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https://www.readbyqxmd.com/read/28723371/complications-of-transvaginal-mesh-for-pelvic-organ-prolapse-and-stress-urinary-incontinence-tips-for-prevention-recognition-and-management
#1
REVIEW
Susan MacDonald, Ryan Terlecki, Elisabetta Costantini, Gopal Badlani
CONTEXT: Mesh-related complications following transvaginal management of pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI) have received significant attention in the last decade. OBJECTIVE: We sought to identify patient, product, and technical factors associated with an increased risk of complications after mesh-based transvaginal repair of anterior POP and SUI. In this review we clarify the different pattern of complications after POP and SUI repairs...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28722364/-allergy-to-human-seminal-plasma
#2
Laura Moi, Igor Salvadé, Camillo Ribi
Hypersensitivity to human seminal plasma is rare, but probably under-diagnosed. It should be suspected in women with unexplained anaphylaxis, vulvo-vaginitis, pelvic pain and dyspareunia. The diagnosis relies on the clinical presentation, the exclusion of other causes, a positive skin test result to seminal plasma and the detection of IgE directed to allergenic proteins (such as prostate specific antigen). Use of condoms is the best preventive measure. Premedication with antihistamines or anti-inflammatory agents is often unreliable...
April 5, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28718605/-when-sex-hurts-the-couple-the-case-of-endometriosis
#3
Stas Shabanov, Jean-Marie Wenger, Stéphanie Seidler, Mylène Bolmont, Francesco Bianchi-Demicheli, Nicola Pluchino
Sexual health is a critical aspect of quality of life and is also influenced by medical conditions and health care interventions, particularly when gynaecological disorders are involved. Dyspareunia is a common symptom of endometriosis, a cause of personal distress and a main raison for seeking treatment. Endometriosis negatively affects different domains of sexual function and specific biopsychological variables (chronic pain, recurrence, infertility) may further worsen quality of sexual function and relationship...
March 15, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28718603/-long-term-consequences-of-obstetrical-anal-sphincter-injuries-on-sexual-function
#4
Maud De Rham, Sylvain Meyer, Chahin Achtari, Sandra Fornage
Obstetrical anal sphincter injuries (OASIS) can lead to sexual dysfunction. Literature is poor concerning long-term consequences of OASIS on female sexuality. The objective of this paper is to clarify long-term consequences of OASIS on sexual function. Dyspareunia and lubrication troubles are constantly reported based on articles reviewed in literature through Pubmed. Nevertheless, global sexual function seems not to be influenced by OASIS on a long-term basis. Therefore, sexual dysfunctions must be specifically analysed in women's follow-up after OASIS...
March 15, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28718602/-sexual-function-and-clitoral-reconstruction-after-female-genital-mutilation
#5
Jasmine Abdulcadir, Francesco Bianchi-Demicheli, Patrick Petignat
Evidence on sexual function of women living with female genital mutilation (FGM) and on clitoral reconstruction after FGM is limited. Such surgery is performed in case of chronic clitoral pain, clitoral dyspareunia or for female identity reasons. In this article we summarize the anatomical, psychosexual and sociocultural factors that influence sexual function of women with FGM and the available data on clitoral reconstruction. Surgical resection of the fibrous tissue around the clitoris, with eventual excision of painful post-traumatic neuromas, could improve pain and sexual function...
March 15, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28718162/robotic-sacrocolpopexy-is-it-the-treatment-of-choice-for-advanced-apical-pelvic-organ-prolapse
#6
REVIEW
Janine L Oliver, Ja-Hong Kim
PURPOSE OF REVIEW: Pelvic organ prolapse (POP) is a highly prevalent condition among women that, although non-life threatening, can significantly impact daily activities and quality of life (QOL). Sacrocolpopexy (SC) has been touted by many as the "gold standard," citing superior anatomic success rates compared to transvaginal approaches for apical prolapse repair. In line with current trends throughout the surgical field, robotic-assisted laparoscopic sacrocolpopexy (RSC) has rapidly gained popularity...
September 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28706405/vulvar-lichen-sclerosus-et-atrophicus
#7
REVIEW
Pragya Ashok Nair
Vulvar lichen sclerosus (VLS) is a chronic inflammatory dermatosis characterized by ivory-white plaques or patches with glistening surface commonly affecting the vulva and anus. Common symptoms are irritation, soreness, dyspareunia, dysuria, and urinary or fecal incontinence. Anogenital lichen sclerosus (LS) is characterized by porcelain-white atrophic plaques, which may become confluent extending around the vulval and perianal skin in a figure of eight configuration. Thinning and shrinkage of the genital area make coitus, urination, and defecation painful...
April 2017: Journal of Mid-life Health
https://www.readbyqxmd.com/read/28682451/outcomes-for-patients-with-apparent-chronic-idiopathic-pelvic-pain-and-associated-pelvic-floor-disorders-undergoing-laparoscopic-ventral-mesh-rectopexy
#8
A Newman, G L Greenslade, K McCarthy, A R Dixon
AIM: To assess the outcomes for patients with chronic idiopathic pelvic pain (CIPP) and associated pelvic floor disorders (PFDs) undergoing laparoscopic ventral mesh rectopexy (LVMR). METHOD: A prospective database identified patients referred from a specialist pain clinic undergoing LVMR. Primary outcomes included numerical rating scale (NRS) for pain, quality of life (QoL), Wexner constipation score, Cleveland Clinic incontinence score (CCIS), bowel and bladder-disturbance visual analogue scale (VAS) pain score and sexual function...
July 6, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28676367/iatrogenic-pelvic-pain-surgical-and-mesh-complications
#9
REVIEW
Dominic Lee, John Chang, Philippe E Zimmern
Female stress urinary incontinence and pelvic organ prolapse are prevalent conditions in adult women. Among treatment alternatives, more traditional methods of surgical intervention have been supplanted by synthetic polypropylene mesh kits. However, novel complications with mesh-related exposure, pelvic pain alone or with dyspareunia, and increased incidence of revision surgeries, resulted in 2 FDA warnings on transvaginal mesh use for prolapse repair. This review examines the anatomy of the vagina and urethra, the etiology of pain related to mesh use, and the relevant surgical techniques for management of this complication along with their outcomes...
August 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/28673205/nerve-growth-factor-is-associated-with-sexual-pain-in-women-with-endometriosis
#10
Bo Peng, Hong Zhan, Fahad Alotaibi, Ghadeer M Alkusayer, Mohamed A Bedaiwy, Paul J Yong
Endometriosis is present in 1 in 10 reproductive-age women, and half experience deep dyspareunia (pelvic pain with sexual intercourse). Our objective was to investigate nerve growth factor (NGF) and its receptors (TrkA/p75NTR) in endometriosis-associated deep dyspareunia. A total of 32 women with endometriosis in the posterior pelvic compartment (cul-de-sac/uterosacrals) were included, either with (n = 17) or without (n = 15) deep dyspareunia symptoms confirmed by endovaginal ultrasound-assisted palpation on examination...
January 1, 2017: Reproductive Sciences
https://www.readbyqxmd.com/read/28664483/efficacy-of-dienogest-in-improving-pain-in-women-with-endometriosis-a-12-month-single-center-experience
#11
REVIEW
A Maiorana, Domenico Incandela, F Parazzini, W Alio, A Mercurio, L Giambanco, L Alio
PURPOSE: Dienogest has recently been marketed as a medical treatment for endometriosis. Given the recent introduction on the market of Dienogest, little data are available regarding its effectiveness in routine clinical practice. METHODS: The study is an observational, single-center, cohort study. Eligible was women with a surgical diagnosis of endometriosis dating back <24 months or a clinical/instrumental diagnosis of endometriosis and endometriosis-associated pelvic pain score of at least 40 mm on a 100-mm visual analog scale (VAS) at start of treatment and who had been taking Dienogest 2 mg once daily treatment at the time of study entry for no more than 30 days, consecutively observed between September 2013 to September 2014...
June 29, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28660723/outcomes-of-treatment-of-stress-urinary-incontinence-associated-with-female-urethral-diverticula-a-selective-approach
#12
Alyssa Greiman, Lauren Rittenberg, Drew Freilich, Ross Rames, Ahmed El-Zawahry, Michelle Koski, Eric Rovner
AIMS: To assess surgical outcomes of concomitant treatment of SUI at time of transvaginal urethral diverticulectomy (TVUD) based on a selective approach. METHODS: Following Institutional Review Board (IRB) approval, we identified patients with a UD and SUI who underwent TVUD between July 2004 and January 2016. SUI was documented before and after surgery using subjective and objective parameters. Autologous pubovaginal slings (APVS) were used selectively based on surgeon and patient preference...
June 29, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28657993/outcomes-and-characteristics-of-patients-undergoing-surgical-management-for-mesh-related-complications
#13
Donna Mazloomdoost, Rachel N Pauls, Steven D Kleeman, Catrina C Crisp
OBJECTIVE: The aims of this study were to describe the characteristics of women presenting with mesh-related complications and evaluate postoperative quality of life, sexual functioning, and patient-perceived outcomes. METHODS: This institutional review board-approved study included a retrospective chart review and a cross-sectional follow-up with validated questionnaires. Demographics and medical histories were collected from charts of women treated for mesh-related complaints between 2010 and 2014...
June 27, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28657139/complications-following-the-insertion-of-two-synthetic-mid-urethral-slings-and-subsequent-removal
#14
Dominic Lee, Chasta Bacsu, Benjamin Dillon, Philippe E Zimmern
OBJECTIVE: To determine outcomes after removal of two synthetic mid-urethral slings (MUS) at a tertiary care center. METHODS: Following IRB approval, a retrospective chart review of non-neurogenic, symptomatic women requiring re-operation after ≥2 MUS was performed. Data reviewed by a third party included: demographics, prior anti-incontinence surgery, complications, pelvic/urinary symptoms, subsequent investigations, surgical repair and outcomes (including UDI-6/IIQ-7 questionnaires) at a minimum 6 months follow-up...
June 28, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28653332/transvaginal-mesh-removal-with-native-tissue-repair-for-mesh-shrinkage-and-recurrent-uterovaginal-prolapse-following-vaginal-mesh-augmented-surgery
#15
Rodolfo Milani, Matteo Frigerio, Stefania Palmieri, Stefano Manodoro
Vaginal mesh-related complications can be difficult to treat and can often require several surgical interventions. In the case of pelvic pain or dyspareunia related to transobturator mesh tension or shrinkage, surgical treatment is indicated with the aim of mobilizing the mesh by dividing the central graft from the arms and excising all the areas of mesh contraction [1]. Removal of transobturator arms should be avoided because neovascularization can lead to bleeding that is difficult to control [2]. This article is protected by copyright...
June 27, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28643660/glue-mesh-fixation-feasibility-tolerance-and-complication-assessment-results-24months-after-laparoscopic-sacrocolpopexy
#16
P Panel, F Soffray, E Roussillon, C Devins, M Brouziyne, S Abramowicz
AIM: This study aims to assess short- and mid-term feasibility, strength and tolerance of glue mesh fixation for laparoscopic sacrocolpopexy, as well as postoperative quality of sexual activity. PATIENTS AND METHODS: This original prospective clinical study was carried out in multiple university surgical centres between 2012 and 2013. Data were obtained during immediate postoperative hospitalisation, at 3 and at 24 months postoperatively. For a total of 42 patients subjected to laparoscopic sacrocolpopexy, bladder catheterization and hospitalisation times, pain score, early and late postoperative complications, prolapse staging according to POP-Q classification, and quality of sexual activity were registered...
April 2017: Journal of gynecology obstetrics and human reproduction
https://www.readbyqxmd.com/read/28640166/missing-documentation-in-breast-cancer-survivors-genitourinary-syndrome-of-menopause
#17
Elise D Cook, Elena I Iglehart, George Baum, Leslie L Schover, Lonzetta L Newman
OBJECTIVE: Breast cancer survivors often take hormonal treatments to prevent the recurrence of breast cancer, particularly aromatase inhibitors that can worsen the symptoms of genitourinary syndrome of menopause (GSM) such as dyspareunia, dysuria, and urinary incontinence, all of which may adversely affect survivors' quality of life. Few breast cancer survivors experiencing GSM receive adequate assessment or treatment. METHODS: In this descriptive study, we reviewed medical records for documented GSM and any treatments administered or referrals for treatment in 800 female patients who visited the Breast Cancer Survivorship Clinic at a comprehensive cancer center between July 1, 2010 and June 30, 2011, either at least 5 years after completion of treatment for invasive breast cancer or at least 6 months after completion of treatment for ductal carcinoma in situ...
June 19, 2017: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/28640161/combined-data-of-intravaginal-prasterone-against-vulvovaginal-atrophy-of-menopause
#18
Fernand Labrie, David F Archer, Céline Martel, Mario Vaillancourt, Marlene Montesino
OBJECTIVE: To analyze the effects of intravaginal prasterone obtained in the three randomized clinical studies performed in postmenopausal women suffering from moderate to severe (MS) dyspareunia due to vulvovaginal atrophy (VVA). METHODS: In three independent 12-week prospective, randomized, double-blind, and placebo-controlled clinical studies, the effect of daily intravaginal 0.50% (6.5 mg) prasterone was examined on four co-primary objectives in women having MS pain during sexual activity (dyspareunia), identified as their most bothersome symptom (MBS) of VVA at baseline...
June 19, 2017: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/28633746/extragenital-bullous-lichen-sclerosus-on-the-anterior-lower-extremities-report-of-a-case-and-literature-review
#19
Nichelle Arnold, Mitch Manway, Sean Stephenson, Howard Lipkin
Lichen sclerosus (LS) is a benign, chronic, inflammatory skin disease with a predilection for the anogenital region in women. Although males can also be affected, the ratio of female to male incidence has been reported to be as high as 6-10:1 and possesses a bimodal age distribution of pre-pubertal girls and postmenopausal women [1, 2]. Affected skin usually demonstrates polygonal papules that coalesce into porcelain white plaques and can be associated with edema, telangiectasias, and comedo-like plug formation [3]...
June 15, 2017: Dermatology Online Journal
https://www.readbyqxmd.com/read/28631115/gurya-cutting-and-female-genital-fistulas-in-niger-ten-cases
#20
Itengre Ouedraogo, Regina McConley, Christopher Payne, Alison Heller, L Lewis Wall
INTRODUCTION AND HYPOTHESIS: The objective was to determine the contribution of female genital cutting to genital fistula formation in Niger from the case records of a specialist fistula hospital. METHODS: A retrospective review was undertaken of the records of 360 patients seen at the Danja Fistula Center, Danja, Niger, between March 2014 and September 2016. Pertinent clinical and socio-demographic data were abstracted from the cases identified. RESULTS: A total of 10 fistulas resulting from gurya cutting was obtained: 9 cases of urethral loss and 1 rectovaginal fistula...
June 19, 2017: International Urogynecology Journal
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