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Int Urol Nephrol 2019 Mar 14. Epub 2019 Mar 14.

Urology Department, University Hospital of Nîmes, 4 Rue du Professeur Robert Debré, 30029, Nîmes, France.

Purpose: The aim of our study was to assess the impact of laparoscopic sacrocolpopexy on pelvic symptoms, quality of life and sexual function in patients with symptomatic pelvic organ prolapse. Secondary goals included the assessment of anatomical correction, recurrence and complication rates.

Methods: This is a prospective, single-center study that included 82 patients between 2009 and 2016. Read More

J Neurogastroenterol Motil 2019 Mar 4. Epub 2019 Mar 4.

Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University School of Medicine, Redwood City, CA, USA.

Background/aims: Current evidence suggests the presence of motility or functional abnormalities in one area of the gastrointestinal tract increases the likelihood of abnormalities in others. However, the relationship of gastroparesis to chronic constipation (slow transit constipation and dyssynergic defecation) has been incompletely evaluated.

Methods: We retrospectively reviewed the records of all patients with chronic dyspeptic symptoms and constipation who underwent both a solid gastric emptying scintigraphy and a highresolution anorectal manometry at our institution since January 2012. Read More

Turk J Urol 2019 Feb 4. Epub 2019 Feb 4.

Clinic of Urology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey.

Objective: This study presents the surgical, oncological, and functional outcomes of the first 93 robotic radical prostatectomy (RARP) procedures performed in Erzurum, Turkey. These procedures were performed by a single surgeon who had completed the European Association of Urology Robotic Urology Section (ERUS) RARP curriculum in an ERUS-certified training center in Ankara.

Material And Methods: The mean patient age was 63. Read More

Int J Colorectal Dis 2019 Feb 19. Epub 2019 Feb 19.

Department of Emergency and Organ Transplantation and Inter-Department Research Center for Pelvic Floor Diseases (CIRPAP), University "Aldo Moro" of Bari, Piazza G Cesare, 11, 70124, Bari, Italy.

Aim: To evaluate the reason for failure of STARR (stapled transanal rectal resection) operation for obstructed defecation.

Methods: A retrospective study (June 2012-December 2017) was performed using a prospectively maintained database of patients who underwent STARR operation for ODS (obstructed defecation syndrome), complaining of persisting or de novo occurrence of pelvic floor dysfunctions. Postoperative St Mark's and ODS scores were evaluated. Read More

Tech Coloproctol 2019 Feb 16. Epub 2019 Feb 16.

Department of General Surgery, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy.

Background: This study aims to investigate functional results and recurrence rate after stapled transanal rectal resection (STARR) for rectocele associated with obstructive defection syndrome (ODS).

Methods: A study was conducted on patients with ODS symptoms associated with symptomatic rectocele ≥ 3 cm on dynamic defecography who had STARR at our institution between 01/2007 and 12/2015. Data were prospectively collected and analyzed. 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 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

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

Int Urogynecol J 2019 Jan 9. Epub 2019 Jan 9.

Department of Clinical Science, Obstetrics and Gynaecology, Umeå University, 90187, Umeå, Sweden.

Introduction And Hypothesis: The aim of this study was to compare the results of repair of isolated, recurrent, posterior vaginal wall prolapse using standard posterior colporrhaphy versus non-absorbable polypropylene mesh in a routine health care setting.

Methods: This cohort study was based on prospectively collected data from the Swedish National Register for Gynaecological Surgery. All patients operated for recurrent, posterior vaginal wall prolapse in Sweden between 1 January 2006 and 30 October 2016 were included. Read More

Minerva Chir 2019 Jan 4. Epub 2019 Jan 4.

Departement of Surgical Sciences, "Sapienza" University of Rome, Rome, Italy -

Background: The causes of obstructed defecation syndrome (ODS) can actually be either functional or mechanical (primary or secondary deficit of the sensitivity, slow bowel transit, pelvic floor dyssynergia, internal and external rectal prolapse, recto-anal intussusceptions, anterior or posterior rectocele and pelvic prolapse of the bladder, uterus, bowel or sigma). The aim of our study was evaluate the safety, efficacy and feasibility of Transanal Rectal Resection (STARR) procedure performed by a single or double stapler through clinical and functional outcomes for transanal stapled surgery.

Methods: From January 2016 to October 2017, ninety patients with ODS secondary to rectal prolapse, anal-rectal intussusception and anterior rectocele, that underwent to a STARR procedures were enrolled. Read More

Int Urogynecol J 2019 Mar 4;30(3):501-503. Epub 2019 Jan 4.

Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.

Arch Gynecol Obstet 2019 Feb 18;299(2):317-325. Epub 2018 Dec 18.

Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel.

Purpose: To focus attention on the long-term effects of episiotomy on urinary incontinence and pelvic organ prolapse.

Methods: A systematic review was conducted including only studies with mean follow-up ≥ 5 years. We searched using combinations of the following keywords and text words: "episiotomy", "perineal laceration", "perineal tear", "perineal damage" and "long term", "long term outcomes", "prolapse", "pelvic organ prolapse", "pelvic floor", "pelvic floor dysfunction", "urinary incontinence", "hysterocele", "cystocele" and "rectocele". Read More

Zhongguo Yi Liao Qi Xie Za Zhi 2018 Nov;42(6):464-465

The Xuzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Xuzhou, 221009.

Objective: To explore the application value of rectal prolapse constipation balloon in single auxiliary defecation.

Methods: Forty-one patients with moderate or severe rectocele were treated with a rectocele constipation balloon through the vagina. The defecography and VAS scores were compared before and after implantation. Read More

Surg Technol Int 2018 Nov 30;34. Epub 2018 Nov 30.

Rectal Surgery Residency Program, Department of Colon and Rectal Surgery, St. Mark's Hospital, Salt Lake City, UT.

Aim: The presence of enterocele may interfere with the surgical approach for obstructed defecation syndrome (ODS) as it may represent a contraindication to stapled transanal rectal resection (STARR), and tactics to overcome this problem have been debated. A change in the patient's position during surgery may be a means to overcome an enterocele. We sought to determine whether an enterocele could be completely reduced when the patient is placed in the prone position during fluoroscopic defecography (FD). Read More

Urol Clin North Am 2019 Feb;46(1):87-95

Department of Surgery, Division of Urology, University of Arizona, 1501 North Campbell Avenue, Box 245077, Tucson, AZ 84724, USA. Electronic address:

Posterior compartment vaginal prolapse can be approached with multiple surgical techniques, including transvaginally, transperineally, and transanally, repaired with either native tissue or with the addition of an augment. Augment material for posterior compartment prolapse includes biologic graft (dermal, porcine submucosal), absorbable mesh (Vicryl polyglactin), or nonabsorbable synthetic mesh (polypropylene). Anatomic success rates for posterior compartment repair with augment has ranged from 54% to 92%. Read More

Urol Clin North Am 2019 Feb;46(1):79-85

Glickman Urological and Kidney Institute, Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Pelvic organ prolapse is common in parous women, although few report symptoms. The incidence of posterior compartment prolapse, or rectocele, is less well-reported. Posterior vaginal wall prolapse is associated with pain, constipation, and splinting. Read More

Dis Colon Rectum 2019 01;62(1):56-62

Colorectal Surgery Center, Department of General and Gastrointestinal Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Background: Recently, there has been a trend toward surgical management of internal intussusception despite an unclear correlation with constipation symptoms.

Objective: This study characterizes constipation in patients with obstructed defecation syndrome and identifies whether internal intussusception or other diagnoses such as irritable bowel syndrome may be contributing to symptoms.

Design: Patients evaluated for obstructed defecation at a pelvic floor disorder center were studied from a prospectively maintained database. Read More

G Chir 2018 Sep-Oct;34(5):303-308

Aim: This is a prospective randomized study to analyze results obtained in two groups of patients, affected by stage 2 rectocele and treated with rectum anterior wall repair and strength, performed with standard or modified Khubchandani technique, using High Frequency (HF) Radio Scalpel.

Materials And Methods: A cohort of 24 patients with stage 2 rectocele (Mellgren's classification) have been included. Twelve (group A) underwent surgery with standard technique and twelve (group B) underwent surgery using the HF Radio Scalpel, which cuts and coagulates tissues without damage thanks to its low working temperature (45-70°C). Read More

Gastroenterol Nurs 2018 Nov/Dec;41(6):508-515

Judith S. Moore, MSc, RN, PhD Student, is Functional Gut Nurse Consultant, Department of Gastroenterology, Central Clinical School, Monash University and The Alfred Hospital, Melbourne, Australia. Peter R. Gibson, MBBS (Hons), MD, FRACP, is Director of Gastroenterology, The Alfred Hospital, Melbourne, Australia; and Professor of Gastroenterology, Central Clinical School, Monash University, Melbourne, Australia. Richard E. Perry, MBChB, DipObs, FRACS, is Colorectal Surgeon, Intus Digestive and Colorectal Care, Christchurch, New Zealand. Rebecca E. Burgell, MBBS (Hons), FRACP, is Gastroenterologist, Department of Gastroenterology, Central Clinical School, Monash University and The Alfred Hospital, Melbourne, Australia.

A diverse range of conditions share symptoms commonly identified with irritable bowel syndrome. The objective of this study was to examine the diagnostic process in identifying additional diagnoses in women who are attending a clinic for evaluation of symptoms suggestive of irritable bowel syndrome. A retrospective audit was conducted of anonymous data gathered on consecutive female patients presenting to a specialist nurse-led service in Christchurch, New Zealand, with a provisional diagnosis of irritable bowel syndrome. Read More

Female Pelvic Med Reconstr Surg 2018 Nov 9. Epub 2018 Nov 9.

Department of Urology, Louisiana State University Health-Shreveport, Shreveport, LA.

Objective: There are limited long-term data that has examined postoperative quality-of-life measures following placement of midurethral sling (MUS) for stress urinary incontinence (SUI). The SEAPI incontinence questionnaire includes 5 data points that rate severity of specific urinary symptoms. Our aim was to describe changes in SEAPI questionnaire outcomes 1 year following sling placement. Read More

Nihon Shokakibyo Gakkai Zasshi 2018 ;115(11):967-976

Division of Gastrointestinal Surgery, Department of Surgery, Jichi Medical University.

Tech Coloproctol 2018 10 8;22(10):817-818. Epub 2018 Nov 8.

Proctology Clinic, Private Hospitals in Forlì, Forlì, Italy.

Med Sci Monit 2018 Nov 4;24:7891-7897. Epub 2018 Nov 4.

Department of Ultrasound, Pudong New Area People's Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China (mainland).

BACKGROUND This study explored symptoms and signs of pelvic organ prolapse (POP) evaluated by 4-dimensional pelvic floor ultrasonography and analyzed the relationship between delivery mode and POP. MATERIAL AND METHODS A total of 578 women who underwent 4-dimensional transperineal ultrasound were enrolled in this study. Obstetric history together with other clinical information were gathered from clinical questionnaires and gynecologists. Read More

Int J Surg Case Rep 2018 29;53:120-126. Epub 2018 Oct 29.

Andrzej Frycz Modrzewski Krakow University, Department for Gynecology and Urogynecology, Bochenka 12, 30-693 Krakow, Poland. Electronic address:

Introduction: Due to the many advances in laparoscopic surgery in urogynecology, various uterus-preserving techniques are increasingly being used in treatment. The following is a report of the case of a 43-year-old female with uterine prolapse POP-Q 4. This patient successfully underwent a minimally invasive laparoscopic procedure while preserving the uterus. Read More

Cent European J Urol 2018 25;71(3):326-333. Epub 2018 Jun 25.

Carpe Vitam, Center of Reconstructive Pelvic Floor Surgery, Hannover, Germany.

Introduction: High failure and recurrent prolapse remains an important issue for pelvic organ prolapse (POP) surgery. The posterior intravaginal slingplasty (PIVS) is a minimally invasive, transperineal technique providing level I support, by creating neo-sacrouterine ligaments using a mesh. In order to reduce the POP recurrence rate, achieve a safer apical support and thereby better functional outcomes, we attached PIVS tape to the sacrospinous ligament bilaterally and compared the anatomical and functional outcomes for our modified technique versus the original PIVS. Read More

G Chir 2018 Sep-Oct;39(5):303-308

Aim: This is a prospective randomized study to analyze results obtained in two groups of patients, affected by stage 2 rectocele and treated with rectum anterior wall repair and strength, performed with standard or modified Khubchandani technique, using High Frequency (HF) Radio Scalpel.

Materials And Methods: A cohort of 24 patients with stage 2 rectocele (Mellgren's classification) have been included. Twelve (group A) underwent surgery with standard technique and twelve (group B) underwent surgery using the HF Radio Scalpel, which cuts and coagulates tissues without damage thanks to its low working temperature (45-70°C). Read More

Female Pelvic Med Reconstr Surg 2018 Nov/Dec;24(6):383-391

From the American Urogynecologic Society, Silver Spring, MD.

The symptoms of constipation and obstructed defecation are common in women with pelvic floor disorders. Female pelvic medicine and reconstructive surgery specialists evaluate and treat women with these symptoms, with the initial consultation often occurring when a woman has the symptom or sign of posterior compartment pelvic organ prolapse (including rectocele or enterocele) or if a rectocele or enterocele is identified in pelvic imaging. This best-practice statement will review techniques used to evaluate constipation and obstructed defecation, with a special focus on the relationship between obstructed defecation, constipation, and pelvic organ prolapse. Read More

Minim Invasive Ther Allied Technol 2018 Sep 27:1-6. Epub 2018 Sep 27.

a University of Witten Herdecke Medical Department , Witten , Germany.

Introduction: Traditionally, a cystocele caused by a midline defect of the pelvic fascia is treated by vaginal fascia duplication, also known as anterior colporraphy. The rectocele is managed by suturing the posterior fascia and, frequently, the levator ani muscles. We developed the approach of laparoscopic anterior and posterior fascia repair by native tissue. Read More

Ultrasound Obstet Gynecol 2018 Sep 23. Epub 2018 Sep 23.

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

Objective: Ethnicity has been suggested to be a significant risk factor for pelvic organ prolapse (POP); yet, pelvic organ descent in different ethnic groups, especially in Asian populations, is not well studied. The aim of this study was to compare prolapse stages, pelvic organ descent and hiatal dimensions between East Asian and Caucasian women presenting with symptoms of POP.

Methods: This was a prospective observational study of East Asian and Caucasian women presenting with symptoms of POP to a tertiary urogynecology clinic in, respectively, Hong Kong and Sydney. Read More

Curr Probl Diagn Radiol 2018 Aug 23. Epub 2018 Aug 23.

College of Medicine, University of Arizona, Tucson, AZ. Electronic address:

Purpose: To evaluate the utility of a defecography phase (DP) sequence in dynamic pelvic floor MRI (DPMRI), in comparison to DPMRI utilizing only non-defecography Valsalva maneuvers (VM).

Materials And Methods: Inclusion criteria identified 237 female patients with symptoms and/or physical exam findings of pelvic floor prolapse. All DPMRI exams were obtained following insertion of ultrasound gel into the rectum and vagina. Read More

Ginekol Pol 2018 ;89(8):432-36

Uşak Training and Research Hospital.

Objectives: To determine the relationship between vaginal birth and the development of POP among women who deliv-ered in non-hospital settings (home birth).

Material And Methods: Data were collected retrospectively from the files of patients who presented to a hospital outpatient clinic between April 1, 2011 and April 1, 2012 with complaints of urinary incontinence, uterine sagging, vaginal mass, or vaginal pain. The patients' age, height, weight, body mass index, menopause age, number of deliveries, and presence of hypertension and diabetes mellitus were noted. Read More

Colorectal Dis 2018 Nov 29;20(11):1049-1050. Epub 2018 Sep 29.

Department of General Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey.

Colorectal Dis 2018 Dec 25;20(12):1125-1131. Epub 2018 Sep 25.

Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK.

Aim: Ventral rectopexy (VR) has gained popularity in the management of obstructive defaecation syndrome (ODS) due to a symptomatic rectocele ± intussusception. Data on the efficacy and safety of VR are variable and there are few predictors of successful outcome. This study aimed to examine whether or not an adverse obstetric history influenced the functional outcome following VR for ODS. Read More

Int J Colorectal Dis 2019 Jan 27;34(1):189-192. Epub 2018 Aug 27.

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

Purpose: The pelvic floor is considered as a single anatomical and functional unit, consisting of several structures that suspend the pelvic organs maintaining their function. For this reason, a multi-compartmental prolapse is a common disease that needs a multidisciplinary pelvic floor team in order to be treated. The aim of the authors is to suggest a treatment algorithm to better approach complex pelvic organ prolapse. Read More

JRSM Open 2018 Aug 6;9(8):2054270418783616. Epub 2018 Aug 6.

School of Nursing and Midwifery, Faculty of Health and Human Sciences, Plymouth University, Devon, UK.

The aim of this paper was to consider the available evidence for the current management of pelvic organ prolapse, which is a common presentation in primary care. However, not all women will present, only presenting when symptoms become bothersome. Particular attention was paid to understanding the problem of rectocele and its influence on obstructive defaecation symptoms. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Jul;21(7):798-802

Department of Colorectal Surgery of Chinese Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing 210001, China.

Objective: To observe the multiple symptom distribution, severity and quality of life of female pelvic floor dysfunction(FPFD) patients with constipation as chief complaint.

Methods: One hundred FPFD patients with constipation as chief complaint from Speciaty Outpatient Clinic, Pelvic Floor Center of Nanjing Municipal Hospital of Traditional Chinese Medicine between September 2015 and February 2017 were retrospectively enrolled in this study. A comprehensive medical history questionnaire survey and systematical evaluation of severity and quality of life of these patients with constipation was conducted. Read More

Obstet Gynecol Sci 2018 Jul 8;61(4):505-508. Epub 2018 Jun 8.

Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Objective: The aim of our study is to reveal the correlation between the posterior vaginal wall and apex in pelvic organ prolapse.

Methods: We retrospectively reviewed the records of all new patient visits to a urogynecology clinic between January 2013 and December 2015.

Results: Four hundred five cases were enrolled in our study. Read More

Tech Coloproctol 2018 06 28;22(6):425-431. Epub 2018 Jun 28.

Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa, Japan.

Background: Physiological changes after laparoscopic ventral rectopexy (LVR) in patients with rectoanal intussusception (RAI) remain unclear. This study was undertaken to evaluate physiological and morphological changes after LVR for RAI, and to study clinical outcomes following LVR with special reference to fecal incontinence (FI).

Methods: The study was conducted on patients who had LVR for RAI between February 2012 and December 2016 at our institution Patients with RAI and FI were included in the study. Read More

Urology 2018 Sep 23;119:49-54. Epub 2018 Jun 23.

University of Arizona, College of Medicine, Division of Urology, Tucson, AZ.

Objective: To compare dynamic magnetic resonance imaging (dMRI) defecography phase findings with physical examination (PE) grading in the evaluation of pelvic organ prolapse (POP).

Methods: We retrospectively reviewed 274 consecutive patients who underwent dMRI with defecography. Baden-Walker grading of POP, absolute dMRI values, and grading by dMRI were collected for anterior, apical, and posterior compartments. Read More

Nurs Womens Health 2018 Jun;22(3):228-239

Pelvic organ prolapse is a medical condition that can cause pelvic discomfort as well as urinary and bowel complications. Approximately 25% of women in the United States and roughly 50% of women worldwide develop this condition. Although pelvic organ prolapse is usually a non-life-threatening condition, it can result in decreased self-confidence and negative body image. Read More

Ultrasound Obstet Gynecol 2018 Dec;52(6):784-791

Department of Obstetrics and Gynaecology, Croydon University Hospital, Croydon, UK.

Objective: To establish the diagnostic test accuracy of two-dimensional (2D) and four-dimensional (4D) transperineal ultrasound (TPUS) for diagnosis of posterior pelvic floor disorders in women with obstructed defecation syndrome (ODS), in order to assess if 4D ultrasound imaging provides additional value.

Methods: This was a prospective cohort study of 121 consecutive women with ODS. Symptoms of ODS and pelvic organ prolapse on clinical examination were assessed using validated methods. Read More

BMC Surg 2018 May 31;18(1):34. Epub 2018 May 31.

Department of Surgery, Ajou University School of Medicine, 164 World cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 16499, Republic of Korea.

Background: Following injection sclerotherapy using ALTA (aluminum potassium sulfate and tannic acid) (ALTAS) and transanal rectocele repair (TAR), changes in anorectal physiology were analyzed to compare the significance of the two treatments.

Methods: ALTAS was administered to 23 patients and 18 patients were treated using TAR. Efficacy measures included changes in defecography, anorectal manometry and constipation scoring system value. Read More

Colorectal Dis 2018 Jul 18;20(7):647-648. Epub 2018 May 18.

General and Colorectal Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Int J Colorectal Dis 2018 Nov 19;33(11):1583-1588. Epub 2018 Apr 19.

Department of General and Emergency Surgery, University of Tor Vergata, Rome, Italy.

Purpose: Symptomatic rectocele results in obstructed defecation and constipation. Surgical repair may provide symptomatic relief. A variety of surgical procedures have been used in the rectocele repair to enhance anatomical and functional results and to improve long-term outcomes. Read More

Int J Gynaecol Obstet 2018 Jul 24;142(1):108-113. Epub 2018 Apr 24.

Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.

Objective: To assess adverse events following surgical repair of pelvic organ prolapse (POP) with or without the use of transvaginal mesh.

Methods: The present retrospective study was conducted among women who underwent surgical POP repair at Soroka University Medical Center, Beer Sheva, Israel, between January 1, 2013, and December 31, 2015. Patients underwent anterior and posterior colporrhaphy either with transvaginal mesh (Elevate Prolapse Repair System; American Medical Systems, Minnetonka, MN, USA) or without transvaginal mesh (native tissue repair). Read More

J Clin Rheumatol 2019 Jan;25(1):36-40

Division of Immunology and Rheumatology, Department of Physical Medicine and Rehabilitation, Sakarya University Faculty of Medicine, Sakarya, Turkey.

Aim: The aim of this study was to investigate whether increased intra-abdominal pressure caused by pelvic inflammation and frequent use of the Valsalva maneuver increases the incidence of pelvic organ prolapse (POP) among female patients with ankylosing spondylitis (AS).

Methods: Thirty-nine patients diagnosed as having AS through the use of the modified New York criteria, 47 patients with chronic low-back pain (CLBP), and 38 healthy controls (HCs) were included in this study. All the patients and the HCs underwent thorough physical and gynecological examinations. Read More

J Minim Invasive Gynecol 2019 Jan 30;26(1):38-39. Epub 2018 Mar 30.

Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas. Electronic address:

Study Objective: To demonstrate helpful tips and tricks for the successful use of transvaginal natural orifice transluminal endoscopic surgery (NOTES) for performing sacrocolpopexy and salpingo-oophorectomy surgery. Minimally invasive approaches for treating pelvic organ prolapse via sacrocolpopexy have traditionally included laparoscopy either with or without robotic assistance. Transvaginal NOTES is a novel minimally invasive approach that both avoids abdominal incisions and provides improved visualization; however, it can be technically challenging. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Mar;21(3):276-280

Department of Gastrointestinal Surgery; Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine; Shanghai Minimally Invasive Surgery Clinical Center, Shanghai 200025, China.

Chronic constipation is a polysymptomatic heterogeneous disorder with the incidence rising in many countries, and becomes a common disease affecting the quality of life and financial burden. In China surgical guideline, the primary constipation is divided into 3 types: slow transit constipation, outlet obstructive constipation, mixed constipation. The Rome IIII( criteria is usually referred to diagnosis, considering with clinical features and patient complaints. Read More

Int Urogynecol J 2018 08 24;29(8):1187-1192. Epub 2018 Mar 24.

German Pelvic Floor Center, St. Hedwig Hospital, Große Hamburger Strasse 5-11, D-10115, Berlin, Germany.

Introduction And Hypothesis: Stabilization of the vaginal apex (level 1) is an important component of operations to correct pelvic organ prolapse (POP). We report functional and anatomical results and patient-reported outcomes of our technique of vaginal vault fixation at the time of vaginal hysterectomy.

Methods: One hundred and nine patients-mean 69 years, range 50. Read More

Medicine (Baltimore) 2018 Mar;97(12):e0139

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

Rationale: To date, sporadic studies have shown that a relationship exists between delayed pelvic organ prolapse (POP) and pelvic trauma, and these cases have all been managed with surgical procedures.

Patient Concerns: A 29-year-old, nulliparous (Gravida 0) woman without sexual experience was referred to our gynecology outpatient clinic, complaining of a protruding vaginal mass 5 years after a traffic accident (hit by a truck when she was walking) that caused serious multiple injuries.

Diagnoses: Stage 2 cystocele, stage 3 uterine prolapse, and stage 2 rectocele, pelvic trauma history. Read More