OBJECTIVES Women undergoing four-corner bladder neck suspension were evaluated for subjective and objective results of the procedure. Patients were evaluated for continence, prolapse, and symptomatic status postoperatively. METHODS Forty-seven women underwent four-corner bladder neck suspension for moderate cystocele with (44) or without (3) stress urinary incontinence. Mean and median follow...

Müllerian cysts are usually small, ranging from 0.1 to 2 cm in diameter. Rarely, they may be enlarged and mistaken for other structures, such as a cystocele or urethral diverticulum. We report on a female with symptomatic vaginal wall prolapse, diagnosed as a vaginal Müllerian cyst, which was originally misdiagnosed as a cystocele. The mass was soft and could be compressed manually without diff...

BACKGROUND The aim of this study was to compare the two types of mid-urethral slings for stress urinary incontinence (SUI) with intrinsic sphincter deficiency (ISD). METHODS This retrospective study included patients who underwent tension-free vaginal tape (TVT) procedure or transobturator tape (TOT) procedure by a single surgeon for SUI with ISD, defined as Valsalva leak point pressure (VLPP...

To cite: Dass K, Daloul R, Gupta P. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200239 DESCRIPTION Large sliding inguinal hernias involving the urinary bladder are rare. If left untreated, the effect can be devastating, leading to bladder infarction, perforation or obstruction. The urinary bladder is involved in 1–4% of all inguinal hernias. Review of the ...

The objective of this study is to report the outcomes of cystocele repair Aims: with anterior transobutrator mesh kits. 119 consecutive women with cystoceles were treated between Methods: January 2006 and November 2010 by a single surgeon at a university hospital using the anterior transobturator mesh kit procedure. Postoperative follow-up visits were scheduled at 1, 6, and 12 months after surg...

or both may be found in the same patient. The operative procedures described are applicable to either condition separately, to both when they occur together, or, in principle, but with certain modifications in detail, to rectocele. The object of the procedure is to reconstruct the original anatomical relations of the parts concerned, or so to alter the anatomical relations existing as the resul...