Prospective multicenter trial assessing type I, polypropylene mesh placed via transobturator route for the treatment of anterior vaginal prolapse with 2-year follow-upRobert D Moore
Advanced Pelvic Surgery and Urogynecology, Atlanta Urogynecology Associates, Atlanta, GA 30005, USA
Int Urogynecol J 21:545-52. 2010
..Two-year outcomes of treating cystocele with a polypropylene mesh (Perigee System with IntePro, AMS, Inc.) placed via a transobturator approach are reported...
- Vaginal mesh kits for pelvic organ prolapse, friend or foe: a comprehensive review
Robert D Moore
Atlanta Urogynecology Associates, Northside Hospital, Atlanta, GA, USA
ScientificWorldJournal 9:163-89. 2009
..Even after we gain this knowledge, it will still require advanced surgical skills to complete these types of surgeries, and to help minimize complications and maximize results...
- Tension-free vaginal tape sling for recurrent stress incontinence after transobturator tape sling failure
Robert D Moore
Division of Urogynecology, Atlanta Urogynecology Associates, 3400 C Old Milton Pkwy, Suite 330, Alpharetta, GA 30005, USA
Int Urogynecol J Pelvic Floor Dysfunct 18:309-13. 2007
..Recurrent or persistent stress urinary incontinence after TOT sling may be treated with TVT sling without removal of the TOT sling. Further studies with larger numbers and longer-term follow-up is warranted...
- Incidence of concomitant surgery for pelvic organ prolapse in patients surgically treated for stress urinary incontinence
Stuart R Hart
Atlanta Urogynecology Associates, Alpharetta, Georgia 30005, USA
J Reprod Med 51:521-4. 2006
..To examine the concomitant incidence of surgery for pelvic organ prolapse in patients undergoing a surgical procedure to correct stress urinary incontinence in both an academic and private urogynecology practices...
- Laparoscopic pelvic floor repair
John R Miklos
Atlanta Urogynecology Associates, 3400 C Old Milton Parkway, Suite 330, Alpharetta, GA 30005, USA
Obstet Gynecol Clin North Am 31:551-65, viii-ix. 2004
..This article reviews the pertinent anatomy, surgical procedures, and literature concerning the laparoscopic approach to pelvic floor reconstruction...
- Site-specific rectocele repair with dermal graft augmentation: comparison of porcine dermal xenograft (Pelvicol) and human dermal allograft
Roger C Biehl
Atlanta Urogynecology Associates, Atlanta, Georgia, USA
Surg Technol Int 17:174-80. 2008
..Site-specific fascial rectocele repairs with xenograft or allograft augmentation were found to have similar complication rates as well as objective and subjective cure rates...
- Risk of mesh extrusion and other mesh-related complications after laparoscopic sacral colpopexy with or without concurrent laparoscopic-assisted vaginal hysterectomy: experience of 402 patients
Assia A Stepanian
Center for Women s Care and Reproductive Surgery, Atlanta, GA 30328, USA
J Minim Invasive Gynecol 15:188-96. 2008
..To estimate the incidence of mesh-related complications including mesh erosion/extrusion rates in patients undergoing laparoscopic sacral colpopexy, with or without concurrent hysterectomy, using macroporous soft polypropylene mesh...
- Laparoscopic removal of pubovaginal polypropylene tension-free tape slings
Dirk P Pikaart
Atlanta Urogynecology Associates, Alpharetta, Georgia 30005, USA
JSLS 10:220-5. 2006
..Patients must be informed of these risks and possible complications before making their decision to undergo surgery...
- Colpocleisis and tension-free vaginal tape sling for severe uterine and vaginal prolapse and stress urinary incontinence under local anesthesia
Robert D Moore
Division of Urogynecology, Department of Obstetrics and Gynecology, Northside Hospital, Atlanta, GA, USA
J Am Assoc Gynecol Laparosc 10:276-80. 2003
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- Simultaneous labia minora and majora reduction: a case report
John R Miklos
Atlanta Urogynecology Associates, Atlanta, Georgia, USA
J Minim Invasive Gynecol 18:378-80. 2011
..This case describes the rare situation of a woman presenting with enlargement of both the labia minora and majora and her subsequent simultaneous surgical treatment...
- Rectovaginal fistula repair using a porcine dermal graft
Robert D Moore
Atlanta Urogynecology Associates, Atlanta, Georgia, USA
Obstet Gynecol 104:1165-7. 2004
..CONCLUSION: Porcine dermal grafts may be a viable alternative to traditional autologous flaps or human dermal grafts for the repair of rectovaginal fistula...
- Labiaplasty of the labia minora: patients' indications for pursuing surgery
John R Miklos
Atlanta Urogynecology Associates, 3400 C Old Milton Pkwy Suite 330, Alpharetta 30005, GA, USA
J Sex Med 5:1492-5. 2008
..Limited information is available regarding patients' indication for seeking labiaplasty of the labia minora...
- Laparoscopic sacral colpopexy
Robert D Moore
Urogynecology and Reconstructive Pelvic Surgery, Atlanta Center for Laparoscopic Urogynecology, Atlanta Urogynecology Associates, Atlanta, GA, USA
Surg Technol Int 17:195-202. 2008
..The authors have performed more than 500 sacral colpopexy via laparoscopy with minimal morbidity and thus share their technique with the reader...
- Osteomyelitis secondary to sacral colpopexy mesh erosion requiring laminectomy
G Bernard Taylor
Atlanta Urogynecology Associates, Alpharetta, Georgia 30005, USA
Obstet Gynecol 107:475-7. 2006
..Severe infectious morbidity associated with the use of synthetic mesh and abdominal sacral colpopexy is rare. Pelvic abscess, sinus tract formation, enterovaginal fistula, and osteomyelitis have been reported...
- Single-incision vaginal approach to treat cystocele and vault prolapse with an anterior wall mesh anchored apically to the sacrospinous ligaments
Robert D Moore
Atlanta Urogynecology Associates, Atlanta, GA, USA
Int Urogynecol J 23:85-91. 2012
..The safety and early efficacy of a new technique to treat cystocele and/or concomitant apical prolapse through a single vaginal incision with a lightweight mesh anchored apically bilaterally to the sacrospinous ligaments is reported...
- Laparoscopic surgery for pelvic support defects
John R Miklos
Urogynecology and Reconstructive Pelvic Surgery, Atlanta Urogynecology Associates, Atlanta, Georgia 30005, USA
Curr Opin Obstet Gynecol 14:387-95. 2002
..This paper reviews the general principles and functional anatomy associated with normal vaginal support as well as the laparoscopic surgical approach to pelvic floor support defects...
- Incidence of extrusion following type I polypropylene mesh "kit" repairs in the correction of pelvic organ prolapse
James C Lukban
Division of Urogynecology, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, 825 Fairfax Avenue, Suite 310, Norfolk, VA 23507, USA
Obstet Gynecol Int 2012:354897. 2012
..Given the unknown long-term sequellae of vaginal mesh exposure, a thorough assessment of risks and benefits of transvaginal mesh placement should be considered at the time of preoperative planning...
- Tension-free vaginal tape sling with a porcine interposition graft in an irradiated patient with a past history of a urethrovaginal fistula and urethral mesh erosion: a case report
Joye Lowman
Urogynecology Associates, Indiana University Purdue University, Indianapolis, Indiana, USA
J Reprod Med 52:560-2. 2007
..The treatment of these complications and the patient's initial disorder can be complex and difficult, especially when the use of various graft materials, including mesh, is involved in the original complication...
