scholarly journals A case report of anterior vaginal prolapse: the use of tension-free sling

2008 ◽  
Vol 2 (2) ◽  
pp. 89-95
Author(s):  
Andrea Ceresoli
Keyword(s):  
De Novo ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Tension Free ◽  
Pelvic Prolapse ◽  
Occult Incontinence ◽  
Prolapse Symptoms ◽  
Point Pressure ◽  
Prior Surgery ◽  
History Of

Occult incontinence occurring after surgery for anterior vaginal wall prolapse may be a stressful unmasked condition which may lead to a second surgical approach. For this reason extremely careful selection of patients should be done prior surgery which should treat in the same time either the prolapse and the asymptomatic urethral hypermobility or the intrinsic sphincteric deficency. We report the case of a 59-year-old female presented with symptoms of pelvic prolapse; she denied stress urinary incontinence (SUI). The patient was referred to our institution where videourodynamics were performed, revealing a grade IIb cystocele (POP-Q), a QTip test of 50° and a negative Valsalva leak-point pressure test. She had no history of prior anti-incontinence surgeries. Pelvic examination identified no SUI, with or without reduction of the prolapse. Anterior colporrhaphy with transobturatory sub-urethrovesical placement of a new composite polypropylene tension-free sling was performed. Her prolapse symptoms resolved, with no new-onset of SUI. At 2 year follow-up she had complete resolution of prolapse and denied SUI or de novo detrusor instability urgency.

scholarly journals Pregnancy after tension-free vaginal mesh (anterior Prolift) and concomitant tension-free vaginal tape-obturator procedure

2011 ◽  
Vol 25 (1) ◽  
pp. 17
Author(s):  
Xiao Luo ◽  
Li Xiao Wan ◽  
Hong Shen ◽  
Yin Xiu Xia ◽  
Chao Han Zhang ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Young Patients ◽  
Pelvic Organ ◽  
Vaginal Wall ◽  
Vaginal Mesh ◽  
Pelvic Floor Reconstruction ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
History Of ◽  
Vaginal Tape Obturator

<em>Objective</em>. Treatment of anterior vaginal wall prolapse and stress urinary incontinence (SUI) with transobturator tension-free vaginal mesh (anterior Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) has been proved feasible, safe and effective. However, there is little known about the influence of pregnancy on women who have had such procedures before pregnancy. <em>Design and methods.</em> A 32-year-old woman (gravid 1, para 1) with two years history of SUI and nine months history of pelvic organ prolapse (POP) was treated with transobturator tension-free vaginal mesh (anterior Prolift) and concomitant TVT-O. Her recovery was excellent, and she was pregnant eight months after the operation. <em>Results</em>. The patient went through her pregnancy smoothly with no special discomfort and successfully delivered an infant via caesarean section without recurrence of POP and SUI. Her last visit to our clinic about 14 months after caesarean section revealed that the anterior Prolift mesh and TVT-O mesh still remained intact and the position of the vaginal fornix, anterior and posterior walls and uterus also remained normal. <em>Conclusions</em>: Pelvic floor reconstruction with vaginal mesh (Prolift) may have positive significance for young patients who desire uterine preservation for future pregnancies. However, further studies are warranted to determine whether it can be used in pregnant women or women planning future pregnancies.

scholarly journals Tumor-Like Reaction to Polypropylene Mesh from a Mid-Urethral Sling Material Resembling Giant Cell Tumor of Vagina

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Ali Azadi ◽  
James A. Bradley ◽  
Dennis M. O’Connor ◽  
Amir Azadi ◽  
Donald R. Ostergard
Keyword(s):  
Giant Cell Tumor ◽  
Giant Cell ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Tumor Formation ◽  
Cell Tumor ◽  
Pathological Analysis ◽  
Carcinogenic Potential ◽  
Polypropylene Material ◽  
History Of

Background. Polypropylene material is widely used in gynecological surgery. There are few reports regarding its carcinogenic potential. There is lack of evidence supporting tumor formation directly attributed to the use of polypropylene material. Case. This patient is a 49-year-old woman with a history of stress urinary incontinence which required a MiniArc® Sling who presented with a hard, tender, immobile mass on the anterior vaginal wall. Pathological analysis of the mass revealed a tumor-like reaction to the polypropylene material that resembled a giant cell tumor of soft tissue. Conclusion. The use of polypropylene in surgery is ubiquitous across disciplines; thus consideration for a tumor-like reaction to the material should exist for patients who present with a mass near the surgical site.

scholarly journals Outcome of Treatment of Anterior Vaginal Wall Prolapse and Stress Urinary Incontinence with Transobturator Tension-Free Vaginal Mesh (Prolift) and Concomitant Tension-Free Vaginal Tape-Obturator

2009 ◽  
Vol 2009 ◽  
pp. 1-6 ◽  
Author(s):  
Ashraf Abou-Elela ◽  
Essam Salah ◽  
Haitham Torky ◽  
Sameh Azazy
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Vaginal Mesh ◽  
Anterior Vaginal Wall Prolapse ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Urodynamic Assessment ◽  
Vaginal Tape Obturator

Objective. It is to assess the feasibility, effectiveness, and safety of transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O) system as a treatment of female anterior vaginal wall prolapse associated with stress urinary incontinence (SUI).Patients and Methods. Between December 2006 and July 2007, 20 patients with anterior genital prolapse and voiding dysfunction were treated with the transobturator tension-free vaginal mesh (Prolift) and concomitant tension-free vaginal tape-obturator (TVT-O). Sixteen patients had stress urinary incontinence and 4 patients were considered at risk for development of de novo stress incontinence after the prolapse is repaired. All patients underwent a complete urodynamic assessment. All the patients underwent pelvic examination 4–6 weeks after the operation, and anatomical and functional outcomes were recorded.Results. Twenty cystocoeles were repaired: 6 grade II, 12 grade III, and 2 grade IV. There were no vessel or bladder injuries. Eighteen patients had optimal anatomic results and 2 patients had persistent asymptomatic stage I prolapse.Conclusion. These preliminary results suggest that Prolift system offers a safe and effective treatment for female anterior vaginal wall prolapse. However, a long-term followup is necessary in order to support the good result maintenance.

scholarly journals Efficacy and Safety of "Tension-free" Placement of Gynemesh PS for the Treatment of Anterior Vaginal Wall Prolapse

2010 ◽  
Vol 14 (1) ◽  
pp. 34 ◽  
Author(s):  
Young-Suk Lee ◽  
Deok-Hyun Han ◽  
Soo-Hyun Lim ◽  
Tae-Heon Kim ◽  
Myung-Soo Choo ◽  
...  
Keyword(s):  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Efficacy And Safety ◽  
Anterior Vaginal Wall Prolapse ◽  
Tension Free ◽  
Free Placement

Anterior vaginal wall reconstruction: anterior colporrhaphy reinforced with tension free vaginal tape underneath bladder base

2008 ◽  
Vol 87 (4) ◽  
pp. 464-468 ◽  
Author(s):  
T. Tantanasis ◽  
C. Giannoulis ◽  
A. Daniilidis ◽  
K. Papathanasiou ◽  
A. Loufopoulos ◽  
...  
Keyword(s):  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Colporrhaphy ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Bladder Base

Carcinosarcoma of the Female Urethra

2014 ◽  
Vol 96 (3) ◽  
pp. 370-372
Author(s):  
L. D'Arrigo ◽  
A. Costa ◽  
F. Fraggetta ◽  
M. Pennisi ◽  
P. Pepe ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Recurrent Urinary Tract Infection ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Pathological Examination ◽  
Female Urethra ◽  
Palpable Mass ◽  
History Of

Carcinosarcoma is a rare malignant tumor with a biphasic morphology characterized by the presence of a malignant epithelial and mesenchymal component. It has been reported in many organs, including the genitourinary tract. We describe a case of a 47-year-old woman admitted to our hospital for history of recurrent urinary tract infection, dysuria and discharge of bloody fluid from the urethra at the end of urination. A tender palpable mass under the anterior vaginal wall was found and pathological examination showed a urethral carcinosarcoma. The histopathogenetic hypothesis and clinical management were considered in this report.

scholarly journals Atypical vaginal location of endometriosis following repeated urogynaecological surgery

2021 ◽  
Vol 14 (8) ◽  
pp. e244186
Author(s):  
Anna Elisabet Christensen ◽  
Jens Jorgen Kjer ◽  
Dorthe Hartwell ◽  
Signe Perlman
Keyword(s):  
Vaginal Surgery ◽  
Surgical Excision ◽  
Scar Tissue ◽  
Pelvic Organ ◽  
Urethral Diverticulum ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Urinary Flow ◽  
Prolapse Symptoms ◽  
One Year

We outline a case of vaginal endometriosis in scar tissue located in the distal part of the anterior vaginal wall close to the urethra following repeated urogynaecological surgery. Our case presents a 45-year-old woman diagnosed with pelvic endometriosis in her youth. She underwent several vaginal surgeries due to pelvic organ prolapse, symptoms of stress incontinence and decreased urinary flow. One year after her most recent vaginal surgery, she developed a tender lump in the lower part of the anterior vaginal wall. A urethral diverticulum was suspected, but a diagnostic puncture and biopsy unexpectedly showed histologically verified endometriosis. As the cyst recurred, surgical excision of all visible endometriosis tissue was performed. After 3 years of follow-up, the patient remained without recurrence. This case illustrates the risk of atypical implantation of endometriosis related to repeated urogynaecological surgery and that treatment requires surgery with thorough removal of all visible tissues.

scholarly journals Surgical management of a case of recurrent carcinoma cervix: a case report

2020 ◽  
Vol 9 (4) ◽  
pp. 1721
Author(s):  
B. Kalpana ◽  
S. G. Balamurugan ◽  
Soumya Ranjan Panda
Keyword(s):  
Performance Status ◽  
Distant Metastases ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Pelvic Lymphadenectomy ◽  
Carcinoma Cervix ◽  
History Of

Worldwide cervical cancer is the fourth most common cancers among females. Pelvic recurrence, distant metastases, or a combination of both can occur in patients of carcinoma cervix. A 42-year-old P2L2 with a history of carcinoma cervix stage 3-b came to our OPD for routine follow up. Two year back she was managed with chemoradiation for her primary carcinoma which had parametrium extension. There was a 1 × 1 cm lesion on the anterior vaginal wall which was diagnosed to be cervical recurrence. Patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy with pelvic lymphadenectomy. Patient is disease free till now. Treatment decisions should be individualised based on the performance status of the patient, the site of recurrence and/or metastases, the extent of metastatic disease, and prior treatment.

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