1/4. dyspareunia and recurrent stress urinary incontinence after laparoscopic colposuspension with mesh and staples. A case report.BACKGROUND: A laparoscopic colposuspension technique using hernia staples and polypropylene mesh has been introduced for the treatment of stress urinary incontinence but is not without hazards. CASE: A 32-year-old woman developed recurrent stress urinary incontinence and dyspareunia approximately one year after undergoing laparoscopic colposuspension with hernia staples and polypropylene mesh. Metal staples palpated vaginally corresponded with the area of maximal tenderness, and the bladder neck was hypermobile. Upon surgical exploration of the space of Retzius, four staples were found in the bladder wall, and polypropylene mesh densely adherent to the bladder wall had eroded into the muscularis. CONCLUSION: Laparoscopic colposuspension with hernia staples and polypropylene mesh may be associated with early recurrence of incontinence and dyspareunia.- - - - - - - - - - ranking = 1keywords = urinary incontinence, incontinence, urinary (Clic here for more details about this article) |
2/4. Persistent urinary retention after tension-free vaginal tape: a new surgical solution.The most common post-operative problems seen with the tension-free vaginal tape (TVT) are voiding difficulties. A small subset of patients develops persistent urinary retention, often associated with vaginal pain and dyspareunia. We describe a surgical solution to these complications that involves cutting of the prolene sling just below the urethra and individualised prologation with an additional piece of prolene-mesh.- - - - - - - - - - ranking = 0.0011230280120331keywords = urinary (Clic here for more details about this article) |
3/4. leiomyoma of the female urethra: urodynamic changes after surgical intervention.leiomyoma of the urethra is a relatively rare condition often presenting as an anterior vaginal wall mass or a mass that protrudes from the urethral meatus. We report on the urodynamic changes after vaginal surgery to remove a suburethral leiomyoma, which protruded from the vaginal orifice resulting in dysuria and dyspareunia. Urodynamic studies before the operation revealed a high detrusor pressure, low maximum flow rate with an elevated post-void residual urine on voluntary voiding, and high resting urethral resistance. Removal of the mass with proper reconstruction of paraurethral support restored normal detrusor pressure, maximum flow rate, and post-void residual, resulting in amelioration of her voiding difficulty and dyspareunia. The operative procedure did not affect leak point pressure and she is free from stress urinary incontinence.- - - - - - - - - - ranking = 0.162534033133keywords = urinary incontinence, incontinence, urinary (Clic here for more details about this article) |
4/4. dyspareunia from auto suture staples. A report of two cases.The use of Auto Suture staples for closure of the vaginal vault after abdominal hysterectomy may result in postoperative dyspareunia and urinary urgency. Two cases are reported in which these complications occurred.- - - - - - - - - - ranking = 0.00022460560240663keywords = urinary (Clic here for more details about this article) |