Narender N. Bhatia

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Twelve patients undergoing radical hysterectomy were comprehensively evaluated urodynamically pre- and postoperatively using sensitive instrumentation, including microtip transducers. Five patients developed genuine stress incontinence, four developed loss of bladder compliance, three developed motor deficits consisting of either inability to relax the(More)
Q-tip tests were carried out on 63 women to determine optimal placement and the effects of bladder fullness and significant anterior vaginal wall relaxation. Significantly higher maximum straining angles were observed when the tip of the Q-tip was placed at the urethrovesical junction or the proximal urethra, compared with placement in the bladder (P less(More)
This review summarizes the available evidence in the literature on the etiology, diagnosis, management, and prevention of vesicovaginal, urethrovaginal, ureterovaginal, vesicocervical, and vesicouterine fistulae. Urogenital fistula is divided by origin: obstetric fistula occurring predominantly in developing countries and iatrogenic fistula, the most common(More)
A rare case of osseous metaplasia of the endocervix and endometrium is discussed with both macroscopic and microscopic evidence of new bone formation in the uterus. History of menstrual irregularities, repeated abortions, infertility with histopathologic evidence of chronic inflammation, and bone formation may be evident in these cases. Various theories of(More)
Twenty-two clinically continent women with severe genitourinary prolapse were evaluated urodynamically to determine the prevalence of urodynamic abnormalities that could lead to potential urinary incontinence. Urodynamic testing found an occult incontinence disorder in 13 women (59%), of whom four had urine loss during cough pressure profiles after pessary(More)
OBJECTIVES Grafts are used for vaginal repair after prolapse, but their use to carry stem cells to regenerate vaginal tissue has not been reported. In this study, we investigated whether 1) muscle-derived stem cells (MDSC) grown on small intestinal submucosa (SIS) generate smooth-muscle cells (SMC) in vitro and upon implantation in a rat model of vaginal(More)
PURPOSE OF REVIEW The proper diagnosis of intrinsic urethral sphincteric deficiency among women with urinary incontinence carries important implications for determining the most effective medical or surgical therapy. Numerous diagnostic tests have been described attempting to make an accurate and comprehensive assessment of urethral function, but all suffer(More)
A disposable suturing instrument is used in our surgical method for sacrospinous vault suspension to facilitate suture placement and retrieval. The pararectal space is dissected and the suturing device is placed just medial to the lateral third of the sacrospinous ligament-coccygeus muscle complex. Depression of the device's firing button advances a(More)
In a prospective study, 2 gm of conjugated estrogen vaginal cream was administered daily for a total of 6 weeks in a group of 11 postmenopausal women with urodynamically proved genuine stress incontinence. Midurethral cytologic studies and a complete clinical and urodynamic evaluation were performed twice at 6-week intervals. Clinically, six of the 11(More)
Literature reports of preoperative and postoperative urodynamic evaluations of women with genuine stress incontinence note a lack of effect of the surgical procedure on urethral functional length the closure pressure. This report indicates a different experience. Postoperative urodynamics 4 to 12 months following retropubic urethropexy in this group of(More)