Changes of Urethral Pressure Profilometry in Pubovaginal Sling and Modified Burch Colposuspension Procedures

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Modified Burch Colposuspension

Operation Concept: Elevation of the vaginal fascia on both sides lateral to the cystourethral junction to suspend the bladder neck. Contrary to the original method of Burch the vaginal fascia will not be completely attached to the Lig. Iliopectinum (=Cooper ligament), you pull the knot only until you create a kind of hammock under the bladder neck. Use only non-resorbable sutures. If there is a...

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Urethral erosion with recurrent stress incontinence following transobturator tape surgery: urethral repair with simultaneous pubovaginal sling.

INTRODUCTION Urethral erosion is an uncommon, but serious complication following syndiscuss a woman who presented with urethral erosion, vaginal erosion, ment. She was managed by sling excision with simultaneous rectus fascia sling surgery. Most such patients have been managed by urethral reconstruction and subsequent staged incontinence surgery, for fear of urethral complications. We thral ero...

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Rectus fascia pubovaginal sling for recurrent stress urinary incontinence after failed synthetic mid-urethral sling: Letter.

We were very interested to read the recent study by Welk and Herschorn, and the related commentary by Steele, regarding the role of autologous rectus fascial slings for complex recurrent female stress urinary incontinence (SUI).1,2 The authors report that, on mediumterm follow-up of 33 women with previous failed continence surgery, pubovaginal sling was associated with a significant reduction i...

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Clinical Images of Laparoscopic Burch Colposuspension

We routinely perform open laparoscopy technique at the inferior margin of the umbilicus using 10-mm port to introduce the laparoscope. Three additional ports are placed under direct vision. The abdomen is insufflated with CO2 to 15 mmHg intraabdominal pressure. The superior edge of bladder is identified by retrograde filling the bladder. A peritoneal incision is made between the umbilical ligam...

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Pubovaginal sling in the treatment of stress urinary incontinence for urethral hypermobility and intrinsic sphincteric deficiency.

PURPOSE This study was undertaken to evaluate the use of pubovaginal sling for the treatment of female stress urinary incontinence in patients with intrinsic sphincteric deficiency and patients with urethral hypermobility. MATERIALS AND METHODS Sixty-two patients aging 22 to 73 years-old (mean = 49.6) with a median parity of 4.1 (range 0 - 14) who underwent pubovaginal autologous fascial slin...

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ژورنال

عنوان ژورنال: Taiwanese Journal of Obstetrics and Gynecology

سال: 2006

ISSN: 1028-4559

DOI: 10.1016/s1028-4559(09)60210-2