AI Article Synopsis
- Vaginal surgery for urinary stress incontinence and pelvic organ prolapse using synthetic polypropylene mesh is currently controversial, with ongoing debates about safety, consent, and patient expectations.
- While synthetic mesh aims to enhance the effectiveness of pelvic organ prolapse surgery, its associated complications have resulted in repeat surgeries and legal disputes, highlighting the need for careful consideration of risks and benefits.
- Women experiencing pelvic organ prolapse have various treatment options available, and it’s essential for patients and doctors to engage in discussions regarding the benefits and risks to make informed decisions together.
Article Abstract
Introduction And Background: Vaginal surgery for the treatment of urinary stress incontinence (USI) and pelvic organ prolapse (POP) using a synthetic polypropylene mesh is going through a time of unprecedented turmoil and debate. This review focuses on vaginal surgery for vaginal prolapse and looks at the current scientific literature on issues surrounding surgery including consent and expectations.
Safety And Effectiveness Of Surgical Options: Synthetic mesh has been used both abdominally and vaginally to improve the effectiveness of POP surgery. The relatively high incidence of mesh complications particularly with vaginal surgery has lead to repeat surgery, disappointment and litigation in some women. The benefits and risks of the various POP procedures are reviewed including native tissue repair, uterine conservation and obliterative vaginal surgery.
Conclusion: Women with symptomatic pelvic organ prolapse and their doctors have many treatment options. The benefits and risks should be discussed as part of shared decision making.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s11934-016-0642-y | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Obstetric outcomes in breastfeeding women in the first hour of delivery before and during the COVID-19 pandemic.
BMC Pregnancy Childbirth
January 2025
Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Article Synopsis
- Breastfeeding has numerous health benefits for both mothers and newborns, acting as a protective factor against infant illness and mortality.
- The study aimed to compare obstetric outcomes between women who breastfed and those who did not, using data from two different time periods: during the pandemic and pre-pandemic.
- Results indicated that fewer women breastfed within the first hour after delivery during the pandemic, with non-infected mothers having better outcomes regarding vaginal delivery and breastfeeding compared to infected or suspected cases.
Diagnostic Accuracy of Imperforate Hymen at a Single Referral Center.
J Pediatr Adolesc Gynecol
January 2025
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics & Gynecology, Baylor College of Medicine, Houston, Texas.
Study Objective: Imperforate hymen (IH) is a rare congenital anomaly that results in vaginal outlet obstruction. IH can cause significant morbidity if not managed appropriately, which depends on accurate identification of the condition. However, data on the accuracy of IH diagnosis is limited.
View Article and Find Full Text PDFRobotic Rectus Abdominis Myoperitoneal Flap for Posterior Vaginal Wall Reconstruction: Experience at a Single Institution.
J Clin Med
January 2025
Department of Plastic Surgery, University of Nevada Las Vegas School of Medicine, Las Vegas, NV 89102, USA.
The adoption of robotic surgery has been widespread and increasing amongst gynecologic surgeons given the ability to decrease morbidity. It is important that plastic surgeons adjust their reconstructive algorithm to ascertain the benefits of robotic-assisted surgery. Herein we report our outcomes of robotic-assisted rectus abdominis muscle reconstruction of the posterior vaginal wall along with a current literature review on robotic-assisted reconstructive pelvic surgery.
View Article and Find Full Text PDFSmall bowel evisceration through the vagina after transvaginal mesh surgery for genital prolapse.
Taiwan J Obstet Gynecol
January 2025
School of Medicine, Fu Jen Catholic University, Hsinchuang, New Taipei City, Taiwan; Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan. Electronic address:
Primary endometrial squamous cell carcinoma (PESCC): Review of the literature and case report.
Taiwan J Obstet Gynecol
January 2025
Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, College of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address:
Objective: Primary endometrial squamous cell carcinoma (PESCC) is an extremely rare type of endometrial cancer with limited research and understanding. This report presents a case of PESCC and reviews 37 cases from 1997.
Case Report: A 61-year-old menopausal woman presented with abnormal vaginal bleeding.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!