Obgyn Key

Fig. 3.1 Burch colposuspension: The initial suture is at the urethrovesical junction and the second suture is approximately 1 cm caudal. Care is taken to place these sutures at least…

Fig. 17.1 (a, b) (a) Normal cholinergic transmission at the synaptic cleft. (Copyright © Allergan, Inc., Irvine, CA. Used with permission 2013.) (b) Onabotulinum toxin A works by inhibiting vesicle-mediated…

Fig. 13.1 Voiding cystourethrogram showing proximal urethral dilatation with distal urethra narrowing and distortion of bladder morphology from spherical to oblong (Both: Used with permission from Groutz A, Blaivas JG,…

Fig. 7.1 Sagittal view of enterocele in post-hysterectomy patient. (Reprinted with permission, Cleveland Clinic Center for Medical Art & Photography © 2009–2013. All Rights Reserved) Given the results of the…

Fig. 9.1 (a) Blaivas–Groutz nomogram for bladder outlet obstruction. (b) Urodynamic tracing shows severe urethral obstruction (Type 2 in Blaivas-Groutz nomogram). Q max: maximum flow rate; P det@Q max: detrusor…

Fig. 4.1 PNE components. (a) Prep kit which includes drapes and prepping materials. (b) Test stimulation kit: foramen needles, syringe, and needle for local anesthetic, test stimulation lead, marking pen,…

  Indications Congenital Myelodysplasia Tethered spinal cord Exstrophy (classic, cloacal, epispadias) Sacral agenesis Caudal regression Posterior urethral valves Acquired neurogenic Spinal cord injury Spinal tumors Myelitis Multiple sclerosis Idiopathic Acquired…

Fig. 15.1 Urethral erosion as demonstrated by a wide, patulous urethra Management options for these patients are limited. Unfortunately many of these patients are debilitated secondary to their medical comorbidities…