Colpocleisis for Advanced Pelvic Organ Prolapse

AbstractPurpose of ReviewThe purpose of this review is to consolidate and present the most recent literature on colpocleisis in the treatment of pelvic organ prolapse.Recent FindingsSince its origin in the 1800s, the techniques for colpocleisis have remain largely unchanged. We will review the peri-operative considerations for a patient undergoing an obliterative procedure, specifically focusing on the potential concern for uterine pathology. There are no universally accepted guidelines for endometrial evaluation in the asymptomatic post-menopausal patient, yet the majority of providers prefer to perform some type of pre-operative endometrial evaluation. Colpocleisis can be performed with hysterectomy as a part of the procedure, as a uterine-sparing procedure, or in a patient who has already had a hysterectomy. Performing a hysterectomy at the time of colpocleisis is associated with longer operating times and higher estimated blood loss, but removal of the uterus negates the concern for future uterine pathology. Anti-incontinence procedures are commonly performed concomitantly. Complications following colpocleisis are not common. As the life expectancy in the USA and medical comorbidities increase, future studies are needed to evaluate long-term outcomes.SummaryColpocleisis is a minimally invasive and safe procedure which demonstrates consistently high rates of patient satisfaction. Female pelvic reconstructive surgeons should be comfortable with offering obliterative procedu...
Source: Current Bladder Dysfunction Reports - Category: Urology & Nephrology Source Type: research

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ABSTRACT BACKGROUND: Biofeedback is an effective method of treatment for fecal incontinence but there is controversy regarding factors that may be correlated with its effectiveness. OBJECTIVE: To evaluate the efficacy of biofeedback in the treatment of fecal incontinence, identifying the predictive factors for unsuccessful treatment. METHODS: Consecutive female patients who had fecal incontinence and were treated with a full course of biofeedback were screened. The symptoms were evaluated using Cleveland Clinic incontinence (CCF) score before and six months after the completion of therapy. Patients had a satisfactory clini...
Source: Arquivos de Gastroenterologia - Category: Gastroenterology Source Type: research
Kate V. Meriwether1*, Zhenmin Lei1, Rajbir Singh2, Jeremy Gaskins3, Deslyn T. G. Hobson1 and Venkatakrishna Jala2 1Department of Obstetrics and Gynecology, University of Louisville, Louisville, KY, United States 2Department of Microbiology and Immunology, James Graham Brown Cancer Center, University of Louisville, Louisville, KY, United States 3Department of Bioinformatics and Biostatistics, University of Louisville, Louisville, KY, United States Interstitial cystitis/bladder pain syndrome (ICBPS) may be related to an altered genitourinary microbiome. Our aim was to compare the vaginal and urinary microbiomes b...
Source: Frontiers in cellular and infection microbiology - Category: Microbiology Source Type: research
Conclusions Increased urinary O-desmethylangolensin level was associated with lower odds of FI. Future research may be warranted to further investigate the potential of specific phytoestrogens as mediators of FI, as well as the role of phytoestrogens on POP symptoms.
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research
Conclusion(s)ADAMTS-2, collagen type-1, TIMP-3 and papilin levels of the USL play essential roles in the etiopathogenesis of POP among postmenopausal women without SUI. Moreover, significantly decreased USL papilin levels in females with POP suggest the importance of the USL and the impact of papilin on the development of POP.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Hologic (NSDQ:HOLX), known in the medtech industry for its mammography and diagnostics devices, is rethinking what it means to be a women’s healthcare company. The 6,000-person company wants to expand its reach to include products that car...
Source: Medgadget - Category: Medical Devices Authors: Tags: Sponsored Content Source Type: blogs
AbstractIntroduction and hypothesisAlthough medical comorbidities are widely recognized to be associated with erectile dysfunction, less research has been done on their association with female sexual dysfunction (FSD). The purpose of this study was to assess whether FSD is associated with comorbidities; we hypothesized that there is an association.MethodsThis is a secondary analysis of the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a prospective stratified probability sample of individuals aged 16 –74. We assessed for association between sexual function scores and heart attack, heart disease...
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
Hologic (NSDQ:HOLX), known in the medtech industry for its mammography and diagnostics devices, is rethinking what it means to be a women’s healthcare company. The 6,000-person company wants to expand its reach to include products that care for women’s well-being, as well as their health – a concept that Dr. Edward Evantash honed when he led the Ob/Gyn division at Tufts Medical Center. “The beauty of being an Ob/Gyn is that you really take care of women throughout the continuum of their lifecycle,” Evantash, Hologic’s medical director &VP of global medical affairs, told MassDevi...
Source: Mass Device - Category: Medical Devices Authors: Tags: Business/Financial News Food & Drug Administration (FDA) Women's Health Cynosure Inc. Hologic Source Type: news
The post Rectocele prolapse after overdoing it post hysterectomy – Vivian’s story appeared first on Hysterectomy Association. My story is this which I hope will help others, as I feel I could and should have been given more information regarding exercises for pelvic floor muscles. I have since suffered another prolapse after my hysterectomy, this time a rectocele prolapse at the beginning of April 2017, I suppose because I have overdone things, but had I been given more information, perhaps this could have been prevented. I first suffered a prolapsed uterus in September 2016 and had a LAVH on 19th Dec...
Source: The Hysterectomy Association - Category: OBGYN Authors: Tags: Your Stories pelvic floor exercises prolapse rectocele Source Type: news
ConclusionThe results of the present study indicate that a low E2 level might have a negative impact on the lower urinary tract and continence mechanism and a low E2 level is a possible risk factor for SUI in women.
Source: BJU International - Category: Urology & Nephrology Authors: Tags: Original Article Source Type: research
CONCLUSION Interventions and guidance on preventing UI and strengthening pelvic muscles should be directed at women who present weight changes, who are sedentary menopausal women, and those who have undergone hysterectomy or other gynecological surgery. Studies on pelvic strengthening methods are needed in order to take into account the profile of the needs presented by women.Resumen OBJETIVO Analizar los factores asociados con la Incontinencia Urinaria (IU) entre mujeres sometidas al estudio urodin ámico MÉTODO Estudio transversal llevado a cabo con 150 mujeres atendidas en un centro urológico. Los da...
Source: Revista da Escola de Enfermagem da USP - Category: Nursing Source Type: research
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