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 patients underwent transvaginal excision of the mass. They are free of recurrence at follow-up (range 32-72 months). Two patients developed stress urinary incontinence after the excision: in both cases, incontinence was corrected by a tension-free vaginal tape-obturator (TVT-O) placement. In one patient, a fascial sling was necessary to repair a urethral lesion that developed during surgical excision of the mass. CONCLUSION:A well-defined protocol for diagnosing and managing a paraurethral mass had not been established as yet due the rarity of the mass. We suggest performing pelvic magnetic resonance imaging (MRI) as a primary examination, followed by lesion biopsy. Complete surgical resection performed transvaginally should be the treatment of choice. As paraurethral leiomyomas does not originate from intraurethral smooth-muscle component, urethral lesion is rare. Excision of female urethral leiomyoma transvaginally is safe, and postoperative urinary incontinence, if any, can be easily corrected with minimally invasive tecniques.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Migliari R,Buffardi A,Mosso Ldoi
10.1007/s00192-015-2776-8subject
Has Abstractpub_date
2015-12-01 00:00:00pages
1821-5issue
12eissn
0937-3462issn
1433-3023pii
10.1007/s00192-015-2776-8journal_volume
26pub_type
杂志文章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: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::A 46-year-old white female underwent a left hemipelvectomy for chondrosarcoma. She presented with total incontinence and a bulging vaginal mass. Exam confirmed complete transurethral bladder eversion that was addressed with transvaginal multilayer bladder neck closure and suprapubic tube placement. Eventually she unde...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-0950-6
更新日期:2010-02-01 00:00:00
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
abstract:INTRODUCTION AND HYPOTHESIS:To determine whether fecal incontinence (FI) is associated with sexual activity and to compare sexual function in women with and without FI. METHODS:We conducted a retrospective chart review of all new patients seen in an academic urogynecology clinic. Women who reported fecal incontinence,...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2044-8
更新日期:2013-09-01 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:The Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association (IUGA) Revised (PISQ-IR) measures sexual function in women with pelvic floor disorders (PFDs) yet is unwieldy, with six individual subscale scores for sexually active women and four for women who are not. ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3373-9
更新日期:2017-12-01 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:Trans-obturator tape (TOT) and tension-free vaginal tape (TVT) comprise minimally invasive surgical management for stress urinary incontinence (SUI). The aim of this retrospective cohort study was to investigate outcomes of TOT and TVT among different age groups of women. METHODS:Medical re...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04112-7
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:A great variety of conservative and surgical procedures to correct vaginal vault prolapse have been reported. The aim of this study was to describe practice pattern variation-the difference in care that cannot be explained by the underlying medical condition-among Dutch gynecologists regardi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3832-y
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:A concern when using the retropubic tension-free vaginal tape (TVT) for stress urinary incontinence (SUI) is bladder perforation. This article describes a technique hypothesised to reduce the risk of intra-operative bladder perforation, termed the large space of Retzius infiltration (LSORI) ...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s00192-018-3730-3
更新日期:2019-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The purpose of this study is to determine the effect of silver coating of polypropylene implants on infection in hernia surgery. METHODS:Silver-coated and non-silver-coated large pore monofilament polypropylene mesh implants were compared with and without infection (four groups). The implan...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1330-y
更新日期:2011-03-01 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: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 primary objective of this study was to compare outcomes of absorbable and permanent suture for apical support with high uterosacral ligament vaginal vault suspension (HUSLS). The secondary objective was to investigate the rate of suture erosion. METHODS:This was a retrospective study of...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1708-0
更新日期:2012-07-01 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
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: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:To evaluate factors for vesicovaginal fistula (VVF) formation following incidental cystotomies during benign hysterectomies. METHODS:Hysterectomies performed at two university centers between January 1, 2000 and December 31, 2008 were reviewed. Demographic and operative data were abstracted...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s00192-011-1375-6
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION:High levels of androgens increase muscle mass. Due to the characteristics of hyperandrogenism in polycystic ovary syndrome (PCOS), it is plausible that women with PCOS may have increased pelvic floor muscle (PFM) thickness and neuromuscular activity levels compared with controls. The aim of this study was ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2865-8
更新日期:2016-04-01 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...
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 AND HYPOTHESIS:We sought to examine the change in utilization of the midurethral sling (MUS) for the treatment of stress urinary incontinence (SUI) after the 2011 US FDA communication regarding transvaginal mesh. METHODS:This is a retrospective cohort study evaluating surgical utilization of MUS at a mana...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04597-7
更新日期:2020-11-18 00:00:00
abstract:OBJECTIVE:The aim of this study was to assess the incidence of de novo stress urinary incontinence (SUI) and sonographic features of implanted transvaginal mesh in continent women treated with Elevate(™) anterior/apical [single-incision mesh (SIM-A)] or Perigee(™) [transvaginal mesh with sacrospinous fixation (TVM + SS...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2492-9
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We aimed to determine the prevalence of urinary incontinence (UI) in nulliparous female university students and to provide an overview of risk factors associated with urinary continence. METHODS:A total of 1,397 female university students aged 18-28 years were enrolled into this cross-secti...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04360-y
更新日期:2021-02-01 00:00:00
abstract::Pelvic reconstructive surgeons have suspected for over a century that childbirth-related trauma plays a major role in the aetiology of female pelvic organ prolapse. Modern imaging has recently allowed us to define and reliably diagnose some of this trauma. As a result, imaging is becoming increasingly important, since...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1459-3
更新日期:2011-10-01 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: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 cont...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1984-8
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Intravesical onabotulinumtoxinA (Botox®) is effective for idiopathic overactive bladder (OAB) symptoms. Our primary objective was to compare the efficacy of onabotulinumtoxinA for women with de novo OAB after midurethral sling (MUS) surgery and women with idiopathic OAB. METHODS:Women enrol...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2839-x
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We sought to compare rates of recurrent cystocele following sacrocolpopexy with and without paravaginal repair (PVR). METHODS:This retrospective cohort study compared outcomes for patients undergoing sacrocolpopexy with (group A) and without (group B) concomitant PVR. Defining anterior fail...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1013-8
更新日期:2010-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The Patient Global Impression of Improvement (PGI-I) and International Consultation of Incontinence Questionnaire - Short Form (ICIQ-SF) are validated instruments for the assessment of patient reported outcome measures (PROM) following treatment of stress urinary incontinence (SUI). However,...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3070-0
更新日期:2017-01-01 00:00:00