Abstract：
INTRODUCTION AND HYPOTHESIS:Minimally invasive sacral colpopexy has increased over the past decade, with many senior physicians adopting this new skill set. However, skill acquisition at an academic institution in the presence of postgraduate learners is not well described. This manuscript outlines the introduction of laparoscopic sacral colpopexy to an academic urogynecology service that was not performing minimally invasive sacral colpopexies, and it also defines a surgical learning curve. METHODS:The first 180 laparoscopic sacral colpopexies done by four attending urogynecologists from January 2009 to December 2011 were retrospectively analyzed. The primary outcome was operative time. Secondary outcomes included conversion to laparotomy, estimated blood loss, and intra- and postoperative complications. Linear regression was used to analyze trends in operative times. Fisher's exact test compared surgical complications and counts of categorical variables. RESULTS:Mean total operative time was 250 ± 52 min (range 146-452) with hysterectomy and 222 ± 45 (range 146-353) for sacral colpopexy alone. When compared with the first ten cases performed by each surgeon, operative times in subsequent groups decreased significantly, with a 6-16.3% reduction in overall times. There was no significant difference in the rate of overall complications regardless of the number of prior procedures performed (p = 0.262). CONCLUSIONS:Introduction of laparoscopic sacral colpopexy in a training program is safe and efficient. Reduction in operative time is similar to published learning curves in teaching and nonteaching settings. Introducing this technique does not add additional surgical risk as these skills are acquired.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Kantartzis K,Sutkin G,Winger D,Wang L,Shepherd Jdoi
10.1007/s00192-013-2085-zsubject
Has Abstractpub_date
2013-11-01 00:00:00pages
1877-81issue
11eissn
0937-3462issn
1433-3023journal_volume
24pub_type
杂志文章abstract：INTRODUCTION AND HYPOTHESIS:We aimed to determine anatomy and function of anal sphincter complex using three-dimensional ultrasound (3D-US) and manometry in asymptomatic parous women. METHODS:3D-US of puborectalis muscle (PRM), external (EAS), and internal anal sphincters (IAS) anatomy was performed in 45 women withou...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1446-8
更新日期：2011-09-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:We evaluated the surgical feasibility, sexual satisfaction and complications of vaginal reconstruction with sigmoid colon in patients with congenital absence of vagina and menses retention. METHODS:Retrospective analysis of surgical techniques and long-term postoperative follow-up was perfo...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-012-1799-7
更新日期：2013-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Female sexual function disorders (FSFDs) have received less attention than male sexual function disorders, despite being more prevalent. Furthermore, most available literature is on the effect of vaginal delivery (VD) on sexual function, and studies on the effect of caesarean section (CS) ar...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04541-9
更新日期：2020-10-10 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Vaginal apical suspension is essential for the surgical treatment of pelvic organ prolapse (POP). We aim to evaluate whether the method of apical repair is associated with different re-operation rates for POP recurrence or surgical complications. METHODS:Population-based, retrospective coho...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3792-2
更新日期：2019-04-01 00:00:00
abstract：INTRODUCTION:Cervicovaginal decubitus ulceration is a well-known complication of advanced pelvic organ prolapse (POP). There is no consensus for its management. This case series describes the outcome of using repeated vaginal packs soaked with oestrogen cream to reduce POP and promote decubitus ulcer healing. We aimed ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2930-3
更新日期：2016-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim was to develop a nomogram based on clinical and surgical factors to predict the likelihood of voiding dysfunction after surgery for deep endometriosis. METHODS:This was a retrospective study of 789 patients (training set) who underwent surgery for deep endometriosis with colorectal ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04428-9
更新日期：2020-07-11 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:A process of added qualification of transvaginal mesh (TVM) placement is desirable. METHODS:Through a physician-led partnership of specialty societies, centers of excellence, and industry, a core curriculum encompassing mesh/graft biology, technical skills, and safety can be coupled with cu...
journal_title：International urogynecology journal
pub_type： 共识发展会议,杂志文章
doi：10.1007/s00192-012-1679-1
更新日期：2012-04-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Determine if women with fibromyalgia report increased bother from pelvic organ prolapse compared with women without fibromyalgia. METHODS:We performed a cross-sectional study of women with symptomatic prolapse on consultation with a private urogynecology practice within a 46-month period. A...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-013-2280-y
更新日期：2014-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to compare vaginal and clitoral sensory thresholds in women with pelvic organ prolapse and women with normal pelvic anatomy. METHODS:Quantitative sensory thresholds for warm, cold, and vibratory sensations were measured at the vagina and clitoral area of women with pelvic ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2637-5
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:We present a video reviewing the key steps involved in safe anterior cul-de-sac entry during vaginal hysterectomy, including tips for troubleshooting difficult cases such as: uterine procidentia, cervical elongation, and multiple prior cesarean sections. METHODS:Anterior cul-de-sac entry is...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-018-3646-y
更新日期：2018-08-01 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:Urinary dipsticks and culture analyses of a mid-stream urine specimen (MSU) at 105 cfu ml-1 of a known urinary pathogen are considered the gold standard investigations for diagnosing urinary tract infection (UTI). However, the reliability of these tests has been much criticised and they may ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3472-7
更新日期：2018-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:There seems to be a temporal association between increasing use of "hands off" the perineum in labour and reduced use of episiotomy with an increasing rate of anal sphincter injuries. We aimed to determine how common the practice of "hands off" the perineum is. METHODS:An observational post...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1454-8
更新日期：2011-10-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Robotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cada...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-03936-7
更新日期：2019-08-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Postpartum urinary retention (PUR) is a well-known condition after childbirth. Often clinicians assume that this condition is transient, either through belief or by not being aware that its occurrence as measurement of post-void residual volume (PVRV) is often not routine. However, long last...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-014-2418-6
更新日期：2014-12-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:No measurements are available for diagnosing the extent of obstetric lacerations. The primary aim of this study was to evaluate the relation between the anovaginal distance (AVD) measured with transperineal ultrasound immediately after delivery and external anal sphincter injury. A secondary...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3838-5
更新日期：2019-06-01 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:To estimate the incidence rates of stress urinary incontinence (SUI) surgery among Finnish women from 1987 to 2009 by age, and to evaluate the trends in SUI surgery. METHODS:We conducted a retrospective register-based study. All SUI procedures on adult women over age 18 years in Finland wer...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2926-z
更新日期：2016-07-01 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：INTRODUCTION AND HYPOTHESIS:The aim of our study was to assess the interobserver and intraobserver reliability as well as the content and construct validity of the FIGO prolapse assessment scoring system (FASS). METHODS:Women with and without (controls) symptoms of pelvic organ prolapse (POP) attending gynaecology out...
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/s00192-014-2604-6
更新日期：2015-06-01 00:00:00
abstract：INTRODUCTION:Overactive bladder (OAB) is a common condition, increasing with age and affecting quality of life. While numerous OAB drugs are available, persistence is low. We evaluated evidence published since 2012 to determine if newer drugs provided better efficacy and harm profiles. METHODS:We searched MEDLINE and ...
journal_title：International urogynecology journal
pub_type： 杂志文章,meta分析
doi：10.1007/s00192-019-04022-8
更新日期：2019-10-01 00:00:00
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
pub_type： 杂志文章
doi：10.1007/s00192-010-1201-6
更新日期：2010-12-01 00:00:00
abstract：:Reports have shown that high-energy pelvic trauma might be associated with advanced pelvic organ prolapse in conjunction with other causes. We report the case of a 21-year-old nulliparous, premenopausal, non-overweight woman with no predisposing factors for prolapse who developed stage IV massive pelvic organ prolapse...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1320-0
更新日期：2011-06-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Support of the vaginal apex is paramount for a durable repair of pelvic organ prolapse (POP). Our aim is to assess national utilization of apical suspension procedures for the surgical treatment of complete POP. We hypothesize that there might be a high rate of apical suspension with advance...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04342-0
更新日期：2020-06-08 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to report patterns of sling and transvaginal mesh-related complications using the IUGA/ICS classification of prosthesis-related complications. METHODS:This was a retrospective chart review of all patients who underwent surgical removal of sling, transvaginal mesh, and sacr...
journal_title：International urogynecology journal
pub_type： 杂志文章,多中心研究
doi：10.1007/s00192-015-2913-4
更新日期：2016-06-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective of this study was to investigate complications, urinary incontinence symptoms, and overall satisfaction in patients undergoing the tension-free vaginal tape-SECUR (TVT-S) for stress urinary incontinence (SUI). METHODS:We reviewed consecutive patients treated with TVT-S between...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1114-4
更新日期：2010-07-01 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：INTRODUCTION AND HYPOTHESIS:Polypropylene meshes are frequently used in abdominal and vaginal reconstructive surgery. Recently, several authors have claimed that mesh-associated complications may be linked to mesh shrinkage. We have performed a prospective study with postoperative follow-up by ultrasound examination at...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1308-9
更新日期：2011-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To evaluate the efficacy and safety of the intravesical injection of Chinese botulinum toxin A (BTX-A) in patients with interstitial cystitis/bladder pain syndrome (IC/BPS). METHODS:Between January 2003 and June 2013, 124 women with IC/BPS were studied. Of these 124 patients, 66 were treate...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2631-y
更新日期：2015-07-01 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
