Clinical impact of bowel symptoms in women with pelvic floor disorders.

Introduction And Hypothesis: The aim of this study was to evaluate the correlations between the POP-Q Bp point and the perineal body (Pb) and genital hiatus (Gh) measurements and constipation, anal incontinence, severity of symptoms and quality of life.

Methods: The patients were distributed into two groups according to the posterior vaginal wall Bp point: one group with Bp ≤-1 (without posterior vaginal wall prolapse, control group) and the other group with Bp ≥0 (with posterior vaginal wall prolapse, case group). Demographic data, defecatory dysfunction and SF-36 scores were compared between the groups.

Prevalence of unreported bowel symptoms in women with pelvic floor dysfunction and the impact on their quality of life.

Introduction And Hypothesis: Little information is available on the recurrent coexistence of pelvic organ prolapse (POP), urinary (UI) and/or anal (AI) incontinence and defecatory dysfunctions and the relationship between these disorders. The purpose of this study is to report the prevalence, bother, and impact on quality of life (QoL) of unreported bowel symptoms in women presenting to a Brazilian tertiary urogynecology clinic.

Methods: The study was a cross-section survey of 172 patients with symptoms of pelvic floor disorders (PFD).

Laparoscopic surgery for inflammatory bowel disease: does weight matter?

Background: Recent studies have shown improved outcomes after laparoscopic colorectal surgery compared with laparotomy for surgery for both benign and malignant colorectal diseases, including inflammatory bowel disease (IBD). This study was designed to evaluate the results of laparoscopic colorectal resections in normal weight patients compared with overweight and obese patients with IBD.

Methods: A retrospective analysis of a prospectively acquired institutional review board-approved surgical database was performed.

[Importance of the tridimensional ultrasound in the anorectal evaluation].

Background: Anorectal endosonography is actually the main image exam to evaluate some anorectal diseases.

Aim: To show the three-dimensional endosonography importance in the anal canal anatomic evaluation and the anorectal diseases diagnosis.

Methods: Seventy four anorectal ultrasound were performed, 23 normal individuals (13 women) and 51 patients (33 women) with benign and malignant diseases.

[Experimental model of laparoscopic handsewn suture in colon of dogs].

Purpose: Develop an experimental model of laparoscopic hand-sewn suture in colon of dogs to be specially used for surgeons' training.

Methods: Forty male dogs were operated on, weight between 15 and 20 kg, from the laboratory of the Veterinary School of the State University of Ceara. They were distributed within two groups with 20 animals each: GI--The colonic wall incision was done with an electrical scalpel followed by haemosthasia and GII--The colonic wall incision was performed with a scissors.