Abstract:
INTRODUCTION AND HYPOTHESIS:We present a video reviewing the key steps involved in safe anterior cul-de-sac entry during vaginal hysterectomy, including tips for troubleshooting difficult cases such as: uterine procidentia, cervical elongation, and multiple prior cesarean sections. METHODS:Anterior cul-de-sac entry is a critical step in performing a vaginal hysterectomy. In this video, we review our approach to anterior entry in patients with normal anatomy, followed by a discussion of techniques that may be useful in cases with challenging anatomy. To start, we drain the bladder, set up exposure with Deaver retractors, and make a circumferential incision at the cervicovaginal junction. In cases with normal anatomy, using sharp, followed by broad blunt finger dissection, the vesicocervical space is opened, and the peritoneal reflection is identified and sharply entered. If this is not possible, additional techniques such cystoscopic bladder illumination, posterior entry first, securing pedicles with extraperitoneal ties, or additional sharp dissection may be utilized. With all techniques, proper intraperitoneal entry should be verified by the visualization of small bowel or fat. CONCLUSION:This video reviews technical considerations for anterior cul-de-sac entry during vaginal hysterectomy in patients with normal anatomy and provides tips for troubleshooting challenging cases.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Linder BJ,Gebhart JBdoi
10.1007/s00192-018-3646-ysubject
Has Abstractpub_date
2018-08-01 00:00:00pages
1223-1225issue
8eissn
0937-3462issn
1433-3023pii
10.1007/s00192-018-3646-yjournal_volume
29pub_type
杂志文章,评审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 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:InTone(TM) (InControl Medical) is a nonimplanted vaginal device providing biofeedback and electrical stimulation of pelvic floor muscles. The purpose of this study was to assess its efficacy and usability for treating urinary incontinence (UI). METHODS:Women with UI (stress, urge, mixed) were recruited fo...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-014-2476-9
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to retrospectively assess the extent and severity of the post-operative complications associated with the Pinnacle Pelvic Floor Repair Kit. METHODS:This is a descriptive analysis of 23 consecutive women who had a prolapse repair with either an anterior (n = 19) or ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2156-1
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Jorge and Wexner devised a questionnaire for anal incontinence (AI), known as the Wexner scale (WS). Specific validated questionnaires are essential for the assessment of symptom severity. The objective was to accomplish the cultural adaptation and validation of the Portuguese version of the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2927-y
更新日期:2016-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We investigated the impact of diabetes mellitus (DM) on female lower urinary tract dysfunction. METHODS:We prospectively collected data of 1,640 consecutive diabetic women from the inpatient departments and outpatient clinics of urology, endocrinology, geriatrics, and nephrology in primary,...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2354-5
更新日期:2014-07-01 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:This study aimed to translate and validate the P-QOL questionnaire in the Malay language. METHODS:The P-QOL questionnaire was translated into the Malay language and subsequently back-translated to English. Test-retest reliability and internal consistency were tested. All patients who visited the gynecolog...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04362-w
更新日期:2020-06-06 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective of the study was to identify reasons why women declined participation in a pilot randomised controlled trial (RCT) comparing tension-free vaginal tape (TVT) under general anaesthetic (GA) with single incision sling (SIS) under local anaesthetic (LA). These data would inform the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1967-9
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Some women with pelvic organ prolapse (POP) have occult urodynamic stress incontinence (OUSI) and might develop incontinence after POP surgery. Our aim was to determine predictive value of ring pessary test during urodynamics in identifying patients with OUSI, likely to develop stress urinar...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1253-7
更新日期:2011-02-01 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::A damaged sphincteric unit or support system, unstable urethral deformability or damaged sensory innervation are all potential causes of a dysfunctional urethral sphincter. With the current improvement in pharmacological targets and urodynamic understanding, studies have begun quantifying individual structures and the...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-019-04104-7
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:In Palestine, episiotomy is frequently used among primiparous women.This study assesses the effect of training birth attendants in applying bimanual perineal support during delivery by either animated instruction on tablets or hands-on training on episiotomy rates among primiparous women. M...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3711-6
更新日期:2019-08-01 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 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:Many advisory documents have recommended uploading of all mid-urethral sling (MUS) cases onto the British Society of Urogynaecology (BSUG) or British Association of Urological Surgeons (BAUS) database. The aim of this study was to determine whether these documents have resulted in an increas...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04388-0
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:The systematic review and meta-analysis were performed to summarize the available evidence and assess the efficacy of telemedicine for urinary incontinence in women. METHODS:PUBMED, EMBASE, Web of Science, The Cochrane Library, CBM, CNKI, WanFang, and VIP databases were electronically searched to identify e...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-020-04340-2
更新日期:2020-08-01 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:The effect of incontinence pessaries for urine incontinence (UI) has previously been described in studies from high-income countries, where they have been documented to reduce urinary leakage significantly. However, there is a profound literature gap in these data in low- and middle-income c...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03980-3
更新日期:2020-06-01 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:INTRODUCTION AND HYPOTHESIS:Ongoing debate exists about whether the rectovaginal septum (Denonvilliers' fascia) is myth or reality. This study evaluates magnetic resonance images (MRI) of women with Müllerian agenesis for the presence of fascial layers between the rectum and the bladder to test the hypothesis that this...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2214-8
更新日期:2014-03-01 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:The aim of the study was to evaluate the subjective outcome between 1 and 5 years after tension-free vaginal tape (TVT) operation and the need for follow-up. METHODS:A prospective questionnaire study was performed including questions about incontinence, urinary tract infection, emptying pro...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1601-2
更新日期:2012-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Our aim was to evaluate the outcome of open colposuspension for women with urodynamic stress incontinence who had previously undergone a failed midurethral tape. METHODS:A retrospective study of 13 women who had undergone open colposuspension after a failed midurethral tape was conducted. ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1720-4
更新日期:2012-08-01 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 AND HYPOTHESIS:Stress urinary incontinence (SUI) may appear after the correction of pelvic organ prolapse (POP). The aim of this study was to externally validate a described predictive model for de novo SUI and to assess its clinical performance when used as a diagnostic test. METHODS:This was a retrospec...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3805-1
更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to determine whether a 6-week course of 5 mg of solifenacin succinate used to treat mixed incontinence, produces measurable changes in the appearance of the urethral sphincter. METHODS:Twenty-six women undergoing treatment for mixed incontinence were recruited from ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1410-7
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We aimed to determine the rate of readmission and reoperation for patients undergoing midurethral sling (MUS) placement for stress urinary incontinence (SUI). METHODS:The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was queried to identify all ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3551-9
更新日期:2018-09-01 00:00:00
abstract::The article "Impact of surgeon experience on routine prolapse operations", written by Emil Nüssler, Jacob Kjær Eskildsen, Emil Karl Nüssler, Marie Bixo, and Mats Löfgren, was originally published without open access. ...
journal_title:International urogynecology journal
pub_type: 杂志文章,已发布勘误
doi:10.1007/s00192-017-3525-y
更新日期:2018-02-01 00:00:00