Teaching module for three midurethral sling complications Knowledge of urethral closure/opening mechanisms and pathogenesis of SUI informs management of “difficult” cases

Journal Title: Pelviperineology - Year 2020, Vol 39, Issue 4

Abstract

We begin this teaching module with a short summary of the mechanism of urethral closure as originally presented in the 1990 “Integral Theory of Female Urinary Incontinence”, the relative roles of muscles and ligaments, how they coordinate to effect urethral closure and evacuation and then relate how these mechanisms impact on surgical technique. Following this, we present three different clinical problems. We have invited comments from surgeons from the International Society of Pelviperineology who are experienced experts in the midurethral sling as to how they would manage these problems.

Authors and Affiliations

Bernhard Liedl, Klaus Goeschen

Keywords

Related Articles

Diabetes mellitus in pregnancy does not delay postpartum pelvic floor recovery

Objective: Evaluate the impact of diabetes mellitus (DM) on postpartum pelvic floor dysfunction symptoms recovery. Materials and Methods: A prospective cross-sectional study. Participants completed “Pelvic Floor Distres...

Anatomical outcomes of laparoscopic high uterosacral ligament suspension for primary apical prolapse

Objective: We aimed to evaluate the short-term anatomical results of laparoscopic high uterosacral ligament suspension (LHUSLS) in the surgical treatment of apical prolapse. Materials and Methods: Medical records of thi...

Chronic pelvic pain and pelvic organ prolapse: a consequence of upright position?

Objective: The pathogenesis of chronic pelvic pain (CPP) is still incompletely understood. Generally accepted is, that soft tissue structures mutate with age, loose tension and by this can provoke CPP. This raises the qu...

Motivators of seeking pelvic floor physical therapy in ultraorthodox Jewish women

Objective:Almost 50% of women with one or more children experience pelvic organ prolapse, and physical therapy for pelvic floor rehabilitation is one of the first-line treatments for women with pelvic organ prolapse seek...

Provoked vulvodynia: A peripheral neurological pain syndrome

The main cause of vulvar pain and dyspareunia is provoked vulvodynia (PV), also known as vestibulodynia, and formerly termed “vulvar vestibulitis”. It affects 8-10% of women of all ages. Although the etiology remains an...

Download PDF file
  • EP ID EP691795
  • DOI 10.34057/PPj.2020.39.04.007
  • Views 156
  • Downloads 0

How To Cite

Bernhard Liedl, Klaus Goeschen (2020). Teaching module for three midurethral sling complications Knowledge of urethral closure/opening mechanisms and pathogenesis of SUI informs management of “difficult” cases. Pelviperineology, 39(4), -. https://europub.co.uk/articles/-A-691795