Full Issue Download March 2011 Complete Issue read_pdf [3.6 Mb]


The Complete Pelviperineology March 2011 Issue
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New High Resolution Pelviperineology
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Editorial Editorial: Pelvic floor prolapse mesh reconstruction-mesh choice

Pelvic floor prolapse mesh reconstruction mesh choiceAccurate 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.  [More]

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Editorial Editorial

EditorialIn 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. [More]

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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

evaluation of Pelvic Organ ProlapsePelvic 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.  [More]

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Original Article Adjustable transobturator male system – ATOMS – for the treatment of post prostatectomy urinary incontinence: The surgical techniqueby Wilhelm Bauer, Clemens Brössner

Adjustable transobturator male systemTo present and evaluate initial perioperative experience with a new surgical treatment for post-prostatectomy urinary incontinence. 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. [More]

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Guidelines Treatment of chronic bacterial prostatitisby Florian Me Wagenlehner, John N Krieger

Treatment of chronic bacterial prostatitisBacterial 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 me n 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]

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Pelvic Organ Prolapse Preoperative staging of prolapse does not correlate with symptoms and quality of lifeby Paul Duggan

Preoperative staging of prolapseThe 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]

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