scholarly journals Current trends and future perspectives in pelvic reconstructive surgery

2018 ◽  
Vol 14 ◽  
pp. 174550651877649 ◽  
Author(s):  
Mélanie Aubé ◽  
Le Mai Tu
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Repair ◽  
Treatment Options ◽  
Pelvic Organ ◽  
Review Article ◽  
Pelvic Reconstructive Surgery ◽  
Future Perspectives ◽  
Vast Array ◽  
The Past ◽  
Current Trends

Pelvic organ prolapse is a prevalent disorder with a high lifetime incidence of surgical repair. Pelvic organ prolapse surgery has greatly evolved over the past years, and pelvic floor reconstructive surgeons are faced with a vast array of treatment options for their patients. Our review article illustrates the current trends and future perspectives for the surgical treatment of pelvic organ prolapse.

scholarly journals Treatment of pelvic organ prolapse

2012 ◽  
Vol 26 (1) ◽  
pp. 3
Author(s):  
Munir'deen A. Ijaiya ◽  
Hadijat O. Raji
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
De Novo ◽  
Treatment Options ◽  
Reproductive Function ◽  
Pelvic Organ ◽  
Pelvic Organs ◽  
Choice Of Treatment ◽  
Principles Of Treatment

Prolapse of the pelvic organs is a common condition encountered in gynecological practice that adversely affects the quality of life of affected women. It affects millions of women worldwide. The principles of treatment of pelvic organ prolapse include restoring anatomy and vaginal function, correcting associated urinary and or fecal incontinence, and preventing de novo prolapse and incontinence. There are various treatment options for pelvic organ prolapse. These vary from conservative treatments/ mechanical interventions to surgery. The choice of treatment depends on severity of symptoms, patient’s age, parity, and whether there is the need to conserve the uterus for reproductive function. In conclusion, thorough evaluation of symptoms and degree of prolapse is essential in order to provide the best possible treatment and ultimately improve quality of life.

Dynamic MRI After Surgical Repair for Pelvic Organ Prolapse

2002 ◽  
Vol 26 (5) ◽  
pp. 734-739 ◽  
Author(s):  
Hubert Gufler ◽  
Giovanni DeGregorio ◽  
Sabine Dohnicht ◽  
Karl-Heinz Allmann ◽  
Aurora Rohr-Reyes
Keyword(s):  
Pelvic Organ Prolapse ◽  
Surgical Repair ◽  
Dynamic Mri ◽  
Pelvic Organ

scholarly journals Prevalence and clinical predictors for early post-operative urinary retention in patients undergoing pelvic reconstructive surgeries: a prospective cohort study

2018 ◽  
Vol 7 (4) ◽  
pp. 1452
Author(s):  
Annie P. Vijjeswarapu ◽  
Vaibhav Londhe ◽  
Mahasampath Gowri ◽  
Aruna Kekre ◽  
Nitin Kekre
Keyword(s):  
Cohort Study ◽  
Pelvic Organ Prolapse ◽  
Urinary Retention ◽  
Prospective Cohort Study ◽  
Reconstructive Surgery ◽  
Prospective Cohort ◽  
Pelvic Organ ◽  
P Value ◽  
Pelvic Reconstructive Surgery ◽  
Clinical Predictors

Background: Pelvic organ prolapse (POP) has a significant impact on quality of life. Post-operative voiding dysfunction is seen in 2.5 to 24% of patients following pelvic reconstructive surgery. Risk factors like age of the patient, size of the genital hiatus and stage of prolapse are known to be associated with early post-operative voiding disorders.Methods: This is a prospective cohort study done in Christian Medical College, Vellore over one year. Patients with stage II to IV pelvic organ prolapse who underwent pelvic reconstructive surgery were observed post operatively for covert and overt urinary retention. Inability to void accompanied by pain and discomfort is defined as overt retention. Early post-operative urinary retention (POUR) is retention of urine in the first 72 hours postoperatively. Covert retention is defined as a non-painful bladder with chronic high post void residue. Chi- square test or Fisher’s exact test was used to assess the association between the clinical predictors and early post-operative urinary retention in univariate analysis.Results: In this study, 75 patients were recruited. Nine patients had POUR. Among the patients who had post-operative urinary retention, 77.78% had stage III pelvic organ prolapse (n=7). P value was 0.042. The prevalence of early POUR after pelvic reconstructive surgery was 12.85 % (n=9). A 55.55% had covert retention (n=5) and 44.44% patients had overt retention (n=4).Conclusions: The prevalence of early POUR after pelvic reconstructive surgery was 12.85%. Stage of the prolapse was an independent predictor for early postoperative urinary retention.

Nonsurgical Treatment Options for Women With Pelvic Organ Prolapse

2018 ◽  
Vol 22 (3) ◽  
pp. 228-239 ◽  
Author(s):  
Christina Tso ◽  
Wah Lee ◽  
Tammy Austin-Ketch ◽  
Harvey Winkler ◽  
Bruce Zitkus
Keyword(s):  
Pelvic Organ Prolapse ◽  
Treatment Options ◽  
Pelvic Organ ◽  
Nonsurgical Treatment

scholarly journals Hydroureteronephrosis in women with pelvic organ prolapse: a prospective cohort study

2018 ◽  
Vol 7 (9) ◽  
pp. 3664
Author(s):  
Pushplata Kumari ◽  
Emily Divya Ebenezer ◽  
Caroline Salomi ◽  
Vaibhav Londhe ◽  
Aruna Nitin Kekre
Keyword(s):  
Chronic Kidney Disease ◽  
Risk Factor ◽  
Pelvic Organ Prolapse ◽  
Kidney Disease ◽  
Prospective Observational Study ◽  
Surgical Repair ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Pelvic Organ ◽  
The Mean

Background: Pelvic organ prolapses (POP) is a common problem in women. The prevalence of POP increase with age. The true prevalence and risk factor for developing hydroureteronephrosis (HUN) in women with pelvic organ prolapse is still unclear due to lack of prospective studies on sufficiently large cohorts. This prospective study was done to study the prevalence of HUN in women with POP and to identify the risk factors for developing HUN.Methods: In this prospective observational study 219 patients were recruited for surgical repair for pelvic organ prolapse for 2 years.  Preoperatively, all patients had transabdominal scan to assess the uterus, adnexa and to look for Hydroureteronephrosis (HUN). Women with presence of HUN were followed postoperatively look for the resolution of HUN.Results: The prevalence of bilateral HUN was 6.85%. The mean age of women with HUN ranged from 51-69 years. Diabetes and hypertension were significant risk factor for development of HUN (OR 4.70, 95% CI -1.59-13.88 and OR 3.72, 95% CI- 1.23-11.1 respectively). There was a statistically significant correlation between chronic kidney disease and HUN. (OR 1 with 95%: CI 9.49-30.42). The correlation between stage of pelvic organ prolapse and HUN was not statistically significant (p = 0.062). There was a statistically significant correlation between the duration (2years -15 years) of POP to HUN. (OR 0.233, 95%0.13-0.419). Patients were followed up post operatively for resolution of HUN. HUN resolved in 9 women (60%) and persisted in 6 (40%).Conclusions: The prevalence of bilateral HUN in women with pelvic organ prolapse was 6.8%. Presence of hypertension, diabetes and chronic kidney disease was a risk factor for HUN. HUN resolved in 60% of women after pelvic reconstructive surgery.

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.

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