[Subtotal cystectomy and ileal substitution cystoplasty for complicated vesicovaginal fistula: a case report].

A 68-year old female underwent laparoscopic vaginal hysterectomy for uterine wall perforation, following the removal of an intrauterine contraceptive device (IUD). The patient entered our hospital complaining of persistent genital bleeding, lower abdominal pain and urinary incontinence. She was diagnosed with a vesicovaginal fistula.

[Modifications in the technique for apical dissection of radical retropubic prostatectomy to improve urinary incontinence].

Purpose: To evaluate urinary continence after modified radical retropubic prostatectomy.

Material And Methods: From March 1999 to May 2004, 110 patients with prostate cancer underwent radical retropubic prostatectomy. In all patients, the fascia of the levator ani was preserved, and the plane between the prostate and rectum was dissected prior to cutting the urethra.