AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPsychiatry and PsychologyPhenomena and ProcessesDisciplines and OccupationsInformation ScienceHealth Care
UrodynamicsProlapseUterine ProlapseRectal ProlapseMitral Valve ProlapsePelvic Organ ProlapseDiagnostic Techniques, UrologicalUrologyUrinary Incontinence, StressSuburethral SlingsUrologic Surgical ProceduresUrologic DiseasesGynecologic Surgical ProceduresUrinary IncontinenceUrinary Bladder, OveractiveUrinary Bladder, NeurogenicUrinary BladderUrethraUrinary Bladder Neck ObstructionAortic Valve ProlapseUrinationTransurethral Resection of ProstateCystoceleVisceral ProlapseRectocelePelvic FloorPreoperative CareTricuspid Valve ProlapseSurgical MeshPessariesHysterectomy, VaginalVaginaLigamentsHeart Valve ProlapseMitral Valve InsufficiencyPerineumPelvic Floor DisordersSupine PositionPhonocardiographyFecal IncontinenceProne PositionSacrococcygeal RegionMitral ValveValsalva ManeuverDefecographyThirstPolyuriaDiabetes InsipidusNocturiaDiabetes Insipidus, NeurogenicWater DeprivationEncyclopedias as Topic
UrinaryIncontinenceVaginal vaultUterineApproaches to pelvic prolapseTreat pelvic organ prFemale UrologyCystoceleUterusUrologyVaginaRectumSymptomsOrgansGenitourinaryPosterior vaginalAbdominalCervixUrogynecologyApicalHerniasMeshClinicalLaparoscopicTransvaginalAnteriorReconstructive surgeryFellowshipRepairsEvaluationsProcedureDisordersDiagnosticDefectsTreatmentGynecologicLithotomy positionAssessmentSurgerySexualPessaryPatientsRelaxation
Urinary9
Incontinence8
  • The second year is devoted to more advanced female pelvic medicine disorders, with emphasis on treatment of complex female incontinence cases, advanced pelvic prolapse conditions (including open and robotic-assisted laparoscopic sacrocolpopexy), and other unusual disorders, such as vesico-vaginal fistula and urethral diverticulum. (utsouthwestern.edu)
  • Clinical research projects have examined the Department's extensive urodynamics, prolapse/incontinence, and neurourology databases in order to answer research questions regarding a variety of clinical disorders, from neurogenic bladder to voiding dysfunction in pelvic organ prolapse. (utsouthwestern.edu)
  • Weaknesses in the multiple pelvic organs may require a combined procedure to repair the various problems of prolapse and incontinence. (gaurology.com)
  • Problems that affect the pelvic floor include incontinence, leaking, and pelvic organ prolapse. (physio-pedia.com)
  • Recall the pathophysiology of pelvic organ prolapse and stress incontinence. (auanet.org)
  • Describe how to treat pelvic organ prolapse and stress incontinence conditions. (auanet.org)
  • 6 ], among 1,420 women with prolapse and PFS symptoms treated by 2 different posterior sling operations, 599 had CPP, 1,179 had bladder symptoms, and 162 had fecal incontinence. (einj.org)
  • His clinical and research interests are in male and female incontinence, vaginal prolapse, voiding dysfunction, urodynamics and surgical outcomes. (clinmedjournals.org)
Vaginal vault1
Uterine5
Approaches to pelvic prolapse1
  • During this first year, the fellow gains vast experience performing and interpreting urodynamics, learning indications and techniques for the use of neuromodulation and botulinum treatments, and performing surgical repair for other more common pelvic floor disorders (midurethral slings, vaginal, and abdominal approaches to pelvic prolapse). (utsouthwestern.edu)
Treat pelvic organ pr1
Female Urology2
  • After completing a fellowship in Female Urology, Urodynamics, and Pelvic Reconstructive Surgery at UCLA in 1992-1993, he was recruited to Stanford University in August 1993 to initiate a new program in Female Urology and NeuroUrology. (ics.org)
  • He was recently elected to the Executive Board of the Society of Female Urology and Urodynamics. (clevelandclinic.org)
Cystocele2
  • Anterior Colporrhaphy is a minimally invasive surgical procedure that repairs and strengthens the front vaginal wall, such as a prolapsed bladder (cystocele). (ngpg.org)
  • Prolapse of the bladder (cystocele), rectum (rectocele), bowel (enterocele), or uterus may be asymptomatic and discovered on pelvic exam or can cause "dropping" sensations, pain or pressure in the vagina and pelvis. (gaurology.com)
Uterus7
  • Prolapse of these components of the wall can trigger subsequent prolapse of the cervix and/or uterus-or the vaginal cuff following hysterectomy . (medscape.com)
  • In 98 CE, Soranus of Rome first described the removal of the prolapsed uterus when it became black. (medscape.com)
  • A small device that is placed in the vagina to support the uterus, bladder and/or rectum in cases of prolapse symptoms. (lluh.org)
  • Vaginal relaxation or pelvic organ prolapse are terms used to describe the relaxation, sagging, or protrusion of the vaginal opening and the walls of the vagina, sometimes including the uterus. (pelvichealthwellness.com)
  • A vaginal pessary is a removable device that is placed in your vagina to support the weakened and prolapsed walls of the vagina or uterus. (adhb.govt.nz)
  • Most pessaries are placed to improve symptoms of prolapse of the uterus and or vaginal walls (see above). (adhb.govt.nz)
  • Prolapse of the uterus generally occurs due to damage to the supporting structures of the uterus or vagi-na. (adhb.govt.nz)
Urology2
  • He advanced to a tenured position as Professor of Urology and served continuously until his retirement from Stanford in 2014 as an Emeritus Professor. (ics.org)
  • Held a day prior to the Fundamentals in Urology Course, the Urodynamics optional course provides a detailed overview of urodynamic testing techniques and pitfalls including hydrodynamic principles. (auanet.org)
Vagina7
  • Because the vagina is typically involved, many term the condition "uterovaginal prolapse. (medscape.com)
  • When prolapse causes "dropping" sensations, pain or pressure in the vagina and pelvis, diagnostic tests such as Urinalysis, Cystoscopy and Urodynamics are performed to determine the cause. (gaurology.com)
  • Pelvic organ prolapse is a defect of a specific vaginal segment characterized by descent of the vagina and associated pelvic organ. (medscape.com)
  • Prolapse occurs when a pelvic organ drops from its normal position into the pelvic region, the vagina, or outside of the body. (urologyaustin.com)
  • Prolapse is a weakness of the supporting structures of the vagina, allowing the pelvic organs to press against the vaginal wall, producing a bulge. (adhb.govt.nz)
  • An anterior wall prolapse is when the bladder is dropping down onto the front of the vagina, making a weakness or bulge. (adhb.govt.nz)
  • A prolapse of the front (anterior) wall of the vagina is usually due to a weakness in the strong tissue layer (fascia) that divides the vagina from the blad-der. (adhb.govt.nz)
Rectum1
  • This surgery repairs damaged tissue and restores the rectum and posterior vaginal wall to its normal position. (ngpg.org)
Symptoms9
  • The specific treatment approach is chosen in accordance with the type and degree of pelvic organ prolapse, as well as the severity of symptoms. (medscape.com)
  • Symptoms of pelvic organ prolapse have been defined in a joint report from the International Urogynecological Association and International Continence Society as "a departure from normal sensation, structure, or function, experienced by the woman in reference to the position of her pelvic organs. (medscape.com)
  • The procedure is used to alleviate symptoms associated with vaginal prolapse as well as to improve bladder function, without sacrificing sexual function. (ngpg.org)
  • What are the Symptoms of Pelvic Organ Prolapse? (gaurology.com)
  • Sometimes Pelvic Organ Prolapse does not cause symptoms and is discovered on pelvic exam. (gaurology.com)
  • Living with prolapse can be a challenge, both physically and emotionally, as the symptoms can disrupt day-to-day life. (gaurology.com)
  • however, most prolapses are not clinically bothersome without specific pelvic symptoms, and they may not require an intervention. (medscape.com)
  • In a 1999 study of Swedish women aged 20-59 years, Samuelsson and colleagues found that, although signs of pelvic organ prolapse are frequently observed, the condition seldom causes symptoms. (medscape.com)
  • Current National Institute for Health and Care Excellence (NICE) guidelines state that cystometry is not required prior to conservative treatments or surgery when a diagnosis of SUI is likely on clinical grounds (i.e. where there are no symptoms of over active bladder or voiding dysfunction, no anterior compartment prolapse, and no previous surgery for SUI) [ 3 , 4 ]. (biomedcentral.com)
Organs6
  • It may also be indicated in pregnant women suffering from prolapse of the genital organs. (digitimer.com)
  • POP is the abnormal descent or herniation of the pelvic organs from their normal attachment sites or their normal position in the pelvis. (medscape.com)
  • They hold the pelvic organs in a suitable position. (penmediainc.com)
  • Pelvic organ prolapse occurs when the pelvic floor muscles become weak or damaged and can no longer support the pelvic organs. (gaurology.com)
  • As a result, one or more pelvic organs can fall from their normal position and protrude. (gaurology.com)
  • The aim of pelvic floor reconstructive surgery, is to restore pelvic organs to their original position. (urologyaustin.com)
Genitourinary1
  • Certain rare abnormalities in connective tissue (collagen), such as Marfan disease, have also been linked to genitourinary prolapse. (medscape.com)
Posterior vaginal1
Abdominal3
  • Similar to abdominal hernias, pelvic organ prolapse can be considered a herniation of either pelvic or abdominal contents through a structural weakness in the pelvic floor. (medscape.com)
  • Other medical conditions that may result in prolapse are those associated with increases in intra-abdominal pressure (eg, obesity, chronic pulmonary disease, smoking, constipation). (medscape.com)
  • Pelvic organ prolapse is a very common condition, particularly among older women, women who have had multiple births or who have undergone abdominal surgery. (gaurology.com)
Cervix2
  • It is to support the cervix especially for patients with additional complaints of prolapse (painful pressure downwards, mostly during standing and walking), pregnant women who are exposed to physical strain (e.g. standing for a long time) or increased intrauterine pressure, or when an ultrasound shows signs of an incompetent cervix. (digitimer.com)
  • She was so debilitated by UP that she pulled down on the cervix and slashed off the prolapse with a sharp knife. (medscape.com)
Urogynecology1
  • from the Chang-Hua Hospital in Taiwan examined the effects of laser treatment for female SUI on pad weight, urodynamics, and sexual function in 35 women (published in the International Urogynecology Journal. (eprbiotechnews.com)
Apical1
  • Sacrocolpopexy is a surgical procedure that is used to correct apical prolapse with or without anterior / posterior wall defects. (urologyaustin.com)
Hernias1
Mesh2
Clinical2
  • 1] The clinical parameters for the standard measurement of pelvic organ support is based on expert opinion, and is limited by ability to examine the pelvis in supine vs standing positions - important because gravity influences the findings. (blogspot.com)
  • My clinical interests include vaginal, laparoscopic, and robotic-assisted surgical approaches to pelvic organ prolapse, clinical research to implement evidence-based practices, and complex obstetric laceration repair and revision. (ufl.edu)
Laparoscopic1
  • He was the second consultant in the UK to complete accredited training in both vaginal surgery and laparoscopic (key-hole) surgery for prolapse. (3fivetwo.com)
Transvaginal1
  • Using transvaginal sonography in the recumbent or upright position we have established normal values for the cervical length and an opening of the cervical os (funnelling) for singleton and twin pregnancies. (digitimer.com)
Anterior1
  • Pelvic organ prolapse refers to the symptomatic descent of at least two parts of the vaginal wall-the anterior/posterior walls and the apex. (medscape.com)
Reconstructive surgery2
Fellowship1
  • The Program, an accredited ACGME fellowship, offers a single two-year position each year. (utsouthwestern.edu)
Repairs1
  • 2014) highlight that about 29,000 prolapse repairs were done in England between 2010 and 2011 which cost around £60 million [4] . (physio-pedia.com)
Evaluations1
  • Their workup [ 5 ], included the validated Integral Theory System Questionnaire, preoperative and postoperative urodynamics evaluations, and speculum testing ( Fig. 1 ). (einj.org)
Procedure2
  • This procedure is usually performed because a condition such as fibroids, endometriosis, pelvic prolapse, abnormal bleeding, chronic pain or gynecologic cancer. (ngpg.org)
  • This procedure is to help remedy any kind of pelvic prolapse. (ngpg.org)
Disorders1
  • Prolapse may also result from pelvic tumors, sacral nerve disorders, and diabetic neuropathy. (medscape.com)
Diagnostic1
  • However, differences in inclusion criteria and methods used mean that there is continuing uncertainty over the current position of IUT in the diagnostic pathway of SUI [ 9 , 10 ]. (biomedcentral.com)
Defects1
  • [ 5 ] A thorough evaluation and definition of all support defects is of critical importance because most women with pelvic organ prolapse have multiple defects. (medscape.com)
Treatment2
  • Possible prolapse complaints are directly redressed, which can motivate the patient and the team physician to continue with the treatment. (digitimer.com)
  • Patient safety is the primary concern and, for this reason, the patented Fotona SMOOTH® technology holds a very unique position within the spectrum of gynecological treatment options. (europawire.eu)
Gynecologic1
  • [ 1 ] Swift et al found that over 50% of asymptomatic women presenting for annual gynecologic examination have at least stage 2 prolapse on examination. (medscape.com)
Lithotomy position1
  • A case report of foot drop following visual internal uretherotomy in the lithotomy position: Is prolonged surgery in the lithotomy position the only important risk factor? (urotoday.com)
Assessment1
  • Assessment of pelvic organ prolapse: A review. (blogspot.com)
Surgery4
  • We also offer surgery to restore the bladder neck (the muscles connecting the bladder to the urethra) and urethra to their normal positions, as well as several types of nerve stimulation therapy to treat problems in the nerves regulating the bladder. (ucsfhealth.org)
  • 4.Trends in prolapse surgery in England. (bupa.co.uk)
  • Most recently, he has been leading the research and development group at Medical Surgery Technologies (MST), a company that develops and markets an image-guided laparoscope positioning system. (medxelerator.com)
  • I schedule urodynamics with my NP for a preop patient and schedule her to return at least 1 day later to discuss the results, perform cystoscopy, counsel her about surgical options and schedule surgery (25 min of face to face not including cystoscopy). (augs.org)
Sexual1
  • Prolapse is not dangerous or life-threatening but it can be distressing and inconvenient, limiting physical and sexual activity. (adhb.govt.nz)
Pessary3
  • In general, a Cerclage Pessary or Cerclage Ring should have a height between 17mm and 25mm in singleton pregnancies and a height between 25mm and 30mm in twin or multiple pregnancies or pregnant patients with complaints of prolapse. (digitimer.com)
  • The Cerclage Pessary is inserted in the recumbent position by the obstetrician. (digitimer.com)
  • Vaginal sonographic examinations can help to identify the cervical shape and length, the position of the pessary can easily be controlled manually during routine controls. (digitimer.com)
Patients1
Relaxation1