ABSTRACT Hemorrhoids are the most common anorectal disorders with a prevalence of 39% in general population. Hemorrhoids are generally classified on the basis of their location and degree of prolapse. Goligher’s classification does not describe the number of hemorrhoidal columns involved and does not give much consideration to the amount of blood l...
Published in BMC Women's Health
BackgroundThe aim of this study was to explore the personal views of female gynecologists regarding the management of POP with a particular focus on the issue of uterine sparing surgery.MethodsA questionnaire based survey of practicing female gynecologists in the Czech Republic, Slovenia and Slovakia.ResultsA total of 140 female gynecologists from ...
Published in Annals of Medicine and Surgery
• Prolapsed epiploica of the bowel is a rare and potential complication after hysterectomy. • Higher risk of vaginal cuff dehiscence in early exposure to intercourse. • Surgical intervention is the primary treatment. • No definite suggestion on whether vaginal or abdominal approach is superior.
Published in Trials
BackgroundPelvic organ prolapse (or prolapse) is a common condition in women where the pelvic organs (bladder, bowel or womb) descend into the vagina and cause distressing symptoms that adversely affect quality of life. Many women will use a vaginal pessary to treat their prolapse symptoms. Clinic-based care usually consists of having a pessary fit...
Published in Trials
BackgroundProcess evaluations have become a valued component, alongside clinical trials, of the wider evaluation of complex health interventions. They support understanding of implementation, and fidelity, related to the intervention and provide valuable insights into what is effective in a practical setting by examining the context in which interv...
Published in BMC Health Services Research
BackgroundPelvic Floor Muscle Training (PFMT) has been shown to be effective for pelvic organ prolapse in women, but its implementation in routine practice is challenging due to lack of adequate specialist staff. It is important to know if PFMT can be delivered by different staff skill mixes, what barriers and facilitators operate in different cont...
Published in Acta biomaterialia
Polypropylene mesh is frequently used in urogynecology procedures; however, pain and mesh exposure into the vagina occur in ~10% of cases. Mesh-induced pain, which occurs with or without exposure, persists after removal in 50% of cases. Chronic pain history predicts poor response to mesh removal but only a fraction have this diagnosis. We hypothesi...
Published in Toxicon: X
• A feeding trial was conducted where gilts consumed varying amounts of zearalenone. • Zearalenone was found in the anterior vagina, posterior vagina, cervix, and ovaries. • Zearalenone concentrations were highest in the cervix. • Zearalenone and alpha-zearalenol were found in the liver.
Published in American journal of surgery
Rectal prolapse is relatively uncommon in male patients. The aim of this study was to compare males and females who underwent rectal prolapse surgery. Retrospective analysis of the ACS NSQIP public use file. Among 12,220 patients, 978 (8%) were male and 11,242 (92%) were female. Males were younger, 56 (38-73) vs. 71 (58-83) years, less often white ...
Published in International urogynecology journal
Sacrocolpopexy is the preferred contemporary approach to managing significant apical pelvic organ prolapse. Obesity is an established risk factor for several surgical procedures and can have a negative impact on outcomes. Our goal was to evaluate the impact of BMI on the safety and efficacy of laparoscopic sacrocolpopexy in women with pelvic organ ...
