Abstract：
OBJECTIVE:To evaluate the safety and short-term efficacy of complete sacrocolpopexy mesh excision with concomitant autologous fascia sacrocolpopexy. METHODS:A retrospective cohort study of patients undergoing complete sacrocolpopexy mesh excision and concomitant autologous fascia sacrocolpopexy from March 2013 to September 2016 was conducted. The primary objective was assessment of perioperative outcomes including complications within 60 days of surgery. The secondary outcome measure was surgical success defined as no need for retreatment by either surgery for apical prolapse or pessary. RESULTS:Nineteen patients were identified. Median patient age was 56 years old (range 35-78). Median time from mesh placement to surgical excision was 4.5 years (0-13). Indications for mesh excision included refractory pelvic pain in 18 patients (95%), symptomatic mesh exposure in 8 patients (42%), and bilateral ureteral obstruction with ureterovaginal fistula in 1 patient (5%). Median operative time, estimated blood loss, and length of hospital stay were 228 minutes (133-362), 200 mL (50-1000), and 5 days (2-9), respectively. The rate of minor and major complications within 60 days was 36.8% and 5.3%, respectively. There were no cases of bladder or bowel injury. At a median follow-up of 9.9 months (2.4-39) no patient required secondary surgery for apical vaginal prolapse or retreatment with pessary. CONCLUSION:Complete sacrocolpopexy mesh excision with concomitant autologous fascia sacrocolpopexy can be accomplished safely with a low rate of major complications. These are short-term findings and longer follow-up of anatomic and functional outcomes is needed.
journal_name
Urologyjournal_title
Urologyauthors
Oliver JL,Chaudhry ZQ,Medendorp AR,Wood LN,Baxter ZC,Kim JH,Raz Sdoi
10.1016/j.urology.2017.04.040subject
Has Abstractpub_date
2017-08-01 00:00:00pages
65-69eissn
0090-4295issn
1527-9995pii
S0090-4295(17)30464-8journal_volume
106pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVE:To evaluate the association between the Prostate Health Index (PHI) and adverse pathology in a cohort of African American (AA) men undergoing radical prostatectomy. MATERIALS AND METHODS:Eighty AA men with prostate-specific antigen (PSA) of 2-10 ng/mL underwent measurement of PSA, free PSA (fPSA), and p2PSA ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.12.004
更新日期：2016-04-01 00:00:00
abstract：:Outpatient surgery in children with straightforward surgical problems has proved to be safe and cost effective. We have analyzed our experience in 138 consecutive "short-stay" surgical patients in terms of (1) cost effectiveness, (2) surgical procedure, and (3) complications. Selection of a patient for outpatient surg...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(84)90106-7
更新日期：1984-12-01 00:00:00
abstract：OBJECTIVE:To evaluate the safety of a novel ureteral occlusion device and compare its performance with that of other devices and guidewires. METHODS:The XenX (Xenolith Medical) was tested in an ex vivo porcine model to determine the percentage of denuded urothelium because of manipulation within the ureter, the capaci...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.03.018
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVES:To examine the effect of 5-aza-2'-deoxycytidine (DAC), a DNA methyltransferase inhibitor, on the growth of renal cell carcinoma (RCC) and examine the synergistic growth suppression by DAC and chemotherapeutic agents. METHODS:The synergy of DAC and chemotherapeutic agents against RCC cell lines was analyzed ...
journal_title：Urology
pub_type： 历史文章,杂志文章
doi：10.1016/j.urology.2007.02.026
更新日期：2007-05-01 00:00:00
abstract：:Thirty patients with Peyronie disease were treated with ultrasound using hydrocortisone ointment as the conducting vehicle. Twenty-five patients completed at least one course of treatment. Of those 25, 19 had at least some benefit with evidence that multiple courses of treatment were more beneficial than a single cour...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(83)90197-8
更新日期：1983-06-01 00:00:00
abstract：:Unilateral multicystic kidneys are not infrequent during infancy. However, few cases in adults are reported. A case is presented in which a unilateral multicystic kidney with atresia of the ureter was found as an incidental finding in an asymptomatic elderly patient. The literature is reviewed, and a nonoperative diag...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90609-3
更新日期：1980-11-01 00:00:00
abstract：:Epidermal growth factor (EGF), a potent mitogen and tumor promoter, is excreted in urine permitting it to incubate with urothelial cells. We have previously shown that the distribution of receptors for EGF (EGF-Rs) on malignant urothelium changes to favor contact between EGF-Rs and intraluminal EGF. OBJECTIVES. To det...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(94)80047-2
更新日期：1994-10-01 00:00:00
abstract：:A unique case of bladder outlet obstruction secondary to posterior urethral valves in an octogenarian is presented. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90343-1
更新日期：1979-04-01 00:00:00
abstract：OBJECTIVES:Since the beginning of the 1980s, when gene technology provided sufficient amounts of cytokines, numerous Phase II studies in metastatic renal cell carcinoma were carried out mostly with interferon alfa (IFN-alpha) and interleukin-2 (IL-2). So far, no randomized prospective trials including untreated control...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/S0090-4295(99)80079-X
更新日期：1995-05-01 00:00:00
abstract：:The natural history of renal cell carcinoma is often unpredictable and even bizarre. We report a case of solitary late recurrence of renal cell carcinoma presenting as a duodenal ulcer and review the relevant literature. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(92)90248-u
更新日期：1992-05-01 00:00:00
abstract：OBJECTIVES:To investigate the associations between benign prostatic hyperplasia (BPH) and polymorphisms in genes that encode growth factors, cytokines, and vitamin D and their receptors. METHODS:A total of 510 white men (median age 60 years) randomly selected from the Olmsted County, Minnesota community participated i...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.08.061
更新日期：2006-02-01 00:00:00
abstract：OBJECTIVES:To evaluate the role of a positive BTA stat Test result in patients with negative cystoscopic findings. METHODS:Five hundred one consecutive patients in follow-up for bladder cancer were studied. A voided urine sample was obtained before cystoscopy and split for culture, cytology, and BTA stat testing. In t...
journal_title：Urology
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/s0090-4295(00)01055-4
更新日期：2001-04-01 00:00:00
abstract：:Seventy-nine cases of transitional cell carcinoma of the bladder in the age group under thirty years have been reviewed. The diagnosis and treatment are the same as in the older age group. The tumors are usually of low grade and low stage, but they can become more aggressive and more malignant. Contrary to previously ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90453-9
更新日期：1979-05-01 00:00:00
abstract：:A literature review of PubMed reveals that 1 case report is found of a retained Foley catheter for 3 years. We report a case of a straight catheter lost in the urethra and forgotten for 20 years and its safe surgical removal. The calcified straight catheter was removed through a perineal urethrostomy and incision at t...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.01.063
更新日期：2011-01-01 00:00:00
abstract：:The surgical techniques for correction of stress urinary incontinence continues to evolve particularly those utilizing the endoscopic approach. Various forms of endoscopic urethropexy have been performed in 142 women with a minimum of one-year follow-up. The cure rate for the entire series was 94 percent. In the last ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(91)80103-e
更新日期：1991-05-01 00:00:00
abstract：:Radioimmunoassay techniques for the detection of serum acid phosphatase are reported to provide substantial improvement in test sensitivity and test specificity. Calculation of the positive predictive value for this assay, however, does not support its use as a screening modality. Indiscriminate use of this test may h...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90034-5
更新日期：1980-09-01 00:00:00
abstract：:We report 2 cases of persistent urogenital sinus (UGS) with duplication of the bladder and vagina in different planes. Cystoscopy and vaginoscopy were used to diagnose persistent UGS with bladder and vaginal duplication in 2 infants with recurrent urinary tract infection. Surgical repair was done by way of a midline a...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)02545-1
更新日期：2003-07-01 00:00:00
abstract：:Aminocaproic acid (EACA) was used in 2 patients with cadaveric renal allografts because gross hematuria developed after percutaneous renal biopsies. Marked improvement was noted within twelve hours with no recurrence after discontinuation of EACA. EACA was effective in moderate renal failure. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(85)90247-x
更新日期：1985-07-01 00:00:00
abstract：:One hundred eight patients with invasive bladder carcinoma, clinically staged T3, who underwent preoperative irradiation followed by radical cystectomy and ileal conduit urinary diversion without pelvic lymphadenectomy at this Center between January 1, 1969, and December 30, 1975, were reviewed. Sixty-two patients are...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(78)90470-3
更新日期：1978-11-01 00:00:00
abstract：OBJECTIVE:To analyze whether strains positive for extended-spectrum β-lactamase (ESBL) affected the clinical course and progression to chronic prostatitis in patients with postbiopsy acute prostatitis. METHODS:From 2002 to 2011, 3657 patients underwent transrectal ultrasound-guided biopsy of the prostate, and 33 patie...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.02.040
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVES:To evaluate the clinical and urodynamic results of a tapered-cecal wrap (TCW) versus a tapered-plicated ileal (TPI) anti-incontinence mechanism. METHODS:Of 54 consecutive patients who had undergone continent urinary diversions, 33 (17 with TCW and 16 with TPI) were evaluated. The primary disease that prompt...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)02261-6
更新日期：2003-02-01 00:00:00
abstract：OBJECTIVES:As experience with laparoscopic partial nephrectomy (LPN) expands, inevitably tumor-bearing kidneys with anomalous renal vasculature will be subjected to LPN. We evaluated LPN in kidneys with multiple arteries and compared those outcomes with the LPN outcomes in patients with conventional renal arterial anat...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.10.047
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:To evaluate the development of natural orifice transluminal endoscopic surgery (NOTES) transvaginal nephrectomy and present the initial experience. METHODS:Thirty-eight female patients were submitted to hybrid NOTES transvaginal nephrectomy for tumor (n=23) and nonfunctioning renal unit (n=15) in 2 academic ...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2014.01.055
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:To investigate the impact of the expression profile of E-cadherin and N-cadherin in urothelial carcinoma of the upper urinary tract (UC-UUT) on the probability of intra- and extravesical disease recurrence in patients undergoing nephroureterectomy. METHODS:This study included 59 consecutive patients diagnose...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.07.1388
更新日期：2011-12-01 00:00:00
abstract：:incidental bilateral adrenal calcification was detected in a man during evaluation for low back pain. He had been born a double footling breech at home, and probably had bilateral adrenal hemorrhage. He now has normal adrenal function. This case is discussed, and the literature is reviewed. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(83)90324-2
更新日期：1983-12-01 00:00:00
abstract：:Leiomyosarcomas arising from the renal vein are rare tumors: only 13 cases are found in the literature. We report a case in a sixty-one-year-old woman who presented with back pain and hematuria. She underwent resection of the tumor and an ipsilateral nephrectomy. The tumor recurred locally, and the patient died thirty...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(91)80358-e
更新日期：1991-09-01 00:00:00
abstract：:Cystography was compared to urinary cytology in an effort to determine whether or not this modality might be useful in the detection of FANFT-induced bladder tumors in mice. Compared to gross examination of the bladders in 24 mice, cystography had the same degree of accuracy as urinary cytology--79.2 per cent. Compari...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(81)90499-4
更新日期：1981-07-01 00:00:00
abstract：OBJECTIVES:Unusually high incidences of upper urinary tract urothelial carcinoma (UUT-UC) have been reported from the endemic area for "blackfoot disease" of southern Taiwan, and the arsenic-contaminated water was considered to be the reason for this prevalence. In this study, we determined the ratio of UC in different...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)01529-7
更新日期：2002-05-01 00:00:00
abstract：:The endoscopic treatment of reflux, like that of urinary incontinence, is effective. Several materials and endoscopic delivery systems are currently under evaluation for the treatment of reflux and incontinence. These include silicone microimplants, glass particles, collagen, dextranomer microspheres, a detachable bal...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/S0090-4295(97)00261-6
更新日期：1997-10-01 00:00:00
abstract：OBJECTIVES:To examine clinical and pathologic features and postoperative survival outcomes of men with prostate cancer detected by digital rectal examination (DRE) alone, elevated prostate-specific antigen (PSA) level alone, or abnormalities in both. METHODS:From 1989 to 2001, approximately 36,000 men participated in ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.07.019
更新日期：2007-12-01 00:00:00
