title: Urinary incontinence after radical vulvectomy treated with Macroplastique implantation.
abstract: Postradical vulvectomy urinary incontinence is a common surgery-related complication, especially after subtotal urethrectomy. However, only 1 trial has been reported in the previous literature that described a case of total urinary incontinence treated with an Aldridge sling operation. We present 2 cases of patients affected by postradical vulvectomy, with partial urethral resection and total incontinence successfully treated by transurethral Macroplastique injection. This procedure could be considered as a valid, minimally invasive surgical option to improve the well-being of patients with vulvar cancer affected by postradical vulvectomy urinary incontinence, especially in elderly patients at high operative risk.
authors.affiliation: Department of Obstetrics and Gynecology, La Sapienza University of Rome, Rome, Italy. francescoplotti@tiscali.it
authors.forename: Francesco
authors.initials: F
authors.lastname: Plotti
authors.forename: Marzio Angelo
authors.initials: MA
authors.lastname: Zullo
authors.forename: Innocenza
authors.initials: I
authors.lastname: Palaia
authors.forename: Roberto
authors.initials: R
authors.lastname: Angioli
authors.forename: Pierluigi Benedetti
authors.initials: PB
authors.lastname: Panici
mesh_terms: D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019736:Prostheses and Implants; D012826:Silicone Elastomers / Q000627:therapeutic use*; D014521:Urethra / Q000601:surgery; D014522:Urethral Diseases / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*; D014844:Vulva / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery*
chemical_list: D012826:Silicone Elastomers