Mid urethral sling is the standard in SUI treatment. Nevertheless, the risk of reoperation reaches 9%. There is no consensus as to the best treatment option for complications. A question is raised: what is the optimal way to achieve the best result in patients after primary failure? The aim of the study was to evaluate the outcomes of repeat MUS surgery in patients after excision of the sling w...

OBJECTIVE To compare the safety and efficacy of three types of suburethral slings for the treatment of urodynamic stress incontinence. METHODS Following ethics approval, 195 (3 x 65) patients with urodynamic stress incontinence were randomly assigned to undergo suburethral slingplasty with the Tension-free Vaginal Tape (TVT; Gynecare, Ethicon, Somerville, NJ, USA), Intravaginal Sling (IVS; Ty...

PURPOSE To compare the outcomes and costs of stress urinary incontinence (SUI) surgery using a hand-made sling (Marlex®) versus a commerciallyavailable suburethral polypropylene sling (Advantage®). MATERIALS AND METHODS Thirty-nine women with SUI due to bladder neck hypermobility and/or sphincter incompetence diagnosed by clinical examination and urodynamic studies were divided into two group...

PURPOSE Females with recurrent stress urinary incontinence after anti-incontinence surgery represent a therapeutic challenge. In our experience and that of others standard sling procedures have occasionally failed to correct these problems. We determined the effectiveness of various spiral sling techniques used in these cases to manage pipe stem urethras in which conventional slings had failed....

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...

All of parts of body and functions connected to ejaculation are necessary and can cause painful ejaculation. There are testicles, ejaculatory ducts, seminal vesicles, prostate, bulbourethral glands, urethra, sympathetic nervous system, bulbospongiosus and pubococcygeus muscles and pudendal nerve. When there is any inflammation or an infection of these structures, it all can lead to painful ejac...

Cystic dilatation of bulbourethral gland ducts (Cowper's gland syringocele) is a rare abnormality. The condition has been described among pediatric populations, but it is uncommon in adults. It can be asymptomatic or present with obstructive and irritative urinary symptoms. We report a case of a symptomatic imperforate Cowper's syringocele in a young patient that was successfully managed with t...

All of parts of body and functions connected to ejaculation are necessary and can cause painful ejaculation. There are testicles, ejaculatory ducts, seminal vesicles, prostate, bulbourethral glands, urethra, sympathetic nervous system, bulbospongiosus and pubococcygeus muscles and pudendal nerve. When there is any inflammation or an infection of these structures, it all can lead to painful ejac...

Surgery for female stress urinary incontinence (SUI) has been making remarkable progress in recent decades. Hammock theory[1] has been a milestone in explaining the etiology of SUI, as introduced by Ulmsten, illustrating that dysfunction of pubourethral ligament and pubococcygeus is the major pathological mechanism of SUI. Anti‐incontinence sling is divided into retropubic route[2] and obturato...

OBJECTIVE To evaluate unplanned hospital visits within 30 days of urethral sling placement in the form of emergency department visits, inpatient admissions, or repeat surgery. METHODS We accessed nonpublic data from the Office of Statewide Health Planning and Development in the state of California for the years 2005-2011. All female patients who underwent an ambulatory urethral sling procedur...