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Urogynaecology

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https://www.readbyqxmd.com/read/28094468/long-term-outcomes-of-transobturator-tapes-in-women-with-stress-urinary-incontinence-e-tot-randomised-controlled-trial
#1
Debjyoti Karmakar, Alyaa Mostafa, Mohamed Abdel-Fattah
OBJECTIVES: To assess the long-term (LT) patient-reported outcomes and adverse events(AE) following transobturator tension-free vaginal tape(TO-TVT). DESIGN: Postal follow-up of the E-TOT randomised controlled trial(RCT). SETTING: A tertiary urogynaecology center in the UK; all procedures took place in 2005 to2007. POPULATION: 341 Women were randomised to undergo either "inside-out" TVT-O (Ethicon Inc.,Somerville,NJ,USA) or "outside-in" TOT-ARIS (Coloplast Corp...
January 17, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28042169/the-problem-of-polypharmacy-in-female-patients-with-overactive-bladders-cross-sectional-study-in-a-specialist-outpatient-department
#2
C S Schneidinger, W Umek, B Böhmdorfer
Background: The consumption of certain drugs can cause urinary incontinence. The aim of this study is to determine the frequency of consumption of drugs that can favour incontinence, the incidence of polypharmacy and the incidence of potentially dangerous drug-drug interactions in female patients suffering from overactive bladder (OAB) who presented to a urogynaecological outpatient department. Methods: We undertook a retrospective case series study. The data from 100 female patients who attended the urogynaecological outpatient department of the Vienna General Hospital [VGH; Allgemeinen Krankenhauses Wien (AKH)] in the period from 20...
December 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/27979540/re-conjoint-urological-society-of-australia-and-new-zealand-usanz-and-urogynaecological-society-of-australasia-ugsa-guidelines-on-the-management-of-adult-non-neurogenic-overactive-bladder
#3
https://www.readbyqxmd.com/read/27924376/predicting-levator-avulsion-from-ics-pop-q-findings
#4
Alejandro Pattillo Garnham, Rodrigo Guzmán Rojas, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Levator avulsion is a common consequence of vaginal childbirth. It is associated with symptomatic female pelvic organ prolapse and is also a predictor of recurrence after surgical correction. Skills and hardware necessary for diagnosis by imaging are, however, not universally available. Diagnosis of avulsion may benefit from an elevated index of suspicion. The aim of this study was to examine the predictive value of the International Continence Society Pelvic Organ Prolapse Quantification (ICS POP-Q) for the diagnosis of levator avulsion by tomographic 4D translabial ultrasound...
December 6, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27882747/-present-properties-of-ultrasound-diagnostics-in-urogynecology
#5
D Gágyor
OBJECTIVE: The review article describes properties of sonography diagnostics in urogynecology. DESIGN: Review article. SETTING: Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, Palacky University in Olomouc. MATERIAL AND METHODS: The review of sonography methods in urogynecology, their practical use for low urinary tract dysfunctions diagnostics, monitoring of surgical therapy effect and diagnostics of complications...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27826217/danish-urogynaecological-database
#6
Ulla Darling Hansen, Kim Oren Gradel, Michael Due Larsen
The Danish Urogynaecological Database is established in order to ensure high quality of treatment for patients undergoing urogynecological surgery. The database contains details of all women in Denmark undergoing incontinence surgery or pelvic organ prolapse surgery amounting to ~5,200 procedures per year. The variables are collected along the course of treatment of the patient from the referral to a postoperative control. Main variables are prior obstetrical and gynecological history, symptoms, symptom-related quality of life, objective urogynecological findings, type of operation, complications if relevant, implants used if relevant, 3-6-month postoperative recording of symptoms, if any...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27738733/what-can-we-learn-from-large-data-sets-an-analysis-of-19-000-retropubic-tapes
#7
Fiona Bach, Philip Toozs-Hobson
INTRODUCTION AND HYPOTHESIS: Retropubic tapes are successful for treating stress urinary incontinence (SUI), but there is controversy around risk profiles. The British Society of Urogynaecology (BSUG) database allows analysis of surgery for patient safety, surveillance and benchmarking. Objectives of this study were to establish success and complication rates in routine practice, determine complication rates for trainees and consultants, explore reasons for outliers and assess perforation as a surrogacy of quality...
October 13, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27678142/does-the-vaginal-wall-become-thinner-as-prolapse-grade-increases
#8
Rhiannon Bray, Alex Derpapas, Ruwan Fernando, Vik Khullar, Demetri C Panayi
INTRODUCTION AND HYPOTHESIS: The pathophysiology of prolapse is not well understood. However, two main theories predominate: either the fibromuscular layer of the vagina develops a defect/tears away from its supports, or its tissues are stretched and attenuated. The aim of this study was to assess how vaginal wall thickness (VWT) is related to vaginal prolapse. METHODS: The study group comprised 243 women with symptomatic prolapse recruited from the Outpatient Department of a tertiary referral centre for urogynaecology...
September 27, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27622984/levator-ani-trauma-and-pelvic-organ-prolapse-a-comparison-of-three-translabial-ultrasound-scoring-systems
#9
Gerda Trutnovsky, Ixora Kamisan Atan, Daniela Ulrich, Andrew Martin, Hans P Dietz
INTRODUCTION: The study aimed to analyze the relation between the degree of puborectalis muscle trauma and subjective symptoms and objective findings of pelvic organ prolapse (POP), comparing two continuous scoring systems with a discrete scoring system for translabial ultrasound imaging. MATERIAL AND METHODS: In this retrospective observational study the records of patients attending a tertiary urogynecological unit between January 2012 and December 2014 were analyzed...
December 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27570251/guideline-based-strategies-in-the-surgical-treatment-of-female-urinary-incontinence-the-new-gold-standard-is-almost-the-same-as-the-old-one
#10
V Viereck, W Bader, K Lobodasch, F Pauli, R Bentler, H Kölbl
The modern sling procedures for treating female stress urinary incontinence encompass numerous methods, materials and manufacturers. On the basis of the current S2e guidelines, the methods used most frequently in the diagnosis of and therapy for stress urinary incontinence in women are critically illustrated. An individualised procedure is necessary for the choice of the surgical method, especially in the presence of accompanying pathologies. This article is intended to help the treating physician to carry out quality-assured diagnostics and therapy for the patient and to offer the best possible urogynaecological management...
August 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/27412532/collaboration-with-the-mesh-industry-who-needs-who
#11
Jan-Paul Roovers
Professional physician organisations should be the coordinators of all stakeholders involved in the field of urogynaecology. That means that, together with representatives of the patients ("patient organisations") they develop a priority agenda. This agenda involves the topics that need the highest level of attention, either because knowledge in this area is insufficient, or because existing knowledge is not optimally implemented. The next step is to discuss this list with representatives of industry, patient representatives, insurance companies and organisations with an intention to donate money to women's health...
September 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27411997/-urogynaecological-training-situation-in-germany-gap-between-demand-and-reality
#12
J Kranz, L Schneidewind, D Barski, R Tahbaz, N Huppertz, C Zerrenner, M Grabbert, S Mühlstädt, F Queissert, S Schott, S Grundl, A Boymanns, J Steffens, A E Pelzer
BACKGROUND: With increasing life expectancy, progressive demographic change and decreasing societal stigmatization of incontinence urologists and gynaecologists are increasingly faced with urogynaecological challenges. To date however, urogynaecology is a poorly standardized area of expertise in both disciplines. Therefore, the urogynaecology training, especially in Germany, is very heterogeneous and requires evaluation as well as improvement. MATERIALS AND METHODS: The GeSRU-Academics research group "Functional urology and LUTS" evaluated this subject nationwide among urological and gynecological trainees and their chief physicians by using a comprehensive questionnaire (34/38 multiple-choice items) between April 2015 and May 2016...
August 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27379890/a-new-validated-score-for-detecting-patient-reported-success-on-postoperative-iciq-sf-a-novel-two-stage-analysis-from-two-large-rct-cohorts
#13
Debjyoti Karmakar, Alyaa Mostafa, Mohamed Abdel-Fattah
INTRODUCTION AND HYPOTHESIS: The Patient Global Impression of Improvement (PGI-I) and International Consultation of Incontinence Questionnaire - Short Form (ICIQ-SF) are validated instruments for the assessment of patient reported outcome measures (PROM) following treatment of stress urinary incontinence (SUI). However, there is a paucity of evidence as to what represents a successful postintervention ICIQ-SF score. To determine the correlation between the postoperative ICIQ-SF scores with the PGI-I outcomes, the latter was considered one of the standard PROM following surgical treatment for SUI...
January 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/27304649/prevalence-of-common-comorbidities-among-urogynaecological-patients
#14
Tomasz Rechberger, Łukasz Nowakowski, Ewa Rechberger, Alicja Ziętek, Izabela Winkler, Paweł Miotła
OBJECTIVES: Due to prolonged life expectancy, regardless of the fact that elderly women are more likely to suffer from comorbidities, urogynaecologists worldwide should expect a growing demand for counseling and effective treatment for patients with pelvic floor defects. The aim of the study was to investigate the incidence of popular comorbidities among urogynaecological patients. MATERIAL AND METHODS: The retrospective analysis included clinical data of 4,065 consecutive female patients who under-went surgical treatment in the 2nd Department of Gynaecology at the Medical University of Lublin due to urogynaecological disorders between January 2005 and December 2014...
2016: Ginekologia Polska
https://www.readbyqxmd.com/read/27116197/knowledge-of-pelvic-organ-prolapse-in-patients-and-their-information-seeking-preferences-comparing-vienna-and-moscow
#15
Polina Lyatoshinskaya, D Gumina, A Popov, M Koch, M Hagmann, W Umek
INTRODUCTION AND HYPOTHESIS: We hypothesized that knowledge of pelvic organ prolapse (POP) and patient information-seeking preferences are the same in the two capital cities. METHODS: First-visit patients were recruited at tertiary referral urogynaecological units in Vienna (137) and in Moscow (112). A 16-item scale was used to assess the patient knowledge of POP. The 16 items comprised 12 specific items taken from the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) and four added items...
April 26, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27107992/selected-abstracts-from-the-annual-research-meeting-of-the-british-society-of-urogynaecology-2015
#16
(no author information available yet)
No abstract text is available yet for this article.
July 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27073152/vesicovaginal-fistula-following-insertion-of-a-foreign-body-in-the-vagina-for-sexual-gratification-could-it-be-catastrophic
#17
Ankur Bansal, Manoj Kumar, Sunny Goel, Ruchir Aeron
In developing countries such as India, the vesicovaginal fistula (VVF) is a commonly found entity in urogynaecology. VVFs secondary to obstructive labour still remain the most common cause in these countries. We report a very unusual case of a VVF in a young woman that developed due to self-insertion of a plastic box for sexual gratification.
April 12, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27016124/combined-laparoscopic-vesicoscopic-and-vaginal-repair-of-a-vesicovaginal-fistula
#18
Philippe Grange, Fevzi Shakir, Ganesh Thiagamoorthy, Dudley Robinson, Linda Cardozo
STUDY OBJECTIVE: To demonstrate a combined laparoscopic, vesicoscopic, and vaginal approach to repair of a complex vesicovaginal fistula. DESIGN: Technical video demonstrating a combined laparoscopic, vesicoscopic, and vaginal approach for repairing a vesicovaginal fistula (Canadian Task Force classification level III). SETTING: Urogynecology and Urology Departments of a tertiary referral center for urogynecology. INTERVENTIONS: A 38-year-old woman presented with a vesicovaginal fistula secondary to a previous total abdominal hysterectomy...
September 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27010558/should-maximal-urethral-closure-pressure-be-performed-before-midurethral-sling-surgery-for-stress-incontinence-a-time-to-revisit
#19
Monika Vij, Anupreet Dua, Robert M Freeman
INTRODUCTION AND HYPOTHESIS: Maximum urethral closure pressure (MUCP) provides an objective assessment of urethral integrity, but its role in predicting outcome after midurethral sling (MUS) placement is debatable and current practice in the UK is variable. The study was carried out to determine if lower preoperative MUCP is associated with poor outcome following MUS. METHOD: The study was a retrospective review of the British Society of Urogynaecology (BSUG) database and urodynamics (UDS) data...
October 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27006057/technical-video-vesicoscopic-excision-of-eroded-tension-free-vaginal-tape
#20
Philippe Grange, Fevzi Shakir, Ganesh Thiagamoorthy, Dudley Robinson, Linda Cardozo
STUDY OBJECTIVE: To show vesicoscopic excision of eroded tension-free vaginal tape (TVT). DESIGN: A technical video showing vesicoscopic excision of eroded TVT (Canadian Task Force Classification level III). SETTING: Urogynecology and Urology Departments, King's College Hospital, London, UK, a tertiary referral center for urogynecology. INTERVENTIONS: A 52-year-old woman presented with suprapubic pain, hematuria, and recurrent urinary tract infections 4 years after TVT insertion for stress urinary incontinence...
July 2016: Journal of Minimally Invasive Gynecology
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