A six-year experience with paravaginal defect repair for stress urinary incontinence.

Abstract:

:One hundred forty-nine consecutive patients who had surgery from May 1890 through December 1986 were evaluated to assess the functional and anatomic results of the paravaginal defect repair for stress urinary incontinence. All patients had their preoperative assessment, operative procedure, and postoperative follow-up managed by the authors. Twelve percent of the patients had one or more previous surgical procedures for urinary incontinence. Sixteen percent of the patients had the preoperative diagnosis of urinary incontinence with mixed components of true stress incontinence and detrusor instability. Postoperatively, 6% of all patients developed evidence of cuff prolapse; 5% had an enterocele. In none of those patients did the defect prolapse to the hymen. Five percent of the patients had postoperative evidence of a persistent cystocele, all of which were smaller than they had been preoperatively. An assessment of the anatomic results of the repair demonstrates that meticulous attention must be paid to the proper repair of the paravesical defect, to support of the vaginal cuff, and to management of the cul-de-sac of Douglas to minimize postoperative anatomic defects. Ninety-seven percent of patients had excellent functional results with no postoperative complaints of stress urinary incontinence.

journal_name

Am J Obstet Gynecol

authors

Shull BL,Baden WF

doi

10.1016/0002-9378(89)90867-3

subject

Has Abstract

pub_date

1989-06-01 00:00:00

pages

1432-9; discussion 1439-40

issue

6

eissn

0002-9378

issn

1097-6868

pii

0002-9378(89)90867-3

journal_volume

160

pub_type

杂志文章
  • Elevated serum ferritin in the altered ferrokinetics of toxemia of pregnancy.

    abstract::The serum concentration of ferritin in 11 patients with toxemia of pregnancy was compared to that of normal women in the early third trimester of pregnancy and in labor at term. The mean concentration of ferritin for toxemic patients was 91.8 ng/ml compared to 18.4 ng/ml and 19.4 ng/ml for the two control groups, resp...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(82)90247-2

    authors: Entman SS,Richardson LD,Killam AP

    更新日期:1982-10-15 00:00:00

  • Cardiovascular and thrombogenic risk of decidual vasculopathy in preeclampsia.

    abstract:OBJECTIVE:Women with a history of preeclampsia (PE) have an increased prevalence of cardiometabolic, cardiovascular, and prothrombotic risk factors. Remotely, these women are at increased risk of developing cardiovascular and thrombotic disease. Decidual vasculopathy (DV) describes vascular lesions in the maternal spir...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2013.12.029

    authors: Stevens DU,Al-Nasiry S,Fajta MM,Bulten J,van Dijk AP,van der Vlugt MJ,Oyen WJ,van Vugt JM,Spaanderman ME

    更新日期:2014-06-01 00:00:00

  • Antenatal glucocorticoid therapy increases glucose delivery to cerebral circulations during acute hypoxemia in fetal sheep during late gestation.

    abstract:OBJECTIVE:To determine the effects of 2 maternal injections with dexamethasone on the calculated oxygen and glucose deliveries to fetal cerebral and peripheral circulations during acute hypoxemia in sheep. STUDY DESIGN:Beginning at 124 days, ewes received 2 intramuscular injections of either dexamethasone (2 x 12 mg, ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2009.01.012

    authors: Jellyman JK,Gardner DS,McGarrigle HH,Fowden AL,Giussani DA

    更新日期:2009-07-01 00:00:00

  • Computed tomography in evaluation of gynecologic malignancies: a retrospective analysis.

    abstract::The results of preoperative computed tomography and operative findings were assessed retrospectively in 52 patients with cervical, uterine, and ovarian neoplasms. Overall sensitivity and specificity for all disease states was 57% and 79%, respectively. Overall diagnostic accuracy was 69%. The use of computed tomograph...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(86)90325-x

    authors: King LA,Talledo OE,Gallup DG,el Gammal TA

    更新日期:1986-11-01 00:00:00

  • Phencyclidine use during pregnancy.

    abstract::Phencyclidine, a frequently abused drug, has been shown to cross the placenta and may cause harmful effects in the fetus. Therefore, a prospective study was undertaken to determine the extent of phencyclidine use during pregnancy. Two thousand three hundred twenty-seven pregnant women were screened for phencyclidine u...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(84)80063-0

    authors: Golden NL,Kuhnert BR,Sokol RJ,Martier S,Bagby BS

    更新日期:1984-02-01 00:00:00

  • Early physiologic squamous metaplasia of the cervix: light and electron microscopic observations.

    abstract::A light and electron microscopic study was undertaken of the early phases of cervical squamous metaplasia. A study of areas of columnar epithelium with one row of subcolumnar cells revealed a spectrum of squamous differentiation ranging from cytologically undifferentiation to more characteristically basal type squamou...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(15)33239-7

    authors: Lawrence WD,Shingleton HM

    更新日期:1980-07-15 00:00:00

  • Atrial natriuretic factor: the effects of pregnancy and a high-salt diet on atrial levels.

    abstract::The chronic and relatively acute changes in blood volume that occur during pregnancy and post partum may be associated with alterations in the content of atrial natriuretic factor in the atria. We measured the concentration of atrial natriuretic factor in the right and left atria of virgin, pregnant, and postpartum Sp...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90937-x

    authors: Castro LC,Arora CP,Davis JL,Hobel CJ,Parvez H

    更新日期:1989-12-01 00:00:00

  • Disruption of embryonic and fetal development due to preimplantation chemical insults: a critical review.

    abstract::Descriptive teratology has developed several fundamental precepts, two of which can now be challenged on the basis of experimental evidence. The first is that prior to implantation the developing embryo is not susceptible to survivable defects from chemical injury. The second is that developmental defects cannot be du...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s0002-9378(87)80198-9

    authors: Iannaccone PM,Bossert NL,Connelly CS

    更新日期:1987-08-01 00:00:00

  • Pure fetal blood from the umbilical cord obtained at fetoscopy: experience with 125 consecutive cases.

    abstract::With experience, and with the use of a 30-degree forward-oblique viewing telescope, sampling from one of the vessels of the umbilical cord produced at least 0.5 ml of pure fetal blood in 97% of the cases between 14 and 24 weeks' gestation; by aspiration through a short-tipped, 27-gauge, specially constructed needle, a...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(16)32794-6

    authors: MacKenzie IZ,Maclean DA

    更新日期:1980-12-15 00:00:00

  • Are you a lumper or a splitter?

    abstract::The current goal of evidence-based medicine, prospective therapeutic interventions in large numbers of patients, may not always reach an accurate conclusion. Individual variations in genetic characteristics need to be acknowledged and taken into account in the analysis. Some women with recurrent vulvo-vaginal candiosi...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2006.03.098

    authors: Ledger WJ,Witkin SS

    更新日期:2006-11-01 00:00:00

  • Real-time ultrasonographically guided removal of nonpalpable and intramuscular Norplant capsules.

    abstract:OBJECTIVE:Our purpose was to describe the techniques we have developed to remove nonpalpable subcutaneous and intramuscular Norplant capsules with the patient under local anesthesia and with use of real-time ultrasonographic guidance in an office setting. STUDY DESIGN:This was a noncomparative, descriptive study of ou...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(98)70321-7

    authors: Nelson AL,Sinow RM

    更新日期:1998-06-01 00:00:00

  • Changes in the term mouse placenta associated with maternal alcohol consumption and fetal growth deficits.

    abstract::Primiparous mice were fed alcohol in their drinking water as 0%, 10%, 15%, 20% (v/v) solutions on days 11 through 18 of gestation. Based on blood alcohol levels and on locomotor and health impairments, these treatment groups represent situations of mild, moderate, and severe alcohol abuse. There were significant alcoh...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(84)90028-0

    authors: Kennedy LA

    更新日期:1984-07-01 00:00:00

  • Coronavirus Disease 2019 (COVID-19) and pregnancy: what obstetricians need to know.

    abstract::Coronavirus disease 2019 is an emerging disease with a rapid increase in cases and deaths since its first identification in Wuhan, China, in December 2019. Limited data are available about coronavirus disease 2019 during pregnancy; however, information on illnesses associated with other highly pathogenic coronaviruses...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2020.02.017

    authors: Rasmussen SA,Smulian JC,Lednicky JA,Wen TS,Jamieson DJ

    更新日期:2020-05-01 00:00:00

  • Thrombosis prophylaxis in pregnancy with use of subcutaneous heparin adjusted by monitoring heparin concentration in plasma.

    abstract::Twenty-six pregnant women were given prophylactic heparin treatment because of previous thromboembolic complications. The mean duration of treatment was 25 weeks (range, 6 to 32 weeks). The amount of heparin was adjusted to a plasma concentration of 0.08 to 0.15 IU/ml, measured as anti-factor Xa activity. This effect ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90535-8

    authors: Dahlman TC,Hellgren MS,Blombäck M

    更新日期:1989-08-01 00:00:00

  • Radiofrequency ablation of human fetal sacrococcygeal teratoma.

    abstract:OBJECTIVE:Fetuses with solid, highly vascularized sacrococcygeal teratomas can die as a result of the vascular steal syndrome. This is the first report in which a percutaneous technique, radiofrequency ablation, was used to interrupt blood flow to a sacrococcygeal teratoma in 4 human fetuses. STUDY DESIGN:A radiofrequ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2001.110446

    authors: Paek BW,Jennings RW,Harrison MR,Filly RA,Tacy TA,Farmer DL,Albanese CT

    更新日期:2001-02-01 00:00:00

  • Human chorionic gonadotropin levels in complete and partial hydatidiform moles and in nonmolar abortuses.

    abstract::The rates of regression of human chorionic gonadotropin (hCG) in patients with complete hydatidiform moles, partial hydatidiform moles, and nonmolar abortions were compared. No difference in rates of regression was found among the three groups, but levels of hCG immediately after uterine evacuation were significantly ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(84)90184-4

    authors: Smith EB,Szulman AE,Hinshaw W,Tyrey L,Surti U,Hammond CB

    更新日期:1984-05-15 00:00:00

  • Relationship of race and severity of neonatal illness.

    abstract:OBJECTIVE:Our goal was to determine whether there are racial differences in the severity of illness on admission for premature newborn infants independent of gestational age. STUDY DESIGN:The study population consisted of all African American and Caucasian singleton infants with gestational ages <34 weeks who were adm...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2001.109941

    authors: Berman S,Richardson DK,Cohen AP,Pursley DM,Lieberman E

    更新日期:2001-03-01 00:00:00

  • Inhibition of premature labor: a multicenter comparison of ritodrine and ethanol.

    abstract::A randomized controlled study was carried out at three medical centers to compare the efficacy and side effects of ethanol and ritodrine in the treatment of threatened premature labor. One hundred and thirty-five patients judged to be between the twentieth and thirty-sixth week of gestation and presenting with clinic...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9378(77)90115-6

    authors: Lauersen NH,Merkatz IR,Tejani N,Wilson KH,Roberson A,Mann LI,Fuchs F

    更新日期:1977-04-15 00:00:00

  • Effect of regionalization of endometrial cancer care on site of care and patient travel.

    abstract:BACKGROUND:Complex oncologic surgeries, including those for endometrial cancer, increasingly have been concentrated to greater-volume centers, owing to previous research that has demonstrated associations between greater surgical volume and improved outcomes. There is a potential for concentration of care to have unwan...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2019.07.026

    authors: Knisely A,Huang Y,Melamed A,Tergas AI,St Clair CM,Hou JY,Khoury-Collado F,Ananth CV,Neugut AI,Hershman DL,Wright JD

    更新日期:2020-01-01 00:00:00

  • Long-term physical and neurologic development in newborn infants with isolated single umbilical artery.

    abstract:OBJECTIVE:This study compared birth parameters and the longitudinal course in physical and neurologic development between children with 2 and 3 vessel umbilical cords. STUDY DESIGN:Our study of the Collaborative Perinatal Project included singletons of at least 24 weeks' gestation with single umbilical artery at birth...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2010.06.031

    authors: Chetty-John S,Zhang J,Chen Z,Albert P,Sun L,Klebanoff M,Grewal U

    更新日期:2010-10-01 00:00:00

  • Does maternal age at retrieval influence the implantation potential of euploid blastocysts?

    abstract:BACKGROUND:Age-related decline in reproductive potential is mainly due to the increased incidence of aneuploidy. Furthermore, 2 recent studies have shown that euploid embryos of older women may have a lower implantation potential compared to those of younger women, suggesting that aging might compromise embryos beyond ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2018.11.1103

    authors: Irani M,Zaninovic N,Rosenwaks Z,Xu K

    更新日期:2019-04-01 00:00:00

  • Clinical, biochemical, and radiologic reversibility of hyperprolactinemic galactorrhea-amenorrhea and abnormal sella by thyroxine in a patient with primary hypothyroidism.

    abstract::A case of primary hypothyroidism associated with postpartum galactorrhea-amenorrhea is reported. The configuration of the sella was compatible with pituitary adenoma, but prolactin dynamics did not support an autonomous secretory state. Replacement therapy with thyroxine led to complete reversal of clinical, radiologi...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(16)33129-5

    authors: Tolis G,Hoyte K,McKenzie JM,Mason B,Robb P

    更新日期:1978-08-15 00:00:00

  • Cancer patients' satisfaction with physicians: Princess Margaret Hospital Satisfaction with Doctor Questionnaire results.

    abstract:OBJECTIVE:The study was performed to examine the satisfaction of a specific population of oncology patients with their physicians and to quantify its association with characteristics of their disease. STUDY DESIGN:A descriptive design was used in which patients attending a weekend cancer support retreat completed the ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2003.281

    authors: Landen CN Jr,Younger NO,Collins Sharp BA,Underwood PB

    更新日期:2003-05-01 00:00:00

  • Enlarged cisterna magna in trisomy 18: prenatal ultrasonographic diagnosis.

    abstract::Ultrasonographic visualization of an enlarged cisterna magna was the initial clue that led to the prenatal diagnosis of trisomy 18 in five patients. Prenatal diagnosis of trisomy 18, a lethal defect, is important for proper patient counseling and management. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90238-x

    authors: Thurmond AS,Nelson DW,Lowensohn RI,Young WP,Davis L

    更新日期:1989-07-01 00:00:00

  • Gynecologic malignancies in female-to-male transgender patients: the need of original gender surveillance.

    abstract::We report a case of uterine cancer and invasive cervical cancer, detected incidentally during the female-to-male sex reassignment surgery. The management of these patients is presented. Such individuals may not be receiving regular gynecologic care appropriate to their remaining genital organs; symptoms of malignant d...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2010.12.057

    authors: Urban RR,Teng NN,Kapp DS

    更新日期:2011-05-01 00:00:00

  • Eosinophil-rich inflammatory response to FloSeal hemostatic matrix presenting as postoperative pelvic pain.

    abstract::FloSeal hemostatic matrix has been reported to be effective for the control of intraoperative bleeding in various surgeries. We report 3 patients who experienced a possible allergic response to FloSeal with the formation of excessive granulation tissue and fibrosis that were associated with early postoperative pelvic ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2008.10.052

    authors: Thomas PJ,Tawfic SN

    更新日期:2009-04-01 00:00:00

  • Endometriosis after neosalpingostomy.

    abstract::A patient seen for infertility developed severe endometriosis within 2 years of neosalpingostomy for bilateral fallopian tube obstruction. A retrospective review of infertility surgeries revealed none of 20 patients with obstructed tubes to have endometriosis, compared with 66 of 125 (52.8%) with at least one patent f...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(94)70160-1

    authors: Woodworth SH,Pridham DD,Cook CL,Sanfilippo JS,Yussman MA

    更新日期:1994-05-01 00:00:00

  • Calciuria in symptom-free primigravid women remote from term: is the response to an oral calcium challenge predictable?

    abstract:OBJECTIVE:This study was undertaken to compare the calciuric response in symptom-free primigravid women to an oral calcium load between those with normal urinary calcium excretions and those with relatively low urinary calcium excretions. STUDY DESIGN:This was a prospective clinical trial. Eligible primigravid women b...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0002-9378(99)70028-1

    authors: Suárez VR,Miyahira JM,Guinn DA,Fisher SG,Tomich PG,Trelles JG

    更新日期:1999-06-01 00:00:00

  • The effect of the oxytocin antagonist atosiban on preterm uterine activity in the human.

    abstract:OBJECTIVE:The purpose of this study was to test the hypothesis that infusion of the oxytocin antagonist atosiban results in decreased preterm uterine activity in the human. STUDY DESIGN:A randomized, double-blind, placebo-controlled trial was performed. One hundred twenty women from 20 to 36 weeks' gestation with a co...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/s0002-9378(94)70214-4

    authors: Goodwin TM,Paul R,Silver H,Spellacy W,Parsons M,Chez R,Hayashi R,Valenzuela G,Creasy GW,Merriman R

    更新日期:1994-02-01 00:00:00

  • Nonspontaneous late preterm birth: etiology and outcomes.

    abstract:OBJECTIVE:We sought to determine the proportion of evidence-based (EB), vs non-EB (NEB) iatrogenic late preterm birth, and to compare corresponding rates of neonatal intensive care unit (NICU) admission. STUDY DESIGN:We performed a retrospective cohort study. Cases were categorized as EB or NEB. NICU admission was com...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2011.08.007

    authors: Gyamfi-Bannerman C,Fuchs KM,Young OM,Hoffman MK

    更新日期:2011-11-01 00:00:00