7,022 results match your criteria Uterine Prolapse


Robot-assisted sacrocolpopexy: not only for vaginal vault suspension? An observational cohort study.

Int Urogynecol J 2021 Jun 23. Epub 2021 Jun 23.

Department of Gynecology, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands.

Introduction And Hypothesis: Surgery for pelvic organ prolapse (POP) has high recurrence rates. Long-term anatomical and patient-reported outcomes after pelvic floor repair are therefore required.

Methods: This prospective observational cohort study was conducted in a teaching hospital with tertiary referral function for patients with POP. Read More

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MORPHOLOGICAL FEATURES OF THE UTERUS IN WOMEN AT DIFFERENT TIME INTERVALS OF THE POSTMORTEM PERIOD AS DIAGNOSTIC CRITERIA FOR ESTABLISHING THE POSTMORTEM INTERVAL.

Wiad Lek 2021 ;74(4):821-827

PUBLIC NONPROFIT ORGANIZATION OF THE KHARKIV DISTRICT COUNCIL «REGIONAL CLINICAL HOSPITAL», KHARKIV, UKRAINE.

Objective: The aim is to identify the morphological features of the uterus layers in women at different time intervals of the postmortem period as diagnostic criteria for establishing the postmortem interval.

Patients And Methods: Materials and methods: In the study we used surgical and autopsy material - uterine tissue fragments. All materials were divided into two groups. Read More

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A comparison of modified laparoscopic uterine suspension and vaginal hysterectomy with sacrospinous ligament fixation for treating pelvic organ prolapse.

Am J Transl Res 2021 15;13(5):5672-5678. Epub 2021 May 15.

Department of Gynaecology, The International Peace Maternal and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University Shanghai, China.

Objectives: To compare the efficacy and adverse events between modified laparoscopic uterine suspension and vaginal hysterectomy and sacrospinous ligament fixation.

Methods: The study reviewed the clinical data of 50 postmenopausal patients who underwent modified laparoscopic uterine suspension (the hysteropexy group) and 50 patients who underwent vaginal hysterectomy with sacrospinous ligament fixation (the hysterectomy group) conducted by the same group of surgeons (2018.1-2019. Read More

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Large pedunculated submucosal leiomyoma mimicking uterine prolapse.

Clin Case Rep 2021 Jun 9;9(6):e04319. Epub 2021 Jun 9.

Faculty of Medicine 1st Department of Obstetrics and Gynecology National and Kapodistrian University of Athens Athens Greece.

The differential diagnosis of a sudden protrusion of a large vaginal mass includes a uterine or vaginal vault prolapse, a pedunculated uterine leiomyoma or leiomyosarcoma, a uterine stromal tumor or a giant polyp. Read More

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Evaluation of the risk of umbilical cord prolapse in the second twin during vaginal delivery: a retrospective cohort study.

BMJ Open 2021 06 16;11(6):e046616. Epub 2021 Jun 16.

Obstetrics and Gynecology, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan.

Objective: This study aimed to evaluate the success rate of vaginal delivery, the reasons for unplanned caesarean delivery, the rate of umbilical cord prolapse and the risk of umbilical cord prolapse in twin deliveries.

Design: Retrospective cohort study.

Setting: Single institution. Read More

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Total uterine prolapse complicated with vesicovaginal fistula: A case report.

Medicine (Baltimore) 2021 Jun;100(24):e26386

Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation.

Rationale: Vesicovaginal fistula (VVF) most commonly occurs due to iatrogenic injury during surgery or obstructed labor. We report a rare case of a patient with severe pelvic organ prolapse who developed VVF even though pessary had not been used.

Patient Concerns: A 63-year-old postmenopausal woman, para 3 (all spontaneous vaginal deliveries), complained of vaginal bulging sensation and involuntary urinary leakage for 3 years. Read More

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Prevalence of histological abnormalities in hysterectomy specimens performed for prolapse. A systematic review and meta-analysis.

Int Urogynecol J 2021 Jun 11. Epub 2021 Jun 11.

James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW, UK.

Introduction And Hypothesis: The practice of histopathological assessment of the uterus following hysterectomy for benign indications including pelvic organ prolapse (POP) surgery is common and often routine. While pathology is not anticipated, the finding of pathology requiring further action is always a concern, in particular CIN (cervical intraepithelial neoplasia) or cervical/uterine malignancy. We aimed to perform a systematic review to understand the prevalence of actionable uterine and cervical pathology in hysterectomy specimens performed for POP. Read More

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The manchester procedure combined with laparoscopic sacrohysteropexy by retroperitoneal tunneling.

J Turk Ger Gynecol Assoc 2021 Jun 10. Epub 2021 Jun 10.

Department of Obstetrics and Gynecology, University of Health Sciences Turkey, Etlik Zübeyde Hanım Women's Health Training and Research Hospital, Ankara, Turkey.

This video will demonstrate a minimally invasive technique, in which the Manchester procedure was combined with laparoscopic sacrohysteropexy by retroperitoneal tunneling in patients with uterine prolapse and cervical elongation who wished to preserve the uterus. The principle steps and techniques to complete the operation are dictated in the video. The prolapse surgery was performed uneventfully, and the uterus was restored to its anatomical position. Read More

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Reproductive diseases in captive Agoutis (Dasyprocta leporina).

Braz J Biol 2021 4;82:e237869. Epub 2021 Jun 4.

The University of the West Indies - UWI, Faculty of Food and Agriculture - FFA, Department of Food Production - DFP, The Open Tropical Forage-Animal Production Laboratory - OTF-APL, St. Augustine, Trinidad and Tobago.

Reproductive diseases have been well documented in domestic livestock such as sheep, goat, cattle and pigs. However, there is very little information on these diseases in the agouti (Dasyprocta leporina). The agouti is used for its meat in South America and the Caribbean. Read More

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Completeness of exercise reporting among randomized controlled trials on pelvic floor muscle training for women with pelvic organ prolapse: A systematic review.

Neurourol Urodyn 2021 May 31. Epub 2021 May 31.

Division of Gynecology and Physiopathology of Human Reproduction, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Aims: This systematic review aimed to assess the completeness of exercise reporting in randomized controlled trials (RCTs) on pelvic floor muscle training (PFMT) for women with pelvic organ prolapse (POP).

Methods: MEDLINE, Cochrane Central, CINHAL, Embase, SCOPUS, and PEDro databases were searched up to October 2020. Full-text RCTs comparing PFMT to any type of intervention among women with any type and stage of POP were eligible for inclusion. Read More

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Galla Chinensis, a Traditional Chinese Medicine: Comprehensive review of botany, traditional uses, chemical composition, pharmacology and toxicology.

J Ethnopharmacol 2021 May 27;278:114247. Epub 2021 May 27.

State Key Laboratory of Southwestern Chinese Medicine Resources, No.1166, Liutai Road, Wenjiang District, Chengdu, 611137, China. Electronic address:

Ethnopharmacological Relevance: Galla chinensis (GC), a traditional Chinese medicine (TCM), has a wide range of pharmacological properties which have been widely used for more than 1400 years. Based on shape, GC is divided into two groups: jiaobei and dubei. It is a bitter, sour, cold and astringent substance which is usually used for treating diarrhea, constipation, bleeding, cough, vomiting, sweating, hemorrhoids, and anal and uterine prolapse. Read More

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Importance of Cervical Elongation Assessment for Laparoscopic Sacrocolpopexy.

Gynecol Minim Invasive Ther 2021 Apr-Jun;10(2):127-131. Epub 2021 Apr 30.

Department of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.

Cervical elongation in patients with pelvic organ prolapse (POP), who previously underwent laparoscopic sacrocolpopexy (LSC), is not fully understood. We report a case of a second surgery for endometrial cancer complicated with POP recurrence, which seemed to be related to cervical elongation following LSC. A 65-year-old woman was referred for invasive treatment following LSC. Read More

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Comparison of the Quality of Life and Female Sexual Function Following Laparoscopic Pectopexy and Laparoscopic Sacrohysteropexy in Apical Prolapse Patients.

Gynecol Minim Invasive Ther 2021 Apr-Jun;10(2):96-103. Epub 2021 Apr 14.

Department of Obstetrics and Gynecology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.

Objectives: We sought to compare the surgical outcomes, safety, effectiveness, and mid-term outcomes in patients who had undergone laparoscopic hysterosacropexy and laparoscopic pectopexy due to apical prolapse.

Materials And Methods: This prospective randomized study was conducted on a total of 62 women who underwent apical prolapse surgery (32 undergoing a pectopexy and 30 undergoing a sacrohysteropexy) between June 2015 and June 2017. Patients with symptomatic uterine or vaginal vault prolapse with stage 2 or worse were included in the sudy. Read More

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[Analysis of perioperative complications and influencing factors of complications in 1 000 cases of robotic gynecological surgery].

Zhonghua Fu Chan Ke Za Zhi 2021 May;56(5):341-348

Department of Gynecology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

To investigate the occurrence and influencing factors of perioperative complications after robotic gynecologic surgery. The clinical data and occurrence of perioperative complications in 1 000 cases robotic surgery completed in the First Affiliated Hospital of Zhengzhou University were retrospectively analyzed. (1) Clinical data: the average age of the patients was (50. Read More

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Changes in cardinal ligament length and curvature with parity and prolapse and their relation to level III hiatus measures.

Int Urogynecol J 2021 May 24. Epub 2021 May 24.

Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.

Introduction And Hypothesis: Test the hypotheses that (1) cardinal ligament (CL) straightening and lengthening occur with parity and prolapse, (2) CL straightening occurs before lengthening, and (3) CL length is correlated with level III measures.

Methods: We performed a secondary analysis of MRIs from women in three groups: (1) nulliparous with normal support, (2) parous with normal support, and (3) uterine prolapse (POP-Q point C > - 4 and Ba > 1 cm). The 3D stress MRI images at rest and maximal Valsalva were analyzed. Read More

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Cure of Interstitial Cystitis and Non-Ulcerating Hunner's Ulcer by Cardinal/Uterosacral Ligament Repair.

Urol Int 2021 May 21:1-4. Epub 2021 May 21.

Professorial Department of Surgery, St. Vincent's Hospital, University of New South Wales (retired), Sydney, New South Wales, Australia.

A serendipitous cure in a 73-year-old woman of Hunner's ulcer, urge, nocturia, apical prolapse by a tissue fixation system tensioned minisling (TFS) which reinforced the cardinal, and uterosacral ligaments (USLs) led us to analyse the relationship between Hunner's ulcer and known pain conditions associated with USL laxity. The original intention was to cure the "posterior fornix syndrome" (PFS), uterine prolapse, and associated pain and bladder symptoms by USL repair. A speculum inserted preoperatively into the posterior fornix alleviated pain and urge symptoms, by mechanically supporting USLs. Read More

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Gynaecological and reproductive health of women with telomere biology disorders.

Br J Haematol 2021 Jun 21;193(6):1238-1246. Epub 2021 May 21.

National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.

Reproductive health may be adversely impacted in women with dyskeratosis congenita (DC) and related telomere biology disorders (TBD). We evaluated gynaecological problems, fertility, and pregnancy outcomes in 39 females aged 10-81 years who were followed longitudinally in our DC/TBD cohort. Twenty-six had bone marrow failure and 12 underwent haematopoietic cell transplantation. Read More

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Aggressive Behavior of Warty Squamous Cell Carcinoma of the Vagina Associated with Uterine Prolapsed: Unusual Report.

Clin Med Insights Case Rep 2021 28;14:11795476211011206. Epub 2021 Apr 28.

Department of oncologic surgery, Salah Azaiz Institute, Tunis, Tunisia.

Warty squamous cell carcinoma (WSCC), is a rare variant of squamous cell carcinoma that occurs mostly in younger women, but can occur in old women. It is due to human papillomavirus (HPV) infection. This rare entity has been described in several organs such as vulva, cervix, and penis. Read More

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Long-Term Experience with Modified McCall Culdoplasty in Women Undergoing Vaginal Hysterectomy for Pelvic Organ Prolapse.

J Obstet Gynaecol Can 2021 May 10. Epub 2021 May 10.

Mount Sinai Hospital, 700 University Avenue, 8-816 Toronto, Ontario, M5G 1Z5. Electronic address:

Objective: The incidence of post-hysterectomy vault prolapse following native tissue repair has been reported to be as high as 43%. The optimal way to maintain vault support is unknown. Our aim was to evaluate the long-term efficacy of modified McCall culdoplasty during vaginal hysterectomy for symptomatic uterine prolapse in preventing the recurrence of vaginal vault prolapse. Read More

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Uterosacral Ligament Hysteropexy for Uterine Didelphys: A Case Report.

J Minim Invasive Gynecol 2021 May 4. Epub 2021 May 4.

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, UCLA Medical Center, Los Angeles (Drs. Bermudez and Rosenman) California.

Surgical approach to pelvic organ prolapse has traditionally included hysterectomy; however, in the past decade, uterine sparing prolapse surgery (hysteropexy) has become increasingly popular within female pelvic medicine and reconstructive surgery. The current literature demonstrates comparable outcomes for hysteropexy and traditional approach. As these procedures become more common, it is important to consider how to approach patients with unique anatomy such as uterine anomalies who desire uterine sparing surgery. Read More

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Surgical Management of Symptomatic Apical Pelvic Organ Prolapse: A Systematic Review and Meta-analysis.

Obstet Gynecol 2021 06;137(6):1061-1073

Department of Obstetrics and Gynecology, McGill University, and St. Mary's Research Centre, Montreal, Québec, and the Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada.

Objective: To systematically review objective and subjective success and complications of apical suspensions for symptomatic uterine or vaginal vault pelvic organ prolapse (POP).

Data Sources: MEDLINE, CENTRAL, ClinicalTrials.gov, and EMBASE (2002-2019) were searched using multiple terms for apical POP surgeries, including comparative studies in French and English. Read More

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Preliminary evaluation of the short-term outcomes of polytetrafluoroethylene mesh for pelvic organ prolapse.

J Obstet Gynaecol Res 2021 May 4. Epub 2021 May 4.

Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan.

Aim: Tension-free vaginal mesh (TVM) surgery using synthetic polypropylene (PP) soft mesh had spread rapidly. However, the frequency of mesh-related postoperative complications had increased, and PP was banned in April 2019. In Japan, however, transvaginal surgery using polytetrafluoroethylene (PTFE) mesh had been approved. Read More

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Congenital Uterine Anomaly and Pelvic Organ Prolapse: A Rare Case of Pelvic Organ Prolapse in a Complete Bicornuate Uterus with Successful Pregnancy Outcomes Undiagnosed until the Time of Sacrocolpopexy.

Authors:
Gina Nam Sa Ra Lee

J Menopausal Med 2021 Apr;27(1):32-36

Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Müllerian development anomalies (MDAs) are most commonly diagnosed in the reproductive period. A bicornuate uterus is the result of a fusion defect of the Müllerian ducts, causing an abnormal fundal outline. Most of the cases are diagnosed early in life and present with obstetrical complications, such as recurrent pregnancy loss, preterm birth, intrauterine growth restriction, placental abruption, and cervical incompetence. Read More

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Case Report: Emphysematous Cystitis and Pyelonephritis Induced by Uterine Prolapse in a Subject With Untreated Diabetes Mellitus.

Front Med (Lausanne) 2021 9;8:658682. Epub 2021 Apr 9.

Department of Diabetes, Endocrinology and Metabolism, Kawasaki Medical School, Kawasaki, Japan.

Type 2 diabetes mellitus (T2DM) is often accompanied by a lot of complications due to chronic hyperglycemia and inflammation. Emphysematous cystitis and pyelonephritis are rare types of urinary tract infections and are often complicated with DM. Herein, we report a case of emphysematous cystitis and pyelonephritis complicated with untreated DM. Read More

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Should we perform subtotal hysterectomy associated with sacral colpopexy for genital prolapse to prevent the risk of endometrial cancer?

Prog Urol 2021 Jun 16;31(7):439-443. Epub 2021 Apr 16.

Département de gynécologie et obstétrique, CHU de Limoges, INSERM, UMR-1248, 8, avenue Dominique-Larrey, 87000 Limoges, France.

Objective: In a menopausal woman scheduled for curative surgery for pelvic organ prolapse (POP) by sacral colpopexy (SC), the question of concomitant hysterectomy is frequently considered by the surgeon. The risk of endometrial cancer (EC) exists in this population, and increases with age and body mass index. The French college of gynecologists and obstetricians (CNGOF) decided to issue good practice guidelines on subtotal hysterectomy (SH) for postmenopausal women scheduled for SC for POP. Read More

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Fast track sacrospinous ligament fixation: subjective and objective outcomes at 6 months.

BMC Womens Health 2021 04 16;21(1):154. Epub 2021 Apr 16.

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

Background: Sacrospinous ligament fixation (SSLF) is a widely used vaginal procedure for correction of apical vaginal prolapse. The objective of this study was to evaluate subjective and objective outcomes of SSLF performed in a fast-track setting.

Methods: This was a prospective cohort study of sacrospinous ligament fixation performed using local anesthesia and light sedation in a fast-track setting at Aarhus University Hospital between April 2016 and December 2017. Read More

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Comparison of Trendelenburg Angles in Vaginal, Laparoscopic, and Robotic Uterovaginal Apical Prolapse Repairs.

J Minim Invasive Gynecol 2021 Apr 20. Epub 2021 Apr 20.

Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center (Drs. Jaresova, Hacker, and Li, and Ms. Macharia), Boston, Massachusetts; Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School (Dr. Jaresova), Boston, Massachusetts; Department of Obstetrics and Gynecology, Mount Auburn Hospital (Dr. Warda), Cambridge, Massachusetts. Electronic address:

Study Objective: To compare the Trendelenburg angle used in laparoscopic uterovaginal apical prolapse repairs with the angles used in vaginal and robotic uterovaginal apical prolapse repairs.

Design: Prospective, multicenter cohort study from May 2015 to December 2016.

Setting: Two academic teaching hospitals. Read More

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The effect of pessary treatment on puborectalis muscle function.

Int Urogynecol J 2021 Jun 13;32(6):1409-1417. Epub 2021 Apr 13.

Department of Reproductive Medicine and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands.

Introduction And Hypothesis: The objective was to assess if puborectalis muscle (PRM) function changes in women with pelvic organ prolapse (POP) undergoing pessary treatment.

Methods: This was a prospective cohort study of women with symptomatic POP choosing pessary treatment. An interview, clinical examination and 3D/4D transperineal ultrasound were performed at baseline and at 3-month follow-up. Read More

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Cervical elongation caused by big cervical fibroid resembling malignant cervical prolapse? Management via vaginal surgery.

Int J Surg Case Rep 2021 May 29;82:105847. Epub 2021 Mar 29.

Urogynecology Division Department of Obstetrics and Gynecology, Faculty of Medicine University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Introduction: Cervical elongation could lead to cervical elongation thus worsen the descent of uterine prolapse. In certain cases, this hypertrophic and hyperplastic mass could have fragile surface with some bleeding and necrotic, resembling cervical cancer. As case of cervical elongation due to cervical fibroid is quite rare, such cases are valuable to be reported. Read More

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