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pregnancy and sling

Marie-Emmanuelle Neveu, Hervé Fernandez, Xavier Deffieux, Marie-Victoire Senat, Marie Houllier, Perrine Capmas
INTRODUCTION: Prematurity is the leading cause of neonatal morbidity and mortality. Cervical insufficiency seems to be the main risk factor. Treatment is cervical cerclage. In case of failure, a cervico-isthmic cerclage by Fernandez' technique, with the placement of a polypropylene sling by vaginal approach during the first trimester of pregnancy, has proven its effectiveness. The aim of our study is to report effectiveness of Fernandez' cervico-isthmic cerclage in subsequent pregnancies...
November 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Alan J Wein
No abstract text is available yet for this article.
June 2017: Journal of Urology
D Paladini, R Birnbaum, G Donarini, I Maffeo, E Fulcheri
OBJECTIVES: Our aims were: (1) to perform an echoanatomic correlation study, in order to confirm that the structure identified as the optic chiasm (OC) on ultrasound (US) is indeed this anatomical structure; (2) to assess and compare the reproducibility of two- (2D) and three-(3D) dimensional US in measurement of the OC in normal fetuses; and (3) to assess whether the spatial orientation of the OC changes with increasing gestational age. METHODS: For the echoanatomic study, the OC was studied in a neonatal specimen, deceased at 29 + 4 weeks, by passing a suture around the OC and visualizing the supposed OC structure on US while pulling gently on the suture...
December 2016: Ultrasound in Obstetrics & Gynecology
Emily Adams-Piper, Kristen Buono, Emily Whitcomb, Padma Mallipeddi, Peter Castillo, Noelani Guaderrama
OBJECTIVES: The aim of this study was to review the complete medical course, including safety, efficacy, and medical decision making, of patients who delivered a pregnancy after the placement of midurethral sling (MUS) within a large health maintenance organization. METHODS: We conducted a retrospective case series of patients within the Northern and Southern California Permanente Medical Group who were identified based on procedural codes for placement of MUS for stress urinary incontinence...
September 2016: Female Pelvic Medicine & Reconstructive Surgery
Antonio Luigi Pastore, Giovanni Palleschi, Yazan Al Salhi, Lucia Riganelli, Andrea Fuschi, Domenico Autieri, Vincenzo Petrozza, Antonio Carbone
OBJECTIVE: The aim of this study is to investigate the change in quality of life (QoL) and sexual function in women treated for pure stress urinary incontinence (SUI) using tension-free transobturator suburethral tape (TVT-O) and single-incision sling (SIS) procedures. MATERIALS AND METHODS: From December 2013 to January 2015, a total of 48 female patients with pure SUI and normotonic urethra were consecutively enrolled and randomized into two treatment groups: TVT-O versus SIS...
April 2016: Journal of Women's Health
Emily Adams-Piper, Jeanne Darbinian, Debbie Postlethwaite, Peter A Castillo
OBJECTIVES: The aim of this study is to assess the incidence, medical course, and outcomes of women who carried a pregnancy to delivery after the placement of a transvaginal mesh sling for treatment of stress urinary incontinence (SUI) in a closed health care system. METHODS: We conducted a retrospective case series of 15 women identified within the Kaiser Permanente Northern California region based on coding for placement of a sling for SUI. Records were cross-matched against the records of live births...
July 2014: Female Pelvic Medicine & Reconstructive Surgery
Saad Juma
PURPOSE OF REVIEW: This review is a summary of the most pertinent published studies in the literature in the last 18 months that address cause, diagnosis, and management of urinary retention in women. RECENT FINDINGS: Symptoms, uroflow, and pressure-flow studies have a low predictive value for and do not correlate with elevated postvoid residual urine (PVR). Anterior and posterior colporrhaphy do not cause de-novo bladder outlet obstruction in the majority of patients with elevated PVR, and the cause of elevated PVR may be other factors such as pain or anxiety causing abnormal relaxation of the pelvic floor and contributing to voiding difficulty...
July 2014: Current Opinion in Urology
H S O Abduljabbar, H M A Al-Shamrany, S F Al-Basri, H H Abduljabar, D A Tawati, S P Owidhah
BACKGROUND AND AIMS: Tension-free vaginal tape (TVT) is a well-established surgical procedure for the treatment of female stress urinary incontinence (SUI) and TVT-Secur was designed to reduce the undesired complications and to minimize the operative procedure as much as possible. AIM: To present the authors' experience in using the classic TVT and TVT-Secur and to evaluate and compare complications and short- and long-term results. MATERIALS AND METHODS: A retrospective study and analysis of 230 patients presented with SUI at King Abdulaziz University Hospital (KAUH) and United Doctor Hospital (UDH) from March 1, 2007 until July 3, 2010...
2013: Clinical and Experimental Obstetrics & Gynecology
E Alexandrova, S Sergieva, I Mihailova, P Kostova
AThe present and rare case is of a patient who developed macromastia in childhood. Usually, gigantomastia can occur as a complication due to pregnancy or it may occur in puberty, which is known as virginal breast hypertrophy, the second of which is more frequent. In our case, during the first decade of life, her breasts rapidly increased and reached gigantic sizes over a short period of time. The breasts were handing below the inguinal ligament and required a sling to support them. A phlegmon in the right axilla with a septic condition were the complications of this pathologic entity...
2013: Akusherstvo i Ginekologii︠a︡
Stuart Shippey, Jonathan Roth, Robert Gaines
Pubic symphysis diastasis during obstetric delivery occurs rarely. Symptoms usually respond to conservative management. A nulliparous 39-year-old delivered spontaneously with an audible pop noted. Pubic symphysis diastasis of 4.6 cm was diagnosed on pelvic X-ray. She developed severe pain with ambulation and stress urinary incontinence. After neither of these symptoms improved significantly in response to conservative management, the patient underwent open reduction internal fixation with plating of her pubic symphysis, and bladder neck sling placement using autologous rectus fascia...
October 2013: International Urogynecology Journal
N Pirinççi, H Kamberoglu, C Kaya, M Kaba, I Geçit, M Guneş, K Ceylan, M I Karaman
OBJECTIVES: With the modifications that we made, the aim is to increase the effectiveness and the success rate of the Raz operation in the treatment of stress urinary incontinence (SUI) and to present a new approach in the treatment by reducing the complication rates. PATIENTS AND METHODS: Between November 2002 and December 2010, the Raz operation that we modified with the changes such as the placement of cystostomy catheter with the Lowsley clamp, vaginal incision of the bilateral oblique, the placement of periurethral roll mesh, the use of a single 0-degree stamey needle instead of a double needle applicator, binding the sutures mutually and on the support of the polypropylene mesh in suprapubic region was performed to 81 female patients with SUI in lithotomy position under the regional anesthesia...
December 2012: European Review for Medical and Pharmacological Sciences
A Pradhan, D G Tincello, R Kearney
OBJECTIVE: To report the numbers of patients having childbirth after pelvic floor surgery in England. DESIGN: Retrospective analysis of Hospital Episode Statistics data. SETTING: Hospital Episode Statistics database. POPULATION: Women, aged 20-44 years, undergoing childbirth after pelvic floor surgery between the years 2002 and 2008. METHODS: Analysis of the Hospital Episode Statistics database using Office of Population, Censuses and Surveys: Classification of Interventions and Procedures, 4th Revision (OPCS-4) code at the four-character level for pelvic floor surgery and delivery, in women aged 20-44 years, between the years 2002 and 2008...
January 2013: BJOG: An International Journal of Obstetrics and Gynaecology
G Demoulin, T Thubert, E Faivre, C Trichot, X Deffieux
OBJECTIVE: To realize a review of literature to observe the impact of pregnancy and delivery in patients who underwent mid-urethral sling procedure for stress urinary incontinence (SUI), in order to provide recommendations on the route of delivery. MATERIAL AND METHODS: Literature review from 1995 to 2012 on the database Pubmed/Medline including only studies involving pregnant women with mid-urethral sling procedure. RESULTS: Of the 35 published cases, 14 % of patients had a recurrence of SUI symptoms during pregnancy...
October 2013: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Giovanni A Tommaselli, Costantino Di Carlo, Carmen Formisano, Annamaria Fabozzi, Carmine Nappi
In recent years, surgical treatment of stress urinary incontinence has become minimally invasive owing to the introduction of the transobturator route first and then single incision devices for positioning of mid-urethral slings. Although a number of case reports in the literature describe pregnancies successfully terminated both by vaginal delivery and cesarean section following mid-urethral sling positioning, there is still no definitive consensus on which is the preferred mode of delivery in these patients...
February 2013: Journal of Obstetrics and Gynaecology Research
Martin Huser, Ivan A Belkov, Petr Janku, Katerina Sedlakova
OBJECTIVE: To analyze the available clinical evidence on the continued effectiveness of midurethral sling (MUS) surgery for stress urinary incontinence (SUI) in women who become pregnant and undergo delivery, and then to determine the optimal mode of delivery for such women. METHODS: An online search was carried out to retrieve the available evidence regarding the risk of SUI recurrence during pregnancy and after delivery following a successful MUS treatment. Appropriate keywords were used to identify all relevant reports published from 1996 through 2011...
November 2012: International Journal of Gynaecology and Obstetrics
(no author information available yet)
Female urinary incontinence (UI) is divided into stress (SUI), urgency (UUI), mixed (MUI) and overflow incontinence (chronic retention). Advanced age, obesity and pregnancy are the most important risk factors. Standardised questionnaires are used in diagnosis. The pad test, cough stress test and bladder diary are objective tools. A gynaecological examination includes pelvic floor muscle palpation and residual urine measurement. Urodynamics, cystoscopy and ultrasonography are complementary tools. Guided pelvic floor-muscle training is the first-line therapy...
2012: Duodecim; Lääketieteellinen Aikakauskirja
Matthew E Pollard, Shelby Morrisroe, Jennifer T Anger
PURPOSE: Although few data have been published on the safety of childbearing after surgery for stress urinary incontinence, a large proportion of physicians recommend that women wait to complete childbearing before pursuing surgical treatment for stress urinary incontinence. We systematically reviewed the available literature to examine the safety of pregnancy after stress urinary incontinence surgery, and to measure the effect of such pregnancy on continence outcomes. MATERIALS AND METHODS: The review was conducted according to the recommendations of the MOOSE (Meta-Analysis of Observational Studies in Epidemiology) group...
June 2012: Journal of Urology
Christa M Lewis, Charbel Salamon, Patrick Culligan
BACKGROUND: : Delivery mode following midurethral sling remains controversial. There are no formal guidelines as to the preferred mode of delivery following midurethral sling. CASE: : A 33-year-old gravida 2 para 2 underwent midurethral sling placement 16 months after the delivery of her first child for severe stress urinary incontinence (SUI). She conceived 2 months postprocedure and had an uneventful antepartum course. She remained without any SUI and delivered via uncomplicated spontaneous vaginal delivery at 38 weeks' gestation...
May 2011: Female Pelvic Medicine & Reconstructive Surgery
Christa M Lewis, Patrick Culligan
A multitude of uterine-sparing prolapse repairs exist in the literature, but little is published on subsequent pregnancy and long-term success following a repair. A 35-year-old gravida 2 para 2 underwent laparoscopic sacrohysteropexy and suburethral sling for stage III prolapse and stress urinary incontinence. She conceived 6 months postprocedure. Her antepartum course was complicated by third trimester pelvic pressure--successfully managed with a pessary. She delivered via cesarean section at term. At 12 months postpartum she had no signs of prolapse...
July 2012: International Urogynecology Journal
S Meyer, C Achtari
Vaginal delivery can cause lesions of the various pelvic structures responsible for the mechanisms of continence. These lesions may perhaps be prevented in the future by measuring pressure generated during childbirth. Tear of the anal sphincter during childbirth is a marker of a global impairment of the urinary, ano-rectal and sexual pelvic functions in the short and medium term. Persistence of a defect of the anal sphincter is frequent in spite of immediate suture. The correlation between these defects and ano-rectal incontinence are not established in our experience...
October 26, 2011: Revue Médicale Suisse
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