OBJECTIVE To study whether avulsion and ballooning are independent risk factors for symptoms and/or signs of pelvic organ prolapse. DESIGN Retrospective analysis of data obtained in clinical practice. SETTING Tertiary urogynecology unit. POPULATION Seven hundred and sixty-one consecutive women with symptoms of pelvic floor dysfunction. METHODS Evaluation included history, vaginal examin...

Haemorrhoidal disease is a common proctologic disorder. The HemorPex System (HPS) is an innovative surgical technique based on muco-haemorrhoidopexy without Doppler guidance. Purpose: The aim of this study is to evaluate the HemorPex System (HPS) efficacy on grade II and grade III haemorrhoidal patients. Methods: 100 patients affected by grade II and grade III haemorrhoidal disease were include...

PURPOSE Transanal hemorrhoidal dearterialization is an innovative technique to treat hemorrhoids using a specially designed proctoscope for Doppler-guided transanal ligation of hemorrhoidal arteries. We analyzed results of experience at a single-institution with this transanal hemorrhoidal dearterialization device. METHODS Overall, 170 patients were submitted to transanal hemorrhoidal dearter...

Haemorrhoidal tissue is a normal component of the anal canal and is composed predominantly of vascular tissue, supported by smooth muscle and connective tissue. It’s function is to provide complete closure to the anus at rest and protection of the underlying muscle during defaecation.1 Haemorrhoidal disease is one of the most common anorectal conditions 2 although the exact incidence is difficu...

OBJECTIVE The aim of this study was to assess the mechanisms of prolapse in ischemic mitral valve regurgitation (MR) and the techniques of valve repair. METHODS Out of 121 patients operated upon for ischemic MR, a prolapse was present in 44 patients (36.4%). The operation was performed emergently in four cases (9.1%) and electively in 40 patients (90.9%). Fifteen patients (34.1%) were operate...

UNLABELLED Rectal prolapse belongs to the group of rare diseases of the rectum and anus. It is mostly observed in elderly multiparous women in the seventh and eighth decade. The precise cause of this pathology is not thoroughly understood that is why there are no optimal standards of treatment. The aim of the study was to present pathophysiology, diagnostics and optimal surgical procedures empl...

OBJECTIVE The aim of the present study was to evaluate the safety and efficacy of a ″Cravat″ technique for the management of uterine prolapse in patients who want to preserve uterus, involving suspension of the uterus from the sacral promontory by using polypropylene mesh. MATERIALS AND METHODS A prospective observational study between January 2011 and September 2013 was conducted. Prior to s...

A 45 years female presented with a complain of something coming out through her anus since one year, which comes on straining and reduces only after manual intervention. She had also, a history of constipation with occasional blood and mucus discharge in the stool. On examination, she was found to have full thickness rectal prolapse, which comes out on straining and reduces only after pushing i...

 Background: Proposing a strategy for sellar reconstruction in endoscopic transsphenoidal transsellar approach for pituitary adenoma. Methods: 240 patients with pituitary adenoma underwent pure endoscopic endonasal transsphenoidal surgery. Intra-operative CSF leaks were classified as grade 0, no observable leak grade 1, CSF dripping through an arachnoid membrane defect of less than 1 ...

OBJECTIVE We sought to compare the outcomes of minimally invasive mitral valve (MV) surgery for anterior (anterior mitral leaflet, AML), posterior (posterior mitral leaflet, PML) or bileaflet (BL) MV prolapse. METHODS Between August 1999 and December 2007, 1230 patients who presented with isolated AML (n=156, 12.7%), isolated PML (n=672, 54.6%) or BL (n=402, 32.7%) MV prolapse underwent minim...