This ‘fitness tracker for the bladder,’ now in preclinical testing, has the potential to eliminate the need for urodynamics and the discomfort and inconvenience it entails.
Does routine preoperative medical evaluation before radical prostatectomy justify the time and cost involved? New research reveals the impact of this type of evaluation on perioperative management and surgical outcomes.
Cleveland Clinic urologists evaluate the latest OAB interventions, from nerve stimulation to radiofrequency ablation.
Transobturator slings for incontinence in rare cases can cause intractable groin or thigh pain in some women. Cleveland Clinic urologists evaluated thigh dissection with mesh removal and found it improved outcomes.
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Cleveland Clinic is now a participant in the American Urological Association’s Quality Registry (AQUA), a national urologic disease registry that measures and reports healthcare quality and patient outcomes. Howard Goldman, MD, the Glickman Urological & Kidney Institute’s Vice Chairman for Quality, explains how the AQUA registry works, and how taking part benefits physicians and patients.
When conservative treatments or medical management don’t help with OAB, neuromodulation has proven successful for older patients. A urologist highlights the different treatment options.
Complications such as urethral obstruction, mesh extrusion and/or chronic pain can necessitate removal of synthetic midurethral slings originally placed to treat stress urinary incontinence. Surgeons at Cleveland Clinic’s Glickman Urological & Kidney Institute perform transvaginal sling excision to address these complications. This video presents three separate cases of synthetic mesh excision and offer tips to improve surgical outcomes.
If urethral perforation occurs after synthetic midurethral sling placement, transvaginal removal is an option. In this video, Cleveland Clinic urological surgeon Howard Goldman, MD, demonstrates the pre-procedure patient evaluation and surgical technique of transvaginal sling removal from the urethra of a 66-year old patient with a history of urinary retention and urinary tract infections.
Surgery for stress urinary incontinence can reduce overactive bladder symptoms, but the level of improvement decreases over time and can be blunted by obesity, a recent analysis reports.
Pelvic organ prolapse treatment options for elderly women should not be based on chronological age alone. Patients’ symptom concerns, functional status, attitudes and preferences are all key factors in the treatment decision.