PURPOSE To determine the results and satisfaction of the patients underwent transvaginal repair of cystocele in our clinic. MATERIALS AND METHODS From January 2006 to October 2010, 15 patients with a mean age of 64 years (ranged 47-85 years) underwent transvaginal cystocele repair using acellular collagen biomesh. The patients were presented with vaginal mass in 10, dyspareunia and urge incon...

A 77-year-old lady presented to the gynaecology outpatient clinic with vaginal extrusion (3C/T3/S1) six years after a transobturator suburethral sling procedure (TOT). The entire tape was spontaneously extruded vaginally and the vaginal erosion healed with conservative management. Midurethral tapes, currently the standard of care in the management of urodynamic stress incontinence (USI), are as...

BACKGROUND Stress urinary incontinence (SUI) is commonly encountered in gynecological practice. Nowadays, midurethral sling surgeries in the form of transobturator tape (TOT) surgery are recommended in its treatment. AIMS AND OBJECTIVES To assess the outcome and patient satisfaction of TOT surgery in the treatment of SUI. MATERIALS AND METHODS A prospective study was undertaken for patients...

Stress urinary incontinence (SUI) is a highly prevalent symptom that has been estimated to be among the top ten medical problems of adult women.1 Worldwide about 200 millions women suffer of urinary incontinence (UI) (2-3 millions in England, 10-12 in the USA and 3 millions in Italy). In Thelma Thomas’ epidemiological survey, one of the most frequently cited article in literature, prevalence of...

Nowadays midurethral sling are considered as a gold standard for stress urinary incontinence [1][Fig.1]. Traditionally, this technique has been followed by hospitalization and short inpatient convalescence. From both patient and physician perspective, this technique became increasingly popular due to very high clinical effectiveness, fast recovery, no need of painful incisions or overnight hosp...

1Correspondence: Zinat Ghanbari, Vali-e-Asr Reproductive Health Research Center, Imam Khomeini Hospital, Keshavarz Blvd., Tehran, 14194, Iran. Tel: +98-2166939320 Fax: +98-2166937321 E-mail: [email protected] described by Ulmsten in 1995 and is currently used as a standard minimally invasive procedure (1). Delorme (2) first described suburethral placement of a tape or the Transobturator ta...

Purpose. The objective was to evaluate, by means of tomographic ultrasound imaging (TUI), the reliability of a novel approach for determining the position of the implanted tension-free transobturator tape (TOT). Furthermore, we analyzed the association between the position of the tape at rest and the subjective cure in stress incontinent women. Methods. This retrospective pilot study consists o...

and 49% were pN0 (p<0.001). The strongest predictor of progression and mortality was bGS. PSA >20 ng/ml associated with bGS /=8, PCSM was 35%. The main limitations of the study were retrospective design and varying treatment modalities. Conclusions: PCa patients with PSA >20 ng/ml have varying risk levels of disease progression and PC...