- Incarceration of the Gravid Uterus. [Journal Article]
- OGObstet Gynecol Surv 2016; 71(10):613-619
- CONCLUSIONS: Incarceration of the gravid uterus is a rare but serious complication of pregnancy. The diagnosis is clinical and confirmed with imaging, with magnetic resonance imaging being superior to delineate the distorted maternal anatomy. Reduction of the incarcerated uterus should be attempted to restore polarity and avoid unnecessary cesarean delivery.
- Microarray gene expression analysis of uterosacral ligaments in uterine prolapse. [Journal Article]
- CBClin Biochem 2016; 49(16-17):1238-1242
- CONCLUSIONS: This study provides evidence for a significant down-regulation of the genes that take role in cell cycle, proliferation and embryonic development along with cell adhesion process on the development of POP for the first time.
- Intraoperative cervix location and apical support stiffness in women with and without pelvic organ prolapse. [Journal Article]
- AJAm J Obstet Gynecol 2016 Sep 8
- CONCLUSIONS: 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.
- Vaginal and laparoscopic mesh hysteropexy for uterovaginal prolapse: a parallel cohort study. [Journal Article]
- AJAm J Obstet Gynecol 2016 Sep 3
- CONCLUSIONS: Laparoscopic sacral hysteropexy and vaginal mesh hysteropexy had similar 1-year cure rates and high satisfaction.
- In the footsteps of Bonney and Nichols: hysterectomy during surgical repair of pelvic organ prolapse. [Journal Article]
- IUInt Urogynecol J 2016 Oct 4
- Based on the available urogynecological literature, the role of hysterectomy in the surgical strategy of pelvic organ prolapse (POP) repair remains controversial. Currently, there are no data to favo...
Based on the available urogynecological literature, the role of hysterectomy in the surgical strategy of pelvic organ prolapse (POP) repair remains controversial. Currently, there are no data to favor either the removal or preservation of the uterus in women with POP. The findings that hysterectomy may contribute to a higher success rate and to the development of urinary incontinence and/or female sexual dysfunction are not supported by evidence. It is not clear why both hysteropexy was sometimes performed in the presence of overt uterine prolapse and/or concomitant vaginal hysterectomy was often included in vaginal prolapse repair in the absence of uterine prolapse. In our opinion, it makes both anatomical and clinical sense to remove the uterus only (and always) when the uterus is one of the pelvic organs directly involved in the prolapse, but to preserve and suspend the uterus otherwise.
- The effect of vertical versus horizontal vaginal cuff closure on vaginal length after laparoscopic hysterectomy. [Journal Article]
- JMJ Minim Invasive Gynecol 2016 Oct 1
- CONCLUSIONS: Horizontal and vertical laparoscopic closure of the vaginal cuff after laparoscopic hysterectomy result in similar changes in vaginal length and other POP-Q scores.
- Surgery for women with apical vaginal prolapse. [Review]
- CDCochrane Database Syst Rev 2016 Oct 01; 10:CD012376
- CONCLUSIONS: Sacral colpopexy is associated with lower risk of awareness of prolapse, recurrent prolapse on examination, repeat surgery for prolapse, postoperative SUI and dyspareunia than a variety of vaginal interventions.The limited evidence does not support use of transvaginal mesh compared to native tissue repair for apical vaginal prolapse. Most of the evaluated transvaginal meshes are no longer available and new lighter meshes currently lack evidence of safetyThe evidence was inconclusive when comparing access routes for sacral colpopexy.No clear conclusion can be reached from the available data comparing uterine preserving surgery versus vaginal hysterectomy for uterine prolapse.
- Evaluation of Vaginal Vault Position With Dynamic MRI in Women Who Had Laparoscopic Sacrocolpopexy for Uterine Prolapse. [Journal Article]
- JMJ Minim Invasive Gynecol 2015 Nov-Dec; 22(6S):S249-S250
- Introduction of a Novel Laparoscopic Sacro-Hystero-Pexy for Uterine Prolapse. [Journal Article]
- JMJ Minim Invasive Gynecol 2015 Nov-Dec; 22(6S):S149
New Search Next
- Vaginal prolapse with urinary bladder incarceration and consecutive irreducible rectal prolapse in a dog. [Journal Article]
- AVActa Vet Scand 2016 Sep 22; 58(1):54
- 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.