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 anterior and posterior vaginal compartments in patients with pelvic organ prolapse (POP) and occult, stress, or urinary incontinence (SUI). The hypothesis is that both methods are successful. METHODS:A total of 81 patients with POP were evaluated: 44 had vaginal vault prolapse (POPQ points Ba, C, and Bp were 1.2, 2.6, and 0.4, respectively) and 37 had uterine prolapse (POPQ points Ba, C, and Bp were 1.8, 1.7, and 1.3, respectively). LMSCP (which means less dissection of the vagina in its upper third and avoiding possible collision with the ureters anteriorly or the rectum posteriorly) was performed in patients with vault prolapse, whereas patients with uterine prolapse underwent LSHP. Transobturator tape (TOT) was placed in all patients to treat symptomatic and occult urinary incontinence. Systematic anterior and posterior colporrhaphy was performed in both groups. RESULTS:Both groups showed anatomic (p < 0.0001) and symptomatic improvement (p < 0.001-p < 0.05). Voiding was significantly improved after surgery without postoperative incontinence (p < 0.001). There was no significant difference between groups regarding duration of surgery (p = 0.06), hospital stay (p = 0.13), blood loss (0.83), Clavien-Dindo grade 3 (p = 0.87), and Clavien-Dindo grade 1-2 (p = 0.92) complications. CONCLUSION:Minimally invasive LSCP or LSHP combined with TOT and native tissue repair of the anterior and posterior vaginal compartment is a successful treatment for POP.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Ignjatovic I,Potic M,Basic D,Dinic L,Skakic Adoi
10.1007/s00192-020-04519-7subject
Has Abstractpub_date
2020-09-08 00:00:00eissn
0937-3462issn
1433-3023pii
10.1007/s00192-020-04519-7pub_type
杂志文章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: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::Leiomyomas of the external genitalia are uncommon soft tissue tumors. We report the case of a 47-year-old woman with perineal leiomyomas mimicking Bartholin's gland mass according to the preoperative magnetic resonance imaging (MRI) findings. Leiomyomas in the vulvar region should be differentiated from complicated Ba...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-0998-3
更新日期:2010-04-01 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::Aggressive angiomyxoma is a rare soft tissue tumor of the pelvis. Notorious for its locally infiltrative behavior, this tumor is identified by pathological appearance. Grossly gelatinous, spindle cells widely separated by collagen fibrils with vascular components can be microscopically visualized. Wide local excision ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1867-z
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:Recurrent urethral diverticulum has been reported in 23% of cases after primary repair and can be difficult to manage. The aim of this video is to demonstrate a surgical technique of repairing a recurrent diverticulum in a woman who had two previous procedures, one with a Martius labial fat pad graft. MET...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04357-7
更新日期:2020-12-01 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:Cervicovaginal decubitus ulceration is a well-known complication of advanced pelvic organ prolapse (POP). There is no consensus for its management. This case series describes the outcome of using repeated vaginal packs soaked with oestrogen cream to reduce POP and promote decubitus ulcer healing. We aimed ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2930-3
更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Our aim was to validate the Brazilian Portuguese version of the International Federation of Gynecology and Obstetrics (FIGO) Assessment Scoring System (FASS) to identify and quantify signs and symptoms related to pelvic floor dysfunction. METHODS:One hundred and seventy-nine women aged 18-8...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3789-x
更新日期:2019-01-01 00:00:00
abstract::We present the case of a female aged 16 years, suffering from cyclical menouria for the last 3 years. Clinical examination revealed the absence of a vagina. Cystoscopy performed while the patient was having menouria revealed an orifice (10 × 8 mm) in the supratrigonal region; blood clots were entering the urinary blad...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1356-1
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study compared anatomical and clinical outcomes of traditional McCall culdoplasty versus a modified McCall technique with double ligament suspension (DLS). METHODS:This retrospective study presents outcomes of 68 patients who underwent vaginal hysterectomy and vaginal suspension for ap...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04403-4
更新日期:2020-10-01 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:Polypropylene is a base polymer used in biomaterial applications, including sutures and mesh products, for the treatment of pelvic organ prolapse, stress urinary incontinence, and hernia repairs. Previous studies have dismissed the value of formulation additives employed in polypropylene, an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3131-4
更新日期:2017-02-01 00:00:00
abstract::One of the rarely cited complications of the use of alloplastic materials in pelvic floor surgery is dyspareunia of the partner caused by prominence or vaginal exposure of the sling material. Even though this entity is real and an important problem, it is rarely reported in literature. We report six cases of partner d...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1498-9
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Double Incontinence (DI) is incontinence of urine and stool and is an extreme manifestation of pelvic floor dysfunction. The objective of this study was to estimate the prevalence and incidence of DI and the risk factors in elderly women in São Paulo, Brazil. METHODS:This was a prospective ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3365-9
更新日期:2018-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Stress urinary incontinence (SUI) is treated using intravaginal laser therapy. We wanted to find out how incontinence severity at baseline and the number of laser interventions affect success rate, and whether the effect of laser therapy was obvious 6 months and 2 years after the last laser ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04148-9
更新日期:2020-09-01 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:Obstetric fistula, caused by traumatic delivery and patient lack of access to obstetric care, is an important public health concern in developing countries, particularly in Sub-Saharan Africa. This research focuses on the experience of women living with obstetric fistula in Burkina Faso as w...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3235-x
更新日期:2017-07-01 00:00:00
abstract::Vaginal hysterectomy is the oldest and least invasive of the hysterectomy techniques and fulfills the evidence-based requirements as the preferred route of hysterectomy for benign gynecologic disease. Currently, vaginal hysterectomy is commonly utilized for treating uterine prolapse, but despite proven safety and effe...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2459-x
更新日期:2014-09-01 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:INTRODUCTION AND HYPOTHESIS:There is a difference of opinion in the literature as to whether pelvic organ prolapse (POP) is a direct cause of female sexual dysfunction (FSD). Sexual function in women is negatively impacted by the presence of urinary symptoms. Thus, sexual dysfunction (SD) might be improved, unchanged, ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3500-7
更新日期:2018-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Urinary tract infections (UTIs) are common with indwelling catheter use. Our primary aim was to compare UTI rates in women sent home after surgery with continuous bladder drainage versus a urinary catheter valve. METHODS:This was a non-inferiority prospective randomized controlled study bet...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04436-9
更新日期:2020-07-18 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Female sexual function disorders (FSFDs) have received less attention than male sexual function disorders, despite being more prevalent. Furthermore, most available literature is on the effect of vaginal delivery (VD) on sexual function, and studies on the effect of caesarean section (CS) ar...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04541-9
更新日期:2020-10-10 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:World Health Organisation (WHO) data suggest that more than two million women and girls live with fistula and that an additional 50-100,000 are newly affected each year. In Tanzania, it has been estimated that there are between 1,200 and 3,000 new cases of obstetric fistula annually. METHOD...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2185-9
更新日期:2014-02-01 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 was to review the impact of pelvic organ prolapse surgery on sexual function. METHODS:Every 4 years and as part of the Fifth International Collaboration on Incontinence we reviewed the English-language scientific literature after searching PubMed, Medline, Cochrane library and Cochr...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-013-2176-x
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum. METHODS:This comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who gave birth to live ...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s00192-018-3785-1
更新日期:2019-06-01 00:00:00
abstract::A 46-year-old white female underwent a left hemipelvectomy for chondrosarcoma. She presented with total incontinence and a bulging vaginal mass. Exam confirmed complete transurethral bladder eversion that was addressed with transvaginal multilayer bladder neck closure and suprapubic tube placement. Eventually she unde...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-0950-6
更新日期:2010-02-01 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