Pelviperineology最新文献_第9页

Slings operations work very differently from mesh sheet implantations and should not be banned 吊索操作与网片植入非常不同，不应被禁止

Pelviperineology Pub Date : 2021-08-19 DOI: 10.34057/ppj.2021.40.01.001

P. Petros

{"title":"Slings operations work very differently from mesh sheet implantations and should not be banned","authors":"P. Petros","doi":"10.34057/ppj.2021.40.01.001","DOIUrl":"https://doi.org/10.34057/ppj.2021.40.01.001","url":null,"abstract":"The persistent media campaign against mesh products in the United Kingdom (UK) successfully resulted in the banning earlier this year of all mesh slings and mesh kits by the UK government. Unlike the Food and Drug Administration (FDA) where suppliers of mesh kits were put on notice to provide the data to justify their continued sale, the UK government instituted the Cumberlage report, and acted on its recommendations. As the co-inventor of the now discontinued midurethral sling (MUS), the subject of this editorial, I fully endorse the recommendations for thorough premarket testing on any implantable device, for that is exactly the course which the late Ulf Ulmsten and I followed with the MUS. I also endorse the ban against mesh sheets which did not follow the exhaustive testing of the MUS. The Cumberlage report, unfortunately, is not based or robust scientific data. It consisted of opinions mainly from non-experts, including a journalist. It does not take into consideration the vast 10-year clinical and scientific background of the MUS. Apparently not considered were well reasoned scientific opinions from expert committees from almost every learned body, which generally concluded that the benefits of slings far outweighed their complications and, even years ago, that mesh sheet surgery required more proof. ABSTRACT","PeriodicalId":92832,"journal":{"name":"Pelviperineology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46014698","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

Effects of the apical suspension of the upper vagina by cervicosacropexy or vaginosacropexy on stress and mixed urinary incontinence 颈骶固定术或阴道骶固定术对压力和混合性尿失禁的影响

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2021.40.01.005

W. Jäger, A. Brakat, S. Ludwig, P. Mallmann

引用次数: 2

Anatomy and physiology of anorectum: the hypothesis of fecal retention, and defecation 肛门直肠的解剖学和生理学:粪便潴留和排便的假设

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2021.40.01.008

M. Levin

{"title":"Anatomy and physiology of anorectum: the hypothesis of fecal retention, and defecation","authors":"M. Levin","doi":"10.34057/ppj.2021.40.01.008","DOIUrl":"https://doi.org/10.34057/ppj.2021.40.01.008","url":null,"abstract":"Continence and defecation are two essential functions of the human body. Continence is the ability to retain feces until an acceptable time for defecation. Defecation is the evacuation of fecal material from the colon. Both functions involve complex physiologic processes that are not completely understood. The normal anatomy of the gastrointestinal tract is well documented in the literature. The data on the physiology of these processes are controversial and sketchy. For example, muscular contraction is accompanied by energy expenditure and resource depletion. All the known muscles, including the heart, relax after the contraction. During the relaxation, their contractile capacity is recovered. It is still not clear how the anal canal is in the continuous contraction, and which muscles are involved in the act of defecation. It is known that the external anal sphincter (EAS) is responsible for the emergency continence during the increase of abdominal pressure. However, the intensity of contraction promptly decreases after 8-15 seconds. It is hard to ascribe the continence to continuous contraction of the internal anal sphincter (IAS). A clear understanding of the normal physiology of the anorectal zone could significantly improve our approach to such pathological conditions like chronic constipation, fecal incontinence, anorectal malformations, etc. This work presents a new hypothesis of the continence and defecation, based on analysis of the literature and our own studies.","PeriodicalId":92832,"journal":{"name":"Pelviperineology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70001080","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: 2

Efficacy of the mini mesh for reducing prolapse recurrence: comparison of two implant positioning methods 微型补片减少脱垂复发的疗效:两种种植体定位方法的比较

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2021.40.01.007

A. N. Koren', M. Neuman, J. Bornstein

{"title":"Efficacy of the mini mesh for reducing prolapse recurrence: comparison of two implant positioning methods","authors":"A. N. Koren', M. Neuman, J. Bornstein","doi":"10.34057/ppj.2021.40.01.007","DOIUrl":"https://doi.org/10.34057/ppj.2021.40.01.007","url":null,"abstract":"Pelvic organ prolapse (POP) is a common disorder in women during the reproductive, menopausal, and post-menopausal periods; it is estimated that 50% of all parous women will have an anatomical POP. POP impairs urinary, bowel, and sexual functions as well as self-esteem. While herniation of the anterior pelvic floor compartment is associated with cystocele, that of the posterior pelvic floor compartment is associated with rectocele, enterocele, and uterine prolapse. Approximately 11% of all women are surgically treated for symptomatic POP. However, 30%–65% of the surgically treated patients require repeat prolapse surgery. Owing to possible complications, the use of a mesh implant in the treatment of POP is controversial. To support the internal pelvic organs, the weakened pelvic fascia is replaced by the synthetic mesh. This has been previously shown to be effective and safe with the posterior intra-vaginal slingplasty (PIVS) in the treatment of vaginal apex prolapse. The invasiveness and painful complications of old surgical techniques encouraged Petros et al. to design this new treatment for anatomical restoration. As a forerunner to future mesh design and surgical techniques, the ABSTRACT","PeriodicalId":92832,"journal":{"name":"Pelviperineology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70001027","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

Magnetic resonance imaging of pudendal nerve: technique and results 阴部神经的核磁共振成像:技术与结果

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2020.39.04.005

V. Piloni, M. Bergamasco, Andrea Chiapperin, M. Mazzucco, T. Felici, Jessica Andreatini, Noemi Nucera, E. Freddi

{"title":"Magnetic resonance imaging of pudendal nerve: technique and results","authors":"V. Piloni, M. Bergamasco, Andrea Chiapperin, M. Mazzucco, T. Felici, Jessica Andreatini, Noemi Nucera, E. Freddi","doi":"10.34057/ppj.2020.39.04.005","DOIUrl":"https://doi.org/10.34057/ppj.2020.39.04.005","url":null,"abstract":"INTRODUCTION Since its first description in 1992 and subsequent years, magnetic resonance imaging (MRI) of pudendal nerve has rapidly gained wide acceptance by the medical community as a valuable tool for decision-making and therapy planning in patients with chronic pelvic pain syndromes. The term “MRneurography” has come into practical use to describe the direct depiction of nerves in the body using special modifications of the standard MR imaging technique which allow detection of the signal arising from inside the nerve itself rather than from the surrounding tissues. More specifically, given the intraneural source of the signal, the images obtained during the examination were thought to provide important information about the internal state of the nerve such as the presence of irritation, nerve swelling, compression, pinch or injury. From the technical point of view, the basic principle for a successful examination includes suppression of the signal coming from the bright fat, so as to better depict the intrinsic signal from nerve water as a hyperintense linear structure. In addition, thanks to recent advances in technology, it has become possible to obtain also contemporary suppression of the signal of similar-appearing surroundings structures, namely the blood in the vascular","PeriodicalId":92832,"journal":{"name":"Pelviperineology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70001211","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

Impact of labour and delivery on pelvic floor: perineometry and clinical evaluation. Any protecting factor? 分娩和分娩对骨盆底的影响:围膜测量和临床评价。有什么保护因素吗?

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2020.39.03.004

M. G. Matarazzo, Salvatore DI PASQUA, G. Sarpietro, G. Valenti, F. Sgalambro, M. Fiore, A. Cianci

引用次数: 0

Prevalence of malignant uterine pathology in utero-vaginal prolapse after vaginal hysterectomy 阴道子宫切除术后子宫阴道脱垂的恶性子宫病理发生率

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2020.39.04.006

Edgardo CASTILLO-PINO, V. Acevedo, Natalia Benavides, Valeria Alonso, W. Lauria

引用次数: 0

Does acupuncture have any effect on obstructed defecation syndrome? 针灸对排便受阻综合征有疗效吗?

Pelviperineology Pub Date : 2021-01-01 DOI: 10.34057/ppj.2021.40.01.004

S. Ding, Yijiang Ding, Ling-ling Wang, Hui-fen Zhou, Xun Jin