Abstract：
INTRODUCTION AND HYPOTHESIS:Avulsion of the puborectalis muscle from its bony insertion is common in women presenting with prolapse. We present a simple vaginal technique for levator reconstruction. METHODS:This is a prospective surgical pilot study comprising 17 patients enrolled to undergo levator repair in the context of prolapse surgery. This was performed through a lateral colpotomy at the level of the hymen using a mesh patch for reinforcement. RESULTS:We performed 20 levator repairs in 17 women (three bilateral). There were no intraoperative complications. Recovery was unremarkable in all cases. Results are given for a mean follow-up of 1.3 years. Most (13/17, 76 %) women were satisfied with the outcome. Six patients complained of symptoms of recurrent prolapse, three of de novo dyspareunia, and four of pain related to the repair site on palpation. There were two mesh erosions, one of which healed with oestrogen treatment. Prolapse recurrence beyond the hymen was observed in five patients. The mean hiatal area on Valsalva was reduced from 36.84 cm(2) to 30.71 cm(2) (P=0.001). CONCLUSIONS:Direct surgical repair of a levator avulsion is feasible at the time of prolapse surgery. However, its effect on prolapse recurrence and hiatal dimensions is relatively disappointing, suggesting that there often is microscopic trauma and functional muscle impairment in addition to the avulsion.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Dietz HP,Shek KL,Daly O,Korda Adoi
10.1007/s00192-012-1984-8subject
Has Abstractpub_date
2013-06-01 00:00:00pages
1011-5issue
6eissn
0937-3462issn
1433-3023journal_volume
24pub_type
杂志文章abstract：INTRODUCTION AND HYPOTHESIS:The incidence of vesico-vaginal fistulas after hysterectomies for benign indications in developed countries is less than one percent. The objective of this video is to demonstrate an easy-to-follow, step-by-step approach to repairing a small, uncomplicated vesico-vaginal fistula transvaginal...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3471-8
更新日期：2018-05-01 00:00:00
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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:The aim was to determine factors associated with performing concurrent apical support procedures in hysterectomies carried out for uterovaginal prolapse. METHODS:Hysterectomies performed for uterovaginal prolapse from 2000 to 2010 were identified by ICD-9 codes. Uterovaginal prolapse was a ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-014-2474-y
更新日期：2015-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To describe the impact of native tissue vaginal reconstruction on pelvic anatomy using dynamic magnetic resonance imaging. METHODS:This prospective single-cohort observational study involved women undergoing native tissue reconstruction with intraperitoneal vaginal vault suspension for pelv...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04571-3
更新日期：2020-10-22 00:00:00
abstract：:A 56-year-old female smoker presented after long diagnostic delay with high-grade transitional cell carcinoma in situ within a urethral diverticulum. This is the third report of this type in the literature. Preoperative investigations, including urine cytology and magnetic resonance imaging (MRI), were not helpful. ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-012-1789-9
更新日期：2012-12-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Little is known about dynamic cell-matrix interactions in the context of pathophysiology and treatments for pelvic organ prolapse (POP). This study sought to identify differences between fibroblasts from women with varying degrees of prolapse in reaction to mechanical stimuli and matrix subs...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-013-2069-z
更新日期：2013-09-01 00:00:00
abstract：:Many properties of polypropylene mesh that are causative in producing the complications that our patients are experiencing were published in the literature prior to the marketing of most currently used mesh configurations and mesh kits. These factors were not sufficiently taken into account prior to the sale of these ...
journal_title：International urogynecology journal
pub_type： 历史文章,杂志文章
doi：10.1007/s00192-011-1399-y
更新日期：2011-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim of this study was to compare pelvic floor muscle strength (PFMS) and the prevalence of urinary incontinence (UI) and pelvic organ prolapse(POP) in women with and without diastasis recti abdominis (DRA) at 6-8 weeks postpartum. METHODS:Three hundred and ten women underwent routine ex...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-04005-9
更新日期：2020-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To exclude a neuromuscular denervation damage due to prosthetic mini-invasive surgery using transobturator tape (TOT) by pre and postoperative electromyography (EMG) of the striated urethral sphincter. METHODS:Seventeen women with SUI were enrolled by urogynecologic and urodynamic examinati...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1364-9
更新日期：2011-06-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Obstetric fistula, caused by traumatic delivery and patient lack of access to obstetric care, is an important public health concern in developing countries, particularly in Sub-Saharan Africa. This research focuses on the experience of women living with obstetric fistula in Burkina Faso as w...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3235-x
更新日期：2017-07-01 00:00:00
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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更新日期：2012-07-01 00:00:00
abstract：AIM:Urogynaecological conditions can have a significant impact on body image. Patient-reported outcome measures (PROMs) are widely used in urogynaecology to assess symptoms and their impact on quality of life. This systematic review aimed to identify currently available PROMs used to assess body image within a urogynae...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-03924-x
更新日期：2019-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Polypropylene is a base polymer used in biomaterial applications, including sutures and mesh products, for the treatment of pelvic organ prolapse, stress urinary incontinence, and hernia repairs. Previous studies have dismissed the value of formulation additives employed in polypropylene, an...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3131-4
更新日期：2017-02-01 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:The vagina and surrounding structures have been shown to remodel during pregnancy. Our objective was to characterize the biomechanical properties of the vagina in the rodent model in vivo utilizing three-dimensional (3D) ultrasound. METHODS:The vagina was visualized by ultrasound after dist...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-013-2313-6
更新日期：2014-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:This study assessed the safety and efficacy of vaginal extraperitoneal uterosacral ligament suspension (VEULS) with anterior overlay mesh versus sacrocolpopexy (SCP) for posthysterectomy vault prolapse. METHODS:This was a multicenter randomized trial of women with posthysterectomy vault pro...
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/s00192-018-3687-2
更新日期：2018-11-01 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
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to measure the effects of peroxisome proliferator-activated receptor delta (PPAR-delta) agonist and zinc sulfate (ZS) on vaginal smooth muscle cell (SMC) proliferation, tropoelastin production, and collagen production. METHODS:SMC cultures were performed from vaginal wall ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-012-1807-y
更新日期：2012-12-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1341-8
更新日期：2011-03-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00192-011-1511-3
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVES:Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic pain condition that requires multimodal management. The American Urologic Association includes sacral neuromodulation in the treatment algorithm for refractory IC/BPS. We sought to determine the rate of overall symptom improvement of IC/BPS sy...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04481-4
更新日期：2020-08-13 00:00:00
abstract：AIM:A retrospective study of vesicouterine fistulae managed from 1996 to 2011 analyzed the incidence, symptomatology, diagnosis, and surgical outcome. PATIENTS & METHODS:During the study period, 17 patients were managed, of whom 14 underwent abdominal repair and three underwent vaginal repair. Mean patient age was 31....
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-012-1798-8
更新日期：2013-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:This article aims to evaluate how constipation symptoms change after pelvic reconstructive surgery using the Patient Assessment of Constipation Symptom Questionnaire (PAC-SYM). Our primary hypothesis was that constipation would improve after surgery. METHODS:Ninety-four subjects completed t...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1489-x
更新日期：2011-11-01 00:00:00
abstract：:We present the case of a female aged 16 years, suffering from cyclical menouria for the last 3 years. Clinical examination revealed the absence of a vagina. Cystoscopy performed while the patient was having menouria revealed an orifice (10 × 8 mm) in the supratrigonal region; blood clots were entering the urinary blad...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1356-1
更新日期：2011-08-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Our goal was to identify correlates of maximum urethral closure pressure (MUCP) and MUCP as a diagnostic test for stress urinary incontinence (SUI). METHODS:This study was a retrospective review of women with non-neurological referrals for urinary incontinence between1995 and 2006. RESULTS...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-012-1770-7
更新日期：2012-11-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective of the study was to identify reasons why women declined participation in a pilot randomised controlled trial (RCT) comparing tension-free vaginal tape (TVT) under general anaesthetic (GA) with single incision sling (SIS) under local anaesthetic (LA). These data would inform the...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-012-1967-9
更新日期：2013-06-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:We aimed to compare the outcomes of native tissue vs. biological graft-augmented repair in the posterior compartment. We hypothesized that the addition of graft would result in superior anatomic and functional outcomes. METHODS:A retrospective review of posterior repairs between 2001 and 20...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1607-9
更新日期：2012-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Stress urinary incontinence (SUI) may appear after the correction of pelvic organ prolapse (POP). The aim of this study was to externally validate a described predictive model for de novo SUI and to assess its clinical performance when used as a diagnostic test. METHODS:This was a retrospec...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3805-1
更新日期：2019-10-01 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:Lower urinary tract symptoms (LUTS) in subjects with Mayer-Rokitansky-Küster-Hauser syndrome treated by Davydov's laparoscopic neo-vaginoplasty were measured. METHODS:Davydov's laparoscopic neo-vaginoplasty was undertaken at the Department of Obstetrics/gynecology, San Raffaele Hospital, Milan, Italy, fro...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04311-7
更新日期：2020-12-01 00:00:00
