Abstract

644Urological Surveyinteractions as being truly sex. It seems that even when the brief interaction only includes sexual fondling or kissing, the interaction is felt to be classified as a hookup. Disconcerting for those hopelessly in love with one special person is that friends and acquaintances compromise 70% of the hookups and even strangers (14%) had a higher degree of hooking up than did ex-boyfriends (12%). Of specific interest to the urologist is the nota-tion that condom use was never used for oral sex during these hookups and surprisingly in only 69% of those interactions involving vaginal sex. This statistic is of particular value to remember when examining a young female patient with the potential presentation of the first occurrence of genital herpes or paroxysmal voiding symptoms. The article is well worth the read especially with regards to the discussion and comparison of the characteristics of the casual affair versus the romantic relationship.

Highlights

  • Adjustable continence therapy (ACT) was developed to treat female stress urinary incontinence resulting from intrinsic sphincter deficiency by increasing urethral resistance

  • Materials and Methods: The adjustable continence device consists of 2 silicone balloons on either side of the proximal urethra under the bladder neck, each attached to a titanium port buried in the labia to allow postoperative titration

  • Relative ease of insertion and the ability to tailor this therapy to individual needs makes this an attractive option for the challenging treatment for recurrent stress urinary incontinence due to intrinsic sphincter deficiency

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Summary

Introduction

Adjustable continence therapy for severe intrinsic sphincter deficiency and recurrent female stress urinary incontinence: long-term experience Kocjancic E, Crivellaro S, Ranzoni S, Bonvini D, Grosseti B, Frea B Department of Urology, College of Medicine, University of Illinois, Chicago, Illinois 60612, USA J Urol. Purpose: Adjustable continence therapy (ACT) was developed to treat female stress urinary incontinence resulting from intrinsic sphincter deficiency by increasing urethral resistance. Materials and Methods: The adjustable continence device consists of 2 silicone balloons on either side of the proximal urethra under the bladder neck, each attached to a titanium port buried in the labia to allow postoperative titration.

Results
Conclusion
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