The Location and Distribution of Transurethral Bulking Agent: 3-Dimensional Ultrasound Study.

Objectives: To use 3-dimensional endovaginal ultrasound to describe the location and distribution of bulking agent after an uncomplicated transurethral injection.

Methods: Endovaginal ultrasound was performed in 24 treatment-naive patients immediately after bulking agent was injected. The distance between the center of the hyperechoic density of bulking agent and the urethrovesical junction (UVJ) was measured in the sagittal and axial views.

Unsuccessful foley catheterization had an unexpected explanation.

Background: Foley catheterization is a simple procedure routinely performed during many obstetric and gynecologic procedures. Failure to adequately drain the bladder with catheter insertion should prompt further investigation to minimize morbidity to the patient.

Case: After repeated attempts to place a Foley catheter during a cesarean section, the urinary bladder did not drain.

Indocyanine green for intraoperative localization of ureter.

Intraurethral injection of indocyanine green (ICG; Akorn, Lake Forest, IL) and visualization under near-infrared (NIR) light allows for real-time delineation of the ureter. This technology can be helpful to prevent iatrogenic ureteral injury during pelvic surgery. Patients were scheduled to undergo robot-assisted laparoscopic sacrocolpopexy.

Perceptions and practice patterns of general gynecologists regarding urogynecology and pelvic reconstructive surgery.

Objectives: The purpose of this study was to describe the current practice patterns of general gynecologists regarding management of various urogynecologic conditions.

Methods: A 15-item Web-based survey was sent to obstetrician and gynecologists in 2011. Subjects who chose to participate answered questions about their comfort level with management of various urogynecologic conditions, their perceptions of the need for a pelvic reconstructive surgeon in their community, and when they feel it is appropriate to refer to a specialist.