SIGNIFICANCE OF TRANSRECTAL ULTRASONOGRAPHY IN SURGERY FOR STRESS URINARY INCONTINENCE AND CYSTOCELE

Surgery versus physiotherapy for stress urinary incontinence.

BACKGROUND Physiotherapy involving pelvic-floor muscle training is advocated as first-line treatment for stress urinary incontinence; midurethral-sling surgery is generally recommended when physiotherapy is unsuccessful. Data are lacking from randomized trials comparing these two options as initial therapy. METHODS We performed a multicenter, randomized trial to compare physiotherapy and midu...

Transperineal ultrasonography in stress urinary incontinence: The significance of urethral rotation angles

OBJECTIVE To assess, using transperineal ultrasonography (TPUS), the numerical value of the rotation of the bladder neck [represented by the difference in the anterior (α angle) and posterior urethral angles (β angle)] at rest and straining, in continent women and women with stress urinary incontinence (SUI), to ascertain if there are significant differences in the angles of rotation (Rα and Rβ...

Minimally invasive surgery for stress urinary incontinence - mesh complications.

Currently, the most commonly performed surgeries for stress urinary incontinence (SUI) are mesh midurethral slings (MUS). They are minimally invasive outpatient procedures, and they are as effective as traditional suburethral slings, open retropubic colposuspension (Burch, Marshall-Marchetti), and laparoscopic retropubic colposuspension. They have a short operative time and fewer postoperative ...

Surgery for Urinary Incontinence inWomen

The Science behind Biomaterials in Female Stress Urinary Incontinence Surgery

Female stress urinary incontinence, while not life threatening, can present with various social and economic implications. Biomaterials, primarily synthetic, are often utilized to augment surgical correction. Repair with biomaterials involves midurethral support to function against weakened connective tissue caused by injury, abnormal collagen metabolism, or genetic predisposition. Even though ...