Special Surgical Procedures II LESSON 3: Procedures in Genitourinary Surgery Section Iv: operations on the bladder and prostate
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3-27. VISICAL-URETHRAL SUSPENSION (MARSHALL-MARCHETTI OPERATION)
a. General. This operation involves the suspension of the bladder neck to the posterior surface of the pubis in the female patient for treatment of stress incontinence.
b. Patient Preparation. The patient is usually placed in a supine position with Trendelenburg modification, but the surgeon may prefer a frogleg modification and vaginal preparation with the insertion of a Foley catheter.
c. Operative Procedure.
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