Document Detail


Expeditious method of urethrovesical junction determination in retropubic colposuspension with intraballoon illumination of Foley catheter.
MedLine Citation:
PMID:  12740487     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the efficiency and safety of Foley catheter intraballoon illumination in determining the urethrovesical junction (UVJ) in retropubic colposuspension. METHOD: Our accessory set for UVJ determination is composed of a 24-french Foley catheter and a 5-mm 0 degrees telescope. The telescope is inserted into the catheter from the urinary luminal side until the tip has reached the level of the catheter balloon. After dissection of the bladder, urethra, and paraurethral tissues to reveal the submucosal endopelvic fascia, the accessory set is inserted into the bladder and the balloon is inflated with 5 ml air and illuminated by a switch on the cold light source. To determine the right side of UVJ, the catheter is pulled slightly downward and to the right of the patient. The contralateral side of the UVJ is determined by pulling the catheter slightly downward and to the left of the patient. RESULT: Intraballoon illumination of the Foley catheter helps to ensure accurate placement of paraurethral sutures at UVJ. CONCLUSION: Intraballoon illumination for determination of UVJ is simple, safe, effective and precludes an invasive approach such as cystoscopy and cystotomy.
Authors:
Hasan Kafali; Ayhan Verit; Ferda Verit; Nurettin Demir
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urologia internationalis     Volume:  70     ISSN:  0042-1138     ISO Abbreviation:  Urol. Int.     Publication Date:  2003  
Date Detail:
Created Date:  2003-05-12     Completed Date:  2003-08-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0417373     Medline TA:  Urol Int     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  262-4     Citation Subset:  IM    
Copyright Information:
Copyright 2003 S. Karger AG, Basel
Affiliation:
Department of Obstetrics and Gynecology, Harran University Medical School, Sanliurfa, Turkey. hasankafali@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Balloon Dilatation*
Female
Humans
Lighting
Urethra / surgery*
Urinary Bladder / surgery*
Urinary Catheterization*
Urinary Incontinence, Stress / surgery*
Urogenital Surgical Procedures / instrumentation,  methods*
Vagina / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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