Abstract:
INTRODUCTION AND HYPOTHESIS:Ongoing debate exists about whether the rectovaginal septum (Denonvilliers' fascia) is myth or reality. This study evaluates magnetic resonance images (MRI) of women with Müllerian agenesis for the presence of fascial layers between the rectum and the bladder to test the hypothesis that this layer exists in the absence of the vagina. METHODS:This is a secondary analysis of a study describing MRI aspects in women with vaginal agenesis before and after laparoscopic Vecchietti procedure. Study participants (n =16) had a multiplanar pelvic MR scan. Images were evaluated independently by two investigators (MH, JOLD) for the appearance of layers separate from the bladder and rectum in the area of interest, with characteristic anatomical features of the septum. RESULTS:Participants' mean age was 19.4±2.6 years ± standard deviation (SD). In 12 of 16 patients (75 %) a distinct layer between rectum and bladder was identified in either the axial(4/16; 25 %) or sagittal (12/16; 75 %) scan or both. Characteristic anatomical features included lateral attachment to the levator ani muscle, cranial fusion to the cul-de-sac peritoneum,and caudal insertion into the perineal body.Conclusions Three quarters of women with Müllerian agenesis have a visible layer between bladder and rectum. As none of the participants had a vagina, these results support the existence of a rectovaginal septum, separate from a vaginal adventitia.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Huebner M,Rall K,Brucker SY,Reisenauer C,Siegmann-Luz KC,DeLancey JOdoi
10.1007/s00192-013-2214-8subject
Has Abstractpub_date
2014-03-01 00:00:00pages
323-7issue
3eissn
0937-3462issn
1433-3023journal_volume
25pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:Work-related musculoskeletal disorders (MSDs) reportedly affect a large proportion of providers in obstetrics and gynecology. We hypothesize a high MSD prevalence rate among vaginal surgeons associated with surgeon- and work-related characteristics. METHODS:Surveys were distributed to membe...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1958-x
更新日期:2013-07-01 00:00:00
abstract:INTRODUCTION:With the publication of the updated US Food and Drug Administration (FDA) communication in 2011 on the use of transvaginal placement of mesh for pelvic organ prolapse (POP) it is appropriate to now review recent studies of good quality on POP to assess the safety and effectiveness of treatment options and ...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-012-2025-3
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to retrospectively assess the extent and severity of the post-operative complications associated with the Pinnacle Pelvic Floor Repair Kit. METHODS:This is a descriptive analysis of 23 consecutive women who had a prolapse repair with either an anterior (n = 19) or ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2156-1
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Stress urinary incontinence (SUI) is treated using intravaginal laser therapy. We wanted to find out how incontinence severity at baseline and the number of laser interventions affect success rate, and whether the effect of laser therapy was obvious 6 months and 2 years after the last laser ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04148-9
更新日期:2020-09-01 00:00:00
abstract::There was an oversight in the Authorship of a recent Images in Urogynecology article titled: Rectocutaneous fistula with transmigration of the suture: a rare delayed complication of vault fixation with the sacrospinous ligament (DOI 10.1007/ s00192-015-2823-5). We would like to include Adj A/P Han How Chuan’s name in ...
journal_title:International urogynecology journal
pub_type: 已发布勘误
doi:10.1007/s00192-016-2952-5
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:A variety of pharmacological and non-pharmacological interventions have been investigated, with the goal of relieving pain after post-episiotomy repair. We aimed to compare the efficacy of tramadol versus celecoxib orally in reducing pain after mediolateral episiotomy repair in obese primigr...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04411-4
更新日期:2020-07-20 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Management of stress urinary incontinence (SUI) with intravaginal devices is an alternative to surgical management, but data of a high level of evidence remain scarce. Our goal was to assess efficacy, tolerance, and acceptability of the 75NC007 intravaginal device for SUI management. METHOD...
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/s00192-012-1814-z
更新日期:2012-12-01 00:00:00
abstract::Leiomyomas of the external genitalia are uncommon soft tissue tumors. We report the case of a 47-year-old woman with perineal leiomyomas mimicking Bartholin's gland mass according to the preoperative magnetic resonance imaging (MRI) findings. Leiomyomas in the vulvar region should be differentiated from complicated Ba...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-0998-3
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Entry into the peritoneal cavity can be challenging in patients with posthysterectomy prolapse; however, it is important for vaginal surgeons to be able to enter the peritoneal cavity using various techniques to perform an intraperitoneal vaginal vault suspension. METHODS:We present surgica...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3267-x
更新日期:2017-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:In the developed world, urethrovaginal fistulas are most the likely the result of iatrogenic injury. These fistulas are quite rare. Proper surgical repair requires careful dissection and tension-free closure. The objective of this video is to demonstrate the identification and surgical corre...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3111-8
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The effect of incontinence pessaries for urine incontinence (UI) has previously been described in studies from high-income countries, where they have been documented to reduce urinary leakage significantly. However, there is a profound literature gap in these data in low- and middle-income c...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03980-3
更新日期:2020-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective of this study was to measure the effects of pregnancy and parturition on pelvic floor muscles and pelvic organ support. METHODS:Levator ani, obturator internus, and coccygeus (COC) muscle volumes and contrast uptake were assessed by MRI of seven females prior to pregnancy, 3 d...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1443-y
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to assess the interobserver and intraobserver reliability of translabial 3D ultrasound imaging of the urethral sphincter in non-pregnant nulliparous asymptomatic women. METHODS:A study using a 3D translabial ultrasound on thirty-seven women was performed. Urethral s...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1669-3
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Mediolateral episiotomy is one of the most frequent surgical interventions performed in obstetrics. There is conflicting evidence as to whether mediolateral episiotomy reduces the risk of obstetric anal sphincter injuries (OASI). Recent studies suggest that functional asymmetry of pelvic flo...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3560-3
更新日期:2018-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Bladder pain syndrome is a difficult condition to treat. The purpose of this systematic review is to assess the effectiveness of various complementary therapies available for treatment. METHODS:This review was conducted in adherence with Preferred Reporting Items for Systematic Reviews. Cit...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-015-2886-3
更新日期:2016-08-01 00:00:00
abstract:INTRODUCTION:Concerns about vaginal mesh have reduced the use of mid-urethral slings (MUS) in some countries. In view of their potential withdrawal in Belgium and The Netherlands, we polled urogynaecologists on their practice for treating stress urinary incontinence (SUI) and what their experience is with alternative p...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-019-04135-0
更新日期:2020-04-01 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:To investigate sexual and anatomical outcome after Shears neovagina in patients with Mayer-von Rokitansky-Kuster-Hauser syndrome (MRKH). METHODS:Forty-three consecutive patients with MRKH syndrome underwent surgery creating a neovagina according to Shears. Follow-up was 8 years. Sexual func...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1980-z
更新日期:2013-06-01 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:INTRODUCTION AND HYPOTHESIS:Objective outcome measures of the extent of laceration at delivery are needed. In this study we evaluated and describe here a method for learning perineal ultrasound measurement of the anovaginal distance (AVD). The learning period needed for examiners proficient in vaginal ultrasound examin...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3392-6
更新日期:2018-05-01 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:INTRODUCTION AND HYPOTHESIS:The aim of the present study was to determine possible correlations between mesh retraction after anterior vaginal mesh repair and de novo stress urinary incontinence (SUI), overactive bladder (OAB), and vaginal pain symptoms. METHODS:One hundred and three women with symptomatic prolapse of...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2131-x
更新日期:2013-12-01 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:To estimate the risk of repeat surgery for recurrent prolapse or mesh removal after vaginal mesh versus native tissue repair for anterior vaginal wall prolapse. METHODS:We utilized longitudinal, adjudicated, healthcare claims from 2005 to 2010 to identify women ≥18 years who underwent an an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2043-9
更新日期:2013-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Rectopexy and sacrocolpopexy can be performed concurrently to treat rectal and vaginal prolapse. We hypothesized that concurrent procedures might be associated with more complications than rectopexy and sacrocolpopexy alone. METHODS:Patients undergoing laparoscopic sacrocolpopexy or rectope...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3699-y
更新日期:2019-03-01 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:The aim of this study was to look for possible predictors preoperatively for the development of de novo stress urinary incontinence (SUI) in urodynamically continent women who underwent pelvic reconstructive surgery (PRS). MATERIALS AND METHODS:Medical records of 637 continent women who und...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2685-x
更新日期:2015-09-01 00:00:00
abstract::Posterior sacrospinous fixation (SSF) was first described by Amreich in 1950 and then modified by Richter in 1968. The main difficulty of this technique is the pararectal approach with dissection under visual guidance. Our aim was to teach young surgeons to use this alternative technique for apical suspension and to f...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04149-8
更新日期:2020-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to evaluate urinary symptoms and urodynamic diagnoses in women following repair of obstetric fistula of the lower urinary tract. METHODS:Women with previous genital tract fistula and ongoing urinary symptoms were evaluated at the Addis Ababa Fistula Hospital. The w...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1948-z
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:There are few direct comparisons between the first-generation trocar-guided and the second-generation single-incision mesh systems in the treatment of anterior pelvic organ prolapse (POP). Hence, the purpose of this retrospective review was to compare 18-month operative success in female pat...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2772-z
更新日期:2015-12-01 00:00:00