Full Issue September
2010 Complete Issue 
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The Complete Pelviperineology September 2010 Issue
PDF format: [PDF 4.1 Mb]
New High Resolution Pelviperineology
PDF format: [PDF 24 Mb]
[4.1 Mb]The Complete Pelviperineology September 2010 Issue
PDF format: [PDF 4.1 Mb]New High Resolution Pelviperineology
PDF format: [PDF 24 Mb] AAVIS Editorial Editorial
AAVIS was established in 1997 by a small group of Australian gynaecologists with an interest in the new field of Ambulatory vaginal surgery pioneered by Petros and Ulmsten. In recent years AAVIS has developed into a multidisciplinary society which brings together like-minded individuals from a variety of disciplines, in particular gynaecologists, urologists and colorectal surgeons, all of whom share an interest in the complex problems relating to the female pelvic floor. Change occurs in everything we do, usually by necessity. The executive committee of AAVIS has recognised the importance of adapting to change - not only to engage more with its current members and to attract new members, but also to provide a more comprehensive knowledge base. [More]
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AAVIS was established in 1997 by a small group of Australian gynaecologists with an interest in the new field of Ambulatory vaginal surgery pioneered by Petros and Ulmsten. In recent years AAVIS has developed into a multidisciplinary society which brings together like-minded individuals from a variety of disciplines, in particular gynaecologists, urologists and colorectal surgeons, all of whom share an interest in the complex problems relating to the female pelvic floor. Change occurs in everything we do, usually by necessity. The executive committee of AAVIS has recognised the importance of adapting to change - not only to engage more with its current members and to attract new members, but also to provide a more comprehensive knowledge base. [More] Pdf [92 kb] Original Article Intestinal endometriosis: the gynaecologist, the radiologist and the colo-rectal surgeon as a multidisciplinary teamby Alessandro Fasciani, Ennio Biscaldi, Matteo Puntoni, Gian Andrea Binda
Endometriosis is the presence of endometrial-like tissue outside the uterus that induces a chronic inflammatory reaction. This is predominantly found in women of reproductive age of all ethnic and social groups and generally associated with pelvic pain and infertility. Infertility problems can impact on the physical, mental and social well being of a woman and can have a profound effect on her life, including the ability to finish an education, maintain a career, or to create a family. For these reasons the European Union Written Declaration has recognized endometriosis as a disease with an important economic impact on the community demonstrating a significant association with health costs related to diagnostic delays and therapeutic expenses including surgery, drugs, and assisted reproductive technologies (ART). [More]
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Endometriosis is the presence of endometrial-like tissue outside the uterus that induces a chronic inflammatory reaction. This is predominantly found in women of reproductive age of all ethnic and social groups and generally associated with pelvic pain and infertility. Infertility problems can impact on the physical, mental and social well being of a woman and can have a profound effect on her life, including the ability to finish an education, maintain a career, or to create a family. For these reasons the European Union Written Declaration has recognized endometriosis as a disease with an important economic impact on the community demonstrating a significant association with health costs related to diagnostic delays and therapeutic expenses including surgery, drugs, and assisted reproductive technologies (ART). [More] Pdf [255 kb]Original
Article Transperineal rectocele repair with porcine dermal collagen implant. A two-year clinical experience by Giovanni Milito, Federica Cadeddu, Ivana Selvaggio, Michele Grande, Attilio M. Farinon
Rectocele is an herniation of the rectum through the rectovaginal fascia and posterior vaginal wall causing a protrusion into the vaginal lumen. It’s a common disorder in women with history of multiple vaginal deliveries and it is asymptomatic in 80% of cases. Symptomatic rectocele is less common, usually affects postmenopausal females, and results in obstructed defecation and constipation. Surgery should be considered when conservative therapy fails and a careful patient selection, based on an accurate morpho-functional assessment, is crucial to obtain a satisfactory outcome. [More]
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Rectocele is an herniation of the rectum through the rectovaginal fascia and posterior vaginal wall causing a protrusion into the vaginal lumen. It’s a common disorder in women with history of multiple vaginal deliveries and it is asymptomatic in 80% of cases. Symptomatic rectocele is less common, usually affects postmenopausal females, and results in obstructed defecation and constipation. Surgery should be considered when conservative therapy fails and a careful patient selection, based on an accurate morpho-functional assessment, is crucial to obtain a satisfactory outcome. [More] Pdf [202 kb]Case report Detrusor instability is a rare presentation of pelvic subserosal fibroma, seven years following a total abdominal hysterectomy and bilateral salpingo-oophorectomy: Case report by Nader Gad, Cecelia O’Brien
Solitary fibrous tumours (SFT) or commonly known as fibromas, were first documented at the turn of the 20th century, originating in the intrathoracic cavity, typically from the pleura. Fibromas are slow growing, well circumscribed, spindle cell neoplasms arising from the mesenchyma. Since the 1960s, there have been an increasing number of case reports describing fibromas in extrathoracic sites including the orbit, meninges, upper respiratory tract, thyroid, salivary gland and spinal cord. In the last 20 years, reports of fibromas have been documented in the peritoneum, retroperitoneum, urinary bladder, uterus, cervix, vulva, vagina, paravaginal space, ischiorectal fossa and fallopian tube. [More]
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Solitary fibrous tumours (SFT) or commonly known as fibromas, were first documented at the turn of the 20th century, originating in the intrathoracic cavity, typically from the pleura. Fibromas are slow growing, well circumscribed, spindle cell neoplasms arising from the mesenchyma. Since the 1960s, there have been an increasing number of case reports describing fibromas in extrathoracic sites including the orbit, meninges, upper respiratory tract, thyroid, salivary gland and spinal cord. In the last 20 years, reports of fibromas have been documented in the peritoneum, retroperitoneum, urinary bladder, uterus, cervix, vulva, vagina, paravaginal space, ischiorectal fossa and fallopian tube. [More] Pdf [147 kb]Original ArticleQOL audits of TVT surgery applied to small patient numbers are a worthwhile addition to clinical practice by Omar Gailani, Paul Duggan
Urinary incontinence has a significantly adverse affect on quality of life (QoL). When surgery for stress urinary incontinence is contemplated, currently, the TVT procedure appears to be the operation of first choice. Large, multicentre studies have demonstrated significant improvement in QoL indices following a TVT procedure. Because of the substantially smaller caseload of individual practitioners there is uncertainty regarding the sensitivity of QoL questionnaires to detect changes in small series. It has not been established if an individual surgeon would be able to demonstrate clinically or statistically significant improvements in QoL parameters. Medical practitioners are increasingly required to produce evidence of satisfactory performance for credentialing and re-accreditation, with demands coming from employers, hospitals and professional colleges. Thus, it is useful to establish if prospective QoL audit has a place for small units and individual practitioners who perform continence procedures. [More]
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Urinary incontinence has a significantly adverse affect on quality of life (QoL). When surgery for stress urinary incontinence is contemplated, currently, the TVT procedure appears to be the operation of first choice. Large, multicentre studies have demonstrated significant improvement in QoL indices following a TVT procedure. Because of the substantially smaller caseload of individual practitioners there is uncertainty regarding the sensitivity of QoL questionnaires to detect changes in small series. It has not been established if an individual surgeon would be able to demonstrate clinically or statistically significant improvements in QoL parameters. Medical practitioners are increasingly required to produce evidence of satisfactory performance for credentialing and re-accreditation, with demands coming from employers, hospitals and professional colleges. Thus, it is useful to establish if prospective QoL audit has a place for small units and individual practitioners who perform continence procedures. [More] Pdf [151 kb]Case ReportFilshie clip migration into wall of urinary bladder presenting with acute abdominal pain. Case report and review of English literature: from1990 to April 2009by Nader Gad, Ridhab Aziz, Kasia Siwicki
Tubal occlusion with Filshie clips is one of the preferred methods of female sterilization. It has a low failure rate when correctly applied. Complications of this method of sterilization can be divided mainly into two groups: early (peri-operative) and late complications. Early complications include mortality (1-2/100,000 procedures, mainly as a complication of general anaesthesia), visceral injury (bowel, urinary bladder and uterus), vascular injury and unintended laparotomy (1-2%). Procedure failure (occurrence of pregnancy including ectopic pregnancy) is the main late complication of this procedure. Migration of Filshie Clips is also a late complication; it is usually asymptomatic and does not result in serious morbidity. It should be kept in mind that in rare instances it can cause significant symptoms and morbidity. [More]
Pdf [152 kb]
Tubal occlusion with Filshie clips is one of the preferred methods of female sterilization. It has a low failure rate when correctly applied. Complications of this method of sterilization can be divided mainly into two groups: early (peri-operative) and late complications. Early complications include mortality (1-2/100,000 procedures, mainly as a complication of general anaesthesia), visceral injury (bowel, urinary bladder and uterus), vascular injury and unintended laparotomy (1-2%). Procedure failure (occurrence of pregnancy including ectopic pregnancy) is the main late complication of this procedure. Migration of Filshie Clips is also a late complication; it is usually asymptomatic and does not result in serious morbidity. It should be kept in mind that in rare instances it can cause significant symptoms and morbidity. [More] Pdf [152 kb]Case ReportDuplex ureter damaged during laparoscopic hysterectomyby Alexander P. B. Dalzell, Richard G. Robinson, Kirsten M. Crooke
A 43 year old woman was referred to a urology clinic 6 weeks post laparoscopic assisted vaginal hysterectomy. Post operatively, she had ongoing vaginal discharge which was thought to be urine. She had no significant flank pain and renal function was normal on blood tests. Investigation with CT urogram identified previously undiagnosed duplex ureters on the right side and a pelvic collection indicating a uretero-vaginal fistula. Both the upper and lower moieties were hydronephrotic. The right upper pole duplex ureter appeared obstructed at the level of the bladder and the right lower pole ureter was continuous with the collection. The left ureter appeared normal. [More]
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A 43 year old woman was referred to a urology clinic 6 weeks post laparoscopic assisted vaginal hysterectomy. Post operatively, she had ongoing vaginal discharge which was thought to be urine. She had no significant flank pain and renal function was normal on blood tests. Investigation with CT urogram identified previously undiagnosed duplex ureters on the right side and a pelvic collection indicating a uretero-vaginal fistula. Both the upper and lower moieties were hydronephrotic. The right upper pole duplex ureter appeared obstructed at the level of the bladder and the right lower pole ureter was continuous with the collection. The left ureter appeared normal. [More] Pdf [139 kb]FocusPelvic floor disorders, internationally shared language, standardized procedures, surgical innovation and clinical evidenceby Gennaro Trezza, Laura Del Piano
Language is the specific way of communication among humans; it modifies to suit different needs, in order to follow technologic evolution, customs, habits and life style. It changes through a long process of development along the years. Our children, for example, speak a language different from ours, consisting of mobile SMS or MMS or through internet. These differences may cause problems to communication. Scientific data, clinical information or medical results should be expressed in a unique way, respecting rules and technical terms, using a language internationally shared and validated. Misunderstanding can be the result of the absence of a precise language, leading to wrong diagnoses and therapies. A unique terminology is necessary to obtain clinical evidence. [More]
Pdf [176 kb]
Language is the specific way of communication among humans; it modifies to suit different needs, in order to follow technologic evolution, customs, habits and life style. It changes through a long process of development along the years. Our children, for example, speak a language different from ours, consisting of mobile SMS or MMS or through internet. These differences may cause problems to communication. Scientific data, clinical information or medical results should be expressed in a unique way, respecting rules and technical terms, using a language internationally shared and validated. Misunderstanding can be the result of the absence of a precise language, leading to wrong diagnoses and therapies. A unique terminology is necessary to obtain clinical evidence. [More] Pdf [176 kb]CONGRESS7th IPFDS WORLD CONGRESS AND FIGO TASK FORCE MEETING - Palermo, Italy, May 10-12/2010
Congress Abstracts [More]
Pdf [198 kb]
Congress Abstracts [More] Pdf [198 kb]