15,748 results match your criteria Surgical Treatment of Urinary Incontinence


[Comparison of effectiveness and complications between two different methods of augmentation cystoplasty].

Beijing Da Xue Xue Bao Yi Xue Ban 2019 Apr;51(2):293-297

Department of Urology, Peking University People's Hospital, Beijing 100044, China.

Objective: To compare the effectiveness and complications between enterocystoplasty and small intestinal submucosa (SIS) cystoplasty through follow-ups of patients with augmentation cystoplasty in Peking University People's Hospital, offering alternative approach for future treatment.

Methods: In this study, retrospective analyses were carried out in 10 patients who underwent enterocystoplasty or SIS cystoplasty in Peking University People's Hospital from November 2011 to December 2016. Clinical data were collected including medical history, surgical procedures, laboratory examinations and complications. Read More

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April 2019
1 Read

Urodynamics Before Stress Urinary Incontinence Surgery in Modern Functional Urology.

Eur Urol Focus 2019 Apr 12. Epub 2019 Apr 12.

Department of Urology, Complejo Hospitalario Universitario de Canarias, Universidad de La Laguna, La Laguna, Tenerife, Spain.

There is an ongoing debate in functional urology forums about the role and utility of urodynamics as a diagnostic and prognostic tool for patients with urinary incontinence. Current evidence suggests that in a limited number of patients with pure stress urinary incontinence (those without relevant urogynaecological comorbidities and a low postvoid residual volume of urine), urodynamic studies can be avoided, although this opinion remains controversial. PATIENT SUMMARY: Stress urinary incontinence is highly prevalent and surgical treatment is frequently needed. Read More

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http://dx.doi.org/10.1016/j.euf.2019.03.018DOI Listing
April 2019
1 Read

Long-term follow-up of urethral reconstruction for blunt urethral injury at a young age: urinary and sexual quality of life outcomes.

J Pediatr Urol 2019 Mar 6. Epub 2019 Mar 6.

Introduction: Little is known about long-term patient-reported outcomes following surgical repair for pediatric blunt urethral trauma.

Objective: The purpose was to evaluate long-term urinary outcomes, sexual function, and quality of life (QOL) of patients who undergo urethroplasty for blunt urethral trauma in childhood.

Study Design: After IRB approval, we retrospectively reviewed the records of patients who sustained blunt urethral injury at ≤18 years and underwent urethroplasty at our institution between 1978 and 2013. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.02.013DOI Listing
March 2019
2 Reads

Monopolar enucleation versus transurethral resection of the prostate for small- and medium-sized (< 80 cc) benign prostate hyperplasia: a prospective analysis.

World J Urol 2019 Apr 8. Epub 2019 Apr 8.

Institute for Urology and Reproductive Health, Sechenov University, 2/1 Bolshaya Pirogovskaya St, Moscow, 119991, Russian Federation.

Aim: To assess efficacy and safety of monopolar enucleation of the prostate (MEP) and to compare it with the current treatment standard for medium-sized prostates, < 80 cc, transurethral resection of the prostate (TURP).

Methods: A prospective analysis patients undergoing a surgical procedure for their diagnosis of BPH (benign prostatic hyperplasia) (IPSS > 20, Q < 10; prostate volume < 80 cc) was performed. IPSS, Q were assessed preoperatively, at 6 and 12 months postoperatively. Read More

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http://dx.doi.org/10.1007/s00345-019-02757-zDOI Listing
April 2019
1 Read

Interlaminar stabilization and decompression for the treatment of bilateral juxtafacet cysts: Case report and literature review.

Int J Surg Case Rep 2019 Mar 30;57:155-159. Epub 2019 Mar 30.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.

Introduction: Lumbar juxtafacet cysts (JFCs) are a common cause of lumbar radiculopathy which tend to occur in areas of increased facet mobility. While resection alone is a possible treatment, recent publications suggest that laminectomy alone for JFCs may not yield as favorable an outcome as laminotomies reinforced with posterior dynamic hardware. The Coflex is a novel interlaminar stabilization device that has been shown to achieve comparable results to rigid fusion in the management of lumbar stenosis in patients with no more than grade one anterolisthesis, and superior performance compared to laminectomy alone when a combined outcome score was used. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453832PMC
March 2019
1 Read

Technical innovations to optimize continence recovery after robotic assisted radical prostatectomy.

Minerva Urol Nefrol 2019 04 5. Epub 2019 Apr 5.

Urology Unit, Academic Medical Centre Hospital "Santa Maria della Misericordia", Udine, Italy -

Background: Urinary incontinence is one of the most significant causes of concern among patients who get surgical treatment for prostate cancer, even after the introduction of the robot. The aim of this study is to summarize current knowledge of the factors influencing urinary continence (UC) and the technical innovations to optimize UC recovery after robotic radical prostatectomy (RARP).

Methods: A non-systematic review was conducted from January 2000 to October 2018 to identify original and review articles in English describing the anatomy of the prostate and pelvis. Read More

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https://www.minervamedica.it/index2.php?show=R19Y9999N00A190
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http://dx.doi.org/10.23736/S0393-2249.19.03395-2DOI Listing
April 2019
2 Reads

Designing new synthetic materials for use in the pelvic floor: what is the problem with the existing polypropylene materials?

Curr Opin Urol 2019 Apr 2. Epub 2019 Apr 2.

The Kroto Research Institute, Materials Science and Engineering, North Campus, University of Sheffield, Broad Lane, Sheffield, UK.

Purpose Of Review: This review identifies the clinical complications associated with the design of the current polyproplylene mesh materials used for the treatment of stress urinary incontinence and pelvic organ prolapse. Following on from this, new alternative materials under development for pelvic floor repair are reviewed.

Recent Findings: It is well accepted that the textile properties of the current polypropylene surgical meshes are not suitable for the pelvic floor environment. Read More

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http://dx.doi.org/10.1097/MOU.0000000000000623DOI Listing
April 2019
4 Reads

Uterine-preserving pelvic organ prolapse surgery using the UPHOLD LITE vaginal support system: The outcomes of 291 patients.

Medicine (Baltimore) 2019 Apr;98(14):e15086

Department of Obstetrics and Gynecology.

This article aims to evaluate the safety and outcome of women with pelvic organ prolapse (POP) treated by a minimally invasive bilateral sacrospinous hysteropexy (UPHOLD LITE Vaginal Support System, Boston Scientific) without concomittent anti-incontinence surgery.This retrospective study was conducted between 2014 and 2016. Evaluated items included surgical parameter and postoperative outcome. Read More

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http://dx.doi.org/10.1097/MD.0000000000015086DOI Listing
April 2019
1 Read

What is the optimal length for single-incision tape?

Int Urogynecol J 2019 Apr 3. Epub 2019 Apr 3.

Department of Obstetrics and Gynecology, 1st Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.

Introduction And Hypothesis: The aim of this study was to assess the length of adjustable single-incision midurethral tape (SIMS; Ajust), which is needed to fix this tape to the obturator membrane. From these data, we can deduce the optimal length of the SIMS.

Methods: For this study, we employed the intra-operative data of patients included in a single-center randomized trial comparing the efficacy of Tension free vaginal tape obturator (TVT-O) and Ajust. Read More

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http://dx.doi.org/10.1007/s00192-019-03926-9DOI Listing
April 2019
2 Reads

Surgical treatments for women with stress urinary incontinence: the ESTER systematic review and economic evaluation.

Health Technol Assess 2019 Mar;23(14):1-306

Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.

Background: Urinary incontinence in women is a distressing condition that restricts quality of life and results in a large economic burden to both the NHS and women themselves.

Objective: To evaluate the clinical effectiveness, safety and cost-effectiveness of surgical treatment for stress urinary incontinence (SUI) in women and explore women's preferences.

Design: An evidence synthesis, a discrete choice experiment (DCE) and an economic decision model, with a value-of-information (VOI) analysis. Read More

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http://dx.doi.org/10.3310/hta23140DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462840PMC
March 2019
3 Reads
5.027 Impact Factor

Botulinum toxin type A injection after failure of augmentation enterocystoplasty performed for neurogenic detrusor overactivity: preliminary results of a salvage strategy. The ENTEROTOX study.

Urology 2019 Mar 26. Epub 2019 Mar 26.

Department of Urology, Aix Marseille University, Marseille, France. Electronic address:

Objective: To evaluate the clinical efficacy, urodynamic effect and safety of Botulinum Toxin A (BTXA) injections after failure of augmentation enterocystoplasty (AE) performed for NDO.

Patients And Methods: We performed a multicenter retrospective study that included patients who had AE and at least one injection of BTXA after AE in 15 GENULF (French Speaking Neuro-Urology Study Group) centers. Clinical and urodynamic data were collected from medical files according to a standardized questionnaire and colligated in an anonymous database. Read More

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http://dx.doi.org/10.1016/j.urology.2019.03.010DOI Listing
March 2019
3 Reads

[Urinary incontinence revealing vescicouterine fistula: about a case].

Pan Afr Med J 2018 14;31:32. Epub 2018 Sep 14.

Service d'Urologie, CHU Hassan II, Fès, Maroc.

Vescicouterine fistula (VUF) is a rare lesion accounting for only 4% of all urogenital fistulas. It is most often secondary to cesarean section and forms a connection between the bladder and the uterus. We report the case of a young patient with VUF secondary to cesarean section. Read More

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http://dx.doi.org/10.11604/pamj.2018.31.32.15595DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430854PMC
April 2019
1 Read

Uterine myomas and lower urinary tract dysfunctions: A literature review.

J Gynecol Obstet Hum Reprod 2019 Mar 21. Epub 2019 Mar 21.

Department of Gynaecology and Obstetrics, University Hospital of Caen, Caen, France. Electronic address:

Different types of urinary symptoms associated with myomas are reported, including urinary incontinence or dysuria. They are rarely investigated in patients and their prevalence is not well known. While myomas are the first reason to perform hysterectomy in France, few studies have evaluated the impact of surgical treatment in women with urinary symptoms. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687847183058
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http://dx.doi.org/10.1016/j.jogoh.2019.03.021DOI Listing
March 2019
7 Reads

[Mid-term efficacy of laparoscopic sacral colpopexy of combined transabdominal-transvaginal approach in the treatment of stage Ⅳ pelvic organ prolapse].

Zhonghua Fu Chan Ke Za Zhi 2019 Mar;54(3):160-165

Department of Obstetrics and Gynecology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

To evaluate the clinical effect after laparoscopic sacral colpopexy (LSC) of combined transabdominal-transvaginal approach on stage Ⅳ pelvic organs prolapse (POP). The clinical data of 65 patients undergoing LSC of combined transabdominal-transvaginal approach from January 1st, 2010 to July 30th, 2017 due to POP stage Ⅳ in First Affiliated Hospital of Guangzhou Medical University were retrospectively analyzed. Objective outcome was assessed by comparing preoperative and postoperative pelvic organ prolapse quantification (POP-Q) systems. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-567x.2019.03.004DOI Listing
March 2019
1 Read

Health-related quality of life in Slovenian patients with colorectal cancer: a single tertiary care center study.

Radiol Oncol 2019 Mar 14. Epub 2019 Mar 14.

Department of Abdominal Surgery, Ljubljana University Medical Center, Ljubljana, Slovenia.

Background The aim of this study was to evaluate the influence of the surgical treatment on Slovenian colorectal cancer patients' health-related quality of life and to compare the results to the health-related quality of life of the general Slovenian population. Patients and methods A total of 413 patients with colorectal cancer operated on at the Abdominal Surgery Department at the Ljubljana University Medical Center between January 1st, 2016 and December 31st, 2017 were sent two standardized and validated questionnaires: the EORTC QLQ-C30 version 3 and EORTC QLQ-CR29. The questionnaires were returned by 197 patients. Read More

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https://content.sciendo.com/view/journals/raon/ahead-of-prin
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http://dx.doi.org/10.2478/raon-2019-0015DOI Listing
March 2019
8 Reads

Detrusorrhaphy during Robot-Assisted Radical Prostatectomy: Early Recovery of Urinary Continence and Surgical Technique.

Biomed Res Int 2019 12;2019:1528142. Epub 2019 Feb 12.

Department of Urology, Hallym University Sacred Heart Hospital, Hallym University, College of Medicine, Anyang, Republic of Korea.

Robot-assisted radical prostatectomy (RARP) has largely replaced open radical prostatectomy as the standard surgical treatment for prostate cancer. However, postoperative urinary incontinence still persists and has a significant impact on quality of life. We report the superior results of the detrusorrhaphy technique during RARP that helps achieve early continence. Read More

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http://dx.doi.org/10.1155/2019/1528142DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390270PMC
February 2019
1 Read

Outcome of buccal mucosa graft urethroplasty: a detailed analysis of success, morbidity and quality of life in a contemporary patient cohort at a referral center.

BMC Urol 2019 Mar 18;19(1):18. Epub 2019 Mar 18.

Department of Urology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

Background: To evaluate outcome of buccal mucosa graft urethroplasty (BMGU) for the treatment of urethral stricture disease, including a detailed analysis of success, morbidity and quality of life (QoL).

Methods: Between 12/05/2008 and 07/21/2010, 187 patients with urethral stricture disease, who were treated with BMGU at our University Medical Center, received a standardized questionnaire, evaluating postoperative success, morbidity and QoL. The primary endpoint was the success, i. Read More

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http://dx.doi.org/10.1186/s12894-019-0449-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421675PMC
March 2019
2 Reads

Our Experience with Iatrogenic Ureteric Injuries among Women Presenting to University College Hospital, Ibadan: A Call to Action on Trigger Factors.

Obstet Gynecol Int 2019 10;2019:6456141. Epub 2019 Feb 10.

Genitourinary/Urogynaecology Unit, Faculty of Clinical Science, UI, Ibadan, Nigeria.

Background: Ureteric injuries leading to ureterovaginal fistula (UVF) is less common than vesicovaginal fistula, as a cause of urinary incontinence. Recently, there is a surge in the number of UVF cases presenting to University College Hospital (UCH) following a caesarean delivery. The urogynaecology unit at UCH is at the forefront of providing surgical repair for women with all forms of genitourinary fistulas. Read More

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http://dx.doi.org/10.1155/2019/6456141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387707PMC
February 2019
1 Read

1-year outcome after treatment of uterovaginal prolapse with a 6-point fixation mesh.

Neurourol Urodyn 2019 Apr 14;38(4):1129-1134. Epub 2019 Mar 14.

Department of Obstetrics and Gynecology, Medical University Nîmes, Nîmes, France.

Introduction: The aim of this study was to describe the safety and anatomical results of a surgical approach with a single-incision 6-point fixation vaginal mesh for the treatment of pelvic organ prolapse at perioperatively and at 1-year follow-up.

Materials And Methods: This was a prospective observational study of patients who underwent operation receiving an InGYNious anterior transvaginal mesh. All patients with symptomatic stage II prolapse or higher were included in the study. Read More

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http://doi.wiley.com/10.1002/nau.23968
Publisher Site
http://dx.doi.org/10.1002/nau.23968DOI Listing
April 2019
11 Reads

Outcome and complications of adjustable continence therapy (ProACT ) in the treatment of urinary incontinence after transurethral resection of the prostate: A multicenter study.

Neurourol Urodyn 2019 Apr 8;38(4):1111-1119. Epub 2019 Mar 8.

Department of Urology, Erasmus University Medical Center, Rotterdam, The Netherlands.

Aim: To evaluate the outcome of adjustable continence balloons in the treatment of stress urinary incontinence (SUI) after transurethral resection of the prostate (TURP).

Methods: In two tertiary centers, adjustable continence balloons were implanted in 29 patients with post-TURP SUI between 2007 and 2018. Endpoints of this retrospective multicenter study were patient-reported changes in pad count and complications. Read More

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http://dx.doi.org/10.1002/nau.23966DOI Listing
April 2019
1 Read

Female Urethral Diverticula: Diagnosis, Pathology, and Surgical Outcomes at an Academic, Urban Medical Center.

Urology 2019 Mar 4. Epub 2019 Mar 4.

Division of Female Pelvic Medicine and Reconstructive Surgery, Good Samaritan Hospital Medical Center of Catholic Health Services of Long Island, West Islip, NY.

Objective: To describe the outcomes of a series of women diagnosed with a urethral diverticulum at an urban tertiary care center.

Methods: An Institutional Review Board-approved review of a series of 78 women with a diagnosis of urethral diverticulum from 2009 to 2015 was performed. Clinical, radiographic, and pathologic data was collected by retrospective review of patient medical records. Read More

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http://dx.doi.org/10.1016/j.urology.2018.12.052DOI Listing
March 2019
2 Reads

Diabetes and Aging: From Treatment Goals to Pharmacologic Therapy.

Front Endocrinol (Lausanne) 2019 18;10:45. Epub 2019 Feb 18.

Unit of Endocrinology and Metabolic Diseases, Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.

Diabetes is becoming one of the most widespread health burning problems in the elderly. Worldwide prevalence of diabetes among subjects over 65 years was 123 million in 2017, a number that is expected to double in 2045. Old patients with diabetes have a higher risk of common geriatric syndromes, including frailty, cognitive impairment and dementia, urinary incontinence, traumatic falls and fractures, disability, side effects of polypharmacy, which have an important impact on quality of life and may interfere with anti-diabetic treatment. Read More

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https://www.frontiersin.org/article/10.3389/fendo.2019.00045
Publisher Site
http://dx.doi.org/10.3389/fendo.2019.00045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387929PMC
February 2019
5 Reads

LASER PROBE WITH INTEGRATED CONTACT COOLING FOR SUBSURFACE TISSUE THERMAL REMODELING.

J Miss Acad Sci 2018 Apr;63(2 Suppl 1):202-205

Department of Physics and Optical Science, University of North Carolina at Charlotte, USA.

Over 6.5 million women in the United States suffer from female stress urinary incontinence (SUI). Only ~200,000 women choose surgery. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388701PMC
April 2018
2 Reads

Dandy-Walker syndrome associated with syringomyelia in an adult: a case report and literature review.

J Int Med Res 2019 Apr 24;47(4):1771-1777. Epub 2019 Feb 24.

2 Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, Suzhou, China.

Dandy-Walker syndrome associated with syringomyelia is a rare condition, with few reports of adult cases. We describe an adult case of Dandy-Walker syndrome with concomitant syringomyelia. A 33-year-old man presented with a 3-month history of walking instability, numbness in the hands, memory deterioration, and urinary incontinence. Read More

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http://dx.doi.org/10.1177/0300060518808961DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460593PMC
April 2019
11 Reads

Repair of sphincter urethral strictures preserving urinary continence: surgical technique and outcomes.

World J Urol 2019 Feb 23. Epub 2019 Feb 23.

Istituto Clinico Humanitas IRCCS, Clinical and Research Hospital (ML), Rozzano, Italy.

Introduction: Repair of post-TURP sphincter urethral strictures represents challenging problem, due to the risk of urinary incontinence after the repair. We described a surgical technique we use to repair these strictures preserving urinary continence in patients with incompetent bladder neck.

Materials And Methods: An observational, retrospective, study was conducted to include patients with post-TURP urethral strictures in the area of distal sphincter. Read More

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http://dx.doi.org/10.1007/s00345-019-02686-xDOI Listing
February 2019
4 Reads

Analysis of anastomotic urethroplasty for pelvic fracture urethral distraction defect: Decadal experience from a high-volume tertiary care center.

Urol Ann 2019 Jan-Mar;11(1):77-82

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Context: Pelvic fracture urethral distraction defect (PFUDD) may be challenging for the treating urologist. Anastomotic urethroplasty is the established surgical procedure for the treatment of PFUDD. Few studies in literature focus purely on PFUDD, and majority of the studies include anterior urethral stricture as well. Read More

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http://dx.doi.org/10.4103/UA.UA_48_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362775PMC
February 2019
1 Read

Occult Urinary Incontinence Treatment: Systematic Review and Meta-analysis-Brazilian Guidelines.

Rev Bras Ginecol Obstet 2019 Feb 20;41(2):116-123. Epub 2019 Feb 20.

Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.

Objective:  To evaluate if performing anti-incontinence procedures during surgical anterior and/or apical prolapse correction in women with asymptomatic urinary incontinence (UI) may prevent stress urinary incontinence (SUI) postoperatively.

Methods:  We have performed a systematic review of articles published in the PubMed, Cochrane Library, and Lilacs databases until March 31, 2016. Two reviewers performed the data collection and analysis, independently. Read More

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http://dx.doi.org/10.1055/s-0038-1676842DOI Listing
February 2019

Long-Term Outcomes of Ligation of the Inter-Sphincteric Fistula Tract Plus Bioprosthetic Anal Fistula Plug (LIFT-Plug) in the Treatment of Trans-Sphincteric Perianal Fistula.

Med Sci Monit 2019 Feb 20;25:1350-1354. Epub 2019 Feb 20.

Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China (mainland).

BACKGROUND The ligation of the inter-sphincteric fistula tract plus bioprosthetic anal fistula plug (LIFT-plug) is a new procedure in the treatment of trans-sphincteric perianal fistulas. The aim of this study was to evaluate its long-term outcomes. MATERIAL AND METHODS Clinical data of 78 patients with trans-sphincteric perianal fistula who were managed by the LIFT-plug technique between March 2014 to October 2016 were analyzed retrospectively. Read More

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http://dx.doi.org/10.12659/MSM.914925DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391857PMC
February 2019
2 Reads

Transurethral resection of the prostate with preservation of the bladder neck decreases postoperative retrograde ejaculation.

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

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http://dx.doi.org/10.5114/wiitm.2018.79536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372866PMC
January 2019
1 Read

Classification of descent and mobility of urethrovesic junction in women with stress urinary incontinence - an ultrasound study.

Ceska Gynekol Winter 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

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February 2019
2 Reads

Anal Sphincteroplasty in the Minimally Invasive Era: Assessment of National Trends and Complications.

Am Surg 2019 Jan;85(1):46-51

Fecal incontinence is a debilitating and underreported condition. Despite introduction of novel therapies in recent years, anal sphincteroplasty (AS) remains the surgical choice for certain patients. Previous reports have primarily focused on single-surgeon or single-center experience with AS. Read More

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January 2019
1 Read

Complications related to use of mesh implants in surgical treatment of stress urinary incontinence and pelvic organ prolapse: infection or inflammation?

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

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http://dx.doi.org/10.1007/s00345-019-02679-wDOI Listing
February 2019
1 Read

[Factors predicting the development of urinary tract disorders in prostatic hyperplasia in elderly men].

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

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December 2018
2 Reads

[Urodynamics study in patients with urinary incontinence, after surgical treatment of localized prostate cancer].

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

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December 2018
3 Reads

Sacrospinous hysteropexy with a low weight transvaginal polypropylene mesh for treatment of complete uterovaginal eversion.

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

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0555DOI Listing
February 2019
2 Reads

'En Bloc' HoLEP with early apical release in men with benign prostatic hyperplasia.

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

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http://dx.doi.org/10.1007/s00345-019-02671-4DOI Listing
February 2019
2 Reads

Advances in surgical strategies for prolapse.

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

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http://dx.doi.org/10.1080/13697137.2018.1543266DOI Listing
February 2019
9 Reads

[Vaginal laser therapy for urinary incontinence and genitourinary syndrome of menopause : A review].

Authors:
C Ratz

Urologe A 2019 Mar;58(3):284-290

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

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http://dx.doi.org/10.1007/s00120-019-0861-1DOI Listing
March 2019
3 Reads

The Impact of Bariatric Surgery on Pelvic Floor Dysfunction: A Systematic Review.

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

Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil (Drs. Montenegro, Slongo, Juliato, and Brito). 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 no. CRD42017068452) with a literature search was performed using the PubMed, Scopus, and SciELO databases for all publications related to BS and PFD, with no language restrictions, from inception to September 2018. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.01.013DOI Listing
January 2019
4 Reads

Periurethral injection therapy in women with stress incontinence.

Tidsskr Nor Laegeforen 2019 01 24;139(2). Epub 2019 Jan 24.

Periurethral injection offers an alternative to the current main method for surgical treatment of stress incontinence in women, which is a polypropylene sling that is placed without tension below the mid-urethra. Injection therapy is a simple, gentle method that provides significant improvement in the degree of leakage and quality of life, but the results are not on a par with the polypropylene sling. Injection therapy may be relevant when the main method is not suitable or desired. Read More

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http://dx.doi.org/10.4045/tidsskr.18.0185DOI Listing
January 2019
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[Comparison of perioperative conditions between total and partial colpocleisis for elderly patients suffered from severe pelvic organ prolapse].

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

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http://dx.doi.org/10.3760/cma.j.issn.0529-567x.2019.01.008DOI Listing
January 2019
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Surgical Treatment With Thoracic Pedicle Screw Fixation of Vertebral Osteomyelitis With Long-Term Follow-up.

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

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https://academic.oup.com/ons/advance-article/doi/10.1093/ons
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http://dx.doi.org/10.1093/ons/opy398DOI Listing
January 2019
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Efficacy and safety of non-ablative vaginal erbium:YAG laser treatment as a novel surgical treatment for overactive bladder syndrome: comparison with anticholinergics and β3-adrenoceptor agonists.

Authors:
Nobuo Okui

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

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http://dx.doi.org/10.1007/s00345-019-02644-7DOI Listing
January 2019
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Sexual function specific questionnaires as a useful tool in management of urogynecological patients - Review.

Eur J Obstet Gynecol Reprod Biol 2019 Mar 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

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http://dx.doi.org/10.1016/j.ejogrb.2019.01.015DOI Listing
March 2019
4 Reads