6,814 results match your criteria Uterine Prolapse


Sacrocolpopexy tends to be superior to transvaginal mesh surgery.

BJOG 2020 Jul 10. Epub 2020 Jul 10.

Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

The use of synthetic mesh prostheses to treat pelvic organ prolapse (POP) remains highly controversial. Despite complete restriction on vaginally placed mesh in Australia and New Zealand (2017), the UK (2018), and the USA (2019), transvaginal mesh (TVM) prolapse repair remain widely in many countries, including China and most of East Asia. Sacrocolpopexy (SC) is widely considered as the gold-standard for surgical correction of vaginal vault prolapse. Read More

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http://dx.doi.org/10.1111/1471-0528.16407DOI Listing

Investigation of correlation between bony pelvis dimensions and pelvic organ prolapse in different compartments.

Eur J Obstet Gynecol Reprod Biol 2020 Jun 16;252:213-217. Epub 2020 Jun 16.

Department of Radiology, Shengjing Hospital of China Medical University, Shenyang, China.

Objective: To investigate the association between bony pelvis dimensions and anterior, apical, and posterior compartment pelvic organ prolapse (POP) and explore the mechanism of different types of POP from an anatomical point of view.

Study Design: A total of 253 patients with POP were selected as the experimental group (138 patients with anterior compartment defect, 86 with apical compartment defect, and 29 with posterior compartment defect); 253 patients with uterine myoma constituted the control group. Their demographics were recorded, and anteroposterior diameters of the pelvic inlet, intertuberous diameter, and interspinous diameter were measured. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.06.026DOI Listing

Long-term mesh complications and reoperation after laparoscopic mesh sacrohysteropexy: a cross-sectional study.

Int Urogynecol J 2020 Jul 3. Epub 2020 Jul 3.

Urogynaecology and Pelvic Floor Unit, University College London Hospitals, Clinic 2, Lower Ground Floor, EGA Wing, 235 Euston Road, London, NW12BU, UK.

Introduction And Hypothesis: The paucity of long-term safety and efficacy data to support laparoscopic mesh sacrohysteropexy is noteworthy given concerns about the use of polypropylene mesh in pelvic floor surgery. This study is aimed at determining the incidence of mesh-associated complications and reoperation following this procedure.

Methods: This was a cross-sectional postal questionnaire study of women who underwent laparoscopic mesh sacrohysteropexy between 2010 and 2018. Read More

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http://dx.doi.org/10.1007/s00192-020-04396-0DOI Listing

Polymorphism on chromosome 20p13 near the IDH3B gene is associated with uterine prolapse.

Eur J Obstet Gynecol Reprod Biol 2020 Jun 25;252:155-159. Epub 2020 Jun 25.

Department of General Gynaecology and Gynaecologic Urology, Division of Gynaecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia.

Objectives: Previous studies have found evidence for a genetic basis for pelvic organ prolapse (POP), but no genetic studies have differentiated between types of POP. This study investigated whether genetic variants in six previously suggested candidate loci for POP modify the risk of uterine prolapse (UP).

Study Design: One hundred patients, aged 30-55 years, who had undergone surgery due to total UP and 105 healthy controls were included in this study. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.06.047DOI Listing

Hysterectomy and Oophorectomy in Reproductive Age: A Cross-Sectional Study from a Tertiary Care Hospital.

Cureus 2020 May 28;12(5):e8344. Epub 2020 May 28.

Pathology, Dow Medical College, Dow University of Health Sciences, Karachi, PAK.

Introduction Hysterectomy is a common surgical procedure in women, and oophorectomy may also be performed with the hysterectomy. The objective of this study was to identify clinical indications and pathological findings in hysterectomies, performed for gynecological causes, in women of reproductive age (15-49 years) and to determine if oophorectomy or ovarian conservation was performed with the hysterectomy as well as the pathological findings in the ovaries. Methods This cross-sectional study was conducted in the department of Pathology at Dow Medical College in Karachi, Pakistan, from September 2017 to December 2018. Read More

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http://dx.doi.org/10.7759/cureus.8344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325352PMC

Laparoscopic Total Extraperitoneal Groin Hernia Repair in Females: Comparison of Outcomes Between Preservation or Division of the Uterine Round Ligament.

J Laparoendosc Adv Surg Tech A 2020 Jun 29. Epub 2020 Jun 29.

Department of Surgery, Tung Wah Hospital, Sheung Wan, Hong Kong SAR, China.

Laparoscopic repair has been recommended as the method-of-choice of groin hernia repair among women. Whether the round ligament of uterus should be divided to facilitate mesh placement remains controversial. This study aims to review the outcomes of laparoscopic total extraperitoneal (TEP) groin hernia repair in women and to evaluate the impact of division of round ligament. Read More

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http://dx.doi.org/10.1089/lap.2020.0270DOI Listing

Radical Hysterectomy for Cervical Cancer in Patients With Uterine Prolapse.

In Vivo 2020 Jul-Aug;34(4):2073-2078

Department of Surgery, "Ponderas" Academic Hospital, Bucharest, Romania.

Background/aim: Association between cervical cancer and uterine prolapse represents a scarce eventuality. This is a case series of 11 patients diagnosed with different stages of cervical cancer in association with uterine prolapse.

Patients And Methods: Between 2014 and 2020, 11 patients were diagnosed with cervical cancer on prolapsed uterine cervix. Read More

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http://dx.doi.org/10.21873/invivo.12010DOI Listing

Occult Uterine Malignancy at the Time of Surgery for Pelvic Organ Prolapse: A Systematic Review and Meta-analysis.

Female Pelvic Med Reconstr Surg 2020 Jun 24. Epub 2020 Jun 24.

From the Fellowship Program Minimally Invasive Gynecologic Surgery, Las Vegas Minimally Invasive Surgery/University of Nevada Las Vegas.

Objective: To conduct a systematic review and meta-analysis to estimate the prevalence of occult uterine malignancy of any subtype specifically at the time of hysterectomy for pelvic organ prolapse (POP).

Methods: We primarily used MEDLINE to access existing literature. The search terms used were "occult malignancy" or "occult uterine pathology" paired with "morcellation" or "hysterectomy. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000903DOI Listing

Long-term efficacy and patient satisfaction of Le Fort colpocleisis for the treatment of severe pelvic organ prolapse.

Int Urogynecol J 2020 Jun 29. Epub 2020 Jun 29.

Peking University Third Hospital, No. 49 North Garden Road, Beijing, 100191, Haidian district, China.

Introduction And Hypothesis: The objective was to investigate the long-term efficacy and patient satisfaction of Le Fort colpocleisis for the treatment of severe pelvic organ prolapse.

Methods: This was a retrospective study of patients who underwent Le Fort colpocleisis from January 2007 to August 2018 in our hospital. Follow-up was conducted via outpatient visits or the telephone. Read More

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http://dx.doi.org/10.1007/s00192-020-04380-8DOI Listing

Hysterectomy Versus Hysteropexy at the Time of Native Tissue Pelvic Organ Prolapse Repair: A Cost-Effectiveness Analysis.

Female Pelvic Med Reconstr Surg 2020 Jun 22. Epub 2020 Jun 22.

Providence Saint John's Health Center, Santa Monica, CA.

Objective: The aim of the study was to determine whether a hysterectomy at the time of native tissue pelvic organ prolapse repair is cost-effective for the prevention of endometrial cancer.

Methods: We created a decision analysis model using TreeAge Pro. We modeled prolapse recurrence after total vaginal hysterectomy with uterosacral ligament suspension (TVH-USLS) versus sacrospinous ligament fixation hysteropexy (SSLF-HPXY). Read More

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http://dx.doi.org/10.1097/SPV.0000000000000902DOI Listing

Monitoring intrapartum fetal heart rates by mothers in labour in two public hospitals: an initiative to improve maternal and neonatal healthcare in Liberia.

BMC Pregnancy Childbirth 2020 Jun 15;20(1):362. Epub 2020 Jun 15.

Ministry of Health and Social Welfare, Monrovia, Liberia.

Background: In low-resource settings with few health workers, Fetal Heart Rate (FHR) monitoring in labour can be inconsistent and unreliable. An initiative to improve fetal monitoring was implemented in two public hospitals in rural Liberia; the country with the second lowest number of midwives and nurses in the world (1.007 per 10,000 of the population). Read More

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http://dx.doi.org/10.1186/s12884-020-02921-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294611PMC

Long-term safety and efficacy of laparoscopically placed mesh for apical prolapse.

Int Urogynecol J 2020 Jun 10. Epub 2020 Jun 10.

Basingstoke and North Hampshire Hospital, Basingstoke, UK.

Introduction And Hypothesis: Concerns regarding the use of vaginal mesh for prolapse have led to questions about the safety and efficacy of abdominally placed mesh. Mesh procedures for treating apical prolapse have become popular, either a laparoscopic hysteropexy (LSH) for uterine prolapse or a sacrocolpopexy (LSC) for vaginal vault prolapse. Robust long-term safety and efficacy data for these procedures are essential. Read More

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http://dx.doi.org/10.1007/s00192-020-04374-6DOI Listing

Congenital bladder exstrophy with uterine didelphys and prolapse of both uterine horns: a case report.

Clin Imaging 2020 Jun 2;67:55-57. Epub 2020 Jun 2.

Department of Radiology, Keck USC School of Medicine, 1500 San Pablo Street, 2nd Floor Imaging, Los Angeles, CA 90033, USA.

Congenital pelvic anomalies include disorders of both the urinary and reproductive tracts. These disorders often coexist due to the overlapping embryological development of both systems. Magnetic resonance imaging (MRI) is a useful tool for characterization of the reproductive tract and can play an important role in the preoperative evaluation of patients with known bladder exstrophy. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.05.022DOI Listing

Apical suspension is underutilized for repair of stage IV pelvic organ prolapse: an analysis of national practice patterns in the United States.

Int Urogynecol J 2020 Jun 8. Epub 2020 Jun 8.

Department of Obstetrics and Gynecology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

Introduction And Hypothesis: Support of the vaginal apex is paramount for a durable repair of pelvic organ prolapse (POP). Our aim is to assess national utilization of apical suspension procedures for the surgical treatment of complete POP. We hypothesize that there might be a high rate of apical suspension with advanced prolapse. Read More

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http://dx.doi.org/10.1007/s00192-020-04342-0DOI Listing
June 2020
1.961 Impact Factor

Outcomes of nerve-sparing laparoscopic sacropexy on one hundred fifteen cases.

J Gynecol Obstet Hum Reprod 2020 May 28:101795. Epub 2020 May 28.

Baskent University Medical School Adana Dr. Turgut Noyan Teaching Hospital, Turkey. Electronic address:

Study Objective: To evaluate the postoperative anatomic and functional outcomes of patients who underwent laparoscopic nerve-sparing sacrocolpopexy or sacrocervicopexy for pelvic organ prolapse (POP) POP-Q stage III and IV apical prolapse, and to delineate the contributing factors for recurrence.

Study Design And Classification: The file records of patients who underwent sacropexy in the last five years were reviewed retrospectively and compared in terms of preoperative and postoperative anatomic findings and symptoms.

Patients: Patients who underwent laparoscopic nerve-sparing surgery for treatment of POP-Q Stage III and IV/prolapse of uterine or vaginal cuff were included. Read More

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http://dx.doi.org/10.1016/j.jogoh.2020.101795DOI Listing

Hysterectomy with uterosacral suspension or Uphold™ hysteropexy in women with apical prolapse: a parallel cohort study.

Int Urogynecol J 2020 May 28. Epub 2020 May 28.

Monash Health, 823-865 Centre RRoad, Melbourne, 3165, Australia.

Introduction And Hypothesis: The aim was to compare objective and subjective cure rates between Uphold™ hysteropexy (HP) and vaginal hysterectomy (VH) with uterosacral suspension.

Methods: A sample size of 49 in each arm would be required to detect a clinical difference of 20% between the groups. Owing to delayed recruitment, this originally planned randomised controlled trial was changed to a patient preference study after randomising initial 6 participants. Read More

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http://dx.doi.org/10.1007/s00192-020-04328-yDOI Listing

Association between overactive bladder and serum nerve growth factor concentrations in women with high-grade uterine prolapse.

Int Urogynecol J 2020 May 22. Epub 2020 May 22.

University of Health Sciences Istanbul, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Obstetrics and Gynecology, 34180, Istanbul, Turkey.

Introduction And Hypothesis: The association between overactive bladder (OAB) and uterine prolapse remains unclear. The extent of the role of serum nerve growth factor (NGF) levels in this relationship is also not known. Therefore, our study evaluated the association among OAB, high-grade uterine prolapse and serum NGF levels. Read More

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http://dx.doi.org/10.1007/s00192-020-04336-yDOI Listing

Uterus-Sparing Surgery: Outcomes of Transvaginal Uterosacral Ligament Hysteropexy.

J Minim Invasive Gynecol 2020 May 6. Epub 2020 May 6.

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Miami Health Systems, Jackson Memorial Hospital, Miami, Florida (all authors).. Electronic address:

Study Objective: Recently, there has been a paradigm shift toward uterine conservation during the surgical management of pelvic organ prolapse (POP), specifically uterine prolapse. There are few reports on transvaginal uterosacral ligament hysteropexy (TULH). This study aimed to describe our surgical technique and outcomes. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.04.039DOI Listing

Prevalence, survival and subsequent fertility of dairy and beef cows with uterine prolapse.

Acta Vet Hung 2020 May 4. Epub 2020 May 4.

2Dipartimento di Medicina Veterinaria, Università degli Studi di Milano, Via Celoria 10, 20133, Milan, Italy.

The aim of this study was to evaluate the prevalence of uterine prolapse in cows and assess its effects on survival and subsequent fertility. Of 33,450 calving cows considered retrospectively, 216 (0.6%) developed uterine prolapse. Read More

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http://dx.doi.org/10.1556/004.2020.00017DOI Listing

Tendon Descensus Repair (TENDER) - A prospective clinical feasibility study of tendon transplantation for pelvic organ prolapse repair.

Eur J Obstet Gynecol Reprod Biol 2020 Jun 18;249:37-41. Epub 2020 Apr 18.

Department of Obstetrics and Gynecology, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany. Electronic address:

Objective: To show the feasibility of tendon transplantation for minimally invasive pectopexy in pelvic organ prolapse repair.

Study Design: Patients with uterine or vaginal vault prolapse (POP-Q point C Stage 2-4) were offered laparoscopic pectopexy by means of autologous semitendinosus tendon transplantation. This paper presents a case series and describes the technique regarding the first 10 patients who underwent surgery. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.04.035DOI Listing

Low expression of collagen type-1 in sacrouterine ligament as risk factor of stage III-IV uterine prolapse.

Eur J Obstet Gynecol Reprod Biol 2020 Jun 22;249:32-36. Epub 2020 Jan 22.

Obstetrics and Gynaecology Department of Medical Faculty of Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia.

Background: Despite being non-life threatening, uterine prolapse is a reproductive health problem that interferes psychosocial life, economical and sexual function. Uterine prolapse can be caused by direct trauma resulting in damaged and weakened levator ani muscle which in turn causing sacrouterine ligament to stretch in order to maintain uterus normal position. The main component of sacrouterine ligament is collagen. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.01.027DOI Listing

First molecular study of Canine herpesvirus-1 in reproductive specimens of adult dogs in southeast of Iran.

Comp Immunol Microbiol Infect Dis 2020 Apr 19;71:101487. Epub 2020 Apr 19.

Department of Clinical Science, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran.

Canine herpesvirus-1 (CHV-1) is recognized to be enzootic in the dog population with a widespread distribution. This pathogen leads to a lethal generalized illness in newborn puppies and is associated with reproductive disorders. CHV-1 should be considered as an important pathogen of neonatal death and infertility; so, it appears to pose a threat for breeding kennels. Read More

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http://dx.doi.org/10.1016/j.cimid.2020.101487DOI Listing

Clinical outcomes of hysterectomy for benign diseases in the female genital tract: 6 years' experience in a single institute.

Yeungnam Univ J Med 2020 Apr 24. Epub 2020 Apr 24.

Department of Obstetrics and Gynecology, Yeungnam University College of Medicine, Yeungnam University Hospital, Daegu, Korea.

Background: Hysterectomy is one of the major gynecologic surgeries. Historically, several surgical procedures have been used for hysterectomy. The present study aims to evaluate the surgical trends and clinical outcomes of hysterectomy performed for benign diseases at the Yeungnam University Hospital. Read More

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http://dx.doi.org/10.12701/yujm.2020.00185DOI Listing

Laparoscopic uterine ventrosuspension procedure by using anterior mesh incorporated with bilateral round ligamentopexy: Kahyaoglu technique.

Authors:
S Kahyaoglu Y Ustun

Facts Views Vis Obgyn 2020 Mar 27;11(4):353-357. Epub 2020 Mar 27.

Department of Gynecological Endoscopy, Ankara Dr. Zekai Tahir Burak Women's Health Education and Research Hospital, University of Health Sciences, Ankara, Turkey.

A number of vaginal and abdominal surgical techniques have been described for the treatment of apical uterine prolapse. A 38-year-old parous woman has been operated laparoscopically due to grade 3 apical uterine prolapse. A new surgical technique for the treatment of apical uterine prolapse performed by incorporation of the lateral arms of anteriorly anchored uterine polypropylene mesh to bilateral round ligaments has been developed. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162670PMC

Routine gynecological ultrasound: look at the bladder and the ureters!

Facts Views Vis Obgyn 2020 Mar 27;11(4):347-351. Epub 2020 Mar 27.

Department of Obstetrics & Gynecology, RZ Tienen, Belgium.

Background: To illustrate the technical feasibility and diagnostic value of including the assessment of the bladder and the ureters during a standard transvaginal ultrasound examination.

Methods: We present four cases illustrating ureter and bladder pathology diagnosed by transvaginal ultrasound.

Results: In a first case, transvaginal ultrasonography in a woman with lower abdominal pain showed a calculus in the left distal ureter. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162668PMC

Laparoscopic vs percutaneous hysterectomy in obese patients: a prospective evaluation.

Facts Views Vis Obgyn 2020 Mar 27;11(4):307-313. Epub 2020 Mar 27.

Division of Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Background: Treatment of obese female patients represents a real challenge. Indeed, obesity among women has reached epidemic levels not only elevating the cardiovascular and endocrinological risks, but also increasing the incidence of various gynecological pathologies (e.g. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162661PMC

The current status of sacrocolpopexy in the management of apical prolapse.

Authors:
Chunbo Li Keqin Hua

Minerva Ginecol 2020 Apr 21. Epub 2020 Apr 21.

Department of Obstetrics and Gynecology, The Obstetrics & Gynecology Hospital of Fudan University, Shanghai, China -

Pelvic organ prolapse (POP) is a prevalent condition that negatively affects women' s quality of life. There is growing recognition that adequate support for the vaginal apex is an important component of a durable surgical repair for women with advanced prolapse, including the anterior and posterior wall prolapse. Surgical treatment options include abdominal and vaginal approaches, the former of which can be performed open, laparoscopically, and robotically. Read More

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http://dx.doi.org/10.23736/S0026-4784.20.04477-9DOI Listing

Laparoscopic Long Mesh Surgery with Augmented Round Ligaments: A Novel Uterine Preservation Procedure For Apical Pelvic Organ Prolapse.

Sci Rep 2020 Apr 20;10(1):6615. Epub 2020 Apr 20.

Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan.

We aim to assess the surgical outcomes of our novel hysteropexy procedure, laparoscopic long mesh surgery (LLMS) with augmented round ligaments. Twenty-five consecutive women with stage II or greater main uterine prolapse defined by the POP quantification staging system were referred for LLMS. Long mesh is a synthetic T-shaped mesh, with the body fixed at the uterine cervix and the two arms fixed along the bilateral round ligaments. Read More

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http://dx.doi.org/10.1038/s41598-020-63725-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171133PMC

A new technique of laparoscopic fixation of the uterus to the anterior abdominal wall with the use of overfascial mesh in the treatment of pelvic organ prolapse.

Int Urogynecol J 2020 Apr 17. Epub 2020 Apr 17.

2nd Department of Gynecology and Obstetrics, Wroclaw Medical University, Borowska 213, 50-556, Wrocław, Poland.

Introduction And Hypothesis: Pelvic organ prolapse is one of the most common pathological conditions in postmenopausal women. There is still a lack of fully effective and safe surgical techniques, especially in the advanced stages of apical defects. The purpose of the video is to present a new technique of laparoscopic treatment in women with an advanced stage of genital prolapse, stage III and IV according to the POP-Q scale. Read More

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http://dx.doi.org/10.1007/s00192-020-04287-4DOI Listing

Dynamic magnetic resonance imaging to quantify pelvic organ mobility after treatment for uterine descent: differences between surgical procedures.

Int Urogynecol J 2020 Apr 10. Epub 2020 Apr 10.

Department of Obstetrics and Gynecology, Isala Zwolle, PO Box 10500, 8000 GK, Zwolle, The Netherlands.

Introduction And Hypothesis: Pelvic organ mobility is defined as the displacement of pelvic organs between rest and maximal straining. We hypothesized that pelvic organ mobility after vaginal sacrospinous hysteropexy (SSHP) might be increased compared with other surgeries for uterine descent, which may contribute to the high occurrence of postoperative cystocele after this surgery. Pelvic organ mobility and the vaginal axes after SSHP are compared with other surgical procedures for uterine descent: vaginal hysterectomy with uterosacral suspension (VH) and laparoscopic sacrohysteropexy (LSH). Read More

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http://dx.doi.org/10.1007/s00192-020-04278-5DOI Listing

Hysteropexy in the treatment of uterine prolapse stage 2 or higher: laparoscopic sacrohysteropexy versus sacrospinous hysteropexy-a multicentre randomised controlled trial (LAVA trial).

BJOG 2020 Apr 8. Epub 2020 Apr 8.

Department of Obstetrics and Gynaecology, Isala, Zwolle, The Netherlands.

Objective: To investigate whether laparoscopic sacrohysteropexy (LSH) is non-inferior to vaginal sacrospinous hysteropexy (SSHP) in the surgical treatment of uterine prolapse.

Design: Multicentre randomised controlled, non-blinded non-inferiority trial.

Setting: Five non-university teaching hospitals in the Netherlands, one university hospital in Belgium. Read More

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http://dx.doi.org/10.1111/1471-0528.16242DOI Listing

Very long-term follow-up of the anterior vaginal wall suspension procedure for incontinence and/or prolapse repair.

World J Urol 2020 Apr 6. Epub 2020 Apr 6.

UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75309, USA.

Objective: To report outcomes of the anterior vaginal wall suspension (AVWS) procedure for stress urinary incontinence (SUI) and/or anterior compartment prolapse (POP), with minimum 10-year follow-up.

Methods: Following institutional review board approval, a database of patients with > 10-year follow-up after AVWS for bothersome SUI with early stage anterior compartment prolapse (stage ≤ 2) or symptomatic anterior compartment prolapse (stage > 2) was reviewed. Preoperative evaluation included validated questionnaires [Urogenital Distress Inventory-Short Form (UDI-6), Incontinence Impact Questionnaire-Short Form (IIQ-7), quality of life (QoL)], Pelvic Organ Prolapse Quantification (POP-Q), and voiding cystourethrography. Read More

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http://dx.doi.org/10.1007/s00345-020-03190-3DOI Listing

Primary ovarian hydatid cyst in a postmenopausal woman: A rare case report.

Int J Surg Case Rep 2020 7;68:221-223. Epub 2020 Mar 7.

Department of Obstetrics and Gynaecology, Interbalkan Medical Center of Thessaloniki, Greece; Third Department of Obstetrics and Gynaecology, Faculty of Medicine, Aristotle University of Thessaloniki, Greece.

Introduction: Hydatid cysts of the female reproductive system represent a rare entity. We report a case of a primary hydatid cyst of the right ovary of a postmenopausal woman that was diagnosed incidentally.

Presentation Of The Case: A 72-year old overweight woman with history of three vaginal deliveries was referred due to uterine prolapse. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.03.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078442PMC

[An interaction between an obstetrician-gynecologist and a urologist in the gynecological practice].

Urologiia 2020 Mar(1):121-126

Department of Obstetrics and Gynecology No1 of Institute of the Clinical Medicine named after N.V. Sklifosovsky of FGAOU VO I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

The article is devoted to the interaction of a gynecologist and a urologist in a gynecological hospital, based on the experience of the gynecological department at the Clinic of obstetrics and gynecology of the Clinical Center of Sechenov University. The most common clinical scenarios were identified when the participation of a urologist in evaluation and treatment is urgently needed, including large pelvis mass, endometriosis with an involvement of pelvic organs, genital prolapse, small pelvis adhesions as a result of previous surgical procedures and postoperative urinary disorders. A close interaction between two specialties, which are dedicated to pelvic organs disorders, namely gynecology and urology, is extremely popular in modern clinical practice and allows to significantly reduce the number of intra- and postoperative complications, carry out a comprehensive examination and determine individual treatment tactics in a gynecological hospital, which increases quality of medical care. Read More

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Bilateral hydroureteronephrosis with infection due to uterine prolapse.

J Gen Fam Med 2020 Mar 13;21(2):23-24. Epub 2020 Jan 13.

Department of Emergency Medicine Osaka Medical College Takatsuki City Osaka Japan.

Uterine prolapse could cause bilateral hydroureteronephrosis by kinking ureters. Read More

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http://dx.doi.org/10.1002/jgf2.295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060291PMC

Cyclooxygenase-2 and β-Catenin as Potential Diagnostic and Prognostic Markers in Endometrial Cancer.

Front Oncol 2020 21;10:56. Epub 2020 Feb 21.

Beijing Haidian Center for Disease Control and Prevention, Beijing, China.

Explore the diagnostic and prognostic value of cyclooxygenase-2 and wnt3a/β-catenin pathway in endometrial cancer. A prospective cohort study of 93 women underwent hysterectomy at the China-Japan Friendship Hospital (61 patients with primary endometrial carcinoma, and 32 control patients with uterine prolapse or leiomyoma of uterus). Cox2 and β-catenin expression were determined by immunohistochemistry. Read More

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http://dx.doi.org/10.3389/fonc.2020.00056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046792PMC
February 2020

Complications after benign hysterectomy, according to procedure: a population-based prospective cohort study from the Danish hysterectomy database, 2004-2015.

BJOG 2020 Mar 7. Epub 2020 Mar 7.

Department of Gynaecology and Obstetrics, Zealand University Hospital, Roskilde, Denmark.

Objective: To compare the risk of complications associated with benign hysterectomy according to surgical procedure.

Design: Register-based prospective cohort study.

Setting: Danish Hysterectomy Database, 2004-2015. Read More

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http://dx.doi.org/10.1111/1471-0528.16200DOI Listing

Mesh inlay, mesh kit or native tissue repair for women having repeat anterior or posterior prolapse surgery: randomised controlled trial (PROSPECT).

BJOG 2020 07 6;127(8):1002-1013. Epub 2020 Apr 6.

St Mary's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.

Objective: To compare standard (native tissue) repair with synthetic mesh inlays or mesh kits.

Design: Randomised controlled trial.

Setting: Thirty-three UK hospitals. Read More

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http://dx.doi.org/10.1111/1471-0528.16197DOI Listing

Comparison between laparoscopic sacrocolpopexy with hysterectomy and hysteropexy in advanced urogenital prolapse.

Int Urogynecol J 2020 Mar 5. Epub 2020 Mar 5.

Andrological and Urogynecological Clinic, Santa Maria Terni Hospital, University of Perugia, Piazzale di Joanuccio 1, Posta Code 05100, Terni, Italy.

Introduction And Hypothesis: The aim of this study was to compare the outcomes in women who underwent laparoscopic sacrocolpopexy (LSC) with or without hysterectomy for pelvic organ prolapse (POP).

Methods: This was a single-centre prospective study. We included women with symptomatic POP (III-IV stage) who underwent LSC with or without hysterectomy. Read More

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http://dx.doi.org/10.1007/s00192-020-04260-1DOI Listing

Surgical interventions for uterine prolapse and for vault prolapse: the two VUE RCTs.

Health Technol Assess 2020 Mar;24(13):1-220

Health Services Research Unit, University of Aberdeen, Aberdeen, UK.

Background: New surgical approaches for apical prolapse have gradually been introduced, with few prospective randomised controlled trial data to evaluate their safety and efficacy compared with traditional methods.

Objective: To compare surgical uterine preservation with vaginal hysterectomy in women with uterine prolapse and abdominal procedures with vaginal procedures in women with vault prolapse in terms of clinical effectiveness, adverse events, quality of life and cost-effectiveness.

Design: Two parallel randomised controlled trials (i. Read More

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http://dx.doi.org/10.3310/hta24130DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7086306PMC

A Meshless Practical Laparoscopic Sacrohysteropexy Modification and Long-term Outcomes.

J Minim Invasive Gynecol 2020 Mar 2. Epub 2020 Mar 2.

Department of Obstetrics and Gynecology, Urogynecology, and Minimally Invasive Gynecology Unit (Drs. Orhan, Ozerkan, Kasapoglu, Aslan, and Uncu).

Study Objective: To describe a new modification of laparoscopic sacrohysteropexy without using a mesh and report the 3-year outcomes.

Design: A prospective cohort study.

Setting: Minimally Invasive Gynecology Unit, Bursa Uludag University Hospital, Turkey. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.02.011DOI Listing

Prevalence and risk factors of obstetric fistula: implementation of a need-based preventive action plan in a South-eastern rural community of India.

BMC Womens Health 2020 Mar 4;20(1):40. Epub 2020 Mar 4.

College of Nursing, DST Project, AIIMS Bhubaneswar, Bhubaneswar, Odisha, India.

Background: The study was conducted to estimate the prevalence and risk factors of obstetric fistula in the rural area of the south eastern community of India and the training of community health workers for its prevention.

Methods: A population-based cross-sectional analytical study was conducted in the south eastern rural community of India. A total of 3939 women were included in the study and Probability proportional to size sampling was used in the study. Read More

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http://dx.doi.org/10.1186/s12905-020-00906-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055058PMC

Surgical treatment of complete uterovaginal prolapse and concomitant vaginal cancer: a video case report.

Int Urogynecol J 2020 Mar 3. Epub 2020 Mar 3.

ASST Monza, Ospedale San Gerardo, Monza, Italy.

Introduction And Hypothesis: The concurrence of vaginal cancer with irreducible uterine prolapse is rare. Reports about the management of vaginal cancer and concomitant irreducible prolapse are scanty in the literature, and there is no consensus on optimal treatment. In this video case report, we show surgical management of vaginal cancer and concomitant stage IV uterovaginal prolapse. Read More

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http://dx.doi.org/10.1007/s00192-020-04263-yDOI Listing

Lipoleimyoma masquerading as uterine prolapse.

Int Urogynecol J 2020 Jul 26;31(7):1487-1488. Epub 2020 Feb 26.

Division of Female Pelvic Medicine & Reconstructive Surgery, Urogynecology of Lenox Hill Hospital Northwell Health, 100 East 77th Street, New York, NY, 10075, USA.

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http://dx.doi.org/10.1007/s00192-020-04262-zDOI Listing

Comparison of patient reported outcomes, pelvic floor function and recurrence after laparoscopic sacrohysteropexy versus vaginal hysterectomy with McCall suspension for advanced uterine prolapse.

Eur J Obstet Gynecol Reprod Biol 2020 Apr 14;247:127-131. Epub 2020 Feb 14.

Ankara University School of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey.

Objective: To compare medium/long-term outcomes in terms of pelvic floor function, patient reported prolapse recurrence and repeat prolapse surgery after laparoscopic sacrohysteropexy (LSHP) and vaginal hysterectomy with McCall suspension (VH&McCall) which is the most commonly performed surgical option for severe uterine prolapse from past to present.

Study Design: Files of patients who underwent LSHP and VH&McCall for advanced utero-vaginal prolapse (stage 3 & 4) at the Department of Gynecology in Ankara University School of Medicine between 2008 and 2018 were reviewed (n = 517). Data of women who were followed up for at least 1-year and containing both the full-filled Patient Global Impression of Improvement (PGI-I) survey and Turkish validated Pelvic Floor Distress Inventory-20 (PFDI-20), were included. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.02.017DOI Listing

Joint Report on Terminology for Surgical Procedures to Treat Pelvic Organ Prolapse.

Authors:

Female Pelvic Med Reconstr Surg 2020 Mar;26(3):173-201

Surgeries for pelvic organ prolapse (POP) are common, but standardization of surgical terms is needed to improve the quality of investigation and clinical care around these procedures. The American Urogynecologic Society and the International Urogynecologic Association convened a joint writing group consisting of 5 designees from each society to standardize terminology around common surgical terms in POP repair including the following: sacrocolpopexy (including sacral colpoperineopexy), sacrocervicopexy, uterosacral ligament suspension, sacrospinous ligament fixation, iliococcygeus fixation, uterine preservation prolapse procedures or hysteropexy (including sacrohysteropexy, uterosacral hysteropexy, sacrospinous hysteropexy, anterior abdominal wall hysteropexy, Manchester procedure), anterior prolapse procedures (including anterior vaginal repair, anterior vaginal repair with graft, and paravaginal repair), posterior prolapse procedures (including posterior vaginal repair, posterior vaginal repair with graft, levator plication, and perineal repair), and obliterative prolapse repairs (including colpocleisis with hysterectomy, colpocleisis without hysterectomy, and colpocleisis of the vaginal vault). Each of these terms is clearly defined in this document including the required steps of the procedure, surgical variations, and recommendations for procedural terminology. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000846DOI Listing

Joint report on terminology for surgical procedures to treat pelvic organ prolapse.

Authors:

Int Urogynecol J 2020 03;31(3):429-463

Surgeries for pelvic organ prolapse (POP) are common, but standardization of surgical terms is needed to improve the quality of investigation and clinical care around these procedures. The American Urogynecologic Society and the International Urogynecologic Association convened a joint writing group consisting of 5 designees from each society to standardize terminology around common surgical terms in POP repair including the following: sacrocolpopexy (including sacral colpoperineopexy), sacrocervicopexy, uterosacral ligament suspension, sacrospinous ligament fixation, iliococcygeus fixation, uterine preservation prolapse procedures or hysteropexy (including sacrohysteropexy, uterosacral hysteropexy, sacrospinous hysteropexy, anterior abdominal wall hysteropexy, Manchester procedure), anterior prolapse procedures (including anterior vaginal repair, anterior vaginal repair with graft, and paravaginal repair), posterior prolapse procedures (including posterior vaginal repair, posterior vaginal repair with graft, levator plication, and perineal repair), and obliterative prolapse repairs (including colpocleisis with hysterectomy, colpocleisis without hysterectomy, and colpocleisis of the vaginal vault). Each of these terms is clearly defined in this document including the required steps of the procedure, surgical variations, and recommendations for procedural terminology. Read More

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http://dx.doi.org/10.1007/s00192-020-04236-1DOI Listing

Risk factors for vaginal mesh erosion after sacrocolpopexy in Korean women.

PLoS One 2020 10;15(2):e0228566. Epub 2020 Feb 10.

Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.

Objective: Although sacrocolpopexy (SCP) can provide durable apical support, the use of mesh may give rise to various complications, including vaginal mesh erosion. The aim of this study was to identify the risk factors for vaginal mesh erosion after SCP in Korean women.

Methods: This retrospective cohort study included 363 women who underwent SCP with type 1 polypropylene mesh. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0228566PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7010236PMC

Urine retention caused by urethral prolapse mimicking uterine prolapse.

Taiwan J Obstet Gynecol 2020 Jan;59(1):165-166

Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, Kaohsiung Municipal Siao-Gang Hospital, Kaohsiung, Taiwan. Electronic address:

Objective: Urethral prolapse is a rare clinical condition, which has been reported mostly in prepubertal girls; few menopaused and only 5 cases of premenopausal women. Strangulated urethral prolapse is even rarer.

Case Report: A 64-year-old woman presented with urinary retention, painful vaginal bleeding and a protruding mass. Read More

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http://dx.doi.org/10.1016/j.tjog.2019.11.029DOI Listing
January 2020