamya, Ravimohan Mavuduru, Arup K Mandal, Shrawan K Singh
INTRODUCTION: Urodynamic findings of lower urinary tract of women presenting with voiding dysfunction after successful repair of complex trigonal vesicovaginal fistulas at our institute are presented. MATERIALS AND METHODS: In this retrospective case series, women presenting with voiding dysfunction after successful repair of obstetric fistulae were evaluated. In addition of standard clinical evaluation with history and clinical examination, all underwent kidney-ureter-bladder ultrasonography, renal function test, urine culture, and multichannel urodynamics...
October 2012: Indian Journal of Urology: IJU: Journal of the Urological Society of India
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