Pelvic floor muscle training in males: practical applications.

The pelvic floor muscles are vital to male genitourinary health. Pelvic floor muscle training may prove helpful in a variety of clinical circumstances: stress urinary incontinence that follows prostate surgery, overactive bladder, postvoid dribbling, erectile dysfunction, ejaculation issues including premature ejaculation, and pelvic pain due to levator muscle spasm.

Urethral necrosis and proximal urethro-vaginal fistula resulting from tension-free vaginal tape.

Urethral erosion is an uncommon complication after sub-urethral sling placement using the TVT procedure. Strangulation necrosis of the entire distal urethra with a fistulous connection between proximal urethra and vagina is a devastating complication that has not been previously reported, resulting in significant morbidity and the necessity for challenging management. This is a report of a 64-year-old woman with stress urinary incontinence who underwent a TVT resulting in a large fistula between the proximal urethra and the vagina, and the necrosis of the entire urethra distal to the fistula.

Vaginal mesh extrusion associated with use of Mentor transobturator sling.

Objectives: To describe my experience of vaginal mesh extrusion using the monofilament polypropylene transobturator sling, the Mentor ObTape. The Mentor ObTape was the first transobturator sling developed as an alternative to the retropubic commercially available suburethral slings for providing mid-urethral support as treatment of female stress urinary incontinence.

Methods: Thirty patients underwent transobturator suburethral sling placement for anatomic stress urinary incontinence using the ObTape from October 2003 to January 2005.

High incidence of vaginal mesh extrusion using the intravaginal slingplasty sling.

Purpose: The intravaginal slingplasty (IVS) is a tension-free vaginal tape variant that uses a multi-filament polypropylene tape to support the mid urethra for the treatment of female stress urinary incontinence. Numerous cases of defective vaginal wound healing have been described in the international urogynecological literature. We describe our experience of vaginal mesh extrusion using the IVS sling.

New surgical technique for sphincter urinary control system using upper transverse scrotal incision.

Purpose: Traditional implantation of the AMS Sphincter 800 Urinary Control System (American Medical Systems, Minnetonka, Minnesota) requires 2 incisions. The cuff is placed via a perineal incision, and the pressure regulating balloon and pump are placed through a separate suprapubic incision. We describe a novel implantation of all the artificial urinary sphincter components using a single upper scrotal incision.