Bowel perforation during retropubic sling procedure.

CASE: A 77-year-old woman with no prior history of abdominal or pelvic surgery underwent elective surgery for pelvic organ prolapse with a vaginal vault colpocleisis and suburethral sling. On postoperative day 2, a computed tomography scan performed for suprapubic discomfort showed an enterocutaneous fistula, which was treated surgically. CONCLUSION: Bowel perforation is a complication of TVT-type slings in patients with or without prior abdominal or pelvic surgery. High clinical suspicion, prompt identification, and surgical intervention allowed for a favorable outcome in this case. PMID: [more...]

Date: 2010-04-30 16:17:32

Blog posts (14) | No video
 

Advances in Reconstructive Vaginal Surgery

A bound-in DVD contains digital videos of vaginal hysterectomy, repair of the anterior vaginal segment, site-specific colpocleisis, and total procendentia. | Tags: Surgery, Obstetrics |Sourse: [more...]

Date: 2008-04-22 11:05:00

Female Pelvic Medicine & Reconstructive Surgery / Urogynecology ...

Incontinence, IC, Interstitial Cystitis, Uterine Prolapse, Vaginal Prolapse, Bladder Prolapse, Pelvic Floor Welcome to the Virtual Office for Plano Urogynecology Associates. Founded by J. Kyle Mathews, MD, Plano OB Gyn Associates, the center is dedicated to the treatment of those conditions often associated with vaginal trauma and relaxation caused by childbirth and aging. The center is dedicated to the diagnosis, management and treatment of these conditions using advanced minimally invasive techniques representing the latest innovations. Emphases is placed on patient education and treatment [more...]

Date: 2010-06-12 07:00:00

Pelvic organ prolapse | Obstetrics Gynecology UNDIP - Kariadi ...

There is a reported 29% recurrence rate of pelvic organ prolapse in women who have previous surgery for pelvic organ prolapse, with the surgical techniques of today this have been reduced. Contributing causes of prolapses Childbirth or pregnancy Collagen deficiency (collagen is a natural protein that helps keep tissues plump and elastic) Ageing and menopause Being overweight Chronic cough Constant heavy lifting Previous pelvic surgery Chronic constipation Symptoms: Common complaints with a prolapse are Sensation of "something coming down" when up and about, disappears when lying [more...]

Date: 2010-04-13 18:37:40

Abdominal Sacrocolpopexy with Burch Colposuspension to Reduce ...

Pelvic-organ prolapse, in which the pelvic organs (uterus, bladder, and bowel) protrude into or past the vaginal introitus, is a condition often treated with surgery.1,2 Women have an 11 percent risk of surgery for prolapse or urinary incontinence by 80 years of age, and of this 11 percent, almost one third of the women have a second surgery.3 This fact points to the need for improved treatment of pelvic-floor disorders. Prolapse commonly coexists with lower urinary tract dysfunction, such as stress urinary incontinence.1-3 Stress incontinence occurs when increased intraabdominal pressure, [more...]

Date: 2006-04-13 05:00:00

Transvaginal Enterocele Repair « Urology Surgery

Another surgical alternative for enterocele treatment is colpocleisis, in which the entire vaginal canal is closed. This may be elected in the very elderly or in patients who have failed multiple attempts at repair. SURGICAL TECHNIQUE Presurgical Preparations Once the patient has elected to have surgery, preoperative preparation is simple and consists of a modified bowel prep, which can be performed at home. The day before surgery the patient can begin on a clear liquid diet and also should take an oral laxative such as citrate of magnesia. The evening before surgery the patient should take a [more...]

Date: 2009-04-24 12:57:24

Metoidioplasty and Scrotoplasty Surgeons, Part 5: Dr. Meltzer ...

Metoidioplasty and Scrotoplasty Surgeons, Part 5: Dr. Meltzer Originally, Dr. Toby Meltzer was not on my radar as a potential surgeon for metoidioplasty. I hadn’t researched him very closely because I knew his costs were high, and I liked Dr. Miro’s aesthetic results a little more. However, Dr. Meltzer’s reported 2% complication rate stuck in my head. Inspired by my hysterectomy experience, reducing the risks of complication is my top priority. I had the chance to see Dr. Meltzer’s presentation, FTM: GRS, at the Gender Odyssey Conference last week in Seattle. These are the points [more...]

Date: 2009-09-16 23:25:09

Spontaneous healing of VVF

More specifically, the colpocleisis* would need to be done very carefully as the bladder may be more adhered to the vaginal wall than normal.  Because I will not require corrective surgery for the VVF though, tissues required for metoidioplasty (with urethral lengthening) will be left untouched, making me no less a candidate as I had previously feared. * In this procedure, also referred to as a vaginectomy, the mucosa of the vagina is ablated and the muscular walls of the vagina are fused together. The message I am taking from my VVF experience It is believed that my VVF was caused by an [more...]

Date: 2009-04-15 02:44:59

Metoidioplasty and Scrotoplasty Surgeons, Part 4: Dr. Djordjevic ...

These prices include all anesthesiologist and facility fees (and do not include vaginectomy.) Is an in-person consultation required prior to booking surgery? A consultation is required, but it can be done via email. What kind of waiting list do you have? Do you perform this in one or two surgeries? One surgery. Where do you perform these procedures? University Hospital or St. Medica in Belgrade, Serbia. Do you require patients to stop taking testosterone prior to surgery? Yes, patient must stop taking testosterone 2-3 weeks before [more...]

Date: 2008-12-07 04:19:17

Uterine prolapse

Estrogen replacement therapy (oral or vaginal cream) can increase the blood supply to the vaginal tissues and in mild cases increase supporting tissue strength to a point where surgery or pessary use may be avoided Contraindications: Those associated with the use of estrogen. Refer to manufacturer's literature. Precautions: If estrogen therapy is utilized and the uterus is present, progesterone should be utilized to offset the potential of endometrial carcinoma Significant possible interactions: Refer to manufacturer's literature PREVENTION/AVOIDANCE: Kegel exercises will increase the [more...]

Date: 2010-02-21 04:13:00

Drs. Miklos & Moore : World Renowned Surgeons

They are very expert on the following types of surgery : Anterior Repair Posterior Repair LAVH Paravaginal Repair(Cystocele) Burch TVT Sling Transobturator (TOT) Sling mini sling Sacral Colpopexy Colpocleisis Interstim Enterocele Repair Vesicovaginal Fistula Uterosacral Ligament Sacrospinous Ligament Adhesiolysis Vault Suspension Supracervical Hysterectomy Perigee Vaginal Mesh Apogee Vaginal Mesh Perineoplasty Laser Vaginal Rejuvenation Labial Reduction Hymen [more...]

Date: 2008-08-12 00:30:00

MedCastle » How Do You Treat Second-Degree Cystocele?

How Do You Treat Second-Degree Cystocele? A 46-year-old woman presents to your office complaining of something bulging from her vagina for the past year. It has been getting progressively more prominent. She has started to notice that she leaks urine with laughing and sneezing. She still has periods regularly every 26 days. She is married. Her husband had a vasectomy for contraception. After appropriate evaluation, you diagnose a second-degree cystocele. She has no uterine prolapse or rectocele. Which of the following is the best treatment plan to offer this patient? a. Anticholinergic [more...]

Date: 2009-10-23 10:02:11

Congress news

Over a four day period Pelvic Reconstructive Surgery came under the spotlight as never before in Europe. A full day session was done on the anatomical considerations necessary for successful vaginal surgery, followed by sessions on the [more...]

Date: 2006-05-11 07:03:00

Featured New Book Titles, 03/22/07

This text/DVD package is a step-by-step, thoroughly illustrated guide to state-of-the-art techniques in vaginal surgery. The book details the latest techniques and technologies for operating through the vagina, documents the evidence [more...]

Date: 2007-03-22 18:08:00

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