Evaluation of single-incision apical vaginal suspension for treatment of pelvic organ prolapse
Publication date: Available online 14 February 2020Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Kun-Ling Lin, Feng-Hsiang Tang, Shih-Hsiang Chou, Zi-Xi Loo, Yi-Yin Liu, Yung-Shun Juan, Cheng-Yu LongAbstractObjectiveTo present a comprehensive evaluation of anterior/apical and/or posterior prolapse repair systems with a focus on safety and surgical efficacy.MethodsTwo hundred and twenty women with pelvic organ prolapse (POP) stage II–IV were referred for single-incision transvaginal mesh procedures in a single institution. Pre- and postoperative assessments included pelvic examination, urodynamic studies, and personal interviews about patients’ quality of life and urinary symptoms.ResultsThe anatomical success rate was 92.3% (203/220), regardless of primary or de-novo POP, at 12–38 month follow-up. The POP quantification parameters, except total vaginal length, improved significantly after surgery (p
AbstractPurpose of ReviewTo describe the epidemiology, pathogenesis, and management of vesicourethral anastomotic stenosis after prostate cancer treatment.Recent FindingsInjectable scar modulating agents administered at the time of direct visual internal urethrotomy of vesicourethral anastomotic stenoses have been shown to improve endoscopic treatment outcomes. Trials are ongoing to find the optimal agent and delivery system. Novel tissue engineering techniques are in development and hold promise.SummaryVesicourethral anastomotic stenosis after the treatment of prostate cancer is a challenging complication for patients and...
CONCLUSIONS: RUF following prostate cancer treatment is a serious complication with severe repercussion on patients' quality of life. Surgical repair with the York Mason technique or Gracilis Flap interposition is associated with good success rates. If available pediculed gracilis muscle should be used as it offers better success rates. LEVEL OF EVIDENCE: 3. PMID: 30213561 [PubMed - as supplied by publisher]
Conclusion Vaginal resection with ureteral stenting represents a safe surgical approach for resection of a symptomatic, benign bladder mass.
Conclusion: With total excision of lipoma and division of filum terminale satisfactory outcome for asymptomatic patients of LMM can be achieved. Authors recommend early surgery for LMM even in asymptomatic patients. Patients with residual lipoma and undivided filum terminale should be observed closely for the development of progressive neurological changes.
Conclusions: Repair of proximal UVF and correction of SUI can be performed in the same session to avoid the operation in an ischemic field.
Conclusions: Urethral perforation represents a significant complication after MUS placement. Many patients continue to have incontinence despite the use of physical therapy/salvage sling placement. Furthermore, subjective outcomes and quality of life do not seem to improve over time. Because of the rarity of urethral perforation, our small series is notable given the absence of reported data that include prospective, long-term follow-up with validated questionnaire evaluation.
Conclusions Patients should be counselled about the risk of developing PVD after POP and/or SUI surgery and should be informed about postoperative bladder drainage options related to their surgery.
Conclusion: The bell-shaped mesh is a simple, effective and safe procedure in the surgical management of cystocele with excellent long-term outcome.
Nature Reviews Urology 12, 302 (2015). doi:10.1038/nrurol.2015.102 Author: Louise Stone Data showing that extended bladder catheterization is not necessary after simple female genital fistula repair have been published in The Lancet.Traditionally, a 14 day duration of catheterization has been used in practice; however, early catheter removal would accelerate patients' discharge from hospital enabling
Publication date: Available online 21 April 2015 Source:The Lancet Author(s): Mark A Barone , Mariana Widmer , Steven Arrowsmith , Joseph Ruminjo , Armando Seuc , Evelyn Landry , Thierno Hamidou Barry , Dantani Danladi , Lucien Djangnikpo , Tagie Gbawuru-Mansaray , Issoufa Harou , Alyona Lewis , Mulu Muleta , Dolorès Nembunzu , Robert Olupot , Ileogben Sunday-Adeoye , Weston Khisa Wakasiaka , Sihem Landoulsi , Alexandre Delamou , Lilian Were , Vera Frajzyngier , Karen Beattie , A Metin Gülmezoglu Background Duration of bladder catheterisation after female genital fistula repair varies widely. We aimed to esta...