Abstract:
INTRODUCTION AND HYPOTHESIS:The concurrence of vaginal cancer with irreducible uterine prolapse is rare. Reports about the management of vaginal cancer and concomitant irreducible prolapse are scanty in the literature, and there is no consensus on optimal treatment. In this video case report, we show surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse. METHODS:The featured video shows surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse through anterior colpectomy and retrograde hysterectomy en bloc plus transvaginal levator ani plication as a non-obliterative native-tissue technique for apical support. RESULTS:Final examination revealed good apical support and vaginal "habitability" preservation. The patient underwent five sessions of intracavity brachytherapy for a total of 20 Gy as adjuvant therapy. CONCLUSION:Surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse was successfully achieved without complications. Transvaginal levator ani plication can provide a versatile non-obliterative native-tissue technique for apical support, allowing subsequent adjuvant brachytherapy.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Cola A,Milani R,Buda A,Manodoro S,Barba M,Frigerio Mdoi
10.1007/s00192-020-04263-ysubject
Has Abstractpub_date
2020-08-01 00:00:00pages
1703-1705issue
8eissn
0937-3462issn
1433-3023pii
10.1007/s00192-020-04263-yjournal_volume
31pub_type
杂志文章abstract::Combining anti-incontinence and pelvic organ prolapse surgery for patients with occult urinary stress incontinence is controversial. The concern is that some of these patients may remain continent after vaginal prolapse repair making the addition of anti-incontinence surgery unnecessary. However, this can be explained...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1563-4
更新日期:2012-07-01 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: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:A process of added qualification of transvaginal mesh (TVM) placement is desirable. METHODS:Through a physician-led partnership of specialty societies, centers of excellence, and industry, a core curriculum encompassing mesh/graft biology, technical skills, and safety can be coupled with cu...
journal_title:International urogynecology journal
pub_type: 共识发展会议,杂志文章
doi:10.1007/s00192-012-1679-1
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We sought to examine the change in utilization of the midurethral sling (MUS) for the treatment of stress urinary incontinence (SUI) after the 2011 US FDA communication regarding transvaginal mesh. METHODS:This is a retrospective cohort study evaluating surgical utilization of MUS at a mana...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04597-7
更新日期:2020-11-18 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to determine the predictive value of urodynamics to reproduce clinical findings of urinary frequency (UF), urge urinary incontinence (UUI), and/or stress urinary incontinence (SUI). METHODS:We retrospectively reviewed the data of patients diagnosed with UF, UUI, an...
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
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: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 aim of the study was to compare the efficacy and safety of transvaginal trocar-guided polypropylene mesh insertion with traditional colporrhaphy for treatment of anterior vaginal wall prolapse. METHODS:This is a randomized controlled trial in which women with advanced anterior vaginal w...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-013-2092-0
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim was to determine factors associated with performing concurrent apical support procedures in hysterectomies carried out for uterovaginal prolapse. METHODS:Hysterectomies performed for uterovaginal prolapse from 2000 to 2010 were identified by ICD-9 codes. Uterovaginal prolapse was a ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2474-y
更新日期:2015-02-01 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:A variety of pharmacological and non-pharmacological interventions have been investigated, with the goal of relieving pain after post-episiotomy repair. We aimed to compare the efficacy of tramadol versus celecoxib orally in reducing pain after mediolateral episiotomy repair in obese primigr...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04411-4
更新日期:2020-07-20 00:00:00
abstract::An estimated 20-30% of adult women who experience an initial urinary tract infection (UTI) will have recurrent infection. In these patients, prophylaxis may be considered to improve their quality of life and control overuse of antibiotics. Despite this need, there is currently no Latin American consensus on the treatm...
journal_title:International urogynecology journal
pub_type: 共识发展会议,杂志文章,评审
doi:10.1007/s00192-019-04079-5
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Minimally invasive sacral colpopexy has increased over the past decade, with many senior physicians adopting this new skill set. However, skill acquisition at an academic institution in the presence of postgraduate learners is not well described. This manuscript outlines the introduction of ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2085-z
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:No measurements are available for diagnosing the extent of obstetric lacerations. The primary aim of this study was to evaluate the relation between the anovaginal distance (AVD) measured with transperineal ultrasound immediately after delivery and external anal sphincter injury. A secondary...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3838-5
更新日期:2019-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We report 2-year data on the effectiveness and safety of the MiniArc single-incision sling in women with stress urinary incontinence. METHODS:This multi-center, prospective, single-arm, industry-sponsored study measured the effectiveness of the MiniArc sling via quantitative (cough stress t...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1007/s00192-012-1734-y
更新日期:2012-09-01 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:The Patient Global Impression of Improvement (PGI-I) and International Consultation of Incontinence Questionnaire - Short Form (ICIQ-SF) are validated instruments for the assessment of patient reported outcome measures (PROM) following treatment of stress urinary incontinence (SUI). However,...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3070-0
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:Vacuum-assisted vaginal delivery (VAVD) is considered a major risk factor for obstetric anal sphincter injuries (OASIS). However, it is difficult to estimate its true contribution to the occurrence of OASIS, as its performance may be confounded by other determinants. Therefore, we aimed to evaluate the ass...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04534-8
更新日期:2020-09-30 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to evaluate the long-term effect of thermoablative fractional CO2 laser (TACO2L) as an alternative treatment for early stages of stress urinary incontinence (SUI) in postmenopausal women with genitourinary syndrome of menopause. METHODS:A total of 161 postmenopausa...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3352-1
更新日期:2018-02-01 00:00:00
abstract::In this article, we provide a concise review of the literature on nocturia and its interference with sleep and, consequently, on quality of life. There are few studies addressing the possible influences of nocturia on sleep disruption. Nocturia is a potential contributor to sleep disorders because affected individuals...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1525-x
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Circumferential vesicourethrovaginal fistula is a severe form of obstetric injury that is challenging to repair and carries a poor prognosis related to eventual continence. Here, we report the successful repair of a circumferential vesicovaginal fistula associated with near total loss of the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04398-y
更新日期:2020-06-23 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::Obstetric fistula is the presence of a hole between a woman's genital tract and either the urinary or the intestinal tract. Better knowledge of the risk factors for obstetric fistula could help in preventing its occurrence. The purpose of this study was to assess the characteristics of obstetric fistula patients. We c...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1622-x
更新日期:2012-04-01 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:OBJECTIVE:Our aim was to identify drivers of and barriers to help-seeking behaviour of older women with pelvic floor dysfunction (PFD) living independently in Australia . METHODS:Women aged ≥55 years were recruited to this cross-sectional study during July and August 2016. Bladder, bowel, pelvic organ prolapse (POP) a...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3618-2
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To study the prevalence and risk factors of overactive bladder (OAB) symptoms and its relationship with symptoms of pelvic organ prolapse (POP). METHODS:This is a cross-sectional study including women aged between 45 and 85 years, registered in eight general practices. All women were asked ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1323-x
更新日期:2011-05-01 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:Urinary dipsticks and culture analyses of a mid-stream urine specimen (MSU) at 105 cfu ml-1 of a known urinary pathogen are considered the gold standard investigations for diagnosing urinary tract infection (UTI). However, the reliability of these tests has been much criticised and they may ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3472-7
更新日期:2018-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to evaluate urinary symptoms and urodynamic diagnoses in women following repair of obstetric fistula of the lower urinary tract. METHODS:Women with previous genital tract fistula and ongoing urinary symptoms were evaluated at the Addis Ababa Fistula Hospital. The w...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1948-z
更新日期:2013-06-01 00:00:00