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“Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy

INTRODUCTION: This paper presents the “Central Road” cystoscopic finding accompanied by magnified mixed urinary incontinence following laparoscopic sacrocolopopexy. CASE PRESENTATION: A 70‐year‐old female experienced severe mixed urinary incontinence upon completing laparoscopic sacrocolopopexy. The...

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Autores principales: Kato, Kumiko, Yoshimura, Yasukuni, Narushima, Masahiro, Suzuki, Shoji, Hattori, Ryohei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7469837/
https://www.ncbi.nlm.nih.gov/pubmed/32914076
http://dx.doi.org/10.1002/iju5.12189
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author Kato, Kumiko
Yoshimura, Yasukuni
Narushima, Masahiro
Suzuki, Shoji
Hattori, Ryohei
author_facet Kato, Kumiko
Yoshimura, Yasukuni
Narushima, Masahiro
Suzuki, Shoji
Hattori, Ryohei
author_sort Kato, Kumiko
collection PubMed
description INTRODUCTION: This paper presents the “Central Road” cystoscopic finding accompanied by magnified mixed urinary incontinence following laparoscopic sacrocolopopexy. CASE PRESENTATION: A 70‐year‐old female experienced severe mixed urinary incontinence upon completing laparoscopic sacrocolopopexy. The cystoscopy showed a cord‐like appearance in the center of the bladder trigon and posterior wall. Videourodynamics confirmed stress urinary incontinence, and chain cystourethrography indicated that the proximal urethra was open and the posterior vesicourethral angle was atypically widened. After implanting a midurethral sling, mixed urinary incontinence was cured subjectively and objectively without medication. CONCLUSION: The “Central Road” cystoscopic finding can be a signpost pointing to laparoscopic sacrocolopopexy mesh overtensioning, which can cause dekinking of the bladder neck, exacerbate stress urinary incontinence, and possibly lead to stress‐induced instability. A midurethral sling successfully relieved mixed urinary incontinence in this case, but it might be necessary to loosen the laparoscopic sacrocolopopexy mesh in some other cases.
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spelling pubmed-74698372020-09-09 “Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy Kato, Kumiko Yoshimura, Yasukuni Narushima, Masahiro Suzuki, Shoji Hattori, Ryohei IJU Case Rep Case Reports INTRODUCTION: This paper presents the “Central Road” cystoscopic finding accompanied by magnified mixed urinary incontinence following laparoscopic sacrocolopopexy. CASE PRESENTATION: A 70‐year‐old female experienced severe mixed urinary incontinence upon completing laparoscopic sacrocolopopexy. The cystoscopy showed a cord‐like appearance in the center of the bladder trigon and posterior wall. Videourodynamics confirmed stress urinary incontinence, and chain cystourethrography indicated that the proximal urethra was open and the posterior vesicourethral angle was atypically widened. After implanting a midurethral sling, mixed urinary incontinence was cured subjectively and objectively without medication. CONCLUSION: The “Central Road” cystoscopic finding can be a signpost pointing to laparoscopic sacrocolopopexy mesh overtensioning, which can cause dekinking of the bladder neck, exacerbate stress urinary incontinence, and possibly lead to stress‐induced instability. A midurethral sling successfully relieved mixed urinary incontinence in this case, but it might be necessary to loosen the laparoscopic sacrocolopopexy mesh in some other cases. John Wiley and Sons Inc. 2020-07-01 /pmc/articles/PMC7469837/ /pubmed/32914076 http://dx.doi.org/10.1002/iju5.12189 Text en © 2020 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Kato, Kumiko
Yoshimura, Yasukuni
Narushima, Masahiro
Suzuki, Shoji
Hattori, Ryohei
“Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy
title “Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy
title_full “Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy
title_fullStr “Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy
title_full_unstemmed “Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy
title_short “Central Road” cystoscopic finding: The road to worsened incontinence following laparoscopic sacrocolpopexy
title_sort “central road” cystoscopic finding: the road to worsened incontinence following laparoscopic sacrocolpopexy
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7469837/
https://www.ncbi.nlm.nih.gov/pubmed/32914076
http://dx.doi.org/10.1002/iju5.12189
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