The cause of UI is considered to be multifactorial, including disruption in connective tissue supports of the urethrovesical
junction leading to urethral hypermobility, pelvic floor muscle weakness, nerve damage to the urethral rhabdosphincter related to pudendal neuropathy or pelvic plexopathy, and atrophic changes of the urethra mucosa and submucosa.
anastomosis was done continuously using two 15 cm 3-0 V-lock sutures, and an 18-French Foley catheter with 10 mL balloon was inserted.
An ostium containing a stone in the posterior proximal urethra to the left of midline just distal to the urethrovesical
junction was visualized via cystoscopy (Figure 1C).
The effect of uterovaginal prolapse on urethrovesical
The pubocervical fascia originates at the arcus tendineus on the pelvic side wall and supports the urethra, the urethrovesical
junction, and the bladder base.
It plays an important role to provide a firm base to maintain the proper position of the urethrovesical
junction, particularly during straining, to fill the organ-organ and the muscle-organ spaces in the pelvic floor by suspending the organs to the pelvic wall and muscles , and to prevent the urethral and the bladder hypermobility .
As such, urologists are advised for caution when suturing the anterior portion of the urethrovesical
anastomosis to avoid any injury to the pubic mantle.
With progression along the RARP learning curve, improvements may be seen in various domains, including operative time, estimated blood loss, positive surgical margin rate, urethrovesical
anastomosis time, complications, length of hospital stay, transfusion rate, early continence, potency, and conversion rate.
Abdominal cavity was opened by a midline incision to expose the urethrovesical
Increased bladder pressure may also narrow the urethrovesical
angle (between the female urethra and the posterior bladder wall), which is normally about 90 degrees (Dutton 1960; Tapp et al., 1988).
Incontinence pessaries "manually support and stabilize the urethrovesical
junction, which the vaginal sling repair accomplishes surgically" (Roehl & Buchanan, 2006, p.
When the catheter balloon is filled with 10 mm of fluid and gently pulled back, the urethrovesical
junction can be identified.