keyword
https://read.qxmd.com/read/38398300/trends-in-urogynecology-transvaginal-mesh-surgery-in-germany
#1
JOURNAL ARTICLE
Yaman Degirmenci, Kathrin Stewen, Anna Dionysopoulou, Lina Judit Schiestl, Konstantin Hofmann, Christine Skala, Annette Hasenburg, Roxana Schwab
BACKGROUND: Pelvic organ prolapse constitutes a prevalent condition associated with a considerable impact on the quality of life. The utilization of transvaginal mesh surgery for managing POP has been a subject of extensive debate. Globally, trends in TVM surgery experienced significant shifts subsequent to warnings issued by the FDA. METHODS: This study aims to explore temporal patterns in transvaginal mesh surgery in the German healthcare system. A comprehensive analysis was conducted on in-patient data from the German Federal Statistical Office spanning 2006 to 2021...
February 8, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38365647/physical-and-psychological-correlates-of-somatic-symptom-in-patients-with-functional-constipation-a-cross-sectional-study
#2
JOURNAL ARTICLE
Zhifeng Zhao, Bin Bai, Shiqi Wang, Yin Zhou, Pengfei Yu, Qingchuan Zhao, Bin Yang
BACKGROUND: The symptoms of functional constipation (FC) were obviously affected by mental symptoms, which was consistent with somatic symptoms. However, the characteristics of FC patients with somatic symptom remains unexplored. METHODS: Clinical characteristics including somatic symptom (SOM, PHQ-15), depression (PHQ-9), anxiety (GAD-7), quality of life (PAC-QOL), constipation (KESS), demographic variables, anatomical abnormalities and symptoms were investigated...
February 16, 2024: BMC Psychiatry
https://read.qxmd.com/read/38292993/comparison-of-dynamic-magnetic-resonance-defecography-with-clinical-examination-in-diagnosing-pelvic-floor-dysfunction-an-observational-study
#3
JOURNAL ARTICLE
Sanajana Wadhwani, Chetana Ratnaparkhi, Avinash Dhok
BACKGROUND: Pelvic floor dysfunction (PFD) is frequently reported in both sexes. Dynamic magnetic resonance defecography (DMRD) is the preferred modality, mainly due to its superiority and complementary role in clinical examination. However, studies from the perspective of Indian patients are scarce and mostly restricted to females. Thus, we assessed the diagnostic performance of DMRD in patients with PFD and correlated the findings with those on clinical examination. MATERIALS AND METHODS: This prospective, observational study involved 57 adult patients of either sex, presenting with pelvic floor symptoms (PFS) and diagnosed with PFD...
December 2023: Curēus
https://read.qxmd.com/read/38284137/the-application-of-shear-wave-elastography-to-determine-the-elasticity-of-the-levator-ani-muscle-and-vaginal-tissue-in-patients-with-pelvic-organ-prolapse
#4
JOURNAL ARTICLE
José Antonio García-Mejido, Rocío García-Jimenez, Cristina Fernández-Conde, Sara García-Pombo, Fernando Fernández-Palacín, José Antonio Sainz-Bueno
OBJECTIVES: The changes of the extracellular matrix of the connective tissue have significantly contributed to the incidence of pelvic organ prolapse (POP). It seems reasonable that sonoelastography could be a useful tool to evaluate the elasticity of pelvic floor tissue in patients with POP and compare it to those without POP. The main aim of this pilot study was to determine if there are differences in the elasticity of the levator ani muscle (LAM) and vaginal tissue between patients with and without POP...
January 29, 2024: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/38178041/high-resolution-anorectal-manometry-for-diagnosing-obstructed-defecation-syndrome-associated-with-moderate-rectocele-compared-to-healthy-individuals
#5
JOURNAL ARTICLE
Hong Zhi Geng, Yi Zhang, Chen Xu, Jiying Cong, Yuwei Li
BACKGROUND: Few studies have investigated healthy female individuals (HFI) and those with obstructed defecation syndrome associated with moderate rectocele in women (MRW), identified using three-dimensional high-resolution anorectal manometry (3D HRAM) parameters that correlate with age stratification. OBJECTIVE: We aimed to explore the clinical diagnostic values of the MRW and HFI groups using 3D HRAM parameters related to age stratification. METHODS: A prospective non-randomized controlled trial involving 128 cases from the MRW (treatment group, 68 cases) and HFI (control group, 60 cases) groups was conducted using 3D HRAM parameters at Tianjin Union Medical Center between January 2017 and June 2022, and patients were divided into two subgroups based on their ages: the ≥50 and < 50 years subgroups...
January 4, 2024: BMC Gastroenterology
https://read.qxmd.com/read/38134086/maternal-and-neonatal-consequences-of-cystocele-and-rectocele-in-the-delivery-process
#6
JOURNAL ARTICLE
Yusuf Başkiran, Kazim Uçkan, İzzet Çeleğen, Fatma Başak Tanoğlu
The study aimed to investigate the effects of cystocele and rectocele on the stages of vaginal birth and maternal and newborn outcomes. A total of 672 multiparous pregnant women between the ages of 18 to 40 who underwent normal vaginal delivery in our tertiary center between November 2022 and February 2023, were included in this prospective study. Among the participants, 348 (51.8%) had no abnormalities, 78 (11.6%) had rectocele only, 112 (16.7%) had cystocele only, and 134 (19.9) had both cystocele and rectocele...
December 22, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38042721/long-time-consequences-after-starr-procedure-report-of-15-years-experience-and-medico-legal-perspective
#7
JOURNAL ARTICLE
Remo Andreoli, Nicola Zampieri, Simone Orlandi, Andrea Geccherle, Roberto L Castellani
INTRODUCTION: Stapled transanal rectal resection is the most surgical procedure used for obstructed defecation syndrome, rectal prolapse, rectocele and rectal intussusception worldwide. The aim of this study is to report our experience and long time consequences and to offer a new medico-legal perspective. MATERIALS AND METHODS: We retrospective review medical charts of patients treated between 2006 and 2021 ​b ​y the same team directed by the same senior surgeon...
November 22, 2023: American Journal of Surgery
https://read.qxmd.com/read/38001430/laparoscopic-ventral-mesh-rectopexy-vs-transperineal-mesh-repair-for-obstructed-defecation-syndrome-associated-with-rectocele-comparison-of-selectively-distributed-patients
#8
JOURNAL ARTICLE
Bengi Balci, Sezai Leventoglu, Igbal Osmanov, Beyza Erkan, Yasemin Irkilata, Bulent Mentes
PURPOSE: Obstructed defecation syndrome represents 50-60% of patients with symptoms of constipation. We aimed to compare the two frequently performed surgical methods, laparoscopic ventral mesh rectopexy and transperineal mesh repair, for this condition in terms of functional and surgical outcomes. METHODS: This study is a retrospective review of 131 female patients who were diagnosed with obstructed defecation syndrome, attributed to rectocele with or without rectal intussusception, enterocele, hysterocele or cystocele, and who underwent either laparoscopic ventral mesh rectopexy or transperineal mesh repair...
November 24, 2023: BMC Surgery
https://read.qxmd.com/read/37904129/clinical-application-of-a-fixed-reference-line-in-the-ultrasound-quantitative-diagnosis-of-female-pelvic-organ-prolapse
#9
JOURNAL ARTICLE
Xiaojuan Cao, Yuwen Qiu, Zhiyong Peng, Lan Chen, Li Zhou, Anwei Lu, Chunlin Chen, Ping Liu
OBJECTIVE: This study explored using an improved ultrasound (US) for quantitative evaluation of the degree of pelvic organ prolapse(POP). DESIGN: A transluminal probe was used to standardize ultrasound imaging of pelvic floor organ displacements. A US reference line was fixed between the lower edge of the pubic symphysis and the central axis of the pubic symphysis at a 30°counterclockwise angle. METHOD: Points Aa, Ba, C and Bp on pelvic organ prolapse quantification (POP-Q) were then compared with the points on pelvic floor ultrasound (PFUS)...
October 30, 2023: BMC Medical Imaging
https://read.qxmd.com/read/37868521/bartholin-gland-cyst-mimicking-rectocele-common-pathology-at-an-uncommon-location
#10
Satish Choudhury, Arun K Dora, Gargi Gautam, K Pushpalatha
Vaginal cysts are often encountered in gynaecological outpatient settings. These are usually asymptomatic in their initial course but become symptomatic when their size increases or they get infected. While evaluating such cases, clinical examination plays a vital role in ruling out their differential diagnoses. Imaging studies can complement clinical findings. However, in some instances, the nature of vaginal cysts may not be determined preoperatively until histopathology examination reveals it. We report here a rare case of a posterior vaginal wall cyst that presented as a mass protruding through the vagina...
September 2023: Curēus
https://read.qxmd.com/read/37831101/-imaging-of-the-pelvic-floor-mr-defecography-the-surgeon-s-perspective
#11
REVIEW
Jonas Dohmen, Claus C Pieper, Jörg C Kalff, Tim Vilz
BACKGROUND: Magnetic resonance defecography (MRD) plays a central role in diagnosing pelvic floor functional disorders by visualizing the entire pelvic floor along with pelvic organs and providing functional assessment of the defecation process. A shared understanding between radiology and surgery regarding indications and interpretation of findings is crucial for optimal utilization of MRD. OBJECTIVES: This review aims to explain the indications for MRD from a surgical perspective and elucidate the significance of radiological findings for treatment...
October 13, 2023: Radiologie (Heidelb)
https://read.qxmd.com/read/37821046/anterior-sacrospinous-ligament-fixation-by-the-vaginal-route-in-ten-steps
#12
JOURNAL ARTICLE
Dr Maïti Alefsen de Boisredon, Professor Erdogan Nohuz, Professor Gautier Chene, Doctor Charles-André Philip, Professor Gery Lamblin
Pelvic organ prolapse (POP) is a common condition affecting women, characterized by the descent of pelvic organs such as the vagina and uterus. While POP may not always cause symptoms, it can significantly impact a woman's quality of life. Diagnosis is typically made through clinical examination, and treatment options range from pelvic-floor physical therapy to surgery. Anterior sacrospinous ligament fixation (ASSLF) has emerged as a viable technique for treating apical prolapse vaginally. This procedure involves attaching the cervix or vaginal vault to the sacrospinous ligament, providing satisfactory results in the short term...
October 9, 2023: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/37783986/-dynamic-magnetic-resonance-imaging-of-the-pelvic-floor-clinical-application
#13
REVIEW
C Kämpfer, C C Pieper
BACKGROUND: Dynamic magnetic resonance imaging (MRI) of the pelvic floor plays a key role in imaging complex pelvic floor dysfunction. The simultaneous detection of multiple findings in a complex anatomic setting renders correct analysis and clinical interpretation challenging. OBJECTIVES: The most important aspects (anatomy of the pelvic floor, three compartment model, morphological and functional analysis, reporting) for a successful clinical use of dynamic MRI of the pelvic floor are summarized...
October 2, 2023: Radiologie (Heidelb)
https://read.qxmd.com/read/37685818/moving-from-laparoscopic-synthetic-mesh-to-robotic-biological-mesh-for-ventral-rectopexy-results-from-a-case-series
#14
JOURNAL ARTICLE
Farouk Drissi, Fabien Rogier-Mouzelas, Sebastian Fernandez Arias, Juliette Podevin, Guillaume Meurette
Introduction: Laparoscopic ventral mesh rectopexy (VMR) is the standard procedure for the treatment of posterior pelvic organ prolapse. Despite significant functional improvement and anatomical corrections, severe complications related to mesh augmentation can occur in a few proportions of patients. In order to decrease the number of rare but severe complications, we developed a variant of the conventional VMR without any rectal fixation and using a robotic approach with biological mesh. The aim of this study was to compare the results of laparoscopic ventral rectopexy with synthetic mesh (LVMRS) to those of robotic ventral rectopexy with biological mesh (RVMRB)...
September 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37589810/is-robotic-ventral-mesh-rectopexy-for-pelvic-floor-disorders-better-than-laparoscopic-approach-at-the-beginning-of-the-experience-a-retrospective-single-center-study
#15
JOURNAL ARTICLE
Clotylde Dumas, Julie Duclos, Rémy Le Huu Nho, Magali Fermo, Emilie Gomez, Aurélia Henin, Camille Vaisse, Nicolas Pirro, Mathilde Aubert, Diane Mege
PURPOSE: To compare perioperative results of laparoscopic and robotic ventral mesh rectopexy for pelvic floor disorders at the beginning of the surgical experience. METHODS: Between 2017 and 2022, the first 30 laparoscopic ventral mesh rectopexies and the first 30 robotic ventral mesh rectopexies at the beginning of the experience of 2 surgeons were retrospectively analyzed. Perioperative (demographic characteristics, surgical indication, conversion rate, operative time), and postoperative (complications, length of stay, unplanned reintervention) data were compared between groups...
August 17, 2023: International Journal of Colorectal Disease
https://read.qxmd.com/read/37436056/laparoscopic-suture-sacrohysteropexy-a-meshless-uterine-sparing-technique-for-surgical-management-of-uterine-prolapse
#16
JOURNAL ARTICLE
N Thanatsis, M Ben Zvi, A S Kupelian, A Vashisht
BACKGROUND: Laparoscopic mesh sacrohysteropexy has been established as an effective, safe, and popular technique to treat uterine prolapse. Nevertheless, recent controversies regarding the role of synthetic mesh in pelvic reconstructive surgery have triggered a trend towards meshless procedures. Other laparoscopic native tissue prolapses techniques such as uterosacral ligament plication and sacral suture hysteropexy have been previously described in literature. OBJECTIVES: To describe a meshless minimally invasive technique with uterine preservation, which incorporates steps from the above-mentioned procedures...
June 2023: Facts, Views & Vision in ObGyn
https://read.qxmd.com/read/37417994/high-uterosacral-ligament-suspension-in-radical-hysterectomy-a-step-by-step-procedure-to-prevent-pelvic-organ-prolapse
#17
JOURNAL ARTICLE
Linjuan Cai, Xueqing Qu, Lingling Xu, Jian Cao, Dake Li
INTRODUCTION AND HYPOTHESIS: Given the younger age of cervical cancer patients and improved postoperative survival, postoperative quality of life should be a reason for concern, particularly given the prevalence of pelvic floor dysfunction. High uterosacral ligament suspension (HUS) has been deemed the more consistently successful surgery for the treatment of mid-pelvic abnormalities. HUS intraoperatively prevents pelvic floor dysfunction effectively. METHODS: We demonstrate the steps of surgery using surgical video and photographs...
July 7, 2023: International Urogynecology Journal
https://read.qxmd.com/read/37417793/the-clinical-impact-of-obesity-in-patients-with-disorders-of-defecation-a-cross-sectional-study-of-1-155-patients
#18
JOURNAL ARTICLE
Pam Chaichanavichkij, Paul F Vollebregt, Karekin Keshishian, Charles H Knowles, S Mark Scott
INTRODUCTION: Obesity is a global epidemic. Its clinical impact on symptoms of fecal incontinence (FI) and/or constipation and underlying anorectal pathophysiology remains uncertain. METHODS: This is a cross-sectional study of consecutive patients meeting Rome IV criteria for FI and/or functional constipation, with data on body mass index (BMI), attending a tertiary center for investigation between 2017 and 2021. Clinical history, symptoms, and anorectal physiologic test results were analyzed according to BMI categories...
August 18, 2023: American Journal of Gastroenterology
https://read.qxmd.com/read/37350753/the-relationship-between-women-s-sexual-function-and-type-of-delivery-and-pelvic-organ-prolapse-a-cross-sectional-study
#19
JOURNAL ARTICLE
Maryam Moradi, Fatemeh Mohammadzadeh, Azin Niazi, Malihe Afiat
ABSTRACTsThe probable relationship between type of delivery and postpartum sexual function is one of the reasons behind women's tendency to cesarean. This study was performed with 250 women participants. Female Sexual Function Index and examination form were used to determine pelvic organ prolapse and its severity and type based on POP-Q. Our results showed the difference between the mean performance score in the dimensions of desire ( p  = .19), lubrication ( p  = .08), orgasm (0...
June 23, 2023: Health Care for Women International
https://read.qxmd.com/read/37128617/total-uterine-prolapse-a-rare-cause-of-chronic-obstructive-uropathy-associated-with-renal-dysfunction-a-case-report
#20
Anna Thanasa, Efthymia Thanasa, Ioannis Paraoulakis, Evangelos Kamaretsos, Apostolos Ziogas, Gerasimos Kontogeorgis, Vasiliki Grapsidi, Evangelos-Ektoras Gerokostas, Elisavet Mylona, Ioannis Thanasas
Pelvic organ prolapse is rarely associated with severe bilateral ureteral hydronephrosis and renal dysfunction. The etiopathogenetic mechanism has not been fully elucidated. Contemporary imaging methods of the urinary tract play a decisive role in assessing the morphological function of the kidneys. In cases of moderate and severe pelvic organ prolapse, surgery appears to be the main choice of treatment. Our case concerns a post-menopausal patient with three vaginal deliveries in her obstetric history and with a history of bilateral hydronephrosis and impaired renal function who was referred to the outpatient clinic for a gynecological examination due to complete uterine prolapse...
2023: Pan African Medical Journal
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