Latin American consensus on uncomplicated recurrent urinary tract infection-2018.

An estimated 20-30% of adult women who experience an initial urinary tract infection (UTI) will have recurrent infection. In these patients, prophylaxis may be considered to improve their quality of life and control overuse of antibiotics. Despite this need, there is currently no Latin American consensus on the treatment and prophylaxis of recurrent UTIs.

Evaluation and surgery for stress urinary incontinence: A FIGO working group report.

Aims: To review available evidence regarding evaluation and treatment of stress urinary incontinence (SUI) and provide recommendations for management of urinary incontinence under specific conditions determined by the International Federation of Gynecology and Obstetrics (FIGO) Working Group.

Methods: The FIGO Working Group discussed the management of SUI during meetings and assessed the evidence. The search of evidence was performed using MEDLINE and Cochrane databases as well as additional searches from societies and major organizations for additional guidelines and recommendations and hand searches from bibliographies.

[Vaginal hysterectomy for the enlarged non-prolapse uterus using morcellation techniques and/or Deschamps needle: a retrospective cohort study].

Objective: To compare surgical outcomes in women who underwent vaginal hysterectomy with enlarged (> 12 weeks size) and non-prolapsed uterus utilizing different morcellation techniques with or without concomitant Deschamps needle use to vaginal hysterectomy for prolapsed uterus.

Material And Methods: Retrospective cohort study in women who underwent vaginal hysterectomy performed between January 2009 and June 2014 in the National Institute of Perinatology. The study group comprised 48 women who had vaginal hysterectomy with enlarged and non-prolapsed uterus in which were utilized different morcellation techniques with or without concomitant Deschamps needle use and 50 women who had vaginal hysterectomy for prolapsed uterus served as control.

[Posterior tibial nerve stimulation for pelvic floor dysfunction. Review].

Pelvic floor dysfunction is a highly prevalent functional pathology that affects women and can present with different clinical symptoms that include urinary urgency with or without incontinence, diurnal and nocturnal frequency, urinary retention, fecal incontinence, obstructive defecation, sexual dysfunction and pelvic pain. Lately, concern arised as to offer patients an advanced therapy within an integral approach. This interest was first focused in sacral nerve root modulation, a key element for pelvic function.

[Suburethral cyst. A case report].

Suburethral cysts are rare, are formed from remnants of embryonic or blockage of the paraurethral glands, whose location in more than 85% of cases are found in the proximal two thirds and posterior and lateral to the urethra. The diagnosis is clinical and radiological studies are needed to demonstrate the absence of communication with the urethra. Once the diagnosis of suburethral cyst, surgery is the treatment of choice.

[Diagnosis and treatment alternatives to sexual disorders in women with urinary incontinence].

Background: One difficulty that a woman with urinary incontinence faces up is quality and control of her sexual life, the more it is complicated the more it affects her in different ways. These complications require, as well as medical treatment, evaluation and special psychological intervention to integrally recovery.

Objective: To know frequency and origin of sexual disturbances in women with urinary incontinence.

Giant intravesical calculus during pregnancy.

Urolithiasis is commonly found during pregnancy; but the presence of a giant vesical calculus during pregnancy is a very rare entity, associated with several potential obstetric complications. A 25-year-old primigravida at 25 weeks of gestational age was referred to our tertiary care unit because she presented a giant hyperechoic intravesical mass and inability to pass urine with suprapubic pain since 2 days. An open cystolithotomy revealed a huge intravesical calculus.

[Urolithiasis and pregnancy].

Urolithiasis disease during pregnancy fortunately is a relatively rare disease; nevertheless many times it complicates the diagnosis and treatment. This paper reviews the safety and efficacy of both and their relationships with mother and fetus and proposes different options for the urologist, gynecologist, and urogynecologist for the attention of pregnant women with suspicion of urolithiasis. The ultrasound seems to be the first-choice method during the pregnancy; it is available in many health centers and does not require too much experience for its interpretation.

[Ureteral injury at the National Institute of Perinatology].

Objectives: To evaluate the incidence of ureteral injury at Instituto Nacional de Perinatologia and to know the variables associated to ureteral injury as a ginecoobstetric surgery complication, and to do a theme review.

Material And Methods: We conducted a study including patients with ureteral injury from January 1st 1992 to July 1st 2005. Files were registered for age, parity, surgery associated to the injury, injury type, diagnostic time and methods, management type and evolution.

[Vesicovaginal fistula. Experience at the Instituto Nacional de Perinatología].

Background: The damage of the lower urinary tract is originated by complications of obstetric or gynecological surgery, which if not detected timely determines the formation of fistulas.

Objective: To analyze the experience in diagnosing and treating vesicovaginal fistulas attended at the gynecologic urology clinic of the Instituto Nacional de Perinatologia (INPer).

Material And Method: Retrospective study of 27 files of patients diagnosed with vesicovaginal fistula at the gynecologic urology clinic of the INPer from January 11 1992 trough December 31st 2005.

[Comparative study of overactive bladder prevalence in patients younger than 50 years with and without hyperprolactinemia].

Objective: To determine if the hyperprolactinemia is associated with idiopathic overactive bladder.

Patients And Methods: We performed a transversal and analytic two groups study. We included all the patients whom plasma levels of prolactin were measured in the National Institute of Perinatology from March 1st to May 31, 2005 and fulfilled the selection criteria.

[Low urinary tract infection and cystoscopic findings in Urogynecology Service in the Instituto Nacional de Perinatología].

Introduction: The pathogenesis of urinary tract infection and related to the host and pathogens. There are three associated factors: incontinence, cystocele and residual urine.

Objectives: To know the prevalence of urinary tract infections and uropathogens in urogyneacologic patients of the Instituto Nacional de Perinatología describe the cystoscopic findings in patients with positive urocultures and antibiogram.

[Clinical characteristics of women with genital prolapse].

Clinical features of severe urogenital prolapse, were studied. Fifteen patients were included in a retrospective study between January 1990 and June 1995. The diagnosis of severe uterine prolapse (where the cervix precedes the inverted vaginal tube) was the sole inclusion criteria.

[Bladder drainage in patients undergoing the Pereyra surgical procedure].

Postoperative acute urinary retention was evaluated in the patients who underwent Pereyra procedure. Comparison of suprapubic and urethral catheterization. Between January 1994 and July 1995, fifty two patients with urinary stress incontinence underwent Pereyra procedure, 31 female patient with suprapubic drainage (cistofix Ch 15) and 17 urethral catherization with a latex foley catheter.

[Postoperative evaluation of different surgical procedures in genuine stress urinary incontinence: a retrospective study].

An evaluation of the surgical treatment for stress and mixed urinary incontinence and pelvic relaxation. One-year follow-up, was done. A retrospective study with 144 files from the surgeries performed between February 1993 and June 1994, at the Clínica de Urología Ginecológica del Instituto Nacional de Perinatología.

[Incidence of pelvic-genital static disorders in patients with urinary incontinence].

Urogenital prolapse in patients with urinary incontinence, was studied. Retrospective and analytic study was made in the Clínica de Urología Ginecológica del Instituto Nacional de Perinatología, 121 patients with urinary incontinence were included, urogenital prolapse was evaluated (urethrocele I, II, III. cistocele I, II, III).

[Value of the Q-tip test in patients with urinary incontinence].

We evaluated the accuracy of the Q-tip test to measure uretrhovesical junction mobility in patient's histories of urinary incontinence, and pelvic relaxation. A retrospective study of 183 files of patients with urinary incontinence and anterior vaginal wall relaxation in the Instituto Nacional de Perinatología (INPer) between march 1994 and may 1995. All patients underwent a systematic diagnosis evaluation with detailed history and physical examination including Q-test, neurology examination, urinary, urine culture, uretrhoscopy and urodinamic studies.

[Intracervical prostaglandin E2 as pre-inducer of labor in patients with preterm fetal death].

A comparative study was undertaken to evaluate the effect of a single dose of 0.5 mg of PGE2 on the uterine cervix and the subsequent progress of labor induction, from february 1992 to december 1993 in The Instituto Nacional de Perinatología. The obstetric results obtained from women with antepartum fetal death, were divided in two groups: group A women between 21 to 27 weeks gestation, group B from 28-36 weeks gestation, and a control group without PGE2 aplication.

[Modified sling operation: institutional experience].

We report the retrospective experience in the treatment of six patients with recurrent or severe stress urinary incontinence or low urethral pressure. They were treated with sling modified procedure with polytetrafluoroethylene (Gore-Tex); in the National Institute of Perinatology (INPer) at 1992-1994. The morbidity was highest, the patients in the post operatory present detrusor instability, voiding problems and tissue reaction to polytetrafluoroethylene.

[Genuine stress urinary incontinence. An analysis of 2 surgical technics: Pereyra's and Burch's].

Two hundred and twenty-nine patients operated for genuine stress urinary incontinence by two surgical techniques, were studied. Risk factors were analyzed: age, gesta, para, and added gynecological pathology. They were placed in two groups.

[The correlation of the findings between the urological clinical history and urodynamic evaluation in urinary incontinence].

Patient's histories of urinary incontinence and results of several standard clinical tests, were correlated with final diagnosis obtained by multichannel urodynamic testing. One hundred and thirty one histories of women with urinary incontinence who were in the Urogynecology Clinics of the Instituto Nacional de Perinatología in the period from july to december 1992, were evaluated including dates of standardized questionnaire and structural clinical examination with the urodynamic testing to obtain a final diagnosis. Although the objective urinary loss and the cystocele II-III were significantly associated with genuine stress incontinence and mixed incontinence, in patients with detrusor instability did not.