Pelvic organ prolapse and urinary incontinence are among the most common chronic disorders in women. These are common problems whose pathogenesis remains unclear. As life expectancy increases, significantly greater number of women now present with pelvic organ prolapse and urinary incontinence requiring surgical intervention. Currently, the lifetime risk of undergoing prolapse or continence sur...

The final decision to perform a certain method of hysterectomy customarily mirrors experience and level of comfort with a particular surgical approach in the context of the patient's condition and indication for surgery. Given the morbidity and recovery associated with a laparotomic incision, every effort should be made to avoid abdominal hysterectomy. The best available evidence points to the ...

Forty-five patients received lumbar epidural block for major vaginal surgery. Twentyfive of them had, in addition,', light general anaesthesia (halothane, oxygen and spontaneous respiration). Measurements of blood loss and mean (integral) operative blood pressure were made. The group receiving halothane had a significantly lower mean integral operative blood pressure dian the group receiving lu...

Ethamsylate (Dicynene) reduces small vessel haemorrhage, both surgical and non-surgical. ' Its exact mode of action is still unknown, but probably it decreases capillary fragility. Much of the morbidity after vaginal surgery is due to haematoma formation with secondary infection. We thought it reasonable to assume that if small vessel fragility was reduced fewer haematomas would be formed. Neve...

BACKGROUND In women complaining of a wide vagina and decreased sexual satisfaction we performed colporrhaphy--including perineoplasty in most cases. METHODS Between November 2003 and October 2004, a total of 53 patients were selected for operation at the Urogynecology and Vaginal Surgery Unit, Las Condes Clinic, Chile. The patients were requested to assess the results of surgery in terms of e...

OBJECTIVE The aim of this study was to introduce a new technique which is combined laparoscopic and vaginal cervicovaginal reconstruction using split thickness skin graft in patients with congenital atresia of cervix and to evaluate the feasibility and the safety of it. METHODS This is a prospective observational study of 10 patients with congenital atresia of cervix who underwent combined la...

tubal ligation is one of the most effective and reliable methods of contraception and of successful program of birth control in iran. present study was done to evaluate factors affecting risk of complications during tubal ligation surgery. we studied 1780 women that had tubal ligation in 13 hospitals in tehran during the years 1993-95. data on operation were collected by questionnaire and analy...

The high sensitivity of the diagnostic procedures now available in cervical cancer screening, as liquid-based cytology, permits to diagnose an ever greater number of preinvasive lesions of the cervix (High Grade Squamous Intraepithelial Lesions HSIL). The increasing number of women in reproductive age presenting these lesions requires a conservative approach. The surgical technique of large-loo...

Purpose Pelvic organ prolapse (POP) is a major health issue worldwide, affecting 6-8% of women. The most affected site is the anterior vaginal wall. Multiple procedures and surgical techniques have been used, with or without the use of vaginal meshes, due to common treatment failure, reoperations, and complication rates in some studies. Methods Systematic review of the literature and meta-analy...