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The Complete Pelviperineology June 2012 Issue
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Original article Cell therapy for urinary incontinence. Does it really work? by

Pelviperineology 2012 editorial lines Stress urinary incontinence is the most common form of urinary incontinence, a condition that affects approximately two hundred million people worldwide. SUI is characterized by an involuntary passing of urine, synchronous with exertion, sneezing or coughing. SUI also significantly reduces the quality of life and exacerbates co-morbidities.

Generally, SUI affects approximately 20% of young women but increases to 50% in elderly women. Moreover, the number of patients presenting with this urologic health problem will rise as the baby-boomer generation continues to age.
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Original article Safe And Effective Intervention Surgery For Pelvic Organ Prolapse With Cr-Mesh ® Kit: A Comparative Study From United Kingdom And Italy  by

Urogynecology in China POP occurs in up to 50% of parous woman. Up to 30% of all females suffer from pelvic floor relaxation to a degree that has negative impact upon their quality of life. Olsen et al. estimated that the lifetime risk (up to age 80 years) of undergoing surgery for vaginal prolapse was 11%.

29% to 40% of the prolapse surgery is for recurrence and the prolapse is at the site of the original procedure in 60% of reoperations. Pelvic organ prolapse (POP) is nothing but herniation of viscera through the weakened pelvic floor and vaginal walls. Cystocele and urethrocele are herniation due to a defect in the anterior compartment. Cervical, uterine and vault prolapse are herniation due to a defect in the central compartment. Enterocele, rectocele and perineal body deficiency are herniation due to a defect in the posterior compartment.
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Original article Learning Curve Experience In Tension-Free Vaginal Tape And Transobturator Tape Operations For The Treatment Of Stress Urinary Incontinence by

Is there any difference? A prospective, multicenter, randomized, Although a multitude of surgical techniques have been developed for the treatment of stress urinary incontinence (SUI), an ideal method with high success and low complications rate could not have been established yet. Recently, two methods based on the principle of midurethral support have been popularly utilized. These two techniques, both of which are applied vaginally, are Transobturator Suburethral Tape (TOT) and Tension-free Vaginal Tape (TVT).

Although these two are comparable in terms of treatment success, complication rates, long-term efficiency, ease of application and learning curve, there is a period of learning curve during which the rate of complications may be very high for both. The present study was planned to compare the outcomes of the two operations, widely used in the surgical treatment of SUI, performed during the learning curve with regard to efficiency, complications and patient satisfaction.  
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Neuro-urology Starr: Indications, Results And Safety. Review Of Literature by

Is tolterodine as effective as oxybutynin in overactive bladder caused by spinal cord injury? Stapled transanal rectal resection (STARR) is indicated for obstructed defecation syndrome (ODS), a complex and multifactorial condition. ODS is more common in women, particularly multiparous women, than in men. Obstructed defecation syndrome is characterised by the urge to defecate but an impaired ability to expel the faecal bolus. Symptoms include unsuccessful faecal evacuation attempts, excessive straining, pain, bleeding after defecation, and a sense of incomplete faecal evacuation.

Rectocele (herniation of the rectum into the vagina), internal rectal mucosal prolapse and rectal intussusception may also be associated with ODS. Genital prolapse, enterocele and non-relaxing puborectalis may also coexist. It has been estimated that approximately 20% of adult female population suffered from the syndrome. The etiology of obstructed defecation syndrome is likely to be multifactorial, resulting from the interaction of functional and anatomic factors that influence the recto-anal evacuatory mechanism.
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Case Report Managing An Incidental Abscess After Secondary Insertion Of Transobturator Tape by I. A. Mueller-Funogea, K. Goeschen, C. Linn, P. Meid

Conversion from abdominal sacrocolpopexy to vaginal surgery We report on a rare complication of adductor muscle abscess following a second insertion of a suburethral transobturator tape for SUI. Our typical procedure in patients with SUI-recurrence due to a loose or slipping sling or with bladder emptying problems due to sling obstruction is as follows: we cut or, if possible, remove the middle part of the tape in a first operation.
If necessary at least three months later we insert a new tape in a second operation. In this case we changed our routine due to the strict order of the patient.
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Book Rewiev Fecal incontinence by

rospective study on 185 females with urinary incontinence
treated by The fifth section of the book “Pelvic floor disorders- Imaging and Multidisciplinary Approach to Management” entitled “Fecal Incontinence” consists of twelve chapters divided into two subsections describing diagnostic modalities and management for this disorder.  [Read Article]

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Book Rewiev Urinary incontinence and voiding dysfunction by

Urinary and anal incontinence after childbirth in primiparous women: A multicentric study The fourth section of the book “Pelvic floor disorders- Imaging and Multidisciplinary Approach to Management” is entitled “Urinary Incontinence and Voiding Dysfunction” and consists of nine chapters divided into two subsections describing diagnostic methods and management of these disturbances.  [Read Article]

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