ISSN Print 2500–1094
ISSN Online 2542–1204
Bulletin of RSMU
BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)
ORIGINAL RESEARCH
The use of synthetic slings in surgical treatment of epispadias in boys
About authors
Scientific Research Institute of Pediatric Surgery,
Pirogov Russian National Research Medical University, Moscow, Russia
Correspondence should be addressed: Alexander Demidov
Shmitovskiy pr-d, d. 29, str. 3, Moscow, Russia, 123317; ur.tsil@01lavodimed
Received: 2016-10-12
Accepted: 2016-10-21
Published online: 2017-01-05
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Fig. 1. Cantwell’s phallourethroplasty: (A) penis before the surgery; (B) the final stage of the surgery, with Foley catheter Ch10 inserted
Fig. 2. Implantation of the TVT-O synthetic sling: (A) placement of the sling: the Prolene tape is placed under the bulbous urethra, the ends are brought out through the obturator foramen; (B) final appearance after the surgery: perineal skin sutures and tape exit sites
Fig. 3. Implantation of the TVT synthetic sling performed on a boy with epispadias: TVT tape exit sites on the anterior abdominal wall
Fig. 4. Implantation of the AdVance synthetic sling. (A) the bulbous urethra is isolated; (B) preparing to fix the synthetic tape over the urethra
The sling is placed over the bulbous urethra and pulled until urine leakage induced by an increase in intra-abdominal pressure fully stops.
Fig. 5. Patient Ch., 8 years. Cough urethral pressure profile prior to sling surgery
Reduction of urethral pressure gradient to 40 cm water (normal values are 70–100 cm water), significant pressure reduction on exertion.
Fig. 6. Patient Ch., 8 years. Cough urethral pressure profile 12 months after sling surgery
Urethral pressure gradient is 100 cm water, with high gradient of pressure profile on exertion
