Publications by authors named "Sonia De Miguel-Manso"
Comparative analysis of the efficacy and complications of mid-urethral slings when inserted either in isolation or in conjunction with pelvic organ prolapse surgery.
Arch Gynecol Obstet
November 2024
Article Synopsis
- Stress urinary incontinence (SUI) affects 20-50% of women and can sometimes occur alongside pelvic organ prolapse (POP), and it is unclear if treating both simultaneously impacts the effectiveness of incontinence surgery.
- The study compared two groups: one undergoing SUI surgery alone and the other getting surgery for both SUI and POP, assessing urinary continence and patient satisfaction over time with various questionnaires.
- Results showed that while total continence was better for the SUI-only group, both groups maintained high satisfaction levels after surgery, and there were no significant differences in complications between the two groups.
Introduction And Hypothesis: Vaginal mesh has been used for years to try to improve the results of pelvic organ prolapse surgery, but current evidence does not confirm this improvement and instead describes serious and frequent adverse events.
Clinical Case: 64-year-old patient with rectal extrusion of posterior vaginal mesh placed 8 years earlier, and persistent left ischiorectal fistula refractory to surgery. She required 5 surgeries, carried out jointly between gynecology and general surgery, to solve, firstly, the bilateral perianal abscess secondary to extrusion of the posterior vaginal mesh into the rectum and then the persistent left ischiorectal fistula, despite the removal of the material prosthetic.
Introduction And Hypothesis: Vaginal pessaries are used as a conservative treatment for POP in women who do not want or are not candidates for surgery, or as a preliminary step to surgery. Our goals are: evaluate the evolution of patients with advanced POP and repeated expulsion of the pessary, who underwent perineal suture to try to maintain the device. Describe the epidemiological characteristics of patients treated with pessaries in our environment, with or without perineal closure.
View Article and Find Full Text PDFResearch Question: Hox genes are involved in limb formation during normal embryological development. Their modulation by circulating maternal oestrogens and androgens determines the length of the second and fourth fingers of the adult hand. Do these same intrauterine hormone levels also determine fertility outcomes in the adult?
Design: To study the association between the length of the second and fourth fingers of both partners undergoing IVF (as a surrogate of their previous intrauterine exposure to oestrogens and androgens) with treatment outcome after IVF, data corresponding to 256 IVF cycles were analysed.