Urethral failure is a critical factor in female urinary incontinence. Now what? - 11/07/2022
Funding information
National Institute of Diabetes and Digestive and Kidney Diseases, Grant/Award Numbers: RC2 DK 122379, K01 DK 121866
THE CASE AGAINST urethral failure is not a critical factor in female urinary incontinence. Now what? The integral theory system - 11/07/2022
Subject of the Debate: "Urethral failure is a critical factor in female urinary incontinence Now what?" The CASE FOR by Hokanson, DeLancey pinpointed inadequacy of bladder causation for urgency urinary incontinence (UUI) and poor urethral support for stress urinary incontinence (SUI) as responsible for longstanding lack of progress in incontinence science. They proposed "Urethral failure" as causation for SUI and UUI. The CASE AGAINST, by Peter Petros agrees "abnormal detrusor function as cause for (UUI) is a failed concept, and SUI surgery results are sometimes suboptimal, but rejects "urethral failure" as cause for UUI and SUI. In answer to, "Now what?," Petros presents the Integral Theory
System. SUI and UUI are dysfunctions of the bladder's binary control mechanism, mainly ligament laxity because of defective collagen/elastin. The urethra is an emptying tube. Pelvic muscle forces reflexly contract against ligaments to close urethra, open it (micturition) and stretch the vagina underlying urethelial stretch receptors to mechanically support them, preventing premature activation of micturition (UUI). High validated cure rates for SUI and UUI by repair of weakened ligaments question viability of the "urethral failure" concept.
COVID-19 Infection Is Associated With New Onset Erectile Dysfunction: Insights From a National Registry - 11/07/2022
Introduction: The short- and long-term effects of coronavirus disease 2019 (COVID-19) on erectile function and penile vasculature remains poorly understood and is of particular importance as the virus has been found to be present within the penile tissue.
Outcomes of a Noninferiority Randomised Controlled Trial of Surgery for Men with Urodynamic Stress Incontinence After Prostate Surgery (MASTER) - 19/04/2022
Article info
Article history: Accepted January 17, 2021
Associate Editor: James Catto
What Happens to the Preserved Renal Parenchyma After Clamped Partial Nephrectomy? - 19/04/2022
Article info
Article history: Accepted December 30, 2021
Associate Editor: James Catto
Statistical Editor: Rodney Dunn
Penoscrotal Decompression: A New Surgical Option for Prolonged Ischemic Priapism - 01/03/2022
Artigo dos autores Samantha W. Nealon, MD; Shervin Badkhshan, MD, MBA; Allen F. Morey, MD, publicado em 01/03/2022.
Risk of cancer in regular and low meat-eaters, fsh-eaters, and vegetarians: a prospective analysis of UK Biobank participants - 24/02/2022
Artigo "open access" publicado pela BMC Medicine.
SBU-PR
Sociedade Brasileira de Urologia - Secção Paraná
