OBJECTIVE To evaluate the safety and short term outcomes of a new, truly minimallyinvasive, mesh-less and dissection-less anchoring system for pelvic floor apical repair. METHODS A prospective study was conducted using the NeuGuide™ device system for pelvic floor apical repair. The primary effectiveness outcome was centro-apical pelvic floor prolapse by POP-Q after six months. The primary saf...

Reported in the literature are more than 100 different kinds of surgical treatments for stress urinary incontinence in women, including anterior colporrhaphy (Kelly plication),1 retropubic urethropexy (Marshall-Marchetti-Krantz procedure,2 Burch procedure,2 ), paravaginal suspension,4 various kinds of needle urethropexy,5-8 and suburethral sling procedure.9 Furthermore, among these procedures a...

OBJECTIVE This study aims to determine the pathophysiology of vulvar vestibulitis and to evaluate currently used treatment options. METHODS Two hundred twenty women with vulvar vestibulitis were seen between October 1987 and March 1995. Every patient had vulvar pain when they attempted intercourse, 75% had excessive vaginal discharge, 36.4% had constant or recurring vulvar burning, and 10.9% ...

INTRODUCTION The objective of the study is to examine the efficacy of the purely laparoscopic reconstructive management of cystocele and rectocele with mesh, to avoid the risk of erosion by the graft material, a well known complication in vaginal mesh surgery. MATERIAL AND METHODS We performed a prospective, single-case, non-randomized study in 325 patients who received laparoscopic reconstru...

OBJECTIVE To present 3-month outcomes of a double-blind, multicenter randomized controlled trial comparing traditional vaginal prolapse surgery without mesh with vaginal surgery with mesh. METHODS Women with pelvic organ prolapse quantification prolapse stages 2-4 were randomized to vaginal colpopexy repair with mesh or traditional vaginal colpopexy without mesh. The primary outcome measure w...

Pelvic organ prolapse (POP) is common in women and may impair quality of life. Although vaginal pessary can relieve the symptoms and improve quality of life, women may opt for surgical treatment. This paper reviews some common surgical options for POP and their outcome. Anterior colporrhaphy is commonly performed for anterior compartment prolapse but the reported recurrence rate was high. Reinf...

INTRODUCTION This review studies rationale and outcome of vulvovaginal aesthetic surgery. AIM Discuss procedures designed to alter genital appearance and function; investigate sexual, philosophical, and ethical issues; examine outcomes. METHODS (i) Medline search of the existing literature utilizing terms labiaplasty, clitoral hood reduction, hymenoplasty (HP), vaginoplasty (VP), perineopla...

Relevance . The relevance of the problem pelvic prolapse is due to prevalence disease, tendency rejuvenation and progression. This, according survey, affects quality life women, leads disruption sexual functioning, reduces ability work. methods surgical treatment that exist in arsenal modern operative gynecology can contribute development cicatricial adhesions, infectious complications recurren...

Paraurethral cysts are usually asymptomatic and frequently detected incidentally during routine pelvic examination however, patients can present with complaints of a palpable cyst or with lower urinary tract symptoms (LUTS) and also dyspareunia. In most cases, diagnosis can be made on physical examination but for more detailed evaluation and to differentiate from malign lesions ultrasonography ...

OBJECTIVE Our aim was to evaluate the efficacy of polyglactin 910 mesh in preventing recurrent cystoceles and rectoceles. STUDY DESIGN In a prospective, randomized, controlled trial, patients undergoing vaginal reconstructive surgery with cystoceles to the hymenal ring and beyond were randomly selected to undergo anterior and posterior colporrhaphy with or without polyglactin 910 mesh reinfor...