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Wideochir Inne Tech Maloinwazyjne 2019 Jan 14;14(1):96-101. Epub 2018 Nov 14.

Department of Geriatric Medicine, Xiang Ya Hospital, Central South University, Changsha, China.

Introduction: Even though transurethral resection of the prostate (TURP) is the standard surgical treatment for benign prostatic hyperplasia (BPH), there is a high rate of postoperative retrograde ejaculation.

Aim: To evaluate the effectiveness of TURP with preservation of the bladder neck in comparison with that of standard TURP.

Material And Methods: This is a retrospective study. Read More

Ceska Gynekol 2018 ;83(3):188-194

Objective: Detect urethrovesical junction descent and mobility values in women with stress incontinence prior to surgical treatment.

Design: Retrospective study.

Settings: Department of Gynecology and Obstetrics, First Medical Faculty, Charles University, General Teaching Hospital, Prague. Read More

World J Urol 2019 Feb 13. Epub 2019 Feb 13.

Department of Material Science and Engineering, Kroto Research Institute, University of Sheffield, Sheffield, UK.

The surgical mesh material used in the surgical treatment of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) in women is associated with significant complications in some women. This has recently become a public health issue with involvement of national parliaments and regulatory bodies. The occurrence of mesh complications is thought to be a result of multifactorial processes involving problems related to the material design, the surgical techniques used and disease, and patient-related factors. Read More

Urologiia 2018 Dec(6):150-154

Department of Faculty Surgery with the course of Urology FGBOU VO Chita State Medical University, Chita, Russia.

The review article presents information from foreign and domestic authors on the relevance of studying the incidence of men with bening prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS). Complex urodynamic studies (CUDS) remains the most informative test of the degree of expression of LUTS and bladder outlet obstruction () caused by BPH. The difficulty in interpreting the results, the invasiveness and inaccessibility of CUDS in the routine practice of most medical institutions makes it necessary to perform relatively simpler and more accessible methods of research, which do not always objectively reflect the degree of urinary incontinence in older men. Read More

Urologiia 2018 Dec(6):14-18

MBUZ Clinical and diagnostic Center Zdorovie, Rostov-on-Don, Russia.

Aim: Radical treatment of prostate cancer (PCa) is often associated with the development of urinary incontinence (UI). The etiology of UI after prostatectomy is multifactorial and can be caused by both urethral sphincter deficiency and bladder dysfunction. To date, there are no comparative studies of the development of UI in patients after either organ-preserving treatment or radical prostatectomy (RP). Read More

Int Braz J Urol 2019 Feb 10;45. Epub 2019 Feb 10.

Divisão de Urologia Feminina, Departamento de Cirurgia, Faculdade de Ciências Médicas, Universidaded e Campinas, UNICAMP, Brasil.

Introduction: Pelvic Organ Prolapse (POP) is a common condition in elderly resulting from the weakening of the organ suspension elements of multifactorial origin. It compromises significantly the quality of life and can affect more than 50% of multiparous women. Stage IV prolapse or complete uterovaginal eversion corresponds to 10% of the cases and the only form of curative treatment is the surgical correction. Read More

World J Urol 2019 Feb 8. Epub 2019 Feb 8.

ICUA-Clínica CEMTRO, Av. Ventisquero de la Condesa 42, 28035, Madrid, Spain.

Purpose: HoLEP represents an excellent treatment option for benign prostatic hyperplasia. Recently, 'en bloc' techniques resulting in improved visualization, shorter surgical times, and easier recognition of the dissection plane have been described. In this paper we describe the 'En bloc' HoLEP technique with early apical release. Read More

Climacteric 2019 Feb;22(1):60-64

a Division of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine , University of Pisa , Pisa , Italy.

Pelvic floor dysfunctions are a complex condition in elderly women; pelvic organ prolapse, urinary or fecal incontinence, constipation, pelvic pain, and sexual dysfunction are common problems. The goal of surgical treatment is functional reconstruction with symptom management and repair of anatomic defects. The recent advancements in surgical treatment of pelvic floor dysfunction allow several good options for choosing the best surgery for each patient. Read More

Urologe A 2019 Feb 5. Epub 2019 Feb 5.

Urologie Groß-Gerau, Am Sandböhl 2, 64521, Groß-Gerau, Deutschland.

Background: Use of vaginal laser therapy in the treatment of grade I stress urinary incontinence and genitourinary syndrome of menopause is gaining in importance across the globe.

Materials And Methods: On the basis of the research that is currently available, an analysis is carried out regarding whether laser therapy is already suitable for use in the field of urology.

Results: The research available is still limited: randomized controlled studies in particular are lacking. Read More

J Minim Invasive Gynecol 2019 Jan 29. Epub 2019 Jan 29.

Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil. Electronic address:

Objective: to determine the effect of bariatric surgery (BS) on the prevalence of pelvic floor dysfunctions (PFD), specifically on urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI) DATA SOURCES: a systematic review (PROSPERO registration CRD42017068452) with literature search was performed using PubMed, Scopus and Scielo databases for all publications related to BS and PFD, with no language restrictions from inception to September 2018.

Methods Of Study Selection: two authors screened for study eligibility and extracted data. Only prospective cohorts assessing women with morbid obesity and the prevalence of PFD before and after bariatric surgery in multiple academic and private centers were included. Read More

Zhonghua Fu Chan Ke Za Zhi 2019 Jan;54(1):33-37

Departmemt of Gynecology, Peking University People's Hospital, Beijing 100044, China.

To study perioperative period conditions of total and partial colpocleisis with severe pelvic organ prolapse (POP) in elderly patients. From Jan. 2014 to Oct. Read More

Oper Neurosurg (Hagerstown) 2019 Jan 23. Epub 2019 Jan 23.

Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey.

Background: While recent data has demonstrated the utility of lumbar pedicle screws for the treatment of vertebral osteomyelitis, the data are limited for thoracic pedicle screws.

Objective: To investigate the effectiveness of thoracic pedicle screws for the surgical treatment of vertebral osteomyelitis.

Methods: A retrospective review of all operations performed by 2 spinal neurosurgeons from 1999 to 2012 yielded 30 cases of vertebral osteomyelitis that were treated with thoracic pedicle screws. Read More

World J Urol 2019 Jan 28. Epub 2019 Jan 28.

Uro-Gyn.Net Health Care Cooperation, Dr. Okuis' Urogynecology and Urology Clinic, Ootaki 2-6, Yokosuka, Kanagawa, 238-0008, Japan.

Purpose: To examine the efficacy and safety of non-ablative vaginal erbium:YAG laser (VEL) for the treatment of overactive bladder syndrome (OAB) compared with those of two other common pharmacotherapies, namely, anticholinergics and β3-adrenoceptor agonists.

Methods: Female subjects aged 60-69 years who presented with symptoms of OAB from 2015 to 2017 were assigned to three groups (n = 50) receiving treatment with an anticholinergic agent (4 mg fesoterodine), a β3-adrenoceptor agonist (25 mg mirabegron), or VEL (20 min/session of VEL performed thrice). The OAB symptom score (OABSS), Vaginal Health Index Scale (VHIS), and occurrence of adverse effects were examined prior to and at 1 year following treatment initiation. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Jan 18;234:126-130. Epub 2019 Jan 18.

2nd Department of Gynecology Medical University of Lublin, Jaczewskiego St. 8, 20-954, Lublin, Poland.

Urinary incontinence, fecal incontinence and pelvic organ prolapse are one of the most prevalent gynaecological conditions and constitute a huge global problem affecting approximately 20% of women, increasing with age. Pelvic floor disorders can have negative influence on women's quality of life, decreasing social, psychological, occupational, physical and sexual well-being. Pelvic organ prolapse results in anatomical changes to the urogenital tract and it is perceived to be one of the main factor influencing sexual function. Read More

Cent European J Urol 2018 30;71(4):378-385. Epub 2018 Oct 30.

Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.

Introduction: Oncological remission along with high postoperative functionality [continence and erectile function (EF)] are the main aspects of prostate cancer (PCa) treatment. The aim of this study was to compare functional and oncological treatment results achieved after a nerve-sparing radical prostatectomy (RP) via transperitoneal (TPRP), extraperitoneal (EPRP) and robot-assisted (RARP) approach.

Material And Methods: From March 2015 to March 2016, 507 RP were performed at the Institute for Urology and Reproductive Health (Moscow, Russia). Read More

Pediatr Nephrol 2019 Jan 22. Epub 2019 Jan 22.

Division of Urology, Hospital for Sick Children and Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Urinary tract infections (UTIs) are a common reason for referral to pediatric specialists and the risk profile of these children is influenced by age, sex, and underlying urinary tract abnormalities. UTIs in toilet-trained children represent a different entity than confirmed, febrile UTIs that occur in infants, impacted by suboptimal bladder habits, bladder dysfunction, constipation, or a combination of these factors. A comprehensive literature search was conducted using PubMed and MEDLINE and search terms included recurrent UTI, VUR, bladder and bowel dysfunction (BBD), constipation, lower urinary tract symptoms, and voiding dysfunction. Read More

Ther Adv Urol 2019 Jan-Dec;11:1756287218813787. Epub 2019 Jan 8.

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA.

Radical prostatectomy (RP) is the most frequent treatment with curative intent performed for prostate cancer to date. Different surgical approaches (perineal, transperitoneal, and extraperitoneal) and techniques (laparoscopic and robot assisted) have been described to increase the efficiency and potentially diminish the postoperative complications of this procedure. The aim of this narrative review is to investigate and define the factors that influence postprostatectomy urinary continence. Read More

Oper Neurosurg (Hagerstown) 2019 Jan 18. Epub 2019 Jan 18.

Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.

Thoracic disc herniations are an infrequent occurrence, but can be a cause of significant myelopathy. Diagnosis typically requires a high clinical suspicion that is confirmed with appropriate imaging. Classically, the transthoracic approach for discectomy is the treatment of choice for symptomatic cases. Read More

BMC Urol 2019 Jan 21;19(1). Epub 2019 Jan 21.

Department of Obstetrics and Gynecology, University of Insubria, Varese, 21100, Italy.

Background: Overactive bladder (OAB) can frequently exert a negative effect on female sexual function. Mirabegron, a β3 receptor agonist, improves OAB symptoms, but there are very few information about its role on female sexual dysfunction (FSD). Aim of the study was to assess the impact of Mirabegron on FSD in women affected by OAB. Read More

Prostate Cancer Prostatic Dis 2019 Jan 21. Epub 2019 Jan 21.

Department of Health Evidence, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.

Focal therapy (FT) for the treatment of localized prostate cancer offers an alternative strategy for men seeking active treatment. Although relatively new, existing studies suggest that the majority of men who undergo FT tend to maintain levels of genito-urinary function that are indistinguishable from their pre-treatment status. However, as part of the shared decision making process, men need to balance good tolerability against a greater risk of recurrence given that much of the prostate remains intact after FT. Read More

World Neurosurg 2019 Jan 17. Epub 2019 Jan 17.

Department of Orthopedic Surgery, Spine Center, Changzheng Hospital, Second Military Medical University, Shanghai, China. Electronic address:

Objective: To evaluate surgical outcomes of homogeneous spinal-shortening axial decompression (HSAD) for reoperation in pediatric patients with tethered cord syndrome.

Methods: Twenty consecutive pediatric patients (≤18 years old, 7 boys, 13 girls) who underwent HSAD after untethering surgery between June 2012 and May 2015 were included. The Japanese Orthopaedic Association score and visual analog scale were used to evaluate preoperative and postoperative neurologic function and pain. Read More

Acta Obstet Gynecol Scand 2019 Jan 19. Epub 2019 Jan 19.

Institute of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.

Introduction: The retropubic tension-free vaginal tape has been the preferred method for primary surgical treatment of stress urinary incontinence and stress-dominated mixed urinary incontinence in women for more than 20 years. This study presents long-term safety and efficacy data and assesses risk factors for long-term recurrence.

Material And Methods: In a case-series design we assessed a historical cohort of primary surgeries performed with the tension-free vaginal tape procedure in 596 women from 1998 to 2012 with follow up through 2015. Read More

Arch Gynecol Obstet 2019 Jan 16. Epub 2019 Jan 16.

Department of Surgical and Medical Sciences and Translational Medicine, Sapienza University of Rome, S. Andrea Hospital, via di Grottarossa, 1035, Rome, Italy.

Purpose: During the second and the third trimesters of pregnancy and in the first 3 months following childbirth, about one-third of women experience urinary incontinence (UI). During pregnancy and after delivery, the strength of the pelvic floor muscles may decrease following hormonal and anatomical changes, facilitating musculoskeletal alterations that could lead to UI. Pelvic floor muscle training (PFMT) consists in the repetition of one or more sets of voluntary contractions of the pelvic muscles. Read More

Health Qual Life Outcomes 2019 Jan 14;17(1):11. Epub 2019 Jan 14.

Hospital Universitari de Bellvitge, l'Hospitalet de Llobregat, Barcelona, Spain.

Background: The purpose of this study is to describe Health-Related Quality of Life (HRQoL) of localized prostate cancer patients in an Active Surveillance (AS) program, and to compare them with those undergoing radical prostatectomy (RP), external-beam radiotherapy (XRT) and brachytherapy (BT).

Methods: Multi-institutional pooled cross-sectional analysis on patients in an AS protocol: < 75 years old; pathologically confirmed LPC (maximum of three positive cylinders); Gleason score < 3 + 4; clinical stage T1a-T2b; and PSA < 15 ng/ml. Exclusion criteria for this study were: less than 6 months in AS, termination of AS protocol, or incomplete data. Read More

Taiwan J Obstet Gynecol 2019 Jan;58(1):111-116

Fellow, Division of Urogynaecology, Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Dr. Pablo O. Torre Memorial Hospital, Bacolod City, Philippines.

Objective: Vesicovaginal fistulas (VVF) are consequences from obstetric and gynecologic surgery. Treatment approach from either abdominal or vaginal route have its own pros and cons. The study aims to present the anatomical, clinical and lower urinary tract symptom outcomes of women with VVF. Read More

J Urol 2019 02;201(2):221

Eur J Obstet Gynecol Reprod Biol 2019 Jan 6;234:10-13. Epub 2019 Jan 6.

Republic of Turkey, Ministry of Health University of Health Sciences Tepecik Education and Research Hospital, Turkey.

Objective: We aimed to evaluate the long-term outcomes and quality of life of patients who underwent single incision minisling (SIMS) procedure.

Study Design: 62 patients who were diagnosed with stress urinary incontinence (SUI) and received treatment with SIMS procedure (Ophira, Promedon, Argentina) were included in the study. Mean age was 50. Read More

Neurourol Urodyn 2019 Jan 8. Epub 2019 Jan 8.

Department of Urogynaecology, St. Mary's Hospital, Imperial College London, London, Unted Kingdom.

Aims: To evaluate the historic and pathophysiologic issues which led to the development of Burch colposuspension, to describe anatomic and technical aspects of the operation and to provide an update on current evidence.

Methods: We have performed a focused literature review and have searched the current available literature about historic dimension, technical descriptions, and efficacy of Burch colposuspension.

Results: Burch colposuspension, performed either by an open or a laparoscopic approach, is an effective surgical treatment for stress urinary incontinence. Read More

Climacteric 2019 Jan 7:1-6. Epub 2019 Jan 7.

a Department of Urogynaecology , Sheffield Teaching Hospitals NHS Foundation Trust , Sheffield , UK.

Sexual dysfunction in women with prolapse and incontinence is well documented in the literature, but the impact of treatment, particularly surgical correction, remains very limited and confusing. Age, on the other hand, has been shown to be an independent risk factor for deteriorating sexual function, with all aspects of the sexual function (i.e. Read More

Prog Urol 2018 Dec 31. Epub 2018 Dec 31.

Service d'urologie, CHU de Brest, Cavale-Blanche, boulevard Tanguy-Prigent, 29200 Brest, France.

Introduction: Artificial urinary sphincter (AUS) is the treatment of last resort of stress urinary incontinence (UI) due to intrinsic sphincter deficiency (IS). The implantation procedure has been described by open surgery and laparoscopy with a significative rate of complication by Lucas et al. (2012) and Costa et al. Read More

BMC Surg 2019 Jan 3;19(1). Epub 2019 Jan 3.

Department of Colorectal Surgery. S Rita Clinic, Vercelli, Italy.

Background: The aim of this retrospective study was to evaluate morbidity, mortality, postoperative function and recurrences in patients treated by Altemeier's rectosigmoidectomy for complete rectal prolapse in a referral center for pelvic floor functional disorders.

Methods: Peri-operative data on 43 consecutive female patients were reviewed. At follow-up any change in pelvic floor function and recurrences were determined. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Oct;32(10):1255-1260

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China;Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Beijing, 100176, P.R.China;Key Laboratory of Rehabilitation Aids Technology and System of the Ministry of Civil Affairs, Beijing, 100176, P.R.China.

Objective: To summarize the main methods and comprehensive effects of limited surgery combined with external fixation for the treatment of flail foot with sensory disorder of spina bifida sequela in adult.

Method: The clinical data of 22 cases (30 feet) of the adult spina bifida sequela who suffered from flail foot with sensory disorder and treated by limited surgery combined with external fixation were retrospectively analysed between January 2005 and December 2015. There were 14 males and 8 females with an age of 8-38 years (mean, 21. Read More

Spinal Cord Ser Cases 2018 19;4:109. Epub 2018 Dec 19.

1Department of Spine pathology and Neurosurgery, Turner scientific research institute for pediatric orthopedics, Ministry of health, Saint-Petersburg, Russian Federation.

Study Design: Cohort study.

Objectives: The objectives of this study were examination, observation and surgical interventions of pediatric patients with diastematomyelia, a rare congenital deformity of the spinal cord.

Setting: Spine surgery and neurosurgery clinic under ministry of health, the Russian Federation. Read More

J Pediatr Urol 2018 Nov 29. Epub 2018 Nov 29.

Dept. of Urology, Ghent University Hospital, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address:

Introduction: Urethral injuries and trauma-related strictures (UITSs) in children are rare. The treatment is challenging but crucial to avoid life-long urinary complications such as recurrent stricture formation, urinary incontinence, and impotence.

Objective: The aim was to report on the surgical and functional outcome of urethroplasty for UITSs and to provide data on patient-reported outcome measures (PROMs). Read More

J Urol 2019 01;201(1):36-37

J Urol 2019 01;201(1):11

Transplant Proc 2018 Dec 7;50(10):3940-3942. Epub 2018 Sep 7.

Central Australian Renal Services, Alice Springs Hospital, Northern Territory, Australia.

Background: Human T-lymphotropic virus type 1 (HTLV-1) is endemic amongst the Aborigines of the Northern Territory of Australia. HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP) has been associated with this infection. In general population, isolated neurogenic bladder dysfunction in HTLV-1-infected individuals without HAM/TSP has been reported, and the HTLV-1 proviral load has been found to be higher in such patients compared with asymptomatic carriers. Read More

Am J Obstet Gynecol 2018 Dec 18. Epub 2018 Dec 18.

Birmingham Women's Hospital, Birmingham, UK.

Background: Analyzing surgical databases uses "real-life" outcomes rather than highly selected cases from randomized controlled trials. Retropubic midurethral slings are a highly effective surgical treatment for stress urinary incontinence; however, if modifiable patient characteristics alter outcomes, thereby rendering treatments less effective, patients should be informed and given the opportunity to change that characteristic.

Objective: The aim of this study was to evaluate the effect of body mass index on patient-reported outcome measures by analyzing midurethral slings from the British Society of Urogynaecology database. Read More

Neurourol Urodyn 2018 Dec 21. Epub 2018 Dec 21.

Department of Urology, University Hospitals Leuven, Leuven, Belgium.

Aims: To assess efficacy and safety as well as predictive factors of dry rate and freedom from surgical revision in patients underwent AUS placement. The artificial urinary sphincter (AUS) is still considered the standard for the treatment of moderate to severe post-prostatectomy stress urinary incontinence (SUI). However, data reporting efficacy and safety from large series are lacking. Read More

Medicine (Baltimore) 2018 Dec;97(51):e13360

Background: With the progress of surgical techniques and instruments, various minimally invasive surgical therapies were developed to treat benign prostatic hyperplasisa (BPH). However, the efficacy and safety of different transurethral procedures for the treatment of BPH are still undefined.

Method: A systematic search was performed for all randomized controlled trials (RCTs), which compared the transurethral procedures for BPH from 1995 to 2016. Read More

Int Urogynecol J 2018 Dec 18. Epub 2018 Dec 18.

Department of Urology, Medical University of Gdansk, Gdansk, Poland.

Introduction And Hypothesis: Surgical treatment of stress urinary incontinence in women using a synthetic midurethral tape has become a standard procedure. One of the complications observed postoperatively are lower urinary tract symptoms (LUTS). The aim was to analyze the role of introital ultrasound in the identification of patients at risk for developing LUTS after surgical treatment using synthetic tape. Read More

JAMA 2018 12;320(23):2438-2447

Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland.

Importance: Pelvic floor disorders (eg, urinary incontinence), which affect approximately 25% of women in the United States, are associated with childbirth. However, little is known about the course and progression of pelvic floor disorders over time.

Objective: To describe the incidence of pelvic floor disorders after childbirth and identify maternal and obstetrical characteristics associated with patterns of incidence 1 to 2 decades after delivery. Read More

Adv Ther 2019 Feb 17;36(2):426-441. Epub 2018 Dec 17.

Departamento Clínico, Universidad Europea de Madrid, Servicio de Urología, Hospital Universitario de Getafe, Getafe, Madrid, Spain.

Introduction: Adjustable transobturator male system (ATOMS) is a surgical device developed to treat male stress urinary incontinence (SUI) after prostate surgery. The objective was to assess the effectiveness of the ATOMS device to treat male SUI as described in the literature.

Methods: Two independent reviewers identified studies eligible for a systematic review and meta-analysis of various sources written in English, German and Spanish, using the databases PubMed, EMBASE and Web of Science. Read More

J Spine Surg 2018 Sep;4(3):602-609

Department of Plastic and Reconstructive Surgery, Uppsala University Hospital, Uppsala, Sweden.

Background: The optimal treatment of symptomatic perineural (Tarlov) cysts is controversial. Numerous surgical techniques have been proposed with conflicting results. A series of Tarlov cysts treated with a novel surgical approach is presented. Read More

Taiwan J Obstet Gynecol 2018 Dec;57(6):777-778

Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, National Yang-Ming University, Taipei, Taiwan; Institute of Clinical Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan; Department of Medical Research, China Medical University Hospital, Taichung, Taiwan. Electronic address:

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

Wideochir Inne Tech Maloinwazyjne 2018 Dec 21;13(4):501-506. Epub 2018 May 21.

Clinic of Gastroenterology, Nephrourology and Surgery, Center of Urology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Introduction: Midurethral tape implantation procedures currently are the first-line treatment for female stress urinary incontinence (SUI).

Aim: To estimate the most common intraoperative and postoperative complications and their treatment methods after midurethral tape implantation using retropubic (tension-free vaginal tape - TVT) and transobturator (TOT) approaches for the treatment of female SUI.

Material And Methods: A retrospective descriptive study was performed on 367 women operated on due to SUI in the period from 2004 to 2015. Read More

Arab J Urol 2018 Dec 9;16(4):397-403. Epub 2018 Jul 9.

Department of Urology, Faculty of Medicine, Ain Sham University, Cairo, Egypt.

Objective: To evaluate and compare the clinical (patient's morbidity, quality of life [QoL]) and economic impact of autologous vs synthetic slings in female stress urinary incontinence (SUI), as over the last decade, the introduction of synthetic vaginal tapes for managing SUI has gained wide acceptance being quicker with low morbidity. Synthetic vaginal tapes have been progressively replacing the use of autologous rectus fascia. However, the high cost of these synthetic tapes is almost always an obstacle for most patients of limited socio-economic resources in the Egyptian community. Read More

Int Braz J Urol 2018 Oct 30;44. Epub 2018 Oct 30.

Department of Neuro-Urology, CTO - Spinal Unit, Città della Salute e della Scienza di Torino, Turin, Italy.

Purpose: The aim of our study is to evaluate the efficacy and safety of ATOMS® system for the treatment of postoperative male stress urinary incontinence (SUI).

Materials And Methods: We retrospectively evaluated all patients treated at our institution for postoperative male SUI with ATOMS® implant. We excluded patients with low bladder compliance (< 20 mL / cmH2O), uncontrolled detrusor overactivity, detrusor underactivity (BCI < 100), urethral or bladder neck stricture and low cystometric capacity (< 200 mL). Read More