Outcomes of surgical management of deep infiltrating endometriosis of the ureter and urinary bladder.

Objectives: To report the outcomes of surgical management of urinary tract endometriosis and discuss the choice between conservative and radical surgery.

Materials And Methods: We reviewed data concerning women managed for ureteral or bladder deep infiltrating endometriosis in 5 surgical departments participating in the CIRENDO prospective database. Preoperative data, surgical procedure data, and postoperative outcomes were analyzed.

Laparoscopic sacrocolpopexy for management of pelvic organ prolapse enhances quality of life at one year: a prospective observational study.

Study Objective: Assessment of 1-year quality of life outcome of patients treated with laparoscopic sacrocolpopexy.

Design: A prospective multicenter observational study (Canadian Task Force classification II-3).

Setting: Four French medical centers.

[Infectious spondylodiscitis after a laparoscopic sacrocolpopexy: about one case].

One case of spondylodiscitis, over a period of 18 months after a laparoscopic sacrocolpopexy with suture, was reported. After a needle aspiration of the disco-vertebral space retrieving Pseudomonas, adapted antibiotic treatment and immobilization permit favorable evolution. The clinical, biological and imaging with MRI favorable evolution, prompted not to disassemble the prosthetic material, however this option should be discussed at the outset when large abscess or vaginal fistula or unfavorable evolution with medical treatment.

[Surgical management of pelvic organ prolapse in women: laparoscopic or vaginal sacrocolpopexy?].

Objective: To compare the safety and the efficacy of the laparoscopic and vaginal technique for the surgical management of pelvic organ prolapse, with systematic support of the three compartments and prosthetic reinforcements.

Patients And Methods: Retrospective study of 154 patients presenting a stage 3 or 4 prolapse on one of the three compartments. Laparoscopic procedures were performed with subtotal hysterectomy, double synthetic prosthesis attached to promontory, and douglassectomy.