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Efficacy of Pelvic Floor Ultrasound for Assessing Transobturator Tape Sling Procedure.

Urogynecology (Phila)

December 2023

Department of Urology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou City, China.

Importance: Complications after midurethral sling, which require a high degree of clinical suspicion for timely diagnosis, accurate evaluation, and proper intervention, are closely associated with surgical success or failure.

Objectives: This study aimed to evaluate the efficacy and complications of tension-free midurethral sling for stress urinary incontinence (SUI) using pelvic floor ultrasound.

Study Design: This retrospective study included 152 female patients with SUI admitted to the Jinhua Central Hospital between January 2020 and December 2021 who were selected.

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Article Synopsis
  • Robot-assisted laparoscopic radical prostatectomy (RALP) is now the standard surgical method for treating prostate cancer in the USA and globally.
  • The authors detail their experience of performing 13,000 radical prostatectomies over 18 years, highlighting advancements in their surgical technique.
  • These improvements have contributed to better patient outcomes in the procedures they perform.
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Background: The aetiology of urgency urinary incontinence is a matter of debate. Current treatment options are based on the hypothesis of a neurological disorder of bladder innervation. However, it has also been hypothesised that one main cause is the reduced function of the bladder-holding apparatus, that is, insufficient suspension of the vesico-urethral junction.

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Objectives: To evaluate the diagnostic accuracy of cystography (CG), transrectal ultrasonography (TRUS) and transrectal contrast-enhanced ultrasonography (CEUS) for the detection of vesicourethral extravasation (VE) after radical retropubic prostatectomy (RRP).

Patients And Methods: In 80 consecutive patients who underwent RRP, the strength of the vesicourethral anastomosis (VUA) was assessed by CG, TRUS and transrectal CEUS. The investigation started with a conventional CG evaluated by an experienced uroradiologist.

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Several techniques have been introduced to improve early postoperative continence. In this study, we evaluated the impact of bladder neck (vesicourethral anastomosis) suspension on the outcome of extraperitoneal endoscopic radical prostatectomy (EERPE). In this research, a total of 180 patients underwent EERPE.

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