- Use of Dynamic MRI of the Pelvic Floor in the Assessment of Anterior Compartment Disorders. [Review]
- CUCurr Urol Rep 2018 Nov 13; 19(12):112
- Approximately 25% of women in the USA suffer from pelvic floor disorders. Disorders of the anterior compartment of the pelvic floor, in particular, can cause symptoms such as incomplete urinary voidi...
Approximately 25% of women in the USA suffer from pelvic floor disorders. Disorders of the anterior compartment of the pelvic floor, in particular, can cause symptoms such as incomplete urinary voiding, urinary incontinence, pelvic organ prolapse, dyspareunia, and pelvic pain, potentially negatively impacting a woman's quality of life. In some clinical situations, clinical exam alone may be insufficient, especially when patient's symptoms are in excess of their pelvic exam findings. In many of these patients, dynamic magnetic resonance imaging (dMRI) of the pelvic floor can be a valuable imaging tool allowing for comprehensive assessment of the entire pelvic anatomy and its function.
- Impact of electronic and blended learning programs for manual perineal support on incidence of obstetric anal sphincter injuries: a prospective interventional study. [Journal Article]
- BMBMC Med Educ 2018 Nov 12; 18(1):258
- CONCLUSIONS: The animated e-learning video had a positive impact on reducing OASIS incidence. However, this reduction was enhanced by the use of a blended learning program combining both e- learning and face-to-face training modalities.
- Mesenteric vascular and nerve sparing surgery in laparoscopic segmental intestinal resection for deep infiltrating endometriosis. [Journal Article]
- EJEur J Obstet Gynecol Reprod Biol 2018 Nov 01; 231:214-219
- CONCLUSIONS: MSS in laparoscopic intestinal resection for DIE may be reproducible, safe and effective. MSS could be combined with pelvic nerve-sparing surgery as an effective approach to improve intestinal symptoms after radical surgery for DIE that requires segmental intestinal resection.
- Barbed Suture Versus Conventional Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy: A Randomized Controlled Clinical Trial. [Journal Article]
- JMJ Minim Invasive Gynecol 2018 Nov 08
- CONCLUSIONS: No differences were found in surgical time or frequency of adverse events when comparing patients following vaginal cuff closure with barbed suture versus polyglactin 910.
- Childbirth Fear and Associated Factors in a Sample of Pregnant Iranian Women. [Journal Article]
- OMOman Med J 2018; 33(6):497-505
- CONCLUSIONS: We observed a relatively high prevalence of childbirth fear in pregnant women in Iran. Interventions should be implemented in high-risk women considering psychological variables.
- Intravaginal CO2 laser as an emergent treatment of genitourinary syndrome. [Journal Article]
- JEJ Eur Acad Dermatol Venereol 2018 Nov 05
- Genitourinary syndrome of menopause occurs due to estrogen deprivation, leading to vaginal dryness, dyspareunia, urinary incontinence (UI) and recurrent urinary tract infections (1). In literature, a...
Genitourinary syndrome of menopause occurs due to estrogen deprivation, leading to vaginal dryness, dyspareunia, urinary incontinence (UI) and recurrent urinary tract infections (1). In literature, articles evidenced improvement of UI using CO2 laser (2, 3, 4, 5). However, they do not concomitantly evaluate subjective - (quality of life questionnaires) and objective improvement (pictures and histopathological changes of collagen, elastic fibers, blood and lymphatic vessels). This article is protected by copyright. All rights reserved.
- Laparoscopic hysterosacropexy in case of total uterus prolapse - case report. [Journal Article]
- IJInt J Surg Case Rep 2018 Oct 29; 53:120-126
- CONCLUSIONS: Transabdominal sacrocolpopexy is associated with a low recurrence rate and also lower rates of dyspareunia when compared with vaginal sacrospinal colpopexy. Both sacrocolpopexy and implantation of anterior vaginal polypropylene mesh have better success rates and a lower rate of reoperation than vaginal uterosacral suspension. In level I defects, the right approach seems to be sacropexy. In this technique, the sacrouterine ligament is restored by recreating a ligament with polypropylene mesh.Laparoscopic sacrohysteropexy seems to be a good alternative in the treatment of uterus prolapse. It can also be viewed as a possible alternative for apical defect POP Q III or IV.
- Transvaginal natural orifice transluminal endoscopic surgery in the diagnosis of ascites of unknown origin. [Journal Article]
- GEGastrointest Endosc 2018 Oct 31
- CONCLUSIONS: Transvaginal NOTES for the diagnosis of unexplained ascites is feasible, effective and safe. This method had no long-term effect on female sexual function and is particularly suitable for women who have special aesthetic requirements. (Clinical trial registration number: ChiCTR-TRC-10001053.).
- Use of Growth Factors for Vulvo/Vaginal Bio-Stimulation. [Journal Article]
- STSurg Technol Int 2018 Nov 03; 34
- Vulvo-vaginal atrophy as a main symptom of the Genito Urinary Syndrome of Menopause (GSM) is a consequence of aging, particularly after menopause as a result of follicular ovarian follicle depletion ...
Vulvo-vaginal atrophy as a main symptom of the Genito Urinary Syndrome of Menopause (GSM) is a consequence of aging, particularly after menopause as a result of follicular ovarian follicle depletion and consequently low estrogen levels. Anatomical structures derived from the urogenital sinus, such as the distal urethra trigone and vestibule, are the most affected areas because of the high concentrations of alfa- and beta-estrogen receptors. The most common symptoms associated with vulvo-vaginal atrophy are dyspareunia, vaginal dryness, irritation, recurrent urinary tract infection and urinary incontinence, which negatively affect the patient's quality of life and sexuality. The purpose of this pilot study was to evaluate a protocol with topical growth factors that seeks to activate collagen and elastin at a molecular level, and thus restore all vaginal functions such as secretion, absorption, elasticity, lubrication and vaginal epithelium thickness.
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- Imvexxy--another estradiol vaginal insert for dyspareunia. [Review]
- MLMed Lett Drugs Ther 2018 Sep 10; 60(1555):147-148