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Related Concept Videos

Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

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Urinary Bladder

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Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
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Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
03:55

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

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[Transvestibular urethrolysis].

G Carmignani1, A Simonato, P Traverso

  • 1Department of Urology, Clinica Urologica L. Giuliani, University of Genova, Génova, Italia. gcarmignani@unige.it

Actas Urologicas Espanolas
|December 30, 2011
PubMed
Summary
This summary is machine-generated.

This study introduces a transvestibular approach for urethrolysis in women experiencing bladder outlet obstruction after anti-incontinence surgery. The technique proved safe and effective, improving urinary symptoms and reducing residual urine.

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Area of Science:

  • Urology
  • Gynecology
  • Surgical Innovation

Context:

  • Bladder outlet obstruction is a potential complication following female anti-incontinence surgery.
  • Persistent obstructive and irritative urinary symptoms often necessitate surgical intervention, typically urethrolysis.
  • Traditional transvaginal urethrolysis can be challenging in previously operated patients.

Purpose:

  • To describe and evaluate a novel transvestibular approach for performing urethrolysis.
  • To assess the safety and efficacy of this technique in women with post-surgical bladder outlet obstruction.
  • To compare the transvestibular approach with conventional methods.

Summary:

  • Eighteen women with post-anti-incontinence surgery obstruction underwent transvestibular urethrolysis.
  • The procedure involved a circum-meatal incision and careful dissection to free the urethra.
  • Outcomes included reduced post-voiding residual urine and improved irritative symptoms, with no observed complications.

Impact:

  • The transvestibular approach offers a safe and effective alternative for urethrolysis, regardless of prior anti-incontinence surgery.
  • This method utilizes relatively unscarred tissue planes, facilitating complete urethral release.
  • The technique preserves vaginal wall integrity and allows access to the retropubic space.