BACKGROUND Despite the introduction of minimally invasive approaches for various benign uterine problems, hysterectomy is often still performed abdominally, but the vaginal route should be used whenever possible. The aim of this study was to identify the preoperative, intraoperative, and postoperative characteristics of women undergoing vaginal hysterectomy in the absence of uterine prolapse. ...

INTRODUCTION Pelvic organ prolapse is an ordinary disease with around 200.000 surgeries performed annually in the US to treat this condition. The surgical treatment for complete vaginal vault prolapse after hysterectomy involves abdominal or vaginal sacrocolpopexy. The purpose of this video is to demonstrate the steps of a laparoendoscopic single-site surgery (LESS) sacrocolpopexy performed by ...

PURPOSE To analyze commercial payer differences in the average costs and readmission rates between inpatient open hysterectomies and three types of outpatient hysterectomies: laparoscopic, laparoscopic assisted, and vaginal. DESIGN/METHODOLOGY A retrospective claims data analysis was conducted using the 2012 and 2013 Truven Health Analytics MarketScan Commercial Claims and Encounter Database....

BACKGROUND Female genital malformations represent miscellaneous deviations from normal anatomy. This study aimed to explore the clinical characteristics of patients who underwent surgery for genital tract malformations at Peking Union Medical College Hospital (PUMCH) during a 31-year period. METHODS We retrospectively reviewed surgical cases of congenital malformation of the female genital tr...

OBJECTIVE To evaluate the effectiveness and complications of abdominal sacrocolpopexy in the treatment of vaginal vault prolapse. DESIGN Review article. SETTING Obstetrics and Gynecology Department, Charles University 2nd Medical Faculty and Teaching Hospital Motol, Prague. METHODS Review from biomedical database Medline from 1960 till 2006. The articles were found under the key words: va...

OBJECTIVES To evaluate the urodynamic changes when a severe cystocele is correct by a vaginal valve to identify occult urinary incontinence. METHOD Prospective study in 70 women at the Urogynecology and Vaginal Surgery Unit, in Clínica Las Condes. INCLUSION CRITERIA Symptomatic cystocele degree III or IV. EXCLUSION CRITERIA antecedent of incontinence and/o genital prolapse surgery; presen...

AIMS To assess the relationship between prolapse recurrence and some risk factors in a group of women submitted to reconstructive pelvic surgery. METHODS Women referred to our Urogynaecological Units complaining of prolapse symptoms were prospectively included. We excluded women who were affected by apical vaginal prolapse >stage I after a previous hysterectomy. All women had pelvic surgery w...

OBJECTIVES To assess clinical efficacy of Total Prolift System surgery kit in the treatment of post hysterectomy vaginal vault prolapse. MATERIAL AND METHODS Study group consisted of 27 women (mean age 60.3 +/- 10.3 years) who between February 2006 and September 2007 underwent vaginal cuff prolapse surgery with Total Prolift System. Nineteen patients had vaginal cuff prolapse POP-Q stage IV a...

OBJECTIVE To describe the bacterial types and colony counts present before and during vaginal surgery. METHODS A descriptive study was undertaken of patients undergoing vaginal hysterectomy with or without reconstructive pelvic surgery. Aerobic and anaerobic bacterial cultures were obtained immediately before and throughout the surgical cases at preselected time intervals. Standard antimicrob...

As many of you are aware, on July 13, 2011, the FDA released an “Update on the Safety and Effectiveness of Transvaginal Placement (TVM) of Surgical Mesh for Pelvic Organ Prolapse (POP)”. I am writing this letter in an effort to provide you with a better understanding and a more balanced perspective of the complications that can occur with all forms of vaginal surgery. I am hoping that the follo...