Stress urinary incontinence

Tikenjit Mazumdar

Suspensory ligament ...

09 Jun 2023 09:03:07 AM

$Could the bulbar urethral end location on the cystourethrogram predict the outcome after posterior urethroplasty for pelvic fracture urethral injury?$

Could the bulbar ure...

07 Jun 2023 12:26:00 PM

Spotter

19 Mar 2023 09:18:09 PM

A case: Diagnosis & ...

10 Mar 2023 08:34:24 AM

Posterior Urethra Ma...

15 Jan 2023 10:47:27 AM

This 48 years lady, presented to us with involuntary leak during coughing,rising from sitting to standing position from last 2 1/2 months...

No other comorbidity.

Cystoscopy done...shows urine leaked with cough at 200ml ns

Vaginal examination...no prolapse..

How to investigate this case further...?

Surgical options...TOT vs TVT vs PVS?

Comments(7)

Tikenjit Mazumdar
23 Mar 2020 09:37:51 AM

All lab investigation normal.
Rahul Kapoor
24 Mar 2020 08:05:02 AM

I feel nothing else needed.
She has severe SUI.
Urine RM and USG with PVR is needed.
Utsav Shah
24 Mar 2020 05:48:59 PM

The procedure will depend on your training. We at our institute, and I believe Urologists at most Centers are trained to do Transobturator Taping.
So yes, TOT should be the procedure of choice.
Tikenjit Mazumdar
27 Mar 2020 09:59:11 PM

Rahul sir these cases donâ€™t need urodynamic study
Tikenjit Mazumdar
27 Mar 2020 10:01:34 PM

Dear Utsav our surgical procedure of choice also TOT.but..
why not TVT or PVS
Rahul Kapoor
28 Mar 2020 07:11:30 PM

Hi Tikenjit
The role of UDS is not in clear cut SUI cases as you presented.
But one must consider same,
1. History of any neurological event
2. High PVR
3. Redo Surgery for SUI
Tikenjit Mazumdar
28 Mar 2020 07:29:23 PM

Thank u sir...