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2011 Complete Issue 
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The Complete Pelviperineology March 2011 Issue
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New High Resolution Pelviperineology
PDF format: [PDF 16 Mb]
[3.6 Mb]The Complete Pelviperineology March 2011 Issue
PDF format: [PDF 3.6 Mb]New High Resolution Pelviperineology
PDF format: [PDF 16 Mb] Editorial Editorial: Pelvic floor prolapse mesh reconstruction-mesh choice
Accurate diagnosis of all the prolapse features and site specific support requirements identification are mandatory for proper mesh choice. It is the presence of isolated apical supportive defect only at the central pelvic floor compartment or any additional anterior and/or posterior compartments prolapse that determine the requested mesh shape. It is the coexistence of urinary stress incontinence that indicates the need for additional mid-urethral support. The elected mesh or combination of meshes should be providing support for all the prolapsed pelvic floor sites. One must beer in mind that some commercially available anterior compartment meshes are designed for cystocele repair only while others provides the possibility to suspend the prolapsed uterus by cervical ring attachment, thus permitting it to be preserved. [More]
Pdf [23 kb]
Accurate diagnosis of all the prolapse features and site specific support requirements identification are mandatory for proper mesh choice. It is the presence of isolated apical supportive defect only at the central pelvic floor compartment or any additional anterior and/or posterior compartments prolapse that determine the requested mesh shape. It is the coexistence of urinary stress incontinence that indicates the need for additional mid-urethral support. The elected mesh or combination of meshes should be providing support for all the prolapsed pelvic floor sites. One must beer in mind that some commercially available anterior compartment meshes are designed for cystocele repair only while others provides the possibility to suspend the prolapsed uterus by cervical ring attachment, thus permitting it to be preserved. [More] Pdf [23 kb] Editorial Editorial
In 2010 GA Santoro, AP Wieczorek, and CI Bartram edited a comprehensive new textbook entitled Pelvic Floor Disorders Imaging and Multidisciplinary Approach to Management.
This work is published by Springer and contains contributions from many of the most renowned International pelvic physicians and surgeons. The work presents a special emphasis on the role of diagnostic imaging. Pelviperineology is pleased to announce that we will be publishing a series of articles highlighting the different sections of this landmark book in the months to come. It goes without saying that this innovative work is a completely new approach covering the diagnosis and management of pelvic problems in one comprehensive volume. [More]
Pdf [117 kb]
In 2010 GA Santoro, AP Wieczorek, and CI Bartram edited a comprehensive new textbook entitled Pelvic Floor Disorders Imaging and Multidisciplinary Approach to Management.
This work is published by Springer and contains contributions from many of the most renowned International pelvic physicians and surgeons. The work presents a special emphasis on the role of diagnostic imaging. Pelviperineology is pleased to announce that we will be publishing a series of articles highlighting the different sections of this landmark book in the months to come. It goes without saying that this innovative work is a completely new approach covering the diagnosis and management of pelvic problems in one comprehensive volume. [More] Pdf [117 kb] Pelvic Organ Prolapse A template for the comprehensive evaluation of Pelvic Organ
Prolapse in a South African context by Ahmed Adam, Ameera Adam, Frans Van Wijk, Johann Coetzee, Brendan Bebington And Stephen Jeffery
Pelvic organ prolapse is a prevalent condition affecting approximately half the population of parous women. Since the thorough assessment of this entity may be an intimidating and somewhat daunting task to both registrar and specialist alike, we identified the need for a multi-disciplinary template in its evaluation. We compiled the first, locally compiled guide to be used by general practitioners, registrars in training and by any physician who is presented with pelvic organ prolapse in the clinical context. The above proposed template had been drafted and approved by physicians representing the background disciplines of Urology, Obstetrics and Gynaecology and General Surgery, with affiliations of four leading medical schools in South Africa being embraced. [More]
Pdf [33 kb]
Pelvic organ prolapse is a prevalent condition affecting approximately half the population of parous women. Since the thorough assessment of this entity may be an intimidating and somewhat daunting task to both registrar and specialist alike, we identified the need for a multi-disciplinary template in its evaluation. We compiled the first, locally compiled guide to be used by general practitioners, registrars in training and by any physician who is presented with pelvic organ prolapse in the clinical context. The above proposed template had been drafted and approved by physicians representing the background disciplines of Urology, Obstetrics and Gynaecology and General Surgery, with affiliations of four leading medical schools in South Africa being embraced. [More] Pdf [33 kb]Original Article Adjustable transobturator male system – ATOMS – for the treatment of post prostatectomy urinary incontinence: The surgical techniqueby Wilhelm Bauer, Clemens Brössner
To present and evaluate initial perioperative experience with a new surgical treatment for post-prostatectomy urinary incontinence. Method: Between May 2008 and December 2010, an adjustable, hydraulic substitute sphincter system (ATOMS) was implanted in a series of 120 patients. In 105 of these 120 procedures, implantation was carried out using an outside-in technique. Adjustments via the port were made intraoperatively, and again no earlier than 3 weeks postoperatively if required. Results: The median operating time, including the learning curve, was 36 minutes. There were no severe intraoperative or perioperative complications... [More]
Pdf [829 kb]
To present and evaluate initial perioperative experience with a new surgical treatment for post-prostatectomy urinary incontinence. Method: Between May 2008 and December 2010, an adjustable, hydraulic substitute sphincter system (ATOMS) was implanted in a series of 120 patients. In 105 of these 120 procedures, implantation was carried out using an outside-in technique. Adjustments via the port were made intraoperatively, and again no earlier than 3 weeks postoperatively if required. Results: The median operating time, including the learning curve, was 36 minutes. There were no severe intraoperative or perioperative complications... [More] Pdf [829 kb]Guidelines Treatment of chronic bacterial prostatitisby Florian Me Wagenlehner, John N Krieger
Bacterial infection of the prostate can be demonstrated by the Meares & Stamey 4-glass or the pre and post prostate massage (PPM) 2-glass test in only about 10% of men with symptoms of chronic prostatitis/chronic pelvic pain syndrome. Chronic bacterial prostatitis is mainly caused by Gram-negative uropathogens. The role of Gram-positives, such as staphylococci and enterococci, and atypicals, such as chlamydia, ureaplasmas, mycoplasmas, are still debateable. For treatment, fluoroquinolones are considered the drugs of choice because of their favourable pharmacokinetic properties and their antimicrobial spectrum, with the best evidence supporting ciprofloxacin and levofloxacin. The optimal treatment duration is 28 days. Relapse and reinfection due to antimicrobial resistant pathogens are major problems in chronic bacterial prostatitis. [More]
Pdf [62 kb]
Bacterial infection of the prostate can be demonstrated by the Meares & Stamey 4-glass or the pre and post prostate massage (PPM) 2-glass test in only about 10% of men with symptoms of chronic prostatitis/chronic pelvic pain syndrome. Chronic bacterial prostatitis is mainly caused by Gram-negative uropathogens. The role of Gram-positives, such as staphylococci and enterococci, and atypicals, such as chlamydia, ureaplasmas, mycoplasmas, are still debateable. For treatment, fluoroquinolones are considered the drugs of choice because of their favourable pharmacokinetic properties and their antimicrobial spectrum, with the best evidence supporting ciprofloxacin and levofloxacin. The optimal treatment duration is 28 days. Relapse and reinfection due to antimicrobial resistant pathogens are major problems in chronic bacterial prostatitis. [More] Pdf [62 kb]Pelvic Organ Prolapse Preoperative staging of prolapse does not correlate with symptoms and quality of lifeby Paul Duggan
The POP-Q system published in 1996 has become the standard system of quantification of pelvic organ prolapse (POP). Experts devised POP-Q for anatomical staging based on extensive clinical experience and opinion. However, there was no attempt to relate the staging in this system to other clinical parameters, notably function. Previous studies have found only a weak correlation between anatomical findings and symptoms associated with POP with the strongest correlation between maximal descensus of the anterior compartment and the symptom of presence of a bulge noticed by the patient. [More]
Pdf [33 kb]
The POP-Q system published in 1996 has become the standard system of quantification of pelvic organ prolapse (POP). Experts devised POP-Q for anatomical staging based on extensive clinical experience and opinion. However, there was no attempt to relate the staging in this system to other clinical parameters, notably function. Previous studies have found only a weak correlation between anatomical findings and symptoms associated with POP with the strongest correlation between maximal descensus of the anterior compartment and the symptom of presence of a bulge noticed by the patient. [More] Pdf [33 kb]