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Effect of Vaginal Prolapse Repair and Midurethral Sling on Urgency Incontinence Symptoms.
Urogynecology (Phila)
December 2024
From the Wake Forest Baptist Health, Winston Salem, NC.
Importance: Limited evidence exists on the effect of combined native tissue vaginal prolapse repair with midurethral sling on urgency urinary incontinence (UUI) symptoms.
Objectives: This study aimed to evaluate the effect of combined native tissue vaginal prolapse repair with midurethral sling on UUI symptoms at 12 months postoperatively and identify risk factors for persistent UUI.
Study Design: This secondary analysis utilized data from a randomized trial comparing retropubic versus single-incision slings in women undergoing treatment of stress incontinence and vaginal prolapse with native tissue vaginal repair and midurethral sling.
Comparative Analysis of the Efficacy of Different Surgical Modalities for the Treatment of Female Stress Urinary Incontinence: A Multicenter Retrospective Study.
Int J Womens Health
November 2024
Department of Gynecology, Minda Hospital of Hubei Minzu University, Enshi, Enshi Tujia and Miao Autonomous Prefecture, Hubei, People's Republic of China.
Article Synopsis
- The study aimed to compare the effectiveness of four surgical techniques for treating female stress urinary incontinence (SUI) using a sample of 243 patients divided into four groups based on the method used: AFS, TVT-O, epithelial flap suspension, and ASIS.
- Results showed no significant differences in treatment outcomes across the groups, but the ASIS group had better metrics in terms of reduced intraoperative bleeding and shorter hospital stays compared to others.
- The TVT-O technique was associated with a higher occurrence of postoperative medial thigh pain, while the AFS group had more cases of urine retention, highlighting the different risk profiles of each surgical method despite overall effectiveness.
vNOTES chromopertubation: a new method for assessing tubal patency and peritubal anatomy.
Minim Invasive Ther Allied Technol
December 2024
Department of Obstetrics and Gynecology, Kartal Doctor Lütfi Kırdar City Hospital, İstanbul, Turkey.
Article Synopsis
- A retrospective study evaluated 12 women aged 29-38 with suspected tubal factor infertility who underwent vaginal natural orifice endoluminal surgery (vNOTES) to assess tubal patency and adnexal anatomy.
- The procedure had an average operative time of 39 minutes, with no need for conversions to more invasive surgeries, and all patients were discharged within 12 hours without complications.
- The study suggests that vNOTES could be a beneficial option, especially for patients with higher BMI or previous surgeries, due to its lower surgical risks and minimally invasive nature.
Efficacy of chitosan powder in reducing vaginal bleeding following a loop electrosurgical excision procedure: A randomized control trial.
Int J Gynaecol Obstet
November 2024
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Medipol University, İstanbul, Turkey.
Objective: To evaluate the efficacy of topical chitosan powder in reducing postoperative vaginal bleeding following a loop electrosurgical excision procedure (LEEP).
Methods: In this randomized controlled trial, patients who underwent LEEP were randomly assigned (1:1) to the chitosan group, in which the wound area was sprayed with chitosan powder using a spray pump, or the control group. The primary outcome was the median quantity of vaginal blood lost in the early postoperative period (defined as within 6 h of the procedure).
Use of the Knutson's paste for the treatment of perineal wound dehiscence after vaginal delivery: a single-center clinical experience.
Minerva Obstet Gynecol
November 2024
Unit of Obstetrics, Department of Woman, Child and Neonate, Mangiagalli Center, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Article Synopsis
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