Published in Diseases of the Colon & Rectum
PURPOSE: The aim of this study was to evaluate operative mortality, morbidity, and functional results after Ripstein rectopexy for rectal prolapse and internal rectal intussusception. METHODS: Sixty-nine patients with rectal prolapse and 43 with internal rectal intussusception were included. All patient records were studied and complications regist...
Published in American Journal of Obstetrics and Gynecology
Interest in vaginal hysterectomy is rising. Controversy remains regarding the value of conservation of the cervix at hysterectomy. Subtotal vaginal hysterectomy is a simple procedure that carries a low risk of morbidity. In combination with sacrospinous fixation it can be an option in the management of patients with marked uterine prolapse who desi...
Published in World Journal of Urology
The anatomy of the levator ani muscle was studied in relation to the urinary bladder. The study was performed on 23 cadavers by dissection and microscopic examination. The levator ani is funnel-shaped and consists of a transverse portion called the levator plate and a vertical portion called the suspensory sling. The levator plate is a cone and con...
Published in International Urogynecology Journal
The aim of the study was to evaluate the use of a vaginal pessary in the detection of genuine stress incontinence (GSI) in women with urogenital prolapse undergoing urodynamic investigation. Continent women with urogenital prolapse, with or without associated urinary symptoms, were studied. All underwent video-cystourethrography using a standarized...
Published in Diseases of the Colon & Rectum
PURPOSE: Objectives of this study were to describe the technique of laparoscopic-assisted resection rectopexy and audit the clinical outcomes, including review of functional results. METHODS: Data were prospectively collected for duration of operation, time to passage of flatus and feces postoperatively, hospital stay, morbidity, and mortality. Fol...
Published in International Urogynecology Journal
Gynecologists have traditionally evaluated rectocele repair by its effect on vaginal function; coloproctologists have traditionally evaluated its effect on bowel function. Hence different operative criteria and surgical techniques have arisen, but with very little prospective, objective evaluation. The purpose of this review is to describe the surg...
Published in International Urogynecology Journal
Management of vault prolapse in a patient who has previously undergone successful colposuspension has not been considered in the literature. The two cases presented highlight the risk of incontinence and illustrate measures that should help to reduce it. The approach aims to reveal potential stress incontinence and to prevent excessive stretching o...
We report a case of a benign fibroepithelial polyp of the lowermost ureter, which prolapsed into the bladder and was associated with a huge, impacted ureteral stone. The polyp was considered to have resulted from chronic irritation of the ureteral mucosa caused by the stone. Review of the literature showed that six out of 74 reported cases had conc...
尿管腫瘍の膀胱内脱出3例を呈した.下部尿管に腫瘍が発生し,腫瘍がlow gradeで,壁内浸潤もほとんどない場合,腫瘍は増大するとあたかも尿管結石のごとく膀胱内に排出する.腫瘍局在の尿管壁は周囲組織の固着が弱いため,腫瘍とともに下部尿管に陥入し,順行性に尿管の重積が起る.腫瘍が尿管内にある時はobstructiveであるが,膀胱内に脱水すれば通過障害は解除されるであろう.腫瘍が増大すれば再び通過障害が起るかも知れない.陥入する尿管が膀胱内まで下降すると,尿管口は開大し,膀胱尿管逆流防止機構がそこなわれ,陥入した尿管内へ逆流が生ずる可能性がある.尿管腫瘍の膀胱内脱出は通常尿管重積をともないlow grade, low stageの一つのsignと考えられる.従って,膀胱内脱出例は,単発である場...
A case of rhabdomyosarcoma of the urinary bladder in a child with urethral prolapse is reported. The patient was an 18-month-old girl and was admitted to our clinic with complaints of micturition pain, hematuria and tumor of the vulva. Histological examination revealed that this tumor was urethral prolapse. A grape-like tumor was demonstrated at bl...
