Pelviperineology

Editorial Pelviperineology 2012 editorial lines

Pelviperineology publishes original articles devoted to the study of the pelvic floor as an integrated system highlighting the point of view of different specialists in urology, gynaecology and colorectal surgery. Articles should contain the most recent references and state of the art in problems concerning the pelvic area. The journal welcomes as well articles that may update non specialists in this field, for example internal medicine physicians, family doctors, neurologists, etc., about conditions of general interest involving the pelvic floor and how they can be resolved with a multidisciplinary approach.  [More]

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Editorial Urogynecology in China by Qing-Kai Wu, Lai-Min Luo

Though the International Urogynecology Society has been established for many years, Chinese doctors adopted a more organized approach to modern pelvic floor reconstruction, dates from the year 2000. Prior to this, Chinese doctors had been engaged in pelvic surgery, such as anti-incontinence surgery (for example, transabdominal or laparoscopic Burch surgery), vaginal hysterectomy for uterine prolapse, anterior and posterior vaginal wall repair for vaginal prolapse, Manchester Repair surgery and Le Fort surgery. [More]

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Original article Is there any difference? A prospective, multicenter, randomized, single blinded clinical trial, comparing TVT with TVT-O (POLTOS study) in management of stress urinary incontinence. Short-term outcomes by Artur J. Jakimiuk, Tadeusz Issat, Anna Fritz-Rdzanek, Tomasz Maciejewski,Artur Rogowski, Wlodzimierz Baranowski.

Stress urinary incontinence (SUI) is defined as involuntary loss of urine associated with activities increasing intraabdominal pressure, such as coughing, laughing, sneezing or performing the Valsalva maneuver, affecting up to 65% of women aged 45-49. Many surgical approaches for SUI treatment have been suggested, with different level of success. Until the mid- 1990s the gold standard was Burch colposuspension.  [More]

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Neurourology Is tolterodine as effective as oxybutynin in overactive bladder caused by spinal cord injury? by Elena Andretta, Bruno Bonadimani, Mauro Pastorello, Enrico Cossaro, Giorgio Artuso

Many neurourologists consider oxybutynin (OX) more effective than tolterodine (TL) in the treatment of the overactive bladder caused by the sovrasacral spinal cord injury (SCI) in the picture of the detrusor-sphincter dyssinergy (DESD). In DESD the antimuscarinics are usually used to abolish detrusor contractions in order to permit voidings by clean intermittent catheterism (CIC). However, in literature there is no a clear and well established evidence although these drugs were mainly compared in idiopathic overactive bladder or in a few and different types of neurogenic overactive bladder. [More]

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Original article Conversion from abdominal sacrocolpopexy to vaginal surgery with transobturator mesh placement in the treatment of vaginal vault prolapse by Haim Krissi, Yoav Peled

Vaginal vault prolapse may be treated by laparoscopic or abdominal sacrocolpopexy or by vaginal suspension procedures. Laparoscopic sacrocolpopexy that prove to be too complex can be completed via an abdominal approach. This is the first report in the literature of conversion from abdominal sacrocolpopexy to vaginal surgery with synthetic mesh insertion via the transobturator route. [More]

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Original article Urinary and anal incontinence after childbirth in primiparous women: A multicentric study by Gabriella Torrisi, Giuseppe Ettore, Elisabetta D'Urso, Elisa Pappalardo, Sebastiana Ferraro, Gianfranco Minini, Francesco Bernasconi, Antonio Perrone, Gennaro Trezza, Diego Marchesoni, Pier Giorgio Driul, Vincenzo Guardabasso

Perineal dysfunctions, including urinary and anal incontinence and pelvic organ prolapse, are one of the most important problems affecting public health because of their high prevalence and costs and the impact on women's social and psychological life. The literature of last twenty years suggests a strong relation between childbirth and the development of perineal dysfunctions at both short and long term.  [More]

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Case report Prospective study on 185 females with urinary incontinence treated by an outside-in transobturator suburethral sling by Thibaut Castaings, Nicolas Abello, Doctor Emmanuel Delorme

In 2001 we described and published information on the first group of patients treated for stress urinary incontinence by the implantation of a transobturator sling to treat stress urinary incontinence (SUI). The initial objective of the transobturator sling was to use synthetic tape to reproduce the suburethral fascia described by Delancey. In 1998, we used suburethral slings sutured to the obturator external muscle, at the level of the tendinous arch on both sides of the urethra.  [More]

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Case report Repair of posterior perineal hernia with biological mesh: a case report by Ivana Giannini, Filippa Cuccia, Maria Lemma, Gianluigi Gigante And Donato Francesco Altomare

Pelvic floor hernia is a rare condition, often difficult to diagnose, characterized by the protrusion of intra-abdominal viscera through a defect in the pelvic floor. The first description of this condition was a case of perineal hernia after a proctectomy. Since then several other cases, with different etiology and modality of care, were published.  [More]

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Case report Salvage operation for urethral perforation caused by TVT removal for severe urinary incontinence. A case report by Max Haverfield, Peter Petros

"Tension-free tape" midurethral slings have now become the gold standard for cure of stress incontinence. However, they are not without complications. Though organ, vascular and nerve damage has been reported, the commonest and most persistent problems concern tape complications which occur in up to 5% of patients in the longer term. Most tape complications consist of vaginal erosions, but urethral and undetected bladder perforations have also been reported.  [More]

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Case report Enterocele in a perfectly healthy 59-year old woman: a case report by Pauline Seguban, Navleen Gill

A 59 year old, African-American woman was admitted to the emergency room, following the development of sudden lower abdominal pain and vaginal bleeding. She is post menopausal and has not had any vaginal bleeding for 10 years. The pain had become progressively worse and is sharp and constant. Patient denies any recent vaginal trauma. Her last sexual intercourse was 2 weeks prior, after which she had no discomfort or vaginal bleeding. She does not have a history of any abdominal or gynecological surgeries.  [More]

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Book Rewiev Prevention and Treatment of Complications in Proctological Surgery by Mario Pescatori

"The volume is authored by a colorectal surgeon with long-standing clinical and scientific experience and is devoted to the management of complications following surgery of the anorectum and the pelvic floor. It is aimed not only at general surgeons, colorectal surgeons, perineologists and, of course, proctologists, but also at gastroenterologists, endoscopists, radiologists, and physiotherapists, i.e. those who may be involved in both diagnosis and cure whenever an adverse event, either unpredictable or potentially preventable, causes an intra- or postoperative, early or late, mild or lifethreatening complication.  [More]

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