Histology surrounding cystotomy healing in a Sprague-Dawley rat model.

Introduction And Hypothesis: The purpose of this study was to histologically chronicle wound healing following cystotomy repair using a small animal model.

Methods: Thirty female Sprague-Dawley rats were included in this study. Twenty-eight rats underwent a vertical cystotomy in the bladder dome, which was repaired in a single continuous fashion.

A pilot study on vaginally assisted laparoscopic sacrocolpopexy for patients with uterovaginal prolapse.

Objectives: : The primary objective of this pilot study was to compare the short-term anatomic outcomes and complication rates of vaginally assisted laparoscopic sacrocolpopexy (VALS) with those of conventional laparoscopic sacrocolpopexy (LS) in patients undergoing concurrent hysterectomy. The secondary objective was to compare operative times of the 2 different techniques.

Methods: : This is a retrospective pilot study comparing VALS-a method using transvaginal mesh attachment to the vaginal apex-to conventional LS in patients undergoing concurrent hysterectomy.

Rectovaginal fistula model in the New Zealand white rabbit.

Introduction And Hypothesis: The purpose of this study was to create an animal model to study rectovaginal fistula repair.

Methods: Fourteen New Zealand white rabbits underwent surgical creation of a rectovaginal fistula. The technique was developed with a pilot study conducted on the first two animals, then standardized and performed on the remaining 12 rabbits.

Interposition grafts for rectovaginal fistula repair in the New Zealand white rabbit.

Introduction And Hypothesis: The objective was to use an animal model to study different types of interposition grafts for rectovaginal fistula repair.

Methods: Twelve New Zealand white rabbits underwent surgical creation of a rectovaginal fistula, followed by repair. Four repair techniques were studied; three with interposition grafts and one control group without a graft.

Ureteral stents and retrograde studies: a primer for the gynecologist.

Purpose Of Review: To review basic techniques and recent advances in endourology for the practicing gynecologist.

Recent Findings: New ureteral stent designs are available to improve comfort and reduce some of the complications of indwelling ureteral stents. A large prospective study failed to show a significant benefit of prophylactic ureteral catheterization prior to major gynecological surgery to reduce the risk of ureteral injury.

Prophylactic Burch colposuspension at the time of abdominal sacrocolpopexy: a survey of current practice patterns.

Introduction: The purpose of this study was to determine the utilization of the prophylactic Burch procedure with abdominal sacrocolpopexy since the publication of the Colpopexy and Urinary Reduction Efforts (CARE) trial.

Methods: Using an Internet survey, 1,134 members of the American Urogynecological Society (AUGS) were contacted in May 2008 and questioned regarding their practice patterns to prevent de novo stress incontinence after sacrocolpopexy.

Results: Two hundred sixty-six responses were obtained for a 23% response rate.

De novo stress incontinence and pelvic muscle symptoms after transvaginal mesh repair.

Objective: We sought to determine the rate of de novo stress incontinence, pelvic muscle symptoms, mesh exposure, visceral injury rate, and recurrent prolapse after transvaginal mesh repair.

Study Design: We conducted a retrospective review of 335 consecutive women with stage II or worse vaginal prolapse who underwent Prolift (Ethicon, Somerville, NJ) between July 7, 2005 and Jan. 31, 2008.

Necrotic leiomyoma and gram-negative sepsis eight weeks after uterine artery embolization.

Background: Uterine artery embolization for symptomatic leiomyomata is generally safe, but rare life-threatening complications, including sepsis, can result.

Case: A 39-year-old woman with primary antiphospholipid syndrome, who was on chronic warfarin therapy, underwent uterine artery embolization for severe menorrhagia and a 12-cm intracavitary leiomyoma. Eight weeks postembolization, the patient, who had been essentially asymptomatic, presented in septic shock from gram-negative anaerobic bacteria.

Low colony counts of asymptomatic group B streptococcus bacteriuria: a survey of practice patterns.

The purpose of this study was to survey expert opinion on the management of low colony counts (< 100,000 colony forming units/mL) of asymptomatic group B streptococcus (GBS) bacteriuria discovered in the first trimester. A survey was sent to the 241 senior obstetricians affiliated with each of the Obstetrics and Gynecology training programs in the United States on July 10, 2002. Surveys received by the deadline (September 1, 2002) were included in the dataset.

Foley balloon to tamponade bleeding in the retropubic space.

Background: Hemorrhage from the retropubic space is a well-described complication of the tension-free vaginal tape procedure that can be difficult to control with conservative measures.

Case: A 40-year-old female patient underwent tension-free vaginal tape procedure to treat stress incontinence. The procedure was complicated by persistent intraoperative bleeding from the retropubic space.