Pubovaginal Sling for Treatment of Female Stress Urinary Incontinence Complicated by Urethral Diverticulum

Swierzewski, Stanley J.; McGuire, Edward J.

doi:10.1016/s0022-5347(17)36283-3

Cited by 69 publications

(18 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When a satisfactory closure of the fascial defect is not possible, the positioning of a loose fascial sling could serve as a reinforcing patch to prevent recurrence and incontinence, as suggested by McGuire's group [10,11].…”

Section: Discussionmentioning

confidence: 99%

Preoperative Risk Factors for Surgery of Female Urethral Diverticula

et al. 2002

View full text Add to dashboard Cite

Introduction: This study describes the authors’ experience about the most important risk factors in surgical treatment of female urethral diverticula. The attention is focused on the correlation between risk factors and common severe complications after surgical treatment. Patients and Methods: Eighteen women underwent transvaginal diverticulectomy from 1990 to December 2000. Voiding cystourethrography and transvaginal ultrasonography were performed preoperatively. As far as location is concerned, 10 women developed a mid-urethral diverticula, the remaining had diverticula equally distributed over the distal and proximal urethra. Ten diverticula showed a posterior development, 6 a lateral one and 2 diverticula had horseshoe shape. In 6 cases, diverticulum was larger than 4 cm. Results: Follow-up ranged from 44 to 121 months. We recorded one urethrovaginal fistula, two genuine stress incontinence of new onset, associated in one case with recurrent diverticulum, and one recurrent diverticulum as major complications. Conclusions: The most important risk factors, evaluated with a statistical analysis, are represented by delayed diagnosis, size over 4 cm, and lateral or horseshoe shape of the diverticulum.

show abstract

Section: Discussionmentioning

confidence: 99%

Preoperative Risk Factors for Surgery of Female Urethral Diverticula

et al. 2002

View full text Add to dashboard Cite

show abstract

“…9 Stress urinary incontinence, not present in our cases, has been reported in 32% of female patients presenting with urethral diver- ticula. 10 Infection of the diverticulum can lead to abscess or fistula formation, with the resultant symptoms of pain, fever, and purulent discharge. 8 On physical examination, a fluctuant mass in the anterior wall of the vagina may be detected.…”

Section: Discussionmentioning

confidence: 99%

Transrectal ultrasonography in the diagnosis of urethral diverticula in women

Vargas-Serrano

Cortina-Moreno

Rodríguez-Romero

et al. 1997

J. Clin. Ultrasound

View full text Add to dashboard Cite

“…Multiple authors have described successful concomitant repair of urethral diverticula and stress incontinence in the same operative setting. 14,[19][20][21] Pubovaginal fascial slings have been utilized in patients with UD and stress urinary incontinence with satisfactory outcomes. 15,20,21 The safety and efficacy of midurethral polypropylene tape procedures in patients with SUI and UD has not been studied.…”

Section: Surgical Repair Of Female Urethral Diverticulamentioning

confidence: 99%

“…14,[19][20][21] Pubovaginal fascial slings have been utilized in patients with UD and stress urinary incontinence with satisfactory outcomes. 15,20,21 The safety and efficacy of midurethral polypropylene tape procedures in patients with SUI and UD has not been studied. Alternatively, a small number of patients may have evidence of bladder outlet obstruction on urodynamic evaluation due to the obstructive or mass effects of the UD on the urethra.…”

Section: Surgical Repair Of Female Urethral Diverticulamentioning

confidence: 99%

Urethral diverticula: A review and an update

Rovner

2007

Neurourology and Urodynamics

View full text Add to dashboard Cite

Likely originating from the periurethral glands, female urethral diverticula (UD) are an uncommon but fascinating clinical entity. UD are variable in their presentation and the diagnosis is sometimes difficult and delayed. Modern imaging modalities such as surface coil and endoluminal magnetic resonance imaging (MRI) have added to the diagnostic armamentarium but have also furthered our understanding of UD. Accurate preoperative characterization of the often complex anatomical patterns seen on these imaging studies including saddlebag and circumferential urethral involvement, as well as complete evaluation of associated voiding dysfunction such as complete evaluation of associated voiding dysfunction such as urinary incontinence often impacts contemporary surgical management.

show abstract

Pubovaginal Sling for Treatment of Female Stress Urinary Incontinence Complicated by Urethral Diverticulum

Cited by 69 publications

References 8 publications

Preoperative Risk Factors for Surgery of Female Urethral Diverticula

Preoperative Risk Factors for Surgery of Female Urethral Diverticula

Transrectal ultrasonography in the diagnosis of urethral diverticula in women

Urethral diverticula: A review and an update

Contact Info

Product

Resources

About