PROCEDURES

Overactive Bladder

• Intradetrusor Botulinum Toxin (Botox®)
  • Anti-spasm bladder injections
• Sacral Neuromodulation
  • Medtronic Interstim^TM bladder pacemaker
• Posterior Tibial Nerve Stimulation

• • Endotherapeutics Urgent PC Neuromodulation System

Prolapse reconstruction

• Non-surgical treatments

• • Pelvic floor exercises
  • Vaginal pessary

• Vaginal repair (mesh free surgery)

• • Anterior vaginal repair
  • Posterior vaginal repair
  • Sacrospinous ligament fixation

• Uterine preserving surgery for prolapse
• Laparoscopic/robotic repair

• • Native tissue, mesh-free repair
    • Uterosacral ligament suspension
      • Suture hysteropexy (uterine preserving)
      • Suture colpopexy (previous hysterectomy)
  • Mesh repair
    • Sacrocolpopexy
    • Sacrohysteropexy
• Vaginal closure
  • Colpocleisis
  • Recovery guide following vaginal surgery

Stress urinary incontinence (female)

• Mid-urethral sling
  • Pubovaginal Fascial
  • • • Rectus fascia or fascia lata
      • Mesh-free “natural” sling
  • Synthetic
  • • • Gynecare TVT Exact® Continence System
  • Urethral bulking agent
  • • Bulkamid®
  • Burch colposuspension
  • • Laparoscopic/robotic
  • Decision aid for women experience stress urinary incontinence
    • Stress urinary incontinence in women – Management option overview

Pelvic Mesh Removal

• Vaginal removal
• Combined vaginal and laparoscopic (or robotic) removal
• Combined vaginal and groin removal

Female Urethral Reconstruction

• Urethral diverticulum

• • Excision and repair

• Urethral stricture disease

• • Dilation
  • Meatoplasty
  • Urethroplasty
• Urethral caruncle
  • Excision and repair

Stress urinary incontinence (male)

• Synthetic male sling

• • AdVance^TM Male Sling – Boston Scientific

• Artificial urinary sphincter

• • AMS 800^TM Urinary Control System

Prostate enlargement (BPH)

• TURP (Trans-urethral resection of the prostate)
• Green Light laser surgery of the prostate
• Urethral lift (Urolift®)
• Bladder neck incision

Kidney stones

• Ureteric stent insertion
• Ureteroscopy and laser
• ESWL (External shock wave lithotripsy)

Bladder instillation therapy

• Bladder pain
• Recurrent urinary tract infections
• Bladder cancer

Cancer surgery

• Prostate biopsy
• Removal of cancer

• • Open
  • Endoscopic
  • Laparoscopic
  • Robotic