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https://www.readbyqxmd.com/read/27924376/predicting-levator-avulsion-from-ics-pop-q-findings
#1
Alejandro Pattillo Garnham, Rodrigo Guzmán Rojas, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Levator avulsion is a common consequence of vaginal childbirth. It is associated with symptomatic female pelvic organ prolapse and is also a predictor of recurrence after surgical correction. Skills and hardware necessary for diagnosis by imaging are, however, not universally available. Diagnosis of avulsion may benefit from an elevated index of suspicion. The aim of this study was to examine the predictive value of the International Continence Society Pelvic Organ Prolapse Quantification (ICS POP-Q) for the diagnosis of levator avulsion by tomographic 4D translabial ultrasound...
December 6, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27919131/-an-intravesical-foreign-body-after-caesarean-section-and-tissue-fixing-system-tfs-operation-two-case-reports
#2
Kohei Mori, Masahiro Yanagisawa, Kotaro Hirai
Foreign body in the bladder is a relatively rare case. We encountered two cases of foreign bodies in the bladder after gynecological surgery. Case 1 was a 72-year-old woman. When she was 70 years old,an operation for her pelvic organ prolapse was performed. She visited our hospital because of discomfort in urination. We performed a transurethral lithotripsy of the bladder stone and detected a foreign body,and it was an anchor used for the Tissue Fixation System(TFS)operation (a pelvic organ prolapse operation)...
October 2016: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/27872979/evaluation-of-isolated-urinary-stress-incontinence-according-to-the-type-of-levator-ani-muscle-lesion-using-3-4d-transperineal-ultrasound-36%C3%A2-months-post-partum
#3
José Antonio García Mejido, Pamela Valdivieso Mejias, Ana Fernández Palacín, María José Bonomi Barby, Paloma De la Fuente Vaquero, José Antonio Sainz Bueno
INTRODUCTION: Vaginal delivery can lead to pelvic floor disorders. Many authors have described pelvic floor injuries that can predict future defects such as urinary incontinence and pelvic organ prolapse. We propose the assessment of urinary stress incontinence and its association with levator ani muscle (LAM) microtrauma (>20% in the levator hiatus area during Valsalva) and macrotraumas (avulsion) identified by 3/4D transperineal ultrasound (3D-TpUS) 36 months post-partum. MATERIALS AND METHODS: This was a prospective observational study including 168 nulliparous women...
November 21, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27647755/ep31-01-pelvic-floor-ultrasound-in-the-evaluation-of-postpartum-perineal-diseases-pelvic-organ-prolapse
#4
E Falò, M Leombroni, D Buca, R Savone, S Gustapane, A Santarelli, F Frondaroli, A Ricciardulli, C Di Matteo, F Fanfani, M Liberati, F D'Antonio
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27622984/levator-ani-trauma-and-pelvic-organ-prolapse-a-comparison-of-three-translabial-ultrasound-scoring-systems
#5
Gerda Trutnovsky, Ixora Kamisan Atan, Daniela Ulrich, Andrew Martin, Hans P Dietz
INTRODUCTION: The study aimed to analyze the relation between the degree of puborectalis muscle trauma and subjective symptoms and objective findings of pelvic organ prolapse (POP), comparing two continuous scoring systems with a discrete scoring system for translabial ultrasound imaging. MATERIAL AND METHODS: In this retrospective observational study the records of patients attending a tertiary urogynecological unit between January 2012 and December 2014 were analyzed...
September 13, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27619683/how-common-is-ballooning-hiatal-area-on-3d-transperineal-ultrasound-in-urogynecological-patients-and-its-association-with-lower-urinary-tract-symptoms
#6
Stefan B Albrich, K Welker, B Wolpert, J Steetskamp, S Porta, A Hasenburg, C Skala
INTRODUCTION: Pelvic floor ultrasound plays a major role in urogynecologic diagnostics. Using 3D ultrasound we can identify integrity of levator ani and measure hiatal area in the axial plane. The main goal of our study was to measure hiatal area on Valsalva in a cohort of urogynecological patients. Furthermore, we aimed to correlate hiatal area with urogynecological symptoms, levator integrity and evaluate cut-off values for pelvic organ prolapse. MATERIALS AND METHODS: In a retrospective analysis, we included 246 patients seen for urogynecological problems in our tertiary urogynecological unit...
September 12, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27595629/-assessment-before-surgical-treatment-for-pelvic-organ-prolapse-clinical-practice-guidelines
#7
L Donon, S Warembourg, J-F Lapray, A Cortesse, J-F Hermieu, B Fatton, M Cayrac, X Deffieux, M Geraud, L Le Normand
INTRODUCTION: The issue addressed in this chapter of recommendations is: What is the clinical and para-clinical assessment to achieve in women with genital prolapse and for whom surgical treatment has been decided. What are the clinical elements of the examination that must be taken into account as a risk factor of failure or relapse after surgery, in order to anticipate and evaluate possible surgical difficulties, and to move towards a preferred surgical technique? MATERIAL AND METHODS: This work is based on a systematic review of the literature (PubMed, Medline, Cochrane Library, Cochrane Database of Systemactic Reviews, EMBASE) for meta-analyzes, randomized trials, registries, literature reviews, controlled studies and major not controlled studies, published on the subject...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27562976/ultrasound-guided-ureteral-stent-removal-in-women
#8
Nariman Gadzhiev, Sergei Brovkin, Vladislav Grigoryev, Vladimir Dmitriev, Valeriy Korol, Dmitry Shkarupa, Aleksei Pisarev, Nair Tagirov, Vigen Malkhasyan, Igor Semeniakin, Nikita Khromov-Borisov, Sergei Petrov
OBJECTIVES: The purpose of this study was to develop a fast, comfortable, and safe method of ureteral stent removal in women. METHODS: From February 2014 to July 2015, a retrospective multicenter controlled study including 82 female outpatients was conducted. The control group was composed of 46 patients who underwent stent removal using a 22F cystoscope. The experimental group was composed of 36 patients who underwent stent removal under ultrasound guidance with a 15F spiral-ending device...
October 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27465815/the-association-between-levator-urethra-gap-measurements-and-symptoms-and-signs-of-female-pelvic-organ-prolapse
#9
Ixora Kamisan Atan, Ka Lai Shek, Glefy Inacio Furtado, Jessica Caudwell-Hall, Hans Peter Dietz
OBJECTIVES: Levator avulsion is associated with pelvic organ prolapse in women. It is diagnosed clinically by a widened gap on palpation between the insertion of the puborectalis muscle on the inferior pubic ramus and the urethra. This gap can also be assessed on imaging. This study aimed to determine the association between sonographically determined levator-urethral gap (LUG) measurements and symptoms and signs of prolapse. METHODS: This is a retrospective study on 450 women seen in a tertiary urogynecological center for symptoms of pelvic floor dysfunction between January 2013 and February 2014...
July 25, 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27352272/-cystocele-and-perineal-ultrasound-comparison-of-reliability-and-patient-satisfaction
#10
R Blum, G Blum, G Link, I Meinhold-Heerlein, L Najjari
BACKGROUND: Pelvic organ prolapse is a common medical finding. The use of perineal ultrasound for diagnosis of cystoceles is gaining in importance. OBJECTIVES: The purpose of this work was to test whether perineal ultrasound can be used to diagnose a cystocele before surgery and for follow-up examination. Furthermore, patient satisfaction during speculum examination and perineal ultrasound was compared. MATERIALS AND METHODS: 33 women with cystocele were examined before and after anterior colporrhaphy...
June 28, 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27135639/association-between-pelvic-floor-disorder-symptoms-and-qol-scores-with-depressive-symptoms-among-pelvic-organ-prolapse-patients
#11
Javier Pizarro-Berdichevsky, Mario Javier Hitschfeld, Alejandro Pattillo, Bernardita Blumel, Silvana Gonzalez, Marco Arellano, Rodrigo Cuevas, Jacobo Alvo, Ariel Gorodischer, Claudia Flores-Espinoza, Howard B Goldman
BACKGROUND: There is no consensus on the relationship between depressive symptoms (DS) and pelvic organ prolapse (POP) symptoms and quality of life (QoL). Our hypothesis was that women with DS and POP have worse symptoms and QoL than those without DS and POP. AIM: Our aim was to compare two groups of POP patients, those with depressive symptoms and those without, and evaluate the association of symptoms and QoL. MATERIALS AND METHODS: This planned report is part of a prospective study evaluating the impact of pessary use among symptomatic POP patients...
August 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/26984443/an-international-urogynecological-association-iuga-international-continence-society-ics-joint-report-on-the-terminology-for-female-pelvic-organ-prolapse-pop
#12
Bernard T Haylen, Christopher F Maher, Matthew D Barber, Sérgio Camargo, Vani Dandolu, Alex Digesu, Howard B Goldman, Martin Huser, Alfredo L Milani, Paul A Moran, Gabriel N Schaer, Mariëlla I J Withagen
INTRODUCTION: The terminology for female pelvic floor prolapse (POP) should be defined and organized in a clinically-based consensus Report. METHODS: This Report combines the input of members of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give a coding to definitions...
April 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/26952013/-changes-in-pelvic-organ-mobility-and-ligamentous-laxity-during-pregnancy-and-postpartum-review-of-literature-and-prospects
#13
B Gachon, D Desseauve, L Fradet, A Decatoire, P Lacouture, F Pierre, X Fritel
INTRODUCTION: The role of pregnancy in pelvic floor disorders occurrence remains poorly known. It might exist a link between changes in ligamentous laxity and changes in pelvic organ mobility during this period. Our objective was to conduct a non-systematic review of literature about changes in pelvic organ mobility as well as in ligamentous laxity during pregnancy and postpartum. METHODS: From the PubMed, Medline, Cochrane Library and Web of Science database we have selected works which pertains clinical assessment of pelvic organ mobility (pelvic organ prolapse quantification), ultrasound assessment of levator hiatus and urethral mobility, ligamentous laxity assessment during pregnancy and postpartum...
June 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/26880514/ultrasound-imaging-of-the-pelvic-floor
#14
REVIEW
Daniel E Stone, Lieschen H Quiroz
This article discusses the background and appraisal of endoluminal ultrasound of the pelvic floor. It provides a detailed anatomic assessment of the muscles and surrounding organs of the pelvic floor. Different anatomic variability and pathology, such as prolapse, fecal incontinence, urinary incontinence, vaginal wall cysts, synthetic implanted material, and pelvic pain, are easily assessed with endoluminal vaginal ultrasound. With pelvic organ prolapse in particular, not only is the prolapse itself seen but the underlying cause related to the anatomic and functional abnormalities of the pelvic floor muscle structures are also visualized...
March 2016: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/26877210/laparoscopic-sacrocolpopexy-how-low-does-the-mesh-go
#15
V Wong, R Guzman-Rojas, K L Shek, D Chou, K H Moore, H P Dietz
OBJECTIVES: Laparoscopic sacrocolpopexy is becoming an increasingly popular surgical approach for apical vaginal prolapse. The aim of this study is to document post-operative anterior mesh position after laparoscopic sacrocolpopexy and to investigate the relationship between mesh location and anterior compartment. METHODS: This is an external audit of patients following laparoscopic sacrocolpopexy performed between Jan 2005 - June 2012. All patients were assessed with a standardised interview, clinical ICS POP-Q assessment and transperineal ultrasound evaluating pelvic organ support and mesh location...
February 15, 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26865209/assessment-of-pelvic-organ-prolapse-a-review
#16
EDITORIAL
K L Shek, H P Dietz
No abstract text is available yet for this article.
December 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26663519/does-it-matter-whether-avulsion-is-diagnosed-pre-or-postoperatively
#17
Sharifah Syed Abdul Jalil, Rodrigo Guzmán Rojas, Hans Peter Dietz
INTRODUCTION: Levator avulsion is found in 15-30% of parturients and associated with pelvic organ prolapse (POP) recurrence following surgery, although most published evidence relates to postoperative diagnosis. We performed a study to determine whether diagnosis of avulsion after pelvic floor surgery can be used as a proxy for preoperative diagnosis. METHODS: This is a retrospective study on 207 patients seen before and after prolapse surgery. All assessments included 3D/4D transperineal tomographic ultrasound, with volume data saved and analysed at a later date, blinded against all clinical data...
December 11, 2015: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26650224/is-the-levator-urethra-gap-helpful-for-diagnosing-avulsion
#18
Hans Peter Dietz, Alejandro Pattillo Garnham, Rodrigo Guzmán Rojas
INTRODUCTION AND HYPOTHESIS: Levator avulsion is a risk factor for female pelvic organ prolapse (POP) and recurrence after POP surgery. Imaging diagnosis requires the observation of an abnormal muscle insertion on tomographic ultrasound imaging (TUI). This study was designed to compare the diagnostic performance of the qualitative diagnosis (visual qualitative assessment) to measurement of the distance between muscle insertion and urethra [levator-urethra gap; (LUG)]. METHODS: This was a retrospective analysis of data obtained in a tertiary urogynecological unit...
June 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/26616261/is-it-necessary-to-diagnose-levator-avulsion-on-pelvic-floor-muscle-contraction
#19
H P Dietz, A Pattillo Garnham, R Guzmán Rojas
INTRODUCTION: Avulsion of the levator ani commonly occurs at vaginal birth. This condition is frequently diagnosed by translabial ultrasound (TLUS) during pelvic floor muscle contraction (PFMC). Some patients are unable to achieve a satisfactory PFMC, and in these cases avulsion is assessed at rest. The aim of this study was to validate this practice. METHODS: This is a retrospective study on 233 patients seen at a tertiary urogynecological centre. All underwent 4D TLUS, supine and after voiding...
November 30, 2015: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26483139/agreement-and-reliability-of-pelvic-floor-measurements-during-rest-and-on-maximum-valsalva-maneuver-using-three-dimensional-translabial-ultrasound-and-virtual-reality-imaging
#20
L Speksnijder, D M J Oom, A H J Koning, C S Biesmeijer, E A P Steegers, A B Steensma
OBJECTIVES: Imaging of the levator ani hiatus provides valuable information for the diagnosis and follow-up of patients with pelvic organ prolapse (POP). This study compared measurements of levator ani hiatal volume during rest and on maximum Valsalva, obtained using conventional three-dimensional (3D) translabial ultrasound and virtual reality imaging. Our objectives were to establish their agreement and reliability, and their relationship with prolapse symptoms and POP quantification (POP-Q) stage...
August 2016: Ultrasound in Obstetrics & Gynecology
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