rectocele/obezitate

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Clinical and instrumental evaluation of pelvic floor disorders before and after bariatric surgery in obese women.

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BACKGROUND Obesity, well known as a risk factor for several diseases, can also lead to pelvic floor dysfunction (PFD). However, scant data are available regarding PFD in obese individuals. Our study was designed to assess the prevalence, severity, and the quality of life (QOL) effect of PFD in obese

Treatment of recurrent urinary incontinence.

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This method of elevating the vesical neck with two permanent nylon sutures is effective for correcting primary or recurrent stress urinary incontinence and even total urinary incontinence in over 90% of patients. The cystoscope guides placement of the nylon sutures, and the buttress supports the

[Subjective and objective improvement of urinary incontinence in females following vaginal and abdominal incontinence operations].

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236 patients were reevaluated one year after vaginal or suprapubic continence surgery. Personal history, clinico-gynaecological status, morphology and urodynamics were considered. 70.6% respectively 82% of all patients considered themselves cured. These numbers correlate well with objective control

Clinical features of urinary incontinence and urogenital prolapse in a black inner-city population.

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OBJECTIVE Our purpose was to describe the clinical features and urodynamic findings of a black female inner-city population with urinary incontinence and uterovaginal prolapse. METHODS A retrospective review of the urogynecoloy records of 159 black female patients was performed. RESULTS Genital

[Pelvic organ prolapse].

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Pelvic organ prolapse of the female is a common disease with age dependent increase in incidence. The committee for standardisation of the International Continence Society recently suggested to avoid classical terms such as cystocele, rectocele or enterocele for the description of prolapse and to

Minimally invasive procedures for urethral incontinence: is there a role for laparoscopy?

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This article focuses on the minimally invasive surgical approaches for the treatment of stress urinary incontinence (SUI). The role of laparoscopic suspension is reviewed and compared with other minimally invasive techniques, such as the pubovaginal sling procedure and injection of the urethral

[Therapy of urinary stress incontinence by the Raz-Pereyra technic. Initial results].

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Needle bladder neck suspension for female urinary stress incontinence have been largely modified since the original description by A. Pereyra in 1959. The procedure utilized is known as modified Pereyra or raz bladder neck suspension. The hallmark of this operation is the blunt dissection of the

Chronic pelvic pain and rectal prolapse invite consideration of enterocele.

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Data on the pathogenesis and symptoms of enterocele are limited. The objectives of this study were to determine the clinical phenotype of patients with enterocele, to highlight the main functional and/or anatomic associations and to improve the accuracy of the preoperative assessment

[The role of ultrasound in the exploration of pelvic floor disorders].

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Dynamic ultrasound, especially perineal and introital, allows the appreciation of the prolapses (cystoptosis, bladder neck and urethral mobility,enterocele, rectocele). It remains, however, clearly more limited in the precise study of posterior colpoceles, and especially in anorectal disorders, than

[Visceral surgery].

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Visceral surgery has benefited from several significant therapeutical improvements in 2005. They involve more specifically endocrine surgery, obesity, ovarian cancer, rectocele and cystic pancreatic neoplasia. Minimal invasive surgery is increasingly used, for example in endocrine conditions and

Endoscopic suspension of the vesical neck for urinary incontinence in females. Report on 203 consecutive patients.

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The key to restoring urinary continence in the female is to raise the internal vesical neck of the bladder to a position behind the symphysis pubis. The operation which accomplishes this with the least morbidity, the most accuracy and the greatest permanency is endoscopic suspension; it is

Epidemiology of pelvic floor disorders between urban and rural female inhabitants.

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The aim of this study was to investigate the prevalence of pelvic organ prolapse in urban and rural women and to identify possible related factors. They were 1749 participants; one thousand four hundred seventeen (81%) urban women and 332 rural residents (19%). The urban and rural women were

Effect of weight change on natural history of pelvic organ prolapse.

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OBJECTIVE To evaluate the relationship between change in weight and pelvic organ prolapse (POP) progression/regression in women during a 5-year period. METHODS Postmenopausal women with uteri (N=16,608), ages 50 to 79, who were enrolled in the Women's Health Initiative (WHI) Estrogen plus Progestin

Pelvic organ prolapse in the Women's Health Initiative: gravity and gravidity.

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OBJECTIVE The purpose of this study was to describe the prevalence of and correlates for pelvic organ prolapse. METHODS This was a cross-sectional analysis of women who enrolled in the Women's Health Initiative Hormone Replacement Therapy Clinical Trial (n = 27,342 women). Baseline questionnaires

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