keyword
MENU ▼
Read by QxMD icon Read
search

Apical Prolapse

keyword
https://www.readbyqxmd.com/read/29774820/robotic-sacral-colpopexy
#1
Charles R Powell, Isamu Tachibana, Bridget Eckrich, Jeffrey Rothenberg, Jon Hathaway
INTRODUCTION AND OBJECTIVE: Robot-assisted sacral colpopexy (RASC) is a fast growing approach for surgeons treating patients with advanced stage pelvic organ prolapse (POP). Open abdominal sacral colpopexy has been the gold standard for advanced POP but requires longer hospital stays and a much larger incision. The indications, preoperative preparation, operative positioning, and operative steps are detailed, and an accompanying video shows the approach. METHODS: RASC can be broken down into 11 steps and the reader will be able to reference the article to the corresponding portion of the video...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29753954/non-absorbable-and-partially-absorbable-mesh-during-pelvic-organ-prolapse-repair-a-comparison-of-clinical-outcomes
#2
Moon Kyoung Cho, Jong Ho Moon, Chul Hong Kim
INTRODUCTION: The aim of this study was to compare the clinical outcomes of non-absorbable and partially-absorbable mesh intervention in pelvic organ prolapse. METHODS: This was a retrospective cohort study of patients who underwent transvaginal mesh operation for anterior and apical vaginal prolapse at a single tertiary center from January 2007 to December 2013. RESULTS: The group treated with partially-absorbable mesh showed better objective surgical outcomes than those treated with non-absorbable mesh in 1- and 2-year follow-ups...
May 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29747142/risk-factors-for-the-failure-of-iliococcygeus-suspension-for-uterine-prolapse
#3
Dong Hoon Suh, Myung Jae Jeon
OBJECTIVES: The objective of this study was to evaluate the risk factors for the failure of iliococcygeus suspension (ICG) for uterine prolapse and estimate its long-term success rates using a clinically relevant criterion. STUDY DESIGN: This retrospective cohort study included 144 women who underwent transvaginal reconstructive surgery including ICG for symptomatic pelvic organ prolapse. Surgical failure was defined as anatomic recurrence (descent of the vaginal apex beyond the halfway point of the vagina or descent of the anterior or posterior vaginal wall beyond the hymen), symptomatic recurrence (vaginal bulge symptoms), or retreatment for prolapse...
May 2, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29742664/surgical-alteration-of-genital-hiatus-size-and-anatomic-failure-after-vaginal-vault-suspension
#4
Monique H Vaughan, Nazema Y Siddiqui, Laura K Newcomb, Alison C Weidner, Amie Kawasaki, Anthony G Visco, Megan S Bradley
OBJECTIVE: To compare anatomic outcomes after native tissue vaginal vault suspension among women categorized by their preoperative and 6-week postoperative genital hiatus size. METHODS: We performed a retrospective cohort study in women who underwent native tissue vaginal vault suspension between 2005 and 2015. We defined a wide genital hiatus as 4 cm or greater and a normal genital hiatus as less than 4 cm. We compared three groups: 1) women with a wide genital hiatus preoperatively and 6 weeks postoperatively (persistently wide group), 2) women with a wide genital hiatus preoperatively but normal genital hiatus 6 weeks postoperatively (improved group), and 3) women with a normal genital hiatus preoperatively and 6 weeks postoperatively (stably normal group)...
May 7, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29698365/a-case-of-mesh-erosion-to-the-sigmoid-after-laparoscopic-sacrocolpopexy-and-a-literature-review-of-mesh-related-complications
#5
Xiaoting Lin, Pei Du, Liquan Chen, Yaping Gan, Xiaowei Zhang
Sacrocolpopexy has long been the preferred surgical procedure for the management of apical vaginal prolapse. The published literature regarding rectal mesh erosion after sacrocolpopexy includes only 6 cases in MEDLINE. We report a case of sigmoid vaginal fistula identified 4 years after laparoscopic sacrocolpopexy, along with an analysis of the follow-up of 140 patients over 12 months or more.
April 25, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29697546/outcomes-of-transvaginal-high-uterosacral-ligaments-suspension-over-500-patient-single-center-study
#6
Rodolfo Milani, Matteo Frigerio, Alice Cola, Carlo Beretta, Federico Spelzini, Stefano Manodoro
BACKGROUND: Uterosacral ligament (USL) suspension is a safe and effective procedure in terms of anatomical, functional, and subjective outcomes for primary surgical treatment of prolapse. OBJECTIVES: There has been a renewed interest toward native tissue prolapse repair by vaginal route because of low cost and lack of mesh-related complications. Uterosacral ligaments are considered safe, effective, and durable as suspending structures for primary surgical repair of the apical compartment...
May 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29683888/transfusion-rates-and-the-utility-of-type-and-screen-for-pelvic-organ-prolapse-surgery
#7
Taylor J Brueseke, Maggie F Wilkins, Marcella G Willis-Gray, Katherine E Husk, Alexis R Peedin, Elizabeth J Geller, Jennifer M Wu
OBJECTIVES: Limited data exist directly comparing the likelihood of blood transfusion by route of apical pelvic organ prolapse (POP) surgery. In addition, limited evidence is available regarding the risk of not ordering preoperative type and screen (T&S) in apical POP surgery. The objectives of the study are to (1) provide baseline data regarding the current need for preoperative T&S by comparing perioperative blood transfusion rates between 3 routes of apical POP surgery and (2) determine the rate of a positive preoperative antibody screen in women who underwent apical POP surgery...
April 20, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29677302/effect-of-uterosacral-ligament-suspension-vs-sacrospinous-ligament-fixation-with-or-without-perioperative-behavioral-therapy-for-pelvic-organ-vaginal-prolapse-on-surgical-outcomes-and-prolapse-symptoms-at-5-years-in-the-optimal-randomized-clinical-trial
#8
RANDOMIZED CONTROLLED TRIAL
J Eric Jelovsek, Matthew D Barber, Linda Brubaker, Peggy Norton, Marie Gantz, Holly E Richter, Alison Weidner, Shawn Menefee, Joseph Schaffer, Norma Pugh, Susan Meikle
Importance: Uterosacral ligament suspension (ULS) and sacrospinous ligament fixation (SSLF) are commonly performed pelvic organ prolapse procedures despite a lack of long-term efficacy data. Objective: To compare outcomes in women randomized to (1) ULS or SSLF and (2) usual care or perioperative behavioral therapy and pelvic floor muscle training (BPMT) for vaginal apical prolapse. Design, Setting, and Participants: This 2 × 2 factorial randomized clinical trial was conducted at 9 US medical centers...
April 17, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29651517/national-survey-of-urogynecological-practice-patterns-among-united-states-ob-gyn-oral-board-examinees-in-different-practice-settings
#9
Andrey Petrikovets, Abigail Davenport, Sherif A El-Nashar, David Sheyn, Jeffrey Mangel, Sangeeta T Mahajan
INTRODUCTION AND HYPOTHESIS: The current urogynecological surgical experience of recent OB/GYN graduates in different practice settings is unclear. The aim of this study was to evaluate differences in urogynecological surgical care between private practitioners (PPs) and other generalist OB/GYN oral board examinees. METHODS: A total of 699 OB/GYN oral board examination examinees were administered a survey during board preparatory courses with a 70.7% response rate...
April 13, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29600404/differential-gene-expression-of-extracellular-matrix-related-proteins-in-the-vaginal-apical-compartment-of-women-with-pelvic-organ-prolapse
#10
Haijiao Wang, Yukimi Kira, Akihiro Hamuro, Aki Takase, Daisuke Tachibana, Masayasu Koyama
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) is a multifactorial disorder that impairs the quality of life (QoL) of older women in particular. The purpose of this study was to elucidate the pathogenesis of POP by focusing on the extracellular matrix (ECM). METHODS: Patients were classified into two groups-with or without cervical elongation-using the POP quantification system. Specimens were obtained from 29 women with POP during hysterectomy. The expression of fibulin-5, elastin, integrin β1 (ITGβ1), lysyl oxidase-like protein-1 (LOXL1) and collagen in the vagina, uterosacral ligament, and uterine cervix was investigated by quantitative real-time polymerase chain reaction (RT-PCR) and correlation between gene levels and severity of POP examined...
March 29, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29600401/early-catheter-removal-after-pelvic-floor-reconstructive-surgery-a-randomized-trial
#11
Charelle M Carter-Brooks, Halina M Zyczynski, Pamela A Moalli, Peter G Brodeur, Jonathan P Shepherd
INTRODUCTION AND HYPOTHESIS: Studies have yet to examine the impact of day-of-surgery voiding trials on post-operative urinary retention in women undergoing obliterative and apical suspension procedures for pelvic organ prolapse. Our objective was to evaluate if time to spontaneous void after these procedures is shorter when a voiding trial is performed on the day of surgery compared with our standard practice of post-operative day 1. METHODS: We conducted a randomized, parallel-arm trial in patients undergoing major pelvic floor reconstructive surgery...
March 29, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29574485/vaginal-hysterectomy-with-apical-fixation-and-anterior-vaginal-wall-repair-for-prolapse-surgical-technique-and-medium-term-results
#12
Juliane Marschke, Carlo Michael Pax, Kathrin Beilecke, Frank Schwab, Ralf Tunn
INTRODUCTION AND HYPOTHESIS: Stabilization of the vaginal apex (level 1) is an important component of operations to correct pelvic organ prolapse (POP). We report functional and anatomical results and patient-reported outcomes of our technique of vaginal vault fixation at the time of vaginal hysterectomy. METHODS: One hundred and nine patients-mean 69 years, range 50.4-83.8; body mass index (BMI) 26.3, range 17.7-39.5-with symptomatic stage 2-3 uterine prolapse combined with stage 3-4 cystocele underwent vaginal hysterectomy with anterior vaginal wall repair; the apex was formed with high closure of the peritoneum and incorporation of the uterosacral and round ligaments...
March 24, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29559709/laparoscopic-organopexy-with-non-mesh-genital-long-suspension-a-novel-uterine-preservation-procedure-for-the-treatment-of-apical-prolapse
#13
Cheng-Yu Long, Chiu-Lin Wang, Chin-Ru Ker, Yung-Shun Juan, Eing-Mei Tsai, Kun-Ling Lin
To assess whether our novel uterus-sparing procedure- laparoscopic organopexy with non-mesh genital(LONG) suspension is an effective, safe, and timesaving surgery for the treatment of apical prolapse. Forty consecutive women with main uterine prolapse stage II or greater defined by the POP quantification(POP-Q) staging system were referred for LONG procedures at our hospitals. Clinical evaluations before and 6 months after surgery included pelvic examination, urodynamic study, and a personal interview to evaluate urinary and sexual symptoms with overactive bladder symptom score(OABSS), the short forms of Urogenital Distress Inventory(UDI-6) and Incontinence Impact Questionnaire(IIQ-7), and the Female Sexual Function Index(FSFI)...
March 20, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29549625/additional-treatments-satisfaction-symptoms-and-quality-of-life-in-women-1-year-after-vaginal-and-abdominal-pelvic-organ-prolapse-repair
#14
Laura N Nguyen, Morgan Gruner, Kim A Killinger, Kenneth M Peters, Judith A Boura, Michelle Jankowski, Larry T Sirls
OBJECTIVES: To evaluate additional treatments, symptoms, satisfaction and quality of life 1 year after vaginal and abdominal pelvic organ prolapse (POP) repair. METHODS: Adult women enrolled in a prospective POP database were reviewed. Baseline and outcomes data 1 year after surgery were collected including the Pelvic Floor Distress Inventory (PFDI) and mailed surveys. Data were analyzed with descriptive statistics, Fisher's exact tests and t tests. RESULTS: Of 222 women, 147 (66%) had vaginal and 75 (34%) had abdominal repair...
March 16, 2018: International Urology and Nephrology
https://www.readbyqxmd.com/read/29532126/the-manchester-procedure-anatomical-subjective-and-sexual-outcomes
#15
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/29510170/what-impacts-the-all-cause-risk-of-reoperation-after-pelvic-organ-prolapse-repair-a-comparison-of-mesh-and-native-tissue-approaches-in-110-329-women
#16
Kai B Dallas, Lisa Rogo-Gupta, Christopher S Elliott
PURPOSE: Several factors are hypothesized to impact the risks of mesh augmented pelvic organ prolapse repair, including 1) the characteristics of the material, 2) surgical experience and 3) patient selection. We present a large, population based approach to explore the impact of these factors on outcomes and describe an ideal mesh use strategy. MATERIALS AND METHODS: Data from the OSHPD (Office of Statewide Health Planning and Development) were accessed to identify all women who underwent pelvic organ prolapse repair in California from 2005 to 2011...
March 3, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29508045/relationship-of-degree-of-uterine-prolapse-between-pelvic-examination-in-lithotomy-position-with-cervical-traction-and-pelvic-examination-in-standing-position
#17
Pichai Leerasiri, Parit Wachasiddhisilpa, Pattaya Hengrasmee, Chutimon Asumpinwong
INTRODUCTION AND HYPOTHESIS: The Pelvic Organ Prolapse Quantification (POP-Q) assessment is a standardized tool for evaluating pelvic organ prolapse (POP). However, intraoperative evaluation reveals greater apical prolapse than do POP-Q scores. There is a need to implement a method for performing POP-Q at the outpatient clinic that reveals maximal prolapse and causes the least pain. This study was performed to compare the degree of uterine prolapse between POP-Q with cervical traction and POP-Q in the standing position...
March 6, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29508043/a-generic-health-related-quality-of-life-instrument-for-assessing-pelvic-organ-prolapse-surgery-correlation-with-condition-specific-outcome-measures
#18
Daniel Altman, Kirk Geale, Christian Falconer, Edward Morcos
INTRODUCTION AND HYPOTHESIS: The aim of this study was to investigate the use of a generic and globally accessible instrument for assessing health-related quality of life (HR-QoL) in pelvic organ prolapse (POP) surgery. METHODS: In a prospective multicenter setting, 207 women underwent surgery for apical prolapse [stage ≥2, Pelvic Organ Prolapse Quantificcation (POP-Q) system] with or without anterior wall defect. Demographic and surgical characteristics were collected before surgery...
March 6, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29500517/laparoscopic-high-uterosacral-ligament-suspension-an-alternative-route-for-a-traditional-technique
#19
Giovanni Panico, Giuseppe Campagna, Daniela Caramazza, Nicola Amato, Alfredo Ercoli, Giovanni Scambia, Mauro Cervigni, Riccardo Zaccoletti
INTRODUCTION AND HYPOTHESIS: Uterovaginal prolapse treatment is a challenge for the urogynecologist. Surgical management for apical prolapse can be successful with native tissue and uterosacral ligament (USL) fixation. However, some complications have been described, especially with use of the vaginal approach. The aim of this video is to describe an alternative laparoscopic approach to a traditional vaginal procedure to reduce nerve injury and ureteral complications. METHODS: A 75-year-old woman was referred to our unit for symptomatic stage III apical prolapse and underwent laparoscopic USL fixation, according to the technique described herein...
March 2, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29500516/modified-laparoscopic-pectopexy-short-term-follow-up-and-its-effects-on-sexual-function-and-quality-of-life
#20
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
keyword
keyword
107671
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"