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Eur J Obstet Gynecol Reprod Biol 2019 Feb 12;235:42-48. Epub 2019 Feb 12.

Department of Obstetrics, Tai'an Central Hospital, Tai'an, China.

Objective: To compare the effects and complications of caesarean section (CSD) and vaginal delivery (VD) for pelvic floor function of parturients.

Methods: Multiple databases were searched for full-text articles regarding the clinical effects and complications of CSD and VD. Review Manager 5. Read More

Int Urogynecol J 2019 Feb 19. Epub 2019 Feb 19.

Department of Obstetrics and Gynecology, the Edith Wolfson Medical Center, Holon, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Ha'Lochamim 62, PO Box 5, 58100, Holon, Israel.

Introduction And Hypothesis: Protracted postpartum urinary retention (P-PUR) is a rare puerperal complication of overt urinary retention that proceeds beyond the 3rd postpartum day. Long-term consequences of P-PUR are poorly reported. The objective of the study was to compare the long-term outcome of patients with P-PUR with a matched control group, using a validated pelvic floor distress questionnaire. Read More

Int Urogynecol J 2019 Feb 19. Epub 2019 Feb 19.

Department of Urogynaecology, KK Woman and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.

Introduction And Hypothesis: Pelvic floor dysfunction is a common condition which can lead to distressing consequences such as urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI). Pregnancy is a known major risk factor. This study aims to assess the level of knowledge about pelvic floor disorders among pregnant women in our local population. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Feb 6;235:19-25. Epub 2019 Feb 6.

Department of Obstetrics, Maternal and Child Health Hospital of Hubei Province, Affiliated Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430070, China. Electronic address:

Pelvic organ prolapse (POP) is a common disease in aged women with negative physical and psychological influences. The long-term impact of delivery mode on POP remains uncertain. To evaluate the relationship between delivery mode and POP, a meta-analysis was carried out in this study. Read More

Zhonghua Yi Xue Za Zhi 2019 Jan;99(5):375-379

Department of Radiology, Tianjin First Central Hospital, Tianjin 300192, China.

To explore the clinical value of static and dynamic magnetic resonance imaging (MRI) in evaluating the effect of electrical stimulation combined with biofeedback in the treatment of pelvic organ prolapse postpartum. A total of 50 primiparas diagnosed as pelvic organ prolapse postpartum from February 2016 to November 2017 were randomly divided into treatment group (24 cases) and control group (26 cases). The control group recovered spontaneously, and the treatment group received electric stimulation combined with biofeedback therapy (6 weeks). Read More

J Cell Mol Med 2019 Feb 17. Epub 2019 Feb 17.

Department of Physiology, University of Toronto, Toronto, ON, Canada.

This study investigates the effect of local oestrogen therapy (LET) on the expression of proteins participating in collagen/elastin biogenesis and immune markers in vaginal tissues of post-menopausal women with severe pelvic organ prolapse (POP). Vaginal biopsies were collected from the anterior vaginal wall of informed and consented 52 post-menopausal women with severe POP undergoing total hysterectomy. Twenty-nine of the 52 women were treated with LET (in the form of vaginal oestrogen cream or tablet), while the remaining 23 untreated patients served as the controls. Read More

World J Urol 2019 Feb 13. Epub 2019 Feb 13.

Department of Material Science and Engineering, Kroto Research Institute, University of Sheffield, Sheffield, UK.

The surgical mesh material used in the surgical treatment of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) in women is associated with significant complications in some women. This has recently become a public health issue with involvement of national parliaments and regulatory bodies. The occurrence of mesh complications is thought to be a result of multifactorial processes involving problems related to the material design, the surgical techniques used and disease, and patient-related factors. Read More

Int J Gynaecol Obstet 2019 Feb 12. Epub 2019 Feb 12.

Department of Obstetrics and Gynaecology, Epsom& St Helier University Hospitals NHS Trust, Carshalton, UK.

Objectives: To evaluate the values of perineal body (PB) and genital hiatus (GH) before and after posterior repair. We also evaluated the introital surface area (ISA)-a sum of transverse and longitudinal GH measurements.

Methods: This secondary analysis of a prospective case series included 94 women undergoing posterior vaginal prolapse surgery at a consultant urogynecology clinic between October 4, 2011, and October 2, 2014. Read More

Urologiia 2018 Dec(6):139-143

Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

Pelvic organ prolapse (POP) is the most common urogynecological disease in women of middle and older age groups. This disease causes numerous urogenital symptoms and significantly reduces the quality of life of patients. Surgical correction of POP is the optimal method f treatment for this category of patients, however, the choice of surgery and access remains controversial. Read More

Obstet Gynecol 2019 Feb 4. Epub 2019 Feb 4.

Division of Urogynecology, Department of Obstetrics and Gynecology, Allegheny Health Network, and the Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Magee-Womens Research Institute, Pittsburgh, Pennsylvania; and the Department of Obstetrics/Gynecology, Trinity Health of New England, Hartford, Connecticut.

Objective: To compare the effect of preoperative intravenous (IV) acetaminophen compared with placebo on pain scores after pelvic organ prolapse surgery.

Methods: This double-blind placebo-controlled multicenter trial randomized women undergoing prolapse surgery to IV acetaminophen (1,000 mg) or preoperative saline stratified by surgical route (laparoscopic or vaginal). The primary outcome was the change from baseline in patient-reported visual analog scale pain scores at 24 hours after surgery. Read More

Int Urogynecol J 2019 Feb 11. Epub 2019 Feb 11.

Department of Obstetrics and Gynecology, University of Texas Southwestern, Dallas, TX, USA.

Introduction And Hypothesis: We aimed to systematically review the literature on pelvic organ prolapse (POP) surgery with uterine preservation (hysteropexy). We hypothesized that different hysteropexy surgeries would have similar POP outcomes but varying adverse event (AE) rates.

Methods: MEDLINE, Cochrane, and clinicaltrials. Read More

Int Braz J Urol 2019 Feb 10;45. Epub 2019 Feb 10.

Divisão de Urologia Feminina, Departamento de Cirurgia, Faculdade de Ciências Médicas, Universidaded e Campinas, UNICAMP, Brasil.

Introduction: Pelvic Organ Prolapse (POP) is a common condition in elderly resulting from the weakening of the organ suspension elements of multifactorial origin. It compromises significantly the quality of life and can affect more than 50% of multiparous women. Stage IV prolapse or complete uterovaginal eversion corresponds to 10% of the cases and the only form of curative treatment is the surgical correction. Read More

Int Braz J Urol 2019 Jan 25;45. Epub 2019 Jan 25.

Institute of Immunology and experimental therapy, Polish Academy of Science, Wrocław, Poland.

Introduction: Male / female sex reassignment surgery is performed on transsexuals, and includes removal of the male external genitalia, and creation of the neovagina from the skin of the penis, usually allowing sexual intercourse (1, 2). The incidence of the prolapse of the neovagina is not known; however, such complication is observed relatively rarely (3, 4). the long-term outcomes of prolapse treatment in transsexual patients are not available in the literature. Read More

Int Urogynecol J 2019 Feb 8. Epub 2019 Feb 8.

Sydney Medical School Nepean, University of Sydney, Sydney, Australia.

Introduction And Hypothesis: Birthweight seems to be a risk factor for levator ani muscle (LAM) avulsion and a predictive factor for pelvic organ prolapse (POP). Most trauma seems due to first vaginal birth.

Methods: One thousand one hundred twenty-five women with at least two vaginal deliveries underwent a physician-directed interview, followed by clinical examination (digital palpation and Pelvic Organ Prolapse Quantification-POPQ) and 4D translabial ultrasound. Read More

Aktuelle Urol 2019 Feb 7;50(1):39-55. Epub 2019 Feb 7.

Charité - Universitätsmedizin Berlin, Klinik für Urologie, Berlin.

Urogynaecology is a highly specialised interdisciplinary medical field. It aims to investigate and treat functional, static, endocrine and sexual disorders of the genitourinary system and pelvic area in a sustainable and holistic manner.The "Urological Functional Diagnostics and Female Urology" working group of the German Urologist Academy was founded in 1977. Read More

Curr Sports Med Rep 2019 Feb;18(2):49-52

Department of Pediatrics and Sports Medicine Institute, University of Miami School of Medicine, Miami, FL.

Pelvic floor dysfunction (PFD) is a term used to describe a variety of disorders involving moderate to severe impairment of the pelvic floor muscles. It can be divided into two broad categories. Relaxing PFD is more common, presenting with urinary incontinence, fecal incontinence, or pelvic organ prolapse. Read More

Minerva Ginecol 2019 Feb 6. Epub 2019 Feb 6.

ASST Monza, Ospedale San Gerardo, Monza, Italy.

Biomed Res Int 2019 6;2019:8285351. Epub 2019 Jan 6.

Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Background: The aim of this study was to assess anatomical changes in the urethra at rest and during straining following sling surgery with and without transvaginal mesh surgery (TVM) in women with stress urinary incontinence (SUI) with or without pelvic organ prolapse (POP) using three-dimensional ultrasonography.

Methods: 76 women with SUI with or without pelvic organ prolapse after sling surgery. They underwent sling surgery alone (S group, n=36) or concomitant TVM (M group, n=40). Read More

Climacteric 2019 Feb;22(1):60-64

a Division of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine , University of Pisa , Pisa , Italy.

Pelvic floor dysfunctions are a complex condition in elderly women; pelvic organ prolapse, urinary or fecal incontinence, constipation, pelvic pain, and sexual dysfunction are common problems. The goal of surgical treatment is functional reconstruction with symptom management and repair of anatomic defects. The recent advancements in surgical treatment of pelvic floor dysfunction allow several good options for choosing the best surgery for each patient. Read More

Rev Bras Ginecol Obstet 2019 Jan 4;41(1):31-36. Epub 2019 Feb 4.

Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Objective:  To evaluate the rs42524 polymorphism of the procollagen type I alpha (α) 2 () gene as a factor related to the development of pelvic organ prolapse (POP) in Brazilian women.

Methods:  The present study involved 112 women with POP stages III and IV (case group) and 180 women with POP stages zero and I (control group). Other clinical data were obtained by interviewing the patients about their medical history, and blood was also collected from the volunteers for the extraction of genomic DNA. Read More

J Obstet Gynaecol Can 2019 Jan 31. Epub 2019 Jan 31.

Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB.

Objective: Urinary incontinence and pelvic organ prolapse are highly prevalent in women and have a significant impact on quality of life. Pessaries are devices that are used as a conservative management option. Many women use pessaries, which avoid surgical intervention with its associated morbidity and cost. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Mar 17;234:185-189. Epub 2019 Jan 17.

Department of Obstetrics and Gynecology, Pelvic Floor Disease Diagnosis and Treatment Center, Shengjing Hospital of China Medical University, Heping District, Shenyang City, Liaoning Prov, 110004, China. Electronic address:

Pelvic organ prolapse is a group of diseases caused by weakened pelvic supportive tissue, but the pathophysiology is not completely understood. Collagen is one of the most important components of the extracellular matrix in connective tissue, as it maintains the supportive functions of the pelvic floor. Collagen I and III are two major subtypes in pelvic tissues. Read More

Int Urogynecol J 2019 Feb 2. Epub 2019 Feb 2.

Andrology and Urogynecological Clinic, Santa Maria Hospital Terni, University of Perugia, Piazzale Tristano di Joanuccio, Terni, Italy.

Introduction And Hypothesis: The aim of this study was to evaluate the functional outcomes and urodynamic findings after laparoscopic sacrocolpopexy (LSC) in patients with stages II-IV pelvic organ prolapse (POP).

Methods: In this single-center prospective study, we evaluated 63 women (mean age 62.5 ± 7. Read More

J Minim Invasive Gynecol 2019 Jan 29. Epub 2019 Jan 29.

Department of Obstetrics and Gynecology, University of Campinas, Campinas, SP, Brazil. Electronic address:

Objective: to determine the effect of bariatric surgery (BS) on the prevalence of pelvic floor dysfunctions (PFD), specifically on urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI) DATA SOURCES: a systematic review (PROSPERO registration CRD42017068452) with literature search was performed using PubMed, Scopus and Scielo databases for all publications related to BS and PFD, with no language restrictions from inception to September 2018.

Methods Of Study Selection: two authors screened for study eligibility and extracted data. Only prospective cohorts assessing women with morbid obesity and the prevalence of PFD before and after bariatric surgery in multiple academic and private centers were included. Read More

Zhonghua Fu Chan Ke Za Zhi 2019 Jan;54(1):33-37

Departmemt of Gynecology, Peking University People's Hospital, Beijing 100044, China.

To study perioperative period conditions of total and partial colpocleisis with severe pelvic organ prolapse (POP) in elderly patients. From Jan. 2014 to Oct. Read More

Digestion 2019 Jan 29:1-8. Epub 2019 Jan 29.

Department of Colon and Rectum Surgery, Beijing Chaoyang Hospital, Affiliated to Capital Medical University, Beijing, China.

Objective: Dyssynergic defecation (DD) and pelvic floor prolapse often coexist in female functional defecation disorder. A retrospective study was performed to evaluate the ability of dynamic MR sequences with the straining and defecation phase to detect paradoxical puborectalis contraction and occult multiple-compartments disorders.

Methods: Fifty-three females clinically diagnosed with DD underwent magnetic resonance defecography. Read More

J Obstet Gynaecol Can 2019 Jan 24. Epub 2019 Jan 24.

Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, The Ottawa Hospital, Ottawa, ON.

Background: Vaginal evisceration is a rare gynaecologic emergency that necessitates surgical intervention. It may manifest with obvious vaginal rupture, or it may be occult, specifically in patients with chronic pelvic organ prolapse.

Case: A 66-year-old woman with a history of bowel cancer and irradiation presented with occult vaginal evisceration. Read More

Int Urogynecol J 2019 Jan 26. Epub 2019 Jan 26.

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 1 ShuaiFu Road, Dongcheng District, Beijing, People's Republic of China.

Introduction And Hypothesis: We aimed to investigate the prevalence and risk factors of symptomatic pelvic organ prolapse (POP) in rural China.

Methods: A cross-sectional study of POP was conducted in rural China from February 2014 to March 2016. In total, 25,864 rural women were recruited. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Mar 18;234:126-130. Epub 2019 Jan 18.

2nd Department of Gynecology Medical University of Lublin, Jaczewskiego St. 8, 20-954, Lublin, Poland.

Urinary incontinence, fecal incontinence and pelvic organ prolapse are one of the most prevalent gynaecological conditions and constitute a huge global problem affecting approximately 20% of women, increasing with age. Pelvic floor disorders can have negative influence on women's quality of life, decreasing social, psychological, occupational, physical and sexual well-being. Pelvic organ prolapse results in anatomical changes to the urogenital tract and it is perceived to be one of the main factor influencing sexual function. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Mar 18;234:120-125. Epub 2019 Jan 18.

Department of Obstetrics, Gynecology and Reproductive Medicine, RUDN University, 117198, 8 Miklukho-Maklay Str., Moscow, Russian Federation.

Objective: The purpose of study is to evaluate the recurrence rate of pelvic organ prolapse after surgical treatment and pre- to postoperative changes in sexual function of patients with different stages of pelvic organ prolapse.

Methods: The presented study was a single-centre observational nonrandomized analysis of an ongoing prospective cohort study evaluating anatomical and clinical outcomes in reproductive aged women scheduled for nature tissue repair of POP staged I-III. Two hundred and ten women were recruited, of whom 120 (57. Read More

Female Pelvic Med Reconstr Surg 2019 Jan 23. Epub 2019 Jan 23.

Division of Urogynecology, Department of Obstetrics and Gynecology, The Houston Methodist Hospital.

Objectives: This study aimed to identify the characteristics associated with overactive bladder (OAB) symptoms perioperatively in patients undergoing pelvic organ prolapse (POP) surgery with and without slings and to determine the rate of OAB symptom resolution postoperatively.

Methods: This retrospective, single-institution study involved women undergoing prolapse surgery with and without concomitant midurethral sling from 2011 to 2016. A validated questionnaire was used to determine OAB symptoms preoperatively and postoperatively. Read More

J Urol 2019 Jan 29. Epub 2019 Jan 29.

Department of Urology, University of California-Irvine, Irvine, California.

Purpose: The opioid problem has reached epidemic proportions and the prescription of opioids after surgery can lead to chronic use. We explored prescribing patterns and opioid use after 3 pelvic floor surgeries (sacral neuromodulation, prolapse repair and mid urethral sling) before and after an educational intervention to reduce opioid prescriptions.

Materials And Methods: We retrospectively reviewed the amount of opioid medication prescribed to patients who underwent these 3 types of surgeries at our institution from June 2016 to May 2017. Read More

Urol Int 2019 Jan 23:1-7. Epub 2019 Jan 23.

Andrology and Urogynecological Clinic, Santa Maria Hospital Terni, University of Perugia, Terni,

Background: The preservation of the uterus has an important role in the pelvic organ prolapse (POP) surgery.

Objectives: The aim of this study is to assess the long-term anatomical and functional outcomes of abdominal hysterosacropexy.

Methods: Prospective study. Read More

Int J Gynaecol Obstet 2019 Jan 22. Epub 2019 Jan 22.

Laboratory of Experimental Surgery and Surgical Research N. S. Christeas, Athens University Medical School, Athens, Greece.

Background: Evidence on efficacy and safety of pelvic organ prolapse interventions is variable, and methodological flaws preclude meaningful synthesis of primary research data.

Objective: To evaluate variations in reported outcomes and outcome measures in randomized controlled trials (RCTs) on apical prolapse surgical interventions.

Search Strategy: We searched Cochrane, EMBASE, MEDLINE, and Scopus for English-language articles published from inception to September 30, 2017, using the terms "management", "repair", "operation", and "pelvic organ prolapse". Read More

J Menopausal Med 2018 Dec 31;24(3):183-187. Epub 2018 Dec 31.

Mashhad University of Medical Sciences, Mashhad, Iran.

Objectives: The present mini review aimed to summarize the existing knowledge regarding the beneficial and adverse effects of raloxifene in menopausal women.

Methods: This study is a review of relevant publications about the effects of raloxifene on sleep disorder, depression, venous thromboembolism, the plasma concentration of lipoprotein, breast cancer, and cognitive function among menopausal women.

Results: Raloxifene showed no significant effect on depression and sleep disorder. Read More

J Menopausal Med 2018 Dec 31;24(3):163-168. Epub 2018 Dec 31.

Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea.

Objectives: To investigate the rate of postoperative urinary retention (POUR) and identify the risk factors for this complication in women who underwent transvaginal uterosacral suspension surgery.

Methods: A retrospective chart review was conducted for 75 women who underwent transvaginal uterosacral suspension surgery with vaginal hysterectomy, repair of cystocele, and levator myorrhaphy with/without transobturator anti-incontinence surgery. POUR was defined as a need for continuous intermittent catheterization on the third day subsequent to removal of the urethral indwelling catheter. Read More

J Menopausal Med 2018 Dec 31;24(3):155-162. Epub 2018 Dec 31.

Department of Urology, Soonchunhyang University College of Medicine, Bucheon, Korea.

Pelvic organ prolapse (POP) is bulging of one or more of the pelvic organs into the vagina and triggered by multiple causes. It is a very common disorder, especially among older women. POP is characterized by protrusion of the presentation part visible by the naked eye, and problems with urination or bowel movements. Read More

Prev Vet Med 2019 Feb 3;163:79-86. Epub 2019 Jan 3.

School of Agriculture, Meiji University, Higashi-mita 1-1-1, Tama-ku, Kawasaki, Kanagawa, 214-8571, Japan.

Prolapses in sows are an emerging concern in pig production. The objectives of this study were to estimate the incidence rate of prolapses and to determine risk factors associated with prolapse occurrences. Data included 905,089 service records in 819,754 parity records of 155,238 sows from 144 swine herds in Spain. Read More

Int Urogynecol J 2019 Jan 21. Epub 2019 Jan 21.

Sydney Medical School Nepean, University of Sydney, Nepean Hospital, Penrith, NSW, 2750, Australia.

Introduction And Hypothesis: Levator avulsion occurs in 10-35% of women after a first vaginal delivery, with forceps being the main risk factor. Three mechanisms have been proposed to account for the high risk of trauma: the additional space requirement, increased speed of distension, and/ or greater force. This study examines the additional space requirements associated with forceps to determine any associated increase in avulsion risk. Read More

Int Urogynecol J 2019 Jan 21. Epub 2019 Jan 21.

Foothills Medical Centre, University of Calgary, Calgary, Alberta, Canada.

Background: Data on the incidence of perioperative complications of surgical procedures for pelvic organ prolapse (POP) and their contributing factors are limited, sometimes conflicting, and often mixed with other urogynecologic surgeries.

Objectives: To estimate the incidence and contributing factors for perioperative complications of POP procedures.

Methods: A cross-sectional study was carried out between November 2016 and June 2017. Read More

Eur J Obstet Gynecol Reprod Biol 2019 Mar 14;234:71-74. Epub 2019 Jan 14.

İnönü University, Obstetrics and Gynecology Department.

Objectives: The aims of the study were the translation, cultural adaptation, and validation of self-administered Australian Pelvic Floor Questionnaire (APFQ) in a Turkish population.

Study Design: The APFQ was translated into Turkish with forward and back translation by native speakers, and the Turkish version was tested on 15 volunteer patients. 53 patients who had at least one symptom related to pelvic floor dysfunction were included as the patient group, and 51 women who had no symptoms related to pelvic floor dysfunction were included as the control group. Read More

Mol Med Rep 2019 Mar 11;19(3):2458. Epub 2019 Jan 11.

Department of Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, P.R. China.

Following the publication of this paper, the authors have realized that the authors' address affiliation was not presented as it should have officially appeared. The address affiliation should have appeared as "Department of Gynecology" (not "Gynecology Department"), Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing. Therefore, the authors' affiliation address should have been written as follows: Lifang Zhang, Ping Zheng, Aihong Duan, Yan Hao, Chang Lu and Dan Lu. Read More

Adv Biomed Res 2018 27;7:159. Epub 2018 Dec 27.

Isfahan Kidney Transplantation Research Center, AL-Zahra Institute Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: The aim was to study the effectiveness and safety of a modified technique that employs a four-arm polypropylene (PP) mesh (NAZCA-TC) to treat pelvic organ prolapse (POP) and concurrent stress urinary incontinence (SUI) simultaneously.

Materials And Methods: This prospective follow-up study was conducted on fifty SUI women with concurrent high-grade (greater than Stage 2) anterior vaginal wall and/or uterine prolapse who were referred to Al-Zahra and Noor Hospitals in Isfahan and underwent surgery using the NAZCA-TC, Promedon, Argantina kit. The POP-Quantification system was employed for staging POP before and after surgery. Read More

Arch Gynecol Obstet 2019 Jan 17. Epub 2019 Jan 17.

Department of General Gynaecology and Gynaecologic Oncology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.

Objective: To investigate which specific clinical factors influence patients' choice of prolapse treatment.

Methods: This study includes a total of 510 cases with symptomatic pelvic organ prolapse (POP) of stage II or higher requiring prolapse treatment. Patients were divided into surgery and pessary groups according to their own choice and treatment preference. Read More

Int Urogynecol J 2019 Jan 17. Epub 2019 Jan 17.

Department of Gynaecology, University Medical Center Utrecht, Utrecht, The Netherlands.

Objective: Pelvic organ prolapse (POP) is clinically diagnosed in the supine position, where the effect of gravity is simulated by having the patients put strain on their pelvic floor. The objective of this study was to determine the degree of POP underestimation in the supine position based on magnetic resonance imaging (MRI) findings.

Methods: This prospective study was conducted with symptomatic POP grade ≥ 2 patients. Read More

Climacteric 2019 Jan 17:1-6. Epub 2019 Jan 17.

a School of Rehabilitation, Faculty of Medicine , University of Montreal, Research Centre of the Institut Universitaire de Gériatrie de Montréal , Montreal , QC, Canada.

Female pelvic floor muscles form a diaphragm that spans the entire pelvic cavity. They consist of the fibers of the coccygeus and the levator ani muscles, the latter of which is composed of five parts. Together with their fascia, the pelvic floor muscles provide support for the urethra, the vagina, and the rectum and constrict the urethral, vaginal, and anal orifices. Read More

J Urol 2019 Jan 15. Epub 2019 Jan 15.

J Obstet Gynaecol Res 2019 Jan 16. Epub 2019 Jan 16.

Department of Gynecology and Obstetrics, Development and Related Disease of Women and Children Key Laboratory of Sichuan Province, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, Chengdu, China.

Aim: To compare total pelvic floor reconstruction with vaginal mesh (TVM) and laparoscopic uterus/sacrocolpopexy (LSC) for the treatment of pelvic organ prolapse (POP).

Methods: Six hundred and seventy patients with POP stage 3 and 4 underwent LSC (n = 350) or TVM (n = 320) at the West China Second Hospital, Sichuan University between January 2011 and December 2016. Retrospective analysis was done to compare the POP-Q value before operation and 6 months, 5 years after operation, also compare the, patient global impression of change (PGI-C), pelvic floor distress inventory (PFDI-20) and pelvic floor impact questionnaire (PFIQ-7). Read More

Int Urogynecol J 2019 Jan 16. Epub 2019 Jan 16.

Sydney Medical School Nepean, University of Sydney, Sydney, NSW, Australia.

Introduction And Hypothesis: Female pelvic organ prolapse (POP) is a common condition, with a lifetime risk for surgery of 10-20%. Pregnancy and childbirth are the commonest modifiable risk factors for POP, and avulsion of the levator ani muscle is likely to be an etiological factor. Avulsion is more common in instrumental delivery. Read More

J Neurogastroenterol Motil 2019 Jan;25(1):129-136

Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, USA.

Background/aims: Although symptoms related to the pelvic floor, such as pelvic organ prolapse (POP) and lower urinary tract symptoms (LUTS), are common in patients with chronic constipation (CC), its impact is not clear. Our aims were to investigate the following (1) compare pelvic floor symptom related dysfunction in irritable bowel syndrome with constipation (IBS-C) and functional constipation (FC), and (2) symptom correlation with findings on anorectal manometry (ARM) and balloon expulsion test.

Methods: This was a retrospective analysis of patients with CC undergoing ARM. Read More