The Journal of urology
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The Journal of urology · Sep 2008
Randomized Controlled TrialBurch colposuspension does not provide any additional benefit to pelvic organ prolapse repair in patients with urinary incontinence: a randomized surgical trial.
We evaluated the impact of Burch colposuspension as an anti-incontinence measure in patients with urinary incontinence undergoing abdominal surgery for pelvic organ prolapse repair. ⋯ Burch colposuspension does not provide any additional benefit in pelvic organ prolapse repair in patients with urinary incontinence.
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The Journal of urology · Sep 2008
Influence of temperature on pudendal nerve block induced by high frequency biphasic electrical current.
We determined the influence of temperature on the minimal stimulation frequency required to block pudendal nerve conduction. ⋯ To block pudendal nerve conduction at body temperature (37C) the stimulation frequency must be greater than 6 kHz. This study provides a practical guide for blocking the pudendal nerves to restore efficient voiding after spinal cord injury.
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The Journal of urology · Sep 2008
The Pediatric Penile Perception Score: an instrument for patient self-assessment and surgeon evaluation after hypospadias repair.
The aim of this study was to develop and evaluate an instrument that allows assessment and comparison of penile perception of patients, parents and surgeons. ⋯ The Pediatric Penile Perception Score is a reliable instrument to assess penile self-perception in children after hypospadias repair, and for appraisal of the surgical result by parents and uninvolved urologists.
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The Journal of urology · Sep 2008
Activation of somatosensory afferents elicit changes in vaginal blood flow and the urethrogenital reflex via autonomic efferents.
We examined the effects of pudendal sensory nerve stimulation and urethral distention on vaginal blood flow and the urethrogenital reflex, and the relationship between somatic and autonomic pathways regulating sexual responses. ⋯ Stimulation of the sensory branch of the pudendal nerve elicits vasodilatation of the vagina. The likely mechanism is via activation of spinal pathways that in turn activate pelvic nerve efferents to produced changes in vaginal blood flow. Climatic-like responses (firing of the pudendal motor nerve) occur in response to stimulation of the pudendal sensory nerve and do not require intact pelvic or hypogastric nerves.