Pelviperineology

The aim of this study was to evaluate the effect on pain and stress of a neural prolotherapy treatment (dextrose 5% injections) at seven acupuncture points linked with orthosympathetic ganglia.

We hypothesize that the motility of the urinary system and anorectal zone are subject to the same laws. Extrapolating the known mechanisms of fecal continence and defecation to urination, we propose a hypothesis of motor function of the lower urinary system

A single-centre, observational, retrospective, single-surgeon study was carried out. The patients included had a TOTRP placed between 2009 and 2012. The originality of the technique is the horizontal transobturator and non-oblique route of the ancillary

Validated objective tools play an important role in the evaluation of patients suffering from pelvic organ prolapse and in assessing surgical outcome. The aim of this study was to validate the Hebrew version of the Patient Global Impression of Improvement (PGI-I) questionnaire

Actinomycosis in the pelvic region is an uncommon diagnosis. This infection in most cases is caused by Actinomyces israelii, a gram-positive anaerobic saprophyte bacterium, although other Actinomyces pathogens have also been reported

Since the 1980s, a flood of women have presented with introital dyspareunia and chronic unexplained vulvar discomfort, for which no clear-cut somatic diagnosis can be found. Three decades of research has failed to attribute this syndrome to a structural disease process

The video discloses a 59 year old patient with recurrent USI after two previous failed sling and fixed urethra. She underwent urethrolysis, had a urethral lesion repaired immediately and a Martius flap to restore normal mobily. Re-sling may be performed should it became necessary

There are, as with most procedures, a few "surgical pearls" which need to be highlighted to enhance the simplicity of the surgery and decrease the risk of repair and graft failure and complications

Fundamental to the understanding of abnormal bladder, bowel and pain symptoms is the understanding of normal control mechanisms. Essentially, pelvic symptoms can mainly be attributed to dysfunctions of organ closure (incontinence), evacuation (emptying), control of the micturition and defecation reflexes, and pelvic pain.

Salvador Gil Vernet 1892-1987 was a pioneering surgeon scientist who made many innovations and surgeries. His approach was quite revolutionary at the time. He stated that it was not sufficient to describe an anatomical structure. He said that an answer was required to the question of "what is it for"