11/128. 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 (Clic here for more details about this article) |
12/128. How the principles of exercise physiology influence pelvic floor muscle training.Clinicians have used pelvic floor muscle training as a behavioral treatment for urinary incontinence for the past 50 years. Various protocols for training these muscles have been tested. Evidence has shown that strengthening the pelvic floor muscle can diminish, and sometimes eliminate, involuntary urine loss. The purpose of this article is to describe the principles of exercise physiology and the role these principles play in shaping pelvic floor muscle training regimens. Fundamental content regarding lower urinary tract physiology, specific to the pelvic floor muscles, and muscle fiber differentiation is presented to provide the foundation for a case study description of pelvic floor muscle training within the framework of these principles.- - - - - - - - - - ranking = 0.33333333333333keywords = urinary (Clic here for more details about this article) |
13/128. pregnancy complicated by a suburethral sling: a case report.Incontinence surgery is rarely performed prior to the completion of a woman's childbearing. The literature is sparse in regard to women with prior incontinence surgery. There are no reports of pregnancy complicated by a sling procedure. A 26-year-old gravida 3, para 2-0-0-2 with prior surgical history of a Pereyra urethropexy followed by a Vesica suburethral sling, was referred at 18 weeks' gestation for assessment of the sling. Her antenatal course was complicated by pyelonephritis and intermittent urethral obstruction requiring Foley catheter placement. She delivered by scheduled cesarean section at 37 weeks' gestation. Three months following delivery she presented with pyelonephritis and recurrence of her incontinence. pregnancy complicated by prior suburethral sling procedure may result in urinary outlet obstruction, pyelonephritis and disruption of the surgical repair.- - - - - - - - - - ranking = 0.16666666666667keywords = urinary (Clic here for more details about this article) |
14/128. intestinal perforation as a complication of tension-free vaginal tape procedure for urinary incontinence.OBJECTIVES: To report and prevent a serious complication of tension-free vaginal tape (TVT) procedure. CASE REPORT: One day after a TVT procedure, an emergency CT scan showed adhesion of intestinal loops with a pneumoperitoneum. The patient had previously had intra- and retroperitoneal surgery with a sacral cervicopexy and a Burch colposuspension. CONCLUSION: In such a case of previous surgery, a CT scan may be useful before a TVT procedure.- - - - - - - - - - ranking = 0.66666666666667keywords = urinary (Clic here for more details about this article) |
15/128. Treatment of postoperative urinary retention by elongation of tension-free vaginal tape.Tension-free vaginal tape elongation with a polypropylene intermediate piece was successfully carried out in a patient with urinary retention after an initial tension-free vaginal tape surgical procedure. This resulted in immediate residual-free voiding and continence, unchanged at 6 months follow-up. Postoperative urinary retention may thus be treated by elongation instead of dissection of the tension-free vaginal tape.- - - - - - - - - - ranking = 1keywords = urinary (Clic here for more details about this article) |
16/128. urinary incontinence after pelvic trauma: a case report.Stress and Urge urinary incontinence may develop after a pelvic trauma especially after pelvic bone fractures. Incontinence may persist even though any type of bladder neck suspension is performed if malunion occurs between fracture ends. In stress and urge urinary incontinence developed after pelvic trauma, patients should also be evaluated for malunion of fractures which may lead to bone spurs and during any type of bladder neck suspension these should also be removed.- - - - - - - - - - ranking = 0.33333333333333keywords = urinary (Clic here for more details about this article) |
17/128. Combination of pessary and periurethral collagen injections for nonsurgical treatment of uterovaginal prolapse and genuine stress urinary incontinence.BACKGROUND: The combination of severe uterovaginal prolapse and stress urinary incontinence in medically compromised patients in whom surgery is contraindicated is a difficult treatment dilemma. CASE: A 75-year-old woman with severe cardiac compromise and a history of pulmonary embolus presented with severe uterovaginal prolapse and stress urinary incontinence. The combination of a vaginal pessary and three periurethral collagen injections resulted in successful management of her prolapse and resolution of her stress urinary incontinence. CONCLUSION: Although pessaries are frequently a satisfactory treatment option for women with severe uterovaginal prolapse, the appearance or worsening of urinary incontinence may make the option of pessary use less attractive. The addition of periurethral collagen injections will improve or cure urinary incontinence symptoms.- - - - - - - - - - ranking = 1.5keywords = urinary (Clic here for more details about this article) |
18/128. Prolonged urinary retention after collagen periurethral injections: a sequela of humoral immunity.BACKGROUND: Approximately 3% of candidates for collagen periurethral injections are ineligible because of an immediate hypersensitivity reaction to skin testing. After a negative skin test, physicians believe patients should be free of any adverse clinical events from hypersensitivity reactions. We present a patient who developed prolonged urinary retention from a delayed hypersensitivity reaction after negative skin testing. CASE: After a negative skin test, a 51-year-old woman underwent collagen periurethral injections for recurrent genuine stress incontinence associated with a fixed bladder neck. After reporting complete resolution of symptoms, she developed complete urinary retention associated with a delayed hypersensitivity reaction at both the skin test and injection sites. Her retention resolved after a year of intermittent catheterization and antibiotics for persistent urinary tract infection. CONCLUSION: Delayed hypersensitivity reactions may be associated with an adverse clinical event in up to 2.5% of patients despite a negative skin test. After skin testing, physicians should counsel their patients accordingly.- - - - - - - - - - ranking = 1.1666666666667keywords = urinary (Clic here for more details about this article) |
19/128. Urethral erosion of tension-free vaginal tape.Tension-free vaginal tape (TVT) is gaining popularity as a treatment of choice for women with stress urinary incontinence. It is a minimally invasive procedure with reported short operative and postoperative hospitalization times and low complication rates. We describe urethral erosion of a TVT sling material in a 55-year-old woman who presented with immediate postoperative urinary retention. The sling material was surgically removed and the urethral defect repaired, with the patient continent at the 3-month follow-up visit. A mid-urethral synthetic sling such as the TVT can erode into the urethra.- - - - - - - - - - ranking = 0.33333333333333keywords = urinary (Clic here for more details about this article) |
20/128. Persistence of delayed hypersensitivity following transurethral collagen injection for recurrent urinary stress incontinence.Transurethral collagen injection is both safe and effective when used for the treatment of genuine stress urinary incontinence. It is associated with a minimal inflammatory response, and virtually no foreign body reaction. Most allergic reactions occur within 72 hours of treatment (immediate hypersensitivity). Although uncommon, delayed hypersensitivity reactions may occur and it is advisable to administer a collagen skin test 30 days prior to the procedure. Adverse effects may cause long-term sequelae, such as severe trigonal tenderness, urgency, frequency, hematuria, urinary retention and persistent stress urinary incontinence. A case of a prolonged delayed hypersensitivity reaction following negative collagen skin testing after transurethral collagen injection is presented. Treatment of stress incontinence could not be initiated until symptoms decreased significantly after 1 year.- - - - - - - - - - ranking = 1.1666666666667keywords = urinary (Clic here for more details about this article) |
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