Study Objective: To evaluate clinical efficacy of office operative hysteroscopic treatment of retained products of conception (RPOC) without anesthesia.
Design: A retrospective cohort study.
Setting: A tertiary care academic medical center between April 2019 to March 2023.
Australas J Ultrasound Med
August 2024
Introduction: Cervical elongation is considered a risk factor for pelvic organ prolapse treatment failure in uterine preservation surgery. Consensus has not been reached regarding what is considered a normal cervical length, or how to measure it. Our primary aim was to test a new technique for measuring cervical length.
View Article and Find Full Text PDFIntroduction And Hypothesis: Training in urogynecology is an important mission of the International Urogynecological Association (IUGA). Promoting official training programs in countries around the world is an integral part of this mission.
Methods: The IUGA established the Fellowship Development Committee to develop a roadmap to assist countries to develop a professional training program in urogynecology.
Introduction: The use of vaginal mesh in pelvic surgery has previously demonstrated anatomical advantage combined with surgical complications that have called its effectiveness into question.
Objectives: To evaluate the safety and efficacy of an anchorless implant for the repair of pelvic organ prolapse (POP) in women with risk factors for recurrence.
Methods: Retrospective evaluation of the self-retaining support (SRS) implant in women with a ≥2 degree vaginal anterior and apical prolapse with an increased risk of prolapse recurrence.
To evaluate the definition of the entity "cervical elongation", as it effects our clinical work and surgical outcome. A search of PubMed for publications since the year 2000 regarding "cervical elongation", in order to track the evolution in the understanding and assessing of the entity. Out of 27,317 publications, 25,285 were in English and, after filtering those for "humans" and "cervical elongation in women", we ended up with 16 relevant publications.
View Article and Find Full Text PDFIntroduction And Hypothesis: Following health notification by the FDA in 2008 of serious complications with transvaginal mesh for anterior pelvic organ prolapse, there has been a return to native tissue repairs. Earlier work with a self-retaining support (SRS) implant showed a high anatomical success rate with minimal implant-related complications over a medium-term follow-up. It is proposed that post-implant complications are more a consequence of the method of mesh anchoring rather than the implant itself.
View Article and Find Full Text PDFEur J Obstet Gynecol Reprod Biol
March 2020
Objective: to evaluate the mid-term safety and efficacy of a surgical technique using an anchorless implant.
Study Design: This is a prospective study. Women with symptomatic POP were recruited.
Using a sample of 110 Israeli youth (72% female), the present study investigates associations between initial levels of rejection sensitivity as well as changes in rejection sensitivity from age 16 to age 23 and relationship involvement, quality, and (growth following) coping with relationship stress. Results showed that rejection sensitivity generally decreased over time into the transition to adulthood. Furthermore, levels of rejection sensitivity at age 16 predicted whether young people were romantically involved by age 23, as well as the quality of their relationships.
View Article and Find Full Text PDFIntroduction And Hypothesis: The search for an improved vaginal mesh prompted the development of a new anchorless implant. The objective was to report on outcome after 2 years of a technique using a self-retaining support (SRS) implant.
Methods: Patients with anterior vaginal wall prolapse, with/without apical prolapse, were recruited.
We aimed to compare the long-term surgical outcome and complications of multiparous and grand multiparous women undergoing reconstructive surgery with vaginal mesh implants for repair of pelvic organ prolapse. This retrospective, long-term follow-up (28.17±20.
View Article and Find Full Text PDFEur J Obstet Gynecol Reprod Biol
March 2017
Objective: This cadaver study was performed in order to evaluate the feasibility and the anatomical landmarks of a Self-Retaining device, a new unanchored mesh, for the treatment of anterior and apical vaginal prolapse.
Study Design: The Self-retaining device was implanted transvaginally in two cadavers. One cadaver underwent a detailed trans-abdominal dissection of the pelvis and the other cadaver, frozen after the implant placement, underwent a cross section dissection of the pelvis.
Objective: To determine whether there are differences between grand multiparous and non-grand multiparous women regarding obstetric risk factors, obstetric compli- cations, and pregnancy out- come.
Study Design: A retro- spective case control study was conducted between the years 2011-2012. The study group included grand.
Over the last decade, the field of urogynecologic surgery has been subject to deep changes. A thorough understanding of the injury mechanisms responsible for pelvic organ prolapse (POP) and urinary incontinence in women, greatly contributed to the development of innovative surgical techniques and changing therapeutic approaches. The variety of treatment options to correct POP and incontinence has greatly expanded, partly thanks to the development of several advanced surgical kits by biotechnology companies.
View Article and Find Full Text PDFObjective: Validated objective tools in the native languages of investigated populations are important for evaluating effects of medical disorders and treatments. The aim of our study was to validate a Hebrew version of the validated questionnaires commonly used in the field of urogynecology.
Methods: This is a 2-step, prospective, multicenter study.
Female Pelvic Med Reconstr Surg
September 2010
Objective: : The purpose of this study is to determine whether the age of a patient undergoing pelvic reconstructive and/or anti-incontinence pelvic surgery is a risk factor for perioperative complications.
Study Design: : A retrospective chart review was conducted of women who underwent pelvic reconstructive and anti-incontinence pelvic surgery between the years 2000 and 2006. The women underwent surgery by 1 urogynecologist, at 2 city hospitals.
Objective: The purpose of this study was to evaluate the relationship among the degree of posterior vaginal wall prolapse, anorectal symptoms, and physiology.
Study Design: This was a prospective study that included patients with fecal dysfunction and prolapse/urinary symptoms. A validated instrument for fecal incontinence and the ROME II criteria were used.