Abstract:
INTRODUCTION AND HYPOTHESIS:This time-series analysis was carried out to determine if the use of the EPISCISSORS-60®, episiotomy scissors specifically designed to achieve a cutting angle of 60°, would continue to sustain obstetric anal sphincter injuries (OASIS) reductions at our hospital 2 years after its introduction. METHODS:We compared data from 2,342 women delivered in 2014 (prior to the introduction of EPISCISSORS-60®) with that of 4,498 women delivered from 2016 to 2017 (after the introduction of EPISCISSORS-60®). RESULTS:There was a reduction of OASIS in all nulliparous vaginal deliveries (NVD; 7.2% vs 5.1% p = 0.05), and a 50% reduction of OASIS (7.5% vs 3.7%) in operative vaginal deliveries (OVD) (p = 0.02). There was a statistically significant association between episiotomies performed with EPISCISSORS-60® and a reduction in OASIS (SVD: 6.9% vs 1.5% p = 0.006; OVD:28.6% vs 2.6% p < 0.0001). Additionally, there was an increase in the use of episiotomies in all nulliparous vaginal deliveries (29% vs 33.7%; p = 0.01). We also found a 78% reduction of OASIS with episiotomies compared with no episiotomies in the 2016-2017 group (6.9% vs 1.5% p = 0.006). CONCLUSIONS:Our results suggest that there might have been a sustained reduction in OASIS rates associated with using EPISCISSORS-60®.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Koh LM,van Roon Y,Pradhan A,Pathak Sdoi
10.1007/s00192-019-04201-7subject
Has Abstractpub_date
2020-09-01 00:00:00pages
1729-1734issue
9eissn
0937-3462issn
1433-3023pii
10.1007/s00192-019-04201-7journal_volume
31pub_type
杂志文章,评审abstract:INTRODUCTION AND HYPOTHESIS:The objective of this study was to investigate complications, urinary incontinence symptoms, and overall satisfaction in patients undergoing the tension-free vaginal tape-SECUR (TVT-S) for stress urinary incontinence (SUI). METHODS:We reviewed consecutive patients treated with TVT-S between...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1114-4
更新日期:2010-07-01 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:Avulsion of the puborectalis muscle from its bony insertion is common in women presenting with prolapse. We present a simple vaginal technique for levator reconstruction. METHODS:This is a prospective surgical pilot study comprising 17 patients enrolled to undergo levator repair in the cont...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1984-8
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04084-8
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abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to assess the interobserver and intraobserver reliability of translabial 3D ultrasound imaging of the urethral sphincter in non-pregnant nulliparous asymptomatic women. METHODS:A study using a 3D translabial ultrasound on thirty-seven women was performed. Urethral s...
journal_title:International urogynecology journal
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doi:10.1007/s00192-012-1669-3
更新日期:2012-08-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3219-x
更新日期:2017-07-01 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
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更新日期:2016-08-01 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
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2018-05-01 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: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
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更新日期:2020-11-16 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03920-1
更新日期:2019-12-01 00:00:00
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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:Currently, there is no global outcome assessment index in prolapse research. Patient Global Impression of Improvement (PGI-I) has only been validated in incontinence. Our aim was to validate its use following prolapse surgery. METHODS:Women with prolapse were recruited from waiting lists an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1069-5
更新日期:2010-05-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
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更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:There seems to be a temporal association between increasing use of "hands off" the perineum in labour and reduced use of episiotomy with an increasing rate of anal sphincter injuries. We aimed to determine how common the practice of "hands off" the perineum is. METHODS:An observational post...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1454-8
更新日期:2011-10-01 00:00:00
abstract::Laparoscopic ventral mesh rectopexy (VMR) has become a popular surgical technique for treating women with full-thickness rectal prolapse with a low recurrence rate, as demonstrated by several studies. In addition, it is increasingly applied to female patients with obstructive defecation syndrome (ODS) caused by intuss...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3378-4
更新日期:2017-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s00192-020-04362-w
更新日期:2020-06-06 00:00:00
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pub_type: 杂志文章
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更新日期:2011-03-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2018-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-02-01 00:00:00
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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 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
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更新日期:2020-09-08 00:00:00
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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: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
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更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The posterior approach to sacrospinous hysteropexy has been well studied but little is known about the anterior approach. This study assessed the efficacy and complications of an anterior approach to sacrospinous hysteropexy compared to hysterectomy with apical repair. We hypothesized that a...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04641-6
更新日期:2021-01-13 00:00:00
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journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
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更新日期:2015-07-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1180-7
更新日期:2010-10-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1530-0
更新日期:2012-02-01 00:00:00