Scholars@Duke
George David Webster

George David Webster

Professor Emeritus of Surgery
Urology
george.webster@duke.edu
Box 3146 Med Ctr, Durham, NC 27710
1113 Davison Bldg, Hosp South, Green Zone, Durham, NC 27710

Selected Publications

Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014.

Journal Article World J Urol · December 2021 OBJECT: To use a contemporary population-based cohort to investigate temporal trends in the national incidence of pelvic fracture urethral injuries (PFUIs) in the United States. METHODS: Using the NIS (National Inpatient Sample), we identified patients wit ... Full text Link to item Cite

A Critical Analysis of Bulbar Urethroplasty Stricture Recurrence: Characteristics and Management.

Journal Article J Urol · December 2018 PURPOSE: We evaluated the management of recurrent bulbar urethral stricture disease after urethroplasty at our institution. MATERIALS AND METHODS: We performed an institution review board approved, retrospective case study of our urethroplasty database to ... Full text Link to item Cite

Female urethral injuries associated with pelvic fracture: a systematic review of the literature.

Journal Article BJU Int · December 2017 To review systematically the literature on female urethral injuries associated with pelvic fracture and to determine the optimum management of this rare injury. Using Meta-analysis of Observational Studies in Epidemiology criteria, we searched the Cochrane ... Full text Link to item Cite

Symptoms of Lower Urinary Tract Dysfunction Research Network.

Journal Article J Urol · July 2016 PURPOSE: To address gaps in understanding and treating lower urinary tract symptoms, the NIDDK created the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN). The goals of LURN are to work collaboratively to 1) identify and explain the imp ... Full text Link to item Cite

A Critical Evaluation of the Utility of Imaging After Urethroplasty for Bulbar Urethral Stricture Disease.

Journal Article Urology · May 2016 OBJECTIVE: To determine the incidence of extravasation on initial postoperative pericatheter retrograde urethrogram (pcRUG) after bulbar urethroplasty and the relationship to repair type. MATERIALS AND METHODS: We performed a retrospective review to collec ... Full text Link to item Cite

Author Reply.

Other Urology · May 2016 Full text Link to item Cite

The Ohmmeter Identifies the Site of Fluid Leakage during Artificial Urinary Sphincter Revision Surgery.

Journal Article J Urol · October 2015 PURPOSE: While the AMS 800 artificial urinary sphincter improves continence in up to 90% of patients, revision surgery may be needed in up to 50%. We determined whether an ohmmeter could accurately assess the site of fluid leak from individual components o ... Full text Link to item Cite

The Artificial Urinary Sphincter is Superior to a Secondary Transobturator Male Sling in Cases of a Primary Sling Failure.

Journal Article J Urol · October 2015 PURPOSE: We compared continence outcomes in patients with post-prostatectomy stress urinary incontinence treated with a salvage artificial urinary sphincter vs a secondary transobturator sling. MATERIALS AND METHODS: We retrospectively reviewed the records ... Full text Link to item Cite

Long-term Artificial Urinary Sphincter Outcomes Following a Prior Rectourethral Fistula Repair.

Journal Article Urology · September 2015 OBJECTIVE: To determine the long-term outcomes of artificial urinary sphincter (AUS) implantation following a successful rectourethral fistula (RUF) repair. MATERIALS AND METHODS: Between January 1, 2006 and January 1, 2012, a total of 26 patients underwen ... Full text Link to item Cite

Critical Analysis of Patient-reported Complaints and Complications After Urethroplasty for Bulbar Urethral Stricture Disease.

Journal Article Urology · June 2015 OBJECTIVE: To evaluate the full spectrum of postoperative complications and patient-reported complaints after urethroplasty for bulbar urethral stricture disease. MATERIALS AND METHODS: We performed a retrospective review of our institutional database for ... Full text Link to item Cite

Simple perineal and elaborated perineal posterior urethroplasty.

Journal Article Arab J Urol · March 2015 A pelvic fracture urethral distraction defect (PFUDD) can present in varying lengths and degrees of complexity. In recent decades the repair of PFUDD has developed into a reliance on a perineal anastomotic approach for all but the most complex cases, which ... Full text Link to item Cite

Simple perineal and elaborated perineal posterior urethroplasty

Journal Article Arab Journal of Urology · March 1, 2015 A pelvic fracture urethral distraction defect (PFUDD) can present in varying lengths and degrees of complexity. In recent decades the repair of PFUDD has developed into a reliance on a perineal anastomotic approach for all but the most complex cases, which ... Full text Cite

Scrotal and perineal sensory neuropathy after urethroplasty for bulbar urethral stricture disease: an evaluation of the incidence, timing, and resolution.

Journal Article Urology · December 2014 OBJECTIVE: To examine the timing, incidence, and resolution of scrotal and perineal sensory neuropathy after urethroplasty for bulbar urethral stricture disease. MATERIALS AND METHODS: We performed an institutional review board--approved retrospective revi ... Full text Link to item Cite

The evolution of urethroplasty for bulbar urethral stricture disease: lessons learned from a single center experience.

Journal Article J Urol · November 2014 PURPOSE: We reviewed the evolution of repairs for bulbar urethral stricture disease and analyzed changes in outcomes. MATERIALS AND METHODS: We retrospectively reviewed the records of 429 men who underwent urethroplasty for bulbar urethral stricture diseas ... Full text Link to item Cite

The UroLume stent revisited: the Duke experience.

Journal Article Urology · October 2013 OBJECTIVE: To describe our experience with the UroLume Urethral Stent, showing that it provides a viable option for the devastated, obstructed outlet after prostate cancer treatment. METHODS: We conducted an institutional review board-approved retrospectiv ... Full text Link to item Cite

Legends in urology.

Journal Article Can J Urol · June 2013 Link to item Cite

Comparison of diary-derived bladder and sleep measurements across OAB individuals, primary insomniacs, and healthy controls.

Journal Article Int Urogynecol J · March 2013 INTRODUCTION AND HYPOTHESIS: Can diary-derived bladder and sleep measurements differentiate individuals with overactive bladder syndrome (OAB) from individuals with primary insomnia and healthy controls? METHODS: Bladder- and sleep-diary data were compared ... Full text Link to item Cite

Outcomes following artificial sphincter implantation after prior unsuccessful male sling.

Journal Article J Urol · June 2012 PURPOSE: Despite the proven success and durability of the artificial urinary sphincter many patients elect an AdVance® sling as the initial treatment of male stress incontinence. We determined whether sling placement would change the outcome of an ensuing ... Full text Link to item Cite

Clinical overview of the AdVance® male sling in postprostatectomy incontinence

Journal Article European Urology, Supplements · July 1, 2011 Context: Postprostatectomy stress incontinence can be treated with a number of nonsurgical and surgical methods. Urethral slings represent one of the less invasive surgical options, and a more recent addition to this class of devices is the nonobstructive ... Full text Cite

The AdVance® male sling: Patient selection and workup

Journal Article European Urology, Supplements · July 1, 2011 The AdVance® male sling (American Medical Systems, Minnetonka, MN, USA) is a retrourethral transobturator sling that offers an effective surgical approach for the treatment of postprostatectomy stress urinary incontinence (SUI). Clinical studies have demon ... Full text Cite

Artificial urinary sphincter: lessons learned.

Journal Article Urol Clin North Am · February 2011 Since its introduction in 1973, the artificial urinary sphincter (AUS) has become widely accepted therapy, particularly for male incontinence. In this article, the authors review their experience with more than 600 artificial urinary sphincter (AUS) device ... Full text Link to item Cite

Multiple pudendal sensory pathways reflexly modulate bladder and urethral activity in patients with spinal cord injury.

Journal Article J Urol · February 2011 PURPOSE: Electrical stimulation of pudendal afferents can evoke reflex bladder contractions with relaxation of the external urethral sphincter in cats. This voiding reflex is mediated by pudendal sensory fibers innervating the penile and prostatic urethra ... Full text Link to item Cite

Detrusor overactivity persisting at night and preceding nocturia in patients with overactive bladder syndrome: a nocturnal cystometrogram and polysomnogram study.

Journal Article J Urol · August 2010 PURPOSE: Nocturia, a common symptom of overactive bladder syndrome, is associated with substantial adverse consequences and yet its pathophysiology has hardly been studied and the capacity to treat it remains limited. We established methods to study the ph ... Full text Link to item Cite

Conditional and continuous electrical stimulation increase cystometric capacity in persons with spinal cord injury.

Journal Article Neurourol Urodyn · March 2010 AIMS: Individuals with spinal cord injury (SCI) exhibit neurogenic detrusor overactivity (NDO) causing high intravesicle pressures and incontinence. The first aim was to measure changes in maximum cystometric capacity (MCC) evoked by electrical stimulation ... Full text Link to item Cite

Management of difficult cases in female urology and neurourology at the Reed M. Nesbit society meeting. Festschrift in honor of Edward J. McGuire, MD.

Journal Article Neurourol Urodyn · 2010 This is a panel discussion of seven complex urologic cases in female urology and neurourology. Differences in diagnosis and management are discussed by this international panel of experts. ... Full text Link to item Cite

Intraurethral activation of excitatory bladder reflexes in persons with spinal cord injury.

Journal Article Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference · December 1, 2009 Electrical activation of an excitatory reflex between sensory fibers in the pudendal nerve and the bladder has been demonstrated in cats and is a potential means of restoring micturition function in persons with spinal cord injury. We investigated the clin ... Cite

Erectile function after posterior urethroplasty for pelvic fracture-urethral distraction defect injuries.

Journal Article BJU Int · October 2009 OBJECTIVE: To determine the specific effect of pelvic fracture-urethral distraction defect (PFUDD) injuries on erectile function (EF) in men after pelvic fractures, and to compare EF to that found in other studies of men who sustained pelvic fractures, as ... Full text Link to item Cite

Outcome of a randomized, double-blind, placebo controlled trial of botulinum A toxin for refractory overactive bladder.

Journal Article J Urol · June 2009 PURPOSE: We determined the effectiveness of cystoscopic administration of botulinum-A toxin compared to placebo for the treatment of urinary incontinence in subjects with idiopathic overactive bladder. MATERIALS AND METHODS: Subjects were recruited from th ... Full text Link to item Cite

Early vs late midline sling lysis results in greater improvement in lower urinary tract symptoms.

Journal Article Am J Obstet Gynecol · May 2009 OBJECTIVE: Lower urinary tract symptoms (LUTS) occur in 5-20% of women after antiincontinence procedures. Symptoms include complete urinary retention or storage, voiding, and postmicturition symptoms. The goal of this study was to determine the effect of t ... Full text Link to item Cite

Intraurethral activation of excitatory bladder reflexes in persons with spinal cord injury.

Journal Article Annu Int Conf IEEE Eng Med Biol Soc · 2009 Electrical activation of an excitatory reflex between sensory fibers in the pudendal nerve and the bladder has been demonstrated in cats and is a potential means of restoring micturition function in persons with spinal cord injury. We investigated the clin ... Full text Link to item Cite

Complications of Vaginal Surgery

Journal Article · December 1, 2008 Full text Cite

Cystocele Repair Using Biologic Material

Journal Article · December 1, 2008 Full text Cite

Ejaculatory profiles and fertility in men after posterior urethroplasty for pelvic fracture-urethral distraction defect injuries.

Journal Article BJU Int · August 2008 Featured Publication OBJECTIVE: In men who sustain a pelvic fracture-urethral distraction defect (PFUDD) injury, repairing the urethra involves a complicated urethral anastomosis located posteriorly at the junction of the membranous and prostatic urethra. In this study we perf ... Full text Link to item Cite

Anastomotic contractures after treatment for prostate cancer

Chapter · April 16, 2008 Currently about one-third of patients newly diagnosed with prostate cancer are treated with radical prostatectomy, an operation that has a low risk of mortality but may have a profound impact on quality of life.1 Once condemned as a procedure fraught with ... Cite

Posterior urethral reconstruction

Chapter · April 16, 2008 Posterior urethral distraction injuries most commonly result from high impact trauma to the pelvis and perineum. While penetrating injuries to the posterior urethra do occur, at least 90% are caused by blunt trauma from motor vehicle accidents, falls from ... Cite

Bladder diary measurements in asymptomatic males: frequency, volume per void, and 24-hr volume.

Journal Article Neurourol Urodyn · 2008 Featured Publication AIMS: To collect bladder diary frequency and volume measurements from asymptomatic males and to use these data to develop clinical reference values. MATERIALS AND METHODS: Computer processed three-day bladder diaries were collected from 92 males (median ag ... Full text Link to item Cite

Detrusor overactivity does not predict outcome of sacral neuromodulation test stimulation.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · December 2007 Featured Publication The aim of this study is to determine if urodynamic findings in patients with urge incontinence predicts response to sacral neuromodulation test stimulation. One hundred four patients with refractory urinary urge incontinence who had undergone sacral neuro ... Full text Link to item Cite

Surgical excision of eroded mesh after prior abdominal sacrocolpopexy.

Journal Article Am J Obstet Gynecol · December 2007 Featured Publication OBJECTIVE: We previously described an endoscopic-assisted transvaginal mesh excision technique. This study compares surgical outcomes after transvaginal mesh excision vs endoscopic-assisted transvaginal mesh excision. In addition, we reviewed our postopera ... Full text Link to item Cite

A randomized, controlled trial evaluating 2 techniques of postoperative bladder testing after transvaginal surgery.

Journal Article Am J Obstet Gynecol · December 2007 Featured Publication OBJECTIVE: The purpose of this pilot study was to compare the efficacy of 2 techniques for evaluating bladder function after transvaginal surgery. STUDY DESIGN: Subjects scheduled for transvaginal, outpatient surgery were consecutively enrolled and randomi ... Full text Link to item Cite

The effect of bulbar urethroplasty on erectile function.

Journal Article J Urol · September 2007 Featured Publication PURPOSE: Theoretically bulbar urethroplasty has the potential to adversely affect potency, involving as it does dissection in proximity to the corporeal bodies and erectile neurovascular structures. We prospectively examined the effect of various bulbar ur ... Full text Link to item Cite

The demise of the increasingly protracted APA journal article?

Journal Article The American psychologist · April 2007 Cite

The utility of magnetic resonance imaging for diagnosis and surgical planning before transvaginal periurethral diverticulectomy in women.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · March 2007 Featured Publication The objective of this paper is to report the value of magnetic resonance imaging (MRI) in the evaluation of urethral diverticulum in women. Medical records were identified by a query of urethral diverticulectomy billing data from January 1, 2000 through De ... Full text Link to item Cite

Feasibility of transdermal ethanol sensing for the detection of intoxicated drivers.

Journal Article Annual proceedings / Association for the Advancement of Automotive Medicine. Association for the Advancement of Automotive Medicine · 2007 Transdermal ethanol detection is a promising method that could prevent drunk driving if integrated into an ignition interlock system. However, experimental data from previous research has shown significant time delays between alcohol ingestion and detectio ... Cite

Bladder diary patterns in detrusor overactivity and urodynamic stress incontinence.

Journal Article Neurourol Urodyn · 2007 Featured Publication AIMS: Our aims were: (1) to describe and compare frequency-volume and incontinence episode patterns in patients with urodynamic stress incontinence (USI) and detrusor overactivity (DO) as measured by a hand-written and computer-analyzed bladder diary and ( ... Full text Link to item Cite

Predicting implantation with a neuromodulator using two different test stimulation techniques: A prospective randomized study in urge incontinent women.

Journal Article Neurourol Urodyn · 2007 Featured Publication AIMS: The purpose of this study was to determine whether a percutaneous needle electrode (PNE) technique or a surgical first stage lead placement (FSLP) better predicted whether a patient would progress to implantation of a pulse generator (IPG) in older u ... Full text Link to item Cite

In patients undergoing neuromodulation for intractable urge incontinence a reduction in 24-hr pad weight after the initial test stimulation best predicts long-term patient satisfaction.

Journal Article Neurourol Urodyn · 2007 Featured Publication AIMS: To evaluate long-term patient satisfaction of sacral neuromodulation and to correlate satisfaction with incontinence parameters. METHODS: Patients at least 1-year remote from sacral neuromodulation were mailed a questionnaire to evaluate satisfaction ... Full text Link to item Cite

A statistical comparison of pad numbers versus pad weights in the quantification of urinary incontinence.

Journal Article Neurourol Urodyn · 2007 Featured Publication AIMS: Pad per day (PPD) usage is a frequently utilized measure of urinary incontinence. The 24-hour pad weight test (24PWT) is a reproducible test for quantifying incontinence volumes. We investigated whether PPD validly reports the magnitude of urinary in ... Full text Link to item Cite

Pudendal nerve stimulation evokes reflex bladder contractions in persons with chronic spinal cord injury.

Journal Article Neurourol Urodyn · 2007 Featured Publication AIMS: Although electrical stimulation of the pudendal nerve has been shown to evoke reflex micturition-like bladder contractions in both intact and spinalized cats, there is little evidence to suggest that an analogous excitatory reflex exists in humans, p ... Full text Link to item Cite

Bladder diary volume per void measurements in detrusor overactivity.

Journal Article J Urol · December 2006 Featured Publication PURPOSE: We investigated the clinical usefulness of adjusting reference volume per void values for a recently reported strong tendency for volume per void to increase with increasing 24-hour volume in asymptomatic individuals. Our approach was to 1) test w ... Full text Link to item Cite

Obstruction after Burch colposuspension: a return to retropubic urethrolysis.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · September 2006 Featured Publication We compare our postoperative outcomes of a vaginal vs abdominal urethrolysis after an obstructed Burch colposuspension. We performed a retrospective review of all women who had undergone a Burch urethrolysis from 1997 through 2003. Data collected included ... Full text Link to item Cite

Outcomes following erosions of the artificial urinary sphincter.

Journal Article J Urol · June 2006 Featured Publication PURPOSE: Artificial urinary sphincter urethral cuff erosion occurs in up to 5.0% of cases, presenting a complex management problem. We examine our experience with the eroded AUS, relating to preoperative risk factors, operative management and outcomes. MAT ... Full text Link to item Cite

Sacral neuromodulation for the treatment of refractory urinary urge incontinence after stress incontinence surgery.

Journal Article Am J Obstet Gynecol · December 2005 OBJECTIVE: This study was undertaken to evaluate the response to sacral neuromodulation in women with refractory, nonobstructive urinary urge incontinence after stress incontinence surgery. STUDY DESIGN: We reviewed the medical records of women in whom sac ... Full text Link to item Cite

The 1-hour pad test is a valuable tool in the initial evaluation of women with urinary incontinence

Journal Article Journal of Pelvic Medicine and Surgery · November 25, 2005 Aim: The urinary pad weight test is an objective measure of severity of urine loss. The purpose of this study was an attempt to determine the correlation among the 1-hour pad weight test, number of pads used per day, reported magnitude of incontinence, 24- ... Full text Cite

Management of male incontinence following artificial urinary sphincter failure.

Journal Article Curr Opin Urol · November 2005 PURPOSE OF REVIEW: The artificial urinary sphincter has been used successfully for the treatment of stress urinary incontinence in both male and female patients. Its most common use, however, is in men suffering from postprostatectomy incontinence. RECENT ... Full text Link to item Cite

Sacral neuromodulation for intractable urge incontinence: are there factors associated with cure?

Journal Article Urology · October 2005 OBJECTIVES: To determine the variables that affect the cure rate in patients with urge incontinence treated with sacral neuromodulation. METHODS: This prospective analysis of patients with refractory urinary urge incontinence who underwent placement of a n ... Full text Link to item Cite

Abdominal sacral colpopexy with allograft fascia lata: one-year outcomes.

Journal Article Am J Obstet Gynecol · May 2005 OBJECTIVE: The purpose of this study was to assess 1-year outcomes of sacral colpopexy with the use of allograft fascia lata. STUDY DESIGN: Records of all subjects who underwent sacral colpopexy with allograft fascia lata from May 1, 2001, to April 30, 200 ... Full text Link to item Cite

Anastomotic contracture and incontinence after radical prostatectomy: a graded approach to management.

Journal Article J Urol · April 2005 PURPOSE: We present a heterogeneous group of men presenting with varying degrees of anastomotic contracture (AC) and associated stress urinary incontinence (SUI) following radical prostatectomy. It is particularly important that AC should be resolved befor ... Full text Link to item Cite

Outcomes following revisions and secondary implantation of the artificial urinary sphincter.

Journal Article J Urol · April 2005 PURPOSE: Durable success with the artificial urinary sphincter (AUS) is common but device revision and replacement are often needed for various reasons. We examined indications and outcomes following these secondary procedures with comparisons to outcomes ... Full text Link to item Cite

Patient characteristics and management of dermal allograft extrusions.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · 2005 The objective of this study was to describe our rate of extrusion of dermal allograft material when used in anterior or posterior colporrhaphy and to review our success in treating extrusions with conservative management. A retrospective review of all subj ... Full text Link to item Cite

The effect of botulinum-A toxin on patients with severe urge urinary incontinence.

Journal Article J Urol · December 2004 PURPOSE: We determined the effect of 150 units of botulinum-A toxin (Botox, Allergan, Irvine, California) on subjects with severe urge urinary incontinence (UUI). MATERIALS AND METHODS: This was an open label uncontrolled clinical trial. Subjects were recr ... Full text Link to item Cite

Artificial urinary sphincter: Lessons learned

Journal Article Atlas of the Urologic Clinics of North America · October 1, 2004 Full text Cite

Heroic measures may not always be justified in extensive urethral stricture due to lichen sclerosus (balanitis xerotica obliterans).

Journal Article Urology · September 2004 OBJECTIVES: Strictures due to lichen sclerosus (LS) may affect the urethra as far proximally as the mid-bulb. For such strictures, a staged full-length repair is required and should use a nonpenile graft source such as buccal mucosa. Many cases occur in a ... Full text Link to item Cite

Transvaginal endoscopic removal of eroded mesh after abdominal sacral colpopexy.

Journal Article Obstet Gynecol · May 2004 BACKGROUND: Abdominal sacral colpopexy with permanent mesh has become the preferred abdominal technique for correcting posthysterectomy vaginal vault prolapse. Although rare, mesh erosion after sacral colpopexy is often challenging to manage. We report on ... Full text Link to item Cite

Postoperative complications of sling surgery

Chapter · January 1, 2004 The sling procedure for the treatment of urinary incontinence in women was described by Goebell in 1910 using gracilis muscle (1) and was later modified by Aldrigde in 1942 (2), who first described using abdominus rectus fascia for urethral compression. Si ... Cite

Evaluation and surgical management of intrinsic sphincter deficiency after radical prostatectomy.

Journal Article Rev Urol · 2004 Urinary incontinence following prostatectomy is usually due to intrinsic sphincter deficiency and is often referred to as post-prostatectomy incontinence (PPI). The male sling is an effective minimally invasive procedure for low volume PPI. Although the ma ... Link to item Cite

Functional outcomes of primary and secondary repairs of vesicovaginal fistulae via vaginal cuff scar excision.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · 2004 Hospital and office charts of patients who underwent vaginal cuff scar excision for vesicovaginal fistula (VVF) repair from February 1998 to December 2002 at our institution were reviewed. Preoperative demographics and fistula characteristics were gathered ... Full text Link to item Cite

Perineal repair of pelvic fracture urethral distraction defects: experience in 120 patients during the last 10 years.

Journal Article J Urol · November 2003 PURPOSE: We report the long-term success of a 1-stage perineal anastomotic repair in patients with pelvic fracture urethral distraction defects. MATERIALS AND METHODS: A retrospective analysis of 120 patients undergoing perineal bulboprostatic anastomotic ... Full text Link to item Cite

Urethral erosion after synthetic and nonsynthetic pubovaginal slings: differences in management and continence outcome.

Journal Article J Urol · July 2003 PURPOSE: We present a series of urethral erosion following a pubovaginal sling procedure due to synthetic and nonsynthetic materials and discuss their management and continence outcome. MATERIALS AND METHODS: During a 3-year period 57 patients underwent ur ... Full text Link to item Cite

Preoperative urodynamic evaluation may predict voiding dysfunction in women undergoing pubovaginal sling.

Journal Article J Urol · June 2003 PURPOSE: We determine which urodynamic parameters can best predict postoperative voiding dysfunction following pubovaginal sling surgery. MATERIALS AND METHODS: The records of 98 consecutive women who had undergone pubovaginal sling surgery with allograft ... Full text Link to item Cite

Anatomical correction of vaginal vault prolapse by uterosacral ligament fixation in women who also require a pubovaginal sling.

Journal Article J Urol · May 2003 PURPOSE: We describe the anatomical and functional outcome in patients who underwent vaginal vault fixation to the proximal uterosacral ligaments for the treatment of vault prolapse and who also required a concomitant pubovaginal sling for associated stres ... Full text Link to item Cite

The augmented anastomotic urethroplasty

Journal Article Atlas of the Urologic Clinics of North America · January 1, 2003 The augmented anastomotic urethroplasty is a straightforward technique for managing urethral strictures that fall in the gray zone between those that can be managed by stricture excision and primary anastomosis alone and those that require onlay substituti ... Full text Cite

Transcorporal insertion of AMS800 artificial urinary sphincter

Journal Article Atlas of the Urologic Clinics of North America · January 1, 2003 Transcorporal placement of an AUS cuff is a simple and useful technique for those complex cases of artificial sphincter implantation that require placement of the cuff in a more distal location than usual. By minimizing the dissection of the urethra and in ... Full text Cite

Sacral neuromodulation in an older, urge-incontinent population.

Journal Article Am J Obstet Gynecol · December 2002 OBJECTIVE: The success of sacral neuromodulation in the treatment of urge incontinence has been reported in young populations. Herein we report the success in an older, urge-incontinent population. STUDY DESIGN: A cohort of 25 patients older than 55 years ... Full text Link to item Cite

Surgical management of the apical vaginal defect.

Journal Article Curr Opin Urol · July 2002 PURPOSE OF REVIEW: To review the etiology, presentation, imaging techniques and current surgical management of the apical vaginal defect. RECENT FINDINGS: Urologists are increasingly managing urinary incontinence and prolapse of the anterior and posterior ... Full text Link to item Cite

The functional domain specificity of self-esteem and the differential prediction of aggression.

Journal Article J Pers Soc Psychol · May 2002 On the basis of an evolutionary theory of self-esteem (SE), it was hypothesized that the SE-aggression relationship differs across functionally distinct domains of SE and across contexts. In 2 experiments, participants had the opportunity to aggress agains ... Link to item Cite

Transcorporal artificial urinary sphincter cuff placement in cases requiring revision for erosion and urethral atrophy.

Journal Article J Urol · May 2002 PURPOSE: A distal cuff location is often required in patients undergoing artificial urinary sphincter reimplantation after previous erosion or in those requiring revision because of urethral atrophy at the original cuff site. Dissecting the urethra at a mo ... Link to item Cite

Reconstruction of posterior urethral disruption.

Journal Article Urol Clin North Am · May 2002 Posterior urethral disruption may be a devastating complication of pelvic trauma. The acute management of these injuries is reviewed as well as the controversy surrounding early versus delayed repair. The various approaches to delayed repair of pelvic frac ... Full text Link to item Cite

Evaluation and management of urinary fistulas

Chapter · January 1, 2002 Urinary fistulas have been recognized in the literature for centuries as a distressing problem that results most commonly from birth trauma or urogynecological surgery. This chapter focuses on the etiology, diagnosis, and surgical management of the most co ... Cite

Current management of vesicovaginal fistulae.

Journal Article Curr Opin Urol · July 2001 Vesicovaginal fistula continues to be a distressing problem that results most commonly from urogynecologic surgery. Several surgical techniques for correction of vesicovaginal fistulae have been described. The present review emphasizes those advances in su ... Full text Link to item Cite

The augmented anastomotic urethroplasty: indications and outcome in 29 patients.

Journal Article J Urol · May 2001 PURPOSE: A short bulbar stricture of 1 cm. or less is best managed by stricture excision and primary anastomosis. However, a dilemma exists when the total length of the stricture is too great for excision and anastomosis. Options include stricture incision ... Link to item Cite

Functional success of vaginal-cuff excision as a technique for transvaginal repair of vesicovaginal fistulae after hysterectomy

Journal Article Journal of Pelvic Surgery · January 1, 2001 Objective To examine the surgical and functional success of complete vaginal-cuff excision for transvaginal repair of vesicovaginal fistulae. Material and Methods Thirty-four women with posthysterectomy vesicovaginal fistulae presented for repair. Surgical ... Cite

Outcome in 104 pubovaginal slings using freeze-dried allograft fascia lata from a single tissue bank.

Journal Article Urology · December 4, 2000 We describe our experience with the use of allograft fascia lata for the treatment of stress urinary incontinence. One hundred and four patients underwent allograft fascia lata pubovaginal slings. Preoperatively, all were evaluated by a detailed urogynecol ... Full text Link to item Cite

Variations in strategy for the treatment of urethral obstruction after a pubovaginal sling procedure.

Journal Article J Urol · August 2000 PURPOSE: We evaluated the success of several techniques for treating urethral obstruction and erosion after a pubovaginal sling procedure. MATERIALS AND METHODS: Between April 1998 and June 1999, 32 women 33 to 79 years old (average age 62) who underwent a ... Link to item Cite

Combined antegrade and retrograde endoscopic approach for the management of urinary diversion-associated pathology.

Journal Article J Endourol · April 2000 BACKGROUND: Endourologic management of stones and strictures in patients with a urinary diversion is often cumbersome because of the absence of standard anatomic landmarks. We report on our technique of minimally invasive management of urinary diversion-as ... Full text Link to item Cite

Use of the martius labial fat pad as an adjunct in the management of urinary fistulae and urethral obstruction following antiincontinence procedures

Journal Article Journal of Pelvic Surgery · January 1, 2000 Conclusion: Transvaginal surgery involving a Martius rotational flap should be considered in reconstructive surgery for complications after urogynecologic surgery. Results: One patient developed a postoperative cellulitis. Two patients reported decreased s ... Cite

The significance of the open bladder neck associated with pelvic fracture urethral distraction defects.

Journal Article J Urol · August 1999 PURPOSE: As a result of pelvic fracture urethral distraction defects, urinary continence relies predominantly on intact bladder neck function. Hence, when cystoscopy and/or cystography reveals an open bladder neck before urethroplasty, the probability of p ... Link to item Cite

Dorsal onlay graft urethroplasty for repair of bulbar urethral stricture.

Journal Article J Urol · March 1999 PURPOSE: We report the early outcome of dorsal full-thickness penile skin grafts in the repair of bulbar urethral stricture. MATERIALS AND METHODS: During 27 months 29 men with a mean age of 43 years (range 10 to 81) underwent dorsal onlay graft urethropla ... Link to item Cite

Office management of female urinary incontinence.

Journal Article Urol Clin North Am · November 1998 The majority of incontinent women are manageable using office-based techniques. This article reviews the basic causes of per urethram urinary incontinence, and summarizes how to optimally evaluate them from a clinical and urodynamic standpoint in the offic ... Full text Link to item Cite

Pubovaginal sling using cadaveric allograft fascia for the treatment of intrinsic sphincter deficiency.

Journal Article J Urol · September 1998 PURPOSE: Pubovaginal sling is the definitive management of female stress urinary incontinence due to intrinsic sphincter deficiency. Customarily, autologous fascia has been used, although synthetic material has its proponents. Harvesting autologous fascia ... Full text Link to item Cite

Transvaginal repair of vesicovaginal fistulas after hysterectomy by vaginal cuff excision.

Journal Article J Urol · September 1998 PURPOSE: When repairing vesicovaginal fistulas after hysterectomy there is often reluctance to excise totally the fistula tract for fear of enlarging the tissue defect. It has been suggested that consequent tension on suture lines may cause recurrence of a ... Full text Link to item Cite

Dorsal onlay urethroplasty for urethral stricture repair.

Journal Article World J Urol · 1998 Full-thickness penile skin grafts have long proved to be valuable in substitution urethroplasty. However, occasional cases of poor graft take, sacculation, or shrinkage of the repairs have mitigated their success. A determining factor in the outcome of gra ... Full text Link to item Cite

Transvaginal repair of vesicovaginal fistulas after hysterectomy by vaginal cuff excision

Journal Article Journal of Urology · January 1, 1998 Purpose: When repairing vesicovaginal fistulas after hysterectomy there is often reluctance to excise totally the fistula tract for fear of enlarging the tissue defect. It has been suggested that consequent tension on suture lines may cause recurrence of a ... Full text Cite

Pubovaginal sling using cadaveric allograft fascia for the treatment of intrinsic sphincter deficiency

Journal Article Journal of Urology · January 1, 1998 Purpose: Pubovaginal sling is the definitive management of female stress urinary incontinence due to intrinsic sphincter deficiency. Customarily, autologous fascia has been used, although synthetic material has its proponents. Harvesting autologous fascia ... Full text Cite

Does prostate transitional cell carcinoma preclude orthotopic bladder reconstruction after radical cystoprostatectomy for bladder cancer?

Journal Article J Urol · December 1997 PURPOSE: We determined if urethral preservation and orthotopic bladder replacement in patients with transitional cell carcinoma within the prostatic urethra or prostate placed these patients at risk for urethral recurrence or death. MATERIALS AND METHODS: ... Full text Link to item Cite

Selection criteria for urethral preservation

Other British Journal of Urology · December 1, 1997 The traditional indications for urethrectomy are multifocal disease within the bladder, diffuse intravesical carcinoma-in-situ, malignancy at the bladder neck or any prostatic transitional malignancy. Previous review of our experience showed no significant ... Cite

Surgery for urethra and sphincter - Which technique when?

Journal Article Current Opinion in Urology · August 14, 1997 With emerging solutions to the difficult problem of urethral and sphincteric injury, it is necessary to understand which surgical techniques are optimal and when they are best employed. We review recent advances in the areas of male and female urethroplast ... Full text Cite

Voiding dysfunction following incontinence surgery: diagnosis and treatment with retropubic or vaginal urethrolysis.

Journal Article J Urol · March 1997 PURPOSE: A retrospective analysis was done of women undergoing urethrolysis for post-cystourethropexy voiding dysfunction to identify possible predictors of outcome. MATERIALS AND METHODS: The charts of 51 sequential women who underwent 54 urethrolysis pro ... Full text Link to item Cite

Treatment of complex anterior urethral stricture disease with mesh graft urethroplasty.

Journal Article J Urol · January 1997 PURPOSE: Treatment of complex anterior urethral strictures complicated by a lack of sufficient penile skin for primary flap repair has generally consisted of 2-stage scrotal inlay urethroplasty. Scrotal skin has shortcomings, most notably hair formation, d ... Link to item Cite

Favorable outcome of pubovaginal slings for geriatric women with stress incontinence.

Journal Article J Urol · January 1997 PURPOSE: Traditionally pubovaginal slings have been associated with a greater risk of immediate morbidity and prolonged voiding dysfunction compared to other stress incontinence repairs. Because elderly patients already have inherently greater perioperativ ... Link to item Cite

Kock versus right colon continent urinary diversion: comparison of outcome and reoperation rate.

Journal Article Urology · November 1996 OBJECTIVES: To compare one surgeon's sequential experience with two types of continent cutaneous diversion; namely, the Kock pouch (KP) and the right colon pouch (RCP). METHODS: Outcomes for the final 30 KP patients seen during the period 1989 to 1992 and ... Full text Link to item Cite

Full-thickness cutaneous martius flaps: a useful technique in female reconstructive urology.

Journal Article Urology · September 1996 The labial fat pad is a versatile adjunct to many reconstructions. In some cases, not only is healthy tissue required for interposition, but epithelium is needed to close the vaginal defect. We report on full-thickness cutaneous Martius flaps from the medi ... Full text Link to item Cite

Bladder outlet obstruction in women.

Journal Article Urol Clin North Am · August 1996 While voiding dysfunction is relatively common in women, true bladder outlet obstruction is a rare condition and may be present in a misleading manner. To make an accurate diagnosis and tailor appropriate treatment, urodynamic investigation is required. Ho ... Full text Link to item Cite

Genitourinary trauma

Journal Article Current Opinion in Urology · July 11, 1996 Advances in diagnostic imaging technology along with an improved understanding of the mechanisms of tissue injury are shaping the modern management of genitourinary trauma. This review will highlight recent work in the field and attempt to offer perspectiv ... Full text Cite

Endoscopic management of the obliterated anastomosis following radical prostatectomy.

Journal Article J Urol · July 1996 PURPOSE: We evaluated an endoscopic technique to treat the challenging problem of an obliterated anastomosis following radical prostatectomy. MATERIALS AND METHODS: Four men with a mean 2.25 cm. obliterative defect underwent visual internal urethrotomy alo ... Link to item Cite

Detrusor instability.

Journal Article Urol Clin North Am · August 1995 Detrusor instability is a common cause of urgency and urge incontinence in neurologically normal patients. It is defined as an involuntary phasic detrusor contraction of any pressure associated with symptoms of urge or leakage while the patient is attempti ... Link to item Cite

Simplified urinary drainage following orthotopic or continent bladder replacement.

Journal Article J Urol · February 1995 A simplified urinary drainage system is described for orthotopic or catheterizable continent urinary diversion. The patient has a single urethral or suprapubic Foley catheter draining the urinary reservoir, decreasing nursing work load and possibly allowin ... Full text Link to item Cite

Impotence following pelvic fracture urethral injury: incidence, aetiology and management.

Journal Article Br J Urol · January 1995 OBJECTIVE: To evaluate the potency status of patients undergoing delayed perineal repair following a pelvic fracture urethral injury to determine the incidence and aetiology of impotence. PATIENTS AND METHODS: Long-term potency (> 6 months post-operatively ... Full text Link to item Cite

Open surgery versus minimally invasive alternatives in the management of stress incontinence

Journal Article Current Opinion in Urology · July 26, 1994 The procedure selected for the management of stress urinary incontinence should be dictated primarily by the cause of the incontinence (vesical neck hypermobility or intrinsic sphincter deficiency), by surgical outcome (durabilty of the repair) and by the ... Full text Cite

Performance of four computer-based diagnostic systems.

Journal Article N Engl J Med · June 23, 1994 BACKGROUND: Computer-based diagnostic systems are available commercially, but there has been limited evaluation of their performance. We assessed the diagnostic capabilities of four internal medicine diagnostic systems: Dxplain, Iliad, Meditel, and QMR. ME ... Full text Link to item Cite

Synchronous management of anastomotic contracture and stress urinary incontinence following radical prostatectomy.

Journal Article J Urol · May 1994 Of 77 patients presenting for artificial urinary sphincter implantation due to incontinence following radical prostatectomy 26 had a significant associated urethrovesical anastomotic contracture. Synchronous endoscopic contracture incision with electrocaut ... Full text Link to item Cite

Management of urethral injuries

Journal Article Current Opinion in Urology · January 1, 1994 The management of urethral injury is determined by a number of variables including the location, etiology, and extent of the injury, and the presence of associated trauma. These factors, together with the individual surgeon's own treatment philosophy devel ... Full text Cite

A quantitatively controlled method to study prospectively interstitial cystitis and demonstrate the efficacy of pentosanpolysulfate.

Journal Article J Urol · September 1993 A randomized, prospective, double-blind, placebo-controlled study was conducted at 7 clinical centers on 148 patients. Patients received orally either 100 mg. pentosanpolysulfate (a synthetic polysaccharide) 3 times per day or a placebo. Of the patients on ... Full text Link to item Cite

Urological dysfunction in patients with diastematomyelia.

Journal Article J Urol · June 1993 Little information exists concerning voiding dysfunction associated with diastematomyelia (splitting of the spinal cord). We present 27 patients 4 days to 62 years old (mean 13 years) who underwent neurosurgical intervention for treatment of this disorder. ... Full text Link to item Cite

Surgical repair of urethral strictures.

Journal Article Contemp Urol · January 1993 Link to item Cite

Bladder reconstruction

Journal Article Current Opinion in Urology · January 1, 1993 Full text Cite

Successful outcome of artificial urinary sphincters in men with post-prostatectomy urinary incontinence despite adverse implantation features.

Journal Article J Urol · October 1992 A total of 75 men with post-prostatectomy urinary incontinence underwent artificial urinary sphincter implantation with a mean followup of 3.7 years. Average patient age at implantation was 67 years, with 30 men being 70 years old or older. In only 15 men ... Full text Link to item Cite

The value of urodynamic studies in infants less than 1 year old with congenital spinal dysraphism.

Journal Article J Urol · August 1992 The role and timing of urodynamic studies in infants with congenital spinal dysraphism are controversial. We reviewed 64 consecutive infants with a mean followup of 28 months who underwent video urodynamic study when they were less than 1 year old (50 of t ... Full text Link to item Cite

Complications of enterocystoplasty.

Journal Article Urology · July 1992 Bladder reconstruction, either by augmentation or substitution enterocystoplasty, is a safe alternative to supravesical urinary diversion providing careful attention to preoperative selection, surgical technique, and postoperative review is observed. Howev ... Full text Link to item Cite

Management of type III stress urinary incontinence using artificial urinary sphincter.

Journal Article Urology · June 1992 Type III stress urinary incontinence due to severe intrinsic urethral weakness without significant urethrovesical descensus may be treated by periurethral injection, sling cystourethropexy, bladder neck reconstruction, or artificial urinary sphincter impla ... Full text Link to item Cite

The development of a technique to estimate the number of motor units in the urethral sphincter.

Journal Article J Urol · May 1992 An electromyographic technique is presented that has been developed in an effort to quantitate the number of motor units in the urinary sphincter. Sphincter contraction was provoked by electrical stimulation and recorded with a catheter mounted electrode. ... Full text Link to item Cite

Evaluation of augmentation cystoplasty for severe neuropathic bladder using the hostility score.

Journal Article Dev Med Child Neurol · May 1992 In a retrospective study, the pre-operative urodynamic findings of 41 myelodysplastic patients who had undergone enterocystoplasty for intractable incontinence or deteriorating upper urinary-tracts were compared with findings from similar studies. An objec ... Full text Link to item Cite

The hemi-Kock ileocystoplasty: a versatile procedure in reconstructive urology.

Journal Article J Urol · May 1992 The hemi-Kock system, constructed from approximately 40 cm. of terminal ileum, comprises a detubularized and remodeled ileal plate with a stapled ileoileal intussusception to form a 1-way valve. This system has been applied to reconstruct 30 varied cases i ... Full text Link to item Cite

Anomalies associated with myelodysplasia.

Journal Article Urology · March 1992 The records of 181 patients with myelodysplasia were reviewed. The prevalence of associated genitourinary anomalies as well as cardiac, facial, anal, and tethered cord were determined. The prevalence of congenital malformations associated with myelodysplas ... Full text Link to item Cite

Continent urinary diversion.

Journal Article Important Adv Oncol · 1992 Link to item Cite

Management of the bladder outlet in patients requiring enterocystoplasty.

Journal Article J Urol · January 1992 We reviewed 30 patients who required augmentation enterocystoplasty and a procedure to modify the bladder outlet for the treatment of intractable incontinence. Of the 30 patients 16 were treated with simultaneous cystoplasty and an outlet procedure, 6 init ... Full text Link to item Cite

The history of urodynamics

Journal Article Neurourology and Urodynamics · January 1, 1992 Full text Cite

Inflatable penile prosthesis: effect of device modification on functional longevity.

Journal Article Urology · December 1991 The Scott inflatable penile prosthesis has undergone a continual evolution since its introduction in 1973. A review of 266 patients at Duke University Medical Center who received primary implantation of AMS inflatable penile prostheses from 1979 to 1988 re ... Full text Link to item Cite

Transvaginal needle suspension procedures for recurrent stress incontinence.

Journal Article Urology · December 1991 The results of transvaginal needle suspension in 36 patients with stress urinary incontinence who failed previous operation were reviewed. Eighteen patients underwent a Stamey endoscopic needle suspension, and a Peyrera-Raz cystourethropexy was performed o ... Full text Link to item Cite

Evaluation and management of incontinence after implantation of the artificial urinary sphincter.

Journal Article Urol Clin North Am · May 1991 Despite the fact that the AS-800 artificial urinary sphincter represents a significant advance in the treatment of urinary incontinence, for many reasons, incontinence persists or recurs in a small percentage of cases. This is often a challenging problem t ... Link to item Cite

Repair of pelvic fracture posterior urethral defects using an elaborated perineal approach: experience with 74 cases.

Journal Article J Urol · April 1991 A total of 74 patients with posterior urethral distraction defects (1.5 to 7 cm. long) that followed pelvic fracture was managed by a 1-stage perineal repair. End-to-end anastomosis was performed in all cases but in 66 a variety of surgical maneuvers were ... Full text Link to item Cite

An objective score to predict upper tract deterioration in myelodysplasia.

Journal Article J Urol · March 1991 Bladder dysfunction in myelodysplasia may present a significant hazard to the upper tract and a threat to kidney function. Urodynamic features of high leak pressure and detrusor-sphincter dyssynergia have been associated with an increased risk. We have dev ... Full text Link to item Cite

Voiding dysfunction following cystourethropexy: Its evaluation and management

Journal Article Obstetrical and Gynecological Survey · January 1, 1991 Full text Cite

Urodynamic assessment of bladder outlet obstruction

Journal Article Problems in Urology · January 1, 1991 The diagnosis of outflow obstruction due to benign prostatic hyperplasia (BPH) may, at times, be difficult. The current modalities available for evaluating patients with symptoms of outflow obstruction are examined with emphasis on urodynamic studies and c ... Cite

The use of intraurethral devices in the treatment of prostatic obstruction

Journal Article Problems in Urology · January 1, 1991 The success of endoprosthetic implantation in the treatment of intraluminal stenoses is well documented. Over the last five years, this technique has been applied successfully in the management of urethral stricture disease. Most recently, increasing atten ... Cite

Salvage posterior urethroplasty after failed initial repair of pelvic fracture membranous urethral defects.

Journal Article J Urol · December 1990 Experience with 20 salvage urethroplasties in patients with pelvic fracture membranous urethral defects who failed previous delayed urethroplasty is presented. A total of 15 patients was successfully managed by 1-stage procedures, 14 by bulboprostatic rean ... Full text Link to item Cite

Augmentation cystoplasty

Journal Article World Journal of Urology · December 1, 1990 Augmentation cystoplasty is a versatile procedure now performed for a number of conditions previously managed by undiversion. The goals of enterocystoplasty are to create a low-pressure reservoir that will empty by voiding or self-intermittent catheterizat ... Full text Cite

Voiding dysfunction following cystourethropexy: its evaluation and management.

Journal Article J Urol · September 1990 We report on 15 women who underwent cystourethropexy for anatomical stress incontinence and who subsequently had dysfunctional voiding symptoms. All 15 women underwent retropubic takedown of the prior repair and substitution with an obturator shelf repair. ... Full text Link to item Cite

Accessory phallic urethra in adult female.

Journal Article Urology · September 1990 Duplication of the urethra with an accessory phallic urethra in females is a rare anomaly usually discovered early in life because of associated genitourinary anomalies. We report on a thirty-three-year-old female with this anomaly who presented with doubl ... Full text Link to item Cite

Crystal structure and sequence-dependent conformation of the A.G mispaired oligonucleotide d(CGCAAGCTGGCG).

Journal Article Proc Natl Acad Sci U S A · September 1990 The crystal structure of the dodecanucleotide d(CGCAAGCTGGCG) has been determined to a resolution of 2.5 A and refined to an R factor of 19.3% for 1710 reflections. The sequence crystallizes as a B-type double helix, with two G(anti).A(syn) base pairs. The ... Full text Link to item Cite

The non-covalent interaction of pyrrolo[2, 1-c] [1, 4]benzodiazepine-5, 11-diones with DNA.

Journal Article Anticancer Drug Des · August 1990 A series of 15 pyrrolo[2, 1-c] [1, 4]benzodiazepine-5, 11-diones has been synthesized and evaluated for in vitro DNA binding by thermal denaturation and fluorescence quenching studies with calf thymus (CT) DNA. The results indicate that two compounds of th ... Link to item Cite

The outcome of transvaginal cystourethropexy in patients with anatomical stress urinary incontinence and outlet weakness.

Journal Article J Urol · July 1990 Preoperative urodynamic and radiographic evaluation identified features of bladder neck and urethral weakness in 62 women undergoing cystourethropexy for the correction of anatomical stress urinary incontinence. Despite the coexistence of anatomical and ou ... Full text Link to item Cite

Experience with Management of Stones Formed Within Kock Pouch Continent Urinary Diversions

Journal Article Journal of Endourology · January 1, 1990 The treatment of stones within Kock pouch urinary diversions is challenging yet gratifying in terms of reduction of symptoms. Using endoscopic means, the procedures can be done totally on an outpatient basis, with a considerable reduction in cost. Extracor ... Full text Cite

Training and practice activities of hematology and medical oncology diplomates.

Journal Article Arch Intern Med · January 1990 Diplomates of the American Board of Internal Medicine in hematology or medical oncology were surveyed about the content and setting of their practices, adequacy of training for professional activities, and preferences for certification. The response rate w ... Link to item Cite

Urinary incontinence. Preface

Journal Article Problems in Urology · January 1, 1990 Cite

Postcystorethropexy problems

Journal Article Problems in Urology · January 1, 1990 Not all cystourethropexies produce the desired outcome. Recurrent urinary incontinence may be due to recurrent anatomic factors, outlet factors, or bladder instability; their occurrence is often due to initial inappropriate procedure selection. Other troub ... Cite

Procedure selection in the management of stress urinary incontinence

Journal Article Problems in Urology · January 1, 1990 Urinary incontinence, a very common problem among older women, is a source of considerable personal and social embarrassment to those who suffer from it, and a rather checkered history of failed procedures has led to an element of frustation to both patien ... Cite

Perineal repair of membranous urethral stricture.

Journal Article Urol Clin North Am · May 1989 Membranous urethral disruption secondary to pelvic fracture often results in an obliterative stricture. Most of these lesions can be repaired by a one-stage procedure provided certain maneuvers are accomplished to facilitate approximation of the bulbar to ... Link to item Cite

The management of chronic interstitial cystitis by substitution cystoplasty.

Journal Article J Urol · February 1989 A total of 19 patients with interstitial cystitis symptoms intractable to conservative management underwent supratrigonal excision of the symptomatic bladder. Reconstruction to produce a low pressure reservoir was accomplished with a segment of remodeled i ... Full text Link to item Cite

Performance of US Citizen Caribbean Medical School Graduates on the American Board of Internal Medicine Certifying Examinations, 1984 to 1987

Journal Article Teaching and Learning in Medicine · January 1, 1989 Our purpose was to compare the certifying examination performance of graduates of Caribbean medical institutions with graduates of other medical institutions. Specifically, the performance of US and Canadian medical school graduates, non-US citizen foreign ... Full text Cite

Cystoplasty management of the intractably hostile neurogenic bladder

Journal Article Problems in Urology · January 1, 1989 Although most neurogenic bladder hyperactivity can be managed by pharmacologic and other conservative techniques, a small group of patients will require cystoplasty surgery to achieve a capacious docile storage reservoir. A variety of surgical variables ex ... Cite

Artificial urinary sphincters: plain radiography of malfunction and complications.

Journal Article Radiology · August 1988 Inflatable artificial urinary sphincters provide excellent voluntary continence. Eighty-four consecutive patients underwent implantation of artificial urinary sphincters for intractable urinary incontinence; 33 patients had 58 episodes of sphincter malfunc ... Full text Link to item Cite

A criterion-referenced examination of physician competence

Journal Article Evaluation & the Health Professions · January 1, 1988 Despite the growing popularity of performance tests, scores on such measures have rarely been interpreted from a criterionreferenced perspective. This paper describes a test of skill in reading electrocardiographs (ECGs). Using generalizability theory, the ... Full text Cite

Strategies in comparison of methods for scoring patient managementproblems: Use of External Criteria to Validate Scores

Journal Article Evaluation & the Health Professions · January 1, 1988 The study was designed to determine whether alternative scoring strategies result in improved measurement properties of patient management problems (PMP). For each of 16 PMPs used in a certifying examination, thefollowingscoringsystems were developed: prof ... Full text Cite

The future internist. The Task Force on the Future Internist, American Board of Internal Medicine.

Journal Article Ann Intern Med · January 1988 The American Board of Internal Medicine report of the Task Force on the Future Internist argues that, although the basic principles that underlie the structure and organization of internal medicine remain appropriate, the role of the future internist will ... Link to item Cite

An application of item response theory to certifying examinations in internal medicine

Journal Article Evaluation & the Health Professions · January 1, 1988 This study assessed the suitability of item response theory (IRT) for medical examination data. The specific purposes were (I) to see whether the American Board of Internal Medicine (ABIM) Certifying Examination data met IRT model assumptions and (2) to ap ... Full text Cite

A criterion-referenced examination in cardiovascular disease.

Journal Article Med Educ · January 1988 This study described criterion-referenced tests of electrocardiograph reading skill and basic knowledge in cardiology, assessed their dependability and validity, and explored their impact on overall certification rates. Data indicated that the standard-set ... Full text Link to item Cite

The effect of changes in medical knowledge on examination performance at the time of recertification.

Journal Article Res Med Educ · 1988 The purpose of this paper was to determine if the decline in performance with time since completion of training on the 1980 ABIM Recertification Examination can be explained by a difference in performance on items testing different types of knowledge. Resu ... Link to item Cite

Augmentation and replacement cystoplasty: sonographic findings.

Journal Article Radiology · December 1987 Sonographic evaluation of the urinary tract after bladder augmentation and replacement procedures often reveals unexpected findings that result from incorporation of bowel into the urinary bladder wall. Familiarity with such findings is important to avoid ... Full text Link to item Cite

Calculus formation and ureteral obstruction after ileal conduit construction using autosuture stapling device.

Journal Article Urology · December 1987 A case is presented of ureteral obstruction by a calculus-encrusted staple in a patient undergoing urinary diversion. This leads us to recommend that when an ileal conduit is constructed using the autosuture stapling device the staple suture line be excise ... Full text Link to item Cite

Experiences with bladder reconstruction in children.

Journal Article J Urol · October 1987 The results in 56 children (28 with neurogenic bladder dysfunction) undergoing enterocystoplasty between 1981 and 1985 are presented. Ileal, ileocecal, right colon and sigmoid segments were used in tubular and opened configurations. Our experience leads us ... Full text Link to item Cite

Cystometric properties of ileum and right colon after bladder augmentation, substitution or replacement.

Journal Article J Urol · October 1987 Cystometric studies were performed on 38 patients who had undergone augmentation, substitution or replacement enterocystoplasty. These studies were done to determine the choice of bowel segment to augment or replace the detrusor and the shape in which the ... Full text Link to item Cite

A standardized examination in the interpretation of electrocardiograms.

Journal Article J Am Coll Cardiol · October 1987 A standardized objective examination was developed by the Cardiovascular Subspecialty Board of the American Board of Internal Medicine to assess competence in the interpretation of electrocardiograms (ECGs). The questions consisted of 12 lead ECGs with lea ... Full text Link to item Cite

Performance of a dangerous answer subtest within a subspecialty certifying examination.

Journal Article Med Educ · September 1987 Previous studies have been reported suggesting that a population of candidates for specialty board certification can be identified who pass the certification examination but who give an unduly high number of 'dangerous' responses, indicating their acceptan ... Full text Link to item Cite

Ratings of residents' clinical competence and performance on certification examination.

Journal Article J Med Educ · June 1987 The American Board of Internal Medicine (ABIM) requires directors of internal medicine residency programs to rate their residents in overall clinical competence and its essential components. In the study reported here, the authors investigated the relation ... Full text Link to item Cite

Surgical treatment of interstitial cystitis. Indications, techniques, and results.

Journal Article Urology · April 1987 Conservative treatment should be satisfactory for 90 per cent of patients with interstitial cystitis. When severe symptoms are refractory and constitute a major disability, surgical treatment should be considered. Usually symptoms will have been present fo ... Link to item Cite

Repair of the difficult posterior urethral stricture

Journal Article World Journal of Urology · March 1, 1987 Fewer than 10% of strictures which follow pelvic fracture will be complex, the vast majority being amenable to simple perineal anastomotic repair. The complex strictures are best managed in a center experienced in their care and a variety of maneuvers are ... Full text Cite

Bladder reconstruction in children.

Journal Article Semin Urol · February 1987 Link to item Cite

Ratings of residents’ clinical competence and performance on certification examination

Journal Article Journal of Medical Education · January 1, 1987 The American Board of Internal Medicine (ABIM) requires directors of internal medicine residency programs to rate their residents in overall clinical competence and its essential components. In the study reported here, the authors investigated the relation ... Cite

Congenital scoliosis and urinary tract abnormalities: are intravenous pyelograms necessary?

Journal Article J Pediatr Orthop · 1987 One hundred patients with a diagnosis of congenital scoliosis were reviewed with regard to their urologic history, chemistries, and excretory urography. A 40% incidence of urologic abnormality was found in these asymptomatic patients. Twenty-five additiona ... Full text Link to item Cite

The relationship between features of residency training and ABIM certifying examination performance.

Journal Article J Gen Intern Med · 1987 The purpose of this study was to provide data concerning the relationship between features of residency training and a test of cognitive achievement gathered at the end of residency. To accomplish this, data collected in the late 1970s by three national or ... Full text Link to item Cite

Predictors of the performance of foreign medical graduates on the 1982 certifying examination in internal medicine.

Journal Article JAMA · December 26, 1986 This study describes a cohort of foreign medical school graduates (FMGs) who first sat for the American Board of Internal Medicine's (ABIM) 1982 certifying examination, compares their performance with that of US medical school graduates, describes differen ... Link to item Cite

Nucleic acid binding drugs--XIV. The crystal structure of 1-methyl amsacrine hydrochloride; relationships to DNA-binding ability and anti-tumour activity.

Journal Article Biochem Pharmacol · November 15, 1986 The crystal structure of the 1-methyl derivative of the anticancer drug amsacrine [4'-(acridin-9-ylamino)-3'-methoxy-methanesulphonanilide+ ++] as its hydrochloride salt has been determined. The compound crystallizes in the monoclinic space group P21/n wit ... Full text Link to item Cite

The urological evaluation and management of patients with myelodysplasia.

Journal Article Br J Urol · June 1986 The urological evaluation and results of management of 183 myelodysplastic patients are presented. Our management protocol stresses upper tract and infection status surveillance during the early childhood years, and a clean intermittent catheterisation pro ... Full text Link to item Cite

Use of the rectus abdominis muscle flap in urological reconstructive procedures.

Journal Article J Urol · May 1986 The rectus abdominis muscle flap has been used successfully in 4 reconstructive procedures complicated by tissue loss or urinary fistula. This simple procedure is advocated as an alternative to the use of omentum when prior abdominal surgery precludes omen ... Full text Link to item Cite

Continent catheterizable urinary diversion using the ileocecal segment with stapled intussusception of the ileocecal valve.

Journal Article J Urol · March 1986 A continent ileocecal reservoir was created as an alternative to ileal loop urinary diversion in 7 patients. In 3 patients the bladder neck was closed, the in situ bladder was augmented and a continent stoma was formed by intussusception of the ileocecal v ... Full text Link to item Cite

Perineal transpubic repair: a technique for treating post-traumatic prostatomembranous urethral strictures.

Journal Article J Urol · February 1986 A perineal, 1-stage, end-to-end anastomotic repair is the preferred method to treat short (2 cm. or less) prostatomembranous urethral strictures. For longer strictures a combined perineal and abdominal transpubic approach is required. We describe a techniq ... Full text Link to item Cite

An evaluation of a computer simulation in the assessment of physician competence

Journal Article Evaluation & the Health Professions · January 1, 1986 This study compares physician performance on the Computer-Aided Simulation of the Clinical Encounter (CASE) with peer ratings and performance on multiple choice questions (MCQs) and patient management problems (PMPs). CASEis a simulation of the clinical en ... Full text Cite

Perceptions of the certification standards of the American Board of Internal Medicine.

Journal Article J Gen Intern Med · 1986 Perceptions of the certification standards of the American Board of Internal Medicine (ABIM) and the qualities of care provided by certified and non-certified practicing internists are reported from surveys of ABIM Board members, internal medicine program ... Full text Link to item Cite

Urethroplasty management in 100 cases of urethral stricture: a rationale for procedure selection.

Journal Article J Urol · November 1985 We performed 100 urethroplasties for urethral strictures that fulfilled our criteria for surgical intervention. Strictures were located in the pendulous urethra in 14 cases, bulbar urethra in 33 and membranous urethra in 32, while the entire urethra or mul ... Full text Link to item Cite

Implantation of penile prostheses in patients impotent after priapism.

Journal Article Urology · October 1985 Review of recent implantations of penile prostheses done at Duke University Medical Center reveals 6 patients implanted for impotence secondary to priapism. Of these 6 patients, 5 had sickle cell anemia-induced priapism and 1 had idiopathic priapism. One p ... Full text Link to item Cite

Lumbosacral plexus stretch injury following the use of the modified lithotomy position.

Journal Article J Urol · September 1985 The modified lithotomy position is used to provide simultaneous operative exposure to the abdomen and perineum. We report 3 lumbosacral plexus complications following use of this position. A mechanism involving stretch secondary to hyperabduction seems mos ... Full text Link to item Cite

The management of strictures of the membranous urethra.

Journal Article J Urol · September 1985 We present 40 cases of posterior urethral stricture resulting from pelvic fracture injury or prostatectomy. The strictures were managed according to various factors but most important were stricture length and the absence of pathological conditions in the ... Full text Link to item Cite

Priapism: etiology, treatment, and results in series of 35 presentations.

Journal Article Urology · September 1985 Of 35 cases of priapism a successful outcome with detumescence of the erection and preservation of potency was achieved in only 6 instances. Patients with sickle cell disease enjoyed a more optimistic outcome, and early presentation appeared to be the key ... Full text Link to item Cite

Continent urinary diversion.

Journal Article J Urol · August 1985 Full text Link to item Cite

Reliability, validity and efficiency of multiple choice question and patient management problem item formats in assessment of clinical competence.

Journal Article Med Educ · May 1985 Despite a lack of face validity, there continues to be heavy reliance on objective paper-and-pencil measures of clinical competence. Among these measures, the most common item formats are patient management problems (PMPs) and three types of multiple choic ... Full text Link to item Cite

An analysis of the knowledge base of practicing internists as measured by the 1980 recertification examination.

Journal Article Ann Intern Med · March 1985 The performance of practicing internists on the American Board of Internal Medicine's 1980 Recertification Examination was examined in two studies. In the first study, a psychometric common-item equating technique was used to compare the performance of 198 ... Full text Link to item Cite

The vascularized skin island urethroplasty: its role and results in urethral stricture management.

Journal Article J Urol · January 1985 We report 11 vascularized island skin flap urethroplasties. Results appear to be excellent when the procedure is used for strictures of the pendulous urethra. Use of vascularized skin flap urethroplasties for the repair of bulbar and membranous strictures ... Full text Link to item Cite

A comparison of knowledge, synthesis, and clinical judgment. Multiple-choice questions in the assessment of physician competence.

Journal Article Eval Health Prof · December 1984 This study compares the reliability, validity, and efficiency of three multiple-choice question (MCQs) ability scales with patient management problems (PMPs). Data are from the 1980, 1981, and 1982 American Board of Internal Medicine Certifying Examination ... Full text Link to item Cite

Urethrovaginal fistula: a review of the surgical management.

Journal Article J Urol · September 1984 Urethrovaginal fistulas may occur after external or surgical trauma and result commonly in urinary incontinence. Various repair procedures have been suggested. However, it appears that the Martius operation with labial fat pad interposition between the rep ... Full text Link to item Cite

Urodynamic abnormalities in neurologically normal children with micturition dysfunction.

Journal Article J Urol · July 1984 We evaluated by video urodynamic study 60 children between 4 and 16 years old who had presented with various combinations of urinary frequency, diurnal incontinence, enuresis, voiding symptoms, recurrent urinary infections and upper tract changes. A number ... Full text Link to item Cite

Suboptimal results in full thickness skin graft urethroplasty using an extrapenile skin donor site.

Journal Article J Urol · June 1984 We performed 22 full thickness skin graft urethroplasties for treatment of urethral stricture disease or hypospadias. Excellent results were achieved in 18 cases in which a penile skin donor site was used. Three failures occurred in 4 cases in which the fu ... Full text Link to item Cite

Troubleshooting the malfunctioning Scott artificial urinary sphincter.

Journal Article J Urol · February 1984 A rational approach to problems with the Scott artificial urinary sphincter is presented, which includes preoperative radiographic, endoscopic and urodynamic studies, and intraoperative electrical testing of device integrity and pressure/volume characteris ... Full text Link to item Cite

Cost of residents’ decisions: On actual patients and in simulated encounters

Journal Article Journal of Medical Education · January 1, 1984 Cite

Female urinary incontinence: The incidence, identification, and characteristics of detrusor instabiiity

Journal Article Neurourology and Urodynamics · January 1, 1984 One hundred thirty‐three women with urinary incontinence, including 51 patients who had undergone unsuccessful surgical treatment, were evaluated urodynamically. A high incidence (55%) of bladder instability was noted, and several patterns of instability w ... Full text Cite

ABIM COMPUTER-BASED EXAMINATION SYSTEM.

Conference Proceedings - Annual Symposium on Computer Applications in Medical Care · December 1, 1983 Cite

Prostatomembranous urethral injuries: a review of the literature and a rational approach to their management.

Journal Article J Urol · November 1983 Controversy surrounds the management of prostatomembranous urethral injuries. We herein present 38 patients and review the findings of 538 in 19 reported series. Results indicate a high risk of stricture, impotence and incontinence if conventional early ur ... Full text Link to item Cite

Urodynamic evaluation in women with frequency, urgency symptoms.

Journal Article Urology · June 1983 Urinary frequency, urgency, bladder discomfort, and incontinence are among the most common causes for women to seek urologic evaluation. The value of endoscopy and radiographic studies is limited because they define only structural problems. This study pre ... Full text Link to item Cite

Management of traumatic posterior urethral stricture by one stage perineal repair.

Journal Article Surg Gynecol Obstet · May 1983 Ten male patients with posterior urethral strictures secondary to trauma of the pelvis were treated with a one stage perineal repair, consisting of excision of the strictured segment and direct anastomosis between the bulbous urethra and the apex of the pr ... Link to item Cite

Urodynamic characterization of incontinence in the elderly by bladder volume.

Journal Article J Urol · April 1983 Incontinence in the elderly patient usually is of the urgency pattern owing to inappropriate detrusor contraction often termed detrusor instability. We herein describe a bladder volume-based method of urodynamic assessment that may help to characterize sub ... Full text Link to item Cite

The after‐contraction in urodynamic micturition studies

Journal Article Neurourology and Urodynamics · January 1, 1983 The detrusor after‐contraction is an involuntary detrusor contraction occurring after the completion of voiding. These contractions were seen in the micturition studies of 20 patients undergoing videourodynamic study to investigate a variety of nonneurogen ... Full text Cite

Sexual dysfunction in the paraplegic patient

Journal Article Medical Aspects of Human Sexuality · January 1, 1983 Cite

The primary megacystis syndrome.

Journal Article J Urol · February 1981 We discuss 7 cases of the primary megacystis syndrome to demonstrate that the syndrome is non-obstructive and non-neurogenic, and probably of psychogenic origin owing to learned dysfunctional voiding. The major complication is vesicoureteral reflux and ini ... Full text Link to item Cite

Value of subtracted bladder pressure measurement in routine urodynamics.

Journal Article Urology · December 1980 A case is presented for the routine determination of detrusor pressure in the performance of urodynamic studies. Its particular value in the investigation of the patient with subtle bladder instability, urinary incontinence, and voiding dysfunction is desc ... Full text Link to item Cite

The evaluation of bladder neck dysfunction.

Journal Article J Urol · February 1980 Bladder neck dysfunction has been evaluated in 16 male patients. The efficacy of the traditional investigative methods for this entity is questionable and the value of video-urodynamics for definitive diagnosis is presented. The ability of the condition to ... Full text Link to item Cite

Traumatic rupture of the female urethra.

Journal Article J Urol · October 1979 The clinical course of 4 female patients with complete traumatic rupture of the urethra was evaluated in an effort to propose guide lines for the investigation and initial management of this unusual injury. Treatment modalities are determined by the level ... Full text Link to item Cite