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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
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
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...
September 13, 2016: Acta Obstetricia et Gynecologica Scandinavica
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
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
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
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...
July 5, 2016: International Urogynecology Journal
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
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
(no author information available yet)
No abstract text is available yet for this article.
July 2016: International Urogynecology Journal
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.
2016: BMJ Case Reports
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
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
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
Philip Toozs-Hobson, Pooja Devani, Joseph Pick, Paul A Moran, Philip Assassa, Claire Burton
INTRODUCTION AND HYPOTHESIS: The objective of this article was to use the British Society of Urogynaecology (BSUG) database to assess the impact of age on success rates and insertion complications of suburethral tapes for primary procedures using the Patient Global Impression of Improvement (PGII) as the primary endpoint. METHODS: We carried out a retrospective analysis of data at a national level (BSUG database) using PGII as the primary outcome measure. Secondary outcomes included improvement in stress incontinence and complications from surgery...
October 2016: International Urogynecology Journal
Anke R Mothes, Henning Mothes, Rosemarie Fröber, Marc P Radosa, Ingo B Runnebaum
OBJECTIVE: To define and classify cervical elongation, to compare uterine measurements after prolapse hysterectomy with a non-prolapse control group, and to associate stage of prolapse and degree of cervical elongation. STUDY DESIGN: This was a single-centre retrospective case-control study conducted at the University Hospital, Urogynaecological Unit, with a certified urogynaecological surgeon. Data were collected from patients with and without pelvic organ prolapse (POP) who underwent laparoscopically assisted vaginal hysterectomy...
May 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Aaron K Budden, Nèvine I D Te West, Allan D Sturgess, Kate H Moore
INTRODUCTION AND HYPOTHESIS: The classic triad of dry eyes, mouth and vagina is known to most gynaecologists as pathognomonic of Sjögren's syndrome, but rheumatologists seldom consider vaginal symptoms. Our hypothesis was that women with Sjögren's syndrome would have an increased likelihood of postoperative voiding dysfunction, severe vaginal stenosis or poor response to anticholinergics compared with the general urogynaecology patient. METHODS: All patients with Sjögren's syndrome were prospectively recorded from July 2007 to June 2015...
September 2016: International Urogynecology Journal
Angamuthu S Arunkalaivanan, Monica Baptiste, Tariq Sami
PURPOSE: We present the management of 17 cases of urethral diverticulum in our department. We describe the various clinical presentations of urethral diverticulum, which may mimic other pelvic floor disorders and result in diagnostic delay. MATERIALS AND METHODS: We reviewed 17 cases of urethral diverticulum presented to the urogynaecology department between January 2006 and February 2011 retrospectively. Patient demographics, history, clinical evaluation, diagnostic modalities, and management plans were reviewed...
February 2016: Journal of Obstetrics and Gynaecology of India
Stephen O'Brien, Anudeep Dua, Monika Vij
OBJECTIVE AND HYPOTHESIS: Our aim was to identify variation in surgical technique for treating pelvic floor disorders looking specifically at differences in approach between subspeciality trained urogynaecologists and general gynaecologists. We hypothesised that speciality trained surgeons would have a more uniform operative technique. We did not make a hypothesis about which operative areas would have the most variation overall. METHODS: We performed a single-timepoint online survey of members of the International Urogynaecological Association (IUGA)...
August 2016: International Urogynecology Journal
Farah Lone, Abdul H Sultan, Aleksandra Stankiewicz, Ranee Thakar
OBJECTIVE: To assess the interobserver agreement of pelvic floor anatomical measurements using multicompartment pelvic floor ultrasound. METHODS: Females were recruited from the urogynaecology/gynaecology clinics between July and October 2009 and underwent multicompartment pelvic floor ultrasonography (PFUS) using two-dimensional (2D) transperineal ultrasound (TPUS), high-frequency 2D/three-dimensional (3D) endovaginal ultrasound (EVUS) using a biplane probe with linear and transverse arrays and a 360° rotational 3D-EVUS...
2016: British Journal of Radiology
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