Severe urinary retention secondary to intrathecal morphine pain pump: A case report.

Intrathecal opioid pain pumps (IPP) are sometimes prescribed for treatment of chronic nonmalignant pain. Severe urinary retention is not a commonly reported side effect of the IPP. In this case, an elderly female with multiple comorbidities presented with acute onset of severe urinary retention immediately following morphine IPP placement for chronic peripheral neuropathy.

Laparoscopic uterosacral ligament suspension and sacral colpopexy: results and complications.

Introduction And Hypothesis: We describe our techniques, outcomes, and complications with laparoscopic procedures for correcting pelvic organ prolapse (POP). We hypothesized that laparoscopic abdominal sacrocolpopexy (ASC) gives better anatomic results than laparoscopic uterosacral ligament suspension (USLS), without increased complications.

Methods: This was a retrospective cohort study of 290 patients who underwent laparoscopic suspensions in a 2-year period.

Retroperitoneal duplication cyst with a fistulous tract to the vagina: a case report.

Objectives: To describe a rare case of a retroperitoneal duplication cyst that fistulized to the vagina.

Methods: Case description and discussion of a patient found to have an intestinal duplication cyst.

Results: A patient presented for a laparoscopic hysterectomy because of menorrhagia and a fibroid uterus.

Nerve injury locations during retropubic sling procedures.

The risk of persistent pain following a retropubic sling is rare (1%). Nerve injuries have been suspected as a cause of persistent postoperative pain. We present two cases of postoperative pain thought to be secondary to injury or mechanical distortion of two different pelvic nerves.

Urodynamic changes after tension-free sling procedures: Mycromesh-Plus vs TVT sling.

Assortments of suburethral sling procedures have become increasingly important in the treatment of stress urinary incontinence (SUI). This study compared a consecutive series of patients undergoing two types of no-tension, midurethral sling procedures: a traditional pubovaginal technique and graft (modified polytetrafluoroethylene graft; Mycromesh-Plus [MMP]) and the more recently introduced tension-free vaginal tape (TVT) sling. We observed for differences in success rates, urodynamic parameters, and complications of the two procedures.

A multicentered comparison of measurements obtained with microtip and external water pressure transducers.

This study compared simultaneous intravesical pressure readings obtained with catheter-mounted microtip transducers and external water pressure transducer catheters during filling cystometry. Women undergoing multichannel urodynamic testing were randomly assigned to one of three groups: two microtip catheters, two external water pressure transducer catheters, or one of each type. Intravesical pressure was measured simultaneously for each transducer combination in each subject for minimal and maximal Valsalva effort and minimal, moderate, and maximal cough effort at two sequential bladder volumes (150 and 300 ml).

A comparison of external transducers and microtransducers in urodynamic studies of female patients.

The urodynamic catheter and its transducer play a significant role in the performance of good urodynamic studies. The fluid-filled (perfusion) catheter with its external strain gauge transducer and the microtransducer catheter with a transducer built directly into the catheter are the two most prevalent catheters used in urodynamic studies today. Either functions differently with regard to how pressures are measured during testing.

Voiding function after a modified no-tension pubovaginal sling.

Voiding dysfunction following sling procedures for correction of genuine stress urinary incontinence (GSI) is a frequently reported complication. This study sought to determine if voiding dysfunction could be reduced by eliminating sling tension against the urethra. Participants were diagnosed with GSI and randomized to one of two surgical groups.