12,869 results match your criteria Pelvic Organ Prolapse


A nationwide surveillance of surgical site infection after mid-urethral slings in Japan.

J Infect Chemother 2019 Apr 17. Epub 2019 Apr 17.

Department of Urology, Jikei University School of Medicine, Katsushika Medical Center, Tokyo, Japan; The Japanese Research Group for Urinary Tract Infection (JRGU), Japan.

We performed a questionnaire-based, retrospective, nationwide survey on perioperative management and antimicrobial prophylaxis for mid-urethral sling surgery for stress urinary incontinence in Japan to realize the clinical practice and risk factors for SSI. Records of women receiving transobturator tape (TOT) and tension-free vaginal tape (TVT) surgeries from 2010 to 2012 were obtained from hospitals belonging to the Japanese Society of Pelvic Organ Prolapse Surgery. The questionnaire addressed hospital volume, perioperative management, and SSI. Read More

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http://dx.doi.org/10.1016/j.jiac.2019.03.024DOI Listing

Fabricated Tropoelastin-Silk Yarns and Woven Textiles for Diverse Tissue Engineering Applications.

Acta Biomater 2019 Apr 17. Epub 2019 Apr 17.

Charles Perkins Centre, University of Sydney, NSW 2006, Australia; School of Life and Environmental Sciences, University of Sydney, NSW 2006, Australia; Bosch Institute, University of Sydney, NSW 2006, Australia. Electronic address:

Electrospun yarns offer substantial opportunities for the fabrication of elastic scaffolds for flexible tissue engineering applications. Currently available yarns are predominantly made of synthetic elastic materials. Thus scaffolds made from these yarns typically lack cell signaling cues. Read More

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http://dx.doi.org/10.1016/j.actbio.2019.04.029DOI Listing

[Do we need to perform systematic supracervical hysterectomy during laparoscopic sacrocolpopexy?]

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Département de Gynécologie-Obstétrique, Université de Liège, Centre Hospitalier Régional de la Citadelle, Boulevard du 12(e) de Ligne, 1, 4000 Liège, Belgique.

Objective: To evaluate the place of subtotal hysterectomy during laparoscopic sacrocolpopexy.

Methods: This retrospective observational study includes patients undergoing laparoscopic sacrocolpopexy between November 2010 and March 2015 at the Centre Hospitalier Régional de la Citadelle, Liège, Belgium. Patient characteristics, medical and surgical history were collected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24687189193015
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http://dx.doi.org/10.1016/j.gofs.2019.04.007DOI Listing
April 2019
1 Read

[How I do Utero-vaginal suspension using a bilateral vaginal anterior sacrospinous fixation with mesh].

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Service de Chirurgie Gynécologique, Hôpital Femme Mère Enfant, Hospices Civils de Lyon Bron, France; Université Claude Bernard Lyon 1, France.

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http://dx.doi.org/10.1016/j.gofs.2019.04.006DOI Listing

Neglected doughnut pessary in the uterine cavity.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Vaginal pessary is a practical and effective tool for pelvic organ prolapse management. Nevertheless, serious complications can occur in neglected patients such as vesicovaginal and rectovaginal fistula, erosion and impaction in adjacent structures. We report a case of neglected pessary found in the uterine cavity. Read More

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http://dx.doi.org/10.1136/bcr-2018-228415DOI Listing
April 2019
1 Read

Same-Day Discharge Following Vaginal Hysterectomy with Pelvic Floor Reconstruction: a Pilot Study.

J Minim Invasive Gynecol 2019 Apr 10. Epub 2019 Apr 10.

Department of Gynecologic Surgery, Mayo Clinic Arizona; 5777 East Mayo Boulevard; Phoenix, Arizona 85054. Electronic address:

Study Objective: Determine safety and feasibility of same-day discharge in patients undergoing vaginal hysterectomy with pelvic floor reconstruction.

Design: Prospective cohort pilot study.

Setting: Single academic medical center. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15534650193018
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http://dx.doi.org/10.1016/j.jmig.2019.04.010DOI Listing
April 2019
5 Reads

Transvaginal Natural Orifice Transluminal Endoscopic Hysterectomy and Apical Suspension of the Vaginal Cuff to the Utero-Sacral Ligament.

J Minim Invasive Gynecol 2019 Apr 10. Epub 2019 Apr 10.

Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel. Electronic address:

Objective: Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) offers similar advantages of traditional vaginal surgery including no incisional pain as well as a better cosmetic outcome. Furthermore, vNOTES allows the surgeon to overcome the limited surgical space and lack of exposure when using the traditional vaginal instrumentation. Vaginal utero-sarcral ligament suspension subsequent to vaginal hysterectomy has the advantages of mesh-free, minimally invasive approach for treatment of pelvic organ prolapse (POP). Read More

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http://dx.doi.org/10.1016/j.jmig.2019.04.007DOI Listing
April 2019
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Biomechanical Behaviour and Biocompatibility of Ureidopyrimidinone-Polycarbonate Electrospun and Polypropylene Meshes in a Hernia Repair in Rabbits.

Materials (Basel) 2019 Apr 10;12(7). Epub 2019 Apr 10.

(A.W.B.).

Although mesh use has significantly improved the outcomes of hernia and pelvic organ prolapse repair, long-term recurrence rates remain unacceptably high. We aim to determine the in vivo degradation and functional outcome of reconstructed abdominal wall defects, using slowly degradable electrospun ureidopyrimidinone moieties incorporated into a polycarbonate backbone (UPy-PC) implant compared to an ultra-lightweight polypropylene (PP) textile mesh with high pore stability. Twenty four New-Zealand rabbits were implanted with UPy-PC or PP to either reinforce a primary fascial defect repair or to cover (referred to as gap bridging) a full-thickness abdominal wall defect. Read More

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https://www.mdpi.com/1996-1944/12/7/1174
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http://dx.doi.org/10.3390/ma12071174DOI Listing
April 2019
2 Reads

Primary Care Physician Perceptions of Female Pelvic Floor Disorders.

Hawaii J Med Public Health 2019 Apr;78(4):132-136

Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.

Primary care physicians (PCPs) play a major role in patient access to appropriate health care. This study examines PCPs' perceptions and management of female pelvic floor disorders. Surveys were mailed to family medicine and internal medicine physicians associated with the Hawai'i Medical Service Association. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452021PMC
April 2019
1 Read

A Retrospective Analysis of Surgical Outcomes and Risk Factors for Persistent Post-Operative Symptoms Following Synthetic Mid-Urethral Sling Revision.

J Urol 2019 Apr 8:101097JU0000000000000246. Epub 2019 Apr 8.

Greenville Health Systems , Greenville , SC UNITED STATES.

Aims: The purpose of our study is to describe the symptom profile of patients who present to a tertiary care hospital for sling revision, define the efficacy of sling removal/revision in alleviating their symptoms, and identify what factors, if any, contribute to favorable surgical outcomes.

Methods: We performed a retrospective review of patients who underwent revision of a synthetic mid-urethral sling at our institution between 2004 and 2016. Patients with a history of vaginal mesh for pelvic organ prolapse were excluded from our analysis. Read More

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http://dx.doi.org/10.1097/JU.0000000000000246DOI Listing
April 2019
3 Reads

Development, implementation and evaluation of an advanced practice in continence and women's health physiotherapy model of care.

Aust N Z J Obstet Gynaecol 2019 Apr 8. Epub 2019 Apr 8.

Monash Health, Bentleigh East, Victoria, Australia.

Background: With public health facing workforce shortages, increasing costs and increasing demands, innovative patient pathways are vital to meet patient needs. Advanced practice physiotherapy roles are well established in emergency departments and musculoskeletal/orthopaedic services and have begun to emerge in other clinical areas.

Aims: In 2014, the Royal Women's Hospital, Monash Health and Barwon Health received a Victorian Department of Health and Human Services (DHHS) Workforce Innovation grant to develop and implement an advanced practice in continence and women's health physiotherapy assessment model of care. Read More

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http://dx.doi.org/10.1111/ajo.12974DOI Listing
April 2019
1 Read

Designing new synthetic materials for use in the pelvic floor: what is the problem with the existing polypropylene materials?

Curr Opin Urol 2019 Apr 2. Epub 2019 Apr 2.

The Kroto Research Institute, Materials Science and Engineering, North Campus, University of Sheffield, Broad Lane, Sheffield, UK.

Purpose Of Review: This review identifies the clinical complications associated with the design of the current polyproplylene mesh materials used for the treatment of stress urinary incontinence and pelvic organ prolapse. Following on from this, new alternative materials under development for pelvic floor repair are reviewed.

Recent Findings: It is well accepted that the textile properties of the current polypropylene surgical meshes are not suitable for the pelvic floor environment. Read More

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http://dx.doi.org/10.1097/MOU.0000000000000623DOI Listing
April 2019
3 Reads

Ovarian serous carcinoma in synthetic mesh: A rare case report and review of the literature.

J Obstet Gynaecol Res 2019 Apr 5. Epub 2019 Apr 5.

Department of Obstetrics and Gynecology, Barzilai Medical Center, Ben Gurion University of the Negev, Ashkelon, Israel.

Epithelial ovarian cancer relapse is a devastating condition with a poor prognosis. Synthetic mesh carcinogenicity is an entity scarcely reported in the literature. We present a rare case of an ovarian serous tumor relapsed in a polypropylene mesh previously inserted for pelvic organ prolapse correction and a review of the available literature. Read More

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http://dx.doi.org/10.1111/jog.13963DOI Listing
April 2019
3 Reads

Uterine-preserving pelvic organ prolapse surgery using the UPHOLD LITE vaginal support system: The outcomes of 291 patients.

Medicine (Baltimore) 2019 Apr;98(14):e15086

Department of Obstetrics and Gynecology.

This article aims to evaluate the safety and outcome of women with pelvic organ prolapse (POP) treated by a minimally invasive bilateral sacrospinous hysteropexy (UPHOLD LITE Vaginal Support System, Boston Scientific) without concomittent anti-incontinence surgery.This retrospective study was conducted between 2014 and 2016. Evaluated items included surgical parameter and postoperative outcome. Read More

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http://dx.doi.org/10.1097/MD.0000000000015086DOI Listing
April 2019
1 Read

Long-term compliance of vaginal pessaries: Does stress urinary incontinence matter?

Medicine (Baltimore) 2019 Apr;98(14):e15063

Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung.

Vaginal pessary treatment for pelvic organ prolapse (POP) is relatively safe and cost-effective. Since long-term use is an important key to keep the benefit of pessary treatment, we would like to investigate the factors which might affect the compliance of vaginal pessaries. In this retrospective study, 65 women were included, and we found poor compliance in women with severe stress urinary incontinence (SUI) after reduction (1-hour pad test >10 gm vs ≦10 gm, 57. Read More

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http://dx.doi.org/10.1097/MD.0000000000015063DOI Listing
April 2019
7 Reads

A Minimally Invasive Technique for the 1-Stage Treatment of Complex Pelvic Floor Diseases: Laparoscopic-Pelvic Organ Prolapse Suspension.

Female Pelvic Med Reconstr Surg 2019 Apr 3. Epub 2019 Apr 3.

Ospedale Maggiore Policlinico, Fondazione IRCCS Ca' Granda, Milano, Department of Pathophysiology and Transplantation, University of Milano, Milano, Italy.

Objective: The aim of this prospective study was to assess the safety and effectiveness of a new single laparoscopic operation devised to relieve obstructed defecation, gynecologic and urinary symptoms in a large series of female patients with multiorgan pelvic prolapse.

Methods: We submitted 384 female patients to laparoscopic pelvic organ prolapse suspension operation, a new technique based on suspension of the middle pelvic compartment, by using a polypropylene mesh and followed up 368 of them, with defecography performed 12 months after surgery and a standardized protocol.

Results: The 368 patients were followed-up for 36. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000722DOI Listing
April 2019
3 Reads

Role of robotic surgery in functional urology.

Arch Esp Urol 2019 04;72(3):326-335

Hospital Universitario Rey Juan Carlos. Madrid. España.

Three-dimensional, high-definition images, small instruments with endowrist technology, ergonomic position and the easiness to teach, are possibly the main reasons why robotic surgery will continue to gain ground to others forms of surgery. The current applications of robotics in functional urology are: the correction of pelvic organ prolapse, the correction of female stress urinary incontinence (artificial urinary sphincter) and the treatment of chronic pelvic pain (pudendal nerveneurolysis). In this paper, we explain our robotic techniques in these three scenarios, as well as, provide the most updated data of our series. Read More

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April 2019
9 Reads

Validation of the Pelvic Organ Prolapse Simple Screening Inventory (POPSSI) in a population of Ethiopian women.

BMC Womens Health 2019 Apr 3;19(1):52. Epub 2019 Apr 3.

Emory university school of medicine, Atlanta, USA.

Background: The incidence of Pelvic Organ Prolapse (POP) in the developing world is not known. A nonclinical screening tool for prolapse is needed in the resource poor setting. In this study, we aim to determine the validity of the Pelvic Organ Prolapse Simple Screening Inventory (POPSSI) for detection of POP in a population of women at two academic hospitals in Addis Ababa, Ethiopia. Read More

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http://dx.doi.org/10.1186/s12905-019-0746-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448209PMC
April 2019
2 Reads

Genital Complaints at the Extremes of Age.

Authors:
Sara Manning

Emerg Med Clin North Am 2019 May;37(2):193-205

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address:

Variations in estrogen levels across a woman's lifetime lead to important changes in genital physiology and pathophysiology. Low estrogen states like menopause and the prepubertal period share important physiologic changes, including more friable, dry, and inelastic mucosa that is prone to irritation, injury, and infection. These and other factors lead to unique gynecologic pathologic conditions encountered at the extremes of age. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07338627193000
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http://dx.doi.org/10.1016/j.emc.2019.01.003DOI Listing
May 2019
6 Reads

Evaluation of two vaginal, uterus sparing operations for pelvic organ prolapse: modified Manchester operation (MM) and sacrospinous hysteropexy (SSH), a study protocol for a multicentre randomized non-inferiority trial (the SAM study).

BMC Womens Health 2019 Apr 2;19(1):49. Epub 2019 Apr 2.

Department of Obstetrics and Gynaecology, Isala Zwolle, Dokter van Heesweg 2, 8025 AB, Zwolle, The Netherlands.

Background: Pelvic organ prolapse (POP) affects up to 40% of parous women which adversely affects the quality of life. During a life time, 20% of all women will undergo an operation. In general the guidelines advise a vaginal operation in case of uterine descent: hysterectomy with uterosacral ligament plication (VH), sacrospinous hysteropexy (SSH) or a modified Manchester operation (MM). Read More

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http://dx.doi.org/10.1186/s12905-019-0749-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444578PMC
April 2019
2 Reads

Assessment of Metalloproteinase Matrix 9 (MMP9) Gene Polymorphisms Risk Factors for Pelvic Organ Prolapse in the Brazilian Population.

Rev Bras Ginecol Obstet 2019 Mar 2;41(3):164-169. Epub 2019 Apr 2.

Department of Urogynecology and Vaginal Surgery, Discipline of Gynecology, Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Objective:  To evaluate the matrix metalloproteinase 9 () gene polymorphisms as risk factors related to the occurrence of pelvic organ prolapse (POP) and to identify the clinical variables associated with the occurrence of the disease. Epidemiological studies of risk factors for POP do not explain why nulliparous women with no known risk factors also develop POP. Therefore, genetic factors may be involved. Read More

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http://dx.doi.org/10.1055/s-0039-1681112DOI Listing
March 2019
3 Reads

Evaluating pelvic floor muscle contractility using two-dimensional transperineal ultrasonography in patients with pelvic organ prolapse.

Neurourol Urodyn 2019 Apr 1. Epub 2019 Apr 1.

Department of Female Urology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.

Aim: The hiatal anterior-posterior distance (APD), as measured by two-dimensional (2D) transperineal ultrasonography, is an indicator of pelvic floor muscle (PFM) contractility. The function of the pelvic floor is independently related to pelvic organ prolapse (POP) severity. However, little evidence concerning the APD for patients with POP before and after PFM training (PFMT) has been published. Read More

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http://dx.doi.org/10.1002/nau.23987DOI Listing
April 2019
4 Reads

The impact of pelvic floor multidisciplinary team on patient management: the experience of a tertiary unit.

J Multidiscip Healthc 2019 14;12:205-210. Epub 2019 Mar 14.

Department of Urology, Addenbrooke's Hospital, Cambridge, UK.

Purpose: Pelvic floor dysfunction is a common and heterogenous condition with numerous clinical manifestations, making the optimal management challenging. The traditional single-specialty approach may fail to address its complex nature. Currently, there are no published data on the impact of joint pelvic floor multidisciplinary team (MDT) meetings on patient management. Read More

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http://dx.doi.org/10.2147/JMDH.S186847DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422421PMC
March 2019
3 Reads

Management of Occult Urinary Incontinence with Prolapse Surgery.

Curr Urol Rep 2019 Mar 30;20(5):23. Epub 2019 Mar 30.

University of Pennsylvania Health System and Perelman School of Medicine, Philadelphia, PA, USA.

Purpose Of Review: The purpose of this paper is to review (1) the epidemiology and pathophysiology of pelvic organ prolapse (POP) and occult stress urinary incontinence (SUI), (2) examine the data on combined operative management of POP and occult SUI, (3) discuss the approaches to clinical decision making, and (4) present future therapies.

Recent Findings: Prospective data on many approaches to concomitant treatment of prolapse and occult stress urinary incontinence, such as minimally invasive sacrocolpopexy and midurethral sling, or older approaches that have regained favor among patients and clinicians wishing to avoid synthetic mesh, such as native tissue prolapse repair and pubovaginal sling, are limited. Safe durable treatments with absorbable graft materials that promote a beneficial host response are intriguing but may be far from clinical implementation. Read More

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http://dx.doi.org/10.1007/s11934-019-0885-5DOI Listing
March 2019
10 Reads

Intraoperative local infiltration with ropivacaine 0.5% in women undergoing vaginal hysterectomy and pelvic floor repair: Randomized double-blind placebo-controlled trial.

Eur J Obstet Gynecol Reprod Biol 2019 Mar 21;236:154-159. Epub 2019 Mar 21.

Urogynaecology Unit, 1st Department of Obstetrics and Gynaecology, 'Alexandra' Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Objective: To evaluate the effectiveness of infiltration with ropivacaine 0.5% on controlling postoperative pain in women undergoing vaginal hysterectomy (VH) and pelvic floor repair for prolapse stage > II.

Study Design: This double-blind randomized 1:1 placebo-controlled trial included 59 women. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.03.016DOI Listing
March 2019
3 Reads

Ultrasongraphic age-related changes of the pelvic floor muscles in nulliparous women and their association with pelvic floor symptoms: A pilot study.

Neurourol Urodyn 2019 Mar 23. Epub 2019 Mar 23.

Department of Obstetrics & Gynecology, INOVA Women's Hospital, Falls Church, Virginia.

Objective: To assess age-related changes in the pelvic floor muscular hiatus and their association with symptoms of pelvic organ prolapse, urinary and fecal incontinence, and sexual function.

Methods: In this pilot study we performed 3D endovaginal ultrasonography in two age groups of nulliparous women: 18 to 40 years and 52 to 85 years. Anterior-posterior (AP) diameter, left-right (LR) diameter, and the Minimal Levator Hiatus area were measured. Read More

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http://dx.doi.org/10.1002/nau.23979DOI Listing
March 2019
1 Read
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Patient-reported outcome measures which assess body image in urogynaecology patients: a systematic review.

Int Urogynecol J 2019 Mar 29. Epub 2019 Mar 29.

Department of urogynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, c/o Tricia Kenyon, Level 4, Jessop Wing, Tree Root Walk, Sheffield, S10 2SF, UK.

Aim: Urogynaecological conditions can have a significant impact on body image. Patient-reported outcome measures (PROMs) are widely used in urogynaecology to assess symptoms and their impact on quality of life. This systematic review aimed to identify currently available PROMs used to assess body image within a urogynaecological population and to identify the most psychometrically robust and appropriate PROM tools to use in this context. Read More

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http://dx.doi.org/10.1007/s00192-019-03924-xDOI Listing
March 2019
1 Read

Changes in Female Sexual Function After Vaginal Mesh Repair Versus Native Tissue Repair for Pelvic Organ Prolapse: A Meta-Analysis of Randomized Controlled Trials.

J Sex Med 2019 Mar 26. Epub 2019 Mar 26.

Department of Obstetrics and Gynecology, Mackay Memorial Hospital, New Taipei City, Taiwan; Mackay Medical College, New Taipei City, Taiwan; Mackay Junior College of Medicine, Nursing, and Management, Taipei City, Taiwan. Electronic address:

Aim: To evaluate changes in female sexual function after transvaginal mesh (TVM) repair versus native tissue repair for pelvic organ prolapse.

Methods: Eligible studies, published through November 2017, were retrieved through searches of ClinicalTrials.gov, MEDLINE, Embase, and Cochrane Review databases and associated bibliographies. Read More

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http://dx.doi.org/10.1016/j.jsxm.2019.02.016DOI Listing
March 2019
1 Read

Uterine Inversion Presenting as Pelvic Organ Prolapse in a Patient with Leiomyosarcoma.

J Minim Invasive Gynecol 2019 Mar 26. Epub 2019 Mar 26.

Division of Female Pelvic Medicine and Reconstructive Surgery, Women & Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

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http://dx.doi.org/10.1016/j.jmig.2019.03.013DOI Listing
March 2019
2 Reads

Robot-assisted Surgery for the management of Apical Prolapse: A Bicentre Prospective Cohort Study.

BJOG 2019 Mar 29. Epub 2019 Mar 29.

Department of Urogynaecology, Cork University Maternity Hospital Cork, Ireland.

Objective: Robot-assisted surgery is a recognized treatment for pelvic-organ prolapse. Many of the surgical subgroup outcomes for apical prolapse are reported together leading to a paucity of homogenous data.

Design: Prospective observational cohort study (https://clinicaltrials. Read More

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http://dx.doi.org/10.1111/1471-0528.15696DOI Listing
March 2019
1 Read

Correlates of vaginal laxity symptoms in women attending a urogynecology clinic in Saudi Arabia.

Int J Gynaecol Obstet 2019 Mar 29. Epub 2019 Mar 29.

American University of Beirut Medical Center, Beirut, Lebanon.

Objective: To evaluate the prevalence of vaginal laxity (VL) and its correlates in a cohort of women attending a urogynecology clinic in a tertiary referral center in Saudi Arabia.

Methods: In this retrospective study, demographic information, clinical characteristics, and POP-Q system measurements for women attending the King Fahad Medical City Urogynecology Clinic (January 2013 to April 2015) were analyzed. Women with and without VL were compared across these variables. Read More

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http://dx.doi.org/10.1002/ijgo.12810DOI Listing
March 2019
1 Read

The Association Between Pelvic Floor Muscle Force and General Strength and Fitness in Postpartum Women.

Female Pelvic Med Reconstr Surg 2019 Mar 27. Epub 2019 Mar 27.

Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT.

Objective: The aim of the study was to determine whether measures of muscular strength and fitness are associated with pelvic floor muscle (PFM) force 1-year postpartum in a population of primiparous women who delivered vaginally.

Methods: This cross-sectional analysis is an ancillary study to an ongoing prospective cohort study and includes 203 primiparous women. Procedures collected 1-year postpartum included maximal PFM force, grip strength, trunk flexor muscle endurance, percent body fat, intra-abdominal pressure during trunk flexor endurance testing, intra-abdominal pressure during strain, and self-reported physical activity. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000718DOI Listing
March 2019
1 Read

Practice Patterns Regarding Apical Support Procedures at Time of Hysterectomy for Pelvic Organ Prolapse.

Female Pelvic Med Reconstr Surg 2019 Mar 27. Epub 2019 Mar 27.

From TriHealth, Cincinnati, OH.

Objectives: We sought to understand practice patterns of non-female pelvic medicine and reconstructive surgery (FPMRS) clinicians regarding concurrent apical support procedures during hysterectomies when primarily performed for the treatment of pelvic organ prolapse. We also sought to describe differences between those receiving and not receiving apical support.

Methods: This retrospective study analyzed medical records of individuals undergoing hysterectomy for the primary indication of pelvic organ prolapse between 2012 and 2017 at all locations within the TriHealth system. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000716DOI Listing
March 2019
6 Reads

Patient-Reported Outcome Measures (PROMs) in Pelvic Floor Disorders.

Curr Urol Rep 2019 Mar 27;20(5):22. Epub 2019 Mar 27.

Department of Surgery, Division of Urology, University of Cincinnati, 231 Albert Sabin Way, ML 0589, Room#2511, Cincinnati, OH, 45267, USA.

Purpose Of Review: Patient-reported outcome measures (PROMs) are tools that are widely used by clinicians and researchers across different medical specialties. In this review, we examine the use of PROMs in the evaluation of female pelvic floor disorders (PFD).

Recent Findings: PROM development in the assessment of urinary incontinence is more advanced than other pelvic disorders. Read More

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http://dx.doi.org/10.1007/s11934-019-0888-2DOI Listing
March 2019
1 Read

Assessment of the effect of transobturator tape surgery on women's sexual function using a validated questionnaire.

Obstet Gynecol Sci 2019 Mar 4;62(2):120-126. Epub 2019 Mar 4.

Department of Statistics, Sungkyunkwan University, Seoul, Korea.

Objective: Women with pelvic floor disorders and urinary incontinence (UI) are at an increased risk of sexual dysfunction. The purpose of this study was to investigate the effect of surgery for UI on sexual function.

Methods: We retrospectively reviewed the charts of 82 women who underwent mid-urethral transobturator tape (TOT) surgery between March 2010 and December 2014. Read More

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http://dx.doi.org/10.5468/ogs.2019.62.2.120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422842PMC
March 2019
1 Read

Le Fort partial colpocleisis as an effective treatment option for advanced apical prolapse in elderly women.

Taiwan J Obstet Gynecol 2019 Mar;58(2):206-211

Department of Obstetrics and Gynecology, SMG-SNU Boramae Medical Center, Seoul, South Korea. Electronic address:

Objective: The aim of this study was to evaluate the outcomes of women with advanced apical prolapse who were treated with the obliterative LeFort partial colpocleisis (LFC) procedure.

Materials And Methods: We reviewed the medical records of patients who underwent LFC for advanced apical prolapse. We collected data for baseline patient characteristics, co-morbidities, severity of prolapse, operating time, intraoperative injuries, and postoperative complications. Read More

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http://dx.doi.org/10.1016/j.tjog.2019.01.007DOI Listing
March 2019
2 Reads

Sexual function and urinary incontinence complaints and other urinary tract symptoms of perimenopausal Turkish women.

Psychol Health Med 2019 Mar 25:1-12. Epub 2019 Mar 25.

d Department of Obstetrics and Gynecology, Division of Urogynecology , Istanbul University Istanbul School of Medicine , Istanbul , Turkey.

Urinary incontinence (UI) and other lower urinary tract symptoms (LUTS) which are quite common among women, have a significant level of impact on women's sexual function. Improving sexual function improves the quality of life. The purpose of this study is to evaluate the relationship between UI complaints with comorbid LUTS and sexual functions in Turkish women. Read More

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http://dx.doi.org/10.1080/13548506.2019.1595679DOI Listing
March 2019
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Knowledge Gaps in Urologic Care of Female Spinal Cord Injury Patients.

Curr Urol Rep 2019 Mar 23;20(5):21. Epub 2019 Mar 23.

Department of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, 1025 Walnut St, Ste 1100, Philadelphia, PA, 19107, USA.

Purpose Of Review: We highlight the substantial gaps in knowledge on urologic care of female spinal cord injury (SCI) patients.

Recent Findings: Males account for approximately 80% of people living with SCI in developed nations. Although there is a robust body of literature in some aspects of urologic care of individuals with SCI, such as treatments for neurogenic detrusor overactivity, there are relatively few studies focusing specifically on females. Read More

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http://dx.doi.org/10.1007/s11934-019-0884-6DOI Listing
March 2019
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Anesthetics' role in postoperative urinary retention after pelvic organ prolapse surgery with concomitant midurethral slings: a randomized clinical trial.

Int Urogynecol J 2019 Mar 23. Epub 2019 Mar 23.

Department of Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA.

Introduction And Hypothesis: Spinal anesthesia can be a potential risk factor for postoperative urinary retention (POUR). Our objective was to compare POUR rates for outpatient vaginal pelvic floor surgeries when using spinal versus general anesthesia. Our hypothesis was that spinal anesthesia would have higher POUR rates compared with general anesthesia. Read More

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http://dx.doi.org/10.1007/s00192-019-03917-wDOI Listing
March 2019
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Factors associated with long-term pessary use in women with symptomatic pelvic organ prolapse.

Climacteric 2019 Mar 21:1-5. Epub 2019 Mar 21.

a Department of Obstetrics and Gynecology , Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences , Beijing , China.

Objectives: This study aimed to evaluate the continuation rate and identify the factors associated with long-term pessary use, which are essential for counseling women with symptomatic pelvic organ prolapse (POP) seeking long-term pessary treatment.

Methods: This prospective observational study included 277 patients who had successful pessary fittings between April 2015 and November 2016. All patients were followed until April 2018. Read More

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http://dx.doi.org/10.1080/13697137.2019.1582623DOI Listing
March 2019
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[An epidemiologic study of pelvic organ prolapse in urban Chinese women: a population-based sample in China].

Zhonghua Yi Xue Za Zhi 2019 Mar;99(11):857-861

Department of Gynecology and Obstetrics, Peking Union Medical College Hospital, Peking Union Medical College, Beijing 100730, China.

This study aimed to assess the prevalence and factors associated with pelvic organ prolapse (POP) in a representative sample of Chinese urban women. A total of 29613 Chinese urban women were recruited to this cross-sectional study between February 2014 and March 2016. The prevalence of POP, defined as any stage Ⅱ or higher POP resulting in symptoms, was assessed using questionnaires and physical examinations. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.11.012DOI Listing
March 2019
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[Mid-term efficacy of laparoscopic sacral colpopexy of combined transabdominal-transvaginal approach in the treatment of stage Ⅳ pelvic organ prolapse].

Zhonghua Fu Chan Ke Za Zhi 2019 Mar;54(3):160-165

Department of Obstetrics and Gynecology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

To evaluate the clinical effect after laparoscopic sacral colpopexy (LSC) of combined transabdominal-transvaginal approach on stage Ⅳ pelvic organs prolapse (POP). The clinical data of 65 patients undergoing LSC of combined transabdominal-transvaginal approach from January 1st, 2010 to July 30th, 2017 due to POP stage Ⅳ in First Affiliated Hospital of Guangzhou Medical University were retrospectively analyzed. Objective outcome was assessed by comparing preoperative and postoperative pelvic organ prolapse quantification (POP-Q) systems. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-567x.2019.03.004DOI Listing
March 2019
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Correlation of Electronic (Web-Based and Smartphone) Administration of Measures of Pelvic Floor Dysfunction: A Randomized Controlled Trial.

Female Pelvic Med Reconstr Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Urology, Columbia University Medical Center, New York, NY.

Objective: We hypothesized that instruments of pelvic floor dysfunction would yield similar responses on web-based and smartphone administration compared with paper.

Methods: Subjects presenting with pelvic floor disorders were prospectively enrolled at 5 sites and invited to complete 4 validated pelvic floor disorder questionnaires (Pelvic Floor Distress Inventory 20, Pelvic Floor Impact Questionnaire 7, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire 12, Bristol Stool Scale) on both paper and electronic formats, 2 weeks apart, with the order of administration being randomized. Participants completed the questionnaires electronically on the internet via REDCap or using the PelvicTrack App on a smartphone or tablet. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000713DOI Listing
March 2019
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The use of implanted materials for treating women with pelvic organ prolapse and stress urinary incontinence.

Curr Opin Urol 2019 Mar 14. Epub 2019 Mar 14.

The Kroto Research Institute, Materials Science and Engineering, North Campus, University of Sheffield, Broad Lane, Sheffield, UK.

Purpose Of Review: To review the current clinical management of stress urinary incontinence and pelvic organ prolapse following the adverse complications seen in the use of polypropylene mesh to treat both.

Recent Findings: Materials developed for use in abdominal hernia repair have not proven risk-free when used to support pelvic organs particularly when inserted via the vagina. Following unacceptably high levels of severe complications when high-density polypropylene mesh is inserted via the vagina to treat pelvic organ prolapse, reported over the last decade, there is now an agreed consensus between surgeons about surgical approaches and materials, which should be recommended for use in stress urinary incontinence and pelvic organ prolapse. Read More

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http://dx.doi.org/10.1097/MOU.0000000000000619DOI Listing
March 2019
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Medium-term outcomes of laparoscopic sacropexy on symptoms and quality of life. Predictive factors for postoperative dissatisfaction.

Int Urogynecol J 2019 Mar 19. Epub 2019 Mar 19.

Department of Gynecology and Obstetrics, Intercommunal Hospital Center of Poissy-Saint-Germain-en-Laye, 78103, Poissy, France.

Introduction And Hypothesis: We aimed to evaluate the medium-term results of laparoscopic sacropexy (LSP) with validated self-administered questionnaires of symptoms and quality of life and to identify pre-, intra-, and postoperative predictors of postoperative dissatisfaction.

Methods: The study included 152 women who had LSP for stage 2 or higher pelvic organ prolapse (POP). The study population comprised women who had completed the preoperative symptom questionnaire (including the PFDI-20 and ICIQ-SF). Read More

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http://dx.doi.org/10.1007/s00192-019-03923-yDOI Listing
March 2019
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Electrospun nanofiber mesh with fibroblast growth factor and stem cells for pelvic floor repair.

J Biomed Mater Res B Appl Biomater 2019 Mar 19. Epub 2019 Mar 19.

Department of Gynecology and Obstetrics, Aarhus University Hospital, Denmark.

Surgical outcome following pelvic organ prolapse (POP) repair needs improvement. We suggest a new approach based on a tissue-engineering strategy. In vivo, the regenerative potential of an electrospun biodegradable polycaprolactone (PCL) mesh was studied. Read More

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http://dx.doi.org/10.1002/jbm.b.34364DOI Listing
March 2019
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Pelvic organ prolapse as a function of levator ani avulsion, hiatus size, and strength.

Am J Obstet Gynecol 2019 Mar 15. Epub 2019 Mar 15.

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

Background: Obstetrical levator ani muscle avulsion is detected after 10%-30% of vaginal deliveries and is associated with pelvic organ prolapse later in life. However, the mechanism by which levator avulsion may contribute to prolapse is unknown.

Objectives: This study investigated the extent by which size of the levator hiatus and pelvic muscle weakness may explain the association between levator avulsion and pelvic organ prolapse. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.03.004DOI Listing
March 2019
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Prospective feasability study of ambulatory surgery for pelvic organ prolapse.

Eur J Obstet Gynecol Reprod Biol 2019 Mar 5;236:36-40. Epub 2019 Mar 5.

Gynecologic Surgery Department, CMC Beau Soleil, Montpellier, France.

Study Objective: The aim of this study was the evaluation of ambulatory surgery (AS) rate for pelvic organ prolapse (POP).

Design: It was a prospective observational study.

Design Classification: Level II-2. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03012115193004
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http://dx.doi.org/10.1016/j.ejogrb.2019.01.019DOI Listing
March 2019
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Women's experiences of receiving care for pelvic organ prolapse: a qualitative study.

BMC Womens Health 2019 Mar 15;19(1):45. Epub 2019 Mar 15.

Nursing Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, UK.

Background: Pelvic organ prolapse is a common urogenital condition affecting 41-50% of women over the age of 40. To achieve early diagnosis and appropriate treatment, it is important that care is sensitive to and meets women's needs, throughout their patient journey. This study explored women's experiences of seeking diagnosis and treatment for prolapse and their needs and priorities for improving person-centred care. Read More

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http://dx.doi.org/10.1186/s12905-019-0741-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419797PMC
March 2019
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