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https://www.readbyqxmd.com/read/29620591/a-new-comorbidity-in-female-patients-with-ankylosing-spondylitis-pelvic-organ-prolapse
#1
Mehmet Çağlayan, Pelin Oktayoğlu, Elif Ağaçayak, Abdullah Zübeyir Dagli, Mehmet Okçu, Kemal Nas
AIM: The aim of this study was to investigate whether increased intra-abdominal pressure caused by pelvic inflammation and frequent use of the Valsalva maneuver increases the incidence of pelvic organ prolapse (POP) among female patients with ankylosing spondylitis (AS). METHODS: Thirty-nine patients diagnosed as having AS through the use of the modified New York criteria, 47 patients with chronic low-back pain (CLBP), and 38 healthy controls (HCs) were included in this study...
March 19, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29609033/transvaginal-natural-orifice-transluminal-endoscopic-surgery-sacrocolpopexy-tips-and-tricks
#2
Juan Liu, Jaden Kohn, Bin Sun, Zhenkun Guan, Binhua Liang, Xiaoming Guan
STUDY OBJECTIVE: To demonstrate helpful tips and tricks for the successful use of transvaginal NOTES for performing sacrocolpopexy and salpingo-oophorectomy surgery. DESIGN: Stepwise demonstration with narrated video footage (Canadian Task Force classification III). SETTING: Academic tertiary care hospital in Guangdong, China. BACKGROUND: Minimally invasive approaches for treating pelvic organ prolapse via sacrocolpopexy have traditionally included laparoscopy either with and without robotic assistance...
March 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29574485/vaginal-hysterectomy-with-apical-fixation-and-anterior-vaginal-wall-repair-for-prolapse-surgical-technique-and-medium-term-results
#3
Juliane Marschke, Carlo Michael Pax, Kathrin Beilecke, Frank Schwab, Ralf Tunn
INTRODUCTION AND HYPOTHESIS: Stabilization of the vaginal apex (level 1) is an important component of operations to correct pelvic organ prolapse (POP). We report functional and anatomical results and patient-reported outcomes of our technique of vaginal vault fixation at the time of vaginal hysterectomy. METHODS: One hundred and nine patients-mean 69 years, range 50.4-83.8; body mass index (BMI) 26.3, range 17.7-39.5-with symptomatic stage 2-3 uterine prolapse combined with stage 3-4 cystocele underwent vaginal hysterectomy with anterior vaginal wall repair; the apex was formed with high closure of the peritoneum and incorporation of the uterosacral and round ligaments...
March 24, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29561415/successful-use-of-pessary-for-uterine-prolapse-after-pelvic-trauma-in-a-nulliparous-young-female-a-case-report
#4
Fang-Fang Ai, Meng Mao, Ye Zhang, Jia Kang, Lan Zhu
RATIONALE: To date, sporadic studies have shown that a relationship exists between delayed pelvic organ prolapse (POP) and pelvic trauma, and these cases have all been managed with surgical procedures. PATIENT CONCERNS: A 29-year-old, nulliparous (Gravida 0) woman without sexual experience was referred to our gynecology outpatient clinic, complaining of a protruding vaginal mass 5 years after a traffic accident (hit by a truck when she was walking) that caused serious multiple injuries...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29559709/laparoscopic-organopexy-with-non-mesh-genital-long-suspension-a-novel-uterine-preservation-procedure-for-the-treatment-of-apical-prolapse
#5
Cheng-Yu Long, Chiu-Lin Wang, Chin-Ru Ker, Yung-Shun Juan, Eing-Mei Tsai, Kun-Ling Lin
To assess whether our novel uterus-sparing procedure- laparoscopic organopexy with non-mesh genital(LONG) suspension is an effective, safe, and timesaving surgery for the treatment of apical prolapse. Forty consecutive women with main uterine prolapse stage II or greater defined by the POP quantification(POP-Q) staging system were referred for LONG procedures at our hospitals. Clinical evaluations before and 6 months after surgery included pelvic examination, urodynamic study, and a personal interview to evaluate urinary and sexual symptoms with overactive bladder symptom score(OABSS), the short forms of Urogenital Distress Inventory(UDI-6) and Incontinence Impact Questionnaire(IIQ-7), and the Female Sexual Function Index(FSFI)...
March 20, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29521060/analysis-of-prevalence-of-selected-anamnestic-factors-among-women-with-pelvic-organ-prolapse
#6
Jakub Śliwa, Anna Rosner-Tenerowicz, Anna Kryza-Ottou, Sylvester Ottou, Artur Wiatrowski, Michał Pomorski, Lesław Sozański, Mariusz Zimmer
BACKGROUND: Pelvic organ prolapse is the most frequent medical condition in women in the postmenopausal age. The pathophysiology is multifactorial. OBJECTIVES: The purpose of this paper was to analyze the prevalence of selected anamnestic factors in the population of women treated due to pelvic organ prolapse in the 2nd Department and Clinic of Obstetrics and Gynecology Wroclaw Medical University (Poland). MATERIAL AND METHODS: A total of 104 medical histories of women treated in the 2nd Department and Clinic of Obstetrics and Gynecology in the years 2012-2013 due to pelvic organ prolapse were analyzed...
February 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/29500516/modified-laparoscopic-pectopexy-short-term-follow-up-and-its-effects-on-sexual-function-and-quality-of-life
#7
Ali Emre Tahaoglu, Mehmet Sait Bakir, Nurullah Peker, İhsan Bagli, Ahter Tanay Tayyar
INTRODUCTION AND HYPOTHESIS: This study examined the early outcomes of laparoscopic (LS) pectopexy and evaluated its effects on female sexual function and quality of life (QoL). METHODS: Twenty-two patients with apical prolapse who underwent LS pectopexy were included. Outcomes of the procedure were noted; the Female Sexual Function (FSFI) and Prolapse Quality of Life (P-QOL) questionnaires were completed preoperatively and 6 months postoperatively. RESULTS: There was no evidence of recurrent prolapse or constipation; the percentages of exacerbation of cystocele, rectocele, de novo stress urinary incontinence (SUI), and de novo urgency (UUI) were 4...
March 2, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29485251/laparoscopic-versus-abdominal-sacrocolpopexy-for-treatment-of-multi-compartmental-pelvic-organ-prolapse-a-systematic-review
#8
REVIEW
Masao Ichikawa, Hanako Kaseki, Shigeo Akira
Laparoscopic sacrocolpopexy (LSC) is attracting increasing attention as a minimally invasive surgery that provides excellent therapeutic effects on apical vaginal prolapse. However, its therapeutic effects on multi-compartmental pelvic organ prolapse (POP) remain unclear. Therefore, the aim of this review was to evaluate the efficacy of LSC on multi-compartmental POP compared with abdominal sacrocolpopexy (ASC). We extracted three articles on randomized controlled trials that compared LSC and ASC. A total of 247 patients (123 for LSC, 124 for ASC) were evaluated...
February 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29472143/safety-of-vaginal-mesh-surgery-versus-laparoscopic-mesh-sacropexy-for-cystocele-repair-results-of-the-prosthetic-pelvic-floor-repair-randomized-controlled-trial
#9
Jean-Philippe Lucot, Michel Cosson, Georges Bader, Philippe Debodinance, Cherif Akladios, Delphine Salet-Lizée, Patrick Delporte, Denis Savary, Philippe Ferry, Xavier Deffieux, Sandrine Campagne-Loiseau, Renaud de Tayrac, Sébastien Blanc, Sandrine Fournet, Arnaud Wattiez, Richard Villet, Marion Ravit, Bernard Jacquetin, Xavier Fritel, Arnaud Fauconnier
BACKGROUND: Laparoscopic mesh sacropexy (LS) or transvaginal mesh repair (TVM) are surgical techniques used to treat cystoceles. Health authorities have highlighted the need for comparative studies to evaluate the safety of surgeries with meshes. OBJECTIVE: To compare the rate of complications, and functional and anatomical outcomes between LS and TVM. DESIGN, SETTING, AND PARTICIPANTS: Multicenter randomized controlled trial from October 2012 to April 2014 in 11 French public hospitals...
February 19, 2018: European Urology
https://www.readbyqxmd.com/read/29459612/review-of-uterine-sling-after-five-years-of-operation-in-a-40-years-lady
#10
R A Khanam, A Rubaiat, A S Azam
Uterine sling is a operation, done with own rectus sleeve to correct the uterine descend. If necessary correction of cystocele and/or rectocele and or perineal tear done on the same sitting. After 5 years of such operation abdomen of Mrs. X was opened due to ovarian cyst in Nirapad Hospital, Shantinagar, Dhaka, Bangladesh on August 2016. Uterus was found in normal position and size. Rectus sleeves were found attached with the uterus where it was anchored. Omentum was attached over the rectus sleeves and sealed the weak points at both lateral ends of the rectus sleeves through which the sleeves were taken to the abdominal cavity...
January 2018: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/29459225/improvement-of-overactive-bladder-symptoms-is-correction-of-the-paravaginal-defect-in-anterior-vaginal-wall-prolapse-necessary
#11
Hung-Yen Chin, Huang-Hui Chen, Ching-Hui Chen, Chi-Hsin Chiang, Chin-Jung Wang
BACKGROUND: To explore the relationship between overactive bladder (OAB) symptoms and paravaginal defects (PVDs), and to identify the necessity of PVD repair by transvaginal mesh (TVM) for the treatment of OAB symptoms. METHODS: A retrospective clinical study of 30 women with advanced cystocele with limited apical and posterior vaginal wall prolapse was conducted to identify any changes in OAB symptoms following a single Perigee procedure. Prolapse was assessed using the pelvic organ prolapse quantification (POP-Q) system, and paravaginal defects were identified by sonography...
February 16, 2018: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/29458265/clean-intermittent-catheterization-rates-after-initial-and-subsequent-treatments-with-onabotulinumtoxina-for-non-neurogenic-overactive-bladder-in-real-world-clinical-settings
#12
Michael Kennelly, Lonny Green, Nancy Alvandi, Salim Wehbe, John Joseph Smith, Scott MacDiarmid, Jeffrey Mangel, Marc Schwartz, Tamer Aboushwareb, Brian Murray
OBJECTIVE: Previous randomized controlled trials have reported a 6.1-6.9% incidence of clean intermittent catheterization (CIC) following treatment with onabotulinumtoxinA in non-neurogenic overactive bladder (OAB) patients who were inadequately managed by ≥1 anticholinergic. A multi-center retrospective chart review assessed the real-world rate of voiding dysfunction requiring catheterization. METHODS: Patients received onabotulinumtoxinA 100U (approved dose) administered by experienced injectors between January 2013 and June 2015...
February 19, 2018: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/29416284/prolapsed-ureterocele-in-an-adult-woman-after-endoscopic-incision
#13
Davide Campobasso, Andrea Lanzi, Gian Luigi Pozzoli, Antonio Frattini
A 44-year-old woman underwent endoscopic incision of a right simple ureterocele with hydronephrosis discovered during gynecological assessment for stress urinary incontinence with Stage I cystocele. At the postoperative visits, she has reported a persistent flap of mucosa coming out from her urethra protruding in the vagina despite manual reduction. An endoscopic resection of the mucosa flap was programmed. After 24 months, she was asymptomatic with no history of renal colic or urinary tract infection. In patients with a history of pelvic organ prolapse, the resection of the ureterocele in the first instance may be the optimal choice...
January 2018: Urology Annals
https://www.readbyqxmd.com/read/29409787/structural-functional-and-symptomatic-differences-between-women-with-rectocele-versus-cystocele-and-normal-support
#14
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: The objectives of the study were to compare the associations between the following: (1) apical support, (2) levator ani muscles, and (3) pelvic floor symptoms in women with posterior-predominant prolapse, anterior-predominant prolapse, and normal support...
February 2, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29375283/a-long-term-cohort-study-of-surgery-for-recurrent-prolapse-comparing-mesh-augmented-anterior-repairs-to-anterior-colporrhaphy
#15
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/29300253/anterior-colporrhaphy-with-and-without-dermal-allograft-a-randomized-control-trial-with-long-term-follow-up
#16
Shilpa Iyer, Miriam Seitz, Alexis Tran, Renata Scalabrin Reis, Carolyn Botros, Svjetlana Lozo, Sylvia Botros, Peter Sand, Janet Tomezsko, Chi Wang, Adam Gafni-Kane
OBJECTIVE: The objective of this study was to determine whether anterior colporrhaphy plus insertion of anterior dermal allograft reduces anterior prolapse recurrence at 1 and 7 to 10 years postoperatively compared with anterior colporrhaphy alone. METHODS: We present a nonblinded randomized controlled trial with 1- and 7- to 10-year follow-up. Subjects were randomized between 2005 and 2008 to anterior colporrhaphy or ultralateral anterior colporrhaphy plus insertion of a dermal allograft spanning the anterior compartment between the arcus tendineus fascia pelvis on each side...
January 3, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29214325/anterior-colporrhaphy-a-standard-operation-systematic-review-of-the-technical-aspects-of-a-common-procedure-in-randomized-controlled-trials
#17
REVIEW
Ksenia Halpern-Elenskaia, Wolfgang Umek, Barbara Bodner-Adler, Engelbert Hanzal
INTRODUCTION: Anterior colporrhaphy (AC) is considered a standard procedure and is performed all over the world. However, not a single step of the procedure has ever been truly standardized and the rates of failure show a wide range in the literature from 0% up to 92%. The aim of this systematic review was to evaluate the differences in technique and procedure worldwide. METHODS: We performed a systematic literature search up to March 2016 using the MeSH terms "(anterior AND (colporrhaph* or colporhaph* or repair* or cystocel*)" using Preferred Reporting Items for Sytematic Reviews and Meta-Analyses (PRISMA)...
December 6, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/29201781/scrotal-cystocele-in-a-sliding-left-inguinoscrotal-hernia-a-case-report-and-review-of-literature
#18
Ambikavathy Mohan, Kumar Srinivasan
Inguinoscrotal bladder herniation has a reported incidence of 1 to 4%. Although small bladder herniations are noted at the time of inguinal hernia repair, large bladder herniation into the scrotum is rare. These patients have a unique presentation of signs and symptoms. We report a case of a male patient of age 64 years who had a large inguinoscrotal hernia with bladder. He successfully underwent hernioplasty after repositioning of the bladder. Now, he is symptom-free and on follow-up. How to cite this article: Mohan A, Srinivasan K...
January 2017: Euroasian Journal of Hepato-Gastroenterology
https://www.readbyqxmd.com/read/29201518/transobturator-four-arms-mesh-in-the-surgical-management-of-stress-urinary-incontinence-with-cystocele
#19
Hammouda Sherif, Tarek Soliman Othman, Amr Eldkhakhany, Hussein Elkady, Adel Elfallah
Objective: This study aims to evaluate safety and efficacy of four arms polypropylene mesh in the long- term follow-up in the management of stress urinary incontinence (SUI) associated with cystocele. Material and methods: This prospective study was conducted on 50 female patients with SUI associated with cystocele. Patients underwent placement of transobturator four-arms mesh implants. Stress incontinence was evaluated using cough stress test with and without prolapse reduction, Stamey's grading of SUI, the validated Arabic version of the International Consultation on Incontinence Questionnaire-Short Form and King Health Questionnaire forms...
December 2017: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29170509/measuring-tissue-displacement-of-the-anterior-vaginal-wall-using-the-novel-aspiration-technique-in-vivo
#20
Barbara Röhrnbauer, Cornelia Betschart, Daniele Perucchini, Michael Bajka, Daniel Fink, Caroline Maake, Edoardo Mazza, David Amos Scheiner
Little is known about the mechanical properties of pelvic floor structures and their role in the course and treatment of pelvic organ prolapse (POP). We hypothesize that in vivo mechanical properties of the vaginal wall are related to the appearance of POP and pre-and post-operative states. We used a suction device for intravaginal application, the aspiration device, to evaluate two in vivo mechanical parameters of the anterior vaginal wall, the load dependent tissue displacement and the initial displacement, by image analysis in pre- and post-menopausal women with (POP) and without (control) cystocele (POP: pre-menopausal: N = 6, post-menopausal: N = 19, control: pre-menopausal: N = 17, post-menopausal: N = 6)...
November 23, 2017: Scientific Reports
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