Abstract:
:Pelvic reconstructive surgeons have suspected for over a century that childbirth-related trauma plays a major role in the aetiology of female pelvic organ prolapse. Modern imaging has recently allowed us to define and reliably diagnose some of this trauma. As a result, imaging is becoming increasingly important, since it allows us to identify patients at high risk of recurrence, and to define underlying problems rather than just surface anatomy. Ultrasound is the most appropriate form of imaging in urogynecology for reasons of cost, access and performance, and due to the fact that it provides information in real time. I will outline the main uses of this technology in pelvic reconstructive surgery and focus on areas in which the benefit to patients and clinicians is most evident. I will also try and give a perspective for the next 5 years, to consider how imaging may transform the way we deal with pelvic floor disorders.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Dietz HPdoi
10.1007/s00192-011-1459-3subject
Has Abstractpub_date
2011-10-01 00:00:00pages
1221-32issue
10eissn
0937-3462issn
1433-3023journal_volume
22pub_type
杂志文章,评审abstract:INTRODUCTION AND HYPOTHESIS:Botulinum toxin-A (BoNT-A) is a potent neurotoxin that is an effective treatment for patients with pharmacologically refractory detrusor overactivity (DO). Data assessing the effectiveness of trigonal BoNT-A are limited. This study evaluates adverse events (AEs) and short-term efficacy assoc...
journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00192-014-2499-2
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective of this video is to demonstrate a variety of available techniques that can be used in the management of acute presacral bleeding. METHODS:In this video, we demonstrate different methods for the management of presacral bleeding utilizing a fresh frozen cadaver. RESULTS:Presacr...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03995-w
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to determine whether a 6-week course of 5 mg of solifenacin succinate used to treat mixed incontinence, produces measurable changes in the appearance of the urethral sphincter. METHODS:Twenty-six women undergoing treatment for mixed incontinence were recruited from ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1410-7
更新日期:2011-08-01 00:00:00
abstract::Recurrent pelvic organ prolapse occurs rarely after obliterative procedures. The optimal surgical approach for therapy is unknown. We describe a case of recurrent prolapse after LeFort colpocleisis. The patient presented with stage III prolapse through the lateral vaginal channel. At surgery, the prolapse was repaired...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1541-x
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective was to compare medium-term efficacy and safety of a partially absorbable mesh kit and native tissue repair in pelvic organ prolapse (POP). MATERIALS AND METHODS:Women with primary POP stage ≥ II were randomized to transvaginal trocar-guided partially absorbable mesh (81 women)...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-018-3757-5
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to determine the predictive value of urodynamics to reproduce clinical findings of urinary frequency (UF), urge urinary incontinence (UUI), and/or stress urinary incontinence (SUI). METHODS:We retrospectively reviewed the data of patients diagnosed with UF, UUI, an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1180-7
更新日期:2010-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:despite claims of equivalence to the tension-free vaginal tape, a variety of suburethral slings have been introduced, with various modifications. Complications in certain synthetic slings and meshes have led to a recent FDA public health notification. METHODS:we report the case histories an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1244-8
更新日期:2011-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to evaluate the long-term effect of thermoablative fractional CO2 laser (TACO2L) as an alternative treatment for early stages of stress urinary incontinence (SUI) in postmenopausal women with genitourinary syndrome of menopause. METHODS:A total of 161 postmenopausa...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3352-1
更新日期:2018-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We investigated the impact of diabetes mellitus (DM) on female lower urinary tract dysfunction. METHODS:We prospectively collected data of 1,640 consecutive diabetic women from the inpatient departments and outpatient clinics of urology, endocrinology, geriatrics, and nephrology in primary,...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2354-5
更新日期:2014-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The prevalence of levator avulsion after vaginal delivery ranges from 10 to 30 %. To our knowledge, no previous studies have used anorectal manometry (AM) to assess this injury's impact on the functionality of the anal sphincter complex. We hypothesized that women with levator avulsion have ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2623-3
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aims to investigate the effects of simulated birth trauma and ovariectomy on detrusor muscarinic receptors (M2 and M3), urethral neuronal nitric oxide synthase (nNOS), and estrogen receptor beta (ER beta). METHODS:Forty primiparous rats were equally divided into five groups: grou...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1159-4
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to assess the incidence of de novo stress urinary incontinence (SUI) and sonographic features of implanted transvaginal mesh in continent women treated with Elevate(™) anterior/apical [single-incision mesh (SIM-A)] or Perigee(™) [transvaginal mesh with sacrospinous fixation (TVM + SS...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2492-9
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Older studies suggesting an association between detrusor overactivity and bacteriuria used an outdated microbiological threshold. We hypothesised that bacteriuria ≥10(3) CFU/ml would be more prevalent in women with urinary incontinence than continent controls. METHODS:A prospective, cross-s...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1506-0
更新日期:2011-10-01 00:00:00
abstract::Laparoscopic ventral mesh rectopexy (VMR) has become a popular surgical technique for treating women with full-thickness rectal prolapse with a low recurrence rate, as demonstrated by several studies. In addition, it is increasingly applied to female patients with obstructive defecation syndrome (ODS) caused by intuss...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3378-4
更新日期:2017-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Our aim was to validate the Brazilian Portuguese version of the International Federation of Gynecology and Obstetrics (FIGO) Assessment Scoring System (FASS) to identify and quantify signs and symptoms related to pelvic floor dysfunction. METHODS:One hundred and seventy-nine women aged 18-8...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3789-x
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aims to determine what women with overactive bladder (OAB) perceive as 'cure', assesses treatment acceptability and adverse events. It also determines impact on quality of life (QoL) and correlates it with expectations from therapy. METHODS:In 153 women with predominant OAB sympt...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1049-9
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The protocol and analysis methods for the Defining Mechanisms of Anterior Vaginal Wall Descent (DEMAND) study are presented. DEMAND was designed to identify mechanisms and contributors of prolapse recurrence after two transvaginal apical suspension procedures for uterovaginal prolapse. METH...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04511-1
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:To identify risk factors associated with lower urinary tract injury at the time of performing hysterectomy for benign indications. METHODS:We conducted a multi-center case-control study of women undergoing hysterectomy for benign disease. Cases were identified via ICD-9 codes for lower urinary tract injury ...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s00192-013-2308-3
更新日期:2014-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The purpose of this study was to apply a human factors research approach to identify flow disruptions, deviations in the optimal course of care, in robotic abdominal sacrocolpopexy procedures with the ultimate goal of developing system interventions to improve the safety and efficiency of ro...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03929-6
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aimed to explore gene expression and their regulatory mechanisms in etiology of stress urinary incontinence (SUI). METHODS:Tissue samples were taken from the paraurethral vaginal wall from three pairs of postmenopausal, age/body mass index/parity-matched SUI, and continent women ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1222-1
更新日期:2010-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Hysterectomy is often performed at the time of pelvic organ prolapse (POP) surgery; yet, there is insufficient evidence regarding the specific effect of hysterectomy on outcomes. We sought to determine the outcomes and associated short-term complications of mesh-based POP surgery with and wi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3244-9
更新日期:2017-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We evaluated outcomes of an inelastic retropubic sling in patients with intrinsic sphincteric deficiency (ISD). METHODS:This is a retrospective review of women diagnosed with ISD according to urodynamic parameters who underwent a retropubic suburethral sling surgery using a tape with minima...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-2007-5
更新日期:2013-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Rectovaginal fistula (RVF) is an abnormal epithelium-lined connection between the rectum and vagina. The primary effective treatment is surgical repair, but recurrence remains a challenge. Magnetic compression anastomosis (MCA), an alternative to suturing, has been developed to generate an a...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3097-2
更新日期:2017-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study compared anatomical and clinical outcomes of traditional McCall culdoplasty versus a modified McCall technique with double ligament suspension (DLS). METHODS:This retrospective study presents outcomes of 68 patients who underwent vaginal hysterectomy and vaginal suspension for ap...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04403-4
更新日期:2020-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to investigate patient-reported goals after a tension-free vaginal tape operation for stress urinary incontinence and the correlation with postoperative incontinence. METHODS:A prospective study involving 70 women was carried out. Preoperatively, patients completed...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3049-x
更新日期:2016-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:No clear consensus exists on the selection of patients with pelvic organ prolapse (POP) for surgery. There is a need to preoperatively identify candidates who will benefit from surgery as there is no strict correlation between POP anatomical abnormalities and changes in symptoms and quality ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3423-3
更新日期:2017-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:No previous studies have investigated the efficacy of mirabegron 50 mg as the first-line therapy in OAB patients. Hence, the primary objective of this study was to evaluate the efficacy of mirabegron in treatment-naive patients in comparison with those who had discontinued antimuscarinic the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3219-x
更新日期:2017-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Different techniques of mesh placement for cystocele repair are known. Our goal was to compare anatomical and functional outcomes of three different techniques of mesh placement over a 3-year follow-up. METHODS:Between March 2003 and June 2004, 230 patients (stage 2-4 pelvic organ prolapse ...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-011-1650-6
更新日期:2012-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Following the US Food and Drug Administration's (FDA's) warning about the use of transvaginal mesh to treat pelvic organ prolapse (POP) and the use of single-incision slings to treat incontinence, the number of lawsuits for medical negligence regarding the use of any polypropylene mesh in th...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3456-7
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to evaluate hysterectomized and non-hysterectomized patients with prolapse and incontinence. Laparoscopic sacrohysteropexy (LSHP) and minimally invasive sacrocolpopexy (LMSCP) were done in combination with transobturator tape (TOT) and native tissue repair of the ant...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04519-7
更新日期:2020-09-08 00:00:00