Acupuncture For Incontinence, Not Infertility
Research yields mixed results for this traditional Chinese treatment
is infrequent, with complex problems of diagnosis and treatment, especially during the cacophony of polytrauma patient management. Traumatic urethral injuries can result in a poor quality of life and carry substantial morbidity including stricture, repeated lower urinary tract infections, bleeding, recurrent pyelonephritis, peri-urethral abscesses and ﬁstulas, incontinence, erectile dysfunction, and infertility .
ABSTRACT Prostatic utricle cyst is a rare congenital anomaly. Symptomatic cysts require treatment. Surgical excision is the treatment of choice, but is challenging due to close proximity to vas deferens, ejaculatory ducts, bladder, prostate, rectum and pelvic nerves. Complications include rectal injury, ureteral injury, impotence, infertility and faecal incontinence. We here report a rare complication in which bladder was accidentally removed during laparoscopic excision of prostatic utricle cyst. To best of our knowledge such a complication has never been reported previously. We also describe the possible cause of this ac...
Abstract Uterine leiomyomata are the most common benign tumors of the gynecologic tract impacting up to 80% of women by 50 years of age. It is well established that these tumors are the leading cause for hysterectomy with an estimated total financial burden greater than $30 billion per year in the United States. However, for the woman who desires future fertility or is a poor surgical candidate, definitive management with hysterectomy is not an optimal management plan. Typical gynecologic symptoms of leiomyoma include infertility, abnormal uterine bleeding (AUB)/heavy menstrual bleeding (HMB) and/or intermenstrual...
Various non-medical grade materials have been injected into the genital subcutaneous region. Unfortunately patients suffer symptomatic granuloma formation. We aim to provide a contemporary series and discuss diagnostic and management aspects.
Hydroceles are a common cause of benign scrotal swelling. Historically, various techniques have been employed including aspiration and sclerosis and open surgical excision, plication, or inversion with variable outcomes. More recently, a minimally-invasive eversion technique was described. Here, we sought to show how this technique can be adapted in an office-based setting utilizing local anesthesia and review associated outcomes.
This study is aimed to review the anatomy of the seminal tract and provide a detailed description on the methodology of transurethral seminal vesiculoscopy (TUSV). The clinical experience based on a single surgeon was also reported.
Testis cancer presents a unique problem in male fertility preservation. As many as 50-70% of patients diagnosed with testis cancer are subfertile at the time of diagnosis and up to 15% are azoospermic. Many patients will also require adjuvant radiotherapy or chemotherapy further complicating future fertility potential. In this video, we aim to provide a step-by-step guide to the performance of microsurgical onco-testicular sperm extraction (onco-TESE) in the setting of radical orchiectomy for testis cancer in an azoospermic patient.
Microsurgical denervation of the spermatic cord (MDSC) is a treatment option for chronic orchialgia. Up to 20% of patients may develop chronic postoperative subinguinal incisional pain after traditional MDSC. This video illustrates a novel technique and outcomes for a robotic assisted targeted MDSC approach (RMDSC) and varicocelectomy by using Transscrotal approach to avoid any incisional groin pain.
Neurogenic lower urinary tract dysfunctions have an important impact on the quality of life in patients due to spina bifida. The artificial urinary sphincter AMS 800 ® has been used for years as standardized long-term therapy in patients with severe stress incontinence. A robot-assisted subprostatic cuff positioning around the membranous urethra has not yet been described in the literature.
Recurrent stress urinary incontinence (rSUI) after artificial urinary sphincter (AUS) placement can be a difficult problem for both patients and prosthetic urologists. In the absence of malfunction, the etiology is often assumed to be urethral atrophy. Urethral constriction by subcuff encapsulation, however, may preclude proper coaptation. We aimed to determine whether atrophy is a real phenomenon in selected patients and whether there is a component of PRB material fatigue.