removal-an-intravesical-gellhorn-pessary-staged-repair-residual-large

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula

This case report demonstrates the removal of an intravesical Gellhorn pessary and management of a large vesicovaginal fistula. A 79-year-old woman with a ...

University of Texas Southwestern Medical Center

The corona mortis is a variant vascular anastomosis that crosses behind the superior pubic ramus connecting the external and internal iliac vessels. Its location with respect to key landmarks in the retropubic space varies. This case demonstrates a life-threatening hemorrhage following an anterior vaginal wall suspension due to needle passer injury of the corona mortis successfully managed with endovascular embolization. Surgeons operating in the retropubic space need to be cognizant of this vascular variant and potential for significant bleeding when injured. Prompt vascular control either endovascularly or with open exploration is critical in preventing patient mortality.

Corona mortis injury during anterior vaginal wall suspension: A case report.

Macroplastique® is a periurethral bulking agent used for the treatment of female stress urinary incontinence. It is composed of polydimethylsiloxane macroparticles suspended in a polyvinylpyrolidone carrier to allow injection. The patient in this case report had increased 18F-FDG avidity on PET scan at the site of prior Macroplastique® injection. This avidity was likely due to a local inflammatory response and did not represent an occult malignancy. Keen clinical judgement is necessary when this PET-avid area is demonstrated in women with prior bulking therapy as this is an incidental benign finding that does not require further invasive management.

Macroplastique® for stress urinary incontinence lights up as a PET-avid urethral lesion: A case report.

Female urethral strictures (FUS) present with nonspecific urinary symptoms and are often initially managed with urethral dilation despite poor long-term efficacy. Buccal mucosa graft (BMG) urethroplasty remains underutilized in the treatment of FUS. We report our early and medium-term outcomes using dorsal-onlay BMG urethroplasty for FUS.

Dorsal-onlay buccal mucosal graft urethroplasty for female urethral stricture: a single-center experience.

To evaluate the potential stone-preventative effects of apple cider vinegar (ACV) supplementation on 24-h urinary citrate, pH, and volume.

Article	Year
Corona mortis injury during anterior vaginal wall suspension: A case report. Case reports in women's health\| PubMed ID: 39070756	2024
Macroplastique® for stress urinary incontinence lights up as a PET-avid urethral lesion: A case report. Case reports in women's health\| PubMed ID: 39314984	2024
Dorsal-onlay buccal mucosal graft urethroplasty for female urethral stricture: a single-center experience. International urology and nephrology\| PubMed ID: 40987975	2026
Apple cider vinegar for prevention of urinary lithiasis (APUL): a randomized crossover trial. International urology and nephrology\| PubMed ID: 41351751	2025

Christine Herforth

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