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Pelvic prolapse

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https://www.readbyqxmd.com/read/29155140/pregnancy-and-parturition-negatively-impact-vaginal-angle-and-alters-expression-of-vaginal-mmp-9
#1
Sallie Oliphant, Timothy Canavan, Stacy Palcsey, Leslie Meyn, Pamela Moalli
BACKGROUND: Parity is the greatest risk factor for the development of pelvic organ prolapse. The normally supported vagina is pulled up and back over the levator ani. Loss of vaginal angulation has been associated with prolapse and may represent injury to the vaginal supportive tissues. OBJECTIVE: We propose that 1) pregnancy and delivery impact support to the vagina leading to loss of vaginal angle; 2) vaginal angulation is restored postpartum; and 3) uncomplicated vaginal delivery (VD) is associated with accelerated remodeling of the vaginal fibrillar matrix...
November 16, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29151168/strengthening-validity-in-studies-of-pelvic-floor-disorders-through-qualitative-research-an-example-from-ethiopia
#2
Astrid Blystad, Guri Rortveit, Janne Lillelid Gjerde, Mulu Muleta, Karen Marie Moland
INTRODUCTION AND HYPOTHESIS: This formative qualitative follow-up study addresses validity concerns in the Dabat Incontinence and Prolapse (DABINCOP) study, which aimed to determine the prevalence of pelvic floor disorders in north-west Ethiopia. A pilot study using a questionnaire validated by pelvic exam showed severe underreporting of clinically relevant pelvic organ prolapse (POP). The objective of the follow-up study was to explore the reasons behind the underreporting and to gather information to strengthen the sensitivity and local relevance of the questionnaire to be employed in the main study...
November 18, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/29150302/skin-advanced-glycation-content-reflects-vaginal-tissue-glycation-level-in-relation-to-pregnancy
#3
Homayemem Weli, Jason Cooper, Ying Yang
A few studies have revealed that the advanced glycation content of the vaginal wall in pelvic organ prolapse tissues is elevated. This elevation makes advanced glycation a significant association with the disease. Early detection of vaginal wall glycation could therefore be relevant in the prevention and management of pelvic organ prolapse. A vaginal wall biopsy to detect this would be ideal, but is invasive. Therefore the use of a more accessible organ to access, such as skin, would be beneficial. Our previous independent study suggests that conditions such as pregnancy, can induce a change in the vaginal tissues' glycation content...
November 2017: Medical Hypotheses
https://www.readbyqxmd.com/read/29144956/re-pelvic-floor-muscle-training-for-secondary-prevention-of-pelvic-organ-prolapse-prevprol-a-multicentre-randomised-controlled-trial
#4
Alan J Wein
No abstract text is available yet for this article.
December 2017: Journal of Urology
https://www.readbyqxmd.com/read/29138041/attendance-at-prescribed-pelvic-floor-physical-therapy-in-a-diverse-urban-urogynecology-population
#5
M B Shannon, M Genereux, C Brincat, W Adams, L Brubaker, E R Mueller, C M Fitzgerald
BACKGROUND: Pelvic floor physical therapy (PFPT) is a common and effective treatment for several pelvic floor disorders, but there is limited knowledge about adherence to the therapy or what factors influence attendance. OBJECTIVE: To determine rates of PFPT attendance (initiation and completion) as well as correlates of PFPT attendance. DESIGN: Retrospective cohort analysis. SETTING: Urban outpatient clinics at a tertiary medical center treating women with pelvic floor disorders...
November 11, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29134243/-implants-for-genital-prolapse-pro-mesh-surgery
#6
REVIEW
J Neymeyer, D-E Moldovan, K Kornienko, K Miller, A Weichert
There has been an overall increase in pelvic organ prolapse due to demographic changes (increased life expectancy). Increasing sociocultural demands of women require treatments that are more effective with methods that are more successful. In the treatment of pelvic floor insufficiency and uterovaginal prolapse, pelvic floor reconstructions with mesh implants have proven to be superior to conventional methods such as the classic colporrhaphy, reconstructions with biomaterial, and native tissue repair in appropriately selected patients and when applying exact operation techniques, especially because of good long-term results and low recurrence rates...
November 13, 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29128440/mccall-culdoplasty-during-total-laparoscopic-hysterectomy-a-pilot-randomized-controlled-trial
#7
Sara R Till, Kumari A Hobbs, Janelle K Moulder, John F Steege, Matthew T Siedhoff
STUDY OBJECTIVE: To assess the feasibility and safety of a McCall culdoplasty at time of total laparoscopic hysterectomy and to evaluate differences in total vaginal length, vaginal apex during valsalva, and sexual function 12 months after McCall culdoplasty compared to standard cuff closure. DESIGN: Pilot randomized controlled, single masked trial (Canadian Task Force classification I) SETTING: Academic tertiary care hospital PATIENTS: Women undergoing total laparoscopic hysterectomy for benign indications from June 2013 to December 2013...
November 8, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29119201/-implants-for-genital-prolapse-contra-mesh-surgery
#8
REVIEW
C Hampel
Alloplastic transvaginal meshes have become very popular in the surgery of pelvic organ prolapse (POP) as did alloplastic suburethral slings in female stress incontinence surgery, but without adequate supporting data. The simplicity of the mesh procedure facilitates its propagation with acceptance of higher revision and complication rates. Since attending physicians do more and more prolapse surgeries without practicing or teaching alternative techniques, expertise in these alternatives, which might be very useful in cases of recurrence, persistence or complications, is permanently lost...
November 8, 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29117016/analyzing-the-readability-of-online-urogynecologic-patient-information
#9
J Ryan Stewart, Michael H Heit, Kate V Meriwether, Deslyn T Hobson, Sean L Francis
OBJECTIVE: We sought to describe the readability of Web sites arising from the most common Google search terms related to pelvic organ prolapse, bladder control, and bowel control. METHODS: Google was queried to capture the top 100 search results for the keywords in each disease group. For the top 20 results of each keyword, we analyzed the text for readability using 4 readability formulas: Dale-Chall, Gunning-Fog, Simple Measure of Gobbledygook (SMOG), and Flesch-Kincaid Grade Level...
November 7, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29110805/a-population-based-epidemiologic-study-of-female-sexual-dysfunction-risk-in-mainland-china-prevalence-and-predictors
#10
Chunni Zhang, Jiali Tong, Lan Zhu, Lei Zhang, Tao Xu, Jinghe Lang, Yu Xie
BACKGROUND: Epidemiologic data on female sexual dysfunction in China are sparse. AIM: To assess the prevalence of risk of female sexual dysfunction in mainland China and its regional and sociodemographic variations and physiologic, pathologic, and behavioral risk factors. METHODS: A survey of the general female population was conducted in mainland China from February 2014 through January 2016. Women were randomly selected using multistage, stratified, cluster sampling...
November 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29107118/transvaginal-single-port-laparoscopy-sacrocolpopexy
#11
Yisong Chen, Junwei Li, Ying Zhang, Keqin Hua
STUDY OBJECTIVE: To describe our technique of transvaginal sacrocolpopexy using single-port laparoscopy for middle compartment Pelvic Organ Prolapse (POP). DESIGN: Step-by-step explanation of the procedure using video. SETTING: More and more patients are pursuing minimally invasive surgery, which is becoming the trends for gynecological surgery nowadays. POP is not an exception. With application of natural orifice transluminal endoscopic surgery (NOTEs), minimally invasive transvaginal sacrocolpopexy surgery assisted by single-port laparoendoscopy for POP becomes feasible...
October 26, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29103241/unexpected-significant-uterine-pathological-findings-at-vaginal-hysterectomy-despite-unremarkable-preoperative-workup
#12
Yossi Mizrachi, Samer Tannus, Jacob Bar, Ron Sagiv, Tally Levy, Alexander Condrea, Shimon Ginath
BACKGROUND: Several studies have addressed the issue of undetected uterine pathology in women undergoing hysterectomy for pelvic organ prolapse (POP). However, these studies differ largely with respect to the incidence of malignancy found, study population, and preoperative evaluation. OBJECTIVES: To assess the risk of unexpected pre-malignant and malignant uterine pathological findings after vaginal hysterectomy for POP repair, in a single medical center in Israel...
October 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29103165/the-urethral-closure-mechanism-is-deteriorated-after-anterior-colporrhaphy
#13
Yasmine Khayyami, Gunnar Lose, Niels Klarskov
INTRODUCTION AND HYPOTHESIS: Urethral pressure reflectometry (UPR) has proven highly reproducible in women with pelvic organ prolapse. We hypothesized that urethral parameters would decrease after anterior colporrhaphy. METHODS: A prospective, observational study where women with anterior vaginal wall prolapse ≥stage II were assessed before and after anterior colporrhaphy. Assessments consisted of prolapse staging according to the Pelvic Organ Prolapse Quantification system, UPR measurements at rest, during squeezing and straining (at a standardized abdominal pressure of 50 cmH2O, PO-Abd 50), standardized stress tests with 300 ml saline, and answering the International Consultation on Incontinence - Urinary incontinence short form...
November 4, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/29102296/sacral-neuromodulation-for-faecal-incontinence-10-years-experience-at-a-scottish-tertiary-centre
#14
Hoey Koh, Stephen McSorley, Sarah Hunt, Martha Quinn, Graham MacKay, John Anderson
INTRODUCTION: Sacral nerve stimulation (SNS) is increasingly popular in the management of faecal incontinence. This paper reports the first 10-year experience of SNS in the management of faecal incontinence at a tertiary referral centre. Data was collected in a prospectively maintained database. RESULTS: In total 130 patients were referred. The majority were women (94%) under 75-year-old (98%). Seven patients were found to have full-thickness rectal prolapse at the initial work-up and proceeded to rectopexy...
October 25, 2017: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29095064/screening-for-general-anxiety-disorders-in-postmenopausal-women-with-symptomatic-pelvic-organ-prolapse
#15
F Ai, M Deng, M Mao, T Xu, L Zhu
OBJECTIVE: This study aimed to investigate the prevalence of general anxiety disorder (GAD) among postmenopausal women with symptomatic pelvic organ prolapse (POP) and to identify its associated factors. METHODS: A cross-sectional study was conducted among postmenopausal women with symptomatic POP. Sociodemographic data and medical histories were obtained. Participants completed the POP Quantification (POP-Q), the Pelvic Floor Impact Questionnaire-7 (PFIQ-7), and the Pelvic Floor Distress Inventory (PFDI-20) measures...
November 2, 2017: Climacteric: the Journal of the International Menopause Society
https://www.readbyqxmd.com/read/29082573/annual-report-of-the-women-s-health-care-committee-japan-society-of-obstetrics-and-gynecology-2017
#16
Kiyoshi Takamatsu, Jo Kitawaki
To improve women's quality of life, the activity of the Women's Health Care Committee over a year up to July 2017 focused upon: (i) breast management; (ii) the influence of gynecological disease therapy on physical condition; (iii) non-surgical management of pelvic organ prolapse; (iv) survey of infectious diseases in obstetrics and gynecology in Japan; (v) health care for female athletes; (vi) a training program for women's health care advisors; (vii) revising the Japanese guidelines on hormone replacement therapy; and (viii) revising the 2016 Japanese guidelines for the proper use of emergency contraceptives...
October 30, 2017: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29080723/no-351-transvaginal-mesh-procedures-for-pelvic-organ-prolapse
#17
Maryse Larouche, Roxana Geoffrion, Jens-Erik Walter
OBJECTIVE: This guideline reviews the evidence related to the risks and benefits of using transvaginal mesh in pelvic organ prolapse repairs in order to update recommendations initially made in 2011. INTENDED USERS: Gynaecologists, residents, urologists, urogynaecologists, and other health care providers who assess, counsel, and care for women with pelvic organ prolapse. TARGET POPULATION: Adult women with symptomatic pelvic organ prolapse considering surgery and those who have previously undergone transvaginal mesh procedures for the treatment of pelvic organ prolapse...
November 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29077924/perioperative-behavioral-therapy-and-pelvic-muscle-strengthening-do-not-enhance-quality-of-life-after-pelvic-surgery-secondary-report-of-a-randomized-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Alison C Weidner, Matthew D Barber, Alayne Markland, David D Rahn, Yvonne Hsu, Elizabeth R Mueller, Sharon Jakus-Waldman, Keisha Y Dyer, Lauren Klein Warren, Marie G Gantz, Susie Meikle
Background: There is significant need for trials evaluating the long-term effectiveness of a rigorous program of perioperative behavioral therapy with pelvic floor muscle training (BPMT) in women undergoing transvaginal reconstructive surgery for prolapse. Objective: The purpose of this study was to evaluate the effect of perioperative BPMT on health-related quality of life (HRQOL) and sexual function following vaginal surgery for pelvic organ prolapse (POP) and stress urinary incontinence (SUI)...
November 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29077675/pelvic-organ-prolapse
#19
(no author information available yet)
No abstract text is available yet for this article.
November 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29073153/thermosensitive-hydrogels-deliver-bioactive-protein-to-the-vaginal-wall
#20
Meadow M Good, T Ignacio Montoya, Haolin Shi, Jun Zhou, YiHui Huang, Liping Tang, Jesus F Acevedo, R Ann Word
The pathophysiology and natural history of pelvic organ prolapse (POP) are poorly understood. Consequently, our approaches to treatment of POP are limited. Alterations in the extracellular matrix components of pelvic support ligaments and vaginal tissue, including collagen and elastin, have been associated with the development of POP in animals and women. Prior studies have shown the protease MMP-9, a key player of ECM degradation, is upregulated in vaginal tissues from both mice and women with POP. On the other hand, fibulin-5, an elastogenic organizer, has been found to inhibit MMP-9 in the vaginal wall...
2017: PloS One
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