keyword
https://read.qxmd.com/read/37100674/pelvic-recovery-after-endometrial-cancer-treatment-patient-reported-outcomes-and-mri-findings
#21
JOURNAL ARTICLE
Katherine E Maturen, Marisa F Martin, Christina H Chapman, Karen M McLean, Brandy N Michaels, Shitanshu Uppal, Joann I Prisciandaro, Daniela A Wittmann, Shruti Jolly
RATIONALE AND OBJECTIVES: Most women with endometrial cancer (EC) have an excellent prognosis and may be cured. However, treatment-related pelvic functional impacts may affect long-term quality of life. To better understand these concerns, we explored correlations between patient-reported outcomes and pelvic magnetic resonance imaging (MRI) features in women treated for EC. MATERIALS AND METHODS: Women with histologic diagnosis of EC were consented preoperatively and completed the validated Female Sexual Function Index (FSFI) and Pelvic Floor Dysfunction Index (PFDI) questionnaires at preoperative, 6-week, and 6-month follow-up visits...
April 24, 2023: Academic Radiology
https://read.qxmd.com/read/37036403/the-patient-with-obstructed-defecatory-symptoms-management-differs-considerably-between-physicians-and-surgeons
#22
JOURNAL ARTICLE
Yoav Mazor, Margaret Schnitzler, Michael Jones, Anastasia Ejova, Allison Malcolm
BACKGROUND: Patients with obstructed defecatory symptoms (ODS) are commonly referred to either gastroenterologists (GE) or colorectal surgeons (CS). Further management of these patients may be impacted by this choice of referral. METHODS: An online survey of specialist practice was disseminated to GE and CS in Australia and New Zealand. A case vignette of a patient presenting with ODS was described, with multiple subsequent scenarios designed to delineate the responder's preferred approach to management of this patient...
April 10, 2023: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://read.qxmd.com/read/36994630/anatomic-outcomes-of-sacrohysteropexy-without-posterior-mesh-placement-in-patients-with-asymptomatic-grade-1-and-2-rectoceles-is-a-rectouterine-mesh-really-necessary
#23
JOURNAL ARTICLE
Adem Sancı, Khaled Obaid, Murat Topcuoglu, Mehmet İlker Gokce, Evren Süer, Ömer Gülpinar
OBJECTIVES: To present the anatomic outcomes of sacrohysteropexy surgery without posterior mesh placement in patients with asymptomatic grade 1 and 2 rectoceles. METHODS: The patients who underwent abdominal sacrohysteropexy without posterior mesh placement for the treatment of symptomatic grade 3 and 4 anterior/apical prolapse + asymptomatic grade 1 and 2 rectocele between May 2015 and January 2021 were evaluated retrospectively. The success rate, the anatomic outcomes (for anterior, apical, and posterior pelvic organ prolapse [POP]), and perioperative data of the surgical procedure were assessed...
March 30, 2023: Lower Urinary Tract Symptoms
https://read.qxmd.com/read/36983214/anterior-and-apical-prolapse-comparison-of-vaginal-mesh-surgery-to-vaginal-surgery-with-no-mesh
#24
JOURNAL ARTICLE
Charlotte Cassagne, Francoise Perriard, Arnaud Cornille, Jennifer Salerno, Laure Panel
AIM OF THE STUDY: The aim of this study was to evaluate the anatomical results after an anterior sacrospinous ligament fixation (ASSLF) with native tissue repair (anterior colporraphy and apical suspension with prolene) compared to mesh repair for the correction of anterior prolapse at 12 months after surgery. MATERIALS AND METHODS: A monocentric prospective study comparing two similar cohorts who underwent ASSLF was conducted. The primary endpoint was the gain in the position of the Ba point relative to its position before surgery and twelve months after surgery...
March 13, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36977940/laparoscopic-or-transanal-repair-of-rectocele-comparison-of-a-reduction-in-rectocele-size
#25
JOURNAL ARTICLE
Akira Tsunoda, Tomoko Takahashi, Satoshi Matsuda, Hiroshi Kusanagi
PURPOSE: This study aimed to compare the reduction in rectocele size after laparoscopic ventral rectopexy (LVR) with that after transanal repair (TAR). METHODS: Forty-six patients with rectocele who underwent LVR and 45 patients with rectocele who received TAR between February 2012 and December 2022 were included. This was a retrospective analysis of prospectively collected data. All patients had clinical evidence of a symptomatic rectocele. Bowel function was evaluated using the constipation scoring system (CSS) and fecal incontinence severity index (FISI)...
March 29, 2023: International Journal of Colorectal Disease
https://read.qxmd.com/read/36805991/functional-disorders-of-the-pelvic-floor-recommendations-of-the-polish-coloproctology-club-of-the-scientific-society
#26
JOURNAL ARTICLE
Tomasz Kościński
Zaburzenia czynnociowe dna miednicy s zjawiskiem zoonym zalenym od ubytkw anatomicznych w ukadzie powiziowo-miniowym oraz od stanu ich unerwienia i jakoci tkanki cznej. Maj one rozmaite postacie i lokalizacje. Od ich konfiguracji zaley obraz kliniczny zaburze czynnociowych w tym obnianie dna miednicy, wypadanie narzdu rodnego, odbytnicy, rectocele, enterocele i cystocele. Rekomendacje dotycz zasad diagnostycznych oraz kompleksowego postepowania terapeutycznego. Istot leczenia chirurgicznego jest odbudowa architektoniki tkanek oporowych dna miednicy technikami beznapiciowymi z uyciem materiaw protetycznych...
September 12, 2022: Polski Przeglad Chirurgiczny
https://read.qxmd.com/read/36797400/non-invasive-biomechanical-assessment-of-the-prolapsed-vaginal-wall-an-explorative-pilot-study-on-cutometry-and-indentometry
#27
JOURNAL ARTICLE
Yani P Latul, Arnoud W Kastelein, Boris C de Graaf, Zeliha Guler, Jan-Paul W R Roovers
The clinical assessment of pelvic organ prolapse (POP) and associated treatment strategies is currently limited to anatomical and subjective outcome measures, which have limited reproducibility and do not include functional properties of vaginal tissue. The objective of our study was to evaluate the feasibility of using cutometry and indentometry for non-invasive biomechanical assessment of the vaginal wall in women with POP. Both techniques were applied on the vaginal wall of 20 women indicated for surgical correction of POP stage two or higher...
February 16, 2023: Scientific Reports
https://read.qxmd.com/read/36795111/triple-compartment-strategy-for-abdominal-sacral-colpopexy-using-pvdf-mesh-one-year-report-of-anatomical-and-subjective-outcomes
#28
JOURNAL ARTICLE
Mahtab Zargham, Mehdi Dehghani, Farshad Gholipour, Maryam Emami, Maziar Daneshvari, Alireza Aminsharifi
INTRODUCTION AND HYPOTHESIS: Abdominal Sacral Colpopexy (ASC) is one of the best surgical methods to repair apical or uterine prolapse. We aimed to evaluate the short-term results of a triple-compartment open ASC strategy using polyvinylidene fluoride (PVDF) mesh in the treatment of patients with severe apical or uterine prolapse. METHODS: Women with high-grade uterine or apical prolapse with or without cysto-rectocele were prospectively enrolled in the study from April 2015 to June 2021...
February 16, 2023: International Urogynecology Journal
https://read.qxmd.com/read/36745205/a-possible-physiological-mechanism-of-rectocele-formation-in-women
#29
JOURNAL ARTICLE
Ge Sun, Robbert J de Haas, Monika Trzpis, Paul M A Broens
BACKGROUND: We aimed to determine the anorectal physiological factors associated with rectocele formation. METHODS: Female patients (N = 32) with severe constipation, fecal incontinence, or suspicion of rectocele, who had undergone magnetic resonance defecography and anorectal function tests between 2015 and 2021, were retrospectively included for analysis. The anorectal function tests were used to measure pressure in the anorectum during defecation...
February 6, 2023: Abdominal Radiology
https://read.qxmd.com/read/36729157/pathophysiological-basis-clinical-assessment-investigation-and-management-of-patients-with-obstruction-defecation-syndrome
#30
REVIEW
John Bunni, Matthew J Laugharne
Obstructed defecation syndrome (ODS) is a clinical syndrome manifest as difficulty in faecal evacuation despite no mechanical obstruction. It is the final clinical pathway of a number of anatomical and physiological pathologies they can result in considerable misery to the lives of the patients it afflicts. Herein, the authors seek to breakdown the syndrome into its component parts, looking first at normal pelvic floor anatomy and physiology; followed by each pathological element; clinical features and investigation; individual management and management of the patient as a whole...
February 2, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/36701286/rectocele-correlation-between-defecography-and-physical-examination
#31
JOURNAL ARTICLE
Carly A Crowder, Nichole Sayegh, Noelani M Guaderrama, Sarah E S Jeney, Kristen Buono, Janis Yao, Emily L Whitcomb
IMPORTANCE: There is a lack of consensus regarding the clinical applicability of fluoroscopic defecography in evaluation of pelvic organ prolapse. OBJECTIVES: The aim was to evaluate the association between rectocele on defecography and posterior vaginal wall prolapse (PVWP) on physical examination. The secondary objective was to describe radiologic and clinical predictors of surgical intervention and outcomes. STUDY DESIGN: This was a retrospective review of patients enrolled in a large health maintenance organization who underwent defecography and were examined by a urogynecologist within 12 months...
January 23, 2023: Urogynecology (Hagerstown)
https://read.qxmd.com/read/36675607/surgical-treatment-for-rectocele-by-posterior-colporrhaphy-compared-to-stapled-transanal-rectal-resection
#32
JOURNAL ARTICLE
Ohad Gluck, Doraid Matani, Ada Rosen, Elad Barber, Eran Weiner, Shimon Ginath
BACKGROUND: Rectocele is defined as a defect in the rectovaginal septum, causing symptoms like obstructed defecation syndrome (ODS), vaginal bulging, etc. Once the rectocele is larger than 3 cm and/or symptomatic, surgery should be considered. The surgical approach can be either transvaginal, transanal or transperineal. Two of the most common procedures in treating rectocele are posterior colporrhaphy (PC) and stapled trans anal rectal resection (STARR). The purpose of this study was to compare surgical outcomes of both procedures...
January 15, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36657614/management-of-female-pelvic-organ-prolapse-summary-of-the-2021-has-guidelines
#33
Anne-Cécile Pizzoferrato, Caroline Thuillier, Aurélien Vénara, Nicole Bornsztein, Sylvain Bouquet, Mélanie Cayrac, Martine Cornillet-Bernard, Odile Cotelle, Florence Cour, Sophie Cretinon, Pia De Reilhac, Jérôme Loriau, Françoise Pellet, Marie-Aimée Perrouin-Verbe, Anne-Gaëlle Pourcelot, Christine Revel-Delhom, Benoit Steenstrup, Thomas Vogel, Loïc Le Normand, Xavier Fritel
When a patient presents with symptoms suggestive of pelvic organ prolapse (POP), clinical evaluation should include an assessment of symptoms, their impact on daily life and rule out other pelvic pathologies. The prolapse should be described compartment by compartment, indicating the extent of the externalization for each. The diagnosis of POP is clinical. Additional exams may be requested to explore the symptoms associated or not explained by the observed prolapse. Pelvic floor muscle training and pessaries are non-surgical conservative treatment options recommended as first-line therapy for pelvic organ prolapse...
March 2023: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/36629143/australian-trends-in-the-treatment-of-pelvic-organ-prolapse-in-the-non-mesh-era
#34
JOURNAL ARTICLE
Taha Mollah, Janelle Brennan
BACKGROUND: To assess the contemporary trends in the types and incidence of pelvic organ prolapse (POP) surgery in Australia after the removal of transvaginal mesh from the Australian market. METHODS: This was a retrospective Australian cohort study utilizing three large Governmental databases covering all private and public POP procedures in Australia. All females ≥25 years old undergoing POP procedures between 2005 and 2021 were included. RESULTS: From 2005-2006 to 2020-2021 there have been a total of 408 881 POP procedures in Australia...
January 11, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/36575051/translabial-ultrasound-for-pelvic-organ-prolapse
#35
JOURNAL ARTICLE
Manal Ali Alqahtani, Sa Ra Lee
Pelvic organ prolapse (POP) is a significant public health concern in women and a common cause of gynecological surgery in elderly women. The prevalence of POP has increased with an increase in the aging population. POP is usually diagnosed based on pelvic examination. However, an imaging study may be necessary for more accurate diagnosis. Translabial ultrasound (TLUS) was used to assess diverse types of POP, particularly posterior-compartment POP. It is beneficial to distinguish between true and false rectocele, and detect the rectocele as clinically apparent...
December 27, 2022: Obstetrics & Gynecology Science
https://read.qxmd.com/read/36565432/is-posterior-compartment-prolapse-associated-with-anal-incontinence
#36
JOURNAL ARTICLE
N Subramaniam, H P Dietz
OBJECTIVE: It has been claimed that manifestations of posterior compartment prolapse such as rectocele, enterocele and intussusception are associated with anal incontinence (AI), but this has not been studied while controlling for anal sphincter trauma. We aimed to investigate such a potential association in women with intact anal sphincter presenting with pelvic floor dysfunction. METHODS: This retrospective study analyzed 1133 women with intact anal sphincter presenting to a tertiary urogynecological center for pelvic floor dysfunction between 2014 and 2016...
December 24, 2022: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/36442380/can-obesity-impact-mesh-exposure-rate-after-mid-urethral-sling-operation-medium-term-follow-up
#37
JOURNAL ARTICLE
Yair Daykan, Zvi Klein, Or Eliner, Barry A O'Reilly, Yael Yagur, Shir Belkin, Rachel Ribak, Nissim Arbib, Ron Schonman
OBJECTIVE: To study mesh exposure rates among obese (BMI ≥ 30 kg/m2 ) vs non-obese women after mid-urethral sling (MUS) operation. STUDY DESIGN: This retrospective cohort study included all patients who underwent MUS surgery for stress urinary incontinence April 2014-April 2021 in a tertiary-level university hospital. Data from obese and non-obese patients were compared. RESULTS: A total of 120 (41 %) obese patients and 172 (59 %) non-obese patients who had mid-urethral sling surgery were compared...
January 2023: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/36377333/annual-long-term-functional-outcomes-after-transanal-repair-for-symptomatic-rectocele
#38
JOURNAL ARTICLE
Akira Tsunoda, Hiroshi Kusanagi
Purpose: This study was performed to assess the long-term annual functional outcomes and quality of life (QOL) after transanal rectocele repair. Methods: We evaluated retrospectively collected data from patients who underwent transanal repair for symptomatic rectocele between February 2012 and December 2018. The Constipation Scoring System (CSS), the Fecal Incontinence Severity Index (FISI), and several QOL questionnaires (e.g., the Patient Assessment of Constipation-QOL [PAC-QOL], Fecal Incontinence QOL, and the 36-Item Short Form Survey [SF-36]) were administered before surgery and annually after surgery...
November 15, 2022: Annals of Coloproctology
https://read.qxmd.com/read/36368595/complications-following-posterior-colporrhaphy-with-and-without-anal-sphincteroplasty-an-analysis-of-cases-in-the-national-surgical-quality-improvement-program-database
#39
JOURNAL ARTICLE
Danielle Wuebbolt, Marie-Elisabeth Bouchard, Shireen Hussein, Dante Pascali, Aisling A Clancy
OBJECTIVE: We aimed to compare postoperative complications for patients undergoing posterior colporrhaphy with or without sphincteroplasty. METHODS: A retrospective cohort of women undergoing posterior colporrhaphy with or without anal sphincteroplasty was completed using the National Surgery Quality Improvement Program database (2012-2019). The primary outcome was a composite of important surgical complications, including wound complications, blood transfusion, hospital stay >48 hours, reoperation, readmission, and urinary tract infection...
November 8, 2022: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/36344359/anatomic-and-functional-results-of-ventral-biological-mesh-rectopexy-for-posterior-pelvic-floor-disorders
#40
JOURNAL ARTICLE
F Rogier-Mouzelas, F Drissi, J Podevin, E Duchalais, G Meurette
INTRODUCTION: Ventral mesh rectopexy (VMR) is the gold standard for rectal prolapse surgery, but the type of mesh reinforcement is still a matter of debate. The aim of this study was to assess the anatomic and functional results of a single center cohort of patients receiving ventral rectopexy with biological mesh compared to a reference group who had implantation of synthetic mesh. We also assessed the predictive factors for recurrence. PATIENTS AND METHODS: Seventy patients (2015-2021) were included in the biological mesh group and were compared to a reference group of 345 patients operated on with a synthetic mesh (2004-2017)...
June 2023: Journal of Visceral Surgery
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