OBJECTIVE To compare clean intermittent catheterisation with transurethral indwelling catheterisation for the treatment of abnormal post-void residual bladder volume (PVR) following vaginal prolapse surgery. DESIGN Multicentre randomised controlled trial. SETTING Five teaching hospitals and one non-teaching hospital in the Netherlands. POPULATION All patients older than 18 years experienc...

OBJECTIVE The objective of the study was to determine the incidence of ureteral obstruction during vaginal surgery for pelvic organ prolapse and the accuracy and efficacy of intraoperative cystoscopy. STUDY DESIGN The study was a retrospective review of 700 consecutive patients who underwent vaginal surgery for anterior and/or apical pelvic organ prolapse with universal intraoperative cystosc...

BACKGROUND Normal vaginal delivery can cause significant strain on the pelvic floor. We present a review of the current knowledge on vaginal delivery as a risk factor for urinary incontinence and pelvic organ prolapse compared to caesarean section. MATERIAL AND METHOD We conducted a literature search in PubMed with an emphasis on systematic review articles and meta-analyses. The search was co...

Purpose: To summarize the most important evidence available in the field of pelvic floor reconstruction surgery, as well as at indicating the proper methodology for studies in the field. Methods: A non systematic review of the literature was performed by means of MEDLINE search. Results: The available evidence supported the use of mesh in anterior vaginal wall prolapse surgery, the indications ...

BACKGROUND Sacrocolpopexy with rectopexy is advocated for combined rectal and vaginal prolapse, but limited outcome data have been reported. OBJECTIVE The purpose of this study was to evaluate the indications and outcomes of sacrocolpopexy and rectopexy by comparing pre- and postoperative function and quality of life. DESIGN A retrospective review of prospectively collected data was perform...

Polypropylene mesh implants for the correction of pelvic organ prolapse (POP) are now available in Japan. We developed an innovative approach for correcting POP by placing polypropylene mesh transvaginally with laparoscopic assistance. From June 2007 through March 2010, sixteen consecutive patients with symptomatic stage 2 or 3 pelvic organ prolapse underwent the laparoscopic-assisted tension-f...

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...

BACKGROUND Minimally invasive hysterectomies performed vaginally or laparoscopically are associated with decreased perioperative morbidity. We examined temporal trends and patient and hospital factors associated with the routes of hysterectomy used in the Vancouver Coastal Health and Providence Health Care regions in British Columbia. METHODS We performed a retrospective cohort study of all w...

Umbilical single-port surgeries developed with advanced technological equipment like flexıble optics and reticulated graspers. Single-port decreased skin incision multiple port-site pain concerns. Case: In this study, a 74-years-old, postmenopausal female had P2G2 descensus uteri, subtotal uterine prolapse. Complaints were about vaginal mass disturbing life quality associated bladder incontinen...