Abstract:
INTRODUCTION AND HYPOTHESIS:The vaginal pessary is a conservative method for treating pelvic organ prolapse (POP). It is able to reduce symptoms with minimal complications, improving quality of life (QOL). This study's hypothesis was that the use of pessaries decreases quantitative measures and improves women's QOL. We aimed to evaluate the effects of the use of a ring pessary on the quantitative measurements of POP by the Pelvic Organ Prolapse Quantification (POP-Q) and on QOL. METHODS:Prospective cohort study divided in two stages. In stage I POP-Q and QOL were assessed prior to the use of the ring pessary and in stage II after its use for at least 4 months with pessary removal 72 h before clinical evaluation. Wilcoxon tests were performed for necessary comparisons and Spearman's tests for calculating correlations. RESULTS:One hundred thirty-six women were evaluated, of which 50 were included. There was a decrease in POP in at least one of the vaginal compartments in the women included. When assessing individual measures (Ba, Bp and C), reductions in all measures were observed. There was also an improvement in the general and specific quality of life of women. CONCLUSION:The ring pessary proved to be a good therapeutic option, with a reduction in POP-Q measurements and/or absence of POP progression in the short term and an improvement in women's QOL.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Mendes LC,Bezerra LRPS,Bilhar APM,Neto JAV,Vasconcelos CTM,Saboia DM,Karbage SALdoi
10.1007/s00192-020-04540-wsubject
Has Abstractpub_date
2020-10-13 00:00:00eissn
0937-3462issn
1433-3023pii
10.1007/s00192-020-04540-wpub_type
杂志文章abstract::Pelvic reconstructive surgeons have suspected for over a century that childbirth-related trauma plays a major role in the aetiology of female pelvic organ prolapse. Modern imaging has recently allowed us to define and reliably diagnose some of this trauma. As a result, imaging is becoming increasingly important, since...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1459-3
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Older studies suggesting an association between detrusor overactivity and bacteriuria used an outdated microbiological threshold. We hypothesised that bacteriuria ≥10(3) CFU/ml would be more prevalent in women with urinary incontinence than continent controls. METHODS:A prospective, cross-s...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1506-0
更新日期:2011-10-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-011-1511-3
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The purpose of this study is to determine the effect of silver coating of polypropylene implants on infection in hernia surgery. METHODS:Silver-coated and non-silver-coated large pore monofilament polypropylene mesh implants were compared with and without infection (four groups). The implan...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1330-y
更新日期:2011-03-01 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
doi:10.1007/s00192-020-04519-7
更新日期:2020-09-08 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Support of the vaginal apex is paramount for a durable repair of pelvic organ prolapse (POP). Our aim is to assess national utilization of apical suspension procedures for the surgical treatment of complete POP. We hypothesize that there might be a high rate of apical suspension with advance...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04342-0
更新日期:2020-06-08 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04563-3
更新日期:2020-10-21 00:00:00
abstract:INTRODUCTION:Lower urinary tract symptoms (LUTS) in subjects with Mayer-Rokitansky-Küster-Hauser syndrome treated by Davydov's laparoscopic neo-vaginoplasty were measured. METHODS:Davydov's laparoscopic neo-vaginoplasty was undertaken at the Department of Obstetrics/gynecology, San Raffaele Hospital, Milan, Italy, fro...
journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2020-12-01 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:2018-11-01 00:00:00
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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
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
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1541-x
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Understanding demographic and opioid utilization patterns of preoperative opioid users compared with opioid-naïve patients undergoing surgical treatment for pelvic organ prolapse (POP) better informs opioid prescribing. METHODS:A cohort of preoperative opioid users undergoing surgery for PO...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04215-1
更新日期:2020-09-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1770-7
更新日期:2012-11-01 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: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: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: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: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: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...
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pub_type: 杂志文章
doi:10.1007/s00192-014-2382-1
更新日期:2014-11-01 00:00:00
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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::Hydatid cyst is a parasitic infectious disease caused by Echinococcus granulosus. Although the most common site for this parasite is liver, it can be seen in almost all organs. Extrahepatic localization is reported in 14-19% of all cases of abdominal hydatid disease. We report the case of a large echinococcal cyst loc...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1201-6
更新日期:2010-12-01 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:The literature presents controversial results regarding the role of delivery mode in pelvic floor muscle (PFM) function after birth. Some studies showed a greater impairment of PFM function after vaginal delivery compared with cesarean section, while others have not identified a significant ...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-020-04231-6
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To evaluate the efficacy and safety of the intravesical injection of Chinese botulinum toxin A (BTX-A) in patients with interstitial cystitis/bladder pain syndrome (IC/BPS). METHODS:Between January 2003 and June 2013, 124 women with IC/BPS were studied. Of these 124 patients, 66 were treate...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2631-y
更新日期:2015-07-01 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:The objective was to compare the effect of antibiotics versus no antibiotics prophylaxis per-operatively on the frequency of urinary tract infection (UTI) following mid-urethral sling application to treat stress or mixed urinary incontinence. METHODS:This study was designed as a multicenter...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04156-9
更新日期:2020-08-01 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: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:To estimate the risk of repeat surgery for recurrent prolapse or mesh removal after vaginal mesh versus native tissue repair for anterior vaginal wall prolapse. METHODS:We utilized longitudinal, adjudicated, healthcare claims from 2005 to 2010 to identify women ≥18 years who underwent an an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2043-9
更新日期:2013-08-01 00:00:00