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International Urogynecology Journal

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https://www.readbyqxmd.com/read/28083714/effectiveness-of-btx-a-and-neuromodulation-in-treating-oab-with-or-without-detrusor-overactivity-a-systematic-review
#1
REVIEW
Suneetha Rachaneni, Pallavi Latthe
INTRODUCTION AND HYPOTHESIS: Patients with refractory overactive bladder (OAB) pose a therapeutic challenge. Guidelines such as those from the National Institute for Health and Care Excellence recommend invasive treatments such as botulinum toxin-A ((BTX-A), sacral neural stimulation (SNS) etc. only if there is detrusor overactivity (DO) on urodynamics. METHODS: Our aim was to systematically evaluate evidence based on the presence or absence of DO in relation to differences in effectiveness and complications related to invasive treatment in patients with refractory OAB...
January 12, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28083713/is-levator-hiatus-distension-associated-with-peripheral-ligamentous-laxity-during-pregnancy
#2
Bertrand Gachon, Xavier Fritel, Laetitia Fradet, Arnaud Decatoire, Patrick Lacouture, Henri Panjo, Fabrice Pierre, David Desseauve
INTRODUCTION AND HYPOTHESIS: The impact of pregnancy on pelvic floor disorders remains poorly understood. During pregnancy, an increase in ligamentous laxity and pelvic organ mobility is often reported. Our main objective was to investigate a possible association between peripheral ligamentous laxity and levator hiatus (LH) distension during pregnancy. METHODS: This was a prospective longitudinal study of 26 pregnant women followed up from the first to the third trimester...
January 12, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28083712/pelvic-floor-morphometry-a-predictor-of-success-of-pelvic-floor-muscle-training-for-women-with-stress-and-mixed-urinary-incontinence
#3
Chantale Dumoulin, An Tang, Stéphanie Pontbriand-Drolet, Stephanie J Madill, Mélanie Morin
INTRODUCTION AND HYPOTHESIS: The aim of this study was to determine if pelvic floor muscle (PFM) morphometry at baseline, as measured by MRI, can predict response to PFM training in women with stress or mixed urinary incontinence (UI). METHODS: This study was a prospective quasi-experimental pre-test, post-test cohort study of women with UI, aged 60 years and older. All participants completed a baseline assessment of UI severity and impact, using the 72-h bladder diary and the Incontinence Impact Questionnaire...
January 12, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28070600/transvaginal-sacrospinous-ligament-fixation-for-posthysterectomy-vaginal-vault-prolapse-repair
#4
Rodolfo Milani, Matteo Frigerio, Stefano Manodoro
INTRODUCTION AND HYPOTHESIS: Posthysterectomy vaginal vault prolapse repair is a challenge for urogynecologists. Surgical management can be successful with native tissue by the vaginal approach with sacrospinous ligament fixation. However, severe complications have been described, including nerve injury and life-threatening hemorrhage. METHODS: A 68-year-old woman with symptomatic stage III vaginal vault prolapse was admitted for transvaginal sacrospinous ligament fixation according to the described technique...
January 9, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28062904/turkish-adaptation-of-the-pelvic-organ-prolapse-symptom-score-and-its-validity-and-reliability
#5
Nuriye Özengin, Serap Kaya, Ceren Orhan, Yeşim Bakar, Bülent Duran, Handan Ankaralı, Türkan Akbayrak
INTRODUCTION AND HYPOTHESIS: The purpose of this study was to adapt the Pelvic Organ Prolapse Symptom Score (POP-SS) into Turkish and evaluate its reliability and validity. METHODS: The POP-SS was adapted into Turkish by following the steps of the intercultural adaptation process. One hundred and three women with symptomatic or asymptomatic pelvic organ prolapse (POP) completed the Turkish POP-SS and other valid and reliable Turkish tools for POP: Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), Colorectal-Anal Distress Inventory 8 (CRADI-8), Urinary Distress Inventory 6 (UDI-6), Pelvic Floor Distress Inventory 20 (PFDI-20), and Pelvic Organ Prolapse Impact Questionnaire 7 (POPIQ-7)...
January 6, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28062903/norwegian-translation-and-validation-of-the-pelvic-floor-distress-inventory-pfdi-20-and-the-pelvic-floor-impact-questionnaire-pfiq-7
#6
Catherine J Teig, Margreth Grotle, Malcolm J Bond, Cecilia A C Prinsen, Marie A Ellström Engh, Milada S Cvancarova, Møyfrid Kjøllesdal, Angelita Martini
INTRODUCTION AND HYPOTHESIS: The goal was to translate into Norwegian, and validate, short versions of the Pelvic Floor Distress Inventory (PFDI-20) and the Pelvic Floor Impact Questionnaire (PFIQ-7) using a sample of women with symptomatic pelvic organ prolapse and pelvic floor dysfunction. METHODS: Modified European Organization for Research and Treatment of Cancer Guidelines were used for translation and cultural adaptation. Of 212 eligible Norwegian women who consented to participate, 205 completed the questionnaires, of whom 50 were retested after 1 - 3 weeks, and 76 were tested 6 months after surgery...
January 6, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28062902/transvaginal-excision-of-complete-vaginal-septum-with-hysterectomy-in-a-nulliparous-woman-with-uterus-didelphys
#7
Peter L Dwyer, Debjyoti Karmakar
No abstract text is available yet for this article.
January 6, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28039517/solvent-dehydrated-dermal-allograft-axis%C3%A2-augmented-cystocele-repair-longitudinal-results
#8
Saad Juma, Omer A Raheem
INTRODUCTION AND HYPOTHESIS: Surgical repair options for pelvic organ prolapse (POP) include native tissue, allograft, xenograft, and synthetic grafts. Solvent-dehydrated dermal allograft (SDDG) has an improved safety profile. We evaluated the long-term safety and efficacy of SDDG use for cystocele repair. METHODS: A total of 184 patients completed a minimum follow-up of 12 months. Incontinence Impact Questionnaire (IIQ), Urogenital Distress Inventory (UDI), and Visual Analogue Scale (VAS) were used pre and post operatively...
December 30, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28035444/multimodal-vaginal-toning-for-bladder-symptoms-and-quality-of-life-in-stress-urinary-incontinence
#9
Sarah de la Torre, Larry E Miller
INTRODUCTION AND HYPOTHESIS: Treatment options for women with stress urinary incontinence (SUI) have limitations. We hypothesized that multimodal vaginal toning therapy would improve bladder symptoms and quality of life in women with postpartum SUI and sexual function complaints. METHODS: Patients self-administered 24 sessions of multimodal vaginal toning therapy lasting 10 min each over 50 days. Outcomes included 1-h pad weight test, Urogenital Distress Inventory Short Form (UDI-6), Incontinence Impact Questionnaire-Short Form (IIQ-7), Female Sexual Distress Scale-Revised 2005 (FSDS-R), Female Sexual Function Index (FSFI), pelvic floor muscle strength, patient satisfaction, and adverse events...
December 29, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28035443/effect-of-mesh-width-on-apical-support-after-sacrocolpopexy
#10
Sunil Balgobin, Joseph L Fitzwater, Donald D McIntire, Imelda J Delgado, Clifford Y Wai
INTRODUCTION AND HYPOTHESIS: We evaluated the effect of polypropylene mesh width on vaginal apical support, mesh elongation, and mesh tensile strength for abdominal sacrocolpopexy. METHODS: Abdominal sacrocolpopexy was performed on ten cadavers using pieces of polypropylene mesh of width 1, 2, and 3 cm. Weights of 1, 2, 3, and 4 kg were sequentially applied to the vagina. The total distance moved by the vaginal apex, and the amount of stretch of the intervening mesh segment between the sacrum and the vagina were recorded for each width...
December 29, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28035442/pelvic-organ-prolapse-prevalence-and-risk-factors-in-a-brazilian-population
#11
Wagner Horst, Juliana Barros do Valle, Jean Carl Silva, Carmem Luíza Lucht Gascho
INTRODUCTION AND HYPOTHESIS: Although pelvic organ prolapse (POP) is a prevalent condition among Brazilians, population-based epidemiological studies of POP are scarce. We studied POP in a population of women undergoing routine examination to determine its prevalence, distribution and relationship to risk factors. METHODS: This quantitative descriptive study surveyed 432 women, based on prolapse prevalence, who sought routine care and were assessed for prolapse staging using the Pelvic Organ Prolapse Quantification system (POP-Q)...
December 29, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28035441/continuous-recording-of-intrarectal-pressures-during-the-second-phase-of-labour-correlations-with-postpartum-pelvic-floor-complaints-a-biomechanical-clinical-study
#12
Sylvain Meyer, François Salchli, Patrick Hohlfeld, David Baud, Yvan Vial, Chahin Achtari
INTRODUCTION AND HYPOTHESIS: We correlated intrarectal pressure parameter recordings during the second phase of labour in primiparous women with postpartum pelvic floor (PF) complaints to try to define a critical pressure threshold for the occurrence of permanent PF injury. METHODS: Using a microsystem device, the duration of bearing-down efforts, the area under the pressure curve and the peak pressure during bearing-down efforts were continuously recorded in 43 women with spontaneous delivery (group one) and in 17 women with forceps-assisted delivery (group two)...
December 29, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28035440/in-vivo-polypropylene-mesh-degradation-is-hardly-a-myth
#13
LETTER
Margaret Thompson, Scott Guelcher, Robert Bendavid, Vladimir Iakovlev, Donald R Ostergard
No abstract text is available yet for this article.
December 29, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28035439/reply-to-in-vivo-polypropylene-mesh-degradation-is-hardly-a-myth
#14
LETTER
Shelby F Thames, Joshua B White, Kevin L Ong
No abstract text is available yet for this article.
December 29, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28032189/commentary-on-behavior-of-perineum-during-delivery-before-fetal-head-expulsion
#15
LETTER
Zdenek Rusavy, Vladimir Kalis
No abstract text is available yet for this article.
December 28, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28032188/skene-s-gland-cyst-a-simple-marsupialization-technique
#16
Martin Laura, Chandrasekaran Neeraja, Benardete Denise, Cariello Lisa, Davila Guillermo Willy
INTRODUCTION AND HYPOTHESIS: We present a simple approach to the marsupialization of a Skene's gland cyst. METHODS: Our technique facilitates suture placement to exteriorize the cyst wall to efficiently treat a distal Skene's gland cyst and reduce the risk of recurrence. CONCLUSION: Marsupialization is an accepted option for the surgical management of Skene's gland cyst. This technique is an effective and streamlined approach to Skene's gland marsupialization...
December 28, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28025686/contasure-needleless%C3%A2-compared-with-monarc%C3%A2-for-the-treatment-of-stress-urinary-incontinence
#17
Sergi Fernandez-Gonzalez, Eva Martinez Franco, Xinxin Lin Miao, Lluis Amat Tardiu
INTRODUCTION AND HYPOTHESIS: For the treatment of stress urinary incontinence (SUI), various retropubic and transobturator techniques have demonstrated high cure rates. Single-incision tapes, such as Contasure-Needleless® (C-NDL), have demonstrated similar cure rates to the inside-out transobturator sling (TVT-O®). The aim of this study was to analyse if C-NDL® is equally as effective as an outside-in transobturator sling (Monarc®) for the treatment of SUI. METHODS: We carried out a prospective, single-centre, randomised trial...
December 26, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28025685/comparison-of-pelvic-floor-muscle-strength-in-nulliparous-women-and-those-with-normal-vaginal-delivery-and-cesarean-section
#18
Poorandokht Afshari, Fariba Dabagh, Mina Iravani, Parvin Abedi
INTRODUCTION AND HYPOTHESIS: Weakness of the pelvic floor is quite common among women, and may occur following childbirth. The aim of this study was to compare pelvic floor muscle strength in women of reproductive age who were nulliparous or who had a cesarean section or normal vaginal delivery. METHODS: In this cross-sectional study, 341 women including 96 nulliparous women, 73 women with a history of normal vaginal delivery with and without episiotomy, and 172 women with a history of elective or emergency cesarean section were recruited randomly from public health centers in Ahvaz, Iran...
December 26, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28025684/utility-of-anterior-vaginal-wall-length-measurement-in-vaginal-reconstructive-surgery
#19
Amy F Collins, Paula J Doyle, Smitha Vilasagar, Gunhilde M Buchsbaum
INTRODUCTION AND HYPOTHESIS: The pelvic organ prolapse quantification system (POP-Q) is the most commonly used method to quantify the extent of pelvic organ prolapse. However, it does not include assessment of anterior vaginal wall length (AVL). The objectives of this study were to characterize AVL and distance to the sacrospinous ligament (SSL), and to examine associations between total vaginal length (TVL), AVL, body mass index (BMI) and age. METHODS: This was a retrospective chart review of 139 patients with cervix in situ presenting during an 8-month period for initial evaluation to the University of Rochester Medical Center Urogynecology practice...
December 26, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28025683/why-do-we-argue-about-route-of-hysterectomy-a-call-for-dialogue
#20
EDITORIAL
Andrew J Walter
No abstract text is available yet for this article.
December 26, 2016: International Urogynecology Journal
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