Background: After almost two decades, transabdominal robotic radical prostatectomy techniques have been fully developed and are widely practiced by many robotic urologists. Recently, a transperineal robotic radical prostatectomy, a technique not yet popular to many, was introduced as an alternative approach in patients with previous abdominal surgery. Here, we present our unique experience with...

OBJECTIVE To evaluate the benefits and risks of using uterine fundal pressure in shortening the second stage of labor and on the obstetrical outcome. MATERIAL AND METHODS A pilot study comprising 209 primigravidae between 37 and 40 gestational weeks with singleton fetus in cephalic presentation admitted to the delivery suite were considered and were randomly allocated into two groups: I (n=10...

The Obstetric Anal Sphincter Injuries (OASI) Care Bundle is designed to reduce the incidence of obstetric anal sphincter injuries. However, introducing behavioural change requires an understanding current practice. This study aims establish midwives practise at time birth, and factors that influence this. Quantitative research - a national online survey. Nationwide United Kingdom (UK). Particip...

The results of combined cystometry and perineal electromyography were reviewed retrospectively in 75 consecutive, traumatic spinal cord-injured patients to predict lower urinary tract dysfunctions. In patients with vertebral spinal injuries at vertebral level T7 or above a reflex neurogenic bladder eventually developed. In those with vertebral level injuries T11 or below a lower motor neuron bl...

This study assessed the relation between perineal body length and the risk of perineal laceration extending into the anal sphincter during vaginal delivery in primigravid patients at an institution with a low utilization of episiotomy. This was a prospective study of primigravid patients in active labor. Primigravid women with singleton pregnancies who were in the first stage of labor at 37 wee...

Atom A Ter–Grigorian wrote an interesting review about urogenital disorders after pelvic ring injuries. This paper gives a good overview about many aspects of this problem. Though it is not extremely frequent [1], every urologist should have detailled knowledge about the treatment for all these cases. The damage of the pelvic organs is often associated with the disturbance of integrity of the p...

PURPOSE This study compared the catheter-associated urinary tract infection (CAUTI) rates resulting from the use of four perineal care agents (soap-and-water, skin cleansing foam, 10% povidone-iodine, and normal saline) among patients in intensive care units (ICUs). METHODS This four-group experimental study was done with 97 adult patients who had urinary catheters over 2 days in three ICUs b...

The aims of this study were to compare perineal distensibility between women with twin and singleton pregnancies and to correlate these women's perineal distensibility with anthropometric data. This prospective cross-sectional case-control study was conducted among nulliparous women, of whom 20 were pregnant with twins and 23 with a single fetus. Perineal distensibility was evaluated in the thi...

OBJECTIVES To determine trends and risk factors for severe perineal trauma between 2000 and 2008. DESIGN This was a population-based data study. SETTING New South Wales, Australia. PARTICIPANTS 510 006 women giving birth to a singleton baby during the period 2000-2008. MAIN OUTCOME MEASURES Rates of severe perineal trauma between 2000 and 2008 and associated demographic, fetal, antenata...

Background. Perineal pressure due to bicycle riding has been associated with erectile dysfunction. We developed a novel method to measure the occlusive force exerted over the perineal arteries and determined perineal artery occlusion by a variety of seat designs. Methods. Doppler ultrasonography facilitated perineal artery localization and determination of the force required for perineal artery...