Midurethral slings have become the gold standard in the surgical treatment of stress urinary incontinence (SUI). However, despite the high cure rates with these procedures, nearly 20% of the patients are incontinent after surgery. On the other hand, in a small percentage of women, voiding dysfunction may develop after surgery. Adjustable slings have been advocated in patients who fail an anti-i...

A 43-year-old multipara presented 10 months post-operative from a retropubic sling with complaint of a growing left suprapubic mass. Her medical history was significant for stage III cervical cancer treated with chemoradiation, including vaginal brachytherapy three years prior. The patient was followed by gynecologic oncology and had no recurrent malignancy, but had developed a short vagina pos...

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...

voluntary loss of urine that occurs due to increased intra-abdominal pressure and without detrusor contraction. Many investigators have attempted to classify SUI, and the classification of Blaivas et al (1), based on the descent of the bladder neck revealed by cystography, has been widely accepted because it provides useful information for determining the treatment modality. According to this c...

PURPOSE We examined the effect of the Monarc suburethral sling on urethral mobility. MATERIALS AND METHODS We retrospectively studied the records of 54 consecutive women who received a Monarc suburethral sling between July 2005 and November 2008. All patients were examined by volume ultrasound preoperatively and at followup (average 0.7 years). Volume data sets were analyzed using post-proces...

The AdVance transobturator sling represents an important treatment option for male stress urinary incontinence. Accordingly, recent data suggests AdVance to yield success rates of 62%-77% through 3 year follow up.1,2 Although experience to date is favorable, many questions exist. Foremost, the ideal technique for intraoperative placement and tensioning remains a topic of discussion. The exact m...

Mathematical modeling is created for the mathematical task of spatial motion controlled parachute-tether system “wind kite” type. The model consists a main para-chute and braking parachute. parachutes are connected by tether. supposed to be solid body. This body has two planes symmetry. parachute with axial tether an absolutely flexible elastic thread. ideal hinges control carried out changing ...

Background SUI is a common and distressing condition affecting 3 million women in the UK. As part of the multicentre NIHR HTA funded SIMS study (Adjustable Anchored Single-Incision Mini-Slings Versus Standard TensionFree Mid-Urethral Slings in the Surgical Management Of Female Stress Urinary Incontinence; A Pragmatic Multicentre Non-Inferiority Randomised Controlled Trial) we are evaluating the...

Urinary incontinence after prostatectomy for malignant and/or benign prostatic diseases is one of the most serious complications. Urinary incontinence occurs rarely after prostatectomy for benign diseases. However, it may occur more commonly after radical prostatectomy. These complications affect the patient’s quality of life. Treatment of incontinence due prostatectomy includes several methods...

Purpose: To determine if 3 types of mid-urethral synthetic slings are visually the same. Materials and Methods: A retropubic, obturator, and single incision sling was individually placed in three cadavers. Tension was set using a spacer (obturator and retropubic). Single incision sling (SIS) tension was set by visual inspection. Thirty physicians were asked to determine placement method, tensio...