(Uterine Prolapse) articles in PubMed
- Vaginal prolapse with urinary bladder incarceration and consecutive irreducible rectal prolapse in a dog. [Journal Article]
- Acta Vet Scand 2016; 58(1):54AV
- CONCLUSIONS: In our opinion, extreme tenesmus arising from constipation may have predisposed to the vaginal prolapse with bladder incarceration and secondarily to rectal prolapse. In the young female dog, true vaginal prolapse with secondary involvement of the urinary bladder and irreducible rectal prolapse is an exceptionally rare condition.
- Minimally Invasive Sacrocolpopexy: How to Avoid Short- and Long-Term Complications. [Review]
- Curr Urol Rep 2016; 17(11):81CU
- Sacrocolpopexy remains the "gold standard" procedure for management of posthysterectomy vaginal vault prolapse with improved anatomic outcomes compared to native tissue vaginal repair. Despite absenc...
Sacrocolpopexy remains the "gold standard" procedure for management of posthysterectomy vaginal vault prolapse with improved anatomic outcomes compared to native tissue vaginal repair. Despite absence of clinical data, sacrocolpopexy is increasingly being offered to women as a primary treatment intervention for uterine prolapse. While reoperation rates remain low, recurrent prolapse and vaginal mesh exposure appear to increase over time. The potential morbidity associated with sacrocolpopexy is higher than for native tissue vaginal repair with complications including sacral hemorrhage, discitis, small bowel obstruction, port site herniation, and mesh erosion. Complications are more common during the learning curve of minimally invasive sacrocolpopexy. Appropriate case selection is paramount to balancing the potential for prolapse recurrence with the risk of surgical complications. Use of ultra-lightweight polypropylene mesh and vaginal mesh attachment with delayed absorbable suture may reduce the risks of vaginal mesh exposure.
- Clinical Profile of Uterine Prolapse Cases in South India. [Journal Article]
- J Obstet Gynaecol India 2016; 66(Suppl 1):428-34JO
- CONCLUSIONS: Public awareness on reduction in family size, support for institutional-based delivery by trained personnel, and adequate rest and exercises in early post natal period is required to minimize the occurrence of UP.
- Levator ani trauma and pelvic organ prolapse- a comparison of three translabial ultrasound scoring systems. [Journal Article]
- Acta Obstet Gynecol Scand 2016 Sep 13AO
- To analyze the relation between the degree of puborectalis muscle trauma and subjective symptoms and objective findings of pelvic organ prolapse (POP), comparing two continuous to a discrete scoring ...
To analyze the relation between the degree of puborectalis muscle trauma and subjective symptoms and objective findings of pelvic organ prolapse (POP), comparing two continuous to a discrete scoring system for translabial ultrasound imaging MATERIAL AND METHODS: In this retrospective observational study the records of patients attending a tertiary urogynaecological unit between January 2012 and December 2014 were analyzed. POP assessment included a standardized interview, clinical examination using Pelvic Organ Prolapse Quantification and 4D translabial ultrasound. Puborectalis muscle trauma was assessed with tomographic ultrasound imaging using two continuous scoring systems and a previously established discrete system. Receiver operating characteristics and adjusted odds ratios were used for comparison of scoring systems in predicting symptoms and signs of POP RESULTS: Of 1258 women analyzed, 52.6% complained of prolapse symptoms. On ultrasound imaging, 65.7% of women had sonographically significant POP. Complete avulsion was diagnosed in 25.3% of women, being unilateral in 13.9% and bilateral in 11.4%. A maximum score in the 6-point and the 12-point tomographic ultrasound imaging scale increased the odds for a diagnosis of any significant POP on ultrasound by 4.4 and 4.8 times respectively, compared to 4.6 times for the discrete diagnosis of bilateral avulsion. For all avulsion scoring systems the relationship was strongest for cystocele and uterine prolapse CONCLUSIONS: A continuous avulsion scoring system based on tomographic findings does not provide superior performance for the prediction of subjective symptoms and objective findings of prolapse compared to a discrete diagnostic system of uni-or bilateral avulsion. This article is protected by copyright. All rights reserved.
- Intraoperative Cervix Location and Apical Support Stiffness in WomenWith and Without Pelvic Organ Prolapse. [Journal Article]
- Am J Obstet Gynecol 2016 Sep 8AJ
- CONCLUSIONS: (s): Approximately 50% of women with cystocele and/or rectocele but normal apical support in the clinic had cervix locations outside the normal range under intraoperative traction, while 19% of women with uterine prolapse had normal apical support. Identifying women whose apical support falls outside a defined "normal range" may be a more accurate way to identify those who truly need a hysterectomy and/or an apical support procedure and to spare those who do not.
- Laparoscopic fixation of the vaginal cuff to the uterosacral ligaments at the time of hysterectomy. [Journal Article]
- Int Urogynecol J 2016 Sep 10IU
- CONCLUSIONS: Laparoscopic Shull's colpopexy for POP is a secure procedure with the advantages of laparoscopy (magnification and sharing the operative field). This may become one of the most useful operations for apical support as native tissue repair.
- Long-term follow-up and quality of life after robot assisted sacrohysteropexy. [Journal Article]
- Eur J Obstet Gynecol Reprod Biol 2016 Aug 31; 206:27-31EJ
- CONCLUSIONS: RALS has proven to be a safe and effective treatment for uterine preserving surgery in cases of pelvic organ prolapse. The long term anatomical outcomes and quality of life after RALS compare favorably with laparoscopic and open hysteropexy.
- Sexual functioning before and after vaginal hysterectomy to treat pelvic organ prolapse and the effects of vaginal cuff closure techniques: a prospective randomised study. [Journal Article]
- Eur J Obstet Gynecol Reprod Biol 2016 Aug 31; 206:1-5EJ
- CONCLUSIONS: Most women with uterine prolapse of stage 2 or higher who underwent VH with prolapse repair experienced improved sexual lives postoperatively, regardless of the cuff closure technique used. Although VH to treat POP improves anatomical and sexual concerns, surgery per se may have negative effects on sexual function if new-onset or worsening dyspareunia or incontinence develop.
- Two parallel, pragmatic, UK multicentre, randomised controlled trials comparing surgical options for upper compartment (vault or uterine) pelvic organ prolapse (the VUE Study): study protocol for a randomised controlled trial. [Journal Article]
- Trials 2016; 17(1):441T
- CONCLUSIONS: Demonstrating the efficacy of vault and uterine prolapse surgeries is relevant not only to patients and clinicians but also to health care providers, both in the UK and globally.
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- Distance From Cervicovaginal Junction to Anterior Peritoneal Reflection Measured During Vaginal Hysterectomy. [Journal Article]
- Obstet Gynecol 2016; 128(4):863-7OG
- CONCLUSIONS: When performing a vaginal hysterectomy, surgeons can expect a median (range) dissection distance of 3.4 (1.8-4.6) cm from initial incision to the peritoneal reflection for anterior colpotomy.