The Experts below are selected from a list of 102 Experts worldwide ranked by ideXlab platform
Niels Klarskov - One of the best experts on this subject based on the ideXlab platform.
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The Manchester procedure versus vaginal hysterectomy in the treatment of uterine Prolapse: a review
International Urogynecology Journal, 2017Co-Authors: Caecilie Krogsgaard Tolstrup, Gunnar Lose, Niels KlarskovAbstract:Introduction and hypothesis Uterine Prolapse is a common health problem and the number of surgical procedures is increasing. No consensus regarding the surgical strategy for repair of uterine Prolapse exists. Vaginal hysterectomy (VH) is the preferred surgical procedure worldwide, but Uterus-preserving alternatives including the Manchester procedure (MP) are available. The objective was to evaluate if VH and the MP are equally efficient treatments for uterine Prolapse with regard to anatomical and symptomatic outcome, quality of life score, functional outcome, re-operation and conservative re-intervention rate, complications and operative outcomes. Methods We systematically searched Embase, PubMed, the Cochrane databases, Clinicaltrials and Clinical trials register using the MeSh terms “uterine Prolapse”, “Uterus Prolapse”, “vaginal Prolapse” “pelvic organ Prolapse”, “Prolapsed Uterus”, “Manchester procedure” and “vaginal hysterectomy”. No limitations regarding language, study design or methodology were applied. In total, nine studies published from 1966 to 2014 comparing the MP to VH were included. Results The anatomical recurrence rate for the middle compartment was 4–7 % after VH, whereas recurrence was very rare after the MP. The re-operation rate because of symptomatic recurrence was higher after VH (9–13.1 %) compared with MP (3.3–9.5 %) and more patients needed conservative re-intervention (14–15 %) than after MP (10–11 %). After VH, postoperative bleeding and blood loss tended to be greater, bladder lesions and infections more frequent and the operating time longer. Conclusions This review is in favour of the MP, which seems to be an efficient and safe treatment for uterine Prolapse. We suggest that the MP might be considered a durable alternative to VH in uterine Prolapse repair.
Caecilie Krogsgaard Tolstrup - One of the best experts on this subject based on the ideXlab platform.
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The Manchester procedure versus vaginal hysterectomy in the treatment of uterine Prolapse: a review
International Urogynecology Journal, 2017Co-Authors: Caecilie Krogsgaard Tolstrup, Gunnar Lose, Niels KlarskovAbstract:Introduction and hypothesis Uterine Prolapse is a common health problem and the number of surgical procedures is increasing. No consensus regarding the surgical strategy for repair of uterine Prolapse exists. Vaginal hysterectomy (VH) is the preferred surgical procedure worldwide, but Uterus-preserving alternatives including the Manchester procedure (MP) are available. The objective was to evaluate if VH and the MP are equally efficient treatments for uterine Prolapse with regard to anatomical and symptomatic outcome, quality of life score, functional outcome, re-operation and conservative re-intervention rate, complications and operative outcomes. Methods We systematically searched Embase, PubMed, the Cochrane databases, Clinicaltrials and Clinical trials register using the MeSh terms “uterine Prolapse”, “Uterus Prolapse”, “vaginal Prolapse” “pelvic organ Prolapse”, “Prolapsed Uterus”, “Manchester procedure” and “vaginal hysterectomy”. No limitations regarding language, study design or methodology were applied. In total, nine studies published from 1966 to 2014 comparing the MP to VH were included. Results The anatomical recurrence rate for the middle compartment was 4–7 % after VH, whereas recurrence was very rare after the MP. The re-operation rate because of symptomatic recurrence was higher after VH (9–13.1 %) compared with MP (3.3–9.5 %) and more patients needed conservative re-intervention (14–15 %) than after MP (10–11 %). After VH, postoperative bleeding and blood loss tended to be greater, bladder lesions and infections more frequent and the operating time longer. Conclusions This review is in favour of the MP, which seems to be an efficient and safe treatment for uterine Prolapse. We suggest that the MP might be considered a durable alternative to VH in uterine Prolapse repair.
Damaru Prasad Paneru - One of the best experts on this subject based on the ideXlab platform.
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a study of prevalence and associated factors of Uterus Prolapse in doti district of nepal
Indian Journal of Public Health Research and Development, 2013Co-Authors: Damaru Prasad PaneruAbstract:Background: Uterus Prolapse is a condition in which Uterus drops down from its normal position. In extreme stages, it out of the vagina; which constitute a widespread chronic problem in hilly regions of Nepal. Objective of the study was to estimate the prevalence of Uterus Prolapse and its associated factors in Doti district of Nepal. Methodology: This was community based cross sectional study; conducted among the 360 women of the Doti district who were undergone a pregnancy at least once during her life. Three stage probability sampling procedure was adopted. Face to face interview was conducted with respondents using pre-tested, structured interview schedule. Data were analyzed by statistical package for Social Sciences (16 Version). Percentage, mean, were calculated and Chi Square test and R2 tests were applied. Results: Nearly half of the respondents were over age 35 years with one in every five belongs to age group 21-25 years; and 33.3% were dalits/schedule castes. Majorities (75%) of the respondents were illiterate and housewives. Nearly 96% of the respondents were married before 20 years of age. Literacy status, caste, age of respondents, age at marriage, parity and time to resume work after delivery were independently and significantly associated with Uterus Prolapse (p<0.05) where strongest variation was observed due to parity. Moreover, the type of delivery at first, second, third and fourth child birth, age at marriage, numbers of children, parity, age at first child births were observed to be strongly associated factors; that explained 40 percent variations in Uterus Prolapse. Conclusions: Illiterates and high parity women were suffered greatly from the Uterus Prolapse. Women's empowerment, limiting frequent pregnancies and provision of educational opportunities are recommended for the prevention of Uterus Prolapse.
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A Study of Prevalence and Associated Factors of Uterus Prolapse in Doti District of Nepal
Indian Journal of Public Health Research and Development, 2013Co-Authors: Damaru Prasad PaneruAbstract:Background: Uterus Prolapse is a condition in which Uterus drops down from its normal position. In extreme stages, it out of the vagina; which constitute a widespread chronic problem in hilly regions of Nepal. Objective of the study was to estimate the prevalence of Uterus Prolapse and its associated factors in Doti district of Nepal. Methodology: This was community based cross sectional study; conducted among the 360 women of the Doti district who were undergone a pregnancy at least once during her life. Three stage probability sampling procedure was adopted. Face to face interview was conducted with respondents using pre-tested, structured interview schedule. Data were analyzed by statistical package for Social Sciences (16 Version). Percentage, mean, were calculated and Chi Square test and R2 tests were applied. Results: Nearly half of the respondents were over age 35 years with one in every five belongs to age group 21-25 years; and 33.3% were dalits/schedule castes. Majorities (75%) of the respondents were illiterate and housewives. Nearly 96% of the respondents were married before 20 years of age. Literacy status, caste, age of respondents, age at marriage, parity and time to resume work after delivery were independently and significantly associated with Uterus Prolapse (p
Gunnar Lose - One of the best experts on this subject based on the ideXlab platform.
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The Manchester procedure versus vaginal hysterectomy in the treatment of uterine Prolapse: a review
International Urogynecology Journal, 2017Co-Authors: Caecilie Krogsgaard Tolstrup, Gunnar Lose, Niels KlarskovAbstract:Introduction and hypothesis Uterine Prolapse is a common health problem and the number of surgical procedures is increasing. No consensus regarding the surgical strategy for repair of uterine Prolapse exists. Vaginal hysterectomy (VH) is the preferred surgical procedure worldwide, but Uterus-preserving alternatives including the Manchester procedure (MP) are available. The objective was to evaluate if VH and the MP are equally efficient treatments for uterine Prolapse with regard to anatomical and symptomatic outcome, quality of life score, functional outcome, re-operation and conservative re-intervention rate, complications and operative outcomes. Methods We systematically searched Embase, PubMed, the Cochrane databases, Clinicaltrials and Clinical trials register using the MeSh terms “uterine Prolapse”, “Uterus Prolapse”, “vaginal Prolapse” “pelvic organ Prolapse”, “Prolapsed Uterus”, “Manchester procedure” and “vaginal hysterectomy”. No limitations regarding language, study design or methodology were applied. In total, nine studies published from 1966 to 2014 comparing the MP to VH were included. Results The anatomical recurrence rate for the middle compartment was 4–7 % after VH, whereas recurrence was very rare after the MP. The re-operation rate because of symptomatic recurrence was higher after VH (9–13.1 %) compared with MP (3.3–9.5 %) and more patients needed conservative re-intervention (14–15 %) than after MP (10–11 %). After VH, postoperative bleeding and blood loss tended to be greater, bladder lesions and infections more frequent and the operating time longer. Conclusions This review is in favour of the MP, which seems to be an efficient and safe treatment for uterine Prolapse. We suggest that the MP might be considered a durable alternative to VH in uterine Prolapse repair.
Lang Jinghe - One of the best experts on this subject based on the ideXlab platform.
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Pelvic floor muscle function in normal women and the patients with pelvic floor dysfunction
Journal of Reproductive Medicine, 2008Co-Authors: Lang JingheAbstract:Objectives: To compare the pelvic floor muscle function between the women with pelvic floor dysfunction and normal controls Methods: Vaginal palpation and dynamometric measurements were used to assess the pelvic floor muscle strength of 10 women suffering from stress urinary incontinence(SUI),10 with Uterus Prolapse,10 with Uterus Prolapse complicating with stress urinary incontinence and 10 normal women.Results from the palpation test were compared with measurements of vaginal squeeze pressure using dynamometric device.Duration and speed of pelvic floor muscle contraction were compared between SUI group and control group.Results: The inter-rater reliability for vaginal palpation according to the dynamometric measurements was 0.549 measured by Spearman's rho.The women with pelvic floor dysfunction demonstrated lower force of pelvic floor muscle.Duration and speed of pelvic floor muscle contraction were both lower in the SUI group than in control group. Conclusion: Vaginal palpation is simple and valid to measure pelvic floor muscle strength.The function of pelvic floor muscle is impaired in women with pelvic floor dysfunction.
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Safety and Efficacy of Posterior Intravaginal Slingplasty for Prolapse
Journal of Practical Obstetrics and Gynecology, 2008Co-Authors: Lang JingheAbstract:Objective:To discuss the safety and efficacy of posterior intravaginal slingplasty for Prolapse.Methods:Clinical information of 76 posterior intravaginal slingplasties was retrospectively studied and 39 of them were followed up for more than one year. Pelvic floor distress inventory and pelvic organ Prolapse/ urinary incontinence sexual function questionnaire survey was implemented.Results:The medium time and blood loss of the operation was 68.5 minutes and 90.4ml respectively with the effective rate being 92.3%. Erosion and urinary tract symptoms occurred in 20.5% and 19.4% of the patients with no severe complications during and after the course. A total of 31 Prolapse quality of life questionnaires showed that there was statistical significant difference before and after the procedure while the 11 sexual function questionnaires didn't.Conclusions:Posterior intravaginal slingplasty was a minimally invasive procedure for Uterus Prolapse, posterior vaginal Prolapse and posthysterectomy fornix Prolapse. Pelvic floor function, defecating and micturating symptoms improved with no adverse effect on sexual activity. The relatively high erosion rate still needs to be solved.
