General Surgery Resident Experience with Anorectal Surgery
ConclusionsGeneral surgery residents have gained more experience in some anorectal procedures over time. The required number of procedures to establish competence is not well defined and should be formally evaluated.Graphical abstract
Publication date: 2019Source: European Urology Supplements, Volume 18, Issue 5Author(s): F. Salameh, O.E. O’Sullivan, B.A. O’Reilly
CONCLUSION: Preoperative SUI resolved in nearly a third of women after prolapse surgery without a concomitant incontinence procedure. In a population typically offered a concomitant MUS procedure at the time of prolapse repair, a staged approach may result in nearly two-thirds fewer patients undergoing MUS procedures. This information may be helpful during preoperative shared decision making. PMID: 31503149 [PubMed - as supplied by publisher]
Conclusions Using a large national surgical database, only 2.4% of women undergoing gynecologic cancer surgery had a concomitant POPUI procedure. Our data suggest that postoperative complications may not increase when concomitant surgery for POPUI is done at the time of gynecologic cancer surgery.
MULTIPLE DOSES OF STEM CELLS MAINTAIN URETHRAL FUNCTION IN A MODEL OF NEUROMUSCULAR INJURY RESULTING IN STRESS URINARY INCONTINENCE. Am J Physiol Renal Physiol. 2019 Aug 14;: Authors: Janssen K, Lin DL, Hanzlicek B, Deng K, Balog BM, van der Vaart CH, Damaser MS Abstract Stress urinary incontinence (SUI) is more prevalent among women who deliver vaginally than women who have had a caesarean section, suggesting that tissue repair after vaginal delivery is insufficient. A single dose of mesenchymal stem cells (MSCs) has been shown to partially restore urethral function in a model of SUI. The aim of this...
AbstractIntroduction and hypothesisOur aim was to investigate the efficacy of the EndoFast Reliant ™ system, which is a novel trocarless mesh technology for the treatment of pelvic organ prolapse (POP).MethodsThis was a retrospective cohort study including 31 female patients with POP who underwent vaginal repair. Total follow-up duration was 24 months. All patients were evaluated with a clinical history, POP-Q measures, pelvic ultrasound, body mass index (BMI), questionnaires on symptoms, and quality of life scoring system.ResultsThe mean age was 53 ± 9.7 years, and the mean BMI was 2...
ConclusionsTransvaginal mesh was not superior to native tissue repair. Anterior colporrhaphy and TOT may be an appropriate alternative to four-armed TOM application for concomitant correction of SUI and cystocele.
ConclusionIn our experience, global sexual function doesn’t seem to be affected by TVMR when performed by expert surgeons. Despite being a confounding factor, lost at follow up rate was low, thus affecting only in a mild way surgical outcomes. Also ageing might be a confounding factor during follow up to establish real mesh impact on sexual function. Dyspareunia was a rare complication in patients during follow-up and pain was not a major complaint.
AbstractPurpose of ReviewRectourethral fistula (RUF) is an infrequent yet distressing pathology that can lead to significant complications for patients. Its management has been debated over the years and physicians have yet to reach a consensus on RUF treatment. In this review, we outline the status of the current literature on RUF from the initial diagnosis to the outcomes, complications, and surgical techniques available for RUF repair.Recent FindingsHigher rates of success are achieved on the first surgical attempt. Therefore, when deciding which surgical procedure to use, it is of vital importance to consider both pati...
Conclusions: Successful repair of VVF results in medium- to long-term significant improvement in urinary symptoms and distress, general well-being, and quality of life with no long-term adverse effects on bowel function regardless of route of repair. Sexual function is restored in 67.6%.
CONCLUSION: Genitourinary injury occurs in 1.8% of hysterectomies for benign indications; immediate identification and repair is associated with a reduced risk of subsequent genitourinary fistula formation. PMID: 31306326 [PubMed - as supplied by publisher]