Urogynaecologia International Journal最新文献_第3页

Urinary symptoms and urodynamic findings before and after vaginal surgery for pelvic organ prolapse 盆腔器官脱垂阴道手术前后的泌尿症状和尿动力学结果

Urogynaecologia International Journal Pub Date : 2021-06-30 DOI: 10.4081/uij.2021.264

Narisra Srikureja, P. Hengrasmee, P. Leerasiri, Chutimon Asumpinwong

{"title":"Urinary symptoms and urodynamic findings before and after vaginal surgery for pelvic organ prolapse","authors":"Narisra Srikureja, P. Hengrasmee, P. Leerasiri, Chutimon Asumpinwong","doi":"10.4081/uij.2021.264","DOIUrl":"https://doi.org/10.4081/uij.2021.264","url":null,"abstract":"To ascertain the difference in urodynamic findings, specifically bladder sensation, and urinary symptoms after vaginal surgery for Pelvic Organ Prolapse (POP). Retrospective data analysis of 126 women who underwent vaginal surgery for POP without simultaneous anti-incontinence procedure from January 2013 to April 2019 at Siriraj Hospital, Thailand. Baseline characteristics, intraoperative details and pre and post-operative urinary symptoms and urodynamic findings were recorded. There was no significant difference in the pre and post-operative first desire to void, at 158±53 mL and 162±64 mL, respectively (p=0.518). Incidence of increased bladder sensation was also unchanged, from 46.0% to 46.8% (p=1.00). Post-operative urodynamic stress incontinence was significantly increased, from 15.9% to 31.0% (p=0.003), as was the incidence of weak bladder contractility index (<100), from 47.3% to 61.8% (p=0.005). Significant improvements in post-operative urge urinary incontinence, urgency and voiding dysfunction were noted, from 50.8% to 31.7% (p=0.001), 63.5% to 38.9% (p<0.001) and 42.9% to 5.6% (p<0.001), respectively. No significant difference in bladder sensation after vaginal surgery for POP repair was noted. However, urinary symptoms significantly improved after surgery.","PeriodicalId":35651,"journal":{"name":"Urogynaecologia International Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42161612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Giant leiomyoma of the urinary bladder: A case report 膀胱巨大平滑肌瘤1例

Urogynaecologia International Journal Pub Date : 2021-01-01 DOI: 10.4081/uij.2021.270

K. Atallah, O. Hamdy, Gehad A. Saleh, Farida A Shokeir, Y. Laimon, Ahmed Hassan, K. Wahab

引用次数: 0

Vesico-vaginal fistula: A clinical study 膀胱阴道瘘的临床研究

Urogynaecologia International Journal Pub Date : 2019-06-14 DOI: 10.4081/UIJ.2019.203

S. V. Reddy, A. Shaik

引用次数: 1

Diagnostic tools for female urethral diverticulum: Current perspectives 女性尿道憩室的诊断工具:目前的观点

Urogynaecologia International Journal Pub Date : 2019-05-03 DOI: 10.4081/UIJ.2019.222

G. Calagna, M. Vella, M. Mugavero, G. Gugliotta, S. Polito, A. Perino, G. Cucinella

{"title":"Diagnostic tools for female urethral diverticulum: Current perspectives","authors":"G. Calagna, M. Vella, M. Mugavero, G. Gugliotta, S. Polito, A. Perino, G. Cucinella","doi":"10.4081/UIJ.2019.222","DOIUrl":"https://doi.org/10.4081/UIJ.2019.222","url":null,"abstract":"Although once considered quite a rare condition in the past, female urethral diverticulum (UD) would now appear to have a higher frequency, perhaps due to greater attention from physicians. To date, there is no agreement on which is the best method for diagnosis of female UD. Traditionally, the approach was based on quite invasive techniques, such as voiding cystourethrography, and double-balloon urethrography, with satisfactory results but relevant limitations. More recent high-resolution imaging techniques, such as 2D-3D ultrasonography (US) and magnetic resonance imaging (MRI) have also been applied in the study of the abnormalities of the female urethra. US had the advantage of the outpatient setting, non-invasiveness and absence of contrast medium use; MRI, is characterized by high sensitivity thanks to multiplanar capability, with an optimal characterization of periurethral diseases or its abnormalities, and lack of ionizing radiation. A real innovation is represented by computer tomography-voiding cystourethrography, a rapid technique that allows for high quality simultaneous 2D and 3D images of the urethra, well correlated to MRI and consequently with surgical results. Here, we report and comment the available tools in the diagnosis of female UD, focusing particularly on pros and contra of different methods.","PeriodicalId":35651,"journal":{"name":"Urogynaecologia International Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/UIJ.2019.222","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43171419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Atherosclerosis in patients with endometriosis 子宫内膜异位症患者动脉粥样硬化

Urogynaecologia International Journal Pub Date : 2019-05-03 DOI: 10.4081/UIJ.2019.214

A. Habibi, E. Alizadeh, N. Hashemi, Saeed Razmeh, Setareh Siah Mansuri, Zahra Ghurchian, A. Rezaee

引用次数: 1

Vaginal length after a laparoscopic sacropexy 腹腔镜骶骨切除术后阴道长度

Urogynaecologia International Journal Pub Date : 2019-04-08 DOI: 10.4081/UIJ.2019.226

K. D. Staric, A. Lukanović, M. Barbič, M. Blaganje, A. Cvijic, I. But

引用次数: 0

Outcomes of colpectomy for uterovaginal and posthysterectomy vault prolapse: A comparative study between normal and overweight women 子宫阴道切除和胸后切除拱顶脱垂的结肠切除术的结果:正常和超重妇女的比较研究

Urogynaecologia International Journal Pub Date : 2019-04-02 DOI: 10.4081/UIJ.2019.213

P. Hengrasmee, Parit Wachasiddhisilpa, Chutimon Asumpinwong, P. Leerasiri

{"title":"Outcomes of colpectomy for uterovaginal and posthysterectomy vault prolapse: A comparative study between normal and overweight women","authors":"P. Hengrasmee, Parit Wachasiddhisilpa, Chutimon Asumpinwong, P. Leerasiri","doi":"10.4081/UIJ.2019.213","DOIUrl":"https://doi.org/10.4081/UIJ.2019.213","url":null,"abstract":"The objective of the study is to compare success and perioperative outcomes of colpectomy for severe prolapse between normal and overweight patients. This is a retrospective cohort study of 95 non-sexually active women undergoing colpectomy for severe prolapse between July 2010 and December 2015. Vaginal hysterectomy was performed for those with uterovaginal prolapse. Prolapse stage and location were identified according to Pelvic Organ Prolapse Quantification (POP-Q) measurements. Demographic data and perioperative outcomes were recorded. Patients were categorized into normal-weight and overweight groups according to World Health Organization body mass index classification for adults. During postoperative visit, prolapse symptoms and POP-Q measurements were re-evaluated. Objective cure was defined as prolapse at or above hymen, while subjective cure determined as resolution of prolapse sensation. One-third was determined as overweight. Objective cure was 81.1%, whereas subjective cure was 95.8%. Overweight patients significantly demonstrated poorer perioperative outcomes including increased blood loss, more advanced stage prolapse, and lower success rates. In conclusion, colpectomy is an effective repair procedure for non-sexually active women with severe prolapse due to low perioperative morbidities and favorable surgical outcomes. However, special precaution is required when performing this procedure in overweight women.","PeriodicalId":35651,"journal":{"name":"Urogynaecologia International Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/UIJ.2019.213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45920374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transvaginal mesh repair of anterior enterocele following radical cystectomy and ileal conduit diversion 根治性膀胱切除术及回肠导管改道后经阴道网状修复前肠膨出

Urogynaecologia International Journal Pub Date : 2019-03-29 DOI: 10.4081/UIJ.2019.224

J. Roman

引用次数: 0

Predictive factor for successful retrograde ureteral stent insertion in obstructive uropathy due to advanced cervical cancer 晚期宫颈癌症梗阻性尿路病逆行输尿管支架置入成功的预测因素

Urogynaecologia International Journal Pub Date : 2019-03-29 DOI: 10.4081/UIJ.2019.221

B. Noegroho, A. Mustafa

{"title":"Predictive factor for successful retrograde ureteral stent insertion in obstructive uropathy due to advanced cervical cancer","authors":"B. Noegroho, A. Mustafa","doi":"10.4081/UIJ.2019.221","DOIUrl":"https://doi.org/10.4081/UIJ.2019.221","url":null,"abstract":"Cervical cancer is the 3rd most common cancer in women. Some of the patients came with kidney failure due to malignant ureteral obstruction. Retrograde ureteral stent insertion as palliative urinary diversion often performed on these patients, but it has high failure rate and often has to be converted to nephrostomy, giving the patient unnecessary burden due to failed procedure. In this study, we evaluate factors that may predict successful ureteral stenting in cervical cancer patients to avoid unnecessary burden to the patient. Data were collected from 2014-2017. We evaluate the clinical, ultrasound and laboratory findings before stent insertion of the patient with successful compared to failed insertion. Comparative study was done using independent T-test and Mann-Whitney U test for nonparametric data. Odds ratio (OR) were calculated using contingency table and P value calculated using Fisher exact test. There were 41 patients diagnosed with cervical cancer performed retrograde ureteral stenting. From 41 patients, 20 (48.7%) were successful and 21 (51.3%) failed. Low hydronephrosis grade (OR=85.8; P<0.0001), low stage (OR=6.0; P=0.0098), radiotherapy (OR=3.7; P=0.04) were strong predictor for successful stent insertion. In bilateral hydronephrosis, more daily urine output (OR=29.2; P=0.002) and normal creatinine level (OR=6.3; P=0.03) were strong predictors for successful retrograde stenting, while bladder infiltration was strong predictor for stent failure (OR=0.0684; P=0.0021). Low hydronephrosis grade, no bladder infiltration, normal creatinine level, more daily urine output, low clinical staging and radiotherapy are predictive factors to predict a successful ureteral stenting in cervical cancer patients.","PeriodicalId":35651,"journal":{"name":"Urogynaecologia International Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/UIJ.2019.221","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44576441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A 9-year audit of the efficacy of diathermy for cystitis cystica 透热疗法治疗膀胱炎疗效的9年审计

Urogynaecologia International Journal Pub Date : 2019-03-29 DOI: 10.4081/UIJ.2019.223

Zhuoran Chen, L. Bates, N. West, K. Moore

{"title":"A 9-year audit of the efficacy of diathermy for cystitis cystica","authors":"Zhuoran Chen, L. Bates, N. West, K. Moore","doi":"10.4081/UIJ.2019.223","DOIUrl":"https://doi.org/10.4081/UIJ.2019.223","url":null,"abstract":"The aim of this study was to assess whether cystoscopy with diathermy for cystitis cystica in patients with recurrent urinary tract infection (UTI) is associated with decreased incidence of UTI. A retrospective 9-year audit was performed in a single urogynaecology centre. Patients with proven recurrent UTI and failed conservative therapy underwent cystoscopy with diathermy to cystitis cystica. The number of UTI’s 12- months pre and post cystoscopy was evaluated using women as their own controls with multivariant analysis of cofounding factors. Of 82 patients with recurrent UTI, 47 patients underwent cystoscopy with diathermy to cystitis cystica (median follow up 2 months [interquartile range, IQR6-31, one patient lost to follow up]). Pre-cystoscopy median UTI per annum was 3 per patient (IQR1-4). Post cystoscopy, median UTI for each woman was significantly reduced (median reduction -2[IQR-5-1], mean -2.14[95%CI -2.94, -1.34], P=<0.001). In the subgroup of patients who had previous vaginal mesh repair for prolapse (n=8) there was no significant benefit from diathermy (median reduction - 1.5[95%CI -0.988, 3.988], P=0.197). In conclusion, cystoscopy and diathermy of cystitis cystica was generally associated with significant reductions in UTI’s in the 12 months following diathermy.","PeriodicalId":35651,"journal":{"name":"Urogynaecologia International Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/UIJ.2019.223","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47225904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4