Full Issue December 2009 Complete Issue read_pdf [1.1 Mb]

June 2009 Complete Issue
The Complete Pelviperineology December 2009 Issue in PDF format
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Guest Editorial Provocationby Diego Riva

Cover pelviperineologyI think that sometimes, in order to deeper understand our position, it should be necessary to extrapolate what is contingent and observe the situation from a wider point of view. Therefore we can attempt to ask ourselves: when we start an out-patients or a surgical session, which is the goal we really want to get and, most of all, who’s staying in front of us? Certainly a person who expresses one need, or we can say, one wish to be recovered or at least to feel better or, amplifying the concept, a person that asks us to help him or her feel happier having a better quality of life. [More]

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Original Article Arguments for mesh implantation at the treatment of pelvic organ prolapse, enabling the benefit of uterine preservation: outcome in 459 proceduresby M. Neuman V. Sosnovski, R. Tendler, J. Bornstein

mesh implantationUrogynecologists are constantly looking for simple, safe and durable methods to cure pelvic organ prolapse (POP). We used a novel surgical technique utilizing synthetic mesh (Prolift®, Gynecare, Summerville, NJ, USA) to reinforce the pelvic floor in cases of POP with high risk of recurrence, while preserving the uterus. The aim of this study was to analyze cure rates as well as peri-operative data and peri-operative ’s request. Previous POP surgical reconstruction, first degree relative with significant pelvic floor fascial defect and poor pelvic supportive tissue were regarded as risk factors for POP recurrence.  [More]

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Multimedia Anatomy Pelvic floor disorders by E. Stocco

Pelvic Floor Pelvic Floor Disorders is a Prima)Pictures software. Prima)Pictures was established in 1991 with the goal of creating a complete and medically accurate 3D mode) of the human anatomy. This mission was completed and the software is now widely adopted in education and is currently used for patients, practitioners, students, teachers and specialists in over 20 countries in the world. Prima) Pictures works on many customisation projects every year to tailor the mode) to the needs of training programs as well as to animate surgery or disease looking for detailed accurate knowledge, medical and graphics expertise. [More]

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Original Article Sacral neuromodulation treatment for refractory interstitial cystitis: long-term experience at one center by M. P. Feloney - H. B. Goldstein - C. K. Olivera K. E. Whitmore

Sacral neuromodulationInterstitial Cystitis (IC), characterized by pelvic pain, noc turia, urinary urgency, and urinary frequency is a chronic condition with unknown etiology and no available cure. It is estimated to affect 60 per 100,000 to 200 per 100,000 people worldwide. The goal of therapy is to reduce symp toms and improve the quality of life of people with this disease. Conservative therapies include a low acid diet, physical therapy and behavioral therapy. Medical therapy includes the use of pentosan polysulfate sodium (FDA approved for the treatment of IC), anti-cholinergic medications, oral bladder analgesics, and bladder instillations with analgesic medications. [More]

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Original ArticleReconstruction of pelvic organ prolapse: the role of mesh implantation and the need for vaginal hysterectomy by M. Neuman - J. Bornstein

ReconstructionThe precise incidence of pelvic organ prolapse (POP) is unclear. POP encompasses many sub-groups such as vaginal wall relaxation, uterine prolapse, post-hysterectomy vaginal vault prolapse and others; POP occurs in up to 50% of parous women. Up to 30% of all females suffer from pelvic floor relaxation to a degree that has a negative impact upon their quality of life. The affected women occasionally require manual assistance to urinate and frequently report frequency, urgency and urge incontinence as well as sexual and bowel function-related symptoms. The lifetime risk of undergoing prolapse surgery is one in eleven; moreover up to 30% of those who do undergo surgery will eventually.  [More]

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Case ReportA presacral epidermoid cyst presenting with a perineal fistula: report of a case by E. Belluco - M. Foletto - F. Pomerri - P. Muzzio

presacral epidermoid cystThe human embryo has a true tail between the 28th and the 35th day of gestation. This is an extension of the primitive hindgut and, being caudal to the subsequent site of development of the anus, it is called the tailgut. It normally regresses completely by the 8th week of gestation. A wide range of disembryogenic masses can derive from incomplete regression of the primitive hindgut. Remnants of the tailgut or notochord lead to the development of retro-rectal lesions. Most of them are benign and include epidermal and dermal cysts, rectal duplications, hamartomas and seminal vescicles or Mullerian Cysts. [More]

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Pelvic Floor Digest December 2009 Issue Pelvic Floor Digest read_pdf [142kb]

pelvic floor digestThis section presents a small sample of the Pelvic Floor Digest (December 2009), 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. 

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