keyword
https://read.qxmd.com/read/38512958/mobility-analysis-of-a-posterior-sacrospinous-fixation-using-a-finite-element-model-of-the-pelvic-system
#1
JOURNAL ARTICLE
Marine Lallemant, Andres Arteaga Shimojyo, Olivier Mayeur, Rajeev Ramanah, Chrystèle Rubod, Yohan Kerbage, Michel Cosson
INTRODUCTION AND HYPOTHESIS: In order to improve the knowledge POP physiopathology and POP repair, a generic biomechanical model of the female pelvic system has been developed. In the literature, no study has currently evaluated apical prolapse repair by posterior sacrospinous ligament fixation using a generic model nor a patient-specific model that personalize the management of POP and predict surgical outcomes based on the patient's pre-operative Magnetic Resonance Imaging. The aim of our study was to analyze the influence of a right and/or left sacrospinous ligament fixation and the distance between the anchorage area and the ischial spine on the pelvic organ mobility using a generic and a patient-specific Finite Element model (FEM) of the female pelvic system during posterior sacrospinous ligament fixation (SSF)...
2024: PloS One
https://read.qxmd.com/read/38498153/comparison-of-urethral-parameters-in-females-presenting-cystoceles-with-and-without-stress-urinary-incontinence-based-on-dynamic-magnetic-resonance-imaging-are-they-different
#2
JOURNAL ARTICLE
Lian Tang, Shiqi Liang, Chunlin Chen, Jie Feng, Lan Chen, Cheng Peng, Ping Liu
PURPOSE: To compare urethral parameters between cystocele patients with and without stress urinary incontinence (SUI) and explore factors influencing SUI in cystocele patients via dynamic MRI. METHODS: The two-dimensional parameters evaluated included the paravaginal defects, levator ani muscle defects, urethral length, urethral funnel shape, bladder neck funnel width, bladder neck funnel depth, urethral angle, posterior vesicourethral angle, and anterior bladder protrusion...
March 18, 2024: Abdominal Radiology
https://read.qxmd.com/read/38445555/complete-excision-of-a-skene-gland-cyst-mimicking-cystocele
#3
JOURNAL ARTICLE
Ozan Karadeniz, Meltem Yarım Çalışkan
Skene gland abnormalities include skene gland cysts and abscess. These can be differentiated from urethral diverticulum based on clinical findings. The exact incidence of Skene gland abnormalities is unknown as they are relatively rare. They are usually seen in middle-aged female patients but have recently been reported in newborn girls. We present a video case of a large, adult-onset Skene gland cyst, which was evaluated based on clinical findings, radiological aspects and histopathological findings. The differential diagnosis was carried out step-by-step in order to avoid sequelae and complete excision was performed in order to achieve optimal results, both for long-term functional and anatomical outcomes...
March 6, 2024: Journal of the Turkish German Gynecological Association
https://read.qxmd.com/read/38398300/trends-in-urogynecology-transvaginal-mesh-surgery-in-germany
#4
JOURNAL ARTICLE
Yaman Degirmenci, Kathrin Stewen, Anna Dionysopoulou, Lina Judit Schiestl, Konstantin Hofmann, Christine Skala, Annette Hasenburg, Roxana Schwab
BACKGROUND: Pelvic organ prolapse constitutes a prevalent condition associated with a considerable impact on the quality of life. The utilization of transvaginal mesh surgery for managing POP has been a subject of extensive debate. Globally, trends in TVM surgery experienced significant shifts subsequent to warnings issued by the FDA. METHODS: This study aims to explore temporal patterns in transvaginal mesh surgery in the German healthcare system. A comprehensive analysis was conducted on in-patient data from the German Federal Statistical Office spanning 2006 to 2021...
February 8, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38292993/comparison-of-dynamic-magnetic-resonance-defecography-with-clinical-examination-in-diagnosing-pelvic-floor-dysfunction-an-observational-study
#5
JOURNAL ARTICLE
Sanajana Wadhwani, Chetana Ratnaparkhi, Avinash Dhok
BACKGROUND: Pelvic floor dysfunction (PFD) is frequently reported in both sexes. Dynamic magnetic resonance defecography (DMRD) is the preferred modality, mainly due to its superiority and complementary role in clinical examination. However, studies from the perspective of Indian patients are scarce and mostly restricted to females. Thus, we assessed the diagnostic performance of DMRD in patients with PFD and correlated the findings with those on clinical examination. MATERIALS AND METHODS: This prospective, observational study involved 57 adult patients of either sex, presenting with pelvic floor symptoms (PFS) and diagnosed with PFD...
December 2023: Curēus
https://read.qxmd.com/read/38280561/cystocele-an-underappreciated-cause-of-severe-obstructive-uropathy
#6
Ami Schattner, Ina Dubin, Yair Glick
No abstract text is available yet for this article.
January 25, 2024: American Journal of Medicine
https://read.qxmd.com/read/38280271/diagnosis-and-management-of-complications-following-pelvic-organ-prolapse-surgery-using-a-synthetic-mesh-french-national-guidelines-for-clinical-practice
#7
JOURNAL ARTICLE
Xavier Deffieux, Marie-Aimée Perrouin-Verbe, Sandrine Campagne-Loiseau, Laurence Donon, Amélie Levesque, Jérome Rigaud, Nadja Stivalet, Aurélien Venara, Thibault Thubert, Adrien Vidart, Pierre-Olivier Bosset, Christine Revel-Delhom, Jean-Philippe Lucot, Jean François Hermieu
UNLABELLED: Complications associated with pelvic organ prolapse (POP) surgery using a synthetic non-absorbable mesh are uncommon (<5%) but may be severe and may hugely diminish the quality of life of some women. In drawing up these multidisciplinary clinical practice recommendations, the French National Authority for Health (Haute Autorité de santé, HAS) conducted an exhaustive review of the literature concerning the diagnosis, prevention, and management of complications associated with POP surgery using a synthetic mesh...
January 17, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38197952/pubococcygeal-line-versus-h-line-as-mr-defecography-reference-for-bladder-descent
#8
JOURNAL ARTICLE
Henry H Chill, Liam C Martin, Cecilia Chang, Steven D Abramowitch, Ghazaleh Rostaminia
INTRODUCTION AND HYPOTHESIS: Magnetic resonance defecography imaging techniques have been used widely to study pelvic floor function and diagnose pelvic organ prolapse (POP). The aim of this study was to investigate the diagnostic accuracy of the H-line to detect bladder descent compared with the current landmark, the pubococcygeal line (PCL). METHODS: In this retrospective cohort study, patients who underwent MR defecography in our medical center and were diagnosed with moderate to severe cystocele by radiological measurements were recruited...
January 10, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38134086/maternal-and-neonatal-consequences-of-cystocele-and-rectocele-in-the-delivery-process
#9
JOURNAL ARTICLE
Yusuf Başkiran, Kazim Uçkan, İzzet Çeleğen, Fatma Başak Tanoğlu
The study aimed to investigate the effects of cystocele and rectocele on the stages of vaginal birth and maternal and newborn outcomes. A total of 672 multiparous pregnant women between the ages of 18 to 40 who underwent normal vaginal delivery in our tertiary center between November 2022 and February 2023, were included in this prospective study. Among the participants, 348 (51.8%) had no abnormalities, 78 (11.6%) had rectocele only, 112 (16.7%) had cystocele only, and 134 (19.9) had both cystocele and rectocele...
December 22, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/38047947/the-use-of-midurethral-sling-in-the-correction-of-low-stage-cystoceles-a-prospective-randomized-trial
#10
JOURNAL ARTICLE
Diaeldin T Ramadan, Ahmed S Elhefnawy, Bassem S Wadie
INTRODUCTION AND HYPOTHESIS: The objective was to assess whether midurethral slings (MUS) can improve both stress urinary incontinence (SUI) and cystoceles. MUS with anterior colporrhaphy (AC) as a treatment for SUI with cystocele is more invasive and carries greater risk than MUS alone. METHODS: This is a prospective randomized study involving women with stage 1 or 2 cystocele and SUI, who were > 21 years of age, who had had no previous surgery for SUI...
December 4, 2023: International Urogynecology Journal
https://read.qxmd.com/read/38041840/prevalence-of-diastasis-m-rectus-abdominis-and-pelvic-floor-muscle-dysfunction-in-postpartum-women
#11
JOURNAL ARTICLE
Magdalena Hagovska, Rastislav Dudic, Viera Dudicova, Jan Svihra, Peter Urdzik
OBJECTIVE: The aim of this study was to determine the prevalence of Diastasis of the rectus abdominis muscles (DRAM) and pelvic floor muscle dysfunction (PFMD) in postpartum women. Design: The observational prospective study. MATERIAL: 150 of 180 women (83.3 %) from 6 weeks to 6 months postpartum, with a mean age of 33.1 years. METHODS: For diastasis examination, inter recti distance (IRD) was measured by a linear 2D ultrasound probe, 4...
2024: Bratislavské Lekárske Listy
https://read.qxmd.com/read/38001430/laparoscopic-ventral-mesh-rectopexy-vs-transperineal-mesh-repair-for-obstructed-defecation-syndrome-associated-with-rectocele-comparison-of-selectively-distributed-patients
#12
JOURNAL ARTICLE
Bengi Balci, Sezai Leventoglu, Igbal Osmanov, Beyza Erkan, Yasemin Irkilata, Bulent Mentes
PURPOSE: Obstructed defecation syndrome represents 50-60% of patients with symptoms of constipation. We aimed to compare the two frequently performed surgical methods, laparoscopic ventral mesh rectopexy and transperineal mesh repair, for this condition in terms of functional and surgical outcomes. METHODS: This study is a retrospective review of 131 female patients who were diagnosed with obstructed defecation syndrome, attributed to rectocele with or without rectal intussusception, enterocele, hysterocele or cystocele, and who underwent either laparoscopic ventral mesh rectopexy or transperineal mesh repair...
November 24, 2023: BMC Surgery
https://read.qxmd.com/read/37999760/does-vaginal-surgery-for-correction-of-pelvic-organ-prolapse-improve-urinary-function-a-prospective-cohort-study
#13
JOURNAL ARTICLE
Danilo B Lourenço, Hugo O D Santos, Elizabeth Y Hirakawa, Luis Augusto S Rios, Gustavo C Lemos, Bianca Bianco, Arie Carneiro
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) is caused by an imbalance in the stability of the pelvic organs, resulting in loss of support. The most common types of POP, anterior and apical, are associated with lower urinary tract symptoms (LUTS) such as bladder outlet obstruction and detrusor overactivity (DO). Vaginal surgery may improve LUTS and overall urinary symptoms. We assessed urodynamic (UD) parameters and urinary symptoms before and after vaginal surgery for POP correction...
November 24, 2023: International Urogynecology Journal
https://read.qxmd.com/read/37898047/a-comparison-between-the-vaginal-patch-plastron-associated-with-the-anterior-sacrospinous-fixation-and-the-uphold%C3%A2-lite-vaginal-support-system-for-the-treatment-of-advanced-anterior-vaginal-wall-prolapse
#14
JOURNAL ARTICLE
Alessandro Ferdinando Ruffolo, Celine Giordano, Benjamin Lambert, Stefano Salvatore, Marine Lallemant, Michel Cosson
OBJECTIVE: The aim of the present study was to compare efficacy and safety of the vaginal patch plastron (VPP) associated to the anterior sacrospinous fixation (SSLF-A) with a TVM procedure (Uphold™ LITE support-system) for the treatment of the advanced anterior vaginal wall prolapse. STUDY DESIGN: Single-center retrospective study. Women with symptomatic anterior prolapse ≥ III stage according to the POP-quantification (POP-Q) system and submitted to the VPP associated with the SSLF-A or to the Uphold™ procedure were included...
October 21, 2023: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/37821046/anterior-sacrospinous-ligament-fixation-by-the-vaginal-route-in-ten-steps
#15
JOURNAL ARTICLE
Dr Maïti Alefsen de Boisredon, Professor Erdogan Nohuz, Professor Gautier Chene, Doctor Charles-André Philip, Professor Gery Lamblin
Pelvic organ prolapse (POP) is a common condition affecting women, characterized by the descent of pelvic organs such as the vagina and uterus. While POP may not always cause symptoms, it can significantly impact a woman's quality of life. Diagnosis is typically made through clinical examination, and treatment options range from pelvic-floor physical therapy to surgery. Anterior sacrospinous ligament fixation (ASSLF) has emerged as a viable technique for treating apical prolapse vaginally. This procedure involves attaching the cervix or vaginal vault to the sacrospinous ligament, providing satisfactory results in the short term...
October 9, 2023: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/37816497/unilateral-levator-avulsion-increases-the-risk-of-de-novo-stress-urinary-incontinence-after-cystocele-repair
#16
JOURNAL ARTICLE
Pan Hu, Lubin Liu, Ling Dai, Ying Wang, Li Lei
INTRODUCTION: Patients without concurrent baseline stress urinary incontinence (SUI) can develop de novo SUI after transvaginal mesh surgery (TVM) for cystocele repair. Surgeons should be aware of de novo SUI risk factors after TVM. METHODS: A total of 1124 women who were underwent TVM surgeries were recruited and assessed for eligibility from January 1, 2012 to April 30, 2021. All data related to patients and surgeries was collected, which included general conditions, clinical examination, surgery records, and follow-up results...
October 10, 2023: Journal of Obstetrics and Gynaecology Research
https://read.qxmd.com/read/37790056/acute-renal-failure-caused-by-undiagnosed-pelvic-organ-prolapse-in-a-postmenopausal-woman-a-diagnosis-not-to-be-missed
#17
Mansour Khaleel, Mohammed Ayyad, Maram Albandak, Nabil C N Khalil, Sari M A Abu Taleb
Pelvic organ prolapse (POP) is a common condition mainly affecting postmenopausal women, characterized by the descent of pelvic organs through the vaginal canal. While often asymptomatic, POP can manifest with various symptoms such as a painless bulge or pressure sensation, abdominal pain, urinary complaints, and discomfort during intercourse. Severe cases can lead to urinary tract obstruction, hydronephrosis, and renal dysfunction. This case study presents an elderly female with bilateral severe hydronephrosis and pyelonephritis due to undiagnosed POP...
September 2023: Curēus
https://read.qxmd.com/read/37788530/anterior-vaginal-cyst-mimicking-pelvic-organ-prolapse-case-report-and-literature-review
#18
Abdelhamid Benlghazi, Moad Belouad, Yassine Bouhtouri, Saad Benali, Moulay Mehdi El Hassani, Jaouad Kouach
INTRODUCTION AND IMPORTANCE: Large Anterior vaginal cysts can manifest as symptomatic genital prolapse, posing a diagnostic challenge due to their uncommon clinical presentation. CASE PRESENTATION: A 22-year-old primiparous woman with no previous medical history is admitted for delivery. Examination revealed a cystic mass on the anterior vaginal wall. Perineal ultrasound confirmed an independent cyst measuring 45x40x35 mm. The cyst was successfully aspirated, and the patient delivered without complications...
September 30, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37787607/combined-robotic-ventral-mesh-rectopexy-and-sacrocolpopexy-for-multicompartmental-pelvic-organ-prolapse
#19
JOURNAL ARTICLE
Liam Devane, Stacy Ranson, Leonardo Alfonso Bustamante-Lopez, Martin Uwah, Bela Kudish, Natha Kow, John Hoff, John R T Monson, Teresa deBeche-Adams
BACKGROUND: Multispecialty management should be the preferred approach for the treatment of pelvic floor dysfunction, as there is often multicompartmental prolapse. OBJECTIVE: To assess the safety of combined robotic ventral-mesh rectopexy and either uterine or vaginal fixation for treatment of multicompartmental pelvic organ prolapse at our institution. DESIGN: Retrospective analysis. SETTINGS: Tertiary referral academic center...
October 2, 2023: Diseases of the Colon and Rectum
https://read.qxmd.com/read/37783986/-dynamic-magnetic-resonance-imaging-of-the-pelvic-floor-clinical-application
#20
REVIEW
C Kämpfer, C C Pieper
BACKGROUND: Dynamic magnetic resonance imaging (MRI) of the pelvic floor plays a key role in imaging complex pelvic floor dysfunction. The simultaneous detection of multiple findings in a complex anatomic setting renders correct analysis and clinical interpretation challenging. OBJECTIVES: The most important aspects (anatomy of the pelvic floor, three compartment model, morphological and functional analysis, reporting) for a successful clinical use of dynamic MRI of the pelvic floor are summarized...
October 2, 2023: Radiologie (Heidelb)
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