Synthetic sling or artificial urinary sphincter for men with urodynamic stress incontinence after prostate surgery: the MASTER non-inferiority RCT.

Background: Stress urinary incontinence is common in men after prostate surgery and can be difficult to improve. Implantation of an artificial urinary sphincter is the most common surgical procedure for persistent stress urinary incontinence, but it requires specialist surgical skills, and revisions may be necessary. In addition, the sphincter is relatively expensive and its operation requires adequate patient dexterity.

SIU/ICUD Consultation on Urethral Strictures: Pelvic fracture urethral injuries.

The posterior urethra pierces the perineal diaphragm in close relationship to the pubic arc elements of the bony pelvis to which it is tethered by attachments to the puboprostatic ligaments and the perineal membrane. Because of these relationships, it is not surprising that fracture disruptions of the pelvic ring can be associated with injuries to the urethra at this level. Although the relationship between pelvic fracture and posterior urethral injury has been recognized for >1 century, considerable controversy exists on almost any aspect of these injuries, from the anatomy and classification of the injuries to the strategies for acute management, reconstruction, and treatment of complications, to mention just a few.

Bladder reconstruction: urothelial augmentation, trauma, fistula.

Urothelial augmentation in the form of augmentation enterocystoplasty continues to be the mainstay of surgical treatment for neuropathic bladder dysfunction and detrusor instability. The outcome of the procedure is satisfactory, but a number of complications are becoming more clearly defined. Computed tomography cystography is now the investigation of choice for diagnosing bladder rupture.