Cochrane Database Syst Rev 2017 Jul 31;7:CD001755. Epub 2017 Jul 31.

Health Services Research Unit, University of Aberdeen, 3rd Floor, Health Sciences Building, Foresterhill, Aberdeen, Scotland, UK, AB25 2ZD.

Background: Anterior vaginal repair (anterior colporrhaphy) is an operation traditionally used for moderate or severe stress urinary incontinence (SUI) in women. About a third of adult women experience urinary incontinence. SUI imposes significant health and economic burden to the society and the women affected. Read More

Ophthal Plast Reconstr Surg 2017 Jul 26. Epub 2017 Jul 26.

*The Rotterdam Eye Hospital, Rotterdam; †Erasmus University Medical Centre, Rotterdam; ‡St. Antonius Hospital, Nieuwegein; and §Medisch Centrum Alkmaar, The Netherlands.

Purpose: To analyze the complications and subsequent type and frequency of oculoplastic surgeries after enucleation in adult patients.

Methods: The authors conducted a retrospective case note review of adult patients who underwent enucleation followed by placement of an alloplastic implant wrapped in donor sclera between 2001 and 2013. The data collected included patient demographics, surgical indication, implant size, postoperative complications, and subsequent oculoplastic surgical procedures. Read More

BMC Womens Health 2017 Jul 26;17(1):52. Epub 2017 Jul 26.

Department of Obstetrics and Gynaecology, Máxima Medical Centre Veldhoven, De Run, 4600 5500, MB, Veldhoven, The Netherlands.

Background: Hysterectomy is one of the most performed surgical procedures during lifetime. Almost 10 % of women who have had a hysterectomy because of prolapse symptoms, will visit a gynaecologist for a surgical correction of a vaginal vault prolapse thereafter. Vaginal vault prolapse can be corrected by many different surgical procedures. Read More

Genet Med 2017 Jul 20. Epub 2017 Jul 20.

Laboratory of Biochemical Neuroendocrinology, Department of Human Genetics, University of Leuven, Leuven, Belgium.

PurposePREPL deficiency causes neonatal hypotonia, ptosis, neonatal feeding difficulties, childhood obesity, xerostomia, and growth hormone deficiency. Different recessive contiguous gene deletion syndromes involving PREPL and a variable combination of SLC3A1 (hypotonia-cystinuria syndrome), CAMKMT (atypical hypotonia-cystinuria syndrome), and PPM1B (2p21 deletion syndrome) have been described. In isolated PREPL deficiency, previously described only once, the absence of cystinuria complicates the diagnosis. Read More

Medicine (Baltimore) 2017 Jul;96(29):e7471

aDepartment of Spine Surgery bDepartment of Pharmacy, the Third Hospital of Hebei Medical University, Shijiazhuang, China.

The study was to comprehensively compare the postoperative outcome and imaging parameter characters in a short/middle period between the percutaneous endoscopic lumbar discectomy (PELD) and the internal fixation of bone graft fusion (the most common form is posterior lumbar interbody fusion [PLIF]) for the treatment of adjacent segment lumbar disc prolapse with stable retrolisthesis after a previous lumbar internal fixation surgery.In this retrospective case-control study, we collected the medical records from 11 patients who received PELD operation (defined as PELD group) for and from 13 patients who received the internal fixation of bone graft fusion of lumbar posterior vertebral lamina decompression (defined as control group) for the treatment of the lumbar disc prolapse combined with stable retrolisthesis at Department of Spine Surgery, the Third Hospital of Hebei Medical University (Shijiazhuang, China) from May 2010 to December 2015. The operation time, the bleeding volume of perioperation, and the rehabilitation days of postoperation were compared between 2 groups. Read More

Acta Neuropathol 2017 Jul 6. Epub 2017 Jul 6.

Institut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France.

X-linked myotubular myopathy (XLMTM), a severe congenital myopathy, is caused by mutations in the MTM1 gene located on the X chromosome. A majority of affected males die in the early postnatal period, whereas female carriers are believed to be usually asymptomatic. Nevertheless, several affected females have been reported. Read More

Medicine (Baltimore) 2017 Jul;96(27):e7350

aDivision of Rheumatology/Immunology/Allergy, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center bDepartment of Neurology, Tri-Service General Hospital, National Defense Medical Center cDivision of Pulmonary Medicine, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Rationale: Nivolumab (Nivo) is an immune checkpoint inhibitor that has been used to treat advanced melanoma, nonsmall cell lung carcinoma, and renal cell carcinoma since 2015. Nivo is associated with several side effects, including hepatitis, pneumonitis, acute renal failure, endocrine disorder, and other immune-related adverse events. Here, we describe the case of a 65-year-old man with squamous cell lung carcinoma who developed myasthenia gravis (MG) after a third Nivo infusion. Read More

Echocardiography 2017 Jul 6. Epub 2017 Jul 6.

Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.

Background: Aortic root dilatation (ARD) in congenital heart disease is related to aortic aneurysm, rupture, and dissection. This study aimed to investigate the factors associated with ARD in patients with surgically repaired ventricular septal defect (VSD).

Methods: This cross-sectional study included 152 patients with surgically repaired VSD. Read More

N Engl J Med 2017 Jul;377(1):e1

National University Health System, Singapore, Singapore

Phys Med Rehabil Clin N Am 2017 Aug 27;28(3):603-619. Epub 2017 May 27.

Department of Urology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9110, USA. Electronic address:

Female stress urinary incontinence and pelvic organ prolapse are prevalent conditions in adult women. Among treatment alternatives, more traditional methods of surgical intervention have been supplanted by synthetic polypropylene mesh kits. However, novel complications with mesh-related exposure, pelvic pain alone or with dyspareunia, and increased incidence of revision surgeries, resulted in 2 FDA warnings on transvaginal mesh use for prolapse repair. Read More

Zhonghua Fu Chan Ke Za Zhi 2017 Jun;52(6):374-378

Department of Obstetrics and Gynecology, Fuzhou General Hospital of the Chinese People's Liberation Army, Fuzhou 350025, China.

Objective: To analyze re-treatments of recurrence after the pelvic floor repair surgery. Methods: The protocol and the effect of re-treatments were investigated by reviewing and analyzing the clinical data of 81 recurrent patients (grade Ⅱ and above), who had received the pelvic floor repair surgery from January 2011 to January 2016. Pelvic organ prolapse quantitation system (POP-Q) and two questionnaires about quality of life [pelvic floor distress inventory-short form 20 (PFDI-20) and pelvic floor impact questionnaire short form (PFIQ-7)] were used to evaluate objective and subjective efficacy, respectively. Read More

Zhonghua Fu Chan Ke Za Zhi 2017 Jun;52(6):369-373

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

Objective: To evaluate the medium and long term safety and efficacy of sacrospinous ligament fixation (SSLF) performed with conventional instruments in treating stage Ⅲ-Ⅳ pelvic organ prolapse (POP). Methods: A prospective cohort analysis was conducted in the Peking Union Medical College Hospital, between May 2007 and June 2015, enrolling 55 women with stage Ⅲ-Ⅳ POP who intended to receive SSLF. Primary end points were objective success rates using pelvic organ prolapse quantitation system (POP-Q) and subjective satisfaction rates with questionnaires after surgery according to vaginal examination and related questionnaires for all patients who received SSLF eventually. Read More

Zhonghua Fu Chan Ke Za Zhi 2017 Jun;52(6):363-368

Department of Obstetrics and Gynecology, First Affiliated Hospital, General Hospital of People's Liberation Army, Beijing 100048, China.

Objective: To assess the long-term effectiveness of the transvaginal high uterosacral ligament suspension (HUS) in women suffering from advanced pelvic organ prolapse (POP). Methods: A retrospective review of records identified 118 women who underwent transvaginal HUS with or without additional concomitant anterior and (or) posterior repairs from June 2003 to August 2009 in the First Affiliated Hospital, General Hospital of People's Liberation Army. Of 118 women, 104 women completed the follow-up during study period; these 104 women were analysed. Read More

BMJ Case Rep 2017 Jun 22;2017. Epub 2017 Jun 22.

Department of Surgery, St Joseph Mercy Ann Arbor, Ann Arbor, Michigan, USA.

Strangulated gastric prolapse through a percutaneous endoscopic gastrostomy tract is a rare and potentially life-threatening complication that requires surgical intervention. We describe a case of a 74-year-old woman who was debilitated and ventilator-dependent and who presented with acute gastric prolapse with resultant ischaemic necrosis. The patient underwent an emergent exploratory laparotomy, partial gastrectomy, repair of gastrostomy defect and placement of a gastrojejunostomy feeding tube remote to the previous location. Read More

Eur J Paediatr Neurol 2017 Sep 3;21(5):722-729. Epub 2017 Jun 3.

Pediatric Emergency Department, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Background: Acute diplopia (AD) is an uncommon and distressing symptom of numerous ocular and neurological conditions, with potentially serious sequelaes. No data are present in pediatrics on the presentation and management of AD.

Aim: This study investigated characteristics, etiology and health care utilization of the pediatric population with AD accessed to pediatric Emergency Departments (ED), trying to identify "red flags" associated with potentially life-threatening (LT) conditions. Read More

Can Urol Assoc J 2017 Jun;11(6Suppl2):S125-S130

Section of Urology, Department of Surgery, University of Calgary, Calgary, AB, Canada.

Pelvic organ prolapse (POP) results from weakness or injury of the pelvic floor supports with resulting descent of one or more vaginal compartments (anterior, apical and/or posterior). Women typically become symptomatic from the bulging vaginal wall or related organ dysfunction once this descent reaches the introitus. POP is a common condition, affecting more than half of adult women. Read More

Medicine (Baltimore) 2017 Jun;96(24):e7109

aDepartment of Ophthalmology bThe First Department of Medical Oncology, The Chinese PLA General Hospital, Beijing, China.

To summarize the clinical features of eyeball rupture with or without orbital fracture and explore the differences between them.In all, 197 patients were observed, and the following data were recorded: sex, age, time of injury, place of injury, cause of trauma, zone of eye injury, intraocular content prolapse, surgical methods and the therapeutic process, visual acuity after injury, and the final best corrected visual acuity. The results were analyzed for statistically significant differences. Read More

South Med J 2017 Jun;110(6):426-429

From the Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Duke University, Durham, North Carolina.

Objectives: To determine whether mixed-flora preoperative urine cultures, as compared with no-growth preoperative urine cultures, are associated with a higher prevalence of postoperative urinary tract infections (UTIs).

Methods: This was a retrospective cohort study. Women who underwent urogynecologic surgery were included if their preoperative clean-catch urine culture result was mixed flora or no growth. Read More

Medicine (Baltimore) 2017 Jun;96(22):e6484

aDepartment of Neurology, West China Hospital, Sichuan University, Chengdu bDepartment of Neurology cDepartment of Ophthalmology, Mianyang Central Hospital, Mianyang, Sichuan dDepartment of Oncology, The Affiliated Jiangyin Hospital of Southeast University Medical College, Wuxi, Jiangsu, P.R. China.

Rationale: The Lambert-Eaton myasthenic syndrome (LEMS) is a neuromuscular disease; its unique symptoms of LEMS include dry mouth with a metallic taste, constipation, and erectile dysfunction. As it is quite rare, isolated ocular muscle impairment associated with LEMS east to ignore.

Patient Concerns: A 65-year-old man presented with alternating ptosis and diplopia. Read More

Zhonghua Fu Chan Ke Za Zhi 2017 May;52(5):343

Zhonghua Fu Chan Ke Za Zhi 2017 May;52(5):301-306

Department of Obstetrics and Gynecology, Renmin Hospital of Wuhan University, Wuhan 430060, Chian.

Objective: To compare the influence of postoperative pelvic floor function after different surgical procedures of hysterectomy. Methods: A total of 260 patients who underwent hysterectomy in Renmin hospital of Wuhan University from January 2012 to January 2014 were enrolled in the study, and divided into 5 groups by different surgical procedures, which were total abdominal hysterectomy (A-TH; 46 cases), total laparoscopic hysterectomy (L-TH; 59 cases), total vaginal hysterectomy (V-TH; 42 cases), abdominal intrafascial hysterectomy (A-CISH; 78 cases), laparoscopic intrafascial hysterectomy (L-CISH; 35 cases). Pelvic examination, pelvic organ prolapse quantitation (POP-Q), test of pelvic muscle strength, pelvic floor distress inventory-short form 20 (PFDI-20) and the female sexual function index (FSFI) questionnaire were measured after 6 months and 12 months. Read More

Int Heart J 2017 May 23;58(3):451-453. Epub 2017 May 23.

Department of Cardiothoracic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University.

Traumatic tricuspid regurgitation is a rare and progressive disease. Early diagnosis and surgical valve repair are very important. A 57-year-old male was referred to our hospital with a history of blunt chest trauma. Read More

Am J Cardiol 2017 Jul 12;120(1):160-166. Epub 2017 Apr 12.

Baylor Heart and Vascular Institute, Baylor University Medical Center, Dallas, Texas; Division of Cardiology, Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas; Department of Pathology, Baylor University Medical Center, Dallas, Texas. Electronic address:

We describe herein 2 patients who developed severe mitral stenosis (MS) approximately two decades after a mitral valve repair operation for pure mitral regurgitation (MR) secondary to mitral valve prolapse. This report's purpose is to point out that use of a circumferential mitral annular ring during the repair has the potential to produce a transmitral pressure gradient just like that occurring after mitral valve replacement utilizing a mechanical prosthesis or a bioprosthesis in the mitral position. Read More

Arch Esp Urol 2017 May;70(4):379-384

Servicio de Urología. Hospital Universitario La Paz. Madrid. España.

Introduction: In the last 15 years, the role of laparoscopic surgery has progressively increased to include reconstructive procedures such as pyeloplasty and management of ureteral stricture, in addition to being a field in continuous development, this refers to the improvement of ergonomics, new instruments and new techniques. We present a review on basic features of laparoscopic reconstructive surgery in urology.

Acquisition Of Evidence: For this review, an exhaustive literature search was performed in PUBMED, MEDILNE, BioMed central and others, with the keywords: reconstructive surgery, urology, laparoscopy. Read More

Ann Thorac Surg 2017 Jun;103(6):e505-e507

Cardiovascular Department, Centro Cuore, Policlinico di Monza, Alessandria, Italy.

We report three cases of coronary fistula aneurysm associated with mitral valve insufficiency. The patients were referred to our cardiovascular department because of exertional dyspnea. Echocardiography showed severe mitral valve insufficiency resulting from leaflet flail or prolapse and normal left ventricular function. Read More

Radiol Case Rep 2017 Jun 4;12(2):427-430. Epub 2017 Feb 4.

Department of Radiology, Deenanath Mangeshkar Hospital, Erandwane, Pune 411004, India.

We present a case of a 15-year-old male with history of back pain and bilateral lower limb radiculopathy due to fall. The magnetic resonance imaging scan showed disc bulge at L2-L3 level causing compression on contained nerve roots. In this case, computed tomography scan was indispensable for diagnosis and classification of the vertebral apophyseal fracture and to guide appropriate further management. Read More

Obstet Gynecol 2017 Jun;129(6):1124-1130

Department of Obstetrics and Gynecology, the Center for Women's Health Research, and the Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objective: To assess the 5-year risk and timing of repeat stress urinary incontinence (SUI) and pelvic organ prolapse (POP) procedures.

Methods: We conducted a retrospective cohort study using a nationwide database, the 2007-2014 MarketScan Commercial Claims and Encounters and Medicare Supplemental Databases (Truven Health Analytics), which contain deidentified health care claims data from approximately 150 employer-based insurance plans across the United States. We included women aged 18-84 years and used Current Procedural Terminology codes to identify surgeries for SUI and POP. Read More

Am J Cardiol 2017 Jun 29;119(12):2088-2092. Epub 2017 Mar 29.

Division of Cardiology, St. Michael's Hospital, Toronto, Ontario, Canada; Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Electronic address:

The "athletic heart" is characterized by hypertrophy and dilation of the heart, in addition to functional and electrical remodeling. The aim of this study was to provide reference 2-dimensional (2DE) and 3-dimensional (3DE) echocardiographic measurements in a large database on draft-eligible elite ice hockey players and to determine the frequency of occult cardiac anomalies in this cohort of athletes. In this prospective cohort study, we performed a comprehensive cardiac assessment of the 100 top draft picks selected by the National Hockey League. Read More

J Exp Ther Oncol 2016 Jul;11(3):221-223

Department of Perinatology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.

Uterine leiomyomas are the most common benign tumor of the female reproductive tract. Their incidence during pregnancy is approximately 2 percent and they are associated with some complications such as preterm labor, placental abruption, fetal malpresentation, obstructed labor, cesarean delivery, and postpartum hemorrhage. They may develop anywhere within the muscular wall of the uterus, including submucosal, intramural, or subserosal areas. Read More

Plast Reconstr Surg 2017 May;139(5):1090-1099

Pittsburgh, Pa. From the Department of Plastic Surgery, University of Pittsburgh Medical Center.

Background: Augmentation mastopexy in the massive weight loss population is challenging because of poor skin elasticity and lack of inframammary support. Despite several large studies of augmentation mastopexy in the literature, few data exist regarding this unique patient population. The authors examine early postoperative ptosis, implant malposition, and strategies to optimize outcomes. Read More

J Neuroophthalmol 2017 Sep;37(3):268-272

Department of Ophthalmology (AS, SS, KCG), University of Cincinnati College of Medicine, Cincinnati, Ohio Department of Ophthalmology (KCG), Cincinnati Eye Institute, Cincinnati, Ohio.

Background: To identify the etiologies of adult Horner syndrome (HS) in the MRI era using a targeted evaluation approach and to assess the value and yield of targeted imaging.

Methods: A retrospective chart review was performed of 200 adult outpatients with HS, confirmed with cocaine eyedrop testing. Patients were divided into subgroups based on the presence or absence of symptoms and those who did or did not receive additional testing with hydroxyamphetamine drops. Read More

BMC Neurol 2017 Apr 19;17(1):77. Epub 2017 Apr 19.

Department of Neurology, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, People's Republic of China.

Background: Clinical predictors for myasthenia gravis relapse and ocular myasthenia gravis secondary generalization during the first two years after disease onset remain incompletely identified. This study attempts to investigate the clinical predictors for the prognosis of Myasthenia Gravis.

Methods: Eighty three patients with myasthenia gravis were concluded in this study. Read More

Zhonghua Yan Ke Za Zhi 2017 Apr;53(4):281-287

Wuhan Aier Eye Hospital, Wuhan 430063, China.

Objective: To assess the effect of femtosecond laser-assisted anterior capsulotomy in intumescent white cataract surgery. Methods: Retrospective case series study. One hundred and fifty cataract patients (150 eyes) from June 2014 to June 2015 in Wuhan Aier ophthalmology hospital were enrolled in this study. Read More

JSLS 2017 Jan-Mar;21(1)

University of Nevada School of Medicine, Reno, Nevada, USA.

Background And Objectives: Rectal prolapse is often repaired laparoscopically, frequently with the use of reinforcement material. Both synthetic and biologically derived materials reduce recurrence rate compared to primary suture repair. Synthetic mesh introduces potential complications such as mesh erosion, fibrosis, and infection. Read More

Dis Colon Rectum 2017 May;60(5):508-513

Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio.

Background: Patients with Crohn's disease have a higher failure rate after ileal pouch surgery compared with their counterparts with ulcerative colitis.

Objective: We hypothesized that risk of continent ileostomy failure can be stratified based on the timing of Crohn's disease diagnosis and aimed to assess long-term outcomes.

Design: This was a retrospective cohort study. Read More

Khirurgiia (Mosk) 2017(3):94-96

Department of obstetrics and additional professional education, Pavlov Russian State Medical University, Ryazan, Russia.

Maturitas 2017 May 24;99:86-91. Epub 2017 Feb 24.

University of Groningen, University Medical Center Groningen, Department of General Practice, Groningen, The Netherlands. Electronic address:

Objectives: The primary objective was to evaluate the ability of different anatomic cut-off points, as established in specialist urogynecology populations, to identify clinically relevant prolapse in a population of postmenopausal women with pelvic floor symptoms recruited from primary care.

Study Design: Cross-sectional study among 890 women (≥55 years) screened for pelvic floor symptoms.

Main Outcome Measures: The Pelvic Floor Distress Inventory 20 was used to measure symptoms, and the Pelvic Organ Prolapse Quantification (POP-Q) system was used to assess prolapse. Read More

Maturitas 2017 May 24;99:73-78. Epub 2017 Feb 24.

Department of Obstetrics, Gynaecology and Paediatrics, Azienda Policlinico of Modena, Modena, Italy.

Objective: To evaluate whether climacteric symptoms are related to pelvic organ prolapse (POP) in postmenopausal women.

Study Design: A cross-sectional investigation was performed on 1382 postmenopausal women attending an outpatient service for menopause at a university hospital.

Main Outcome Measures: Data regarding climacteric symptoms, as captured by the Greene Climacteric Scale, and objective POP were retrieved from an electronic database. Read More

Plast Reconstr Surg 2017 Apr;139(4):829-837

Nice, France From the Plastic and Reconstructive Surgery Unit, the Public Health Service and Medical Information, and the Radiology and Medical Imaging Unit, University Hospital of Nice; and the Plastic and Reconstructive Surgery Unit, Polyclinic Santa Maria.

Background: Age-related changes in fat compartments have yet to be fully characterized. Uncertainty remains in terms of volume gains/losses or shape fluctuations over time. The authors' aim was to determine the evolution of subcutaneous fat in the aging upper face, focusing on shifts in volume and dimension. Read More

Eye (Lond) 2017 Jun 24;31(6):940-946. Epub 2017 Mar 24.

Department of Ophthalmology, Seoul St. Mary's Hospital, Catholic University College of Medicine, Seoul, Korea.

PurposeThis study aimed to evaluate the prevalence and associated factors of involutional blepharoptosis in a nationwide representative sample in Korea.MethodsCross-sectional study 20 941 Korean men and women 40 years of age and older who participated in last 2 years (2008 and 2009) of the 4th wave of the Korean National Health and Nutrition Examination Survey (KNHANES) IV and the first 2 years (2010 and 2011) of KNHANES V. Ocular examinations were performed by ophthalmologists trained in procedure and grading methods, and blepharoptosis was defined as a marginal reflex distance <2 mm on either eye. Read More

Br J Nurs 2017 Mar;26(5):S30-S31

Following on from a study carried out with his colleagues in 2010, Anthony McGrath, Head of Department Adult Nursing and Midwifery, London South Bank University, considers the ongoing problems faced by patients with stomas and the importance of support from stoma care nurses. Read More

Chin Med J (Engl) 2017 Mar;130(6):678-683

Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.

Background: Some patients with pelvic organ prolapse may suffer from lower urinary tract symptoms (LUTS), especially stress urinary incontinence (SUI) named de novo SUI after pelvic floor reconstruction. This study aimed to investigate the incidence and risk factors of de novo SUI.

Methods: This is a nested case-control study of 533 patients who underwent pelvic floor reconstruction due to pelvic organ prolapse (POP) at the Department of Gynecology in Peking University People's Hospital from January 2011 to March 2013. Read More

Int J Colorectal Dis 2017 May 15;32(5):667-674. Epub 2017 Mar 15.

Department of Surgery and Cancer, Chelsea and Westminster Hospital, Imperial College London, London, UK.

Purpose: Female patients with pelvic floor diseases may suffer from several sexual disorders and sexual life impairments. The aim of this manuscript was to evaluate sexual dysfunction in female patients presenting with faecal incontinence (FI) and defecation disorder (DD).

Methods: A retrospective review was performed of a prospectively collected database of sexually active women referred to the pelvic floor clinic, who completed the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-12 (PISQ-12) at first visit. Read More

Pan Afr Med J 2016 26;25:117. Epub 2016 Oct 26.

Université Libre de Bruxelles. 808 Route de Lennik 1070 Bruxelles, Belgium.

Introduction: In spite of free caesarean section applied in Benin since 2009, high rates of stillborn babies continue to be recorded. This study aimed to determine the factors associated with post-caesarean stillborn in Benin.

Methods: Cross-sectional study that covered all women who have delivered by caesarean from December 2013 to February 2014 in twelve hospitals chosen by simple random selection in each of the twelve departments of Benin. Read More

Pan Afr Med J 2016 17;25:79. Epub 2016 Oct 17.

Service de Gynécologie Obstétrique, CHU de Brazzaville, BP 32, Brazzaville, Congo.

Any illness is viewed as inherently evil, so it must be eradicated because it often significantly affect the quality of life. Vaginal hysterectomy is indicated in patients with some severe gynecological conditions; it is beneficial but can also have a detrimental impact on women's quality of life. The aim of our study was to explore subjective experience of the disease and vaginal hysterectomy (VH) among women before and after surgery. Read More

J Neurosurg Spine 2017 Jun 10;26(6):684-687. Epub 2017 Mar 10.

Spine Unit, Department of Orthopaedic Surgery; and.

Harlequin syndrome is a rare autonomic disorder referring to the sudden development of flushing and sweating limited to one side of the face. Like Horner syndrome, associating miosis, ptosis, and anhidrosis, Harlequin syndrome is caused by disruption of the cervical sympathetic pathways. Authors of this report describe the case of a 55-year-old female who presented with both Harlequin sign and Horner syndrome immediately after anterior cervical discectomy (C6-7) with cage fusion and anterior spondylodesis. Read More

Female Pelvic Med Reconstr Surg 2017 Mar 9. Epub 2017 Mar 9.

From the *The Johns Hopkins University School of Medicine, James Buchanan Brady Urological Institute, Division of Pediatric Urology, Charlotte Bloomberg Children's Hospital; and †Johns Hopkins Bayview Medical Center, JHBMC, Urology, Baltimore, MD.

Objective: This study aimed to characterize long-term urogynecologic issues of women with a history of bladder exstrophy and pelvic organ prolapse (POP) and to assess the impact of POP repair on continence and sexual function.

Design: Patient demographics and surgical history related to exstrophy and POP were collected through chart review. Patient perceptions regarding sexual function, urinary continence, and quality of life were assessed through Web-based administration of validated questionnaires: International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and POP-Urinary Incontinence Sexual Questionnaire. Read More

Obstet Gynecol 2017 Apr;129(4):689-692

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of Southern California, Los Angeles, California.

Background: Bladder exstrophy is a rare congenital anomaly affecting the lower abdominal wall, pelvis, and genitourinary structures. Pregnant women with bladder exstrophy present a unique challenge to the obstetrician.

Case: The patient is a 35-year old pregnant woman with bladder exstrophy, an extensive surgical history, and uterine prolapse with an abnormal, rubbery consistency to her cervix. Read More

Obstet Gynecol 2017 Apr;129(4):608-614

Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics & Gynecology and Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, John Hopkins University School of Medicine, Baltimore, Maryland.

Objective: To assess the relationship between prescribed postoperative activity recommendations (liberal compared with restricted) after reconstructive prolapse surgery and patient satisfaction and pelvic floor symptoms.

Methods: In our multicenter, randomized, double-blind clinical trial, women undergoing reconstructive prolapse surgery were randomized to liberal compared with restricted postoperative activity recommendations. Liberal recommendations instructed women to resume postoperative activity at the woman's own pace with no restrictions on lifting or high-impact activities. Read More