Urethral Diverticulum Marsupialization With Modified Spence-Duckett Procedure.

Objective: To demonstrate a modified approach to the Spence-Duckett procedure for treatment of a distal urethral diverticulum. A urethral diverticulum is an outpouching of urethral mucosa occurring in 2-5% of the population. They are thought to commonly arise due to chronic inflammation or infection of the peri-urethral glands.

Suprapubic Versus Transurethral Catheterization: Perioperative Outcomes After Colpocleisis.

Objectives: Transient postoperative urinary retention occurs in approximately half of women after colpocleisis; however, the optimal strategy for postoperative catheter management is unclear. This study compared length of catheterization and postoperative complications after colpocleisis between planned suprapubic catheter placement and transurethral catheterization.

Methods: This is a retrospective cohort study including all women undergoing colpocleisis from January 2015 to December 2019 in a large female pelvic medicine and reconstructive surgery practice.

Risk Factors for Urinary Retention After Colpocleisis.

Objectives: Transient urinary retention occurs frequently after pelvic organ prolapse surgery. While the prevalence of postoperative urinary retention has been reported for reconstructive procedures, a paucity of data exists for colpocleisis. The objectives of this retrospective cohort study were to identify risk factors for transient urinary retention after colpocleisis and to determine the rate of its occurrence.

Outside-In: Intraperitoneal Anterior and Posterior Plication During Prolapse Surgery.

Objective: To demonstrate a novel technique of intraperitoneal vaginal wall plication combining the benefits of anterior and posterior colporrhaphy with laparoscopic sacrocolpopexy.

Design: Video demonstration of laparoscopic anterior and posterior colporrhaphy techniques, highlighting the various clinical scenarios in which they would be beneficial.

Setting: Sacrocolpopexy is recommended for the treatment of advanced-stage prolapse [1-3].

A 20-Centimeter Peritoneal Inclusion Cyst Presenting as Vaginal Prolapse.

This video shows the surgical excision of a 20-cm peritoneal inclusion cyst with laparoscopic repair of pelvic floor defects caused by the mass effect of the cyst. A 44-year-old woman presented with bulge symptoms and a reducible posterior prolapse extending 4 cm beyond the introitus inconsistent with an enterocele/rectocele. Dynamic MRI revealed a 20-cm cystic mass surrounding the uterine fundus extending down the posterior wall of the vagina, anterior to the rectum.

Ureteral Compromise in Laparoscopic Versus Vaginal Uterosacral Ligament Suspension: A Retrospective Cohort.

Objectives: The aim of this study was to evaluate if ureteral compromise is significantly different between laparoscopic and vaginal uterosacral ligament suspension (USLS).

Methods: This is a retrospective cohort study comparing all women who underwent laparoscopic and vaginal USLSs at 2 institutions (part of a single training program with procedures performed by 11 fellowship-trained Female Pelvic Medicine and Reconstructive Surgery gynecologic surgeons) between January 2008 and June 2013.

Results: A total of 208 patients in the study underwent a USLS, 148 in the laparoscopic group and 60 in the vaginal group.

Intraoperative and postoperative gastrointestinal complications associated with laparoscopic sacrocolpopexy.

Objective: This study aimed to quantify the risks of intraoperative and postoperative gastrointestinal (GI) complications associated with laparoscopic sacrocolpopexy and identify possible risk factors.

Methods: A total of 390 medical records were retrospectively reviewed for GI complications. Complications were classified as functional complications [ileus, small bowel obstruction (SBO), and prolonged nausea/emesis] or bowel injury.

Effect of operative technique on mesh exposure in laparoscopic sacrocolpopexy.

Objectives: To determine if opening the vaginal cuff during laparoscopic sacrocolpopexy influences the rate of mesh exposure.

Methods: A total of 390 medical records were retrospectively reviewed for demographic information, operative technique, and relevant outcomes.

Results: Eleven mesh exposures (2.

De novo stress incontinence and pelvic muscle symptoms after transvaginal mesh repair.

Objective: We sought to determine the rate of de novo stress incontinence, pelvic muscle symptoms, mesh exposure, visceral injury rate, and recurrent prolapse after transvaginal mesh repair.

Study Design: We conducted a retrospective review of 335 consecutive women with stage II or worse vaginal prolapse who underwent Prolift (Ethicon, Somerville, NJ) between July 7, 2005 and Jan. 31, 2008.