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 lower manometric pressures. METHODS:A prospective observational study was conducted on 83 women, 61 in the birth group and 22 in the control group. Patients in the deliveries group were recruited in the period immediately postpartum. The control group was recruited through hospital announcements. All patients underwent 3D transperineal (3D TPUS) and 2D endoanal ultrasound (2D EAUS), as well as AM at 6 months postpartum. Median maximum resting and squeeze pressures were measured, and the presence or absence of levator ani muscle (LAM) avulsion and/or occult sphincter injury was evaluated. RESULTS:Hiatal area at rest was significantly higher in women with vaginal birth compared with controls (p = 0.02) and there was a trend toward statistical significance compared with the cesarean section group (p = 0058). No statistical differences were observed for the hiatal area regarding Valsalva, external anal sphincter thickness, and internal anal sphincter thickness among groups. There was a significantly higher prevalence of levator avulsion in the vaginal birth group (32.43 %) compared with the controls (0 %) and the cesarean section group (5.8 %; p < 0001). There were 5 occult sphincter injuries detected at ultrasound, all of them in the vaginal birth group. Lower squeeze pressure was observed in patients with levator injury compared with control group patients and patients without avulsion (112.2 mmHg vs 128.2 mmHg and 121.2mmH; p = 0.032). Finally, there was no difference in resting pressure (p = 0.541) or squeeze pressure (p = 0.449) between patients with and those without occult anal sphincter injuries. CONCLUSIONS:Levator avulsion is associated with lower manometric squeeze pressure (p = 0.032).
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Guedea MA,Zambrano JL,Fons JB,Viana LJ,Linaje BO,Milio JÁdoi
10.1007/s00192-014-2623-3subject
Has Abstractpub_date
2015-07-01 00:00:00pages
985-90issue
7eissn
0937-3462issn
1433-3023journal_volume
26pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:Jorge and Wexner devised a questionnaire for anal incontinence (AI), known as the Wexner scale (WS). Specific validated questionnaires are essential for the assessment of symptom severity. The objective was to accomplish the cultural adaptation and validation of the Portuguese version of the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2927-y
更新日期:2016-06-01 00:00:00
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 AND HYPOTHESIS:Although midurethral slings have become standard surgical methods to treat stress urinary incontinence (SUI), little is known about women who still have urinary incontinence (UI) after surgery. This study assesses and compares the patient-reported outcome 12 months after tension-free vaginal...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1752-9
更新日期:2012-10-01 00:00:00
abstract:INTRODUCTION:This study aimed to translate and validate the P-QOL questionnaire in the Malay language. METHODS:The P-QOL questionnaire was translated into the Malay language and subsequently back-translated to English. Test-retest reliability and internal consistency were tested. All patients who visited the gynecolog...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04362-w
更新日期:2020-06-06 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:The effect of exercise in relation to overweight and overactive bladder (OAB) in young women has not been sufficiently supported by studies. The objective of our study was to reduce symptoms of OAB through a 3-month exercise programme in young overweight women with OAB. The sample consisted ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04157-8
更新日期:2020-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The concurrence of vaginal cancer with irreducible uterine prolapse is rare. Reports about the management of vaginal cancer and concomitant irreducible prolapse are scanty in the literature, and there is no consensus on optimal treatment. In this video case report, we show surgical managemen...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04263-y
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Lower tract urinary symptoms are underestimated by women as well as health professionals. The objective of this study was to evaluate the behavior of adult women with urinary incontinence and overactive bladder symptoms in seeking medical treatment. METHODS:Two hundred ninety-two women betw...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1352-5
更新日期:2011-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Many advisory documents have recommended uploading of all mid-urethral sling (MUS) cases onto the British Society of Urogynaecology (BSUG) or British Association of Urological Surgeons (BAUS) database. The aim of this study was to determine whether these documents have resulted in an increas...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04388-0
更新日期:2021-01-01 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:The Miya Model ™ (Miyazaki Enterprises, Winston-Salem, NC, USA) was designed as a realistic vaginal surgery simulation model. Our aim was to describe this model and present pilot data on validity and reliability of the model as an assessment tool of vaginal hysterectomy skills. METHODS:We v...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3761-9
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Urinary incontinence (UI) is common among the elderly, but the literature is sparse on the surgical treatment of UI among the elderly. This systematic review aims to assess the effectiveness of surgical interventions as treatment for urinary incontinence in the elderly population ≥65 years o...
journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00192-014-2573-9
更新日期:2015-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Different forms of urinary drainage are applied after anterior colporrhaphy. Suprapubic urinary catheter (SUC) and indwelling urinary catheter (IUC) for 2 to 96 h are preferred. If there is no difference in symptomatic urinary tract infection (SUTI) or complications between IUCs for 96 and 2...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-010-1221-2
更新日期:2010-12-01 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: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:Obstetric anal sphincter injury (OASIS) rates are reported to be higher in Asian women living in Western countries than in those living in Asia, but the reasons for the differences remain unclear. The objectives of this study were for a single examiner to prospectively compare OASIS rates in...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3649-8
更新日期:2019-03-01 00:00:00
abstract:INTRODUCTION:We describe our experience with evaluating the ideal management of female paraurethral leiomyomas from imaging to surgery and follow-up. METHODS:Between January 2009 and January 2012, we treated six women (age range 32-49 years) affected by paraurethral leiomyoma of different sizes. RESULTS:All the six p...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2776-8
更新日期:2015-12-01 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: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...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3066-9
更新日期:2016-12-01 00:00:00
abstract:INTRODUCTION:InTone(TM) (InControl Medical) is a nonimplanted vaginal device providing biofeedback and electrical stimulation of pelvic floor muscles. The purpose of this study was to assess its efficacy and usability for treating urinary incontinence (UI). METHODS:Women with UI (stress, urge, mixed) were recruited fo...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-014-2476-9
更新日期:2015-01-01 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: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: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: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 AND HYPOTHESIS:The high uterosacral vault suspension (HUVS) is a vaginal approach for treating apical prolapse that provides shorter operative and recovery times and is associated with lower morbidity rates. Success rates reported for this technique are comparable with the abdominal sacrocolpopexy (SCP); h...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-015-2666-0
更新日期:2015-08-01 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:The aim of the study was to evaluate the predictors and reasons for help-seeking behavior among women with urinary incontinence (UI) in Germany and Denmark. METHODS:This international postal survey was conducted in 2014. In each country, 4,000 women of at least 18 years of age were randomly...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3434-0
更新日期:2018-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Circumferential vesicourethrovaginal fistula is a severe form of obstetric injury that is challenging to repair and carries a poor prognosis related to eventual continence. Here, we report the successful repair of a circumferential vesicovaginal fistula associated with near total loss of the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04398-y
更新日期:2020-06-23 00:00:00
abstract:INTRODUCTION:In recent years uterine preservation surgery for pelvic organ prolapse has become more popular. Traditional operations such as vaginal hysterectomy do not address the underlying pathophysiology of poor connective tissue support, which may result in a higher incidence of recurrent prolapse. METHODS:This vi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2129-4
更新日期:2014-01-01 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