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Results for “Vaginal Approach”

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At least 55 records · Page 3Linked to original sources
PubMed2000

[Surgical treatment of anterior rectoceles in women. The perioneal-vaginal approach].

Rectoceles are best repaired via a perineal approach. The transperineovaginal approach provides access to the outer side of the rectocele: the rectal hernia is repaired with two or three purse-string sutures and suture of the rectal fascia. Levatorplasty, performed without narrowing of the vagina, reinforces the repair and strengthens the lax pelvic floor. Unilateral sacro-spinofixation of the vagina is a useful adjunct to restore normal anatomy. Rectocele repair via a perineovaginal approach has a low morbidity rate and achieves good functional results. Concomitant sphincteroplasty may be performed in the case of symptomatic rupture of the anal sphincter, treating as well urinary incontinence or prolapse of the uterus. Surgery is indicated in symptomatic rectocele when retraining the pelvic floor by biofeedback and medical therapy have failed to relieve symptoms. There are no clear predictive factors of outcome and the patient must be informed about the risk of persisting symptoms or failure.

Female↗
PubMed1994

Combined abdominal and vaginal approach for bladder neck closure and permanent suprapubic tube: urinary diversion in the neurologically impaired woman.

Chronic indwelling Foley catheter placement in the neurologically impaired patient can lead to pressure necrosis of the urethra with incontinence. We report on 2 series of patients who underwent bladder neck closure and insertion of a suprapubic catheter for this problem. Our initial group includes 4 patients who underwent 5 transvaginal procedures, of which 2 (40%) were successful. Subsequently, we modified our approach, and used a combined abdominal and transvaginal repair, which was successful in 10 consecutive patients with a followup of 6 to 40 months (mean 15.6).

Abdomen↗
PubMed2005

Uterine artery occlusion for the treatment of symptomatic fibroids: endoscopic, radiological and vaginal approach.

Uterine fibroids are the most common solid pelvic tumors in women. Although many fibroids seem to cause no symptoms, for some women they can have serious adverse effects and impact on quality of life. Common symptoms associated with fibroids include abnormal uterine bleeding, pelvic pressure and reproductive dysfunction. The past decade has witnessed highly sophisticated diagnostic and therapeutic technology for fibroids. The tools currently at our disposal permit greater management flexibility, which must be tailored to the individual clinical situation. Nonsurgical treatments include medical therapy and treatments interfering with the blood supply to the uterus or the fibroid; among the latest introduced are uterine artery embolization performed by the interventional radiologist and laparoscopic uterine occlusion performed by the gynaecologist. Even simpler is the non-incision temporary uterine clamp directed with Doppler and placed in the side fornices in the vagina.

Journal Article↗