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8 Cards in this Set
- Front
- Back
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the 4 anatomic defects that can account for the development of cystourethrocele:
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1. paravaginal defect (lateral defect)
2. transverse defect (no incontinence) 3. midline defect (central) 4. distal defect (urethrocele) |
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what are the 3 levels of vaginal support?
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Level I: upper 1/3 of vagina (uterosacral and cardinal ligaments)
Level II: middle 1/3 of vagina (endopelvic fascia) Level III: lower 1/3 |
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which is more efficacious, PV slings or Burch colpopexy?
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PV slings; voiding complications more common after PV sling; landmark randomized trial (SISTEr trial)
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how do PV slings and retropubic midurethral slings compare?
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similar efficacy at 4 years
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what is the procedure of choice in patients with lower leak point pressures (higher degrees of ISD)?
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Slings
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What is the ideal pt for the Burch colpopexy?
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urethral hypermobility + higher leak point pressures (less ISD)
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When is optimal timing of VVF repair?
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When the edema has subsided, necrotic tissue has disappeared and the inflammatory response has resolved
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When should abdominal repair of VVF be considered?
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High retracted fistula,concomitant ureteral pathology or proximity,multiple fistulae, or post radiation fistulae
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