A multicentre study on the effect of moderate perineal protection technique: a new technique for perineal management in labour.

A multicentre study on the effect of moderate perineal protection technique: a new technique for perineal management in labour. J Obstet Gynaecol. 2019 Jun 18;:1-5 Authors: Ma DM, Hu W, Wang YH, Luo Q Abstract We conducted a large-sample study in six midwifery centres to estimate the effectiveness of Moderate Perineal Protection technique during spontaneous delivery. 31,249 women accepted the traditional technique were selected as control group, and 57,056 women accepted the Moderate Perineal Protection technique as the observation group. There was no significant difference in demographic characteristics between the two groups. The perineal episiotomy rate decreased (22.913% vs. 32.161%, p 
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research

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Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): L Zhu, Y ZhangStudy ObjectiveTo evaluate the long-term safety and effectiveness of inside–out transobturator tape (tension-free vaginal tape-obturator, TVT-O) for the treatment of stress urinary incontinence (SUI).DesignA prospective cohort study. The duration of follow-up was 12years.SettingCenter of obstetrics and gynecology in a tertiary-care hospital.Patients or ParticipantsBetween August 2004 and August 2006, 87 consecutive patients with SUI who underwent TVT-O were enrolled in...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): KW Fan, MK Shu, A Eddib, C TysonStudy ObjectiveTo compare perioperative outcomes of patients undergoing standard oncology staging versus combined oncology staging and urogynecologic procedures for pelvic floor dysfunction repair.DesignA retrospective cohort study of two gynecologic oncology patients groups who underwent robotic assisted surgical staging versus surgical staging with concomitant pelvic floor repair.SettingMany women diagnosed with a gynecologic malignancy may have comorbid ...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionSame-day discharge after vaginal hysterectomy with pelvic floor reconstruction appears to be safe and feasible. Patients who were discharged the same-day did not require a higher volume of emergency department or office evaluations.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionThis study did not find a difference between the use of saline, bupivacaine and estrogen cream with vaginal packing after pelvic floor reconstructive surgery on post-operative VAS pain scores, EBL, LOS or urinary retention. Saline soaked packing is an equivalent, but less expensive, alternative to estrogen or bupivacaine vaginal packing – and could replace estrogen-soaked packing in those who have contraindications to estrogen use.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Prescription of antidepressants is common among older adults, not just in the treatment of depression but also anxiety, panic disorder, neuropathic pain and urinary incontinence.1 Based on a Eurobarometer survey carried out in 27 European countries, 9.5% of adults aged 55 and over reported antidepressant use in the past year2 while Mars et al3 showed that antidepressant prescribing in the UK increased between 1995 and 2011, particularly in adults aged 46 and over. In older adults, antidepressant use has been associated with an increased likelihood of adverse outcomes such as cardiovascular events, hyponatremia, falls and f...
Source: The American Journal of Geriatric Psychiatry - Category: Geriatrics Authors: Tags: Regular Research Article Source Type: research
Medtronic and Axonics are getting ready to square off in sacral neuromodulation, a fast-growing market that was monopolized by Medtronic until a month ago. Last month, Axonics won FDA approval to market its implantable rechargeable sacral neuromodulation (r-SNM) device for the treatment of fecal incontinence, and the company is expected to get FDA approval for overactive bladder and urinary retention any time now. The fecal incontinence approval includes the claim of a 15-year functional life and the ability of patients to undergo full-body MRI scans without the necessity of having the device explanted. Medtron...
Source: MDDI - Category: Medical Devices Authors: Tags: Business Source Type: news
Abstract Since their popularization, genitourinary prosthetics have remained a gold-standard therapy for the treatment of erectile dysfunction and stress urinary incontinence and in cases of testicular loss or dysfunction. They have also represented an area of significant innovation, which has contributed to excellent long-term outcomes. Given this history, the objective of the current review was to provide a 5-10-year outlook on anticipated trends and developments in the field of genitourinary prosthetics. To accomplish this objective, a PubMed and patent search was performed of topics relating to penile and test...
Source: Asian Journal of Andrology - Category: Urology & Nephrology Authors: Tags: Asian J Androl Source Type: research
Conditions:   Anus Cancer;   Fecal Incontinence;   Anal Intraepithelial Neoplasia;   Post Operative Pain Intervention:   Procedure: high resolution anal manometry Sponsors:   Homerton University Hospital NHS Foundation Trust;   Barts & The London NHS Trust Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionsFiLaC® is particularly effective in cases of high trans-sphincteric fistulas (60% cure). This technique seems to be the most promising sphincter-saving technique available for this indication.
Source: Techniques in Coloproctology - Category: Surgery Source Type: research
[Incontinence-associated dermatitis: a position paper]. Hautarzt. 2019 Sep 19;: Authors: Kottner J, Kolbig N, Bültemann A, Dissemond J Abstract Incontinence-associated dermatitis (IAD) describes damage to the skin caused by repeated and prolonged contact with urine and/or feces. Patients of all ages can be affected; the diagnosis is preferably used in adults and adolescents. The predilection sites are perineal, perianal, the inner thighs and the convex areas of the buttocks. Increased moisture on the skin surface, increased pH, occlusion, feces digestive enzymes and repeated skin cleansing pr...
Source: Der Hautarzt: Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete - Category: Dermatology Tags: Hautarzt Source Type: research
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