BACKGROUND The aim of this study was to investigate the clinical value of transvaginal management of cesarean section scar diverticulum. MATERIAL/METHODS We evaluated 64 patients receiving transvaginal management of previous cesarean scar defect (PCSD). RESULTS The PCSD was successfully treated by transvaginal surgery, without evident complications. The mean operation time was 33.6±4.1 min, b...

Natural orifice translumenal endoscopic surgery (NOTES) within urology has largely been limited to experimental animal studies and diagnostic procedures in humans. Attempts to complete a pure NOTES transvaginal nephrectomy have thus far been unsuccessful. We report the first clinical experience with pure NOTES transvaginal nephrectomy. A 58-year-old woman presented with recurrent urinary tract ...

Transvaginal and transabdominal ultrasound evaluation of the uterine cervix were compared in a study of 186 pregnant women. An empty bladder made transabdominal ultrasound measurement of the cervix more difficult, while bladder filling resulted in significant lengthening of the transabdominal cervical measurement. In contrast, transvaginal ultrasound cervical measurement was possible in all but...

Oocyte recovery guided by transvaginal ultrasonography has been introduced into in vitro fertilisation units and compares favourably with laparoscopic oocyte recovery. 2 The transition from laparoscopy to ultrasonography may, however, account for part of this difference-for example, anaesthetic requirements and risks of pneumoperitoneum are reduced. In Oxford the in vitro fertilisation unit is ...

505 Hybrid Transvaginal Gastro-Endoscopic Nephrectomy in a Porcine Model Wooju Jeong, Sung Yul Park, Sang Woon Kim, Koon Ho Rha, Seung Choul Yang, Woong Kyu Han From the Department of Urology, Yonsei University College of Medicine, Hanyang University College of Medicine, Seoul, Korea This animal experimental study reports one case of hybrid transvaginal natural orifice transluminal endoscopic s...

BACKGROUND AND OBJECTIVES Hybrid-natural orifice surgery combines the advantages of traditional transabdominal laparoscopic surgery, while limiting surgical trauma to the abdominal wall. Among various routes of intra-abdominal access, the transvaginal method is most appealing because of its utility and proven safety. We describe a series of 4 colonic resections performed with this approach, com...

PURPOSE We assessed the role of preoperative sonohysterography in the diagnosis of intrauterine synechiae. METHODS Nineteen patients with a suspected diagnosis of intrauterine adhesion underwent hysterosalpingography, transvaginal sonography, and sonohysterography performed in the consultation room. The patients were then treated by hysteroscopy under laparoscopic or ultrasound guidance. RE...