Transperitoneal laparoscopic repair of vesicovaginal fistula for patients with supratrigonal fistula: comparison with open transperitoneal technique

Conclusions Judging from this initial trial, LVVFR should be recommended as the primary intervention to treat supratrigonal VVF patients in view of its reduced blood loss and hospital stay.
Source: International Urogynecology Journal - Category: OBGYN Source Type: research

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Urinary incontinence (UI) is defined as any involuntary urine loss and is currently considered as a public health problem [1].UI is commonly classified into three forms: stress urinary incontinence (SUI), urgency urinary incontinence (UUI) and mixed urinary incontinence (MUI) [2 –4]. The etiology of UI is multifactorial, although many risk factors have been identified such as: aging, obesity, pregnancy, parity, mode of delivery, hysterectomy, smoking, neurological or biochemical changes, presence of diseases (e.g., diabetes, cognitive impairment, depression, urinary tract infection), in addition to increased intra-ab...
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Source Type: research
Discussion A cutaneous vesicostomy is an incontinent diversion of the bladder to the external abdominal wall usually below the umbilicus that maintains a low-pressure urinary system. The urine drains into a collecting bag or hygiene product such as a diaper. It is usually used as a temporary diversion until bladder function resolves or another treatment can be carried out. However, it can also be used as a permanent diversion in some cases. A vesico-cutaneous fistula is similar but performed slightly differently. It is often intended to be a longer-term diversion procedure and is a continent diversion of the bladder. Some ...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
According to the International Continence Society, urinary urgency is a symptom defined as “complaint of a sudden, compelling desire to pass urine which is difficult to defer”[1], present in both urgency and mixed urinary incontinence.[1] Overactive bladder syndrome is urinary urgency, usually accompanied by increased daytime frequency and/or nocturia, with or without urinary incontin ence, in the absence of urinary tract infection or other detectable disease.[1]
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Source Type: research
This study aimed to evaluate the prevalence and associated factors of pelvic floor myofascial dysfunction (PFMD) in women with urinary incontinence (UI). Methods A cross-sectional study was performed. Pelvic floor myofascial dysfunction was defined by pain of any intensity during palpation of the pelvic floor muscles and strength assessed by the modified Oxford scale, and was classified in grade I (mild pain), grade II (moderate), and grade III (severe). Univariate and multivariate analyses were calculated (5% significance level) to seek for the associated factors of PFMD. Results A total of 234 women with UI...
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: Original Articles Source Type: research
CONCLUSIONS: Despite a total of 23 trials, the paucity of useable data and uncertainty of the evidence means that it remains unclear whether the incidence of UTI or other complications is affected by use of aseptic or clean technique, single (sterile) or multiple-use (clean) catheters, coated or uncoated catheters or different catheter lengths. The current research evidence is uncertain and design and reporting issues are significant. More well-designed trials are needed. Such trials should include analysis of cost-effectiveness because there are likely to be substantial differences associated with the use of different cat...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Source Type: research
ConclusionsIn our study, it was found that urinary incontinence problem of women had a negative effect on sexual function and quality of life. Urinary incontinence is not a life-threatening condition, but its effect on women ’s sexual function and quality of life should not be ignored.
Source: Sexuality and Disability - Category: Disability Source Type: research
This study was performed to investigate the functioning of urinary diversions constructed> 25 years earlier. Recent findings Most studies have a relatively shorter follow-up, mainly focussing on short term postoperative complications. Focussing on the long term, urinary tract infections (UTI) including pyelonephritis are common. Mild kidney function deterioration is described. Summary Retrospective study (2018–2019); 43 patients with regular follow-up at the Radboud University Medical Centre Nijmegen the Netherlands. Ileal conduit (n = 19) and ureterosigmoidostomy (n = 11) are the most common...
Source: Current Opinion in Urology - Category: Urology & Nephrology Tags: MEDICAL, TECHNICAL AND FUNCTIONAL ASPECT OF VARIOUS URINARY DIVERSIONS: Edited by John P.F.A. Heesakkers and Fred Witjes Source Type: research
Int Neurourol J. 2021 Sep;25(3):202-209. doi: 10.5213/inj.2142006.003. Epub 2021 Sep 30.ABSTRACTFemale urethral diverticulum (UD) is a rare and benign condition that presents as an epithelium-lined outpouching of the urethra. It has various symptoms, of which incontinence in the form of postmicturition dribble is the most common. The gold standard for the diagnosis of UD is magnetic resonance imaging, and the treatment of choice is transvaginal diverticulectomy. Despite the high success rate of transvaginal diverticulectomy, postoperative complications such as de novo stress urinary incontinence (SUI), recurrence, urethrov...
Source: International Neurourology Journal - Category: Urology & Nephrology Authors: Source Type: research
ConclusionsDorsal urethral diverticulum in women, particularly when very proximal, can present a diagnostic and surgical challenge for reconstructive pelvic surgeons. The robotic approach to urethral diverticulectomy is feasible for a proximal dorsal urethral diverticulum which lies cephalad to the pubic symphysis. This or other laparoscopic applications may also be considered as an adjunct to the standard vaginal approach for complex urethral diverticuli with a proximal dorsal component.
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - Category: OBGYN Source Type: research
Abstract: The study reports a single center experience with surgical management of female pelvic organ prolapse (POP) with and without urinary incontinence. Between January 2006 and July 2016, 93 consecutive patients with anterior and/or apical symptomatic POP underwent abdominal sacrocolpopexy (ASC) or laparoscopic sacrocolpopexy (LSC) or pubovaginal cystocele sling (PCS); 25 patients had concomitant stress urinary incontinence (SUI). Subjective outcome was assessed by the Pelvic Floor Impact Questionnaire (short form) (PFIQ-7) investigating bladder, bowel and vaginal functions, sexual activity, and daily life. Objective...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
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