scholarly journals Incarcerated Uterus Presenting as Short Cervix and Placenta Previa

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Ali Alhousseini ◽  
Salam Zeineddine ◽  
Adham Alsamsam ◽  
Bernard Gonik ◽  
Jacques Abramowicz ◽  
...  
Keyword(s):  
Placenta Previa ◽  
Rare Complication ◽  
Vaginal Wall ◽  
Cervical Length ◽  
Anterior Vaginal Wall ◽  
Ultrasound Images ◽  
Presumptive Diagnosis ◽  
Short Cervix ◽  
Spontaneous Correction

Introduction. Incarcerated uterus is a rare complication of pregnancy, usually associated with retroversion. Case. A 26-year-old woman presents at 19 4/7 weeks for evaluation of a short cervix and placenta previa. On ultrasound scan, the placenta was considered previa and the cervix was not visualized. The cervix was not identified by pelvic examination and the presumptive diagnosis of short cervix was done. The patient was followed up closely and remained asymptomatic. Retrospective analysis of the ultrasound images showed a retroverted uterus with an elongated cervix compressed towards the anterior vaginal wall. At 26 weeks of gestation, ultrasound showed a cervical length of 41 mm and a fundal placenta and the diagnosis of spontaneous correction of an incarcerated uterus was made. The patient had an uncomplicated vaginal delivery at 39 3/7 weeks. Comment. Identification and close follow-up of incarcerated uterus may potentially help in avoiding serious obstetrical and surgical complications.

scholarly journals DOUBLE TRANSOBTURATOR APPROACH TO TREATING CYSTOCELE

2010 ◽  
Vol 22 (3) ◽  
pp. 17
Author(s):  
S. Bandiera ◽  
G. Raciti ◽  
A. Aloisi ◽  
M. Arena ◽  
R. Giordano ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Cure Rate ◽  
Anterior Vaginal Wall Prolapse ◽  
Safety And Efficacy ◽  
Vaginal Erosion ◽  
Lower Recurrence Rate ◽  
A New Technique

The aim of this study is to show the safety and efficacy of the double transobturator approach, a new technique for anterior vaginal wall prolapse, using several different kinds of meshes (synthetic and biological).This is a retrospective study of 74 women treated between 2005 and 2007. The patients underwent a 3, 6 and 12 month follow-up. The anatomical cure rate, defined as grade of prolapse <2, was 79.7%. Fifteen patients had a recurrence, 12 were treated with biological VS meshes and 3 were treated with synthetic meshes. Vaginal erosion was reported in 5 (6.7%) of these patients, two of whom were treated with topic estrogenic therapy, and three of whom with partial excision. These results suggest that this technique is safe and efficacious and that the best meshes to use are synthetic meshes, because they have a lower recurrence rate than biological meshes.

No mesh versus mesh in the treatment of anterior vaginal wall prolapse: prospective, randomised, controlled trial, long-term follow-up

2020 ◽  
Vol 52 (10) ◽  
pp. 1839-1844
Author(s):  
José Tadeu Nunes Tamanini ◽  
Leonardo Oliveira Reis ◽  
Mirce Milhomem da Mota Tamanini ◽  
Rodrigo Aquino Castro ◽  
Marair Gracio Ferreira Sartori ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Vaginal Wall Prolapse ◽  
Long Term Follow Up ◽  
Randomised Controlled

Modified Two-corner Raz Suspension Procedure for Cystocele Repair: A Novel Technique

2016 ◽  
Vol 8 (2) ◽  
pp. 130-135
Author(s):  
Urmila Sharma ◽  
Ritu Agarwal ◽  
Nilesh L Goraniya ◽  
Sumesh D Choudhary ◽  
Pradeep J Bandwal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Stage Iv ◽  
Anterior Wall ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Stage Ii ◽  
Novel Technique

ABSTRACT Introduction Prolapse of anterior vaginal wall is a common problem in both perimenopausal and postmenopausal women. In past 200 years, surgical management of cystocele has undergone many changes from Kelly's plication to mesh reinforcement but none of these procedures proved to be 100% effective. Modified two-corner Raz suspension procedure (MTCRSP) can be used for the treatment of POP-Q (pelvic organ prolapse quantification) stage II to IV anterior vaginal wall prolapse (AVP). Objectives To assess the effectiveness of modified two-corner Raz suspension procedure (MTCRSP) in long-term success for cystocele repair and its effect on quality of life. Study design A hospital-based prospective study. Materials and methods Twelve patients underwent modified two-corner Raz procedure and were followed postoperatively for a period of 1 year at regular intervals. During follow-up, we assessed the degree of prolapse by POP-Q, quality of life, and sexual dysfunction. Results Preoperatively, 3 out of 12 (25%) patients had stage II, five had (41.66%) stage III, and four (33.33%) had stage IV prolapse. Postoperatively, at 1 month follow-up, one (8.33%) patient developed stage II anterior wall prolapse, which progressed to stage IV prolapse at 3 months. Two more patients developed stage II prolapse at 3-month follow-up. Failure rate at the end of 1 year was 25% (3/12). Prolapse quality of life (PQOL) improved in 10 out of 12 (83.33%) patients. While PGII (patient global impression of improvement) score improved in 11 out of 12 (91.66%) women. Conclusion Modified two-corner Raz suspension procedure is an effective technique with long-term success in stage II and III prolapse but a limited success in stage IV AVP. How to cite this article Mishra VV, Goraniya NL, Choudhary SD, Sharma U, Bandwal PJ, Tanvir T, Agarwal R. Modified Two-corner Raz Suspension Procedure for Cystocele Repair: A Novel Technique. J South Asian Feder Obst Gynae 2016;8(2):130-135.

Subjective and objective results of anterior vaginal wall repair in an outpatient clinic: a 5-year follow-up

2012 ◽  
Vol 23 (7) ◽  
pp. 883-886 ◽  
Author(s):  
S. Greisen ◽  
M. Glavind-Kristensen ◽  
K. M. Bek ◽  
S. M. Axelsen
Keyword(s):  
Outpatient Clinic ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall

scholarly journals Treatment of Anterior Vaginal Wall Prolapse Using Transvaginal Anterior Mesh With Apical Fixation: A Prospective Multicenter Study With up to 2 Years of Follow-up

2018 ◽  
Vol 22 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Paulo César Rodrigues Palma ◽  
Marilene Vale de Castro Monteiro ◽  
Marta Alicia Ledesma ◽  
Sebastián Altuna ◽  
Juan José Luis Sardi ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Vaginal Wall Prolapse ◽  
Prospective Multicenter Study

Outcomes After Anterior Vaginal Wall Repair With Mesh: A Randomized, Controlled Trial With a 3-year Follow-up

2011 ◽  
Vol 66 (7) ◽  
pp. 411-413 ◽  
Author(s):  
Kari Nieminen ◽  
Reijo Hiltunen ◽  
Teuvo Takala ◽  
Eila Heiskanen ◽  
Mauri Merikari ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Randomized Controlled

scholarly journals Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Bilal Chughtai ◽  
Sara Spettel ◽  
Jonathan Kurman ◽  
Elise De
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Incontinence ◽  
Real Life ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Sling Procedure ◽  
Occult Stress Urinary Incontinence ◽  
Anatomic Results

Objective. We evaluated the use of a one-week ambulatory pessary trial in predicting patients' postoperative outcomes for occult stress incontinence.Methods. Patients with anterior vaginal wall prolapse were offered a pessary trial to predict response to reconstruction. We performed a retrospective review of 4 years of cases. All patients underwent a detailed evaluation including videourodynamics with and without pessary reduction.Results. Twenty-six patients completed the 1-week pessary trial. Ten (38%) women showing no evidence of stress urinary incontinence (SUI) underwent surgical repair of prolapse without anti-incontinence procedure. None of these patients had SUI postoperatively. Sixteen women (61%) had occult stress urinary incontinence on evaluation and underwent concurrent sling procedure. Three (19%) of these patients were identified by the pessary trial alone. Twenty-five of the 26 patients were without clinical stress incontinence at a mean follow up of 12 months (range 4–37 months). The pessary trial correctly predicted persistent urgency in six patients and persistent frequency in five. No patients with SUI or persistent voiding difficult were missed in a pessary trial.Conclusion. An ambulatory pessary trial is an effective, easy, and inexpensive method to approximate anatomic results achieved by surgery under real-life conditions. In our series, 20% of patients with occult SUI were identified by pessary trial alone.

Outcomes after anterior vaginal wall repair with mesh: a randomized, controlled trial with a 3 year follow-up

2010 ◽  
Vol 203 (3) ◽  
pp. 235.e1-235.e8 ◽  
Author(s):  
Kari Nieminen ◽  
Reijo Hiltunen ◽  
Teuvo Takala ◽  
Eila Heiskanen ◽  
Mauri Merikari ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Randomized Controlled
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