PURPOSE The objective of this study is to evaluate the continence rate following reconstruction of the posterior urethral plate in robot-assisted laparoscopic radical prostatectomy (RLRP). MATERIALS AND METHODS A retrospective analysis of 50 men with clinically localized prostate cancer who underwent RLRP was carried out. Twenty-five patients underwent RLRP using the reconstruction of the pos...

Radical prostatectomy (RP) is the most common cause of stress urinary incontinence (UI) in men. Several anatomic structures affect or may affect urinary continence - urethral sphincter, levator ani muscle, puboprostatic ligaments, bladder neck, endopelvic fascia, neurovascular bundle - and understanding of the anatomy of pelvic floor and urethra is crucial for satisfactory functional outcome of...

Aims of Study In the traditional paradigm, urge incontinence is ascribed to detrusor overactivity (DO). However, recent data reveal that DO occurs in one-third of continent older adults, which poses a potential problem for the traditional paradigm. We reasoned that in older adults DO might still be central to urge incontinence but that differences in the characteristics of the DO or in an indiv...

PURPOSE Total and partial urogenital mobilization procedures are the most common contemporary vaginoplasty surgeries for patients with congenital adrenal hyperplasia, urogenital sinus and cloacal anomalies. There is controversy regarding the urinary continence outcomes of these procedures. We reviewed the urinary continence outcomes of children who underwent total or partial urogenital mobiliza...

PURPOSE Prolonged postoperative incontinence is a major drawback of RRP. Age, scars in the rhabdosphincter, nonnerve sparing surgery and postoperative sphincter insufficiency can cause temporary or definitive urinary incontinence. We believe that sphincter deficiency is the main cause of early incontinence. Urinary leakage results from the shortening of anatomical and functional sphincter lengt...

Eleven patients with proximal types of imperforated anus (mean age 15 Y) were evaluated clinically by a single examiner and by rectal manometric studies. All were males with problems related to fecal continence. It was found that local examination alone is enough to put a plan for further management with no need for Manometric evaluation. [Jamal S. Kamal. Rule of Rectal Manometry in Late Manage...