Pelvic Reconstruction Glossary


Acute incontinence The sudden onset of episodes of involuntary loss of urine, usually associated with an acute illness or physical inability to reach a toilet or toilet substitute.

Allograft Source is from the same species.

Anterior Front side.

Autograft Source is from the patient’s own body.

Bladder Capacity Amount of fluid bladder can hold.

Bladder Compliance Ability of bladder to expand to accommodate urine.

Coaptation The adjustment of separate parts to each other, as in two sections of tissue.

Continuous in-dwelling catheterization Catheterization in which the catheter is left in the patient for several days at a time without changing.  It is connected to a collection bag, which has to be emptied regularly.

Cystocele Bladder herniating through a defect in the Anterior Vaginal Wall.

Cystometrogram Measurement of pressure in bladder in  relations to volume of fluid.

Cystometrogram (CMG) The graphic representation of intravesical(bladder) pressure as a function of volume.

Cystometry The study of bladder filling and storage.

Detrusor The outer, largely longitudinally arranged musculature of the bladder wall (also referred to as the detrusor muscle).

Distal Far from the point of attachment or origin.

Dysinergia Condition in which bladder and urethra muscles contract at the same time.

Electromyography The recording and study of skeletal muscle activity, specifically the external sphincter and perineal floor musculature, by means of surface or needle electrodes to determine whether the muscle is contracting.

End point The point at which a sufficient amount of Contigen implant has been injected to achieve coaptation (defined below).

Enterocele Small intestine herniating through a defect in the Apex of the vagina.

Estrogen Hormone given to restore elasticity and thickness to the urethral mucosa.

External sphincter The voluntary, striated skeletal muscle sphincter derived from the musculature of the urogenital diaphragm.

Fascia Sheet of fibrous connective tissue appearing beneath the skin and enveloping vessels, nerves, glands, and forming tendon sheaths.

Fibrous Containing, consisting of, or resembling fibers.

Functional incontinence Incontinence due to an inability to reach a toilet at the appropriate time.  This typically occurs in patients who are confined to a bed due to a physical impairment such as broken bones.

Hematuria The presence of blood or blood cells in the urine.

HMDI Hexamethylene Diisocyanate, chemical which PelvicolTM is crosslinked with

Homologous Similar in genetic makeup

Internal meatus The internal opening between the bladder and the urethra.

Internal sphincter The involuntary smooth muscle sphincter.

Intravesical Pressure The total pressure inside the bladder; it consists of three components:  detrusor pressure, intra-abdominal pressure, and hydrostatic pressure due to the weight of urine in the bladder.

Intrinsic sphincter deficiency Type of stress incontinence attributable to  (ISD) sphincter muscle incompetence.  It is also known as poor or nonfuctioning urethral closure mechanism, or Type III stress incontinence.

Leak Point Pressure Abdominal pressure exerted in the bladder required to make a patient leak

Levator Ani Main muscle group supporting the pelvic floor.

Paravaginal defect Defect to the side wall of the Vagina.

Pelvic Prolapse The herniation of various portions of the vaginal wall.

Plication To suture together.

Post Void Residual Amount of urine left in bladder after voiding.

Posterior Back side.

Pubocervical Fascia Fascial Plane seperating bladder and vagina.

Pubovaginal Sling Procedure for the treatment of stress incontinence in which the urethra is suspended with a piece of tissue or synthetic material

Rectocele Rectum herniating through a defect on the Posterior Vaginal Wall.

Rectovaginal Fascia Fascial plane seperating rectum and vagina

Sacral An area in relation to the base of the vertabral column.

Stress Incontinence Involuntary loss of urine due to abdominal pressure.

Urodynamics Study of the function of the urinary tract and its associated nervous system.

Uroflowmetry Measurement of urine flow rate - used to determine voiding function.

Xenograft Source is another species.

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