International urogynecology journal and pelvic floor dysfunction最新文献_第4页

An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence. 一种廉价的改良阴道带内翻式阴道插管手术治疗女性压力性尿失禁。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-08-15 DOI: 10.1007/s00192-009-0961-3

Xinliang Chen, Huaifang Li, Bozhen Fan, Xiang Yang, Xiaowen Tong

{"title":"An inexpensive modified transobturator vaginal tape inside-out procedure for the surgical treatment of female stress urinary incontinence.","authors":"Xinliang Chen, Huaifang Li, Bozhen Fan, Xiang Yang, Xiaowen Tong","doi":"10.1007/s00192-009-0961-3","DOIUrl":"https://doi.org/10.1007/s00192-009-0961-3","url":null,"abstract":"Introduction and hypothesis: The purpose of this study was to evaluate the safety and efficacy of a modified transobturator vaginal tape inside-out (TVT-O) procedure for stress urinary incontinence (SUI) using custom-tailored polypropylene mesh and helical needles.Methods: A 1x15-cm mesh made from the Gynemesh is positioned without tension under the mid-urethra using custom-made helical needles through the obturator.Results: The procedure was carried out in 80 consecutive patients (mean age 65.0+/-13.2 years). The mean operative time was 15 min (range 6-22 min). All patients had a follow-up visit at 1 year after surgery. Of the 80 patients, 75 (93.68%) were cured, and 5 (6.2%) were improved; no failure occurred. No bladder or urethral injuries and no vascular or neurological complications were encountered.Conclusion: Our modified TVT-O procedure is a simple, safe, efficacious, and economic surgical procedure for SUI. The technique avoids damage to the urethra and bladder. The promising results are currently under evaluation.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 11","pages":"1365-8"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0961-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28343464","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: 13

Perineal length: norms in gravid women in the first stage of labour. 会阴长度:妊娠妇女在分娩第一阶段的标准。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-08-01 DOI: 10.1007/s00192-009-0959-x

Anupreet Dua, Melissa Whitworth, Annette Dugdale, Simon Hill

引用次数: 32

The effectiveness of surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication (modified Manchester) versus vaginal hysterectomy with high uterosacral ligament plication. 子宫脱垂手术矫正的有效性：宫颈截除术加子宫骶骨韧带固定术（改良曼彻斯特）与阴道子宫切除术加子宫骶骨韧带高位固定术。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-08-11 DOI: 10.1007/s00192-009-0945-3

Tiny A de Boer, Alfredo L Milani, Kirsten B Kluivers, Mariella I J Withagen, Mark E Vierhout

{"title":"The effectiveness of surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication (modified Manchester) versus vaginal hysterectomy with high uterosacral ligament plication.","authors":"Tiny A de Boer, Alfredo L Milani, Kirsten B Kluivers, Mariella I J Withagen, Mark E Vierhout","doi":"10.1007/s00192-009-0945-3","DOIUrl":"10.1007/s00192-009-0945-3","url":null,"abstract":"Introduction and hypothesis: The objective of this study is to evaluate cervical amputation with uterosacral ligament plication (modified Manchester) and compare it to vaginal hysterectomy with high uterosacral ligament plication procedure with special regard to the middle compartment.Methods: Consecutive women with pelvic organ prolapse who underwent either vaginal hysterectomy or a modified Manchester procedure were included. Assessments were made preoperatively and at 1-year follow-up, including physical examination with pelvic organ prolapse quantification standardised questionnaires (incontinence impact questionnaire, urogenital distress inventory, and defaecatory distress inventory).Results: Between 2002 and 2007, 156 patients were included. Ninety-eight patients returned for a 1-year follow-up. In the modified Manchester group, we found no middle compartment recurrence versus two (4%) in the vaginal hysterectomy group. Anterior and posterior compartment prolapse recurrences (stage >or=2) were similar (approximately 50%). Considering operating time and blood loss, modified Manchester was more favourable. There was no difference in the pre- and postoperative subjective scores. The overall functional outcome was acceptable.Conclusions: We found an excellent performance of both procedures regarding middle compartment recurrences.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":" ","pages":"1313-9"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/4f/192_2009_Article_945.PMC2762528.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40024747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An unexpected cause of dyspareunia and partner dyspareunia following TVT-Secur. 一个意想不到的原因的性交困难和伴侣性交困难后，tvt -安全。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-04-09 DOI: 10.1007/s00192-009-0886-x

Ted M Roth

引用次数: 9

Measurement of detrusor wall thickness in women with overactive bladder by transvaginal and transabdominal sonography. 经阴道和经腹部超声测量膀胱过度活动妇女逼尿肌壁厚度。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-06-26 DOI: 10.1007/s00192-009-0946-2

Hann-Chorng Kuo

{"title":"Measurement of detrusor wall thickness in women with overactive bladder by transvaginal and transabdominal sonography.","authors":"Hann-Chorng Kuo","doi":"10.1007/s00192-009-0946-2","DOIUrl":"https://doi.org/10.1007/s00192-009-0946-2","url":null,"abstract":"Introduction and hypothesis: Women with overactive bladder (OAB) might have a greater detrusor wall thickness (DWT) suggestive of detrusor overactivity (DO).Methods: DWT was measured by transabdominal ultrasonography (TAU) and transvaginal ultrasonography (TVU) in normal and women with OAB-dry and OAB-wet. The subjects were further classified as normal, hypersensitive bladder, or DO by urodynamic results. DWT measured by TVU at empty bladder, and TAU at 250 ml and bladder capacity were compared among symptom and urodynamic subgroups.Results: TVU-measured DWT was significantly greater at the bladder neck than other sites of the bladder wall. No significant difference of TVU-measured DWT was noted among subgroups. No significant difference of TAU-measured DWT among subgroups at 250 ml, but DWT at bladder capacity was significantly greater in OAB-wet or DO than other subgroups.Conclusions: A greater DWT at bladder capacity measured by TAU can be useful as biomarker for DO in patients with OAB.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 11","pages":"1293-9"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0946-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28269120","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: 44

TVT-O versus Monarc after a 2-4-year follow-up: a prospective comparative study. 2-4年随访后TVT-O与Monarc:一项前瞻性比较研究。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-07-14 DOI: 10.1007/s00192-009-0943-5

R Marijn Houwert, Charlotte Renes-Zijl, M Caroline Vos, Harry A M Vervest

引用次数: 38

Bacterial colonisation of collagen-coated polypropylene vaginal mesh: are additional intraoperative sterility procedures useful? 胶原包被聚丙烯阴道网的细菌定植:术中额外的无菌程序有用吗?

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 DOI: 10.1007/s00192-009-0951-5

Astrid Vollebregt, Annet Troelstra, C Huub van der Vaart

{"title":"Bacterial colonisation of collagen-coated polypropylene vaginal mesh: are additional intraoperative sterility procedures useful?","authors":"Astrid Vollebregt, Annet Troelstra, C Huub van der Vaart","doi":"10.1007/s00192-009-0951-5","DOIUrl":"https://doi.org/10.1007/s00192-009-0951-5","url":null,"abstract":"Introduction and hypothesis: The use of vaginally implanted polypropylene meshes in the treatment of prolapse is becoming increasingly popular. We set out to detect how often bacterial colonisation of the mesh occurs and if the intraoperative sterility procedures that are applied matter.Methods: In 64 consecutive women, bacterial colonisation was compared between two intraoperative sterility procedures. Culture swabs of the core mesh were taken during surgery, and the mesh arms removed at the end of surgery were cultured separately.Results: Sixty-seven implants were cultured. In 56 (83.6%) implants, a positive culture with vaginal bacteria was found with very low bacterial density (<10(3 )colony-forming units). No significant differences in bacterial species, density, clinical infection and erosion (two anterior and one posterior) were found between the two intraoperative sterility methods.Conclusions: Colonisation of vaginally implanted mesh occurs frequently but in low bacterial densities, irrespective of the intraoperative sterility procedure used.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 11","pages":"1345-51"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0951-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28381340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 34

A serious complication following placement of posterior Prolift. 后凸置入后的严重并发症。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-03-28 DOI: 10.1007/s00192-009-0873-2

R Keith Huffaker, Bobby L Shull, J Scott Thomas

引用次数: 14

Anticholinergic drug use for overactive bladder in Sweden: a nationwide pharmacoepidemiological study. 瑞典使用抗胆碱能药物治疗膀胱过动症:一项全国性的药物流行病学研究。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-07-28 DOI: 10.1007/s00192-009-0957-z

Daniel Altman, Fredrik Granath, Anders Mattiasson, Christian Falconer

{"title":"Anticholinergic drug use for overactive bladder in Sweden: a nationwide pharmacoepidemiological study.","authors":"Daniel Altman, Fredrik Granath, Anders Mattiasson, Christian Falconer","doi":"10.1007/s00192-009-0957-z","DOIUrl":"https://doi.org/10.1007/s00192-009-0957-z","url":null,"abstract":"Introduction and hypothesis: Nationwide use and costs of anticholinergic drug for overactive bladder are unknown.Methods: We performed a nationwide study based on the Swedish Register on Prescribed Pharmaceuticals.Results: From 2000 to 2007, there was a 68.8% increase in dispensed anticholinergic drugs in a population of 9 million. More than 93 million DDDs (calculated average maintenance dose per day) of anticholinergic drugs were dispensed corresponding to an overall DDD/TID (DDD per 1,000 inhabitants per day) of 3.5 per 1,000 persons per year. Approximately two thirds of anticholinergic drugs were prescribed to women, regardless of drug type. In 2007, the cost for anticholinergic drugs was 22 million <euro> of which tolterodine comprised 70.8%. Solifenacin and darifenacin steadily increased their DDD/TIDs after market introduction.Conclusions: In this nationwide study, there was a 70% increased rate of expedited prescriptions of anticholinergic drugs for the treatment of overactive bladder in a relatively stable population.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 11","pages":"1285-91"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0957-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28332218","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: 12

Incontinence and detrusor dysfunction associated with pelvic organ prolapse: clinical value of preoperative urodynamic evaluation. 盆腔器官脱垂相关的尿失禁和逼尿肌功能障碍:术前尿动力学评估的临床价值。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-07-14 DOI: 10.1007/s00192-009-0954-2

Isao Araki, Yaburu Haneda, Yuki Mikami, Masayuki Takeda

{"title":"Incontinence and detrusor dysfunction associated with pelvic organ prolapse: clinical value of preoperative urodynamic evaluation.","authors":"Isao Araki, Yaburu Haneda, Yuki Mikami, Masayuki Takeda","doi":"10.1007/s00192-009-0954-2","DOIUrl":"https://doi.org/10.1007/s00192-009-0954-2","url":null,"abstract":"Introduction and hypothesis: We examined how preoperative urodynamic findings are related to the urinary problems following surgical repair of pelvic organ prolapse (POP).Methods: The clinical records of 87 women who underwent surgery for POP were reviewed retrospectively. Preoperatively, cough stress test and urodynamic testing, including pressure-flow study, were performed with prolapse reduction. Postoperative evaluation included uroflowmetry, postvoid residuals, and symptom assessment using questionnaires.Results: A cough stress test with simple filling was sufficient for diagnosis of occult stress urinary incontinence (SUI). The presence of detrusor overactivity was a good predictor of postoperative persistence of urgency and urge urinary incontinence. Postvoid residuals (PVR) largely increased immediately after surgery, but usually recovered within 1 month. Poor detrusor contractility was the best predictor of large PVR occurrence.Conclusions: Preoperative urodynamic evaluation of SUI and detrusor function was useful for predicting postoperative urinary conditions in POP patients. Its cost-effectiveness remains to be examined.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 11","pages":"1301-6"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0954-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28302189","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: 64