Genomes and Genes
Summary: Downward displacement of the UTERUS. It is classified in various degrees: in the first degree the UTERINE CERVIX is within the vaginal orifice; in the second degree the cervix is outside the orifice; in the third degree the entire uterus is outside the orifice.
Publications182 found, 100 shown here
- Sacrocervicopexy and combined operations involving cases of total uterine prolapse. Case reportsAtes Karateke
Zeynep Kamil Women's and Children's Diseases, Education and Research Hospital, Istanbul, Turkey
Med Princ Pract 13:164-8. 2004..INTERVENTION: Sacrocervicopexy with Prolene mesh and combined operations were performed in 3 women with total uterine prolapse because of the patient's desire to retain fertility in 2 cases and refusal of hysterectomy in the 3rd patient...
- The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female populationMarijke C Ph Slieker-ten Hove
COBRA Research Institute, Pelvic floor research, Amersfoort, The Netherlands
Int Urogynecol J Pelvic Floor Dysfunct 20:1037-45. 2009..Our aim was to obtain normative data on the prevalence of POP and pelvic floor dysfunction (PFD) symptoms and signs and to identify associations...
- Combined genital prolapse repair reinforced with a polypropylene mesh and tension-free vaginal tape in women with genital prolapse and stress urinary incontinence: a retrospective case-control study with short-term follow-upRenaud de Tayrac
Department of Obstetrics and Gynecology, Antoine Beclere Hospital, Clamart, France
Acta Obstet Gynecol Scand 83:950-4. 2004..To evaluate the tension-free vaginal tape (TVT) in both stress urinary incontinence (SUI) and occult SUI as an associated procedure at the time of tension-free polypropylene mesh repair for the treatment of genitourinary prolapse...
- A prospective, randomised, controlled trial comparing 3 hour and 24 hour postoperative removal of bladder catheter and vaginal pack following vaginal prolapse surgeryKarin Glavind
Department of Gynecology and Obstetrics, Aalborg Sygehus, Aalborg, Denmark
Acta Obstet Gynecol Scand 86:1122-5. 2007....
- Update on the utilization of grafts in pelvic reconstruction surgeriesTam H Le
Department of Obstetrics and Gynecology, Long Beach Memorial Women s Hospital, Long Beach, California, USA
Curr Opin Obstet Gynecol 19:480-9. 2007..This review aims to provide an update of the current status and role of grafts in reconstructive pelvic surgery and to review the current knowledge of the biology of currently marketed synthetic and biologic grafts...
- Anterior colporrhaphy: a randomized trial of three surgical techniquesA M Weber
Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Ohio, USA
Am J Obstet Gynecol 185:1299-304; discussion 1304-6. 2001..The addition of polyglactin 910 mesh did not improve the cure rate compared with standard anterior colporrhaphy...
- Complication and reoperation rates after apical vaginal prolapse surgical repair: a systematic reviewGouri B Diwadkar
Department of Ob Gyn, Cleveland Clinic, Cleveland, OH 44198, USA
Obstet Gynecol 113:367-73. 2009..To compare postoperative complication and reoperation rates for surgical procedures correcting apical vaginal prolapse...
- Obstetric risk factors for symptomatic prolapse: a population-based approachGunilla Tegerstedt
Department of Obstetrics and Gynaecology, Stockholm Soder Hospital, Stockholm, Sweden
Am J Obstet Gynecol 194:75-81. 2006..The purpose of this study was to identify obstetric risk factors for symptomatic prolapse...
- Fast track vaginal surgeryMarianne Ottesen
Department of Obstetrics and Gynecology, Copenhagen University Hospital, Hvidovre, Denmark
Acta Obstet Gynecol Scand 81:138-46. 2002..Short-term success rate, satisfaction rates, and acceptability were all excellent. Follow up has been established to evaluate long-term success rates and recurrence...
- How long should urinary bladder catheterisation be continued after vaginal prolapse surgery? A randomised controlled trial comparing short term versus long term catheterisation after vaginal prolapse surgeryR A Hakvoort
Department of Obstetrics and Gynaecology, Spaarne Hospital, Haarlem, The Netherlands
BJOG 111:828-30. 2004..To determine whether prolonged urinary bladder catheterisation after vaginal prolapse surgery is advantageous...
- Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic reviewB Feiner
Division of Urogynaecology and Reconstructive Pelvic Surgery, Royal Women s, Mater and Wesley Hospitals, Brisbane, Queensland, Australia
BJOG 116:15-24. 2009..Vaginal mesh kits are being used to surgically treat apical vaginal prolapse; however, their safety and efficacy are currently unknown...
- Uterine prolapse complicating pregnancyGeorge Daskalakis
Department of Obstetrics and Gynecology, University of Athens, Alexandra Hospital, Athens, Greece
Arch Gynecol Obstet 276:391-2. 2007BACKGROUND: Uterine prolapse is extremely rare during pregnancy. However in some cases significant complications may develop. We report a case of uterine prolapse which developed during pregnancy...
- The use of synthetic mesh in pelvic reconstructive surgeryBeri Ridgeway
Department of Gynecology, Cleveland Clinic, Cleveland, Ohio 44195, USA
Clin Obstet Gynecol 51:136-52. 2008..Procedural kits for vaginal placement of synthetic materials are becoming popular, though long-term outcome and safety data are lacking...
- Posterior intravaginal slingplasty with preservation of the uterus: a modified surgical technique in a young myelomeningocele patientJasper Verguts
Bekkenbodemcentrum, University Hospital Gasthuisberg, Leuven, Belgium
Gynecol Obstet Invest 63:203-4. 2007We report a case of uterine prolapse in a young woman, treated by posterior intravaginal slingplasty with preservation of the uterus as a feasible and safe surgical procedure...
- Incidence of pelvic floor repair after hysterectomy: A population-based cohort studyRoberta E Blandon
Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
Am J Obstet Gynecol 197:664.e1-7. 2007..The objective of the study was to assess the incidence of and risk factors for pelvic floor repair (PFR) procedures after hysterectomy...
- Lipogranuloma of the cervix in a postmenopausal patient with a uterine prolapseMetin Akbulut
Arch Gynecol Obstet 277:277-9. 2008..CASE: We described an incidental lipogranuloma of the cervix in a 60-year-old woman who presented with total uterine prolapse. CONCLUSION: Although lipogranuloma mostly occurs in young male patients, especially in the genital tract, ..
- Recurrent pelvic organ prolapse in a woman with bladder exstrophy: a case report of surgical management and review of the literatureTristi W Muir
The Cleveland Clinic Foundation, Cleveland, Ohio, USA
Int Urogynecol J Pelvic Floor Dysfunct 15:436-8. 2004..A case of recurrent pelvic organ prolapse successfully managed with a sacral colpopexy and a review of the literature are presented...
- Uterine prolapseAnjum Doshani
Urogynaecology Department, Women's, Perinatal and Sexual Health Directorate, Leicester General Hospital, University Hospitals of Leicester NHS Trust, Leicester LE5 4PW
BMJ 335:819-23. 2007
- Vaginal paravaginal repair with porcine dermal reinforcement: correction of advanced anterior vaginal prolapseAmanda J Simsiman
Department of Reproductive Medicine, University of California, San Diego, CA, USA
Am J Obstet Gynecol 195:1832-6. 2006..Overall cure rate was 78% (68 of 89). Data were analyzed using the Wilcoxon rank test. CONCLUSION: The reinforced vaginal paravaginal repair procedure is safe and effective for correction of advanced anterior vaginal prolapse...
- Uterine prolapse in pregnancyLorenzo Guariglia
Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy
Gynecol Obstet Invest 60:192-4. 2005We present a case of a patient developing uterine prolapse during pregnancy. The cervix reached the introitus at 10 weeks gestation and subsequently protruted progressively as the pregnancy advanced...
- Can a ring pessary have a lasting effect to reverse uterine prolapse even after its removal?Shigeki Matsubara
Department of Obstetrics and Gynecology of Jichi Medical University, 3311 1 Yakushiji Shimotsuke, Tochigi 329 0498, Japan
J Obstet Gynaecol Res 36:459-61. 2010A vaginal ring pessary for uterine prolapse has been considered only to reposition the uterus during fitting and is thus palliative. A ring pessary was fitted in a 71-year-old woman with uterine prolapse to reposition the uterus...
- Sexual health in women with pelvic floor disorders: measuring the sexual activity and function with questionnaires--a summaryMontserrat Espuna Pons
Department of Obstetrics and Gynecology, Hospital Clinic, University of Barcelona, Villarroel 170, Barcelona, 08036, Spain
Int Urogynecol J Pelvic Floor Dysfunct 20:S65-71. 2009..There is a need for a validated sexual function measure that evaluates not only the impact of pelvic floor dysfunction on sexual function but also the impact on sexual activity...
- Incidence rate and risk factors for vaginal vault prolapse repair after hysterectomyPatrick Dällenbach
Department of Gynecology and Obstetrics, Division of Gynecology, Perineology Unit, University Hospitals of Geneva, 30 Boulevard de la Cluse, 1211, Geneva, Switzerland
Int Urogynecol J Pelvic Floor Dysfunct 19:1623-9. 2008..9; 95% CI 0.5-1.8).Vaginal vault prolapse repair after hysterectomy is an infrequent event and is due to preexisting weakness of pelvic tissues...
- One-year follow-up after sacrospinous hysteropexy and vaginal hysterectomy for uterine descent: a randomized studyViviane Dietz
Department of Obstetrics and Gynecology, Catharina Medical Center, Michelangelolaan 2, 5623, Eindhoven, The Netherlands
Int Urogynecol J 21:209-16. 2010..In a retrospective study, the sacrospinous hysteropexy was associated with a shorter recovery time compared to a vaginal hysterectomy with no differences in anatomical outcomes. No randomized trials are performed...
- Vaginal paravaginal repair: one-year outcomesS B Young
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Massachusetts, UMass Memorial Health Care, Worcester, 01655, USA
Am J Obstet Gynecol 185:1360-6; discussion 1366-7. 2001..CONCLUSIONS: The vaginal approach to the correction of paravaginal defect cystocele is highly effective in our population at a mean of 11 months after the operation. Frequent complications do occur but are largely manageable...
- Efficacy and safety of using mesh or grafts in surgery for anterior and/or posterior vaginal wall prolapse: systematic review and meta-analysisX Jia
Health Services Research Unit, University of Aberdeen, Aberdeen, UK
BJOG 115:1350-61. 2008..The efficacy and safety of mesh/graft in surgery for anterior or posterior pelvic organ prolapse is uncertain...
- Uterine preservation or hysterectomy at sacrospinous colpopexy for uterovaginal prolapse?C F Maher
Royal Women s and Mercy Hospital, Melbourne, Australia
Int Urogynecol J Pelvic Floor Dysfunct 12:381-4; discussion 384-5. 2001..a sacrospinous hysteropexy and 36 who had a vaginal hysterectomy and sacrospinous fixation for symptomatic uterine prolapse. All women underwent independent review and examination, with a mean follow-up of 36 months in the ..
- Risk factors for prolapse recurrence after vaginal repairJames L Whiteside
Department of Obstetrics and Gynecology, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
Am J Obstet Gynecol 191:1533-8. 2004..3; P = .005) were associated with a greater likelihood of recurrent prolapse (>/=stage II) at 1 year. CONCLUSION: Younger women and women with more advanced prolapse are more likely to experience recurrent prolapse after vaginal repair...
- Procedures for pelvic organ prolapse in the United States, 1979-1997Sarah Hamilton Boyles
Department of Obstetrics and Gynecology, Ohio State University, Columbus, OH, USA
Am J Obstet Gynecol 188:108-15. 2003..7 to 3.3 per 1000 women, P =.5). CONCLUSION: Prolapse procedures are performed very frequently in the United States, although the rate has decreased slightly over time...
- A randomized comparison of post-operative pain, quality of life, and physical performance during the first 6 weeks after abdominal or vaginal surgical correction of descensus uteriJ P W R Roovers
Department of Obstetrics and Gynecology, University Medical Center Utrecht, The Netherlands
Neurourol Urodyn 24:334-40. 2005..We performed a randomized trial to compare the effects of both procedures on pain, quality of life and physical performance during the first six weeks after surgery...
- Pelvic organ prolapse: demographics and future growth prospectsHarold P Drutz
Section of Urogynecology, Division of Urogynecology, Department of Obstetrics and Gynecology, University of Toronto, Toronto, Canada
Int Urogynecol J Pelvic Floor Dysfunct 17:S6-9. 2006..The role of adjuvant materials in performing reconstructive pelvic surgery may improve success rates, but evidence based medicine and randomized controlled trials are currently lacking...
- Vaginal paravaginal repair with an AlloDerm graftJeffrey L Clemons
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Brown University School of Medicine, Providence, RI, USA
Am J Obstet Gynecol 189:1612-8; discussion 1618-9. 2003....
- Patient-centered goals for pelvic floor dysfunction surgery: long-term follow-upKathie L Hullfish
Department of Obstetrics and Gynecology, University of Virginia Health System, Charlottesville 22908, USA
Am J Obstet Gynecol 191:201-5. 2004..This study was undertaken to describe long-term postoperative perceived achievement of subjective preoperative goals for pelvic floor dysfunction (PFD) surgery...
- Result of the tension-free vaginal tape in patients with concomitant prolapse surgery: a 2-year follow-up study. An analysis from the Netherlands TVT databaseSteven E Schraffordt Koops
Department of Gynecology and Obstetrics, Meander Medical Center, Ringweg Randenbroek 110, 3816 CP, Amersfoort, The Netherlands
Int Urogynecol J Pelvic Floor Dysfunct 18:437-42. 2007..It shows that the procedure in conjunction with prolapse surgery can be safely performed with good results...
- Laparoscopic uterosacral ligament uterine suspension compared with vaginal hysterectomy with vaginal vault suspension for uterovaginal prolapseAparna Diwan
Department of Obstetrics and Gynecology, Brigham and Women s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA
Int Urogynecol J Pelvic Floor Dysfunct 17:79-83. 2006..No LUSUS group patient underwent reoperation for recurrent apical prolapse as compared to three TVH patients. LUSUS is an effective treatment for appropriately selected women with uterovaginal prolapse who desire uterine preservation...
- Pelvic organ descent in young nulligravid womenH P Dietz
Royal Prince Alfred Hospital, Sydney, Australia
Am J Obstet Gynecol 191:95-9. 2004..There is little information available on what constitutes "normal" pelvic organ mobility. This study presents normal values for urethral, bladder, cervical, and rectal descent on Valsalva...
- The ability of history and a negative cough stress test to detect occult stress incontinence in patients undergoing surgical repair of advanced pelvic organ prolapseSteven Kleeman
Department of Obstetrics and Gynecology Division of Urogynecology and Pelvic Reconstructive Surgery, Good Samaritan Hospital, Cincinnati, OH, USA
Int Urogynecol J Pelvic Floor Dysfunct 17:27-9. 2006..Further work-up would not be cost effective...
- Why pelvic floor surgeons should utilize ultrasound imagingH P Dietz
Ultrasound Obstet Gynecol 28:629-34. 2006
- Abdominal sacrocolpopexy: a comprehensive reviewIngrid E Nygaard
Department of Obstetrics and Gynecology, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA
Obstet Gynecol 104:805-23. 2004..To summarize published data about abdominal sacrocolpopexy and to highlight areas about which data are lacking...
- Factors associated with incontinence frequency in a surgical cohort of stress incontinent womenHolly E Richter
Division of Medical Surgical Gynecology, Department of Obstetrics and Gynecology, University of Alabama, Birmingham, AL, USA
Am J Obstet Gynecol 193:2088-93. 2005..0001) and Q-tip displacement (P = .042). CONCLUSION: Incontinence severity in a surgical population was independently associated with 2 modifiable factors, obesity and tobacco use, as well as pelvic support...
- Long-term outcome of vaginal sacrospinous colpopexy for marked uterovaginal and vault prolapseMohamed A Hefni
Gynaecology Department, Benenden Hospital, Benenden, Kent TN17 4AX, UK
Eur J Obstet Gynecol Reprod Biol 127:257-63. 2006..This study was carried out to evaluate the safety and long-term outcome of sacrospinous colpopexy in marked genital prolapse...
- Patient-centered surgical outcomes: the impact of goal achievement and urge incontinence on patient satisfaction one year after surgerySangeeta T Mahajan
Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, Maywood, IL, USA
Am J Obstet Gynecol 194:722-8. 2006..The purpose of this study was to assess factors that influence patient satisfaction 1 year after pelvic reconstructive surgery...
- Evaluation of Aa point and cotton-tipped swab test as predictors of urodynamic stress incontinenceKaren Tapp
Division of Urogynecology/Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599-7570, USA
Obstet Gynecol 105:115-9. 2005..CONCLUSION: Aa point is not associated with a diagnosis of stress incontinence. However, a cotton-tipped swab angle of 30 degrees or greater is positively associated with stress incontinence...
- Pelvic organ prolapse, constipation, and dietary fiber intake in women: a case-control studyLily A Arya
Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, University of Pennsylvania, Philadelphia 19104, USA
Am J Obstet Gynecol 192:1687-91. 2005..This increased risk for constipation is partially explained by lower intake of dietary insoluble fiber by women with prolapse than controls...
- Classification and evaluation of prolapseLone Mouritsen
Department of Gynecology and Obstetrics, Glostrup Hospital, University of Copenhagen, 2600 Glostrup, Denmark
Best Pract Res Clin Obstet Gynaecol 19:895-911. 2005..We should work on a common classification system and agreement in which symptoms should be recorded as related to prolapse and expected to improve by prolapse surgery...
- Risk factors for failure of transvaginal sacrospinous uterine suspension in the treatment of uterovaginal prolapseTzu-Yin Lin
Urodynamic Unit, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, and Mackay Medicine, Nursing and Management College, Taipei, Taiwan
J Formos Med Assoc 104:249-53. 2005..the risk factors for failure of transvaginal sacrospinous uterine suspension (SSUS) in the treatment of uterine prolapse and to examine methods for controlling these risk factors...
- Mesh erosion in abdominal sacral colpopexy with and without concomitant hysterectomyJennifer M Wu
Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA
Am J Obstet Gynecol 194:1418-22. 2006..6, CI 1.1-28.6) were associated with mesh erosion. No risk factors were identified in women not on estrogen. CONCLUSION: In women on estrogen therapy, hysterectomy was associated with mesh erosion in abdominal sacral colpopexy...
- Pelvic symptoms in women with pelvic organ prolapseLara J Burrows
Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee Women s Hospital, Pittsburgh, Pennsylvania 15213, USA
Obstet Gynecol 104:982-8. 2004..To assess symptoms of bladder, bowel, and sexual function in women with pelvic organ prolapse and to compare symptoms by different degrees of prolapse...
- Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of lifeJ Eric Jelovsek
Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Gynecology and Obstetrics, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Am J Obstet Gynecol 194:1455-61. 2006..To date, there are no data on body image in patients with advanced pelvic organ prolapse. Our objective was to compare body image and quality of life in women with advanced pelvic organ prolapse with normal controls...
- Predictive value of prolapse symptoms: a large database studyJasmine S Tan
UCSD Medical Center, San Diego, CA 92037, USA
Int Urogynecol J Pelvic Floor Dysfunct 16:203-9; discussion 209. 2005..Digital assistance for fecal evacuation is no more common with massive posterior prolapse than with moderate posterior prolapse. Patient report of a bulge is a valuable screening tool for POP and should prompt a careful exam...
- Urogynaecological and obstetric issues in women with the exstrophy-epispadias complexR I Mathews
Division of Paediatric Urology, The James Buchanan Brady Urological Institute, Baltimore, MD 21287, USA
BJU Int 91:845-9. 2003..To review of the sexual and urogynaecological issues faced by a large cohort of women with the exstrophy-epispadias complex (EEC)...
- Correlation of symptoms with location and severity of pelvic organ prolapseR M Ellerkmann
Department of Gynecology and Obstetrics, Johns Hopkins Medicine, Baltimore, MD, USA
Am J Obstet Gynecol 185:1332-7; discussion 1337-8. 2001..Increasing severity of pelvic organ prolapse is weakly to moderately associated with several specific symptoms that are related to urinary incontinence and voiding, defecatory, and sexual dysfunction...
- Barriers to seeking treatment for women with persistent or recurrent symptoms in urogynaecologyM Basu
Department of Obstetrics and Gynaecology, Medway Maritime Hospital, Gillingham, Kent, UK
BJOG 116:726-30. 2009..Dominant themes were beliefs about ageing, attitudes towards incontinence, health professionals and treatment and access to services. These factors may be important when counselling women postoperatively...
- Histological and immunohistochemical evaluation of postmenopausal endometrium after 3 weeks of treatment with tibolone, estrogen only, or estrogen plus progestagenAnet H A Klaassens
Department of Obstetrics and Gynecology, Erasmus University Medical Center, Rotterdam, The Netherlands
Fertil Steril 86:352-61. 2006..It is hypothesized that tibolone first displays a more estrogenic mode of action, which over time, is counterbalanced by the induction of its progestagenic properties...
- Bilateral extraperitoneal uterosacral suspension: a new approach to correct posthysterectomy vaginal vault prolapsePeter L Dwyer
Department of Urogynecology, Mercy Hospital for Women, 163 Studley Road, Heidelberg, Melbourne, Victoria 3084, Australia
Int Urogynecol J Pelvic Floor Dysfunct 19:283-92. 2008..We believe this procedure to have less risk of ureteral injury than the intraperitoneal approach...
- Lower urinary tract symptoms, quality of life and pelvic organ prolapse: irritative bladder and obstructive voiding symptoms in women planning to undergo abdominal sacrocolpopexy for advanced pelvic organ prolapseHolly E Richter
Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA
J Urol 178:965-9; discussion 969. 2007..We compared lower urinary tract and voiding symptoms in women with and without symptoms of stress urinary incontinence who were planning to undergo abdominal sacrocolpopexy for pelvic organ prolapse...
- Effect of genital prolapse on assessment of bladder neck mobility by the Q-tip testJennifer T Pollak
Cleveland Clinic Florida, Fort Lauderdale, Florida 33331, USA
Obstet Gynecol 101:662-5. 2003..To investigate the effect of vaginal prolapse and bladder fullness on Q-tip test assessment of urethral mobility...
- Sacrohysteropexy with synthetic mesh for the management of uterovaginal prolapseE Leron
Department of Obstetrics and Gynaecology, Soroka Medical Centre, Ben-Gurion University of the Negev, Faculty of Health Sciences, Beer-Sheva, Israel
BJOG 108:629-33. 2001..MAIN OUTCOME MEASURES: Subjective and objective cure of uterine prolapse and operative and post-operative complications. RESULTS: The mean age of the women was 38 years (range 27-60)...
- Female sexual function and pelvic floor disordersVictoria L Handa
Department of Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland, USA
Obstet Gynecol 111:1045-52. 2008..To investigate the hypothesis that pelvic floor disorders are associated with female sexual problems, independently of other related factors...
- Is urethral mobility really being assessed by the pelvic organ prolapse quantification (POP-Q) system?Stephanie L Cogan
Department of Gynecology and Obstetrics, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Obstet Gynecol 99:473-6. 2002..To estimate the relationship between Q-tip measurement of urethral hypermobility and visual assessment of the urethrovesical junction as assessed by points Aa and Ba of the pelvic organ prolapse quantification (POP-Q) system...
- The demographics of pelvic floor disorders: current observations and future projectionsK M Luber
Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Southern California Permanenete Medical Group, San Diego, USA
Am J Obstet Gynecol 184:1496-501; discussion 1501-3. 2001..Our aim was to assess current demand for care of pelvic floor disorders and create projections for future demand for care. We also sought to better understand the characteristics of women seeking care...
- Current opinion on the classification and definition of genital tract prolapseSteven Swift
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, South Carolina 29425, USA
Curr Opin Obstet Gynecol 14:503-7. 2002..Finally, there is an accepted classification system and because of this we are beginning to recognize what represents normal vaginal support versus genital tract prolapse...
- The effectiveness of the sacrospinous hysteropexy for the primary treatment of uterovaginal prolapseViviane Dietz
Department of Perinatology and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands
Int Urogynecol J Pelvic Floor Dysfunct 18:1271-6. 2007..The recurrence rate of descensus uteri that needed surgical treatment was 2.3%. The recurrence of cystoceles after surgery was 35%, but there were no differences in urogenital symptoms between women with or without a cystocele...
- Vaginal surgery for pelvic organ prolapse using mesh and a vaginal support deviceM Carey
Department of Urogynaecology, Royal Women s Hospital, Melbourne, Victoria, Australia
BJOG 115:391-7. 2008..To describe a new surgical procedure for pelvic organ prolapse using mesh and a vaginal support device (VSD) and to report the results of surgery...
- Infracoccygeal sacropexy reinforced with posterior mesh interposition for apical and posterior compartment prolapseLoïc Sentilhes
Department of Obstetrics and Gynecology, Rouen University Hospital, Charles Nicolle, Rouen, France
Eur J Obstet Gynecol Reprod Biol 137:108-13. 2008..To assess the efficacy, safety and functional outcome of infracoccygeal sacropexy reinforced with posterior mesh interposition performed alone or in combination with the implantation of other prosthetic materials for prolapse repair...
- Anatomical conditions for pelvic floor reconstruction with polypropylene implant and its application for the treatment of vaginal prolapseChristl Reisenauer
Department of Obstetrics and Gynecology, University of Tuebingen, Calwerstrasse 7, 72076 Tuebingen, Germany
Eur J Obstet Gynecol Reprod Biol 131:214-25. 2007....
- Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factorsPierre Collinet
, , , , 2 Avenue Oscar Lambret, 59037, Lille Cedex, France
Int Urogynecol J Pelvic Floor Dysfunct 17:315-20. 2006..The uterus must be preserved, and the number and extent of colpotomies needed to insert the mesh must be limited...
- Severe mesh complications following intravaginal slingplastyKaven Baessler
Royal Women s, Mater and Wesley Hospitals Brisbane, QLD, Australia
Obstet Gynecol 106:713-6. 2005..This report describes severe complications following anterior and/or posterior intravaginal slingplasties employing a multifilament polypropylene mesh...
- Posterior intravaginal slingplasty for vaginal prolapseD J Jordaan
Departments of Obstetrics and Gynecology, University of the Free State, Bloemfontein, South Africa
Int Urogynecol J Pelvic Floor Dysfunct 17:326-9. 2006..To evaluate the results of the posterior intravaginal slingplasty (IVS)...
- Sexual function and pelvic floor disordersChahin Achtari
Urogynaecology Department, Mercy Hospital for Women, East Melbourne, VIC 3002, Australia
Best Pract Res Clin Obstet Gynaecol 19:993-1008; quiz A1-8. 2005..New instruments such as condition-specific sexual questionnaires have recently been developed and will help us to better evaluate the results of incontinence and prolapse surgery on sexual function...
- [Pubo vaginal and sub urethral slings: review]B Deval
Service de Gynecologie Obstetrique, Université Bichat Beaujon, Hopital Beaujon, 100, Avenue du General Leclerc, 92110 Clichy
J Gynecol Obstet Biol Reprod (Paris) 31:131-43. 2002..Sling surgery is considered to be the gold standard for treatment of female stress urinary incontinence resulting from sphincter deficiency. A century of experience is reviewed and evolving new concepts and techniques are presented...
- Pelvic floor dysfunction after Burch colposuspension--a comprehensive study. Part IPreben Kjølhede
Division of Obstetrics and Gynecology, Faculty of Health Sciences, University Hospital, 581 85 Linkoping, Sweden
Acta Obstet Gynecol Scand 84:894-901. 2005..To evaluate the occurrence of voiding dysfunction and symptoms of genital prolapse at long-term follow-up after Burch colposuspension (Bc) in relation to the occurrence of the symptoms in an age-matched normal population...
- [Management of selected complications following urogynecological surgeries with the use of synthetic prostheses--own observations]Grzegorz Raba
Wojewódzki Szpital w Przemyślu, Oddział Ginekologii i Połoznictwa, Przemysl
Ginekol Pol 79:550-4. 2008....
- The use of graft materials in vaginal pelvic floor surgeryM Huebner
Pelvic Floor Research Group and Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA
Int J Gynaecol Obstet 92:279-88. 2006..To review recent literature on graft materials used in vaginal pelvic floor surgery...
- The use of prostheses in pelvic reconstructive surgery: joy or toy?Ming Ping Wu
Division of Urogynecology and Pelvic Floor Reconstruction, Department of Obstetrics and Gynecology, Chi Mei Foundation Hospital, Tainan, Taiwan
Taiwan J Obstet Gynecol 47:151-6. 2008....
- [New options in reconstructive pelvic floor surgery and surgery in urogynecology]A Martan
Gynecological and Obstetric Clinic, 1 LF UK and VFN, Prague
Ceska Gynekol 71:455-63. 2006..The aim of this paper is to provide a brief update review of reconstructive pelvic floor surgery and surgery in urogynecology, including the application of surgical implants...
- Mesh augmentation during pelvic-floor reconstructive surgery: risks and benefitsKaven Baessler
Charite University Hospital Berlin, Campus Benjamin Franklin, Department of Gynaecology, Hindenburgdamm, Berlin, Germany
Curr Opin Obstet Gynecol 18:560-6. 2006..This review describes and analyses complications following pelvic-floor procedures employing synthetic meshes...
- Repair of vaginal vault prolapse and pelvic floor relaxation using polypropylene meshArthur Mourtzinos
Lahey Clinic Medical Center, Institute of Urology, Burlington, MA 01805, USA
Curr Opin Obstet Gynecol 18:555-9. 2006..The increasing variety of available materials and techniques, combined with a lack of well conducted clinical trials, make the choice of repair to use difficult...
- [The prosthetic kits in the prolapse surgery: is it a gadget?]P Debodinance
Service de Gynecologie Obstetrique, Centre Hospitalier Dunkerque, rue des Pinsons, Saint Pol sur Mer, France
J Gynecol Obstet Biol Reprod (Paris) 36:267-75. 2007..To search if the prosthetic kits bring an interest, other that financier...
- Uterosacral ligament vault suspension: five-year outcomesW Andre Silva
Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, Good Samaritan Hospital, Cincinnati, Ohio, USA
Obstet Gynecol 108:255-63. 2006..To evaluate the five-year anatomic and functional outcomes of the high uterosacral vaginal vault suspension...
- Prolapse surgery: an updateGiacomo Novara
Department of Oncological and Surgical Sciences, Urology Clinic, University of Padua, Padua, Italy
Curr Opin Urol 17:237-41. 2007..The purpose of the review is to highlight the latest developments in the surgical treatment of pelvic organ prolapse...
- Anterior intravaginal slingplasty tunneller device for stress incontinence and posterior intravaginal slingplasty for apical vault prolapse: a 2-year prospective multicenter studyMichael D Vardy
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai School of Medicine, New York, NY 10029 6574, USA
Am J Obstet Gynecol 197:104.e1-8. 2007..The purpose of this study was to report the outcome for (1) anterior intravaginal slingplasty in the treatment of urodynamic stress incontinence and (2) posterior intravaginal slingplasty for apical prolapse (> or = stage II)...
- [Theorethical background, prostheses and current surgical trends in modern urogynecology]Tomasz Rechberger
II Katedra i Klinika Ginekologii, Akademii Medycznej w Lublinie
Ginekol Pol 78:274-9. 2007..This review presents current knowledge concerning theoretical background, the most popular prostheses and modern trends in urogynecological surgery, based on literature data and personal experience...
- Posterior compartment defect repair in vaginal surgery: update on surgical techniquesVan Anh T Ginger
Curr Urol Rep 8:387-93. 2007..Properly conducted randomized prospective trials are needed to adequately assess these new approaches...
- [Modified sacrocolpopexy combined with a Burch procedure for recurrent stress urinary incontinence]C Seif
Klinik für Urologie und Kinderurologie, Universitatsklinikum Schleswig Holstein, Campus Kiel
Aktuelle Urol 37:205-11. 2006..The aim of this study was to investigate the efficacy of a combined surgical technique: sacrocolpopexy combined with a Burch procedure - in particular as an option for previously operated patients...
- Abdominal paravaginal defect repair in the treatment of paravaginal defect and urodynamic stress incontinenceF Demirci
Department of Obstetrics and Gynecology, Duzce University School of Medicine, Duzce, Turkey
J Obstet Gynaecol 27:601-4. 2007..Paravaginal repair is a safe and effective procedure for the surgical correction of a paravaginal defect, but has limited applicability in the surgical correction of USI...
- Tension-free cystocele repair: an analysis after a follow-up of 24 monthsR Granese
Department of Obstetrics and Gynaecology, University of Messina, Messina, Italy
Minerva Ginecol 59:369-76. 2007..The aim of the study is to verify whether tension free cystocele repair is really a good choice for the correction of moderate or severe cystocele. The surgical approach is transvaginal and involves the use of nonabsorbable prolene mesh...
- [Comparative study of the LIFT and the TVT procedure in the surgical treatment of female stress urinary incontinence]M Boukerrou
Service de Chirurgie Gynecologique, Centre Oscar Lambret, 3 Rue Frederic Combemale, Lille Cedex, France
J Gynecol Obstet Biol Reprod (Paris) 37:57-63. 2008..The purpose of the study was to compare a polyester mesh coated with silicone (LIFT, Cousin) to a polypropylene mesh (TVT, Gynecare), in terms of results, and short and middle term complications...
- The use of polypropylene mesh as a transobturator sling for the treatment of female stress urinary incontinence (early experience with 40 cases)Abdelnaser K H Elgamasy
Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Int Urogynecol J Pelvic Floor Dysfunct 19:833-8. 2008..5%), and the slings were removed because of vaginal erosion. Polypropylene mesh transobturator sling is an easy and cheap method for the treatment of female SUI with a high success rate...
- A long-term review of posterior colporrhaphy with Vypro 2 meshYik Nyok Lim
Department of Urogynecology, Mercy Hospital for Women, 163 Studley Road, Heidelberg, Melbourne, Victoria, 3084, Australia
Int Urogynecol J Pelvic Floor Dysfunct 18:1053-7. 2007..It appears that posterior colporrhaphy incorporating Vypro 2 mesh with an overlay method is associated with unacceptably high incidence of complications...
- [Prosthetic restoration of the pelvic diaphragm in genital urinary prolapse surgery: transobturator and infracoccygeal hammock technique]F Sergent
Clinique Gynécologique et Obstétricale, Pavillon Mère Enfant, Hopital Charles Nicolle, 1, rue de Germont, 76031 Rouen Cedex
J Gynecol Obstet Biol Reprod (Paris) 32:120-6. 2003..The original feature of this technique is based on the use of a monoprosthesis. This technique aims to reconstitute the ruptured pelvic diaphragm in full with a single mesh. To estimate feasibility and reproducibility of the technique...
- Persistent urinary retention after tension-free vaginal tape: a new surgical solutionWolfgang Zubke
Department of Gynecology and Obstetrics, Tübingen University Hospital Center, Calwerstr 7, 72076 Tuebingen, Germany
Eur J Obstet Gynecol Reprod Biol 115:95-8. 2004..We describe a surgical solution to these complications that involves cutting of the prolene sling just below the urethra and individualised prologation with an additional piece of prolene-mesh...
- [Preliminary evaluation of synthetic materials used in gynecologic operations through the vagina]Sabina Kluz
Ginekol Pol 75:288-94. 2004..CONCLUSIONS: The synthetic materials may be used in gynecological vaginal surgery together with conventional procedures. The advantages of operations with meshes' use are high efficacy and small number of complications...
- Transvaginal surgery in the octogenarian using cadaveric fascia for pelvic prolapse and stress incontinence: minimal one-year results compared to younger patientsJeffrey M Carey
Tower Urology Institute for Continence, Los Angeles, California 90048, USA
Urology 63:665-70. 2004..Although outcomes after transvaginal surgery were comparable between octogenarian and younger women, persistent urgency may predict dissatisfaction in the octogenarian population...
- Pelvic organ prolapse surgery in the United States, 1997Jeanette S Brown
Department of Obstetrics and Gynecology, and Reproductive Sciences, UCSF Mount Zion Women s Health, University of California, San Francisco, 94143 1688, USA
Am J Obstet Gynecol 186:712-6. 2002..Our purpose was to describe the prevalence, regional rates and demographic characteristics, morbidity, and mortality of pelvic organ prolapse surgeries in the United States...
- Patient-selected goals: a new perspective on surgical outcomeEman A Elkadry
Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, Maywood, IL, USA
Am J Obstet Gynecol 189:1551-7; discussion 1557-8. 2003..14). Dissatisfaction was highly associated with feeling "unprepared for surgery" (P<.001). CONCLUSION: Objective and subjective outcomes are necessary to predict patient satisfaction...
- Colpocleisis and urinary incontinenceMary P Fitzgerald
Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, Maywood, Illinois, USA
Am J Obstet Gynecol 189:1241-4. 2003..CONCLUSION: Colpocleisis is an effective method for treatment of advanced POP. Lower urinary tract evaluation and treatment remain challenging in this setting...
- [Three-way prosthetic repair of the pelvic floor]P von Theobald
Service de Gynecologie, Obstétrique et Biologie de la Reproduction, CHU de Caen, 14033 Caen Cedex
J Gynecol Obstet Biol Reprod (Paris) 32:562-70. 2003..There was one immediate anatomic failure. Function was good with no reports of dyspareunia or dyschesia...
- Laparoscopic versus open Burch retropubic urethropexy: comparison of morbidity and costs when performed with concurrent vaginal prolapse repairsAndrew J Walter
Department of Obstetrics and Gynecology, Mayo Clinic, Scottsdale, Arizona, USA
Am J Obstet Gynecol 186:723-8. 2002..CONCLUSION: Traditional benefits of laparoscopic retropubic urethropexy were not apparent when vaginal prolapse repairs were performed...
- One-year urodynamic outcome and quality of life in patients with concomitant tension-free vaginal tape during pelvic floor reconstruction surgery for genitourinary prolapse and urodynamic stress incontinenceM W Pang
Department of Obstetrics and Gynecology, Chinese University of Hong Kong, 1E Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China
Int Urogynecol J Pelvic Floor Dysfunct 14:256-60; discussion 259-60. 2003..3-15.5; P<0.01) and (IIQ-7 score 15.0-4.0; P<0.01). The patients who had a concomitant cystocele repair had a worse objective cure rate than patients without concomitant cystocele repair (38% vs 67%; P=0.19)...
- Anterior repair using Bologna procedure: long-term results on stress urinary continenceXavier Fritel
Service de Gynecologie et Obstetrique, Hôpital Rothschild AP HP, Centre Hospitalier, Universite Pierre et Marie Curie, 33 boulevard de Picpus, 75012 Paris, France
Int Urogynecol J Pelvic Floor Dysfunct 13:176-81; discussion 181. 2002..03 for grade II and 8.10 for grade III), and an exteriorized cystocele (RR = 0.45). We concluded that the Bologna procedure allows bladder neck suspension during vaginal repair of cystocele, with good results on future continence...
- The Pelvic Floor Disorders NetworkLinda Brubaker; Fiscal Year: 2007..vaginal) is best suited for an individual woman. This trial is a feasible, scientifically relevant randomized surgical trial. The draft protocol is suitable for PFDN Steering Committee discussion and revision, prior to implementation. ..
- A SYSTEM FOR MEASURING PELVIC MUSCLE STRENGTH IN WOMENNeil Cole; Fiscal Year: 2003One in nine women suffer from pelvic floor dysfunction, including urinary incontinence and vaginal wall or uterine prolapse (VUP)...
- Epidemiology of Female Pelvic Floor DisordersKristen Kjerulff; Fiscal Year: 2001..b>Uterine prolapse is the most common indication for hysterectomy among women aged 60-79, and the second most common indication ..
- Continuation of the Urinary Incontinence Treatment Network (UITN)Linda Brubaker; Fiscal Year: 2007..We believe that we can continue to be a productive member of the UITN, with the ultimate objective of improving quality of life for adults through the conduct of high impact clinical research in urinary incontinence. ..
- Mechanisms of anterior vaginal wall support failureJohn O L Delancey; Fiscal Year: 2010..AC prolapse is clinically manifest as the inter-related problems of cystocele and uterine prolapse. Emerging research suggests that AC prolapse involves four fascial failure sites: 1) apical descent, 2) ..
- URINE LOSS AND PROLAPSE IN NUNS AND THEIR PAROUS SISTERSGUNHILDE BUCHSBAUM; Fiscal Year: 2003..A matched pair logistic regression will be performed to obtain an adjusted estimate of the impact of familiality and vaginal delivery in UT and POP, taking into account other risk factors. ..
- The Cleveland Clinic Clinical SiteMatthew Barber; Fiscal Year: 2007..A standardized common protocol for enrollment, treatment and data collection will be employed by 6-8 Clinical Sites within the PFDN coordinated by the data coordinating center. ..
- Female Pelvic Floor Disorders and Sexual FunctionsVictoria Handa; Fiscal Year: 2007..This powerful combination will provide the candidate with the necessary skills and experience to become a successful, independently funded investigator. ..
- Mothers' attitudes about elective cesarean: results, expectations & satisfactionVictoria Handa; Fiscal Year: 2007..This project will investigate how maternal expectations and preferences affect decisions about childbirth and will advance our knowledge regarding the apparent rapid growth of elective cesarean delivery in the US. ..
- Cesarean and vaginal birth: cohort study of the impact on pelvic floor disordersVICTORIA LYNN HANDA; Fiscal Year: 2010..From a public health perspective, this research will help to establish whether obstetrical care can be modified to prevent women's health problems later in life. ..
- BOTULINUM TOXIN THERAPY FOR INTERSTITIAL CYSTITIS/CHRON*Mary FitzGerald; Fiscal Year: 2007..abstract_text> ..
- Nocturia and Chronic Medical illnessMary FitzGerald; Fiscal Year: 2007..Finally, salary support will allow me to continue and expand my mentoring efforts for the benefit of current and future colleagues, fellows and residents. ..
- Sensory Testing in Subjects with Interstitial CystitisMary FitzGerald; Fiscal Year: 2004..abstract_text> ..
- Patient-centered goals for pelvic floor dysfunctionKathie Hullfish; Fiscal Year: 2004..Patient goals, combined with clinical and QOL measures, may be used to provide comprehensive, multidisciplinary, patient-centered approaches to prevention, management, treatment, and rehabilitation. ..
- A new tool to diagnose female urinary incontinenceCatherine Bradley; Fiscal Year: 2007..Bradley's research career development. Dr. Bradley has the enthusiastic support of the Colleges of Medicine and Public Health, the Department of Obstetrics and Gynecologv and her mentors and collaborators. ..
- Pelvic Floor Changes Before and After BirthREBECCA GLENN ROGERS; Fiscal Year: 2010..This project will provide fundamental data to guide future decisions about labor interventions to prevent PF changes as well as data-based decisions regarding maternal request cesarean. ..
- Physical Activity and Pelvic Floor DisordersIngrid E Nygaard; Fiscal Year: 2010..Given the health benefits of activity, we believe that women should be encouraged to be active unless there is scientific evidence to the contrary. ..
- QUALITY-OF-CARE INDICATORS FOR OVERACTIVE BLADDER SYMPTOMSJennifer Anger; Fiscal Year: 2007....
- Pelvic Floor Changes Before and After BirthREBECCA GLENN ROGERS; Fiscal Year: 2010..This project will provide fundamental data to guide future decisions about labor interventions to prevent PF changes as well as data-based decisions regarding maternal request cesarean. ..
- Function of the Urethra in Continent WomenKimberly Kenton; Fiscal Year: 2007..Normative ranges will be calculated for EMG, current perception thresholds, and urethral pressures for Caucasian and African American women. These data can then be used by other centers as reference data. ..
- Assessment of Altered Function in Diabetic BladderFirouz Daneshgari; Fiscal Year: 2005....
- Treatment Investigation for Posterior ProlapseGEOFFREY CUNDIFF; Fiscal Year: 2005..All subjects will be followed for a total of three years. ..
- Cesarean After Sphincter Tear (CAST) RCT Planning GrantAnthony Visco; Fiscal Year: 2005..The upfront investment of time and resources will result in the submission of an efficient and well-designed R01 application that can be implemented in a timely fashion. ..
- PKC ALTERATIONS IN LUT DYSFUNCTIONFirouz Daneshgari; Fiscal Year: 2004..abstract_text> ..
- Volume-Outcomes in Incontinence SurgeryJennifer Anger; Fiscal Year: 2005..The primary outcome will be re-operation rates, repeat sling procedures (for failures), and other postoperative complications, stratified by high and low volume surgeons and hospitals. ..
- Mechanisms of Vaginal Sling Effects on ContinenceFirouz Daneshgari; Fiscal Year: 2006..The long-term goal of this proposal is to expand the findings of this project into an R01 application in order to translate our findings into relevant clinical studies. ..
- UTAH PELVIC FLOOR DISORDERS NETWORKIngrid Nygaard; Fiscal Year: 2007....
- Natural History of POP-- A Prospective Cohort StudyIngrid Nygaard; Fiscal Year: 2005..The national cost burden is large. This project will provide fundamental data to guide future decisions about intervention threshold, preventative measures, and risk factor modification. ..
- Collagenolysis and Elastolysis in Urinary IncontinenceBertha Chen; Fiscal Year: 2007..Our goal is to identify specific pathophysiologic changes related to reproductive events and aging which underlie the development of SUI as a first step to identifying potential targets for therapeutic intervention. ..
- Investigation of Pelvic Floor Disorders Midcareer AwardIngrid Nygaard; Fiscal Year: 2005..Individuals to be mentored will be identified primarily from the departments of Obstetrics and Gynecology, Urology, and Internal Medicine (gastroenterology), and from the Colleges of Nursing and Public Health. ..
- BEAUMONT/FORD INTERSTITIAL CYSTITIS CLINICAL CENTERAnanias Diokno; Fiscal Year: 2003..The combination therapy will also potentially reduce the dos of BCG, which will lower the cost and decrease the potential morbidity of this treatment program. ..
- ADVANCED POP AND THE URINARY CONTINENCE MECHANISMLinda Brubaker; Fiscal Year: 2004..abstract_text> ..
- Patient-Oriented Models for Urinary Function in WomenLinda Brubaker; Fiscal Year: 2007..b. To model urinary storage in health and disease c. To model urinary emptying in health and diseas ..
- Physical Activity and Pelvic Floor DisordersIngrid Nygaard; Fiscal Year: 2009..Given the health benefits of activity, we believe that women should be encouraged to be active unless there is scientific evidence to the contrary. ..
- WIRELESS REMOTE ABDOMINAL PRESSURE SYSTEM: DEVELOPING A MORE COMPREHENSIVE UNDERSIngrid E Nygaard; Fiscal Year: 2010..We will perfect the wireless technology needed to use the sensor remotely so that we can understand how different activities done during real world settings affect intraabdominal pressures and pelvic floor disorders. ..