Pelvic organ prolapse: surgical repair – Helpful as a therapy for urinary tract infections?

2002 ◽  
Vol 59 (9) ◽  
pp. 469-474
Author(s):  
Eberhard ◽  
Geissbühler
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Urinary Tract Infections ◽  
Operative Therapie ◽  
Konservative Therapie ◽  
Surgical Repair ◽  
Pelvic Organ ◽  
Anatomische Rekonstruktion ◽  
Rezidivierende Harnwegsinfekte ◽  
Tract Infections

Urogynäkologische Deszensusbeschwerden und chronisch rezidivierende Harnwegsinfekte kommen häufig gemeinsam vor. Zurückzuführen ist dies auf gleiche ätiologische Faktoren (hormonmangelbedingte Atrophie, neurogene Erkrankungen, Stoffwechselstörungen) und auf direkte mechanische Einflüsse des Deszensus auf die Harnröhrenfunktion (Abknicken mit Miktionsstörungen und Restharnanstieg bei großer Zystozele oder Stressinkontinenz und Drangsymptomatik bei großer Urethrozele). Die Therapie soll konservativ beginnen und möglichst alle ätiologischen Faktoren angehen. Bausteine der konservativen Therapie sind Östrogene, Beckenbodentraining, Pessare, Trink- und Miktionstraining und Sanierung der urogenitalen Infektkette [1]. Führt die konservative Therapie innert einiger Monate nicht zur Heilung oder zur befriedigenden Besserung, ist in der Regel eine operative Therapie zu empfehlen. Dabei sind moderne Operationsmethoden zu wählen, die nicht nur eine anatomische Rekonstruktion sondern auch eine funktionelle Restitution zum Ziel haben, d.h. Kontinenz, gute Blasenentleerung und Defäktion und schmerzfreie Kohabitation.

scholarly journals [NO TITLE AVAILABLE]

2013 ◽  
Vol 65 (6) ◽  
pp. 1647-1650 ◽  
Author(s):  
L.D. Guimarães ◽  
E. Bourguignon ◽  
L.C. Santos ◽  
T.S. Duarte ◽  
E.C. Andrade ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Surgical Repair ◽  
Rare Condition ◽  
Male And Female ◽  
Recurrent Urinary Tract Infections ◽  
Mongrel Dog ◽  
Tract Infections

Canine hypospadias is a rare condition that can occur in male and female dogs. Affected animals may present signs of urinary incontinence, recurrent urinary tract infections, periurethral dermatitis or can remain asymptomatic. Periurethral hypospadias in a 14-week-old mongrel dog and its surgical repair are addressed.

scholarly journals Urinary Complication Following Cystocele Repair in Pelvic Organ Prolapse

2017 ◽  
Vol 11 (1) ◽  
Author(s):  
Sweety Shrestha
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Tract Infection ◽  
Genital Prolapse ◽  
Pelvic Organ ◽  
Reproductive Age ◽  
Medical Sciences ◽  
Uterine Descent ◽  
Tract Infections

Aims: Pelvic organ prolapse is a common condition in our country which affects the quality of life of many women. After vaginal operations for genital prolapse, there is increased chance of urinary tract infections, retention of urine and re-catheterization.The objective of this study is to evaluate  women with cystocele  in terms of clinical profile, different modalities of treatment and the complication  following repair.Methods: It is a descriptive study carried out amongst 80 cases of cystocele irrespective of associated uterine descent and stress incontinence of urine in College Of Medical Sciences – Teaching Hospital, Nepal from 1/9/201l to 30/10/2013.Results: During the study, 80 women  with  cystocele  were enrolled. Majority of the women (66.3%, n =53) with cystocele were within 15 to 45 years and 53.8% (n=43) of them had parity beyond 5. Among these women, 51.4% (n=41) had second degree cystocele  and 23.8% (n=19) had stress urinary incontinence. Majority of the women (58.8%, n=40) underwent vaginal hysterectomy with pelvic floor repair. Following surgery, the most common complication was urinary tract infection (14.7%, n = 10).Conclusions: In this study, majority of the cases with cystocele were in the reproductive age with parity beyond 5 while maximum number of the women with cystocele had associated third degree uterocervical descent. Urinary tract infection was the commonest complication following surgical treatment followed by retention of urine. 

A Midurethral Sling to Reduce Incontinence After Vaginal Prolapse Repair

2021 ◽  
pp. 227-232
Author(s):  
Giulia I. Lane ◽  
Colby A. Dixon ◽  
M. Louis Moy ◽  
Cynthia S. Fok
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Midurethral Sling ◽  
Pelvic Organ ◽  
Vaginal Prolapse ◽  
Prolapse Repair ◽  
Transvaginal Repair ◽  
Tract Infections

This chapter summarizes the results of the Outcomes Following Vaginal Prolapse Repair and Midurethral Sling (OPUS) trial, in which women without stress urinary incontinence undergoing prolapse surgery were randomized to a midurethral sling or no concomitant midurethral sling. The OPUS trial found that women randomized to undergo prophylactic concomitant midurethral sling at the time of transvaginal repair for pelvic organ prolapse had lower rates of urinary incontinence at 3 and 12 months but also experienced higher rates of adverse events such as bladder perforation, major bleeding, and urinary tract infections.

scholarly journals Urinary Complication Following Cystocele Repair in Pelvic Organ Prolapse

2016 ◽  
Vol 11 (1) ◽  
pp. 20-23
Author(s):  
Sweety Shrestha
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Tract Infection ◽  
Genital Prolapse ◽  
Pelvic Organ ◽  
Reproductive Age ◽  
Medical Sciences ◽  
Uterine Descent ◽  
Tract Infections

Aims: Pelvic organ prolapse is a common condition in our country which affects the quality of life of many women. After vaginal operations for genital prolapse, there is increased chance of urinary tract infections, retention of urine and re-catheterization.The objective of this study is to evaluate  women with cystocele  in terms of clinical profile, different modalities of treatment and the complication  following repair.Methods: It is a descriptive study carried out amongst 80 cases of cystocele irrespective of associated uterine descent and stress incontinence of urine in College Of Medical Sciences – Teaching Hospital, Nepal from 1/9/201l to 30/10/2013. Results: During the study, 80 women  with  cystocele  were enrolled. Majority of the women (66.3%, n =53) with cystocele were within 15 to 45 years and 53.8% (n=43) of them had parity beyond 5. Among these women, 51.4% (n=41) had second degree cystocele  and 23.8% (n=19) had stress urinary incontinence. Majority of the women (58.8%, n=40) underwent vaginal hysterectomy with pelvic floor repair. Following surgery, the most common complication was urinary tract infection (14.7%, n = 10).Conclusions: In this study, majority of the cases with cystocele were in the reproductive age with parity beyond 5 while maximum number of the women with cystocele had associated third degree uterocervical descent. Urinary tract infection was the commonest complication following surgical treatment followed by retention of urine.

90: A Systematic Review of Urinary Tract Infections Following Transposition of Bowel Segments into Urinary Tract

2004 ◽  
Vol 171 (4S) ◽  
pp. 24-24 ◽  
Author(s):  
Nabi Ghulam ◽  
Sze M. Yong ◽  
Eng Ong ◽  
Adrian Grant ◽  
Gladys C. McPherson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Tract Infections ◽  
Bowel Segments

89: How Should we Investigate Community Treated Men with Urinary Tract Infections?

2004 ◽  
Vol 171 (4S) ◽  
pp. 23-24
Author(s):  
Jay Khastgir ◽  
Mark Mantle ◽  
Andrew Dickinson
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Tract Infections
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