BACKGROUND Prevalence of lower urinary tract dysfunction (LUTD) in children is between 6 and 9% with urinary incontinence (UI) being one of the most common symptom. VARIOUS ASPECTS OF LOWER URINARY TRACT SYMPTOMS LUTS Anatomical anomalies of the urinary tract as well as neurogenic underlying pathology can results in LUTS. Comorbidities and long-term consequences of the LUTD for the female pat...

Bladder neck injuries are well recognized consequences of pelvic fracture related trauma to lower urinary tract.1 The risk of complete bladder neck distraction injury is more common in children than in adults2 so specifically addressed in pediatric literature but there is no specific reference to their management in adults.1 In adults, bladder neck injury is usually longitudinally split.3 We ar...

Purpose: The aim of this study was to evaluate the morphologic features of female lower urinary tract symptoms and to examine the association between morphologic characteristics and urethral function. Materials and Methods: The records of 1,341 women with lower urinary tract symptoms and one single urodynamic diagnosis were reviewed. These include 560 subjects with genuine stress incontinence, ...

BACKGROUND Bladder neck transection is one of the most difficult procedures for robot-assisted laparoscopic radical prostatectomy (RALP), particularly in patients who have undergone previous transurethral resection of the prostate (TUR-P), and in those with large median lobes or prostate cancer protruding into the bladder neck. To ensure negative surgical margins and safely preserve the uretera...

background neck reconstruction is considered as one of the most important surgeries in cosmetic and reconstructive surgery. the present study aimed to assess the results of reconstructive surgery of extensive face and neck burning scars using tissue expanders. methods this descriptive prospective study was conducted on 36 patients with extensive burning scars on the neck and face. operation for...

PURPOSE OF REVIEW Bladder neck preservation (BNP) during radical prostatectomy (RP) has been proposed as a method to improve early recovery of urinary continence after radical prostatectomy. However, there is concern over a possible increase in the risk of positive surgical margins and prostate cancer recurrence rate. A recent systematic review and meta-analysis reported improved early recovery...

PURPOSE Incision of the anterior layer of Denonvilliers' fascia is commonly cited as a key step in successful dissection of the vasa deferentia and seminal vesicles from the posterior bladder neck during laparoscopic radical prostatectomy. However, anatomical descriptions do not support the presence of Denonvilliers' fascia anterior to the seminal vesicles. To address this inconsistency we perf...

A five-year-old girl presented with post traumatic urinary incontinence secondary to rupture of the bladder neck into the vagina. Operative repair included a midline exposure with resection of the symphysis pubis, separation of the bladder neck from the vagina, repair of the torn bladder neck and urethral substitution with ileum. Normal continence and voiding was achieved.

Urinary incontinence of the severity encountered in spina bifida and bladder exstrophy can deal a shattering blow to the fragile self esteem of children and young people. Patients stigmatised by incontinence in childhood are often underachievers at school and denied employment opportunities as young adults. Treatment is aimed at creating the degree of continence required to enable them to fulfi...

BACKGROUND Neck reconstruction is considered as one of the most important surgeries in cosmetic and reconstructive surgery. The present study aimed to assess the results of reconstructive surgery of extensive face and neck burning scars using tissue expanders. METHODS This descriptive prospective study was conducted on 36 patients with extensive burning scars on the neck and face. Operatio...