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Vaginal prolapse

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https://www.readbyqxmd.com/read/29455045/impact-of-transvaginal-modified-sacrospinous-ligament-fixation-with-mesh-for-the-treatment-of-pelvic-organ-prolapse-before-and-after-studies
#1
Qinyi Zhu, Huimin Shu, Guiqiang Du, Zhiyuan Dai
BACKGROUND: Pelvic organ prolapse (POP) is a common disease in women. The aim of this research was to evaluate the safety, efficacy and complication of transvaginal modified sacrospinous ligament fixation with mesh using for the treatment of vaginal vault prolapse. MATERIALS AND METHODS: This was a prospective study including information from 60 symptomatic women with anterior-apical pelvic floor prolapse. The patients underwent transvaginal modified sacrospinous ligament fixation combined with anterior vaginal wall mesh between May 2014 and Sep 2015...
February 15, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29449196/clinical-predictors-of-successful-vaginal-myomectomy-for-prolapsed-pedunculated-uterine-leiomyoma
#2
Serdar Aydın, Hale Göksever Çelik, Mustafa Maraşlı, Rabia Zehra Bakar
OBJECTIVE: Uterine leiomyomas are the most common pelvic tumor in women. The calculated prevalence of prolapsed pedunculated leiomyoma was 2.5% in patients who underwent surgery. Although vaginal removal is safe and effective, hysterectomy demand is questionable. We aimed to analyze the association between patient characteristics, clinical features of prolapsed pedunculated submucosal leiomyoma and the probability of successful vaginal myomectomy. MATERIALS AND METHODS: This study was conducted in 35 women who presented with prolapsed pedunculated uterine leiomyoma...
February 1, 2018: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/29432905/transvaginal-single-port-laparoscopy-pelvic-reconstruction-with-y-shaped-mesh
#3
Yisong Chen, Junwei Li, Keqin Hua
STUDY OBJECTIVE: To describe new technique of pelvic reconstruction with Y-shaped mesh assisted by transvaginal single-port laparoscopy for multiple compartments Pelvic Organ Prolapse (POP). DESIGN: Step-by-step explanation of the procedure using video. SETTING: It is more and more prudent for pelvic floor reconstruction with mesh because of mesh related complications. Learning from sacrocolpopexy with lower rate of mesh erosion (3.5%), new method of pelvic reconstruction with natural orifice transluminal endoscopic surgery is feasible...
February 9, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29425837/robotic-assisted-sacrocolpopexy-early-postoperative-outcomes-after-surgical-reduction-of-enlarged-genital-hiatus
#4
Megan S Bradley, Amy L Askew, Monique H Vaughan, Amie Kawasaki, Anthony G Visco
BACKGROUND: Currently, the decision to perform a concurrent posterior repair/perineoplasty at the time of robotic-assisted sacrocolpopexy is not standardized. OBJECTIVE: To compare anatomic failure after robotic-assisted sacrocolpopexy among three groups of patients categorized by their pre- and post-operative genital hiatus size. STUDY DESIGN: We performed a retrospective cohort study of women who underwent robotic-assisted sacrocolpopexy, from 1/2013 to 9/2016...
February 6, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29420409/surgical-outcomes-after-apical-repair-for-vault-compared-with-uterovaginal-prolapse
#5
Rebecca G Rogers, Tracy L Nolen, Alison C Weidner, Holly E Richter, J Eric Jelovsek, Jonathan P Shepherd, Heidi S Harvie, Linda Brubaker, Shawn A Menefee, Deborah Myers, Yvonne Hsu, Joseph I Schaffer, Dennis Wallace, Susan F Meikle
OBJECTIVE: To retrospectively compare surgical success and complications between vaginal vault prolapse compared with uterovaginal prolapse in women who underwent apical prolapse repair for stage II-IV prolapse. METHODS: Women in one of three Pelvic Floor Disorders Network prolapse surgical trials were included. Absence of bothersome bulge symptoms, no prolapse beyond the hymen, and no subsequent prolapse treatment defined success and was our primary outcome. Secondary outcomes included comparison of quality-of-life measures, anatomic changes, and adverse events...
February 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29420400/customized-pessary-fabrication-using-three-dimensional-printing-technology
#6
Michael Barsky, Robert Kelley, Faiz Y Bhora, Anne Hardart
BACKGROUND: Pessaries are a treatment option for pelvic organ prolapse, stress urinary incontinence (SUI), and cervical incompetence. An effective pessary is comfortable, corrects the presenting problem, does not cause adverse effects, and is easy to remove. Discomfort and poor fit limit the usefulness of pessaries for many women. Each patient presents with unique anatomy and thus the effectiveness of commercially available pessaries may be limited by lack of customization. METHOD: A patient presenting with SUI and failed commercial pessary fittings desired nonsurgical treatment...
February 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29411644/genitourinary-syndrome-of-menopause-prevalence-and-quality-of-life-in-spanish-postmenopausal-women-the-genisse-study
#7
E Moral, J L Delgado, F Carmona, B Caballero, C Guillán, P M González, J Suárez-Almarza, S Velasco-Ortega, C Nieto
OBJECTIVE: To determine the prevalence of genitourinary syndrome of menopause (GSM) and urogynecological conditions associated with menopause, and to evaluate the impact of GSM on quality of life in a cohort of Spanish postmenopausal women. METHODS: Multicenter, cross-sectional, and observational study involving 430 women. RESULTS: The prevalence of GSM was 70%. GSM was diagnosed in 60.2% of women with no known diagnosis of vulvovaginal atrophy or GSM...
February 7, 2018: Climacteric: the Journal of the International Menopause Society
https://www.readbyqxmd.com/read/29409787/structural-functional-and-symptomatic-differences-between-women-with-rectocele-versus-cystocele-and-normal-support
#8
Mitchell B Berger, Giselle E Kolenic, Dee E Fenner, Daniel M Morgan, John O L DeLancey
BACKGROUND: Prolapse of the anterior and posterior vaginal walls has been generally associated with apical descent and levator ani muscle defects. However, the relative contributions of these factors to the pathophysiology of descent in the different vaginal compartments is not well understood. Furthermore, symptoms uniquely associated with prolapse in these compartments have not been well-characterized. OBJECTIVES: Compare associations between: 1) apical support, 2) levator ani muscles, and 3) pelvic floor symptoms in women with posterior-predominant prolapse, anterior-predominant prolapse, and normal support...
January 31, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29398522/-vaginal-hysterectomy-in-outpatient-procedure-feasibility-and-satisfaction-study
#9
Q Reboul, A Mehdi, C Chauleur
OBJECTIVES: To study the feasibility and patient satisfaction for vaginal hysterectomy in a new outpatient procedure. METHODS: This retrospective study was directed in CHU de Saint-Étienne, Loire, France. All patient who underwent a vaginal hysterectomy in outpatient procedure were included from January 2014 and January 2017. Descriptive data were collected and all patients were called back for satisfaction study. RESULTS: Sixty-five patients were included...
February 2, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29393505/can-pelvic-floor-trauma-be-predicted-antenatally
#10
Jessica Caudwell-Hall, Ixora Kamisan Atan, Chris Brown, Rodrigo Guzman Rojas, Susanna Langer, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION: Levator trauma is a risk factor for development of pelvic organ prolapse. We aimed to identify antenatal predictors for significant damage to the levator ani muscle during first vaginal delivery. MATERIALS AND METHODS: A retrospective observational study utilising data from two studies with identical inclusion criteria and assessment protocols between 2005 and 2014. 1148 primiparae with an uncomplicated singleton pregnancy were recruited and assessed with translabial ultrasound at 36 weeks antepartum and 871 (76%) returned for reassessment 3-6 months postpartum...
February 2, 2018: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29390294/primary-vaginal-squamous-cell-carcinoma-with-bladder-involvement-in-uterine-prolapsed-patient-case-report
#11
Tadeusz Fedus, Renata Raś, Mariusz Książek, Justyna Filipowska, Ewa Kaznowska, Andrzej Skręt, Joanna Skręt-Magierło, Edyta Barnaś
RATIONALE: Primary vaginal squamous cell carcinoma (SCC) is a rare disease. Primary SCC in prolapsed vagina is extremely rare. In the presented case additional bladder involvement was found. PATIENTS CONCERNS: Primary vaginal SCC may be misinterpreted as decubitus in prolapsed vagina and it may delay proper diagnosis and treatment. DIAGNOSES: Diagnosis was confirmed by the vaginal ulceration biopsy and cystoscopic biopsy of the involved bladder...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390218/-surgical-treatment-of-pelvic-organ-prolapse
#12
Leonidas Karapanos, Johannes Salem, Ilgar Akbarov, Axel Heidenreich, Vahudin Zugor
Female pelvic organ prolapse is a widely prevalent condition and is associated with variable morbidity. It encompasses a number of clinical conditions, including subvesical obstruction, overactive bladder symptoms, sexual dysfunction and urinary und fecal incontinence. The prevalence of pelvic insufficiency is estimated to be between 30 and 50 %. As life expectancy is increasing and the elderly population is growing, there will be an increased incidence of the condition and growing demand for pelvic floor treatment in the future...
February 2018: Aktuelle Urologie
https://www.readbyqxmd.com/read/29379998/road-to-recovery-after-transvaginal-surgery-for-urethral-mesh-perforation-evaluation-of-outcomes-and-subsequent-procedures
#13
Casey G Kowalik, Joshua A Cohn, Andrea Kakos, Patrick Lang, W Stuart Reynolds, Melissa R Kaufman, Mickey M Karram, Roger R Dmochowski
INTRODUCTION AND HYPOTHESIS: Urethral injury resulting from transvaginal mesh slings is a rare complication with an estimated incidence of <1%. Our objective was to review the surgical management and functional outcomes of women presenting with urethral mesh perforation following midurethral sling (MUS) placement. METHODS: This was a retrospective multicenter review of women who from January 2011 to March 2016 at two institutions underwent mesh sling excision for urethral perforation with Female Pelvic Medicine and Reconstructive Surgery fellowship-trained surgeons...
January 29, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29379997/quality-of-life-following-vaginal-reconstructive-versus-obliterative-surgery-for-treating-advanced-pelvic-organ-prolapse
#14
Alin Petcharopas, Supreeya Wongtra-Ngan, Orawee Chinthakanan
INTRODUCTION AND HYPOTHESIS: Although colpocleisis is effective in selected women, the low-morbidity obliterative procedure for treating pelvic organ prolapse (POP) and its impact on postoperative quality of life (QOL) have rarely been studied. Our aim was to assess QOL in women after colpocleisis and compare it with that of women after reconstructive vaginal surgery. METHODS: This retrospective cohort study included women (aged 35-85 years) with POP who underwent obliterative or reconstructive surgical correction during 2009-2015...
January 27, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29376621/transvaginal-native-tissue-repair-of-vaginal-vault-prolapse
#15
Rodolfo Milani, Matteo Frigerio, Francesca L Vellucci, Stefania Palmieri, Federico Spelzini, Stefano Manodoro
BACKGROUND: Post-hysterectomy vaginal vault prolapse repair is a challenge for pelvic floor surgeons. Native-tissue repair procedures imply lower costs and reduced morbidity. Our study aims to evaluate operative data, complications, objective, subjective and functional outcomes of transvaginal native-tissue repair for post-hysterectomy vaginal vault prolapse. We also investigated differences among available techniques. METHODS: Retrospective study including patients with symptomatic vaginal vault prolapse (≥ stage 2), previously treated with transvaginal vault suspension through native-tissue repair...
January 26, 2018: Minerva Ginecologica
https://www.readbyqxmd.com/read/29375283/a-long-term-cohort-study-of-surgery-for-recurrent-prolapse-comparing-mesh-augmented-anterior-repairs-to-anterior-colporrhaphy
#16
Natasha Curtiss, Jonathan Duckett
Background: There are safety concerns regarding the use of mesh in vaginal surgery with a call for long-term follow-up data. This study was designed to evaluate the long-term safety and efficacy of vaginal repairs performed for recurrent cystocele using Perigee (non-absorbable trans-obturator) mesh. Methods: A retrospective consecutive cohort of 48 women who underwent surgery for recurrent prolapse between March 2007 and December 2011 in a single centre was reviewed...
2018: Gynecological Surgery
https://www.readbyqxmd.com/read/29371174/surgical-outcomes-of-paravaginal-repair-following-robotic-sacrocolpopexy
#17
Tanya P Hoke, Howard Goldstein, Emily K Saks, Babak Vakili
STUDY OBJECTIVE: To evaluate surgical outcomes of a robotic sacrocolpopexy with and without a paravaginal repair for pelvic organ prolapse (POP) DESIGN: Retrospective cohort study with 3-month postoperative follow-up (Canadian Task Force II-3) SETTING: Academic-affiliated community hospital with a practice comprised of three surgeons board-certified in Female Pelvic Medicine and Reconstructive Surgery PATIENTS: Patients undergoing a robotic sacrocolpopexy for POP from April 2013 through November 2014...
January 22, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29371171/simplified-laparoscopic-sacrohysteropexy
#18
Haider Jan, Vishalli Ghai, Ranee Thakar
STUDY OBJECTIVE: To demonstrate a simplified technique of performing a laparoscopic sacrohysteropexy for uterine prolapse DESIGN: Technical video demonstrating simplified method of a laproscopic sacrohysteropexy (Canadian Task force classification level III). SETTING: Benign gynaecology department at a University Hospital. INTERVENTION: A 38-year old woman with grade 3 uterine descent presented requesting surgical management for symptomatic prolapse...
January 22, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29370040/quality-of-life-and-sexual-function-2-years-after-vaginal-surgery-for-prolapse-second-correction
#19
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29369840/patients-knowledge-of-and-attitude-toward-robotic-surgery-for-pelvic-organ-prolapse
#20
Christine M Chu, Anubhav Agrawal, Donna Mazloomdoost, Benjamin Barenberg, Tanaka J Dune, Marjorie L Pilkinton, Robert C Chan, Emily E Weber Lebrun, Lily A Arya
OBJECTIVES: Robotic sacrocolpopexy for pelvic organ prolapse (POP) has increased, along with marketing and media coverage. It is unknown whether this exposure influences patients' opinions on POP repair. This study describes the preference for and knowledge of robotic surgery in women with POP. METHODS: We performed a cross-sectional survey of new patients presenting with POP at 7 academic sites. Subjects had no prior surgical counseling. A self-administered questionnaire was designed to investigate robotic surgery knowledge, preference, and exposure...
January 24, 2018: Female Pelvic Medicine & Reconstructive Surgery
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