Robot-assisted extravesical vesicovaginal fistula repair utilizing laparoscopically mobilized omental flap interposition

ConclusionsRobot-assisted extravesical VVF repair avoids the morbidity of a laparotomy, provides excellent exposure, and avoids a large cystotomy. It maintains vaginal length and allows for significantly better visualization compared with the transvaginal approach. This repair offers improved outcomes for certain patients depending on their history, anatomy, and the surgeon ’s experience.
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - Category: OBGYN Source Type: research

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This study reviews continence outcomes among 42 bladder exstrophy patients who underwent a modified Young-Dees Leadbetter bladder neck reconstruction (BNR). These patients had persistent, continuous incontinence following reportedly successful CPREs as infants and were referred to the authors ’ institution for further management. Although a quarter of these patients remained continuously incontinent after BNR, more than half achieved day and nighttime continence. The authors observed that a greater number of patients who improved had had osteotomies at initial CPRE and did not have an interval ureteral reimplant before their BNR.
Source: Journal of Pediatric Urology - Category: Urology & Nephrology Authors: Source Type: research
This study reviews continence outcomes among 42 bladder exstrophy patients who underwent a modified Young-Dees Leadbetter bladder neck reconstruction (BNR). These patients had persistent, continuous incontinence following reportedly successful CPREs as infants and were referred to the authors ’ institution for further management. Although a quarter of these patients remained continuously incontinent after BNR, more than half achieved day and nighttime continence. The authors observed that a greater number of patients who improved had had osteotomies at initial CPRE and did not have an interval ureteral reimplant before their BNR.
Source: Journal of Pediatric Urology - Category: Urology & Nephrology Authors: Source Type: research
This study focused on the macroscopic description of the superior hypogastric plexus, hypogastric nerves, inferior hypogastric plexus, the parasympathetic pelvic splanchnic nerves and the sympathetic fibres. Their arrangement is described in relation to commonly used surgical landmarks such as the sacral promontory, ureters, uterosacral ligaments, uterine and rectal blood vessels. Thirty-one embalmed female pelvises from 20 formalin-fixed and 11 Thiel-fixed cadavers were prepared. In all cases explored, the superior hypogastric plexus was situated anterior to the bifurcation of the abdominal aorta. In 60% of specimens, it ...
Source: Journal of Anatomy - Category: Anatomy Authors: Tags: J Anat Source Type: research
We report a case of a supernumerary kidney fused with the capsule of ipsilateral kidney with a separate complete ureter draining into the introitus of a young female thereby presenting as total incontinence of urine.
Source: Urology - Category: Urology & Nephrology Authors: Tags: Images in Clinical Urology Source Type: research
ABSTRACT Purpose: To compare perioperative outcomes, complications and anastomotic stricture rate in a contemporary series of patients who underwent open radical cystectomy (RC) with modified Wallace anastomotic technique versus traditional ileal conduit. Materials and methods: Study enrolled 180 patients, of whom 140 were randomized and underwent RC; seventy were randomized to group I and the seventy to the group II. For the primary objective, we hypothesized that the rate of ureteroenteric strictures would be at least 20 % lower in the second group. Secondary end points included rate of anastomotic leak, surgical time, d...
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
ConclusionModified Y-shaper pouch is suitable for short, dilated ureters. Longitudinal orientation of the pouch facilitates ileo-urethral anastomosis, especially with short mesentery. Long-term follow-up for direct uretero-ileal anastomosis did not show deterioration of the renal function.
Source: International Urology and Nephrology - Category: Urology & Nephrology Source Type: research
We report an EUV in a 16- year-old female. This is the first case of EUV reported in DR Congo. The evaluation and diagnosis are discussed.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
ConclusionsEnterocystoplasty remains the gold standard for AC, though more research is needed to better evaluate the morbidity of different surgical techniques and the indications for concomitant surgeries. Experimental methods of AC with tissue engineering are a promising area for further investigation.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
We report a case of a 14-year-old girl with ureteral triplication with contralateral duplication and vesicoureteral reflux of the upper moiety on the triplicate side and dysplastic upper moiety on duplicated side, who had persistent incontinence following a left ureteroureterostomy and right heminephrectomy.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
Abstract Follow-up care of patients with muscle-invasive bladder cancer is subdivided into oncological and functional surveillance. More than 80% of local relapses and distant metastases occur within the first 2 years. Recurrences in the remnant urothelium also occur several years after radical cystectomy. Urinary cytology and a computed tomography (CT) scan of the abdomen and thorax including a urography phase are the standard diagnostics for tumor follow-up. There is no clear evidence for a survival benefit for the detection of asymptomatic vs. symptomatic recurrences. After partial cystectomy or trimo...
Source: Der Urologe. Ausg. A - Category: Urology & Nephrology Authors: Tags: Urologe A Source Type: research
More News: Anatomy | Cystoscopy | Gastroschisis Repair | Hysterectomy | Incontinence | Laparoscopy | Laparotomy | Ureter and Renal Pelvis Cancer | Urography