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https://www.readbyqxmd.com/read/29747142/risk-factors-for-the-failure-of-iliococcygeus-suspension-for-uterine-prolapse
#1
Dong Hoon Suh, Myung Jae Jeon
OBJECTIVES: The objective of this study was to evaluate the risk factors for the failure of iliococcygeus suspension (ICG) for uterine prolapse and estimate its long-term success rates using a clinically relevant criterion. STUDY DESIGN: This retrospective cohort study included 144 women who underwent transvaginal reconstructive surgery including ICG for symptomatic pelvic organ prolapse. Surgical failure was defined as anatomic recurrence (descent of the vaginal apex beyond the halfway point of the vagina or descent of the anterior or posterior vaginal wall beyond the hymen), symptomatic recurrence (vaginal bulge symptoms), or retreatment for prolapse...
May 2, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29728382/phylotype-level-profiling-of-lactobacilli-in-highly-complex-environments-by-means-of-an-its-based-metagenomic-approach
#2
Christian Milani, Sabrina Duranti, Marta Mangifesta, Gabriele Andrea Lugli, Francesca Turroni, Leonardo Mancabelli, Alice Viappiani, Rosaria Anzalone, Giulia Alessandri, Maria Cristina Ossiprandi, Douwe van Sinderen, Marco Ventura
The genus Lactobacillus is a widespread taxon, members of which are highly relevant to functional and fermented foods, while they are also commonly present in host-associated gut and vaginal microbiota. Substantial efforts have been undertaken to disclose the genetic repertoire of all members of the genus Lactobacillus , yet their species-level profiling in complex matrices is still undeveloped due to the poor phylotype resolution of profiling approaches based on the 16S rRNA gene. To overcome this limitation, an ITS-based profiling method was developed to accurately profile lactobacilli at species-level...
May 4, 2018: Applied and Environmental Microbiology
https://www.readbyqxmd.com/read/29723567/novel-observations-of-female-genital-anatomy-in-classic-bladder-exstrophy-using-three-dimensional-mri-reconstruction
#3
Karl S Benz, Emily Dunn, Meiyappan Solaiyappan, Mahir Maruf, Matthew Kasprenski, John Jayman, Jason E Michaud, James Facciola, John P Gearhart
PURPOSE: Understanding the distinct female anatomy in classic bladder exstrophy is crucial for optimal reconstructive and functional outcomes. This study presents novel quantitative anatomical data in females with classic bladder exstrophy prior to primary closure. MATERIALS AND METHODS: Patients underwent three-dimensional reconstruction of pelvic magnetic resonance imaging studies, and pelvic anatomy was characterized, including measurements of the vagina, cervix, and erectile bodies...
April 30, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29685537/three-dimensional-magnetic-resonance-pelvimetry-a-new-technique-for-evaluating-the-female-pelvis-in-pregnancy
#4
K D Liao, Y H Yu, Y G Li, L Chen, C Peng, P Liu, C L Chen, R Y Chen, M Zhong, Y Wang
OBJECTIVE: To describe three-dimensional (3D) magnetic resonance imaging (MRI) pelvimetry methods and to establish the pelvimetric reference in a large population of Chinese females at term pregnancy. METHODS: Three-hundred one pregnant women at term who underwent MRI were included. Three-dimensional pelvic models were reconstructed using Mimics. 10.0 software based on MRI data sets, and measurements of these models were made. Pelvimetric results according to delivery modality were presented...
May 2018: European Journal of Radiology
https://www.readbyqxmd.com/read/29683885/sentiment-analysis-of-web-sites-related-to-vaginal-mesh-use-in-pelvic-reconstructive-surgery
#5
Deslyn T G Hobson, Kate V Meriwether, Sean L Francis, Casey L Kinman, J Ryan Stewart
OBJECTIVES: The purpose of this study was to utilize sentiment analysis to describe online opinions toward vaginal mesh. We hypothesized that sentiment in legal Web sites would be more negative than that in medical and reference Web sites. METHODS: We generated a list of relevant key words related to vaginal mesh and searched Web sites using the Google search engine. Each unique uniform resource locator (URL) was sorted into 1 of 6 categories: "medical", "legal", "news/media", "patient generated", "reference", or "unrelated"...
April 20, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29682704/-anastomotic-leakage-after-rectal-cancer-surgery-classification-and-management
#6
Pan Chi, Shenghui Huang
Many studies have focused on the identification of risk factors and prevention of anastomotic leakage following rectal cancer surgery. However, there is little knowledge regarding classification and management of anastomotic leakage in clinic. Herein, we reviewed and summarized the classification and management of anastomotic leakage after rectal cancer surgery. The relevant treatments of anastomotic leakage should be chosen based on patient's manifestation, including general and local reactions, anatomical location, and nature of the leakage (contained or free, controlled or uncontrolled leakage)...
2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29679100/g-spotplasty-a-new-surgical-plastic-intervention-the-preliminary-study
#7
Adam Ostrzenski
BACKGROUND: Ostrzenski's G-pot anatomical structure discovery has been verified by the anatomy, histology, MRI in vivo, and electrovaginography in vivo studies. The objectives of this scientific-clinical investigation were to develop a new surgical reconstructive intervention (G-spotplasty); to determine the ability of G-spotplasty surgical implementation; to observe for potential complications; and to gather initial information on whether G-spotplasty improves female sexual activity, sexual behaviors, and sexual concerns...
April 20, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29664135/clinical-outcomes-of-detrusor-underactivity-in-female-with-advanced-pelvic-organ-prolapse-following-vaginal-pelvic-reconstructive-surgery
#8
Tsia-Shu Lo, Sandy Chua, Ma Clarissa Uy-Patrimonio, Chuan C Kao, Chih H Lin
AIM: To determine the impact of vaginal pelvic reconstructive surgery (PRS) on detrusor underactivity (DU) patients having advanced pelvic organ prolapse (POP). METHODS: A retrospective study of patients who underwent PRS for advanced POP (POP-Q ≥ 3) with DU. Data regarding preoperative evaluation, surgical procedure, and post-operative management were collated. Patients were considered to have DU when detrusor pressure at maximum flow (Pdet Qmax ) was ≤10 cmH2 0 and peak flow rate (Qmax ) of ≤12 mL/s...
April 17, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29644476/reconstructive-management-pearls-for-the-transgender-patient
#9
REVIEW
Geolani W Dy, Jeff Sun, Michael A Granieri, Lee C Zhao
PURPOSE OF REVIEW: A growing number of transgender patients are seeking gender-affirming genital reconstructive surgery (GRS). These complex procedures have high complication rates. We describe common surgical pitfalls in GRS and approaches for minimizing complications. RECENT FINDINGS: Penile inversion vaginoplasty has been associated with excellent cosmetic and functional outcomes. A robotic-assisted dissection may minimize risk of rectal injury. As a younger transgender population chooses pubertal suppression, alternative sources for lining the vaginal canal, such as enteric vaginoplasties, may be more widely utilized...
April 11, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29621904/the-birth-canal-correlation-between-the-pubic-arch-angle-the-interspinous-diameter-and-the-obstetrical-conjugate-a-computed-tomography-biometric-study-in-reproductive-age-women
#10
Sharon Perlman, Lisa Raviv-Zilka, Denis Levinsky, Ayelet Gidron, Reuven Achiron, Yinon Gilboa, Zvi Kivilevitch
BACKGROUND: Assessment of pelvic configuration is an important factor in the prediction of a successful vaginal birth. However, manual evaluation of the pelvis is practically a vanishing art, and imaging techniques are not available as a real time bed side tool. Unlike the obstetrical conjugate diameter (OC) and inter spinous diameter (ISD), the pubic arch angle (PAA) can be easily measured by transperineal ultrasound. OBJECTIVES: Three dimensional computed tomography bone reconstructions were used to measure the three main birth canal diameters, evaluate the correlation between them and establish the normal reference range for the inlet, mid- and pelvic outlet...
April 5, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29621611/hypanocotyle-bullardi-n-gen-n-sp-monogenea-hexabothriidae-from-gill-of-the-diamond-stingray-hypanus-dipterurus-jordan-et-gilbert-myliobatiformes-dasyatidae-in-the-southeastern-pacific-ocean-off-peru
#11
Jhon D Chero, Celso L Cruces, Gloria Sáez, Ana Carolina A Camargo, Cláudia Portes Santos, José L Luque
A new genus and species of monogenean belonging to Hexabothriidae, Hypanocotyle bullardi n. gen. n. sp., is described based on specimens collected from the gill filaments of the diamond stingray, Hypanus dipterurus (Jordan et Gilbert) (Myliobatiformes: Dasyatidae), a demersal chondrichthyan collected off the coast of Callao, Peru. Hypanocotyle n. gen. has the following combination of diagnostic features that differentiate it from other hexabothriid genera: haptor symmetrical; vasa efferentia having proximal (narrow, with thin glandular wall) and distal (expanded, interlaced, with thick glandular wall) portions, joining medially to form vas deferens; vas deferens having proximal (expanded, sinuous, with thick glandular wall) and distal (narrow, strongly sinuous, with thin glandular wall) portions; male copulatory organ unarmed, proximal portion slightly sinuous and tube-like, distal portion funnel-shaped; prostatic glands present, distributed around of the MCO; seminal receptacle present; ootype lacking longitudinal rows of large cells (no oötype côtelé); vaginae parallel, with well-differentiated proximal (glandular, narrow, tube-like, slightly sinuous) and distal (musculoglandular, convoluted) portions; gland cells surrounding the vaginal duct along the entire length of distal portion, densely clustered in middle portion; uterine eggs with 2 elongate filaments...
April 2, 2018: Parasitology International
https://www.readbyqxmd.com/read/29611116/the-methods-and-mechanisms-to-differentiate-endothelial-like-cells-and-smooth-muscle-cells-from-mesenchymal-stem-cells-for-vascularization-in-vaginal-reconstruction
#12
Hua Zhang, Jingkun Zhang, Xianghua Huang, Yanan Li
Endothelial cells and smooth muscle cells (SMCs) are important aspects of vascularization in vaginal reconstruction. Research has confirmed that mesenchymal stem cells could differentiate into endothelial-like cells and SMCs. But the methods were more complicated and the mechanism was unknown. In the current study, we induced the bone mesenchymal stem cells (BMSCs) to differentiate into endothelial-like cells and SMCs in vitro by differentiation medium and investigated the effect of Wnt/β-catenin signaling on the differentiation process of BMSCs...
April 2, 2018: Molecular Biotechnology
https://www.readbyqxmd.com/read/29600401/early-catheter-removal-after-pelvic-floor-reconstructive-surgery-a-randomized-trial
#13
Charelle M Carter-Brooks, Halina M Zyczynski, Pamela A Moalli, Peter G Brodeur, Jonathan P Shepherd
INTRODUCTION AND HYPOTHESIS: Studies have yet to examine the impact of day-of-surgery voiding trials on post-operative urinary retention in women undergoing obliterative and apical suspension procedures for pelvic organ prolapse. Our objective was to evaluate if time to spontaneous void after these procedures is shorter when a voiding trial is performed on the day of surgery compared with our standard practice of post-operative day 1. METHODS: We conducted a randomized, parallel-arm trial in patients undergoing major pelvic floor reconstructive surgery...
March 29, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29564507/does-low-dose-gapapentin-reduce-opioid-use-postoperatively-a-randomized-controlled-trial-in-women-undergoing-reconstructive-pelvic-surgery
#14
Adrienne L K Li, Kristin Wadsworth, Naveed T Siddiqui, May Alarab, Colleen D McDermott, Nucelio Lemos, Ashraf Dawood, Danny Lovatsis
INTRODUCTION AND HYPOTHESIS: Pre-emptive gabapentin has been shown to decrease postoperative pain in abdominal and vaginal hysterectomy. However, the effect of pre-emptive low-dose gabapentin has not been studied in vaginal hysterectomy combined with concomitant pelvic reconstruction. METHODS: A randomized double-blind placebo-controlled trial assessed all women seen for symptomatic prolapse requiring vaginal hysterectomy with concomitant pelvic reconstruction with or without midurethral sling...
March 21, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29552738/pelvic-floor-muscle-weakness-a-risk-factor-for-anterior-vaginal-wall-prolapse-recurrence
#15
Jeffrey S Schachar, Hemikaa Devakumar, Laura Martin, Sara Farag, Eric A Hurtado, G Willy Davila
INTRODUCTION AND HYPOTHESIS: Native tissue vaginal repairs are associated with relatively high levels of recurrence. Systematic reviews have noted that preoperative pelvic floor muscle strength was associated with increased risk of recurrence in the short term. METHODS: This is a retrospective review of patients who underwent a primary reconstructive surgery for anterior compartment vaginal prolapse between 2001 and 2015. Patients were divided into "absent," "weak" and "good" preoperative PFM strength (aPFM, wPFM and gPFM, respectively) based on a modified Oxford scale...
March 19, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29551555/genitoplasty-in-newborn-females-with-adrenogenital-syndrome-focus-on-the-reconstruction-technique-and-its-outcomes
#16
Marjan Waterloos, Tom Claeys, Maxime Sempels, Erik Van Laecke, Piet Hoebeke, Anne-Françoise Spinoit
The adrenogenital syndrome is an autosomal recessive disorder in which an enzyme defect in the steroid pathway leads to excessive prenatal exposure of androgens. In the female fetus, masculinization of the external genitalia is observed. Surgery aims for functional and aesthetical reconstruction. Many techniques have been described. A video of our modified pull-through reconstruction technique is hereby presented. A retrospective descriptive database was created with patients who underwent genitoplasty for a CAH-associated genital condition...
March 8, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29528921/clitoral-reconstruction-using-a-vaginal-graft-after-female-genital-mutilation
#17
Ivan Mañero, Trinidad Labanca
BACKGROUND: Clitoral reconstruction after genital mutilation is a feasible and effective strategy to reduce clitoral pain, improve sexual pleasure, and restore vulvar appearance. TECHNIQUE: We describe a novel surgical technique for clitorolabial reconstruction using a vaginal graft. EXPERIENCE: We present a series of 32 consecutive women who underwent this procedure at Iván Mañero Clinic, Barcelona, Spain, and were prospectively followed...
April 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29519186/vaginal-reconstruction-with-the-modified-rectosigmoid-colon-surgical-technique-long-term-results-and-sexual-outcomes
#18
Ömer Özkan, Özlenen Özkan, Anı Çinpolat, Nasuh Utku Doğan, Gamze Bektaş, Kemal Dolay, Alihan Gürkan, Cumhur Arıcı, Selen Doğan
Although vaginal reconstructions with intestinal segments require particularly complex surgical procedures, this technique has become popular with respect to fairly good functional and esthetic outcomes. This study describes cases of vaginal reconstruction performed using a modified rectosigmoid colon held in an ischemic state in order to reduce secretion and denervated in order to prevent defecation problems. Vaginal reconstructions with rectosigmoid colon were performed on 43 patients. In this retrospective study, 34 patients had Müllerian agenesis, while nine had undergone male to female sex reassignment surgery in which adequate vaginal depth had not been achieved...
March 8, 2018: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/29506566/laparoscopic-inguinal-ligament-suspension-versus-laparoscopic-sacrocolpopexy-in-the-treatment-of-pelvic-organ-prolapse-study-protocol-for-a-randomized-controlled-trial
#19
Chunbo Li, Zhiyuan Dai, Huimin Shu
BACKGROUND: Pelvic organ prolapse (POP) is a common health problem. The lifetime risk of undergoing surgery for prolapse is 11%. POP significantly affects the effects on quality of life and activities of daily living. Laparoscopic sacrocolpopexy (LSC) has been viewed as the gold standard treatment for women with POP who desire reconstructive surgery. However, LSC is associated with technical difficulties, resulting in a long learning curve and operative time. Recently, our team introduced a new laparoscopic technique of inguinal ligament suspension (LILS) and had confirmed its safety and efficacy in treating vaginal vault prolapse...
March 5, 2018: Trials
https://www.readbyqxmd.com/read/29483389/management-of-urinary-incontinence-before-and-after-total-pelvic-reconstruction-for-advanced-pelvic-organ-prolapse-with-and-without-incontinence
#20
Yu Song, Xiao-Juan Wang, Yi-Song Chen, Ke-Qin Hua
Background: The effectiveness of an anti-incontinence procedure concomitant with prolapse reconstruction for pelvic organ prolapse (POP) in preventing urinary incontinence (UI) after surgery remains controversial. Our study aimed to describe the incidence of pre- and postoperative UI for pelvic reconstructive surgery and evaluate the management of POP associated with UI. Methods: A total of 329 patients who underwent total pelvic reconstruction between June 2009 and February 2015 at a single institution were identified...
March 5, 2018: Chinese Medical Journal
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