[Genital prolapse in young women: a topical issue].

Genital prolapses usually occurs in the post-menopausal period. Patients under 50 years of age with genital prolapse represent about 25% of candidates for surgical reconstruction in our center. Some of these patients wish to conserve their child-bearing potential and most want to be able to have a normal sex life.

[The female urogenital system and high level sports].

High-level competition sports can have a variety of negative effects on the female urogenital apparatus. Perineal trauma is rare and is usually associated with certain sports (impalement or hydrotubation during water-skiing, indurated perineal nodules in racing cyclists, and horse-riders' perineum). Effort incontinence is seen in all sports involving abrupt repeated increases in intra-abdominal pressure that may exceed perineal floor resistance.

[Protecting the unborn child. Information needed long before pregnancy].

The unborn child is at risk from several maternal diseases and behaviors, such as smoking (tobacco and cannabis) and alcohol consumption. Other threats come from maternal infections (AIDS, hepatitis, rubella, toxoplasmosis, etc.), certain medicines, obesity, diabetes, etc.

[Dynamic MRI in the preoperative management of genital prolapse. A prospective study].

Forty-three patients with genital prolapse prospectively underwent blinded pre and postoperative MRI, with dynamic assessment of each compartment. MRI was significantly more accurate than physical examination for the diagnosis of posterior defects (rectocele, enterocele) but not for anterior defects or uterine prolapse (hysterocele, cystocele). Postoperative MRI confirmed the surgical outcome and also identified risk factors for recurrence.

A biomechanical study of the strength of vaginal tissues. Results on 16 post-menopausal patients presenting with genital prolapse.

Aims: Measurements of the tensile and bending strength of samples of vaginal tissue collected during corrective surgery of prolapse.

Materials And Methods: Our measurements were conducted on two samples of vaginal tissue 2 cm x 2 cm collected during surgical correction of prolapse by vaginal route in 16 post-menopausal patients. The samples were collected from posterior vaginal fundus, were orientated, and then fixed on a plate holding the edges and allowing the tissue to be stretched over an orifice of 1 cm.

A history of cesareans is a risk factor in vaginal hysterectomies.

Aims: This study describes the characteristics and per- and postoperative frequencies of complications in vaginal hysterectomies for benign lesions in patients with a history of cesareans. We compare these figures with the frequency of complications in vaginal hysterectomies without a history of such operations.

Patients And Methods: Over a period of 8 years we studied all the hysterectomies for benign lesions (963) conducted at the Hospital Jeanne de Flandre in Lille and at the Paul Gellé maternity clinic at Roubaix.

Mechanical properties of synthetic implants used in the repair of prolapse and urinary incontinence in women: which is the ideal material?

The authors review the literature concerning all types of synthetics implants used in prolapse repair or the treatment of stress urinary incontinence, and analyze the mechanical properties of and the tolerance to the various products used. Various synthetic implants are also studied, including their advantages and disadvantages, as well as outcome following implantation and tolerance by the host, with respect to the type of product and the type of intervention. A review of current implant products demonstrated that the perfect product does not exist at present.

[Surgical cure of stress urinary incontinence with vaginal tissue sling: technique, results, indications].

Objectives: Describe a new surgical technique of sling procedure using a vaginal sling and report complications and mid-term functional results. According to these results, it's necessary to discuss the best indications.

Material And Methods: Retrospective study of the first 75 patients operated for urinary stress incontinence.