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The prevalence of POP in women ranges from 30-40%, with 10-20% requiring surgical intervention. Annually, over 225,000 surgical procedures for POP are performed in the United States. The severity of prolapse is assessed using the four-stage POP-Q system, which facilitates clinical research by providing a standardized measure of defect severity.

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Article Synopsis
  • Pelvic organ prolapse (POP) is a common issue that seriously affects quality of life, leading to debates over the use of transvaginal mesh (TVM) surgery for treatment, especially after significant FDA warnings.
  • The study analyzes in-patient data from Germany from 2006 to 2021, reviewing over 1.1 million procedures to identify trends in TVM surgery.
  • Results show stable trends for anterior compartment TVM surgeries, a significant decline in other areas, and a slight increase in uterine-preserving surgeries, highlighting evolving approaches to POP management while keeping TVM surgery as a viable option for specific cases.
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Aim: The aim of this work was to determine the range of normal imaging features during total pelvic floor ultrasound (TPFUS) (transperineal, transvaginal, endovaginal and endoanal) and defaecation MRI (dMRI).

Method: Twenty asymptomatic female volunteers (mean age 36.5 years) were prospectively investigated with dMRI and TPFUS.

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Unlabelled: Anorectal obstetric injuries resulting in anal sphincter damage (ASD) and rectovaginal fistula (RVF) remain a major problem. The resulting flatus or faecal incontinence is devastating. Surgical repair remains a challenge.

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Preoperative predictors of success after transvaginal rectocoele repair.

Tech Coloproctol

October 2023

Pelvic Floor Unit, Mitchener Ward, St Thomas' Hospital, Guy's and St Thomas NHS Foundation Trust, Westminster Bridge Road, London, SE17EH, UK.

Purpose: Determine predictors of success for transvaginal rectocoele repair (TVRR). Primary aim is to establish predictors of successful treatment analysing patients' characteristics, baseline symptoms, pelvic floor test results and pre-operative conservative treatment.

Methods: Retrospective single institution study in a tertiary referral centre for pelvic floor disorders.

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