16,647 results match your criteria Surgical Treatment of Urinary Incontinence


A comparative study of autologous rectus fascia pubovaginal sling surgery and synthetic transobturator vaginal tape procedure in treatment of women with urodynamic stress urinary incontinence.

Eur J Obstet Gynecol Reprod Biol 2020 Jul 3;252:349-354. Epub 2020 Jul 3.

Department of Biochemistry, All India Institute of Medical Sciences, New Delhi, India.

Objective: To compare short term results of autologous rectus fascia pubovaginal sling surgery with synthetic transobturator vaginal tape procedure in treatment of female stress urinary incontinence (SUI) STUDY DESIGN: It was a comparative study on 30 women between 25-65 years of age with urodynamic proven SUI who were randomly allocated to autologous rectus fascia pubovaginal sling surgery (Group I)(15 women) and synthetic transobturator vaginal tape procedure (Group II) (15 women). Preoperative and postoperative ICIQ (International Consultation on Incontinence Questionnaire) score, urodynamic study and serum CRP and IL-6 were done in all cases.

Results: The baseline characteristics in terms of age, body mass index (BMI), parity, mean ICIQ score and mean preoperative CRP and IL-6 levels were similar in two groups. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.06.062DOI Listing

Urinary incontinence in women: biofeedback as an innovative treatment method.

Ther Adv Urol 2020 Jan-Dec;12:1756287220934359. Epub 2020 Jun 25.

Department of Clinical Pharmacology, Wroclaw Medical University, Wroclaw, Dolnoslaskie, Poland.

Urinary incontinence is an involuntary urination (leakage of urine). About 200 million people suffer from this condition, and 60% of cases are concealed and untreated because of shame. It is estimated that an increasing number of young women and women of menopausal age will suffer from urinary incontinence. Read More

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http://dx.doi.org/10.1177/1756287220934359DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325537PMC

Development of Late Continence in Bladder Exstrophy and Epispadias Patients.

Urology 2020 Jul 3. Epub 2020 Jul 3.

Department of Pediatric Surgery, New Children´s Hospital, University of Helsinki, Helsinki, Finland. Electronic address:

Objectives: . To evaluate to what extend urinary continence develops during puberty in patients with classic bladder exstrophy (CBE) and epispadias.

Methods: . Read More

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http://dx.doi.org/10.1016/j.urology.2020.06.034DOI Listing

Management of urinary incontinence.

Post Reprod Health 2020 Jun;26(2):63-70

Princess Anne Hospital, Southampton, UK.

Urinary incontinence is a common problem affecting 25-45% women. Effective management can have a huge impact on a patient's quality of life and many treatments are available. Management should be dictated by the degree of bother the symptoms are having, and vary depending on the type on incontinence. Read More

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http://dx.doi.org/10.1177/2053369120927112DOI Listing

An analysis of 1386 periurethral bulking procedures with comparison to 18,763 retropubic tapes.

Post Reprod Health 2020 Jun;26(2):71-78

Birmingham Women's Hospital, Birmingham, UK.

Objective: To use British Society of Urogynaecology surgical database to evaluate periurethral bulking agents and retropubic tapes.

Study Design: Permission was granted to analyse 1386 periurethral bulking agents and 18,763 retropubic tapes. The primary outcome measure was patient reported global impression of improvement for incontinence with secondary outcomes of change in symptoms of stress incontinence, overactive bladder and complications. Read More

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http://dx.doi.org/10.1177/2053369120924929DOI Listing

Treatment of Urinary Incontinence in Patients With Erectile Dysfunction.

Sex Med Rev 2020 Jul 1. Epub 2020 Jul 1.

Professor, Department of Urology, University of Texas, MD Anderson Cancer Center, Houston, TX, USA.

Introduction: Concurrent urinary incontinence (UI) and erectile dysfunction (ED) can greatly damage a patient's quality of life. Owing to the intertwined anatomy, treatment options for one most certainly have implications on the other.

Objective: The aim of this review is to characterize and elucidate the treatment patients with postprostatectomy UI undergoing concurrent or subsequent treatment of ED. Read More

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http://dx.doi.org/10.1016/j.sxmr.2020.04.006DOI Listing

Retzius-sparing Robotic-assisted Radical Prostatectomy Facilitates Early Continence Regardless of Neurovascular Bundle Sparing.

Anticancer Res 2020 Jul;40(7):4075-4080

Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C.

Background/aim: Retzius-sparing robotic-assisted radical prostatectomy (RARP) has had better results in early continence rate and comparable oncological safety compared to the retropubic approach. However, the role the neurovascular bundle (NVB) sparing plays in the rate of early continence after catheter removal remains unclear. In this study, we sought to compare the early continence rate between Retzius-sparing RARP and the retropubic approach RARP to assess whether NVB sparing affects the continence rate in patients with prostate cancer. Read More

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http://dx.doi.org/10.21873/anticanres.14405DOI Listing

Use of Duloxetine for Postprostatectomy Stress Urinary Incontinence: A Systematic Review.

Eur Urol Focus 2020 Jun 27. Epub 2020 Jun 27.

Department of Urology, Guy's and St Thomas' NHS Foundation Trust, London, UK. Electronic address:

Context: The recommended treatment of postprostatectomy stress urinary incontinence (PPSUI) after failure of pelvic floor muscle training is primarily surgical intervention with a male sling or artificial urinary sphincter. The use of pharmacological therapy in this setting is unlicensed and controversial.

Objective: To systematically review the available evidence regarding the efficacy and safety of duloxetine for the treatment of stress urinary incontinence following prostate surgery (radical or endoscopic). Read More

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http://dx.doi.org/10.1016/j.euf.2020.06.007DOI Listing

Long-term efficacy and patient satisfaction of Le Fort colpocleisis for the treatment of severe pelvic organ prolapse.

Int Urogynecol J 2020 Jun 29. Epub 2020 Jun 29.

Peking University Third Hospital, No. 49 North Garden Road, Beijing, 100191, Haidian district, China.

Introduction And Hypothesis: The objective was to investigate the long-term efficacy and patient satisfaction of Le Fort colpocleisis for the treatment of severe pelvic organ prolapse.

Methods: This was a retrospective study of patients who underwent Le Fort colpocleisis from January 2007 to August 2018 in our hospital. Follow-up was conducted via outpatient visits or the telephone. Read More

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http://dx.doi.org/10.1007/s00192-020-04380-8DOI Listing

[Urethral diverticulum in female].

Urologiia 2020 Jun(3):94-97

Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

Urethral diverticulum is one of the rarest female urological diseases, which is characterized by various manifestations, ranging from an asymptomatic to severe urinary disorders, pain and dyspareunia. The aim of this work is to present a clinical observation of female urethral diverticulum with a description and discussion of its etiology, diagnosis, and treatment. Clinical observation is dedicated to 40-year-old woman with complaints of pain in the urethral area. Read More

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A global knowledge, attitudes and practices survey on anatomical endoscopic enucleation of prostate for benign prostatic hyperplasia among urologists.

Andrologia 2020 Jun 28:e13717. Epub 2020 Jun 28.

S.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.

There is an increasing use of the procedure, anatomical endoscopic enucleation of the prostate, as an alternative to conventional transurethral resection of prostate for surgical treatment of benign prostatic hyperplasia. However, barriers to adoption of this procedure remain and no prior studies explored this important aspect till date. The aim of this study is to identify the predictors and barriers of surgeon-related practices in this area. Read More

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http://dx.doi.org/10.1111/and.13717DOI Listing

Comparison of outcomes of Burch colposuspension and transobturator tape and single incision needleless procedures (DynaMesh-SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy.

Int Urol Nephrol 2020 Jun 27. Epub 2020 Jun 27.

Department of Obstetrics and Gynaecology, School of Medicine, Bulent Ecevit University, Zonguldak BEÜ, Esenköy, Kozlu, 67000, Zonguldak, Turkey.

Purpose: Women with stress urinary incontinence (SUI) often require combined pelvic reconstructive surgeries because of shared risk factors of pelvic organ prolapse. The purpose of this study was to evaluate efficacies of Burch colposuspension, transobturator tape (TOT), and single-incision needleless (DynaMesh-SIS minor) procedures in patients with SUI who also underwent combined pelvic reconstructive surgery or hysterectomy.

Methods: We performed this retrospective cohort study that comprising 122 patients who either underwent Burch colposuspension (n:43), TOT (n:40), or SIS (n:39) procedures along with pelvic reconstructive surgery or hysterectomy between January 2010 and July 2018. Read More

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http://dx.doi.org/10.1007/s11255-020-02549-0DOI Listing

Female Pelvic Medicine and Reconstructive Surgery challenges on behalf of the Collaborative Research in Pelvic Surgery Consortium: managing complicated cases : Series 5: management of recurrent stress urinary incontinence after midurethral sling exposure.

Int Urogynecol J 2020 Jun 26. Epub 2020 Jun 26.

Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY, USA.

This case presents the work-up and management of a patient requesting surgical intervention for recurrent stress urinary incontinence after previous excision of a portion of her midurethral sling because of mesh exposure. Four international experts provide their approach to this complex case. There is little consensus regarding further surgery in a patient who has required mesh excision. Read More

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http://dx.doi.org/10.1007/s00192-020-04385-3DOI Listing

Cadaveric Laboratory Simulation Training of Male Stress Urinary Incontinence Treatment Improves Trainee Knowledge and Confidence.

Urology 2020 Jun 20. Epub 2020 Jun 20.

Boston University Medical Center, Boston, MA. Electronic address:

Objective: To assess whether a focused, simulation training course can improve trainee surgical knowledge and confidence in the treatment of male stress urinary incontinence.

Materials And Methods: Urology residents participated in a prosthetic education course as part of the 2018 SUPS and SMSNA annual meeting. The course included didactic lectures and a hands-on cadaveric laboratory. Read More

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http://dx.doi.org/10.1016/j.urology.2020.06.008DOI Listing

Ventriculoperitoneal shunt malfunction due to chronic cholecystitis: A case report.

Medicine (Baltimore) 2020 Jun;99(25):e20565

Department of Neurosurgery, Shengjing Hospital of China Medical University.

Rationale: Ventriculoperitoneal shunt (VPS) is the most common treatment for idiopathic normal pressure hydrocephalus, a subtype of hydrocephalus characterized by gait disturbance, dementia, and urinary incontinence. However, while the malfunction of VPS is reported at a high rate, the involvement of chronic cholecystitis in shunt malfunction is rare.

Patient Concerns: A 73-year-old woman with idiopathic normal pressure hydrocephalus who received a VPS but subsequently developed chronic cholecystitis. Read More

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http://dx.doi.org/10.1097/MD.0000000000020565DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310882PMC

Assessing the Quality of Surgical Care for Clinically Localized Prostate Cancer: Results from the CEASAR Study.

J Urol 2020 Jun 22:101097JU0000000000001198. Epub 2020 Jun 22.

Department of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee.

Purpose: Prior studies suggest that nationally endorsed quality measures for prostate cancer care are not linked closely with outcomes. Using a prospective, population-based cohort, we sought to measure clinically relevant variation in structure, process, and outcome measures in men undergoing radical prostatectomy.

Materials And Methods: The Comparative Effectiveness Analysis of Surgery and Radiation (CEASAR) Study enrolled men with clinically localized prostate cancer diagnosed 2011-2012; 1,069 met final inclusion criteria. Read More

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http://dx.doi.org/10.1097/JU.0000000000001198DOI Listing

Phase I Trial of Stereotactic Body Radiotherapy Neoadjuvant to Radical Prostatectomy for Patients with High-Risk Prostate Cancer.

Int J Radiat Oncol Biol Phys 2020 Jun 17. Epub 2020 Jun 17.

Department of Radiation Oncology, University of California Los Angeles, Los Angeles, California, USA; Department of Urology, University of California Los Angeles, Los Angeles, California, USA; Radiation Therapy Service, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA. Electronic address:

Purpose/objective(s): To evaluate feasibility and safety of prostate stereotactic body radiotherapy (SBRT) neoadjuvant to radical prostatectomy (RP) in a phase I trial. Primary endpoint was treatment completion rate without severe acute surgical complications. Secondary endpoints included patient-reported quality-of-life and physician-reported toxicities. Read More

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http://dx.doi.org/10.1016/j.ijrobp.2020.06.010DOI Listing
June 2020
4.258 Impact Factor

Intraoperative assessment and reporting of radical prostatectomy specimens to guide nerve-sparing surgery in prostate cancer patients (NeuroSAFE).

Histopathology 2020 Jun 18. Epub 2020 Jun 18.

Anser Prostate Clinic, Rotterdam, The Netherlands.

Aims: Radical prostatectomy for prostate cancer is frequently complicated by urinary incontinence and erectile dysfunction. Nerve-sparing surgery reduces the risk of post-operative complications and can be optimized using intraoperative frozen sections of the adjacent neurovascular structure (NeuroSAFE). The aim of this study was to evaluate the pathological outcomes of the NeuroSAFE technique and to develop a comprehensive algorithm for intraoperative clinical decision-making. Read More

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http://dx.doi.org/10.1111/his.14184DOI Listing

Prolapse repair in the elderly patient: contemporary trends and 30-day perioperative complications.

Int Urogynecol J 2020 Jun 16. Epub 2020 Jun 16.

Department of Urology, New York University Langone Health, 222 E 41st Street, New York, NY, 10017, USA.

Introduction And Hypothesis: Pelvic organ prolapse is common and increases with age. Although conservative options exist for management, surgery remains a mainstay of treatment. Understanding how surgical repair affects the elderly is increasingly important as the population ages. Read More

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http://dx.doi.org/10.1007/s00192-020-04365-7DOI Listing

Continence after BNR in the complete repair of bladder exstrophy (CPRE): A single institution expanded experience.

J Pediatr Urol 2020 May 22. Epub 2020 May 22.

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.

Introduction: Several surgical methods have been used for primary repair of bladder exstrophy in the newborn. Complete primary repair of exstrophy (CPRE) aims to prevent the need for surgeries beyond the newborn period. Due to the rarity of bladder exstrophy, it has proven difficult in the past to analyze whether use of this method of closure truly does confer acceptable continence outcomes and hence minimizes the requirement for additional surgeries later in life. Read More

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http://dx.doi.org/10.1016/j.jpurol.2020.05.011DOI Listing

Secondary Sling Implantation after Failure of Primary Surgical Treatment for Male Stress Urinary Incontinence: A Retrospective Study.

Urol Int 2020 Jun 15:1-6. Epub 2020 Jun 15.

Department of Urology, University Hospital Munich Grosshadern (LMU), Munich, Germany.

Objective: The artificial urinary sphincter (AUS) is the surgical gold standard after previously failed surgical treatment for male urinary stress incontinence. The evidence for a male sling as salvage treatment is poor, but there is a proportion of patients that refuse implantation of an AUS or have a relative contraindication. The goal of our retrospective study was an analysis of outcome and complications of patients with a secondary sling after previously failed surgery for stress urinary incontinence (SUI). Read More

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http://dx.doi.org/10.1159/000508585DOI Listing

Effects of mesh surgery on sexual function in pelvic prolapse and urinary incontinence.

Int Braz J Urol 2020 May 25;46. Epub 2020 May 25.

Special Megapol Hospital, Gynecology and Obstetrics Clinic, Istanbul, Turkey.

Purpose: We aimed to determine pre-operative and post-operative sexual function scores of patients who underwent four-arm polypropylene mesh implantation surgery to treat urinary incontinence and pelvic organ prolapse.

Materials And Methods: A prospective study from January 2011 to November 2015 including patients (n: 72) submitted to surgical mesh implantation (four-arm anterior mesh implant (Betamix POP4R, Betatech Medical, Turkey) questioned the patients with Female Sexual Function Index evaluation form. The questionnaire was applied to all patients at pre-operative, post-operative 3rd month and post-operative 1st year periods. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2019.0618DOI Listing

Economic evaluation of surgical treatments for women with stress urinary incontinence: a cost-utility and value of information analysis.

BMJ Open 2020 Jun 11;10(6):e035555. Epub 2020 Jun 11.

Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.

Objectives: Stress urinary incontinence (SUI) and stress-predominant mixed urinary incontinence (MUI) are common conditions that can have a negative impact on the quality of life of patients and serious cost implications for healthcare providers. The objective of this study was to assess the cost-effectiveness of nine different surgical interventions for treatment of SUI and stress-predominant MUI from a National Health Service and personal social services perspective in the UK.

Methods: A Markov microsimulation model was developed to compare the costs and effectiveness of nine surgical interventions. Read More

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http://dx.doi.org/10.1136/bmjopen-2019-035555DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7295417PMC
June 2020
2.063 Impact Factor

Development of a flowchart reflecting the current attitude and approach towards idiopathic overactive bladder treatment in Belgium: A Delphi study.

Neurourol Urodyn 2020 Jun 12. Epub 2020 Jun 12.

Department of Urology, Ghent University Hospital, Ghent University, Ghent, Belgium.

Aims: Idiopathic overactive bladder syndrome (iOAB) is a prevalent condition in urological practice. The variability in management between specialists and between centers remains high. Even existing guidelines contain inconsistencies. Read More

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http://dx.doi.org/10.1002/nau.24421DOI Listing

Necrotizing Fasciitis Complicating Transobturator Tape Operation.

Urol Int 2020 Jun 11:1-4. Epub 2020 Jun 11.

Department of Obstetrics and Gynecology, Istanbul University School of Medicine, Istanbul, Turkey.

Midurethral slings (MUSs) have been used successfully for the last 20 years in the treatment of stress urinary incontinence and accepted as the gold standard surgical procedure. High success rates and minimal invasiveness of surgery are among the most important advantages, but sometimes serious complications can occur during or after surgery. Although serious complications are rare after widely performed transobturator tape (TOT) operation, awareness, early diagnosis, and aggressive management are essential as they can progress with serious morbidity and mortality. Read More

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http://dx.doi.org/10.1159/000507942DOI Listing

Urogynecological surgical mesh implants: New trends in materials, manufacturing and therapeutic approaches.

Int J Pharm 2020 Jul 8;585:119512. Epub 2020 Jun 8.

School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK. Electronic address:

Pelvic Organ Prolapse (POP) and Stress Urinary Incontinence (SUI) are two prevalent disorders affecting 30-40% of women worldwide. Current strategies to repair or improve these medical conditions are non-surgical options such as physiotherapy, or surgical options such as the use of vaginal meshes. The synthetic material polypropylene (PP), which has long been used for manufacturing these vaginal meshes, is associated with severe complications such as chronic pain, infection or mesh erosion. Read More

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http://dx.doi.org/10.1016/j.ijpharm.2020.119512DOI Listing

Patients' satisfaction and safety of bulk injection therapy Urolastic for treatment of stress urinary incontinence: A cross-sectional study.

Neurourol Urodyn 2020 Jun 11. Epub 2020 Jun 11.

Department of Urology, Langeland Hospital, Zoetermeer, The Netherlands.

Aims: Primary outcome was to evaluate patients' satisfaction after being treated with bulk injection therapy polydimethylsiloxane Urolastic (PDMS-U) for stress urinary incontinence (SUI). Secondary outcomes were: subjective cure, objective cure, severity of SUI symptoms, complications, reintervention rate, and disease-specific quality of life. Furthermore, to determine if outcomes worsened during time-after-treatment (time-frames: 0-12, 13-24, and ≥25 months). Read More

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http://dx.doi.org/10.1002/nau.24417DOI Listing

A timeline of female stress urinary incontinence: how technology defined theory and advanced treatment.

Neurourol Urodyn 2020 Jun 8. Epub 2020 Jun 8.

University of Iowa, Iowa City, Iowa.

Background: Prevailing theories and treatments of female stress urinary incontinence are built on 120 years of evolution in understanding the structure and function of the female bladder neck and urethra and of considering why treatments failed. In our management of patients, it is important to understand and appreciate how our management of female stress urinary incontinence has evolved and which treatments have prevailed as we advance our knowledge for future treatments.

Aims: The purpose of this review is to describe how advances in technology impacted and shaped prevailing theories or understanding of the pathophysiology of stress urinary incontinence and influences our treatment approach. Read More

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http://dx.doi.org/10.1002/nau.24407DOI Listing

Autologous Pubovaginal Sling for the Treatment of Stress Urinary Incontinence in a Patient With High Risk of Mesh Erosion.

Urology 2020 Jun 2. Epub 2020 Jun 2.

Advanced Urology Associates Pte Ltd, Singapore (formerly Department of Urology, Tan Tock Seng Hospital, Singapore).

Objective: Autologous pubovaginal sling is a surgical option for patients with stress urinary incontinence (SUI), either as primary treatment, or in those who have failed synthetic sling placement. It is also favorable for patients at high risk of mesh erosion, for example, in those who are immunocompromised or postradiation. This video reviews the technical considerations in performing an autologous pubovaginal sling fashioned from rectus fascia in an immunocompromised patient with multiple previous abdominal surgeries. Read More

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http://dx.doi.org/10.1016/j.urology.2020.05.031DOI Listing

Prostatic Artery Embolization for Benign Prostatic Hyperplasia Treatment: A Russian Multicenter Study in More Than 1,000 Treated Patients.

Am J Mens Health 2020 May-Jun;14(3):1557988320923910

Urology and Andrology Department, Faculty of Medicine, Lomonosov Moscow State University, Moscow, Russia.

Benign prostatic hyperplasia (BPH) is one of the most common diseases of the genitourinary system. The prevalence of BPH increases in men with advancing age. While transurethral resection of the prostate gland entails complications such as retrograde ejaculation, urinary incontinence, hematuria, urethral strictures, bladder neck sclerosis, and other adverse events, it is necessary to apply minimally invasive surgical methods such as superselective embolization of the prostatic arteries (PAE), particularly Proximal Embolization First Then Distal Embolization (PErFecTED). Read More

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http://dx.doi.org/10.1177/1557988320923910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273342PMC

Surgical stabilization of spinal metastasis in diffuse idiopathic skeletal hyperostosis ("Mets-on-DISH"): Two case reports.

Medicine (Baltimore) 2020 May;99(22):e20397

Department of Orthopedic Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Rationale: Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by ossification along the anterolateral aspect of at least 4 contiguous vertebral bodies. A fracture involving the fused vertebra in patients with DISH often leads to severe instability and spinal cord injury. Spinal metastasis (Mets) and DISH can coexist in elderly patients and increase their risk of pathologic vertebral fractures. Read More

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http://dx.doi.org/10.1097/MD.0000000000020397DOI Listing

Management of locally advanced synchronous colorectal and prostate cancers: A case report.

Medicine (Baltimore) 2020 May;99(22):e20336

Department of Radiation Oncology, National University Cancer Institute, Singapore (NCIS), National University Health Systems (NUHS), Singapore.

Introduction: Synchronous colorectal and prostate malignancies are uncommon, with standard treatment guidelines not yet established. Chemoradiation therapy is involved in both colorectal and prostate cancers. However, differing dosage regimens and effects of irradiation field on anatomical planes for surgery makes management of the synchronous cancers challenging. Read More

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http://dx.doi.org/10.1097/MD.0000000000020336DOI Listing
May 2020
5.723 Impact Factor

Economic analysis of Electrical Muscle Stimulator with Multipath technology for the treatment of stress urinary incontinence: a UK-based cost-utility analysis.

J Med Econ 2020 Jun 18:1-12. Epub 2020 Jun 18.

Device Access UK Ltd, Southampton, UK.

Stress urinary incontinence (SUI) is a debilitating and highly prevalent condition in the UK. The condition is associated with a significant economic burden for affected patients and society. Current treatment options for SUI include minimally invasive therapies, medication and surgical intervention for the most serious cases. Read More

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http://dx.doi.org/10.1080/13696998.2020.1776298DOI Listing

Underactive Bladder and Bladder Outlet Procedures in Women.

Curr Bladder Dysfunct Rep 2020 Mar 30;15(1):21-24. Epub 2020 Jan 30.

University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA.

Purpose Of Review: This review outlines current options for women suffering from both stress urinary incontinence (SUI) and underactive bladder (UAB). This is often a challenging patient population; however, many treatment options are available including behavioral, pharmacologic, and surgical. Therapies can be divided into those specifically targeting either the bladder or the bladder outlet. Read More

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http://dx.doi.org/10.1007/s11884-019-00572-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255415PMC

Urethral Diverticulum following Polypropylene Mesh Midurethral Slings: A Literature Review.

Biomed Res Int 2020 11;2020:6761581. Epub 2020 May 11.

Department of Obstetrics & Gynecology, West Virginia University School of Medicine, Morgantown, WV 26506, USA.

Aims: It is currently unknown whether an association exists between polypropylene mesh and urethral diverticulum formation following placement of polypropylene midurethral slings (MUS) for the treatment of stress urinary incontinence (SUI). We aimed to examine the literature associating MUS with the occurrence of urethral diverticula.

Methods: Multiple online research databases, including PubMed, Google Scholar, EBSCOhost, and the Cochrane Library, were searched, from January 2019 to February 2019, for evidence related to the occurrence of urethral diverticula following polypropylene MUS procedures. Read More

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http://dx.doi.org/10.1155/2020/6761581DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7240659PMC

Female neurogenic stress urinary incontinence.

Curr Opin Urol 2020 Jul;30(4):496-500

Department of Urology, HUP La Fe, Valencia, Spain.

Purpose Of Review: The aim of this article is to look into recent updates on the management of neurogenic stress urinary incontinence (NSUI) in adult females.

Recent Findings: Recently, a small number of studies have investigated different surgical modalities in treatment of NSUI in adult females including artificial urinary sphincter (AUS), suburethral tapes (SUT) and adjustable slings and urethral bulking agents. Up to 70% of neurogenic patients who received AUS implants are continent and have not required surgical revision over a 20-year follow-up period. Read More

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http://dx.doi.org/10.1097/MOU.0000000000000785DOI Listing

Peritoneal Flap in Robot-Assisted Radical Prostatectomy.

Dtsch Arztebl Int 2020 Apr;117(14):243-250

Department of Urology, University of Regensburg, Caritas St. Josef Medical Center, Regensburg, Germany; Department of Urology and Andrology, Hospital of St. John of God (Krankenhaus der Barmherzigen Brüder Wien), Vienna, Austria; Department of Urology and Andrology, Paracelsus Medical University Salzburg, Salzburg, Austria; Department of Urology, St. Elisabeth Hospital Straubing, Straubing, Germany; Department of Urology, Vivantes Humboldt Hospital Berlin, Berlin Germany; These two authors are co-first authors.

Background: Lymphocele is the most common complication arising after pelvic lymph node dissection (PLND) in the setting of robot-assisted radical prostatectomy (RARP). The only data available until now on the utility of a peritoneal flap to prevent lymphocele were retrospectively acquired.

Methods: A randomized, controlled, multi-center trial with blinded assessment of endpoints was carried out on 232 patients with prostate cancer who underwent RARP with PLND. Read More

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http://dx.doi.org/10.3238/arztebl.2020.0243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264288PMC

Long-term Follow-up of Exstrophy-epispadias Complex from a Lower-middle Income Country: A Case Report and Review of the Literature.

Cureus 2020 Apr 18;12(4):e7723. Epub 2020 Apr 18.

Urology, The Indus Hospital, Indus University of Health Sciences, Karachi, PAK.

Bladder exstrophy-epispadias complex (EEC) is a rare congenital defect where the abdominal muscles and bones fail to close in the mid-pelvis. It is crucial to understand the health-related quality of life (QOL) of exstrophy patients who have undergone multiple correctional surgeries. We herein discuss a case of bladder EEC that was repaired through a series of procedures at a resource-limited hospital in Karachi, Pakistan. Read More

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http://dx.doi.org/10.7759/cureus.7723DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234001PMC

Perioperative Adverse Events for Stress Urinary Incontinence Surgery: A National Analysis.

Female Pelvic Med Reconstr Surg 2020 May 15. Epub 2020 May 15.

From the Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital.

Objective: The aim of the study was to compare perioperative morbidity of stress urinary incontinence surgery using data from a nationwide cohort.

Methods: This is a retrospective cohort study of the American College of Surgeons' National Surgical Quality Improvement Program database from 2005 to 2016. Stress urinary incontinence surgery was defined using current procedural terminology (CPT) for abdominal retropubic colposuspension (CPT 51840, 51841), laparoscopic retropubic colposuspension (CPT 51990, 51992), and suburethral sling (CPT 57288). Read More

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http://dx.doi.org/10.1097/SPV.0000000000000887DOI Listing

Anatomical robotic prostatectomy: technical factors to achieve superb continence and erectile function.

Transl Androl Urol 2020 Apr;9(2):887-897

Department of Urology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, USA.

Debate continues as to the superiority of robotic versus open radical prostatectomy for the surgical treatment of localized prostate cancer. Despite this controversy, retrospective data from high volume centres has demonstrated RARP is associated with improved pentafecta outcomes with lower transfusion rates, less incontinence, lower positive surgical margins and improved potency. Advocates of robotic assisted radical prostatectomy (RARP) believe an enhanced visual field, the precision afforded by robotic technology as well as lack of bleeding, sharp dissection and delicate tissue handling lead to improved outcomes. Read More

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http://dx.doi.org/10.21037/tau.2020.01.15DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214991PMC

[Surgical management of suburethral sling complications and functional outcomes].

Prog Urol 2020 Jun 12;30(7):402-410. Epub 2020 May 12.

Service de chirurgie urologique, centre hospitalier universitaire Bichat Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France; Université de Paris, Paris, France.

Objectives: To identify various clinical presentation leading to the diagnosis of mid-urethral sling (MUS) complications and to analyze the functional outcomes after surgical management of these complications.

Method: Retrospective observational monocentric study of all patients treated by MUS section or removal, between December 2005 and October 2019, in a pelviperineology centre.

Results: During this study, 96 patients were included. Read More

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http://dx.doi.org/10.1016/j.purol.2020.04.022DOI Listing

Kidney triplication with ectopic ureterocele: a case report.

BMC Urol 2020 May 13;20(1):54. Epub 2020 May 13.

Urology Department, State Pediatric Medical University, 2 Litovskaya Street, build.2, St. Petersburg, Russian Federation, 194100.

Background: Kidney triplication is a rare urological abnormality. Association of triplex kidney and ureterocele is out of ordinary. Treatment of such patients usually implies heminephrureterectomy of the upper moiety. Read More

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http://dx.doi.org/10.1186/s12894-020-00625-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222539PMC

[Diagnosis and treatment of normal pressure hydrocephalus].

Ugeskr Laeger 2020 May;182(19)

This review summarises the current knowledge of normal pressure hydrocephalus (NPH), which is considered to be a reversible cause of dementia. Early identification is important to select patients for surgical treatment with ventricular shunting. The symptoms of NPH are gait disturbance, cognitive dysfunction and urinary incontinence. Read More

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How to optimise urinary continence in anatomical endoscopic enucleation of the prostate?

Andrologia 2020 May 13:e13621. Epub 2020 May 13.

S.H. Ho Urology Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.

The traditional transurethral resection of the prostate (TURP) is considered as gold-standard surgical treatment to relieve symptoms resulting from bladder outlet obstruction by prostate enlargement. However, with the advances of novel laser technologies and more experienced surgeon conquering the steep learning curve, anatomical endoscopic enucleation of prostate (AEEP) has become a more popular alternative surgical technique. Although AEEP has compatible functional outcome, less blood loss, shorter catheterisation duration and hospital stay, the risk of post-operative urinary incontinence (UI) is often an issue of concern. Read More

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http://dx.doi.org/10.1111/and.13621DOI Listing

Uterus-Sparing Surgery: Outcomes of Transvaginal Uterosacral Ligament Hysteropexy.

J Minim Invasive Gynecol 2020 May 6. Epub 2020 May 6.

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Miami Health Systems, Jackson Memorial Hospital, Miami, Florida (all authors).. Electronic address:

Study Objective: Recently, there has been a paradigm shift toward uterine conservation during the surgical management of pelvic organ prolapse (POP), specifically uterine prolapse. There are few reports on transvaginal uterosacral ligament hysteropexy (TULH). This study aimed to describe our surgical technique and outcomes. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.04.039DOI Listing

[Influence of urethral self-dilatation on the morbidity of the artificial urinary sphincter after endoscopic treatment of recurrent stenosis of the vesicourethral anastomosis].

Prog Urol 2020 May 5;30(6):304-311. Epub 2020 May 5.

Service d'urologie, Nouvel hôpital civil, CHU de Strasbourg, Strasbourg, France.

Objective: To analyze the morbidity of the practice of daily self-dilatation (SD) in patients undergoing total prostatectomy, who have had artificial urinary sphincter (AUS) for urinary incontinence (UI) and who have had a recurrence of endoscopically treated vesicourethral anastomosis (VUS) stenosis.

Materials And Method: One hundred and thirty-eight patients with SUA for urinary incontinence (UI) fitted between 1998 and 2007 were divided into two groups. Thirty-five patients have had used self-dilatation (SD) for recurrent anastomotic stenosis (SD group) and 103 patients did not perform SD (non-SD group). Read More

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http://dx.doi.org/10.1016/j.purol.2020.03.008DOI Listing

Lower urinary tract symptoms in patients with Mayer-Rokitansky-Kuster-Hauser syndrome after neo-vagina creation by Davydov's procedure.

Int Urogynecol J 2020 May 6. Epub 2020 May 6.

Department of Obstetrics and Gynecology, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Olgettina, 60, 20132, Milan, MI, Italy.

Introduction: Lower urinary tract symptoms (LUTS) in subjects with Mayer-Rokitansky-Küster-Hauser syndrome treated by Davydov's laparoscopic neo-vaginoplasty were measured.

Methods: Davydov's laparoscopic neo-vaginoplasty was undertaken at the Department of Obstetrics/gynecology, San Raffaele Hospital, Milan, Italy, from November 2015 to July 2017, by two highly qualified surgeons. All women completed the ICIQ-UI Short Form questionnaire before and after treatment. Read More

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http://dx.doi.org/10.1007/s00192-020-04311-7DOI Listing

Idiopathic Ventral Spinal Cord Herniation: Video Report and Systematic Review.

World Neurosurg 2020 May 3. Epub 2020 May 3.

Professor of Neurosurgery - University of Campinas (UNICAMP). ORCID: 0000-0003-2645-0483.

Background: Idiopathic ventral spinal cord herniation (ISCH) is a rare disease; however, it is an important differential diagnosis. Its treatment presents some controversies.

Case Report: We reported a 55-year-old woman, who had been presenting with relevant back pain and leg weakness for the past 3 years and urinary incontinence for the last 3 months. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.04.190DOI Listing

[Short-term evaluation of Altis® single-incision sling in women stress urinary incontinence].

Prog Urol 2020 May 1;30(6):346-352. Epub 2020 May 1.

Service urologie, CHU de Nîmes, 4, rue du Professeur-Robert-Debré, 30029 Nimes, France.

Introduction: Midurethral slings are the main surgical treatment of stress urinary incontinence. Altis is a minimally invasive single-incision sling system. The aim of this study is to report the safety and efficacity results during a year of follow up. Read More

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http://dx.doi.org/10.1016/j.purol.2020.03.007DOI Listing

[Modern Therapy of Urinary Incontinence Using Muscle Stem Cells].

Praxis (Bern 1994) 2020 Apr;109(6):447-452

Klinik für Urologie, Universitätsspital Zürich.

Modern Therapy of Urinary Incontinence Using Muscle Stem Cells Urinary incontinence affects a large number of patients, and the cost of treatment continues to rise with the demographic change. There are various conservative and surgical therapies, which are often limited in their effect or limited in time. We are lacking long-term and sustainable solutions, whereas the treatment with a regenerative approach using stem cells forms a promising alternative. Read More

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http://dx.doi.org/10.1024/1661-8157/a003421DOI Listing