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Turner-Warwick Vagino-Obturator Shelf Urethral Repositioning Procedure

  • Richard Turner-Warwick
Chapter
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)

Abstract

The vagino-obturator shelf (VOS) urethral repositioning operation (Turner-Warwick 1969, 1986) was a urodynamically conceived procedure (Turner-Warwick et al. 1974; Turner-Warwick 1978) designed to reposition the urethra and the bladder neck sphincter mechanisms most efficiently, but leaving them free-lying in an elevated position without compromising their occlusive function by fixation or paraurethral tethering. Furthermore, the development of secondary retropubic fibrotic adhesions is positively prevented by interposing a supple omental pedicle graft between the back of the pubis and the urethra; this not only ensures the mobility of the functional movements of the intrinsic sphincter mechanisms in the long term but ensures the circumferential transmission of intra-abdominal pressure changes to the urethra.

Keywords

Bladder Neck Vaginal Wall Anterior Vaginal Wall Vaginal Vault Urethral Sphincter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Farrar D, Turner-Warwick R (1979) Outflow obstruction in the female. Urol Clin North Am 6: 217- 225PubMedGoogle Scholar
  2. Turner-Warwick R (1969) The management of bladder neck dysfunction. In: Riches E (ed) Modern trends in urology. Butterworth, London, pp 295–311Google Scholar
  3. Turner-Warwick R (1978) Impaired voiding efficiency and retention. Clin Obstet Gynecol 5: 193–207Google Scholar
  4. Turner-Warwick R (1986) The Turner-Warwick vagino-obturator shelf urethral repositioning procedure. In: Debruyne FM J, Van Kerrebroeck PEV (eds) Practical aspects of urinary incontinence. Martinus Nijhoff, Dordrecht, pp 100–104CrossRefGoogle Scholar
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Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • Richard Turner-Warwick

There are no affiliations available

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