PFD Week 2016-Surgical Techniques for Urethral Reconstruction Using a Vaginal Flap

Surgical Techniques for Urethral Reconstruction Using a Vaginal Flap

Video Transcription

Video Summary

This video illustrates a surgical technique for urethral reconstruction using a vaginal flap in a 50-year-old woman with severe stress urinary incontinence. The patient had previously undergone a synthetic sling procedure that resulted in complications, necessitating sling removal. Following sling removal, her urinary incontinence worsened. Physical examination revealed a short urethra and a distal dorsal plate of urethral mucosa. The surgical procedure involved the harvest of a pubovaginal sling from rectus fascia, followed by urethral reconstruction. The neourethra was created, and the pubovaginal sling was secured into position. After the procedure, the Foley catheter was left in place for 10 to 14 days. (No explicit credits were mentioned in the transcript.)

Asset Subtitle

Dominique Malacarne, MD

Meta Tag

Category Surgery - Vaginal Procedures

Category Urinary Incontinence

Concept Stress Urinary Incontinence

Concept Urethral Reconstruction

Concept Pubovaginal Sling

Concept Autologous Fascia

Concept Neourethra

Keywords

surgical technique

urethral reconstruction

vaginal flap

stress urinary incontinence

pubovaginal sling

Surgery - Vaginal Procedures

Urinary Incontinence

Stress Urinary Incontinence

Urethral Reconstruction

Pubovaginal Sling

Autologous Fascia

Neourethra