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[PMID]: 23095453 [Au] Autor: Dankovcik R; Vyhnalkova V; Muranska S; Kucera E; Korpova M; Plichtova A; Miklosova M; Ferianec V; Evangelista Jirasek J; Dudas M [Ad] Dirección: Second Department of Obstetrics and Gynecology, Comenius University and University Hospital, Bratislava, Slovakia. [Ti] Título: Encephalocystocele - uncommon diagnosis in prenatal medicine. [So] Fuente: Fetal Diagn Ther;32(4):295-8, 2012. [Is] ISSN: 1421-9964 [Cp] País de publicación: Switzerland [La] Idioma: eng [Ab] Resumen: Encephalocystocele is a developmental malformation characterized by brain herniation accompanied with extracranial cystic protrusion of the ventricular system. This nosological unit is often overlooked and insufficiently classified merely as encephalocele. Herein, two exceptionally clear cases of the parieto-occipital cranioschisis with encephalocystocele and congenital hydrocephalus of the lateral ventricles are documented with 2-dimensional/3-dimensional sonographic images and the corresponding MRI findings. In both cases, prenatal diagnosis was confirmed by autopsy. [Mh] Términos MeSH primario: Cistocele/diagnóstico Encefalocele/diagnóstico Meningocele/diagnóstico [Mh] Términos MeSH secundario: Aborto Eugénico Adulto Cesárea Cistocele/embriología Cistocele/patología Cistocele/fisiopatología Encefalocele/embriología Encefalocele/patología Encefalocele/fisiopatología Resultado Fatal Femenino Humanos Recién Nacido Imagen por Resonancia Magnética Meningocele/embriología Meningocele/patología Meningocele/fisiopatología Embarazo Segundo Trimestre del Embarazo Diagnóstico Prenatal Nacimiento a Término [Pt] Tipo de publicación: CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mes de ingreso: 1305 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 121211 [St] Status: MEDLINE [do] DOI: 10.1159/000341569

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[PMID]: 22854876 [Au] Autor: Hertel H; Grüßner S; Kotsis S; Hillemanns P [Ad] Dirección: Clinic for Obstetrics and Gynecology, Medical University of Hannover, Carl-Neubergstr. 1, 30625, Hannover, Germany. hertel.hermann@mh-hannover.de [Ti] Título: Vaginal sacrocolporectopexy for the surgical treatment of uterine and vaginal vault prolapses: confirmation of the surgical method and perioperative results of 101 cases. [So] Fuente: Arch Gynecol Obstet;286(6):1463-71, 2012 Dec. [Is] ISSN: 1432-0711 [Cp] País de publicación: Germany [La] Idioma: eng [Ab] Resumen: PURPOSE: In this study, we sought to confirm the surgical method of vaginal sacrocolporectopexy and previously reported positive perioperative results of this procedure in a large patient group. We describe the approach which offers a vaginal, safe alternative to sacrospinous repair, laparoscopic or open vaginosacropexy and the use of synthetic meshes to treat pelvic organ prolapse. METHODS: We conducted a monocentric, prospective, nonrandomized study for treatment of patients with uterine and vaginal vault relapse (grade 2-4). All patients underwent a preoperative urogynecological urodynamic examination. We focus on method, operative time, complications, blood transfusions, hospital stay and clinical data. RESULTS: Between March 2006 and March 2011, 101 consecutive patients of mean age 64 (40-89) years, with sub or total uterine prolapse (n=69, grade 2-4) and vaginal vault prolapse (n=32, grade 2-4) were treated with vaginal sacrocolporectopexy. Cystocele (grade 2-4) was found in 88 (87.1%) and rectocele (grade 2-4) in 43 (42.5%) patients. Mean duration of surgery with sacrocolporectopexy was 70 min (28-165) without hysterectomy, and 76 min (40-219) with hysterectomy. Regression analysis of all patients (n=101) showed a significant decrease of operative time in the group without hysterectomy after 40 cases. Three bladder lesions, two in patients with a history of hysterectomy, occurred during surgery and were corrected intraoperatively without further complications. No patient required a blood transfusion. Hemoglobin levels decreased slightly from a preoperative mean of 13.6 mg/dl (10.3-15.7) to a postoperative mean of 11.7 mg/dl (8.6-14.7). CONCLUSION: Vaginal sacrocolporectopexy is a safe vaginal method for the treatment of sub-/total uterine/vaginal vault prolapse. [Mh] Términos MeSH primario: Profilaxis Antibiótica Procedimientos Quirúrgicos Ginecológicos/métodos Ligamentos Longitudinales/cirugía Prolapso Uterino/cirugía Vagina/cirugía [Mh] Términos MeSH secundario: Adulto Anciano Anciano de 80 o más Años Transfusión Sanguínea Cistocele/complicaciones Cistocele/cirugía Femenino Humanos Histerectomía Tiempo de Internación Mediana Edad Tempo Operativo Ovariectomía Rectocele/complicaciones Rectocele/cirugía Salpingectomía Prolapso Uterino/complicaciones [Pt] Tipo de publicación: CLINICAL TRIAL; JOURNAL ARTICLE [Em] Mes de ingreso: 1305 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 121106 [St] Status: MEDLINE [do] DOI: 10.1007/s00404-012-2495-z

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[PMID]: 23084678 [Au] Autor: Yuk JS; Jin CH; Yi KW; Kim T; Hur JY; Shin JH [Ad] Dirección: Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea. [Ti] Título: Anterior transobturator polypropylene mesh in the correction of cystocele: 2-point method vs 4-point method. [So] Fuente: J Minim Invasive Gynecol;19(6):737-41, 2012 Nov-Dec. [Is] ISSN: 1553-4669 [Cp] País de publicación: United States [La] Idioma: eng [Ab] Resumen: STUDY OBJECTIVE: To compare the effectiveness and safety of 2 anterior transobturator mesh methods for treating anterior vaginal wall prolapse. DESIGN: Randomized controlled study (Canadian Task Force classification I). SETTING: University hospital. PATIENTS: Eighty-seven women with anterior vaginal wall prolapse stage ≥2 (Pelvic Organ Prolapse Quantification [POP-Q]) underwent an anterior transobturator mesh procedure using macropore polypropylene mesh. INTERVENTIONS: Forty-five patients underwent the operation via the conventional 4-point, full-sized mesh method, and 42 patients underwent the operation via a novel 2-point, half-sized mesh method. MEASUREMENTS AND MAIN RESULTS: Patient characteristics were comparable between the 2 groups. The anatomic cure rate was significantly lower in the 2-point group compared with the 4-point group at 12 months after surgery (87.2% vs 100%; p = .03). Healing abnormalities were significantly higher in the 2-point group than in the 4-point group (12.8% vs 0%; p = .03). Bladder perforation (2.6% vs 0%), stress urinary incontinence (23.1% vs 22.5%), urinary frequency (12.8% vs 22.5%), and voiding difficulty and dyspareunia (0% vs 0%) were not statistically different between the 2 groups. At linear regression analysis, mean (SD) operation time did not differ between the 2 groups (74.9 [32.7] minutes vs 87.8 [36.7] minutes; p = .11). CONCLUSION: Compared with the 4-point method, the 2-point anterior transobturator mesh method resulted in a lower rate of anatomic cure and a higher rate of healing abnormality. [Mh] Términos MeSH primario: Cistocele/cirugía Cabestrillo Suburetral Mallas Quirúrgicas [Mh] Términos MeSH secundario: Anciano Dispareunia/etiología Femenino Humanos Mediana Edad Tempo Operativo Polipropilenos/efectos adversos Cabestrillo Suburetral/efectos adversos Mallas Quirúrgicas/efectos adversos Resultado del Tratamiento Vejiga Urinaria/lesiones Incontinencia Urinaria de Esfuerzo/etiología Trastornos Urinarios/etiología [Pt] Tipo de publicación: COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Nm] Nombre de substancia: 0 (Polypropylenes) [Em] Mes de ingreso: 1305 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 121022 [St] Status: MEDLINE

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[PMID]: 22854220 [Au] Autor: Long CY; Wang CL; Hsu CS [Ti] Título: Anterior vaginal cyst mimicking a cystocele assessed by transperineal ultrasound. [So] Fuente: Eur J Obstet Gynecol Reprod Biol;165(1):128-9, 2012 Nov. [Is] ISSN: 1872-7654 [Cp] País de publicación: Ireland [La] Idioma: eng [Mh] Términos MeSH primario: Quistes/ultrasonografía Enfermedades Vaginales/ultrasonografía [Mh] Términos MeSH secundario: Adulto Cistocele/diagnóstico Quistes/cirugía Diagnóstico Diferencial Femenino Humanos Resultado del Tratamiento Enfermedades Vaginales/cirugía [Pt] Tipo de publicación: CASE REPORTS; LETTER [Em] Mes de ingreso: 1304 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 121115 [St] Status: MEDLINE

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[PMID]: 23318069 [Au] Autor: Bojahr B; Tchartchian G; Waldschmidt M; Schollmeyer T; De Wilde RL [Ad] Dirección: Klinik für Minimal Invasive Chirurgie, Kurstraße 11, 14129 Berlin-Zehlendorf, Germany. b.bojahr@mic-berlin.de [Ti] Título: Laparoscopic sacropexy: a retrospective analysis of perioperative complications and anatomical outcomes. [So] Fuente: JSLS;16(3):428-36, 2012 Jul-Sep. [Is] ISSN: 1086-8089 [Cp] País de publicación: United States [La] Idioma: eng [Ab] Resumen: BACKGROUND AND OBJECTIVE: The aim of this study was to evaluate the surgical outcomes and complications of laparoscopic sacropexy with regard to 3 varying mesh attachment points: the vaginal stump, the cervical stump, and the posterior side of the cervix in the case of uterus preservation. METHOD: A retrospective study was conducted among 310 women treated for descensus with laparoscopic sacropexy between January 2000 and December 2007. Information was obtained from medical files and follow-up examinations. RESULTS: Sacropexies with mesh attachment to the cervical stump, to the vaginal stump, and with uterus preservation were performed in 213, 67, and 30 cases, respectively. In 40 cases, no concomitant interventions were necessary. One perioperative conversion and 2 terminations occurred. Short-term complications included fever in 15 cases and urinary incontinence in 7 cases. Average follow-up was 7.9 mo with 211 patients completing followup. Prolapse recurrence rate was 10.4%; the reoperation rate was 4%. No significant differences between groups were detected for cystocele recurrence. Rectocele recurrence was significantly higher (P < .05) for sacropexy with vaginal mesh attachment. A reduction of incontinence was observed, which was significant (P < .05) for those patients treated with simultaneous or previous hysterectomy. CONCLUSION: Laparoscopic sacropexy shows good short-term results with low reprolapse and complication rates. [Mh] Términos MeSH primario: Cistocele/cirugía Laparoscopía/métodos Complicaciones Postoperatorias Rectocele/cirugía Mallas Quirúrgicas Procedimientos Quirúrgicos Urogenitales/métodos Prolapso Uterino/cirugía [Mh] Términos MeSH secundario: Adulto Anciano Anciano de 80 o más Años Femenino Estudios de Seguimiento Humanos Tiempo de Internación/tendencias Mediana Edad Estudios Retrospectivos [Pt] Tipo de publicación: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mes de ingreso: 1302 [Cu] Fecha actualización por clase: 130418 [Lr] Fecha última revisión: 130418 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 130115 [St] Status: MEDLINE [do] DOI: 10.4293/108680812X13462882736132

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[PMID]: 22527543 [Au] Autor: Deffieux X; Thubert T; de Tayrac R; Fernandez H; Letouzey V [Ad] Dirección: Paris-Sud University, Obstetrics-Gynecology and Reproductive Medicine Department, Antoine Beclere Hospital, Public Assistance - Paris Hospitals, AP-HP, Clamart, 92141, France. x.deffieux@free.fr [Ti] Título: Long-term follow-up of persistent vaginal polypropylene mesh exposure for transvaginally placed mesh procedures. [So] Fuente: Int Urogynecol J;23(10):1387-90, 2012 Oct. [Is] ISSN: 1433-3023 [Cp] País de publicación: England [La] Idioma: eng [Ab] Resumen: INTRODUCTION AND HYPOTHESIS: The surgical treatment of a cystocele via the vaginal route may require the placement of a synthetic mesh below the bladder. However, the placement of a synthetic mesh via the vaginal route can be associated with specific complications, such as vaginal mesh exposure. There is a lack of data concerning the long-term follow-up of asymptomatic persistent vaginal polypropylene mesh exposure. METHODS: This was a retrospective case series of nine patients presenting with persistent vaginal mesh exposure following the placement of a macroporous monofilament polypropylene mesh for cystocele treatment. Expectant management has been proposed since the patients were asymptomatic. RESULTS: The median follow-up duration was 121 months [interquartile range (IQR) 119-132]. The median surface area of vaginal mesh exposure (1 cm(2); IQR 1-1) did not change significantly during the follow-up. No pelvic or perineal abscess occurred during the follow-up. Only one of them was sexually active; she complained of dyspareunia at the last follow-up, but refused renewed surgery since she had sexual intercourse on only a small number of occasions per year. Clinical examination using the International Continence Society Pelvic Organ Prolapse Quantification system: Ba -3 to -2 (n = 7; 88 %), Ba -1 (n = 1; 12 %), Ba 0 or greater (n = 0). CONCLUSIONS: Persistent asymptomatic vaginal polypropylene mesh exposure is associated with few complications at long-term follow-up. [Mh] Términos MeSH primario: Cistocele/cirugía Falla de Equipo/estadística & datos numéricos Procedimientos Quirúrgicos Ginecológicos/métodos Polipropilenos Mallas Quirúrgicas/efectos adversos Vagina/cirugía [Mh] Términos MeSH secundario: Anciano Anciano de 80 o más Años Remoción de Dispositivos Femenino Estudios de Seguimiento Procedimientos Quirúrgicos Ginecológicos/efectos adversos Humanos Estudios Longitudinales Mediana Edad Prevalencia Estudios Retrospectivos Conducta Sexual Resultado del Tratamiento [Pt] Tipo de publicación: JOURNAL ARTICLE [Nm] Nombre de substancia: 0 (Polypropylenes) [Em] Mes de ingreso: 1304 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 120921 [St] Status: MEDLINE

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[PMID]: 22781080 [Au] Autor: Lowenstein L; Alcalay M [Ad] Dirección: Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel. [Ti] Título: Relation of anterior vaginal mesh for pelvic organ prolapse repair to critical genital structures. [So] Fuente: J Sex Med;9(5):1235-8, 2012 May. [Is] ISSN: 1743-6109 [Cp] País de publicación: United States [La] Idioma: eng [Mh] Términos MeSH primario: Prolapso de Órgano Pélvico/cirugía Mallas Quirúrgicas Vagina/cirugía [Mh] Términos MeSH secundario: Cistocele/cirugía Femenino Humanos Prolapso Uterino/cirugía [Pt] Tipo de publicación: JOURNAL ARTICLE [Em] Mes de ingreso: 1303 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 120711 [St] Status: MEDLINE [do] DOI: 10.1111/j.1743-6109.2012.02731.x

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[PMID]: 21063892 [Au] Autor: Regensburg RG; Klinkhamer S; van Adrichem NP; Kooistra A; Broeders IA [Ad] Dirección: Meander Medical Center, Amersfoort, Utrechtseweg 160, 3818 ES, Amersfoort, The Netherlands. rgregensburg@gmail.com [Ti] Título: Micturation related swelling of the scrotum. [So] Fuente: Hernia;16(3):355-7, 2012 Jun. [Is] ISSN: 1248-9204 [Cp] País de publicación: France [La] Idioma: eng [Ab] Resumen: Unlike small inguinal and femoral bladder hernias, massive bladder hernias into the scrotum, also named scrotal cystoceles, are rare. We describe and discuss the clinical appearance and management of a patient with a micturation related unilateral swelling of the scrotum. [Mh] Términos MeSH primario: Cistocele/complicaciones Cistocele/diagnóstico Enfermedades de los Genitales Masculinos/etiología Escroto/patología Micción [Mh] Términos MeSH secundario: Cistocele/cirugía Humanos Masculino Mediana Edad [Pt] Tipo de publicación: CASE REPORTS; JOURNAL ARTICLE [Em] Mes de ingreso: 1211 [Cu] Fecha actualización por clase: 130305 [Lr] Fecha última revisión: 130305 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 120528 [St] Status: MEDLINE [do] DOI: 10.1007/s10029-010-0753-1

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[PMID]: 22014389 [Au] Autor: Vírseda-Chamorro M; Gómez-Rodríguez A; Salinas-Casado J; Esteban-Fuertes M; López AM [Ad] Dirección: Servicio de Urología, Hospital Nacional de Parapléjicos, Toledo, España. bgmeli@terra.es [Ti] Título: [Study of the influence of pelvic prolapse in the lower urinary tract micturation phase in the female]. [Ti] Título: Estudio de la influencia de los prolapsos pélvicos en la fase miccional del tracto urinario inferior femenino.. [So] Fuente: Actas Urol Esp;36(9):532-8, 2012 Oct. [Is] ISSN: 1699-7980 [Cp] País de publicación: Spain [La] Idioma: spa [Ab] Resumen: OBJECTIVES: Pelvic floor prolapse is a frequent condition in the woman, which in addition to anatomical alterations, may cause lower urinary tract dysfunction. We intend to verify the alterations of the micturation phase in patients with pelvic prolapse. MATERIAL AND METHODS: A cross-sectional cut off study was performed in a series of 102 women, mean age 66.8 years (standard deviation 9.6 years), diagnosed of urinary obstruction and pelvic prolapse and a prospective longitudinal study in a cohort of 21 patients of the previous series operated on for the prolapse. The patients were subjected to clinical examinations to determine the type and grade of public prolapse and to a urodynamic study. RESULTS: A significant direct correlation was observed between the grade of cystocele and uterine prolapse and a significant correlation, but in inverse sense, between the grade of uterine prolapse and that of the enterocele. The patients with a greater grade of uterine prolapse had greater urethral resistance by the URA parameter. A tendency towards significance regarding the postsurgical variation of the Urethral Resistance Average (URA) that decreased after the surgery, and the W80-20 (detrusor contractility), that increased after it, was observed. CONCLUSIONS: Pelvic prolapses affect the micturation phase. This involvement occurs both in the case of the cystoceles as well as in uterine prolapses and in the posterior compartments (rectocele and enterocele). Furthermore, an improvement is observed in the bladder contractility with the surgery of the pelvic prolapse. [Mh] Términos MeSH primario: Trastornos del Suelo Pélvico/fisiopatología Trastornos Urinarios/etiología Urodinámica [Mh] Términos MeSH secundario: Anciano Estudios Transversales Cistocele/fisiopatología Femenino Hernia/fisiopatología Humanos Mediana Edad Contracción Muscular Trastornos del Suelo Pélvico/complicaciones Trastornos del Suelo Pélvico/cirugía Complicaciones Postoperatorias/fisiopatología Prolapso Estudios Prospectivos Rectocele/fisiopatología Índice de Severidad de la Enfermedad Uretra/fisiopatología Obstrucción del Cuello de la Vejiga Urinaria/etiología Obstrucción del Cuello de la Vejiga Urinaria/fisiopatología Incontinencia Urinaria de Esfuerzo/etiología Incontinencia Urinaria de Esfuerzo/fisiopatología Incontinencia Urinaria de Esfuerzo/cirugía Trastornos Urinarios/fisiopatología Trastornos Urinarios/cirugía [Pt] Tipo de publicación: ENGLISH ABSTRACT; JOURNAL ARTICLE [Em] Mes de ingreso: 1303 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 120910 [St] Status: MEDLINE

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[PMID]: 22925819 [Au] Autor: Lien YS; Chen GD; Ng SC [Ad] Dirección: Department of Anesthesiology, Chung Shan Medical University Hospital, Taichung, Taiwan. [Ti] Título: Prevalence of and risk factors for pelvic organ prolapse and lower urinary tract symptoms among women in rural Nepal. [So] Fuente: Int J Gynaecol Obstet;119(2):185-8, 2012 Nov. [Is] ISSN: 1879-3479 [Cp] País de publicación: Ireland [La] Idioma: eng [Ab] Resumen: OBJECTIVE: To evaluate the prevalence and associated risk factors of pelvic organ prolapse (POP) and lower urinary tract symptoms (LUTS) among women seeking healthcare services in 3 discrete rural areas in Nepal. METHODS: A cross-sectional study was conducted using a Nepalese-specific questionnaire to obtain demographic and personal information. Urinary symptoms were examined using the Urogenital Distress Inventory Short form questionnaire, while POP severity was staged according to the POP-Q system. The χ(2) test and multivariate logistic regression analysis were used to determine POP risk factors. RESULTS: Of the 174 women included in the analysis, 106 (60.9%) had stage II POP or greater. In all, 93 women (53.4%) had cystocele, 63 (36.2%) had rectocele, and 37 (21.3%) had uterine prolapse. Univariate analysis identified high parity; young age at first delivery; menopause; squatting or standing position during delivery; and early return to work after delivery as risk factors for POP. Multivariate logistic regression revealed that delivery in a lying position presented a lower risk for cystocele than squatting or standing (odds ratio 0.34; P<0.01). CONCLUSION: Both LUTS and POP are common among women in rural Nepal. Cystocele is the most frequent, advanced, and symptomatic form of POP observed in this population. [Mh] Términos MeSH primario: Cistocele/epidemiología Síntomas del Sistema Urinario Inferior/etiología Rectocele/epidemiología Prolapso Uterino/epidemiología [Mh] Términos MeSH secundario: Adolescente Adulto Factores de Edad Anciano Anciano de 80 o más Años Estudios Transversales Cistocele/etiología Cistocele/fisiopatología Parto Obstétrico/efectos adversos Parto Obstétrico/métodos Femenino Humanos Modelos Logísticos Síntomas del Sistema Urinario Inferior/fisiopatología Mediana Edad Análisis Multivariante Nepal/epidemiología Prevalencia Cuestionarios Rectocele/etiología Rectocele/fisiopatología Factores de Riesgo Población Rural Índice de Severidad de la Enfermedad Prolapso Uterino/etiología Prolapso Uterino/fisiopatología Adulto Joven [Pt] Tipo de publicación: JOURNAL ARTICLE [Em] Mes de ingreso: 1302 [Sb] Subgrupo de revista: IM [Da] Fecha de ingreso para procesamiento: 120925 [St] Status: MEDLINE

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