Vascular leiomyomas are benign smooth muscle tumors that originate from the tunica media layer of the vein. They are apparently rare tumors that occur mostly in the extremities and are generally associated with pain or tenderness. We report herein a patient with a painless vascular leiomyoma, located between the vaginal wall and the bladder serosa, that was incidentally detected during a tensio...

KEY CLINICAL MESSAGE Pelvic organ prolapse (POP) is common among multiparous elderly women. POP related to obstructive anuria is very uncommon, but can be life-threatening if untreated. In this report, the patient survived from a septic shock with multidisciplinary treatment and was completely cured of POP after tension-free vaginal mesh repair.

Surgical treatment of stress urinary incontinence changed dramatically with the introduction of the tension-free vaginal tape. Owing to its high efficacy and minimal patient discomfort this new minimally invasive procedure quickly obtained widespread acceptance and superseded the abdominal colposuspension as the gold standard. In the course of success of the original method a number of tension-...

OBJECTIVE To assess the outcome of patients who underwent a tension-free vaginal tape sling procedure alone versus patients who underwent concomitant pelvic floor surgery. DESIGN Retrospective cohort study. SETTING Urogynaecology unit of a university teaching hospital, Hong Kong. PATIENTS Patients diagnosed with moderate-to-severe urodynamic stress incontinence and underwent a tension-fre...

A 75-year-old woman complained of anuria and a sense of discomfort with severe pelvic organ prolapse (POP). We planned tension-free vaginal mesh (TVM) surgery after curing mucosal defects and completing treatment for diabetes mellitus. Anuria and pyelonephritis relapsed repeatedly due to the failure of ring pessary therapy. Surgical treatment was required emergently. We performed a total laparo...

conclusions laparoscopic tapp inguinal hernia repair has longer operation time and more cost than the open technique. local wound complications were more prevalent in the open repair. the postoperative pain, the hospital stay, the scrotal-related complications as well as the recurrence rates were the same in the both groups. the laparoscopy can detect and treat other intra-abdominal pathologies...