Introduction The pelvic splanchnic nerves were first described as nervi erigentes by Eckhardt in 1863 (1). Since this time, the neuroanatomy of the pelvic plexus using cadaveric microdissection and serial histologic sectioning in human fetuses or using the immunohistochemy technique has been well explored. With the introduction of laparoscopy into the field of pelvic retroperitoneal surgery, la...

OBJECTIVE The purpose of this study was to measure the rate of reoperation for surgically treated pelvic organ prolapse. STUDY DESIGN An 11-year retrospective audit was conducted of women who had undergone surgery for pelvic organ prolapse between 1995 and 2005 in a large teaching hospital in the UK. Main outcome measure Variables examined included the type of primary procedure for pelvic org...

OBJECTIVES To describe a new surgical procedure for pelvic organ prolapse using mesh and a vaginal support device (VSD) and to report the results of surgery. DESIGN A prospective observational study. SETTING Two tertiary referral Urogynaecology practices. POPULATION Ninety-five women with International Continence Society pelvic organ prolapse quantification stage 2 or more pelvic organ pr...

While the oncological outcome of patients with rectal cancer has been considerably improved within the last decades, anorectal, urinary and sexual functions remained impaired at high levels, regardless of whether radical surgery was performed open or laparoscopically. Consequently, intraoperative monitoring of the autonomic pelvic nerves with simultaneous electromyography of the internal anal s...

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Quality of life is adversely affected by pelvic organ prolapse, the prevalence of which is increasing because of the persistently growing older population. Today, the tension-free vaginal mesh kit has grown in popularity owing to its comparable cure rate to traditional reconstructive surgery and the feasibility of an early return to normal life. However, significant debate remains over the long...

There are over 14,000 newly diagnosed rectal cancers per year in the United Kingdom of which between 50 and 64 percent are locally advanced (T(3)/T(4)) at presentation. Pelvic exenterative surgery was first described by Brunschwig in 1948 for advanced cervical cancer, but early series reported high morbidity and mortality. This approach was later applied to advanced primary rectal carcinomas wi...

INTRODUCTION j Postsurgical adhesions are a highly prevalent complication of abdominal and pelvic surgery,” generating significant morbidity. In major gynecologic surgery, post-operative adhesions are estimated to occur at a rate of 60-90% (Monk et al. 1994), with at least 15 20% of female infertility cases attributed to pelvic adhesions (Milingos et al. 2OOOb, Drollette and Badawy 1992). Posts...