BACKGROUND: The article presents data on the frequency of recurrence of urinary incontinence in women after the installation of a synthetic implant, as well as methods for the surgical elimination of this pathology. The described urogynecological problem is relevant and widespread. MATERIALS AND METHODS: The results of surgical treatment of 16 women with pelvic organ prolapse and recurrent urinary incontinence after sling operations are presented. All patients underwent laparoscopic colpovesicosuspension. RESULTS: In the postoperative period positive dynamics was noted during the examination using the POP-Q system and the results of the questionnaire using the ICIQ-SF questionnaire, which was observed throughout the follow-up period of 12 months. Complications in the immediate and long-term postoperative period were not identified. For the entire period of observation of the patients, recurrence of prolapse was not observed in any case. CONCLUSION: The proposed method of surgical treatment of recurrence of urinary incontinence in women with mesh implants is effective and safe.

Isolated varicocele on the right is a fairly rare disease, often associated with neoplastic processes affecting the spermatic vein system. According to new data, there is no clear relationship between varicocele on the right and neoplasms. Thus, the etiology isjustifiably related to other conditions. Mirror transposition of internal organsis one of them. Situs inversus totalis (SIT) is a rare autosomal recessive congenital anomaly with an incidence of 1 in 10,000 newborns. The etiology of right varicocele in SIT, given the structure of the right spermatic vein that flows into the renal, with the exclusion of other causes, can be considered similar to left varicocele in normal men, including venous valve insufficiency and venous pressure difference. Indications for surgery and the choice of surgical technique also do not differ. The fact of the rarity of published materials on the treatment of varicocele on the right side against the background of SIT prompted us to share this clinical case.

This article describes the causes of vascular abnormality of the upper urinary tract, arteriovenous malformation of the kidneys, its variants, possible clinical manifestations, methods of diagnosis of this condition, as well as ways to eliminate hemorrhagic complications caused by this pathology. The main method of correction of arteriovenous malformation is superselective embolization of vessels of the malformation zone. This clinical example presents a rare case of surgery in which embolization was unacceptable due to technical difficulties associated with the complexity of vascular angioarchitectonics, with the impossibility of superselective entry into varix through the arterial channel. In this regard, endovascular surgeons and urologists had to use a combined approach – percutaneous varix puncture with the introduction of a spiral and an embolizing substance through a puncture needle under the control of selective angiography of the branches of the renal artery.

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