scholarly journals REASONS FOR FAILURES OF SURGICAL TREATMENT OF WOMEN WITH URINARY INCONTINENCE

2021 ◽  
pp. 33-38
Author(s):  
V. V. Danilov ◽  
I. Yu. Vol'nyh ◽  
V. V. Danilov
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Plastic Surgery ◽  
Point Of View ◽  
Surgical Correction ◽  
Synthetic Material ◽  
Urine Retention ◽  
Neurophysiological Model

Аnalysis of literature sources devoted to synthetic sling operations shows that it is not possible to achieve 100% of the result. In addition, the catamnestic effectiveness of surgical correction has been steadily decreasing over the years and after a few years is estimated at about 70%, regardless of the type of intervention, the method of implantation and the properties of the synthetic material used for loop plastic surgery. At the same time, there are a number of works whose results contradict the generally accepted mechanistic point of view about the effects resulting from the implantation of the tape. At the same time, consideration of the problem from the standpoint of the neurophysiological model of the neuroregulatory theory eliminates contradictions and makes it possible to explain the restoration of urine retention after surgery due to the activation of the urethro-sphincter protective reflex. The same approach provides a logical explanation for failures when performing a synthetic sling operation.

scholarly journals Obturator approach in the surgical treatment of stress urinary incontinence using tension - free transvaginal tape

2012 ◽  
Vol 65 (1-2) ◽  
pp. 41-44
Author(s):  
Srdjan Djurdjevic ◽  
Ljiljana Mladenovic-Segedi ◽  
Aleksandar Curcic ◽  
Milos Pantelic ◽  
Marko Maksimovic
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Urinary Stress Incontinence ◽  
Middle Part ◽  
Leg Pain ◽  
Treatment Results ◽  
Urine Retention ◽  
Tension Free ◽  
Transvaginal Tape ◽  
Inside Out

The study reviews the surgical treatment results of urinary stress incontinence in the group of 51 female patients, in whom the tension-free transvaginal tape was placed beneath the middle part of urethra using obturator approach during the period from 2005 to 2009. The method of surgery applied in all patients was obturator approach (?inside-out? method sec. de Leval), using a synthetic tension-free transvaginal prolen tape. After the sub-urethral tunnel had been created by scissors, the obturator membrane was perforated, then the placement of wing guides followed, through which helical needles with synthetic tape were brought to the skin. The following complications were observed in 8 (15.7%) patients: erosion of tape in 2 (3.9%), urine retention in 2 (3.9%), bleeding from the site of incision in 1 (1.9%) and transitory leg pain in 3 (5.8%) cases. Two years after the surgery, 43 (84.3%) patients were dry, 4 (7.8%) patients showed a significant improvement, while the recurrence was recorded in 4 (7.8%) operated patients.

scholarly journals EPISPADIAS IN GIRLS

2019 ◽  
Vol 23 (3) ◽  
pp. 166-168
Author(s):  
A. E. Soloviev
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Plastic Surgery ◽  
Clinical Picture ◽  
Bladder Neck ◽  
Rare Case ◽  
Diagnosis And Treatment ◽  
X Ray

Purpose. To study the clinical picture, diagnosis and treatment of epispadias in girls. Material and methods. 22 girls with epispadias of various forms were under supervision for 50 years. During diagnostics the following issues were used: anamnesis, examination, catheterization and uroflowmetry, cystoscopy of the bladder, ultrasound and X-ray examination. Results and discussion. Out of 22 girls with epispadias, clitoral epispadia (partial ) was in 10 patients; sub-symphisal (subtotal) - in 4; symphisal (total) - in 8 girls. In 10 girls with the clitoral form, urological examination was made because of changes in the urine. Girls with sub-symphisal epispadia complained of irritation and itching in the vulva. All had vulvitis, cystitis, chronic pyelonephritis. In 2 patients, renal doubling was diagnosed; in other 2 patients ureterohydronephrosis and kidney dystopia were diagnosed. Uroflowmetry revealed hyperactive bladder in all. 8 girls with the total (symphisial) form of epispadia and urinary incontinence were operated by the Derzhavin technique; after the surgery the function of bladder sphincter was restored and the patients could have a normal quality of life. Conclusion. Epispadia in girls is a rare case . There are clitoral, sub-symphisal and symphisal (total) forms of epispadias. Cluster and sub-symphisial forms do not require surgical treatment. While in the symphisial (total) form, plastic surgery on the bladder neck by the Derzhavin technique is recommended. It is a good option for recovery.

scholarly journals Surgical correction of urinary incontinence associated with orgasm (climacturia) using a compression graft (clinical cases)

2019 ◽  
Vol 20 (3) ◽  
pp. 86-92
Author(s):  
S. I. Gamidov ◽  
N. G. Gasanov ◽  
T. V. Shatylko
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Radical Prostatectomy ◽  
Penile Prosthesis ◽  
Surgical Correction ◽  
Prosthesis Implantation ◽  
Porcine Dermal Collagen ◽  
Dermal Collagen ◽  
Clinical Cases

Climacturia is a rarely discussed functional complication of radical prostatectomy. Various methods of medical and surgical treatment of climacturia have been described. In this article we present two clinical cases of successful surgical treatment of climacturia which involved three-piece penile prosthesis implantation and placement of compression graft made of porcine dermal collagen on urethra.

scholarly journals Surgical correction of thorax deformity in Currarino-Silverman syndrome

2018 ◽  
Vol 25 (3-4) ◽  
pp. 95-98
Author(s):  
P. A Korolev ◽  
O. V Kozhevnikov
Keyword(s):  
Surgical Treatment ◽  
Heart Development ◽  
Mitral Stenosis ◽  
Point Of View ◽  
Surgical Correction ◽  
Coarctation Of Aorta ◽  
Poland Syndrome ◽  
Surgical Results ◽  
Rare Form

Currarino-Silverman syndrome (combined thorax deformity (CTD)) is a rare form of TD. Quite often this type of the deformity is combined with the failure of heart development (coarctation of aorta, prolapse, mitral stenosis). We mark out 2 types of CTD that enables to determine the tactics of surgical treatment. From the point of view of surgical correction potentialities the 2type of the deformity with protrusion of the manubriosternal junction but without sternum retraction is most perspective. Surgical results are presented for 3 patients, in one of them the pathology was combined with Poland syndrome.

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