Abstract:
INTRODUCTION AND HYPOTHESIS:The arcus tendineus fascia pelvis (ATFP) and arcus tendineus levator ani (ATLA) are elements of anterior vaginal support. This study describes their geometry in women with unilateral levator ani muscle defects and associated "architectural distortion." METHODS:Fourteen subjects with unilateral defects underwent MRI. 3D models of the arcus were generated. The locations of these relative to an ilial reference line were compared between the unaffected and affected sides. RESULTS:Pronounced changes occurred on the defect sides' ventral region. The furthest point of the ATLA lays up to a mean of 10 mm (p = 0.01) more inferior and 6.5 mm (p = 0.02) more medial than that on the intact side. Similarly, the ATFP lays 6 mm (p = 0.01) more inferior than on the unaffected side. CONCLUSIONS:The ventral arcus anatomy is significantly altered in the presence of levator defects and architectural distortion. Alterations of these key fixation points will change the supportive force direction along the lateral anterior vaginal wall, increasing the risk for anterior vaginal wall prolapse.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Larson KA,Luo J,Yousuf A,Ashton-Miller JA,Delancey JOdoi
10.1007/s00192-011-1528-7subject
Has Abstractpub_date
2012-01-01 00:00:00pages
57-63issue
1eissn
0937-3462issn
1433-3023journal_volume
23pub_type
杂志文章abstract::Combining anti-incontinence and pelvic organ prolapse surgery for patients with occult urinary stress incontinence is controversial. The concern is that some of these patients may remain continent after vaginal prolapse repair making the addition of anti-incontinence surgery unnecessary. However, this can be explained...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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abstract::Hydatid cyst is a parasitic infectious disease caused by Echinococcus granulosus. Although the most common site for this parasite is liver, it can be seen in almost all organs. Extrahepatic localization is reported in 14-19% of all cases of abdominal hydatid disease. We report the case of a large echinococcal cyst loc...
journal_title:International urogynecology journal
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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
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更新日期:2012-03-01 00:00:00
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更新日期:2011-09-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2017-06-01 00:00:00
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pub_type: 杂志文章
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2013-11-01 00:00:00
abstract::Obstetric fistula is the presence of a hole between a woman's genital tract and either the urinary or the intestinal tract. Better knowledge of the risk factors for obstetric fistula could help in preventing its occurrence. The purpose of this study was to assess the characteristics of obstetric fistula patients. We c...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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更新日期:2012-04-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2012-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-12-01 00:00:00
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journal_title:International urogynecology journal
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更新日期:2014-05-01 00:00:00
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journal_title:International urogynecology journal
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更新日期:2013-08-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-11-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2020-09-08 00:00:00
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pub_type: 杂志文章
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更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To examine changes in sexual function after abdominal and transvaginal pelvic organ prolapse repair. METHODS:Women enrolled in our prospective, longitudinal prolapse database with abdominal sacrocolpopexy (ASC) or transvaginal (TVR) pelvic organ prolapse (POP) repair with or without mesh, b...
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pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-013-2092-0
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To evaluate the effects of sacral neuromodulation (SNM) on pregnancy and the impact of delivery on SNM function. METHODS:A systematic search was conducted through January 2016. We selected studies including women who had SNM and a subsequent pregnancy. RESULTS:Out of 2,316, eight studies w...
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2015-12-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1601-2
更新日期:2012-05-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析
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更新日期:2019-10-01 00:00:00
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更新日期:2020-07-01 00:00:00