BACKGROUND Urinary incontinence is a common and potentially debilitating problem. Open retropubic colposuspension is a surgical treatment which involves lifting the tissues near the bladder neck and proximal urethra in the area behind the anterior pubic bones to correct deficient urethral closure. OBJECTIVES To assess the effects of open retropubic colposuspension for the treatment of urinary...

The aetiology of POP is not well understood, but it is thought to be multifactorial. Weakening of the pelvic floor as a result of injury to levator ani muscles is widely accepted as an underlying factor. Vakili et al. reported that women with diminished levator ani contraction strength and a widened genital hiatus are more likely to develop recurrent POP following a primary procedure. Several o...

Introduction. The problem of female genital prolapse (GP) remains in the sportlight gynecologists, because despite variety surgical methods, there are still recurrences disease, which associated not only with failure restored ligaments, fascia, muscles, damaged pelvic floor and perineum, but imperfection operation. solution this is especially important treatment patients extragenital pathology,...

To evaluate objective and subjective outcomes of patients who underwent sacrocolpopexy with autologous rectus fascia. Our cohort study included women abdominal using fascia between June 2014 December 2019 at a single academic medical center. Patients were recruited for follow up visit including completing the Pelvic Floor Distress Inventory (PFDI) Organ Prolapse Quantification (POPQ) exam. Demo...

BACKGROUND Synthetic meshes have been used extensively to augment surgical management of pelvic organ prolapses. Posterior intravaginal sling (IVS) is a technique used for correcting vaginal vault/apical prolapse, posterior vaginal prolapse or rectocele. There are limited data on long-term safety of this procedure. In a subanalysis of the IVS tapes from the SUSPEND trial performed secondary to ...

PURPOSE Pelvic organ prolapse is a multifactorial disorder in which extracellular matrix defects are implicated. Fibrillin-1 level is reduced in stress urinary incontinence. In Marfan syndrome, which is associated with mutations in Fibrillin-1, pelvic floor disorders are commonly observed. We hypothesize that Fibrillin-1 gene expression is altered in pelvic organ prolapse. METHODS Thirty wome...

OBJECTIVE To provide an update on transvaginal mesh procedures, newly available minimally invasive surgical techniques for pelvic floor repair. OPTIONS The discussion is limited to minimally invasive transvaginal mesh procedures. EVIDENCE PubMed and Medline were searched for articles published in English, using the key words "pelvic organ prolapse," transvaginal mesh," and "minimally invasi...

In a review of the effect of gynecological operations on sexual function, difficulties resulting from operative technique and from psychological side effects were discussed. In repair of prolapse of the vagina, operative technique has been considered of crucial importance in influencing the sexual life of the patient. Preoperative clinical assessment rarely gives an accurate picture but can p...