25 results match your criteria transvaginal layered

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Transvaginal primary layered repair of postsurgical urethrovaginal fistula.

Int Urogynecol J 2021 Jul 5;32(7):1941-1943. Epub 2021 May 5.

ASST Monza, Ospedale San Gerardo, via G.B. Pergolesi, 33 20900, Monza, Italy.

Introduction And Hypothesis: Urethrovaginal fistula (UVF) is a rare disorder, which implies the presence of an abnormal communication between the urethra and the vagina.

Methods: Surgical repair options include transurethral, transabdominal and transvaginal procedures, either with or without tissue interposition. The vaginal route is considered a safe and effective option to correct UVF. Read More

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Surgical Outcomes of Transvaginal Neobladder-Vaginal Fistula Repair After Radical Cystectomy with Ileal Orthotopic Neobladder: A Case-Control Study.

Cancer Manag Res 2020 19;12:10279-10286. Epub 2020 Oct 19.

Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Purpose: To present surgical methods and outcomes in women with bladder cancer (BCa) requiring correction of neobladder-vaginal fistula (NVF) after radical cystectomy (RC) with ileal orthotopic neobladder (IONB).

Materials And Methods: The medical records of 163 women who underwent RC with IONB for BCa between January 2010 and December 2018 were retrospectively reviewed. The presence of NVF was confirmed by cystoscopy and/or voiding cystography. Read More

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October 2020

Deep Learning based Quantification of Ovary and Follicles using 3D Transvaginal Ultrasound in Assisted Reproduction.

Annu Int Conf IEEE Eng Med Biol Soc 2020 07;2020:2109-2112

Quantification of ovarian and follicular volume and follicle count are performed in clinical practice for diagnosis and management in assisted reproduction. Ovarian volume and Antral Follicle Count (AFC) are typically tracked over the ovulation cycle. Volumetric analysis of ovary and follicle is manual and largely operator dependent. Read More

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Transvaginal management of symptomatic complex urethral diverticula by definite closure of diverticula and robust reconstruction of the urethra.

Transl Androl Urol 2020 Jun;9(3):1028-1036

Department of Urology, Peking University First Hospital, Beijing, China.

Background: Management of complex urethral diverticula (UDs) is challenging not only for the ostia detection and urethral reconstruction in surgery but also for the high risk of postoperative complications. We aimed to present the experience of surgical management for UDs by transvaginal partial diverticulectomy and urethral reconstruction.

Methods: The database of medical record library was retrospectively searched for patients underwent partial diverticulectomy for symptomatic complex UDs. Read More

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Urethral diverticulum: A systematic review.

Arab J Urol 2019 Mar 8;17(1):49-57. Epub 2019 Apr 8.

Department of Urology, Medical University of South Carolina, Charleston, SC, USA.

: To present a review of the current literature regarding the presentation, diagnosis, and treatment of female urethral diverticula (UD). : A systematic search of the PubMed database was performed to identify studies evaluating female UD. Article titles, abstracts and full-text manuscripts were screened to identify relevant studies, which then underwent data extraction and analysis. Read More

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Which factors affecting the success of iatrogenic obstetric vesical fistulas?

Ann Ital Chir 2018 ;89:534-539

Aim: In developing countries, surgery, birth traumas, and especially gynecological procedures are the most common cause of vesicovaginal fistulas (VVFs). We retrospectively evaluated our treatment modalities for VVF repair caused by obstetric causes and compared with the current literature.

Materials And Methods: We compared the surgical approach preferences and their results with patient characteristics as well as fistula size and location for the management of VVFs. Read More

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Laparoscopic Resection of Cesarean Scar Ectopic Pregnancy after Unsuccessful Systemic Methotrexate Treatment.

J Minim Invasive Gynecol 2019 Mar - Apr;26(3):399-400. Epub 2018 Jun 8.

University of Medicine and Pharmacy Timișoara, Timișoara, Romania.

Study Objective: To present a case of a cesarean scar ectopic pregnancy treated by laparoscopic resection followed by isthmocele repair.

Design: A case report.

Settings: The University Gynecology Clinic of the Emergency Clinical City Hospital Timișoara, Timișoara, România. Read More

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Repair of a vesicouterine fistula following cesarean section.

Int Urogynecol J 2018 02 16;29(2):309-311. Epub 2017 Nov 16.

Department of Obstetrics and Gynaecology, San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, Monza, MB, Italy.

Introduction And Hypothesis: Vesicouterine fistula is a rare complication of cesarean section. The aim of this video is to present a case report and to provide a tutorial on the surgical technique of delayed transvaginal repair of a high vesicouterine fistula that developed after cesarean section with manual removal of a morbidly adherent placenta.

Methods: A 43-year-old woman was referred to our unit for continuous urinary leakage 3 months after undergoing a cesarean section with manual removal of a morbidly adherent placenta. Read More

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February 2018

Transvaginal primary layered repair of iatrogenic vesicovaginal fistula.

Int J Gynaecol Obstet 2017 Aug 2;138(2):228-229. Epub 2017 May 2.

Department of Obstetrics and Gynecology, San Gerardo Hospital, Monza, Italy.

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Transvaginal primary repair of a suprasphincteric rectovaginal fistula.

Int Urogynecol J 2016 May 15;27(5):821-3. Epub 2016 Jan 15.

University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.

Introduction And Hypothesis: Rectovaginal fistula repair is one of the most challenging gynecological surgical procedures. This video is intended to serve as a tutorial for surgical repair.

Methods: An 80-year-old woman who developed a traumatic suprasphincteric rectovaginal fistula was managed through layered transvaginal repair without flaps. Read More

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Rectovaginal fistula repair using a disposable biopsy punch.

Female Pelvic Med Reconstr Surg 2014 Jan-Feb;20(1):52-5

From the *Department of Obstetrics and Gynecology, Division of Urogynecology, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA; and †Division of Urogynecology, Weinberg Center for Women's Health and Medicine, Mercy Medical Center, Baltimore, MD.

Objectives: To describe a novel surgical technique for complete excision of a rectovaginal fistula tract using a disposable biopsy punch during a transvaginal rectovaginal fistula repair and to present our initial surgical experience.

Methods: Description of 4 cases of simple rectovaginal fistulas and an innovative surgical technique for the complete excision of the fistula tract using a disposable biopsy punch.

Results: Successful 3-, 9-, and 12-month follow-up of 4 cases with simple rectovaginal fistulas after transvaginal rectovaginal fistula repair using a novel approach for complete fistula tract excision with a disposable biopsy punch and layered nonoverlapping suture closure. Read More

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September 2014

Evaluating the feasibility of acoustic radiation force impulse shear wave elasticity imaging of the uterine cervix with an intracavity array: a simulation study.

IEEE Trans Ultrason Ferroelectr Freq Control 2013 Oct;60(10):2053-64

The uterine cervix softens, shortens, and dilates throughout pregnancy in response to progressive disorganization of its layered collagen microstructure. This process is an essential part of normal pregnancy, but premature changes are associated with preterm birth. Clinically, there are no reliable noninvasive methods to objectively measure cervical softening or assess cervical microstructure. Read More

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October 2013

Transvaginal repair and graft interposition for rectovaginal fistula due to a neglected pessary: case report and review of the literature.

Female Pelvic Med Reconstr Surg 2011 Jul;17(4):195-7

From the Department of Obstetrics and Gynecology, University of British Columbia, St Paul's Hospital, Vancouver, British Columbia, Canada.

Background: : There are few reported cases of rectovaginal fistula due to a neglected pessary, with few data to guide management.

Case: : An 83-year-old lady presented with an impacted Gellhorn pessary 5 years after insertion. Upon removal of the pessary in the operating room, a 4-cm high rectovaginal fistula was discovered. Read More

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A tertiary experience of urethral diverticulectomy: diagnosis, imaging and surgical outcomes.

BJU Int 2009 Jun 3;103(11):1550-4. Epub 2009 Feb 3.

Institute of Urology, University College London Hospital, London, UK.

OBJECTIVE To review the outcomes of consecutive patients referred with urethral diverticula to a tertiary centre; to investigate the diagnostic, imaging and surgical factors relevant to success. PATIENTS AND METHODS A retrospective case note review of 30 consecutive patients treated between January 1999-2007 was performed and data retrieved on demographics, presenting symptoms, preoperative imaging, surgical technique, outcomes and need for further intervention. RESULTS All patients were tertiary referrals, four after failed local repairs. Read More

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Surface heating by transvaginal transducers.

Ultrasound Obstet Gynecol 2007 Apr;29(4):427-32

Medical Physics Department, Royal United Hospital, Bath, UK.

Objective: This safety study was designed to investigate tissue heating close to the surface of transvaginal ultrasound transducers, with the objective of assessing the validity of manufacturing safety standards set by the International Electrotechnical Commission (IEC).

Methods: The transducers investigated in this study were held in contact with a layered soft-tissue mimicking material (TMM), and the temperature increase was measured at various depths using a miniature thermocouple. The temperature rise at 200 s was recorded, and the measured profiles of temperature rise with depth were compared with profiles predicted from both analytical and numeric models. Read More

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Prospective endometrial assessment of breast cancer patients treated with third generation aromatase inhibitors.

Gynecol Oncol 2006 Nov 5;103(2):599-603. Epub 2006 Jun 5.

Department of Obstetrics and Gynecology, Lodi Hospital, via Savoia no 1, Lodi, Italy.

Objective: A prospective evaluation of the effects on endometrium of third generation aromatase inhibitors (AIs), administered as adjuvant up-front therapy or switched therapy in menopausal patients suffering from breast cancer.

Methods: Forty-five patients suffering from estrogen-receptor positive breast cancer were treated with AIs as adjuvant endocrine therapy; 27 patients switched from tamoxifen to AIs (group 1) due to adverse medical events related to tamoxifen intake (22 patients) or to an extended endocrine treatment after 60 months of tamoxifen therapy (5 patients); whereas 18 patients received AIs as up-front adjuvant therapy (group 2). All patients underwent endometrial investigation before the start of AIs therapy and, thereafter, at 12 month intervals. Read More

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November 2006

Pretreatment and prospective assessment of endometrium in menopausal women taking tamoxifen for breast cancer.

Eur J Obstet Gynecol Reprod Biol 2007 May 5;132(1):101-6. Epub 2006 May 5.

Obstetrics and Gynecologic Department, Lodi Hospital, via Savoia no. 1, 26900 Lodi, Italy.

Objectives: To estimate the pretreatment incidence of endometrial pathology and to prospectively assess the endometrial morbidity emerging during tamoxifen intake for breast cancer.

Study Design: One-hundred and forty-six menopausal breast cancer patients, candidate to receive tamoxifen underwent endometrial assessment by Transvaginal Ultrasonography (TU) before the start of therapy. A double-layered endometrial stripe measuring more than 4mm indicated hysteroscopy and endometrial biopsy. Read More

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Baseline endometrial assessment before tamoxifen for breast cancer in asymptomatic menopausal women.

Gynecol Oncol 2005 Jul;98(1):63-7

Obstetrics and Gynecologic Department, Lodi Hospital, via Savoia 1, 26900-Lodi, Italy.

Objective: The aim of this study is to estimate the prevalence of endometrial pathology before the start of tamoxifen therapy in menopausal breast cancer patients.

Methods: Ninety-one gynecologically asymptomatic patients, suffering from estrogen receptor-positive breast cancer and scheduled for adjuvant tamoxifen, underwent pretreatment endometrial assessment. In all patients, a transvaginal ultrasonography was carried out; a double-layered endometrial stripe measuring above 4 mm was considered as abnormal. Read More

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Transvaginal repair of the posthysterectomy vesicovaginal fistula using a peritoneal flap: the gold standard.

Authors:
Samuel S Lentz

J Reprod Med 2005 Jan;50(1):41-4

Department of Obstetrics and Gynecology, East Carolina University Brody School of Medicine, Brody Building, Room 2S-12, Greenville, NC 27834, USA.

Objective: To evaluate the transvaginal approach to management of vesicouterine fistulas.

Study Design: Over a 10-year period, 7 cases of simple posthysterectomy vesicovaginal fistulas were identified. The surgical technique involved resection of the fistulous tract completely, performance of layered closure and placement of a peritoneal flap between the bladder and vaginal suture lines. Read More

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January 2005

Guidelines of how to manage vesicovaginal fistula.

Crit Rev Oncol Hematol 2003 Dec;48(3):295-304

Department of Obstetrics and Gynecology, University of Rome Campus Biomedico, Via Longoni 69, 00155 Rome, Italy.

Vesicovaginal fistulas are among the most distressing complications of gynecologic and obstetric procedures. The risk of developing vesicovaginal fistula is more than 1% after radical surgery and radiotherapy for gynecologic malignancies. Management of these fistulas has been better defined and standardized over the last decade. Read More

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December 2003

Genitourinary fistulas of obstetric origin.

Authors:
M Rafique

Int Urol Nephrol 2002 ;34(4):489-93

Nishtar Medical College, Multan, Pakistan.

Objective: To review the results of management of 42 cases of genitourinary fistulas of obstetric origin.

Settings: Department of urology, Nishtar Hospital, Multan, Pakistan.

Methods: Forty two cases of genitourinary fistulas (36 vesicovaginal, 2 vesicouterine, one ureterovaginal and 3 urethrovaginal) were repaired from 1st December, 1999 to 31st May, 2002). Read More

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November 2003

Laparoscopic-assisted transvaginal myomectomy.

J Am Assoc Gynecol Laparosc 1997 Feb;4(2):241-6

Department of Obstetrics and Gynecology, Bayonne Hospital, New Jersey, USA.

We conducted a retrospective review of 21 combined laparovaginal myomectomies to treat extensive and deeply infiltrating fundal and posterior wall leiomyomata. Laparoscopy confirmed the size, number, and position of leiomyomata, permitted intramyometrial vasopressin infiltration, and allowed partial enucleation of large and deep myomata. Posterior colpotomy permitted delivery of myomata and uteri, and uterine reconstruction by conventional suturing performed transvaginally. Read More

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February 1997

Ultrasound studies of vascular and morphological changes in the human uterus after a positive self-test for the urinary luteinizing hormone surge.

Hum Reprod 1996 Feb;11(2):369-75

Department of Obstetrics and Gynaecology, Sahlgrenska University Hospital, Göteborg, Sweden.

The aim of the study reported here was to establish complementary data for changes in uterine size, echogenicity and vascularity during the menstrual cycle relative to a positive self-test for urinary luteinizing hormone (LH) and day 1 of next menses. Thirteen volunteers (aged 23-32 years) with apparently regular menstrual cycles were recruited from the nursing staff. The plan was to examine all women by transvaginal ultrasonography with colour Doppler imaging on day 11 of the menstrual cycle. Read More

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February 1996

A report of thirty-four instances of urethrovaginal and bladder neck fistulas.

Authors:
M L Tancer

Surg Gynecol Obstet 1993 Jul;177(1):77-80

Sloane Hospital for Women, New York, New York.

The current study was done to outline problems noted by an individual surgeon in his experience with the management of urethrovaginal and bladder neck fistulas. Twenty-six women with intact urethras distal to the fistulas had transvaginal layered closures. Five women with completely destroyed posterior urethral walls had transvaginal reconstructions. Read More

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Estimation of in situ ultrasound exposure during obstetric examinations.

Ultrasound Med Biol 1993 ;19(4):319-29

Department of Medical Physics and Bioengineering, St. George's Hospital, London, UK.

Layered tissue models are developed to estimate in situ ultrasound intensity during common obstetric examinations by incorporation of measured overlying tissue thicknesses with data on the attenuation properties of tissues. Results are compared with attenuation models recommended by the United States Food and Drug Administration (FDA) and National Council on Radiation Protection and Measurements (NCRP). For abdominal and transvaginal scanning in the first trimester, fixed attenuation models based on attenuation values of 1. Read More

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September 1993
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