BSC mesh (A.M.I., Feldkirch, Austria) is attached to the sacrospinosus ligaments and to the apical part of the vagina.

EndoGYNious (A.M.I.) CSP mesh is attached laparoscopically to the apical part of the vagina.

EndoGYNious (A.M.I.) CSP mesh is attached laparoscopically to the apical part of the vagina with fixation reaching to the level of the levator planes.

Prolapse, Vaginal Vault

Transvaginal mesh operation using BSC mesh (A.M.I., Feldkirch, Austria)

Colposacropexy using EndoGYNious mesh (A.M.I., Feldkirch, Austria)

Colposacropexy

Transvaginal Mesh vs. Laparoscopic Colposacropexy- Study

Women`s Apical Pelvic Organ Prolapse Treatment - a Randomized Controlled Trial Comparing Transvaginal and Laparoscopic Mesh Surgery

Negative response to PDFI-20, question 3, at one-year following the surgery

peri- and post-operative complications as recorded in medical charts

Pain is evaluated by visual analogue scale (VAS; 0-10) scale

Studied by comparing both direct costs and QALYs.

Camilla Isaksson

Senior consultant

Helsinki University Central Hospital

symptomatic patient and suspicious to have ODS by history and clinical examination those patient will have MRI defecography

Asymptomatic group not suspicious to have ODS by history or clinical examination they will undergone MRI defecography

MRI Defecography, ODS

AssiutU university hospital

Role of MRI Defecography in Diagnosis of Obstructed Defecation Syndrome

sensitivity and specificity of MRI defecography in diagnosis of obstructed defecation syndrome and help physician in patient management by using modified Longo score for obstructed defecation syndrome.
data collected by history using Rome III guidelines.
imaging data :
Normal functional movements of the pelvic floor using pupococygeal line (PCL) as reference line, The anorectal angle (ARA) and Levator plate angle.
Pelvic floor relaxation: using H and M lines
Defecographic disorders: Rectocele, Intussusception, Rectal prolapse ,Descending perineal syndrome, Anismus, or spastic pelvic floor syndrome and Enterocele.
the imaging data will be correlated with operative data if patient candidate for operation and with clinical examination and modified Longo score patient no candidate for operation.

rectocele/obezite

Transvaginal Mesh vs. Laparoscopic Colposacropexy- Study

Role of MRI Defecography in Diagnosis of Obstructed Defecation Syndrome

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