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Pelvic organ prolapse, urinary incontinence

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https://www.readbyqxmd.com/read/29664125/formal-sacrocolpopexy-reduces-hypercontinence-rates-in-female-neobladder-formation
#1
Gillian Stearns, Timothy Donahue, Ali Fathollahi, Guido Dalbagni, Jaspreet Sandhu
AIMS: Continent urinary diversion is preferred by some patients and orthotopic urinary diversion (OUD) has become the procedure of choice for most men following cystectomy for invasive bladder cancer. OUD in women, however, is less common, likely due to a high rate of hypercontinence (HC), potentially from lax support of pelvic structures similar to pelvic organ prolapse. As such, we evaluated if abdominal sacrocolpopexy (ASC) at the time of OUD in women led to decreased rates of HC. METHODS: A retrospective review of all female patients receiving OUD by a single surgeon and ASC was performed...
April 17, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29662719/the-importance-of-uterosacral-ligament-anatomy-in-overactive-bladder-a-preliminary-study
#2
Cevdet Adıgüzel, Esra Selver Saygılı Yılmaz, Sefa Arlıer, Sevtap Seyfettinoğlu, Gökhan Söker, Gülsüm Uysal, Oğuz Yücel, Akın Sivaslıoğlu
Objective: To evaluate whether uterosacral ligament (USL) thickness measured using magnetic resonance imaging (MRI) was associated with overactive bladder (OAB) in otherwise healthy women. Materials and Methods: The study comprised 27 women with OAB and 27 healthy women (control group) who were followed up at the Obstetrics and Gynecology Department of a tertiary referral center. All subjects were evaluated using pelvic MRI to determine the transverse USL thickness...
March 2018: Turkish journal of obstetrics and gynecology
https://www.readbyqxmd.com/read/29621040/concomitant-repair-of-pelvic-floor-disorders-in-women-undergoing-surgery-for-gynecologic-malignancies
#3
Katarzyna Bochenska, Margaret Mueller, Julia Geynisman-Tan, Alix Leader-Cramer, Bhumy Davé, Christina Lewicky-Gaupp, Kimberly Kenton
OBJECTIVE: The aims of this study were to determine the rate and describe 30-day postoperative complications of concomitant pelvic organ prolapse and/or urinary incontinence (POPUI) procedures in women undergoing surgery for a gynecologic malignancy. METHODS: Women who underwent surgical intervention for a gynecologic malignancy between 2010 and 2014 were identified using postoperative International Classification of Diseases, Ninth Revision codes 179.0 to 184.9 in the American College of Surgeons National Surgical Quality Improvement Program database...
April 4, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29609032/surgical-excision-versus-ablation-for-superficial-endometriosis-associated-pain-a-randomized-controlled-trial
#4
Kristin Riley, Andrea Benton, Timothy A Deimling, Allen R Kunselman, Gerald J Harkins
STUDY OBJECTIVE: To compare surgical excision and ablation of endometriosis for treatment of chronic pelvic pain. DESIGN: Canadian task force Category I - randomized clinical trial with 12-month follow-up. SETTING: Single academic tertiary care hospital. PATIENTS: Women with minimal to mild endometriosis undergoing laparoscopy. INTERVENTIONS: Excision or ablation of superficial endometriosis at the time of robot-assisted laparoscopy...
March 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29605709/intra-peri-and-postoperative-complications-in-pelvic-organ-prolapse-surgery-in-geriatric-women
#5
Marc Körnig, Esther Brühlmann, Andreas Günthert, Corina Christmann
OBJECTIVE: Pelvic organ prolapse is a common problem among geriatric women. Advanced age is associated with a high prevalence of comorbidities that can lead to restrictive use of surgical treatment. With rising life expectancy it is predicted that surgical treatment in these women will be seen more frequently. Inconsistently there is a lack of clinical trials giving attention to elderly women suffering from pelvic organ prolapse. The aim of this study was to quantify the rate of complications in elderly women undergoing surgery for pelvic organ prolapse...
March 23, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29604548/non-ablative-er-yag-laser-therapy-effect-on-stress-urinary-incontinence-related-to-quality-of-life-and-sexual-function-a-randomized-controlled-trial
#6
Mija Blaganje, Darija Šćepanović, Lidija Žgur, Ivan Verdenik, Franja Pajk, Adolf Lukanović
OBJECTIVE: Stress urinary incontinence (SUI) is a common complaint in women after childbirth. It affects their quality of life and sexual satisfaction and is one of the major reasons for gynaecological surgery. There is a need for effective non-invasive treatment alternatives. The aim of this study was to evaluate the efficacy and safety of non-ablative Er:YAG laser therapy in the treatment of SUI and improvement of sexual gratification in parous women. STUDY DESIGN: 114 premenopausal parous women with SUI were randomized in two groups of 57 women; a laser intervention group and sham group...
March 22, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29575371/practical-guide-to-dynamic-pelvic-floor-mri
#7
Mariya Kobi, Milana Flusberg, Viktoriya Paroder, Victoria Chernyak
Pelvic floor dysfunction encompasses a spectrum of functional disorders that result from impairment of the ligaments, fasciae, and muscles supporting the pelvic organs. It is a prevalent disorder that carries a lifetime risk over 10% for undergoing a surgical repair. Pelvic floor weakness presents as a wide range of symptoms, including pain, pelvic pressure or bulging, urinary and fecal incontinence, constipation, and sexual dysfunction. A correct diagnosis by clinical examination alone can be challenging, particularly in cases involving multiple compartments...
March 25, 2018: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/29574485/vaginal-hysterectomy-with-apical-fixation-and-anterior-vaginal-wall-repair-for-prolapse-surgical-technique-and-medium-term-results
#8
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/29570126/the-association-of-abdominal-striae-with-pelvic-organ-prolapse
#9
Jeannine M Miranne, MaryJo E Kramer, Mihriye Mete, Cheryl B Iglesia
OBJECTIVE: Our objective was to estimate the prevalence of abdominal wall striae among women with and without pelvic organ prolapse (POP) in a population with pelvic floor disorders. METHODS: This cross-sectional study included nonpregnant women with urinary incontinence and POP presenting to a tertiary urogynecology practice between December 2012 and August 2013. Participants completed a nonvalidated questionnaire about striae, and the degree of abdominal wall striae was quantified on physical examination...
March 21, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29546565/comparative-mid-term-anatomical-and-functional-outcomes-following-laparoscopic-sacrocolpopexy-in-women-under-and-over-65-results-from-a-prospective-study
#10
Fabien Vidal, Franck Léonard, Benoit André, Paul Guerby, Olivier Jourdain
PURPOSE: To compare mid-term anatomical and functional outcomes following laparoscopic sacrocolpopexy (LS) between women under and over 65. METHODS: Prospective and observational study involving patients with symptomatic pelvic organ prolapse (POP) undergoing LS. Study population was stratified according to patients' age at the time of surgery. POP symptoms and impact on quality of life were assessed by PFIQ-7 and PFDI-20 questionnaires at baseline and during follow-up...
March 15, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29536138/reliability-and-validity-of-the-tigrigna-version-of-the-pelvic-floor-distress-inventory-short-form-20-pfdi-20-and-pelvic-floor-impact-questionnaire-7-pfiq-7
#11
Gelila K Goba, Awol Yeman Legesse, Yibrah Berhe Zelelow, Mussie Alemayehu Gebreselassie, Rebecca G Rogers, Kimberly S Kenton, Margaret G Mueller
INTRODUCTION AND HYPOTHESIS: This study adapted the Pelvic Floor Distress Inventory-Short Form 20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) into the Tigrigna language of northern Ethiopia and validated the their reliability and validity through patient interviews. METHODS: Expert translation, cognitive interviewing, and patient interviews using translated questionnaires were conducted. A subset of women was reinterviewed 1 week later. Intraclass correlation coefficients (ICC), Bland-Altman analysis, and Cronbach's alpha values were assessed...
March 13, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29532126/the-manchester-procedure-anatomical-subjective-and-sexual-outcomes
#12
Sissel Hegdahl Oversand, Anne C Staff, Ellen Borstad, Rune Svenningsen
INTRODUCTION AND HYPOTHESIS: Classical native-tissue techniques for pelvic organ prolapse (POP) repairs, such as the Manchester procedure (MP), have been revitalized because of vaginal mesh complications. However, there are conflicting opinions regarding sufficient apical (mid-compartment) support by the MP and concerns about the risk of dyspareunia. The aims of this study were therefore to investigate anatomical and patient-reported outcomes 1 year after MP. METHODS: Prospective cohort study of 153 females undergoing an MP for anterior compartment POP between October 2014 and June 2016...
March 12, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29529952/surgically-induced-weight-loss-results-in-a-rapid-and-consistent-improvement-of-female-pelvic-floor-symptoms
#13
Avner Leshem, Asnat Groutz, Hadar Amir, David Gordon, Mordechai Shimonov
OBJECTIVE: The aim of this study was to evaluate the effect over time of bariatric surgery on female pelvic floor symptoms. METHODS: In total, 160 consecutive adult women were requested to complete four anonymous questionnaires [International Consultation on Incontinence Questionnaire (ICIQ), Bristol Female Lower Urinary Tract Symptoms (BFLUTS), Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12)] before bariatric surgery and at 3-6 months and 12-24 months postoperatively...
March 13, 2018: Scandinavian Journal of Urology
https://www.readbyqxmd.com/read/29522866/sexual-quality-of-life-after-treatment-of-stress-urinary-incontinence-with-adjustable-tension-free-mesh-system-in-women-who-were-sexually-active-prior-to-surgery
#14
Carla Pérez-Tomás, Luis Gómez-Pérez, Jesús Romero-Maroto, Antonio Palazón-Bru, Felipe Navarro-Cremades, Ernesto Cortés-Castell
OBJECTIVES: To assess the sexuality and quality of life of sexually active women with stress or mixed urinary incontinence (SUI/MUI) after surgery with adjustable tension-free suburethral mesh system (TOA/TVA). METHODS: This intervention study with two years of follow-up (visits at three months, one year and two years) involved 60 women with SUI/MUI who underwent surgery using TOA/TVA during 2008-2014 in a Spanish region. The variables of interest measured pre- and post-intervention were the global scores on the following questionnaires: 1) Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire-12 (PISQ-12), the International Consultation on Incontinence Questionnaire (ICIQ-SF) and the Incontinence Quality of Life Questionnaire (I-QOL)...
March 6, 2018: Urology
https://www.readbyqxmd.com/read/29500516/modified-laparoscopic-pectopexy-short-term-follow-up-and-its-effects-on-sexual-function-and-quality-of-life
#15
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/29494351/sexual-satisfaction-changes-reported-by-men-after-their-partners-robotic-assisted-laparoscopic-sacrocolpopexies
#16
Patrick J Culligan, Sean Haughey, Christa Lewis, Jennifer Priestley, Charbel Salamon
OBJECTIVES: This study aimed to compare the preoperative and postoperative sexual satisfaction reported by male sexual partners of women undergoing surgical correction of pelvic organ prolapse. METHODS: This was a single-center prospective cohort study. Heterosexual, sexually active English-speaking couples in which the women were planning to undergo robotic-assisted laparoscopic sacrocolpopexy for correction of pelvic organ prolapse were eligible for enrollment in the study...
March 1, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29489555/predictors-of-opioid-administration-in-the-acute-postoperative-period
#17
Marcella G Willis-Gray, Katherine E Husk, Taylor J Brueseke, Jennifer M Wu, Alexis A Dieter
OBJECTIVES: Our primary objective was to evaluate age as a predictor of postanesthesia care unit (PACU) opioid administration in women undergoing reconstructive pelvic surgery. Our secondary objective was to identify additional predictors of PACU opioid administration. METHODS: We conducted a retrospective cohort study of women undergoing outpatient urogynecologic surgery for pelvic organ prolapse and/or stress urinary incontinence between September 2015 to October 2016 at 1 academic medical center...
February 27, 2018: Female Pelvic Medicine & Reconstructive Surgery
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
#18
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
https://www.readbyqxmd.com/read/29476354/disparities-in-female-pelvic-floor-disorders
#19
REVIEW
Siobhan M Hartigan, Ariana L Smith
PURPOSE OF REVIEW: Pelvic floor disorders include urinary incontinence, pelvic organ prolapse, fecal incontinence, and other sensory and emptying abnormalities of the lower urinary and gastrointestinal tracts which are widely prevalent among women and largely undertreated. Many disparities exist among women with pelvic floor disorders which may affect prevalence estimates and treatment options offered. RECENT FINDINGS: Findings suggest that there are many disparities among women with pelvic floor disorders including age, race, inadequate knowledge, access to care, and socioeconomic status...
February 23, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29474288/pelvic-floor-muscle-training-versus-watchful-waiting-and-pelvic-floor-disorders-in-postpartum-women-a-systematic-review-and-meta-analysis
#20
You Maria Wu, Natalia McInnes, Yvonne Leong
OBJECTIVES: Pelvic floor muscle training (PFMT) is often recommended to treat postpartum urinary incontinence (UI). However, the role of postpartum PFMT in pelvic organ prolapse (POP), sexual function, and anal incontinence (AI) remains unclear. We therefore aim to assess the efficacy of postpartum PFMT on these pelvic floor disorders. METHODS: This study is a meta-analysis consisting of randomized controlled trials (RCTs). We searched databases including CENTRAL, MEDLINE, EMBASE, CINAHL, and PEDro...
March 2018: Female Pelvic Medicine & Reconstructive Surgery
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