Editorial Editorial
The
editors and staff of Pelviperineology would like to wish all our readers around
the world a happy New Year and holiday season. Our readers are located in every
part of the globe and include all ethnic and religious groups. Please accept
our best wishes for whatever festival or celebration is appropriate. We are hoping
that 2009 will be another successful year for our journal and associated societies. [More]
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Pdf
The
editors and staff of Pelviperineology would like to wish all our readers around
the world a happy New Year and holiday season. Our readers are located in every
part of the globe and include all ethnic and religious groups. Please accept
our best wishes for whatever festival or celebration is appropriate. We are hoping
that 2009 will be another successful year for our journal and associated societies. [More] Full Text Pdf Retrospective Review
The TVT-O Procedure with the cough test in theatre: Preliminary retrospective case series study in the first 25 women
by N. Gad - S. Thomas - A. Nagy
Stress urinary incontinence (SUI) is a common problem in women.
An epidemiological study has showed that 30% of women aged 50 years
old have urinary incontinence and that of these up to 70% have
complaints of SUI. The tension-free vaginal tape procedure (TVT)
has revolutionized the treatment of female stress urinary incontinence (SUI).
Five years later Delmore described an outside-in transobturator approach
for the surgical placement of suburethral tapes. This new approach aims
to avoid the potential complications associated with the retropubic approach
such as injury to bowel, or major blood vessels and reduce the risk of injury
to bladder or urethra. [More]
Full Text Pdf
Stress urinary incontinence (SUI) is a common problem in women.
An epidemiological study has showed that 30% of women aged 50 years
old have urinary incontinence and that of these up to 70% have
complaints of SUI. The tension-free vaginal tape procedure (TVT)
has revolutionized the treatment of female stress urinary incontinence (SUI).
Five years later Delmore described an outside-in transobturator approach
for the surgical placement of suburethral tapes. This new approach aims
to avoid the potential complications associated with the retropubic approach
such as injury to bowel, or major blood vessels and reduce the risk of injury
to bladder or urethra. [More] Full Text Pdf
Review
Modern surgical management of hemorrhoids
by Charles F.M. Evans - Syed A. Hyder - Simon B. Middleton
Hemorrhoidal
tissue is a normal component of the anal canal and is composed predominantly
of vascular tissue, supported by smooth muscle and connective tissue. It's
function is to provide complete closure to the anus at rest and protection
of the underlying muscle during defaecation. Hemorrhoidal disease is one of
the most common anorectal conditions although the exact incidence is difficult
to determine because many people are reluctant to seek medical advice due to
various personal, cultural and socioeconomic reasons. Estimates of the proportion
of the UK population affected range from 4.4% to 24.5% whilst more than 15
million people are believed to be affected annually within the United States. [More]
Full Text Pdf
Hemorrhoidal
tissue is a normal component of the anal canal and is composed predominantly
of vascular tissue, supported by smooth muscle and connective tissue. It's
function is to provide complete closure to the anus at rest and protection
of the underlying muscle during defaecation. Hemorrhoidal disease is one of
the most common anorectal conditions although the exact incidence is difficult
to determine because many people are reluctant to seek medical advice due to
various personal, cultural and socioeconomic reasons. Estimates of the proportion
of the UK population affected range from 4.4% to 24.5% whilst more than 15
million people are believed to be affected annually within the United States. [More] Full Text Pdf Original
Article
Neurophysiological modification of pelvic floor parameters during sacral nerve neuromodulation
by E. Andretta et al.
Sacral neuromodulation (SNM) works on the neural reflexes that influence the bladder, rectum and pelvic floor. Since the initial experience of the nineteen eighties SNM has been widely used to treat both bladder and rectal dysfunction but the exact mechanism of action is still unknown. The aim of this study was to investigate the functional modifications of peripheral perineal innervation using SNM. The study involved 27 patients (3 males, 24 females) affected by urinary incontinence (44%), urinary retention (30%), obstructed defecation (18%), fecal incontinence (4%), and chronic pelvic pain (4%). [More]
Full Text Pdf
Sacral neuromodulation (SNM) works on the neural reflexes that influence the bladder, rectum and pelvic floor. Since the initial experience of the nineteen eighties SNM has been widely used to treat both bladder and rectal dysfunction but the exact mechanism of action is still unknown. The aim of this study was to investigate the functional modifications of peripheral perineal innervation using SNM. The study involved 27 patients (3 males, 24 females) affected by urinary incontinence (44%), urinary retention (30%), obstructed defecation (18%), fecal incontinence (4%), and chronic pelvic pain (4%). [More] Full Text Pdf Original Article Comparison of accuracy of functional measurements of the urethra in transperineal vs. endovaginal ultrasound in incontinent women
by
A. Stankiewicz Et Al.
Female
urinary incontinence (UI) and pelvic organ prolapse (POP) are conditions with
severe economic and psychosocial impact affecting millions of women. It is
estimated that almost 30% of women older than 35 years suffer from POP and/or
UI. The etiology of PFD is multifactorial and includes surgical interventions,
number and type of deliveries, hormones' profile, aging, obesity. The diagnosis
of these conditions is based on physical examination and imaging, mostly on
ultrasound examination. Transperineal ultrasound (TPUS) and endovaginal ultrasound
(EVUS), which are widely used, give only general information on anatomy, anatomical
relationships and mobility of pelvic floor structures, but are insufficient
to give a highly detailed assessment. Recently introduced high resolution three-dimensional
(3D) EVUS seems to be a very promising modality to improve the imaging of female
pelvic floor dysfunctions. [More]
Full Text Pdf
Female
urinary incontinence (UI) and pelvic organ prolapse (POP) are conditions with
severe economic and psychosocial impact affecting millions of women. It is
estimated that almost 30% of women older than 35 years suffer from POP and/or
UI. The etiology of PFD is multifactorial and includes surgical interventions,
number and type of deliveries, hormones' profile, aging, obesity. The diagnosis
of these conditions is based on physical examination and imaging, mostly on
ultrasound examination. Transperineal ultrasound (TPUS) and endovaginal ultrasound
(EVUS), which are widely used, give only general information on anatomy, anatomical
relationships and mobility of pelvic floor structures, but are insufficient
to give a highly detailed assessment. Recently introduced high resolution three-dimensional
(3D) EVUS seems to be a very promising modality to improve the imaging of female
pelvic floor dysfunctions. [More] Full Text PdfCommentary Invited
comment: A new theory of anorectal function by
D. Chatoor and A. Emmanuel
Thanks
for asking us to comment on this manuscript by Petros and Swash, on various
studies and case reports focusing on the central hypothesis that augmenting
ligamentous support improves muscular loading which leads to improved muscular
contractility. The studies on the continence mechanism also hypothesize that
directional forces of muscular and ligamentous opposition are important.Many
studies have an running theme of a mid urethral sling procedure for urinary
incontinence producing “cure” of concomitant “idiopathic” faecal
incontinence. While we don’t dispute the observational findings, these
studies provide little objective evidence to support the hypotheses of the
aetiological role of ligament and muscle loading abnormalities. [More]
Full Text Pdf
Thanks
for asking us to comment on this manuscript by Petros and Swash, on various
studies and case reports focusing on the central hypothesis that augmenting
ligamentous support improves muscular loading which leads to improved muscular
contractility. The studies on the continence mechanism also hypothesize that
directional forces of muscular and ligamentous opposition are important.Many
studies have an running theme of a mid urethral sling procedure for urinary
incontinence producing “cure” of concomitant “idiopathic” faecal
incontinence. While we don’t dispute the observational findings, these
studies provide little objective evidence to support the hypotheses of the
aetiological role of ligament and muscle loading abnormalities. [More] Full Text PdfOriginal ArticleTransanal doppler-guided hemorrhoidal artery ligation / recto anal repair (HAL-RARŪ) for treatment of Grade 3-4 hemorrhoids: a new mini-invasive technology
by
E. A. Zagryadskiy - S. I. Gorelov
There are several well-established procedures such as Milligan-Morgan, Parks, and Ferguson, which are considered the gold standard in treating Grade III-IV hemorrhoidal disease. Surgical hemorrhoidectomy is a notoriously painful procedure, and much research over the last two decades has concentrated on reducing posthemorrhoidectomy pain resulting from these surgical incisions. This effort has resulted in outpatient treatments such as sclero-therapy, rubber band ligation, Ultroid and Bipolar diathermy coagulation, and infrared photocoagulation. This process accelerated the need for "minimally invasive" treatment methods also for the higher Grade III-IV patients. [More]
Full TextPdf
There are several well-established procedures such as Milligan-Morgan, Parks, and Ferguson, which are considered the gold standard in treating Grade III-IV hemorrhoidal disease. Surgical hemorrhoidectomy is a notoriously painful procedure, and much research over the last two decades has concentrated on reducing posthemorrhoidectomy pain resulting from these surgical incisions. This effort has resulted in outpatient treatments such as sclero-therapy, rubber band ligation, Ultroid and Bipolar diathermy coagulation, and infrared photocoagulation. This process accelerated the need for "minimally invasive" treatment methods also for the higher Grade III-IV patients. [More] Full TextPdf PelviperineologyBasic anatomic features in perineologyby
T. Mouchel - F. Mouchel
Perineology is based on the diagnosis and treatment of "specific defects" so it is important to define these "defects" and for this purpose a good knowledge of anatomy is necessary. Although the anatomy of this area may seem well described in textbooks, some key features are usually underestimated or even forgotten. In order to improve the understanding of this complicated anatomy, we present a simplified three-dimensional model that describes the most important features of the functional anatomy together with some demonstrative figures. [More]
Full Text Pdf
Perineology is based on the diagnosis and treatment of "specific defects" so it is important to define these "defects" and for this purpose a good knowledge of anatomy is necessary. Although the anatomy of this area may seem well described in textbooks, some key features are usually underestimated or even forgotten. In order to improve the understanding of this complicated anatomy, we present a simplified three-dimensional model that describes the most important features of the functional anatomy together with some demonstrative figures. [More] Full Text Pdf Pelvic Floor
Digest December
2008 Issue Pelvic Floor Digest [243 kb]
This
section presents a small sample of the Pelvic Floor Digest (December 2008),
an online publication (www.pelvicfloordigest.org) that
reproduces titles and abstracts from over 200 journals. The goal is to increase
interest in all the compartments of the pelvic floor and to develop an interdisciplinary
culture in the reader. [PDF]
Pdf
[243 kb]This
section presents a small sample of the Pelvic Floor Digest (December 2008),
an online publication (www.pelvicfloordigest.org) that
reproduces titles and abstracts from over 200 journals. The goal is to increase
interest in all the compartments of the pelvic floor and to develop an interdisciplinary
culture in the reader. [PDF] Pdf