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Pelvic organ prolapse, female urinary incontinence

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https://www.readbyqxmd.com/read/29757572/comparison-of-the-kelly-s-plication-and-tot-simultaneously-with-vaginal-hysterectomy-on-the-incontinence-and-sexual-functions
#1
Neslihan Bayramoglu Tepe, Omer Bayrak, Huseyin Caglayan Ozcan, Mete Gurol Ugur, Ilker Seckiner
PURPOSE: To compare the effect of vaginal hysterectomy-anterior/posterior colporrhaphy with Kelly's plication(VH-KP), versus vaginal hysterectomy-anterior/posterior colporrhaphy-transobturator tape(VH-TOT) surgeries on incontinence, quality of life, and sexual functions in patients with pelvic organ prolapse(POP), and concurrent obvious stress urinary incontinence(SUI). MATERIALS AND METHODS: Between 2013 and 2017, fifty patients treated with VH-KP(n = 25), and VH-TOT(n = 25) due to POP and SUI, were evaluated prospective consecutively...
May 5, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29687171/sexual-function-after-robot-assisted-prolapse-surgery-a-prospective-study
#2
Femke van Zanten, Cherèl Brem, Egbert Lenters, Ivo A M J Broeders, Steven E Schraffordt Koops
INTRODUCTION AND HYPOTHESIS: Female pelvic organ prolapse (POP) can severely influence sexual function. Robot-assisted surgery is increasingly used to treat POP, but studies describing its effect on sexual function are limited. The objective of this study was to evaluate sexual function after robot-assisted POP surgery. METHODS: This prospective cohort study included all patients who underwent a robot-assisted sacrocolpopexy (RASC) or supracervical hysterectomy with sacrocervicopexy (RSHS)...
April 23, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29672997/sexual-activity-and-quality-of-life-in-japanese-pelvic-organ-prolapse-patients-after-transvaginal-mesh-surgery
#3
Manami Kinjo, Yasukuni Yoshimura, Yasuhide Kitagawa, Takatsugu Okegawa, Kikuo Nutahara
AIM: This study aimed to evaluate sexual activity and quality of life (QOL) after transvaginal mesh (TVM) surgery in Japanese patients with pelvic organ prolapse (POP). The objective cure rate and associated complications were also investigated. METHODS: The cases of patients who underwent TVM surgery were retrospectively analyzed. QOL was assessed using the Prolapse Quality of Life Questionnaire (P-QOL), and sexual function was evaluated using the Female Sexual Function Index (FSFI) before surgery and 12 months after surgery...
April 19, 2018: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29664125/formal-sacrocolpopexy-reduces-hypercontinence-rates-in-female-neobladder-formation
#4
Gillian Stearns, Timothy Donahue, Ali Fathollahi, Guido Dalbagni, Jaspreet Sandhu
AIMS: Continent urinary diversion is preferred by some patients and orthotopic urinary diversion (OUD) has become the procedure of choice for most men following cystectomy for invasive bladder cancer. OUD in women, however, is less common, likely due to a high rate of hypercontinence (HC), potentially from lax support of pelvic structures similar to pelvic organ prolapse. As such, we evaluated if abdominal sacrocolpopexy (ASC) at the time of OUD in women led to decreased rates of HC. METHODS: A retrospective review of all female patients receiving OUD by a single surgeon and ASC was performed...
April 17, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29604548/non-ablative-er-yag-laser-therapy-effect-on-stress-urinary-incontinence-related-to-quality-of-life-and-sexual-function-a-randomized-controlled-trial
#5
Mija Blaganje, Darija Šćepanović, Lidija Žgur, Ivan Verdenik, Franja Pajk, Adolf Lukanović
OBJECTIVE: Stress urinary incontinence (SUI) is a common complaint in women after childbirth. It affects their quality of life and sexual satisfaction and is one of the major reasons for gynaecological surgery. There is a need for effective non-invasive treatment alternatives. The aim of this study was to evaluate the efficacy and safety of non-ablative Er:YAG laser therapy in the treatment of SUI and improvement of sexual gratification in parous women. STUDY DESIGN: 114 premenopausal parous women with SUI were randomized in two groups of 57 women; a laser intervention group and sham group...
May 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29532126/the-manchester-procedure-anatomical-subjective-and-sexual-outcomes
#6
Sissel Hegdahl Oversand, Anne C Staff, Ellen Borstad, Rune Svenningsen
INTRODUCTION AND HYPOTHESIS: Classical native-tissue techniques for pelvic organ prolapse (POP) repairs, such as the Manchester procedure (MP), have been revitalized because of vaginal mesh complications. However, there are conflicting opinions regarding sufficient apical (mid-compartment) support by the MP and concerns about the risk of dyspareunia. The aims of this study were therefore to investigate anatomical and patient-reported outcomes 1 year after MP. METHODS: Prospective cohort study of 153 females undergoing an MP for anterior compartment POP between October 2014 and June 2016...
March 12, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29529952/surgically-induced-weight-loss-results-in-a-rapid-and-consistent-improvement-of-female-pelvic-floor-symptoms
#7
Avner Leshem, Asnat Groutz, Hadar Amir, David Gordon, Mordechai Shimonov
OBJECTIVE: The aim of this study was to evaluate the effect over time of bariatric surgery on female pelvic floor symptoms. METHODS: In total, 160 consecutive adult women were requested to complete four anonymous questionnaires [International Consultation on Incontinence Questionnaire (ICIQ), Bristol Female Lower Urinary Tract Symptoms (BFLUTS), Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12)] before bariatric surgery and at 3-6 months and 12-24 months postoperatively...
March 13, 2018: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/29500516/modified-laparoscopic-pectopexy-short-term-follow-up-and-its-effects-on-sexual-function-and-quality-of-life
#8
Ali Emre Tahaoglu, Mehmet Sait Bakir, Nurullah Peker, İhsan Bagli, Ahter Tanay Tayyar
INTRODUCTION AND HYPOTHESIS: This study examined the early outcomes of laparoscopic (LS) pectopexy and evaluated its effects on female sexual function and quality of life (QoL). METHODS: Twenty-two patients with apical prolapse who underwent LS pectopexy were included. Outcomes of the procedure were noted; the Female Sexual Function (FSFI) and Prolapse Quality of Life (P-QOL) questionnaires were completed preoperatively and 6 months postoperatively. RESULTS: There was no evidence of recurrent prolapse or constipation; the percentages of exacerbation of cystocele, rectocele, de novo stress urinary incontinence (SUI), and de novo urgency (UUI) were 4...
March 2, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29494351/sexual-satisfaction-changes-reported-by-men-after-their-partners-robotic-assisted-laparoscopic-sacrocolpopexies
#9
Patrick J Culligan, Sean Haughey, Christa Lewis, Jennifer Priestley, Charbel Salamon
OBJECTIVES: This study aimed to compare the preoperative and postoperative sexual satisfaction reported by male sexual partners of women undergoing surgical correction of pelvic organ prolapse. METHODS: This was a single-center prospective cohort study. Heterosexual, sexually active English-speaking couples in which the women were planning to undergo robotic-assisted laparoscopic sacrocolpopexy for correction of pelvic organ prolapse were eligible for enrollment in the study...
March 1, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29476354/disparities-in-female-pelvic-floor-disorders
#10
REVIEW
Siobhan M Hartigan, Ariana L Smith
PURPOSE OF REVIEW: Pelvic floor disorders include urinary incontinence, pelvic organ prolapse, fecal incontinence, and other sensory and emptying abnormalities of the lower urinary and gastrointestinal tracts which are widely prevalent among women and largely undertreated. Many disparities exist among women with pelvic floor disorders which may affect prevalence estimates and treatment options offered. RECENT FINDINGS: Findings suggest that there are many disparities among women with pelvic floor disorders including age, race, inadequate knowledge, access to care, and socioeconomic status...
February 23, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29474283/face-female-pelvic-medicine-and-reconstructive-surgery-awareness-campaign-increasing-exposure
#11
Susan A Barr, Catrina C Crisp, Amanda B White, Shazia A Malik, Kimberly Kenton
OBJECTIVE: The aims of this study are to identify screening, treatment, and referral practices of primary care physicians (PCPs) for patients with pelvic floor disorders (PFDs) and evaluate awareness of the Female Pelvic Medicine and Reconstructive Surgery (FPMRS) subspecialty. METHODS: We conducted a cross-sectional survey of PCPs using a random sample of 1005 American College of Physicians members, stratified by demographic region. Electronic survey content included awareness of FPMRS certification, comfort diagnosing and treating PFDs, and PFD referral patterns for PCPs...
March 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29468798/tension-free-vaginal-tape-for-treatment-of-pure-urodynamic-stress-urinary-incontinence-efficacy-and-adverse-effects-at-17-year-follow-up
#12
Andrea Braga, Giorgio Caccia, Paola Sorice, Simona Cantaluppi, Anna Chiara Coluccia, Maria Carmela Di Dedda, Luca Regusci, Fabio Ghezzi, Stefano Uccella, Maurizio Serati
OBJECTIVE: To assess the efficacy and safety of retropubic tension-free vaginal tape (TVT) 17 years after implantation for the treatment of female pure stress urinary incontinence (SUI). PATIENTS AND METHODS: A prospective study was conducted in two urogynaecological units in two countries. All consecutive women with urodynamically proven pure SUI treated by TVT were included. Patients with mixed incontinence and/or anatomical evidence of pelvic organ prolapse were excluded...
February 22, 2018: BJU International
https://www.readbyqxmd.com/read/29454543/characterization-of-the-passive-and-active-material-parameters-of-the-pubovisceralis-muscle-using-an-inverse-numerical-method
#13
M E T Silva, M P L Parente, S Brandão, T Mascarenhas, R M Natal Jorge
The mechanical characteristics of the female pelvic floor are relevant to understand pelvic floor dysfunctions (PFD), and how they are related with changes in their biomechanical behavior. Urinary incontinence (UI) and pelvic organ prolapse (POP) are the most common pathologies, which can be associated with changes in the mechanical properties of the supportive structures in the female pelvic cavity. PFD have been studied through different methods, from experimental tensile tests using tissues from fresh female cadavers or tissues collected at the time of a transvaginal hysterectomy procedure, or by applying imaging techniques...
April 11, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29390218/-surgical-treatment-of-pelvic-organ-prolapse
#14
Leonidas Karapanos, Johannes Salem, Ilgar Akbarov, Axel Heidenreich, Vahudin Zugor
Female pelvic organ prolapse is a widely prevalent condition and is associated with variable morbidity. It encompasses a number of clinical conditions, including subvesical obstruction, overactive bladder symptoms, sexual dysfunction and urinary und fecal incontinence. The prevalence of pelvic insufficiency is estimated to be between 30 and 50 %. As life expectancy is increasing and the elderly population is growing, there will be an increased incidence of the condition and growing demand for pelvic floor treatment in the future...
February 2018: Aktuelle Urologie
https://www.readbyqxmd.com/read/29320316/translabial-us-and-dynamic-mr-imaging-of-the-pelvic-floor-normal-anatomy-and-dysfunction
#15
Luciana P Chamié, Duarte Miguel Ferreira Rodrigues Ribeiro, Angela H M Caiado, Gisele Warmbrand, Paulo C Serafini
Pelvic floor dysfunction (PFD) is a common condition that typically affects women older than 50 years and decreases the quality of life. Weakening of support structures can involve all three pelvic compartments and cause a combination of symptoms, including constipation, urinary and fecal incontinence, obstructed defecation, pelvic pain, perineal bulging, and sexual dysfunction. The causes of PFD are complex and multifactorial; however, vaginal delivery is considered a major predisposing factor. Physical examination alone is limited in the evaluation of PFD; it frequently leads to an underestimation of the involved compartments...
January 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29320304/complications-of-sling-surgery-for-stress-urinary-incontinence-among-female-military-beneficiaries
#16
David L Howard, Andrea McGlynn, Joy A Greer
BACKGROUND: Prior studies of complications after sling surgery excluded the large number of women in military treatment facilities (MTFs). OBJECTIVE: To characterize the postoperative complication rates after sling surgery for Stress urinary incontinence (SUI) within MTFs in the United States. MATERIALS AND METHODS: Retrospective cohort study of women aged 18 and older, with SUI, and who underwent either an outpatient or inpatient mid-urethral sling placement for SUI in any MTF in the United States between January 1, 2011 and December 31, 2012...
January 10, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29298364/comprehension-of-pelvic-organ-prolapse-and-urinary-incontinence-in-southern-appalachian-women
#17
Danielle Hobdy, R Keith Huffaker, Beth Bailey
OBJECTIVES: Despite their growing prevalence, pelvic floor disorders (PFDs) remain undertreated and not well understood by patients, with treatment disparities noted in specific subgroups of women. The goal of the present study was to determine the basic understanding of PFDs of women in the southern Appalachian region of the United States, to determine factors that predict knowledge, and to explore the possible disparities in seeking access to care among women in this region who reported symptoms...
January 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29289535/female-sexual-function-following-surgical-treatment-of-stress-urinary-incontinence-systematic-review-and-meta-analysis
#18
REVIEW
Maria Cláudia Bicudo-Fürst, Pedro Henrique Borba Leite, Felipe Placco Araújo Glina, Willy Baccaglini, Rafael Vilhena de Carvalho Fürst, Carlos Alberto Bezerra, Sidney Glina
INTRODUCTION: The impact of surgery for stress urinary incontinence (SUI) on female sexual function has received attention in the medical literature, but not in a structured manner. AIM: To assess the most recent evidence on the impact of surgical management for female SUI on female sexual function. METHODS: The review and meta-analysis of available articles published in Medline, Cochrane, LILACS, SCOPUS, Web of Science, CINHAL, and EMBASE included prospective randomized and non-randomized studies that assessed patients who underwent surgical treatment for UI through 2 validated questionnaires: the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Female Sexual Function Index (FSFI)...
April 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29175131/sacrocolpopexy-with-polyvinylidene-fluoride-mesh-for-pelvic-organ-prolapse-mid-term-comparative-outcomes-with-polypropylene-mesh
#19
Raffaele Balsamo, Ester Illiano, Alessandro Zucchi, Franca Natale, Antonio Carbone, Marco De Sio, Elisabetta Costantini
OBJECTIVE: The aim of this study was to compare the surgical, anatomical, and functional outcomes of sacrocolpopexy (SCP) using polyvinylidene fluoride (PVDF) mesh versus SCP using the standard polypropylene (PP) mesh. STUDY DESIGN: This was a retrospective single centre case-control study including female patients who underwent laparoscopic or abdominal SCP for POP with either PP (Cousin Biotech® ) or PVDF (DynaMesh® -PRS) mesh between March 2005 and May 2015...
January 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29071360/prospective-observational-study-of-the-impact-of-vaginal-surgery-pelvic-organ-prolapse-with-or-without-urinary-incontinence-on-female-sexual-function
#20
Veenu Tyagi, Mahesh Perera, Karen Guerrero, Suzanne Hagen, Stewart Pringle
INTRODUCTION AND HYPOTHESIS: There is a difference of opinion in the literature as to whether pelvic organ prolapse (POP) is a direct cause of female sexual dysfunction (FSD). Sexual function in women is negatively impacted by the presence of urinary symptoms. Thus, sexual dysfunction (SD) might be improved, unchanged, or worsened by pelvic floor surgery. METHODS: In this study, we observed SD and impact of surgical intervention on female sexual function (FSF) using a validated Prolapse/Urinary Incontinence Sexual Questionnaire Short Form (PISQ-12) in women undergoing surgery for POP with or without urinary incontinence...
October 25, 2017: International Urogynecology Journal
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