Journal of pelvic medicine & surgery最新文献

{"title":"Emphysematous Cystitis: A Rare Gas-Forming Infection and Unique Postcesarean Complication","authors":"A. Glass, Brook V. Nelson, Roger P. Smith, T. Muffly","doi":"10.1097/SPV.0B013E3181BDCA4F","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181BDCA4F","url":null,"abstract":"","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"459-461"},"PeriodicalIF":0.0,"publicationDate":"2009-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181BDCA4F","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61718643","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}

{"title":"Long-Term Outcomes of Rectocele Repair With Chemically Processed (Tutoplast) Fascia Lata: Two and Half Years Follow-Up","authors":"H. Abdelwahab, Mostafa Elmissiry, G. Ghoniem","doi":"10.1097/SPV.0B013E3181B1235C","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181B1235C","url":null,"abstract":"Abstract \u0000To assess the long-term outcomes of rectocele repair using chemically processed cadaveric fascia lata (Tutoplast). \u0000After Institutional Review Board approval, a retrospective chart review of all patients who underwent rectocele repair with Tutoplast fascia lata was done. Modified Pelvic Organ Prolapse/Urinary Incontinence Sexual function Questionnaire was then mailed to all patients to assess the postoperative sexual function and vaginal bulge. Outcomes were measured according to the postoperative follow-up data and the questionnaire results. Cure was defined as postoperative grade 0 rectocele according to Baden-Walker classification; improvement meant a lower grade rectocele than preoperatively, while same or higher grade rectocele than preoperative one was considered failure. \u0000Forty-one patients were included in this study with a mean age of 62.6 years and mean parity of 2.6. Twenty 2 (53.5%) patients had previous hysterectomy and 4 (9.8%) had previous failed rectocele repair. Preoperative rectocele grade was grade I in 8 (19.5%) patients, grade II in 29 (70.7%), and grade III in 4 (9.8%). After a mean follow-up of 2.5 (1.5–6) years, 40 patients (97.55%) were cured and 1 (2.45%) improved. Thirty patients replied the modified Pelvic Organ Prolapse/Urinary Incontinence Sexual function Questionnaire (73% response rate) and reported improvement in all the individual domains and absence of the vaginal bulge compared with the preoperative status. Postoperative complications included vaginal infection in 7 patients (17.1%), constipation in 4 (9.8%), dyspareunia in 2 (6.6%), and vaginal hematoma in 1 (2.45%). None of the patients had graft exposure. \u0000Rectocele repair using Tutoplast facia lata is a safe and effective procedure with minimal complications.","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"173-177"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181B1235C","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61718053","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}

{"title":"Clinical anatomy and surgical skills training for gynecology and urology residents: Assessment of learners","authors":"L. Rickey, E. Mueller, Scott C. Graziano, L. Lowenstein, Sondra Summers, X. Pombar, M. Dauzvardis, K. Kenton","doi":"10.1097/SPV.0B013E3181B204A5","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181B204A5","url":null,"abstract":"","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"189-193"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181B204A5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61717936","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}

{"title":"Fascial Slings for Stress Incontinence: Quality of Life and Potential Role in an Age of Synthetic Tapes","authors":"R. Rajasundaram, Richard Montague, E. Lupton","doi":"10.1097/SPV.0B013E3181B025B5","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181B025B5","url":null,"abstract":"","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"205-210"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181B025B5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61717927","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}

{"title":"Diagnostic Evaluation For Fecal Incontinence","authors":"Anna R. McNanley, J. Speranza, G. Buchsbaum","doi":"10.1097/SPV.0B013E3181B6E613","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181B6E613","url":null,"abstract":"","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"161-171"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181B6E613","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61718232","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}

{"title":"Bowel Symptoms and Quality of Life in Women With Pelvic Organ Prolapse","authors":"Elizabeth A. Frankman, J. Lowder, C. Ghetti, L. Burrows, M. Krohn, H. Zyczynski","doi":"10.1097/SPV.0B013E3181B6E46A","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181B6E46A","url":null,"abstract":"","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"211-216"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181B6E46A","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61718188","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}

{"title":"Clear Cell Carcinoma of the Male Urethra Presenting as Periurethral Abscess With Fistulae","authors":"Saleem Varachhia, L. Goetz, R. Persad, V. Naraynsingh","doi":"10.1097/SPV.0B013E3181B12373","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181B12373","url":null,"abstract":"Clear cell carcinoma of the male urethra is extremely rare. Its presentation as recurrent urethral fistulae has never been described. We herein present such a case, which had neither hematuria nor obstructive symptoms. Persistent recurrent periurethral abscesses and fistulae should lead one to suspect that there may be an underlying pathology and one should rule out carcinoma of the urethra.","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"221-223"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181B12373","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61718154","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}

{"title":"Prevalence of Defecatory Dysfunction in Women With and Without Pelvic Floor Disorders","authors":"E. Whitcomb, E. Lukacz, J. Lawrence, C. Nager, K. Luber","doi":"10.1097/SPV.0B013E3181B12E01","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181B12E01","url":null,"abstract":"Study design, materials and methods Our questionnaire [1] identified women with pelvic organ prolapse (POP), stress urinary incontinence (SUI), overactive bladder (OAB), and anal incontinence (AI) among 4,458 respondents in a large epidemiologic study [2]. In addition, demographic, socioeconomic, and medical history was obtained along with detailed information related to defecatory function using responses to the following questions: “Do you ever have difficulty having a bowel movement?” “Do you ever have to push on your vagina or around your rectum to have or complete a bowel movement?” Frequencies for each of these symptoms were characterized as less than once per year, more than once per year but less than once per month, more than once per month but less than once per week, at least once per week but not every day, and every day. The degree of bother related to each symptom was assessed using a 100 mm visual analog scale (VAS). Women were also asked to report the frequency of laxative or stool softener use. For the purpose of this study, constipation was defined as difficulty having a bowel movement more than once a week, splinting was defined as any pushing on the vagina or rectum to complete a bowel movement more than once per year, and defecatory dysfunction was defined as having either constipation, splinting or both. Conditions potentially associated with defecatory dysfunction including age, race, body mass index (BMI), parity, mode of delivery, hormone and menopausal status, smoking, depression, diabetes, neurologic disease, pulmonary disease, and pelvic surgery were explored using Mann-Whitney U tests. In addition, prevalence of defecatory dysfunction was compared based on the presence or absence of each of the PFD using chi-square tests. Mean VAS bother scores for defecatory dysfunction were compared in women with and without PFD using Student’s t-tests. Logistic regression was used to assess the relative impact of each PFD on defecatory dysfunction while controlling for confounding variables. These are reported in adjusted odds ratios (OR) with 95% confidence intervals (CI). Associations at a two-sided p-value of less than 0.05 were considered significant.","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"179-187"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181B12E01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61717704","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}

{"title":"Clinical anatomy and surgical skills training for senior residents: A multicenter, multidisciplinary program for urogynecological procedures","authors":"Sondra Summers, E. Mueller, B. Darrell, X. Pombar, W. Kobak, Scott C. Graziano, T. Irwin, Vaishali Mody, L. Rickey, L. Hruska, K. Kenton","doi":"10.1097/SPV.0B013E3181B18527","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181B18527","url":null,"abstract":"","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"195-203"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181B18527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61717765","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}

{"title":"A Preliminary Approach to the Traditional Method in High Transverse Vaginal Septum","authors":"Z. Raoofi, N. Mostaghel","doi":"10.1097/SPV.0B013E3181B204BB","DOIUrl":"https://doi.org/10.1097/SPV.0B013E3181B204BB","url":null,"abstract":"Introduction: Transverse vaginal septum diagnosed after the onset of puberty presents numerous problems such as difficult anastomosis and poor compliance with postoperative dilatation. A preliminary approach can be laparoscopic evacuation of hematocolpos and hemoperitoneum. Materials/Methods: A preliminary approach to the traditional method is described for a patient with a high transverse vaginal septum presenting at puberty. This includes laparoscopic evacuation of hematocolpos and hemoperitonium to relieve pain, endometrial suppression with oral contraceptive pills to prevent recurrent hematocolpos, and motivation and preparation of the patient for pre- and postoperative vaginal dilatation. Result: This approach is well tolerated by the patient. After 1 year, the patient underwent resection of the septum and had an acceptable compliance with postoperative vaginal dilatation. Conclusion: This preliminary approach can prepare and motivate the patient and may decrease the incidence of endometriosis because of complete removal of blood from the pelvis and abdomen.","PeriodicalId":89591,"journal":{"name":"Journal of pelvic medicine & surgery","volume":"15 1","pages":"217-219"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/SPV.0B013E3181B204BB","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61718638","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}