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Sub urethral penetration

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    Study record managers: refer to the Data Element Definitions if submitting registration or results information. There are no prospective, randomized studies addressing vaginal penetration restrictions following mid-urethral slings. There is a single cohort study examining expedited recovery following vaginal prolapse repair which advised 3-weeks of vaginal penetration restrictions. This study reported an earlier return to intercourse in the 3-week group than in the retrospectively collected control group where 6-weeks of restriction were advised. This study did not evaluate the impact of early versus later return to sexual activity on wound complications, mesh exposure rates, pain or satisfaction. It is important to develop evidenced-based recommendations on post-operative sexual activity restrictions.
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    LOVE Trial: Limits On Vaginal Intercourse After Mid-urEthral Sling (LOVE)

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    Urethral intercourse - Wikipedia

    Occasionally men can develop urinary incontinence involuntary leakage after prostate surgery due to weakness of the urinary sphincter muscle. Mild to severe male urinary incontinence can be treated by inserting an ATOMS Adjustable Transobturator Male Sling device which comprises of an adjustable silicone cushion which is held against the urethra by a mesh sling which passes around the pelvic bone see picture. The silicone cushion is filled with saline through a port to gently compress the urethra and restore continence. Alternatives to this procedure include incontinence into a pad, a permanent catheter, or insertion of an artificial urinary sphincter device or another type of sling.
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    Urethral intercourse

    It also aims to compare the safety profile of two TOTs: Obtape outside-in technique vs. TVT-O inside-out technique. This is a retrospective study of all patients who had a TOT procedure for the management of urodynamic stress incontinence USI in a tertiary referral centre between July and January Case notes were examined to ascertain preoperative urodynamic diagnosis and perioperative complications. Two hundred and seventy-six women were identified from theatre records: 94 patients underwent TVT-O and underwent Obtape.
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    In treating any patient with urinary incontinence, the goal is to provide the patient with a cure from her symptoms and improve her quality of life. To obtain this goal consistently, considering the variability among patients and the multiple factors contributing to the development of incontinence, physicians must be well aware of the various treatment options and their indications. Suburethral sling procedures have long been a mainstay in the surgical treatment for female stress urinary incontinence. Traditionally, suburethral sling procedures were reserved for patients with recurrent stress urinary incontinence. During the past century, indications have been expanded to include not only those patients with the severe form of stress urinary incontinence, namely intrinsic sphincter deficiency ISD , but also patients with routine stress incontinence in conjunction with comorbid conditions.
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