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 anastomosis between various hollow viscera. We hypothesized that the MCA approach could be used to treat RVF. METHOD:We designed a novel MCA device for RVF treatment and evaluated the magnetic compression procedure in a RVF pig model in comparison with the traditional suturing procedure. Following satisfactory outcomes, we also applied the MCA procedure to a human patient with recurrent RVF. The MCA device was designed based on the anatomical characteristics of the pig vagina and previous literature. The pig RVF model were established surgically (n = 12), and compression and control groups were each treated. The data were analyzed by one-way analysis of variance. RESULTS:qqExcept in one animal in each group, the RVF site was smooth and healing was complete. Histological analysis confirmed complete healing of the RVF with high histological continuity to neighboring tissues. The compression procedure applied to our patient with RVF was successful. The patient recovered quickly without complications, and RVF did not recur during a 15-month follow-up. CONCLUSIONS:From this preliminary investigation, MCA using our novel device appears to be a safe, simple, and effective nonsurgical procedure for the treatment of RVF.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
She ZF,Yan XP,Ma F,Wang HH,Yang H,Shi AH,Wang L,Qi X,Xiao B,Zou YL,Lv Ydoi
10.1007/s00192-016-3097-2subject
Has Abstractpub_date
2017-02-01 00:00:00pages
241-247issue
2eissn
0937-3462issn
1433-3023pii
10.1007/s00192-016-3097-2journal_volume
28pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:World Health Organisation (WHO) data suggest that more than two million women and girls live with fistula and that an additional 50-100,000 are newly affected each year. In Tanzania, it has been estimated that there are between 1,200 and 3,000 new cases of obstetric fistula annually. METHOD...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2185-9
更新日期:2014-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To evaluate the effects of sacral neuromodulation (SNM) on pregnancy and the impact of delivery on SNM function. METHODS:A systematic search was conducted through January 2016. We selected studies including women who had SNM and a subsequent pregnancy. RESULTS:Out of 2,316, eight studies w...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-017-3272-0
更新日期:2017-09-01 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::The incidence of urinary tract injury is low in most gynaecological operations but, if undiagnosed, is a cause of significant postoperative morbidity for the patient and litigation for the gynaecologist. A Medline search of studies of urinary tract injury at gynaecological surgery show that only one in 10 ureteral inj...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-010-1175-4
更新日期:2010-08-01 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::Reports have shown that high-energy pelvic trauma might be associated with advanced pelvic organ prolapse in conjunction with other causes. We report the case of a 21-year-old nulliparous, premenopausal, non-overweight woman with no predisposing factors for prolapse who developed stage IV massive pelvic organ prolapse...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1320-0
更新日期:2011-06-01 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::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:Posthysterectomy vaginal vault prolapse repair is a challenge for urogynecologists. Surgical management can be successful with native tissue by the vaginal approach with sacrospinous ligament fixation. However, severe complications have been described, including nerve injury and life-threate...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3255-6
更新日期:2017-07-01 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 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:Hysterectomy can be performed during sacrocolpopexy, but there are limited studies comparing the effect of route of hysterectomy on adverse events. We hypothesized there would be no difference in adverse events or patient-reported outcomes in women who underwent minimally invasive sacrocolpo...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3790-4
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Identifying protective factors against pelvic floor disorders (PFDs) is important. We investigated whether cesarean delivery (CD) at the indication of abnormal second stage of labor (ASSL) has the same protective effect against future PFDs. METHODS:This population-based cohort study include...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04151-0
更新日期:2020-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The true incidence of obstetric anal sphincter injuries (OASI) among Asian primigravida is not known. This study aimed to evaluate OASI in Sri Lankan primigravida. METHODS:One hundred and one consecutive primigravida in their last trimester were recruited from antenatal clinics at a tertiar...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-2986-8
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to evaluate hysterectomized and non-hysterectomized patients with prolapse and incontinence. Laparoscopic sacrohysteropexy (LSHP) and minimally invasive sacrocolpopexy (LMSCP) were done in combination with transobturator tape (TOT) and native tissue repair of the ant...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04519-7
更新日期:2020-09-08 00:00:00
abstract::In July of 2011 the U.S. Food and Drug Administration (FDA) released a safety communication entitled "UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse." The stated purpose of this communication is to inform health care providers and patients that serious...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1581-2
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To determine the clinical outcomes of adding a tension-releasing suture (TRS) appendage for manipulation of over-tensioned single-incision slings (SIS) as a means to relieve postoperative voiding dysfunction. METHODS:A retrospective observational study conducted from January 2010 to July 20...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3826-9
更新日期:2019-09-01 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:The literature presents controversial results regarding the role of delivery mode in pelvic floor muscle (PFM) function after birth. Some studies showed a greater impairment of PFM function after vaginal delivery compared with cesarean section, while others have not identified a significant ...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-020-04231-6
更新日期:2020-08-01 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:Evidence suggests that OAB (overactive bladder) can occur alongside disorders of the colon, such as irritable bowel syndrome (IBS). Moreover, patients with constipation are more likely to develop OAB symptoms than those without. Anticholinergic medications (AcH) are commonly used for treatin...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2527-2
更新日期:2015-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective was to assess the efficacy of intravesical hyaluronic acid (HA) and chondroitin sulfate (CS), alone or in combination, for recurrent urinary tract infections (RUTIs) in adult female patients using a systematic review and meta-analysis. METHODS:English-language articles were ob...
journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00192-017-3508-z
更新日期:2018-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Our aim was to assess whether differences in the ages of nulliparous women affect: (1) interobserver reliability, and (2) visualization of the levator ani (LA) muscle subdivisions in nulliparous women using 3D endovaginal ultrasound (3D-EVUS). METHODS:This was a cross-sectional study. Commu...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2053-7
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective was to compare the effect of antibiotics versus no antibiotics prophylaxis per-operatively on the frequency of urinary tract infection (UTI) following mid-urethral sling application to treat stress or mixed urinary incontinence. METHODS:This study was designed as a multicenter...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04156-9
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The vagina and surrounding structures have been shown to remodel during pregnancy. Our objective was to characterize the biomechanical properties of the vagina in the rodent model in vivo utilizing three-dimensional (3D) ultrasound. METHODS:The vagina was visualized by ultrasound after dist...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2313-6
更新日期:2014-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Botulinum toxin-A (BoNT-A) is a potent neurotoxin that is an effective treatment for patients with pharmacologically refractory detrusor overactivity (DO). Data assessing the effectiveness of trigonal BoNT-A are limited. This study evaluates adverse events (AEs) and short-term efficacy assoc...
journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00192-014-2499-2
更新日期:2015-03-01 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:The aim of this study was to compare pelvic floor muscle strength (PFMS) and the prevalence of urinary incontinence (UI) and pelvic organ prolapse(POP) in women with and without diastasis recti abdominis (DRA) at 6-8 weeks postpartum. METHODS:Three hundred and ten women underwent routine ex...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04005-9
更新日期:2020-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Surgical treatment of stress urinary incontinence in women using a synthetic midurethral tape has become a standard procedure. One of the complications observed postoperatively are lower urinary tract symptoms (LUTS). The aim was to analyze the role of introital ultrasound in the identificat...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3837-6
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The goal of the study was to define the time needed to obtain maximal organ descent and hiatal distension during Valsalva measured by transperineal ultrasound. Secondarily, we aimed to describe the timing of these events in relationship to each other. METHODS:We undertook a retrospective re...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1533-x
更新日期:2012-02-01 00:00:00