Abstract:
INTRODUCTION AND HYPOTHESIS:The objective of this video is to demonstrate a variety of available techniques that can be used in the management of acute presacral bleeding. METHODS:In this video, we demonstrate different methods for the management of presacral bleeding utilizing a fresh frozen cadaver. RESULTS:Presacral bleeding is a potentially catastrophic complication that can be encountered during pelvic surgery, particularly sacrocolpopexy. Various techniques exist to achieve hemostasis in the event of uncontrolled bleeding. This video demonstrates some of the available methods that may be employed in the management of presacral bleeding. The methods demonstrated in this video include direct pressure, pelvic packing, gelatin matrix, bone wax, thumb tack, surgical clip, suture, oxidized regenerated cellulose, omental flap, electrocautery, muscle fragment welding, gelatin matrix combined with thrombin, and microporous polysaccharide spheres. CONCLUSION:Familiarity with these techniques and product availability will aid in the management of acute presacral bleeding.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Hokenstad ED,Occhino JAdoi
10.1007/s00192-019-03995-wsubject
Has Abstractpub_date
2020-01-01 00:00:00pages
215-217issue
1eissn
0937-3462issn
1433-3023pii
10.1007/s00192-019-03995-wjournal_volume
31pub_type
杂志文章abstract::Clinical manifestations of vesicouterine fistulas, a rare complication of cesarean section, include amenorrhea and cyclic hematuria (menouria) without urinary incontinence, a triad collectively known as "Youssef's syndrome." Fistulas affecting the uterus usually reside above the isthmus or at the cervix and have a dis...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1849-1
更新日期:2013-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Modern classifications of pelvic floor movements are based on pelvic floor assessment in a static midsagittal plane. This study presents a new and potentially useful 3D noninvasive tool for studying pelvic floor mobility in women with pelvic organ prolapse (POP). MATERIALS AND METHODS:Thirt...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-016-2948-1
更新日期:2016-07-01 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
abstract:OBJECTIVE:To compare the outcome of outside-in biological and synthetic transobturator tape (TOT) operation, including subjective and objective success rates, urodynamics, and quality of life. MATERIALS AND METHODS:One hundred patients suffering from clinical and/or urodynamic stress urinary incontinence (SUI) were ra...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-012-2008-4
更新日期:2013-08-01 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:The object of this review was to assess the efficacy and safety of urethral bulking agents (UBA), principally Macroplastique and Bulkamid, in the treatment of female stress urinary incontinence (SUI). METHODS:MEDLINE® and EMBASE® databases were systematically searched up to June 2016. Year ...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-017-3278-7
更新日期:2017-09-01 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:The primary objective of this study was to compare outcomes of absorbable and permanent suture for apical support with high uterosacral ligament vaginal vault suspension (HUSLS). The secondary objective was to investigate the rate of suture erosion. METHODS:This was a retrospective study of...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1708-0
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Hyperandrogenism in women with polycystic ovary syndrome (PCOS) could increase muscle mass and thereby pelvic floor muscle (PFM) strength, reducing the risk of urinary incontinence (UI). The aim of the present study was to assess PFM strength and UI among hyperandrogenic women with PCOS and ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2095-x
更新日期:2013-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Presence of microbial communities (microbiota) in an organ system depends on environmental factors, such as oxygen availability. We describe a novel technique to measure bladder urine oxygen tension (BUOT) in ambulatory women and use that technique to compare BUOT values to female urinary mi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03931-y
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:No clear consensus exists on the selection of patients with pelvic organ prolapse (POP) for surgery. There is a need to preoperatively identify candidates who will benefit from surgery as there is no strict correlation between POP anatomical abnormalities and changes in symptoms and quality ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3423-3
更新日期:2017-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Polypropylene meshes are frequently used in abdominal and vaginal reconstructive surgery. Recently, several authors have claimed that mesh-associated complications may be linked to mesh shrinkage. We have performed a prospective study with postoperative follow-up by ultrasound examination at...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1308-9
更新日期:2011-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Little is known about dynamic cell-matrix interactions in the context of pathophysiology and treatments for pelvic organ prolapse (POP). This study sought to identify differences between fibroblasts from women with varying degrees of prolapse in reaction to mechanical stimuli and matrix subs...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2069-z
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We evaluated whether vaginal tampon training (VTT) combined with pelvic floor muscle training (PFMT) results in better outcomes than PFMT alone for treating stress urinary incontinence (SUI). METHODS:This was a randomized, controlled study. Patients were allocated to either the combined pro...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-018-3585-7
更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We aimed to determine anatomy and function of anal sphincter complex using three-dimensional ultrasound (3D-US) and manometry in asymptomatic parous women. METHODS:3D-US of puborectalis muscle (PRM), external (EAS), and internal anal sphincters (IAS) anatomy was performed in 45 women withou...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1446-8
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women. METHODS:Thirty women were assessed twice by two examiners who measured the angle between the ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1251-9
更新日期:2011-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Robotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cada...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03936-7
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study was designed to assess the effect of gynecological morbidities on Mexican women's self-rated health status and emotional health. METHODS:A cross-sectional population-based study was conducted among Mexican women aged 25-54. We analyzed information on 1,303 participants living in ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3537-7
更新日期:2018-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We provide a review of the literature about the onset and development of hypertrophy of the labia minora, together with some expert opinions on the appropriateness of labiaplasty. METHODS:We searched PubMed and used popular search engines, with a greater emphasis on the physiology and hormo...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-016-3253-8
更新日期:2017-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Management of stress urinary incontinence (SUI) with intravaginal devices is an alternative to surgical management, but data of a high level of evidence remain scarce. Our goal was to assess efficacy, tolerance, and acceptability of the 75NC007 intravaginal device for SUI management. METHOD...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-012-1814-z
更新日期:2012-12-01 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:Bladder pain syndrome is a difficult condition to treat. The purpose of this systematic review is to assess the effectiveness of various complementary therapies available for treatment. METHODS:This review was conducted in adherence with Preferred Reporting Items for Systematic Reviews. Cit...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-015-2886-3
更新日期:2016-08-01 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:The objective was to measure the effects of peroxisome proliferator-activated receptor delta (PPAR-delta) agonist and zinc sulfate (ZS) on vaginal smooth muscle cell (SMC) proliferation, tropoelastin production, and collagen production. METHODS:SMC cultures were performed from vaginal wall ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1807-y
更新日期:2012-12-01 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 AND HYPOTHESIS:Vaginal apical suspension is essential for the surgical treatment of pelvic organ prolapse (POP). We aim to evaluate whether the method of apical repair is associated with different re-operation rates for POP recurrence or surgical complications. METHODS:Population-based, retrospective coho...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3792-2
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:St Mark's incontinence score (SMIS) and the Wexner score have been constructed and validated as interview-based scoring systems. We developed a single questionnaire from which a separate SMIS or Wexner score could be derived. This study aimed to demonstrate the level of agreement between sel...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03945-6
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION:Concerns about vaginal mesh have reduced the use of mid-urethral slings (MUS) in some countries. In view of their potential withdrawal in Belgium and The Netherlands, we polled urogynaecologists on their practice for treating stress urinary incontinence (SUI) and what their experience is with alternative p...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-019-04135-0
更新日期:2020-04-01 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:With the increasingly extensive application of epidural analgesia, its effect on pelvic floor function outcomes has received growing attention. The aim of the study is to determine the possible effect of epidural analgesia on pelvic floor muscle (PFM) endurance and strength and the prevalenc...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04176-5
更新日期:2020-03-01 00:00:00