Abstract：
INTRODUCTION AND HYPOTHESIS:The aim of the mediolateral episiotomy incision is to increase the diameter of the soft tissue of the vaginal outlet to facilitate birth and to prevent vaginal tears. Episiotomy angles that are too narrow and close to the midline increase the risk of obstetric anal sphincter injuries. In order to determine the optimal angle of the episiotomy, we assessed the changes in the angles of episiotomy lines marked during the first stage of labor and measured at the time of crowning of the head. METHODS:Incision lines for mediolateral episiotomy were marked on the perineal skin at angles of 30°, 45°, and 60° from the midline during the first stage of labor in women with a singleton pregnancy. The angles of the marked lines were measured at crowning of the head. Mediolateral episiotomy was performed only for obstetric indications. RESULTS:The study included 102 women with a singleton pregnancy. Of these women, 50 were primiparous and 52 were multiparous. All angles marked during the first stage of labor increased significantly (by more than 30°) at crowning of the head. Similar changes were observed in primiparous and multiparous women. CONCLUSIONS:The angle of the mediolateral episiotomy line was significantly greater at crowning of the head than when marked during the first stage of labor. To achieve the desired episiotomy angle, it is important to take into consideration the changes in mediolateral episiotomy angles that occur during labor.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Ginath S,Elyashiv O,Weiner E,Sagiv R,Bar J,Menczer J,Kovo M,Condrea Adoi
10.1007/s00192-017-3349-9subject
Has Abstractpub_date
2017-12-01 00:00:00pages
1795-1799issue
12eissn
0937-3462issn
1433-3023pii
10.1007/s00192-017-3349-9journal_volume
28pub_type
杂志文章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: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 evaluate the efficacy and safety of the intravesical injection of Chinese botulinum toxin A (BTX-A) in patients with interstitial cystitis/bladder pain syndrome (IC/BPS). METHODS:Between January 2003 and June 2013, 124 women with IC/BPS were studied. Of these 124 patients, 66 were treate...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2631-y
更新日期：2015-07-01 00:00:00
abstract：:A pubic cartilaginous cyst is a rare condition and is considered a result of degenerative changes in the symphysis pubis, mainly described in elderly multiparous women. There are only a few reported cases in the literature, and patients presented most frequently with a painful vaginal/vulvar mass. This case report is ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-014-2523-6
更新日期：2015-03-01 00:00:00
abstract：INTRODUCTION:With the publication of the updated US Food and Drug Administration (FDA) communication in 2011 on the use of transvaginal placement of mesh for pelvic organ prolapse (POP) it is appropriate to now review recent studies of good quality on POP to assess the safety and effectiveness of treatment options and ...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-012-2025-3
更新日期：2013-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective of the present study was to adapt the CONTILIFE, a quality-of-life questionnaire, into Turkish and to reveal its psychometric properties in women suffering from stress urinary incontinence (SUI). METHODS:Ninety-eight patients with a symptom of SUI participated in the study and...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3823-z
更新日期：2019-01-01 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:The objective was to identify risk factors for postpartum anatomic pelvic organ prolapse (aPOP) by comparing women with and without aPOP at 6 weeks postpartum with regard to pelvic floor measurements antepartum and obstetrical characteristics. METHODS:We carried out a prospective observatio...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3650-2
更新日期：2019-03-01 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:Bladder pain syndrome (BPS) is a disease of unknown etiology defined as an unpleasant sensation related to the bladder, associated with lower urinary tract symptoms of more than 6 weeks' duration, in the absence of any identifiable causes. Despite its impact on quality of life (QoL) and soci...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-04075-9
更新日期：2019-11-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Delays in receiving obstetric care during labor contribute to high rates of maternal morbidity in sub-Saharan Africa. This exploratory study was conducted to identify important delays experienced during the development and subsequent repair of obstetric fistula in northern Tanzania. METHODS...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3416-2
更新日期：2018-03-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Hysterectomy is often performed at the time of pelvic organ prolapse (POP) surgery; yet, there is insufficient evidence regarding the specific effect of hysterectomy on outcomes. We sought to determine the outcomes and associated short-term complications of mesh-based POP surgery with and wi...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3244-9
更新日期：2017-08-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Pelvic floor muscles (PFM) are deleteriously affected by vaginal birth, which contributes to the development of pelvic floor disorders. To mechanistically link these events, experiments using animal models are required, as access to human PFM tissue is challenging. In choosing an animal mode...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-014-2423-9
更新日期：2014-11-01 00:00:00
abstract：INTRODUCTION:The natural history of pelvic organ prolapse (POP) is poorly understood. We investigated the prevalence and risk factors of postnatal POP in premenopausal primiparous women and the associated effect of mode of delivery. METHODS:We conducted a prospective cohort study in a tertiary teaching hospital attend...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-014-2382-1
更新日期：2014-11-01 00:00:00
abstract：INTRODUCTION:In this retrospective study, a comparison is made of the clinical efficacy of two stress urinary incontinence treatment apparatuses, a single-incision sling and a transobturator sling. METHODS:Eighty-five (single-incision n=43, transobturator n=42) consecutive patients were included in this study. Clinica...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-012-1942-5
更新日期：2013-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Support of the vaginal apex is paramount for a durable repair of pelvic organ prolapse (POP). Our aim is to assess national utilization of apical suspension procedures for the surgical treatment of complete POP. We hypothesize that there might be a high rate of apical suspension with advance...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04342-0
更新日期：2020-06-08 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: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:Preoperative counseling about salpingectomy with pelvic surgery is recommended by the American College of Obstetrics and Gynecology for ovarian cancer risk reduction. Our objective was to determine recent practice patterns and patient factors associated with salpingectomy with vaginal hyster...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-03967-0
更新日期：2020-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to compare vaginal and clitoral sensory thresholds in women with pelvic organ prolapse and women with normal pelvic anatomy. METHODS:Quantitative sensory thresholds for warm, cold, and vibratory sensations were measured at the vagina and clitoral area of women with pelvic ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2637-5
更新日期：2015-07-01 00:00:00
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: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：OBJECTIVES:Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic pain condition that requires multimodal management. The American Urologic Association includes sacral neuromodulation in the treatment algorithm for refractory IC/BPS. We sought to determine the rate of overall symptom improvement of IC/BPS sy...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04481-4
更新日期：2020-08-13 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: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：OBJECTIVES:Nocturia is the number of times urine is passed during main sleep. This definition tells us that it is a need to void; it does not tell us what triggers it. The aim of this study is to report bladder sensations that wake up women with nocturia (N). Descriptions of sensations in relation to various overactive...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04257-w
更新日期：2020-05-01 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
abstract：INTRODUCTION AND HYPOTHESIS:The impact of surgery on pelvic floor muscle (PFM) function remains uncertain. There is a pressure differential along the length of the vagina, influenced by surrounding active and passive tissue structures, giving rise to a pressure profile. The aim of this study is to determine if an intra...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04576-y
更新日期：2020-11-16 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Self-administered quality of life (QOL) questionnaires provide objective evaluation of an individual's symptoms. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are condition-specific short form questionnaires. There are very few validate...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3318-3
更新日期：2017-12-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Vaginal bulging is considered the key symptom for genital organ prolapse. The aim was to investigate the age-related prevalence and frequency of symptomatic pelvic organ prolapse (sPOP) and other pelvic floor symptoms in nonpregnant nullipara aged 25-64 years. METHODS:This national postal a...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3684-5
更新日期：2019-04-01 00:00:00
