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Neurourol Urodyn 2019 Apr 18. Epub 2019 Apr 18.

Department of Urology, Western Health, University of Melbourne, Melbourne, Australia.

Aim: To determine the optimal degree of pubovaginal slings (PVS) tension, measured by lax sling dimensions to minimize the risk of urinary retention.

Methods: This prospective study analyzed female patients undergoing PVS for stress urinary incontinence (SUI) by two surgeons over 24 months from January 2016. Intra-operative measurements of lax sling dimensions tented over rectus fascia were recorded. Read More

Curr Urol Rep 2019 Mar 30;20(5):23. Epub 2019 Mar 30.

University of Pennsylvania Health System and Perelman School of Medicine, Philadelphia, PA, USA.

Purpose Of Review: The purpose of this paper is to review (1) the epidemiology and pathophysiology of pelvic organ prolapse (POP) and occult stress urinary incontinence (SUI), (2) examine the data on combined operative management of POP and occult SUI, (3) discuss the approaches to clinical decision making, and (4) present future therapies.

Recent Findings: Prospective data on many approaches to concomitant treatment of prolapse and occult stress urinary incontinence, such as minimally invasive sacrocolpopexy and midurethral sling, or older approaches that have regained favor among patients and clinicians wishing to avoid synthetic mesh, such as native tissue prolapse repair and pubovaginal sling, are limited. Safe durable treatments with absorbable graft materials that promote a beneficial host response are intriguing but may be far from clinical implementation. Read More

Low Urin Tract Symptoms 2019 Mar 22. Epub 2019 Mar 22.

Department of Urology, New York University Langone Health, New York, New York.

Objective: This study assessed stress urinary incontinence (SUI) outcomes after sling excision for urinary tract perforation or vaginal exposure, and compared the outcomes of concomitant versus staged autologous fascia pubovaginal sling (AFPVS).

Methods: A retrospective chart review of all patients who underwent midurethral sling (MUS) excision for urinary tract perforation or vaginal exposure at a tertiary referral center between 2010 and 2015 was performed. Therapeutic strategies were categorized as concomitant AFPVS, staged AFPVS, and no anti-incontinence procedure. Read More

J Turk Ger Gynecol Assoc 2019 Jan 28. Epub 2019 Jan 28.

Department of Urology, Hacettepe University Faculty of Medicine, Ankara, Turkey

Female Pelvic Med Reconstr Surg 2018 Oct 12. Epub 2018 Oct 12.

National Obstetric Fistula Centre, Abakaliki, Nigeria.

Objectives: The aim of this study was to compare the success rates of transvaginal retropubic urethropexy with fascia lata pubovaginal sling (PV sling) for treatment of postrepair urinary incontinence at a fistula center in Nigeria.

Methods: This was a retrospective review of 60 patients who had transvaginal retropubic urethropexy and 46 patients who had PV sling on account of postrepair incontinence at National Obstetric Fistula Centre, Abakaliki, Nigeria, between January 2014 and December 2016. Data were retrieved from the hospital records. Read More

Neurourol Urodyn 2018 Dec 7. Epub 2018 Dec 7.

Chief Division of Female Urology, Pelvic Reconstructive Surgery & Voiding Dysfunction, Department of Urology | UC Irvine Health, Orange, California.

Aims: Stress urinary incontinence (SUI) is common in the adult females. Surgical treatment options include synthetic mid-urethral sling (MUS), autologous sling, bulking agents, and Burch colposuspension. The autologous pubovaginal sling (PVS) has re-emerged in response to complications of synthetic MUSs and FDA communications regarding the use of vaginal mesh. Read More

Best Pract Res Clin Obstet Gynaecol 2019 Jan 30;54:31-40. Epub 2018 Oct 30.

Mercy Hospital for Women, Melbourne, Australia. Electronic address:

Mid-urethral sling procedures (MUS) have been the surgical option of choice for most gynaecologists and urologists treating stress urinary incontinence (SUI) in women around the world for almost 20 years, since their introduction in the late 1990s. The evidence suggests that the long-term effectiveness of the MUS is good and similar to the Burch Colposuspension and the fascial pubovaginal slings. The bulking agents are now being put forward as another minimally invasive option for the surgical treatment of SUI. Read More

Urol J 2018 Nov 21. Epub 2018 Nov 21.

Shahid Labbafi Nejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Objective: To evaluate long term outcomes of autologous pubovaginal fascial sling (AFPVS) as a salvage procedure following different types of failed anti-incontinence surgeries.

Materials And Methods: We retrospectively reviewed medical records of patients who had undergone salvage AFPVS after any kind of anti-incontinence surgery from 2005-2015 at our medical center. Patients were contacted by telephone. Read More

Urol Clin North Am 2019 Feb;46(1):41-52

Department of Surgery, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.

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. Read More

Rev Bras Ginecol Obstet 2018 Aug 24;40(8):477-490. Epub 2018 Aug 24.

Department of Gynecology, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Objective:  To compare surgical treatments for stress urinary incontinence in terms of efficiency and complications.

Data Sources:  We searched the MEDLINE and COCHRANE databases using the terms , and .

Selection Of Studies:  Forty-eight studies were selected, which amounted to a total of 6,881 patients with scores equal to or higher than 3 in the Jadad scale. Read More

Int Urogynecol J 2018 Aug 6. Epub 2018 Aug 6.

Department of Urology, Buddhist Tzu Chi General Hospital, 707 Chung-Yang Road, Section 3, Hualien, Taiwan, 970.

Introduction And Hypothesis: The suburethral sling procedure has been widely used as the first-line treatment for stress urinary incontinence (SUI) in women. Although the success rate is high, difficult urination and urine retention can occur in a small portion of patients. A transvaginal sling incision can solve this problem but recurrent SUI may occur. Read More

Asian J Urol 2018 Jul 14;5(3):141-148. Epub 2017 Sep 14.

Department of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.

Stress urinary incontinence is not a deadly disease, but for the large population of women suffering from it, it is a very important issue. Especially in the continuously aging population all over the world, there is more and more need for treatment of this serious medical condition. Treatment of female stress urinary incontinence exists already for ages. Read More

Int Urogynecol J 2018 Jul 3. Epub 2018 Jul 3.

Department of Obstetrics and Gynecology, University of California, Irvine, 333 City Blvd. West, Suite 1400, Orange, CA, 92868, USA.

Introduction And Hypothesis: The pubovaginal sling (PVS) dates to the 1940s as an efficacious surgical treatment for stress urinary incontinence (SUI). Recently, it has been replaced by the midurethral sling (MUS). Since 2008, international regulatory agencies increased regulation and issued warnings on vaginal mesh for repair of pelvic organ prolapse (POP), which has led to increased scrutiny of the MUS. Read More

Indian J Urol 2018 Apr-Jun;34(2):149-151

Department of Urology, PGIMER and Dr. RML Hospital, New Delhi, India.

Congenital short patulous urethra is a rare entity and may be associated with developmental anomalies of mullerian ducts or urogenital sinus. We report the management of two cases of congenital short patulous urethra with stress urinary incontinence (SUI). Both the patients presented with SUI; one was diagnosed with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome and the other had uterus didelphys with longitudinally septated vagina. Read More

Int Urogynecol J 2018 09 11;29(9):1403-1405. Epub 2018 Apr 11.

Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Introduction And Hypothesis: Autologous pubovaginal sling placement remains a treatment option in index patients, given high, long-term success rates. This video reviews the technical considerations for performing an autologous rectus fascia sling.

Methods: The patient is a 47-year-old woman with stress urinary incontinence (SUI) refractory to conservative management. Read More

Int Urogynecol J 2018 04 12;29(4):615. Epub 2018 Mar 12.

NHS Ayrshire & Arran, Scotland, Kilmarnock, UK.

Int Urogynecol J 2018 04 12;29(4):617. Epub 2018 Mar 12.

University of California Irvine, Irvine, CA, USA.

Dan Med J 2018 Feb;65(2)

This PhD thesis is based on three original articles. The studies were performed at the Department of Obstetrics and Gynaecology, Herlev University Hospital and at the Center for Clinical Epidemiology, Odense University Hospital. 
Urinary incontinence (UI) is a frequent disorder among women, which for the individual can have physical, psychological and social consequences. Read More

Female Pelvic Med Reconstr Surg 2018 Jan 30. Epub 2018 Jan 30.

Introduction: Stress urinary incontinence at a low bladder volume is a clinically observed phenomenon that is not well studied with regard to treatment outcomes. The primary aim of our study was to determine if the volume at first leak is associated with sling outcome.

Methods: This is a retrospective cohort study evaluating whether urodynamic stress urinary incontinence observed at low volumes is associated with sling failure using the Synthetic Derivative database. Read More

Sex Med Rev 2018 04 28;6(2):224-233. Epub 2017 Dec 28.

ABC Medical School, Santo André, SP, Brazil.

Introduction: The impact of surgery for stress urinary incontinence (SUI) on female sexual function has received attention in the medical literature, but not in a structured manner.

Aim: To assess the most recent evidence on the impact of surgical management for female SUI on female sexual function.

Methods: The review and meta-analysis of available articles published in Medline, Cochrane, LILACS, SCOPUS, Web of Science, CINHAL, and EMBASE included prospective randomized and non-randomized studies that assessed patients who underwent surgical treatment for UI through 2 validated questionnaires: the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Female Sexual Function Index (FSFI). Read More

Int Urogynecol J 2018 02 22;29(2):177-178. Epub 2017 Nov 22.

Department of Obstetrics and Gynecology, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.

J Urol 2017 12 14;198(6):1214-1219. Epub 2017 Sep 14.

Medicine (Baltimore) 2017 Sep;96(39):e7914

Department of Urology and Renal Transplantation, University of Foggia, Foggia, Italy.

The study reports a single center experience with surgical management of female pelvic organ prolapse (POP) with and without urinary incontinence.Between January 2006 and July 2016, 93 consecutive patients with anterior and/or apical symptomatic POP underwent abdominal sacrocolpopexy (ASC) or laparoscopic sacrocolpopexy (LSC) or pubovaginal cystocele sling (PCS); 25 patients had concomitant stress urinary incontinence (SUI). Subjective outcome was assessed by the Pelvic Floor Impact Questionnaire (short form) (PFIQ-7) investigating bladder, bowel and vaginal functions, sexual activity, and daily life. Read More

Can Urol Assoc J 2017 Aug;11(8):275-280

Division of Urology, CHU de Québec, Université Laval, Quebec City, QC, Canada.

Introduction: We compared the efficacy of three slings in the long-term treatment of stress urinary incontinence (SUI): tension-free vaginal tape (TVT), vaginal tape-obturator (TVT-O), and an in-house two-layered polypropylene mesh with a submicronic polytetrafluoroethylene (Composix™). Our primary endpoint was the objective measurement of continence (24-hour pad test). Secondarily, we measured the satisfaction and complication rates. Read More

Can Urol Assoc J 2017 Jun;11(6Suppl2):S147-S151

Section of Urology, Department of Surgery, University of Calgary, Calgary, AB; Canada.

The surgical management of female stress urinary incontinence (SUI) has evolved over the past century, using various techniques of retropubic colposuspensions and sling procedures. In the past two decades, the sling has become the mainstay of surgical treatment of SUI, with the synthetic midurethral sling (MUS) leading the way. With the recent concerns raised by the U. Read More

Can Urol Assoc J 2017 Jun;11(6Suppl2):S132-S134

Department of Urology, Dalhousie University, Halifax, NS; Canada.

Recent data has demonstrated a one in five lifetime risk of a woman requiring stress urinary incontinence (SUI) surgery. Currently, most women opt for a synthetic midurethral sling (MUS), with over 3.6 million placed worldwide. Read More

Eur Urol 2017 10 4;72(4):567-591. Epub 2017 May 4.

Department of Surgery, Oncology, and Gastroenterology, Urology Clinic, University of Padua, Padua, Italy. Electronic address:

Context: Retropubic (RP-TVT) and transobturator miurethral (TO-TVT) midurethral sling (MUS) are popular surgical treatments for female stress urinary incontinence. The long-term efficacy and safety of the procedures is still a topic of intense clinical research and several randomised controlled trials (RCTs) have been published in the last years OBJECTIVE: To evaluate the efficacy and safety of MUS compared with other surgical treatments for female stress urinary incontinence.

Evidence Acquisition: A systematic review and meta-analysis of the literature was performed using the Medline, Scopus, and Web of Science databases to update our previously published analyses. Read More

Int Urogynecol J 2017 Aug 13;28(8):1257-1260. Epub 2017 Jan 13.

Division of Female Pelvic Medicine and Reconstructive Surgery, University of Cincinnati, Cincinnati, OH, USA.

Introduction And Hypothesis: Female urethral reconstruction via the traditional routes can be limiting for various reasons. Current literature on the use of acellular biologic grafts derived from viscera for female urethral reconstruction is limited. We present two cases of women with complete loss of their posterior urethra presenting for urethral reconstruction. Read More

Clin Exp Obstet Gynecol 2017 ;44(1):44-47

Objectives: To report the long-term outcome of tension-free vaginal tape (TVT) and pubovaginal sling (PVS) in the treatment of stress urinary incontinence (SUI) in female patients.

Materials And Methods: The long-term objective and subjective results of female patients who were previously randomized in a single blind study to two arms, TVT or PVS, between 2000 and 2004, were evaluated. The patients were asked if they were satisfied with the results of the procedure and if they would recommend it to a friend or relative. Read More

J Urol 2016 11 8;196(5):1478-1483. Epub 2016 Jun 8.

Department of Urology, Mayo Clinic, Rochester, Minnesota. Electronic address:

Purpose: To our knowledge there are no guidelines for the evaluation and management of incontinence in women with an orthotopic neobladder. We propose a treatment algorithm based on our experience with treating this patient population.

Materials And Methods: We identified women in whom orthotopic neobladder diversion and surgery for incontinence were performed from January 1, 1995 to January 1, 2014. Read More

J Clin Diagn Res 2016 Jul 1;10(7):PC01-3. Epub 2016 Jul 1.

Senior Registrar, Department of Urology, Lokmanya Tilak Municipal Medical College (LTMMC) , Mumbai, India .

Introduction: Female urethral injury is a rare disease. Causes of urethral injuries are prolonged obstructed labour, gynaecological surgeries like vaginoplasty and post traumatic urethral injuries. The present study was conducted to evaluate outcome of female urethral reconstruction using tubularized anterior vaginal wall flap covered with fibroadipose martius flap and autologous fascia sling in patients with urethral loss. Read More

Indian J Urol 2016 Jul-Sep;32(3):229-31

Department of Urology, Andhra Medical College, King George Hospital, Visakhapatnam, Andhra Pradesh, India.

Introduction: Proximal urethrovaginal fistula (UVF) located close to the bladder neck may cause extensive sphincter damage and is usually associated with continuous incontinence, which may mask the associated stress urinary incontinence (SUI). Simultaneous correction of SUI avoids a second surgery for SUI, which needs dissection in ischemic fields and carries a high risk of failure. The aim of this study is to describe our technique of concomitant repair of SUI with proximal UVF and our results. Read More

Neurourol Urodyn 2017 04 26;36(4):1155-1160. Epub 2016 Jul 26.

Department of Urology, Medical University of South Carolina, Charleston, South Carolina.

Aims: To investigate the possible effects of the Food and Drug Administration (FDA) Public Health Notifications in 2008 and 2011 regarding surgical trends in transvaginal mesh (TVM) placement for stress urinary incontinence (SUI) and related mesh revision surgery in Female Pelvic Medicine & Reconstructive Surgery (FPMRS) practice in tertiary care academic medical centers in the United States.

Methods: Surgical volume for procedures performed primarily by FPMRS surgeons at eight academic institutions across the US was collected using Current Procedural Terminology (CPT) codes for stress urinary incontinence repair and revision surgeries from 2007 to 2013. SAS statistical software was used to assess for trends in the data. Read More

Oncol Lett 2016 Aug 8;12(2):1083-1084. Epub 2016 Jun 8.

Department of Urology and Renal Transplantation, University of Foggia, Foggia I-71100, Italy.

Surgicel is an absorbable sterile mesh composed of oxidized cellulose that is used to control intraoperative capillary or venous bleeding, due to its capacity to bind hemoglobin, thus allowing the formation of an artificial clot. In the present study, a large granuloma mimicking ovarian cancer, which developed following placement of a Surgicel sponge during a combined pubovaginal sling procedure and cystocele repair, is reported. The aim of the present case report is to emphasize the fact that hemostatic measures should be removed following their use, and to alert surgeons to the risk of using and leaving oxidized cellulose. Read More

J Urol 2016 04 25;195(4 Pt 1):1040-1. Epub 2016 Jan 25.

J Urol 2016 Aug 17;196(2):484-9. Epub 2016 Mar 17.

Department of Urology, Medical University of South Carolina, Charleston, South Carolina. Electronic address:

Purpose: We reviewed the outcomes of the autologous fascial pubovaginal sling as a salvage procedure for recurrent stress incontinence after intervention for polypropylene mesh erosion/exposure and/or bladder outlet obstruction in patients treated with prior transvaginal synthetic mesh for stress urinary incontinence.

Materials And Methods: In a review of surgical databases at 2 institutions between January 2007 and June 2013 we identified 46 patients who underwent autologous fascial pubovaginal sling following removal of transvaginal synthetic mesh in simultaneous or staged fashion. This cohort of patients was evaluated for outcomes, including subjective and objective success, change in quality of life and complications between those who underwent staged vs concomitant synthetic mesh removal with autologous fascial pubovaginal sling placement. Read More

Neurourol Urodyn 2017 02 7;36(2):518-528. Epub 2016 Mar 7.

Department of Obstetrics and Gynaecology, St George's University Hospital NHS Foundation Trust, London, United Kingdom.

Aims: To review available evidence regarding evaluation and treatment of stress urinary incontinence (SUI) and provide recommendations for management of urinary incontinence under specific conditions determined by the International Federation of Gynecology and Obstetrics (FIGO) Working Group.

Methods: The FIGO Working Group discussed the management of SUI during meetings and assessed the evidence. The search of evidence was performed using MEDLINE and Cochrane databases as well as additional searches from societies and major organizations for additional guidelines and recommendations and hand searches from bibliographies. Read More

Abdom Radiol (NY) 2016 06;41(6):1178-86

Department of Radiology, University of California, Irvine School of Medicine, Orange, CA, USA.

Stress urinary incontinence (SUI) is a condition in which the weakness of the pelvic floor muscles causes unintentional loss of urine. For patients who are unable to achieve symptomatic improvement from lifestyle modification and pharmacotherapy, surgical placement of the pelvic slings or the use of urethral bulking agents has been shown to provide tremendous symptomatic improvement. Learning to recognize the pelvic slings and to identify their complications on imaging is invaluable; however, this is challenging because of the change in the local anatomy after surgical placement of the sling. Read More

Res Rep Urol 2016 18;8:11-20. Epub 2016 Jan 18.

Department of Urology, Queen Elizabeth Hospital, Birmingham, UK.

Stress urinary incontinence (SUI) is an under-diagnosed problem affecting up to 50% of women worldwide. SUI is a source of psychological distress to the individual and also imposes a financial burden to the individual and the health care system. The role of surgery in the treatment in SUI has evolved steadily in the last two decades. Read More

Rev Col Bras Cir 2015 Nov-Dec;42(6):377-81

Faculdade de Ciências Médicas, Santa Casa de São Paulo, Brasil.

Objective: To assess the application of aponeurotic sling by a modified technique with direct visualization of needles in patients with stress urinary incontinence.

Methods: we applied the Kings Health Questionnaire (KHQ) for quality of life, gynecological examination, urinalysis I and urine culture approximately seven days prior to the urodynamic study (UDS) and the one-hour PAD test in patients undergoing making aponeurotic sling with its passing through the retropubic route with direct visualization of the needle, PAD test and King's Health Questionnaire before and after surgery.

Results: The mean age was 50. Read More

Int Urogynecol J 2016 Aug 21;27(8):1169-74. Epub 2016 Jan 21.

Department of Urology, Louisiana State University Health-Shreveport, 1501 Kings Highway, Shreveport, LA, 71130, USA.

Introduction And Hypothesis: Sling surgery is common for stress urinary incontinence (SUI). Yet many women have stress-predominant mixed urinary incontinence (MUI). The change in urgency/urge urinary incontinence (U/UUI) following treatment is not well documented. Read More

Int Braz J Urol 2015 Nov-Dec;41(6):1148-53

Nucleo de Cirurgia Experimental do Departamento de Cirurgia da Universidade Federal de Pernambuco, Recife, Pernambuco, Brasil.

Purpose: To analyze the interaction between the cellulose exopolysaccharide (CEC) and urethral tissue when used as a pubovaginal sling.

Materials And Methods: Forty Wistar rats were divided into four groups. In groups A and B the cellulose exopolysaccharide (CEC) was implanted around the urethral tissue (bladder neck below the upper margin) and the rats were sacrificed at 30 and 90 days. Read More

Minerva Ginecol 2016 Apr 6;68(2):186-210. Epub 2015 Nov 6.

University of Michigan, Ann Arbor, MI, USA -

Introduction: Urethral diverticula are a complex problem for the female pelvic surgeon. Given the rarity of the condition most published series are small and single institutional. This is a review article and a meta-analysis including all case series of female urethral diverticulum from the year 2000 to 2015 including only those case series with a minimum of ten subjects. Read More

J Urol 2016 Mar 23;195(3):557-67. Epub 2015 Oct 23.

Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey. Electronic address:

Purpose: Female urethral reconstruction can be used successfully to treat a heterogeneous group of urethral disorders through an expanding number of unique approaches. Understanding the diverse etiologies of female urethral stricture and loss is essential in evaluating and diagnosing patients. Although there is an appreciable body of literature addressing female urethral reconstruction individually, there is a paucity of resources that approach this issue holistically. Read More

Int Urogynecol J 2016 Feb 17;27(2):321-2. Epub 2015 Oct 17.

Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Q10, Cleveland, OH, 44195, USA.

Prague Med Rep 2015 ;116(3):210-8

Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran.

To compare two different procedures, mid-urethral mini sling (Ophira) and autologous rectus fascia sling, according to their medium-term subjective and objective outcome and satisfaction rates in the treatment of stress urinary incontinence in women. One hundred women with the main complaint of stress urinary incontinence were randomized to be treated with either mini sling (Ophira) or autologous rectus facia pubovaginal sling. Preoperative evaluation consisted of: physical examination, blood biochemistry urine analysis and culture, urinary tract ultrasound scan, conventional multi-channel urodynamic study, cystourethroscopy, cough induced stress test and Incontinence Impact Questionnaire (IIQ). Read More

J Urol 2015 Oct 18;194(4):1052-3. Epub 2015 Jul 18.

Am J Obstet Gynecol 2016 Feb 5;214(2):263.e1-263.e8. Epub 2015 Sep 5.

Center for Clinical Epidemiology, South, Odense University Hospital, and Research Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.

Background: The synthetic midurethral slings were introduced in the 1990s and were rapidly replaced the Burch colposuspension as the gold standard treatment for urinary incontinence. It has been reported that the retropubic midurethral tape has an objective and subjective cure rate of 85% at 5 years of follow-up, but the rate of reoperation after retropubic midurethral tape at the long-term follow-up is less well described. The existing literature specifies an overall lifetime rate of reoperation of about 8-9% after an initial operation for urinary incontinence. Read More

Turk J Urol 2014 Dec;40(4):233-9

Department of Urology, Vanderbilt University, Nashville, USA.

Stress urinary incontinence (SUI) is the most common type of urinary incontinence, and approximately 200 different methods have been described for its surgical management. A better understanding of the pathophysiology of SUI has led to the development of surgical therapies focused on creating a strong suburethral supportive layer and urethral resistance. The most important advantage of the pubovaginal sling (PVS) procedure is that it restores urethral resistance during stress maneuvers to prevent incontinence, while improving urethral coaptation at rest and allowing for spontaneous micturition. Read More

Curr Urol Rep 2015 Oct;16(10):71

Glickman Kidney and Urological Institute Cleveland Clinic, Lerner College of Medicine, 9500 Euclid Ave, Q10-1, Cleveland, OH, 44195, USA,

While urethral diverticulum (UD) affects less than 20 per 1,000,000 women overall, it is thought to represent 1.4% of women with incontinence presenting to urology practices. It is hypothesized to evolve from periurethral glands that become obstructed, infected, and dilated over time, and patients typically present with dyspareunia, bothersome lower urinary tract symptoms (LUTS), and/or recurrent UTIs. Read More