Urogynecology Pelvic Floor Ultrasound: The Enterocele 13 Jan 2021 The descent of the posterior vaginal wall can be due to: True Rectocele (defect of the rectovaginal septum).Abnormally distensible - however intact -rectovaginal septum.Enterocele.Rectal intussusception.Deficient perineum giving the impression of…
Obstetrics… Ureterolithiasis in Pregnancy 29 Sep 202030 Nov 2020 A 30-year-old primigravida in the 16th week of pregnancy shows up with right hypogastric pain, pain at the end of micturition and right flank pain. Urinalysis showed erythrocytes. The abdominal…
Urogynecology De Novo Stress Urinary Incontinece After Prolapse Surgery 9 Sep 2020 From continence to incontinence and back again. A 62-year old patient presented with second degree pelvic organ prolapse. Other than the typical symptoms of significant bladder and uterine descent, she…
Urogynecology How to: Ultrasound in Stress Urinary Incontinence 9 Sep 202030 Nov 2020 When Valsalva* is performed with an empty bladder: Significant bladder neck descent, defined as descent of at least 25mm.Open retrovesical angle.Reduced urethral sphincter volume. Significant bladder neck descent (ΔH: 27.2mm).…
Urogynecology Urethral Diverticulum 13 Aug 202030 Nov 2020 An 80-year-old female patient presents with persisting overactive bladder symptoms. After careful ultrasound examination, a unilocular cystic mass with a single urethral connecting tract containing a calculus was identified as…
Urogynecology Laparoscopic Sacrocervicopexy 29 May 202030 Nov 2020 We present a technique for laparoscopic sacrocervicopexy for treating apical prolapse using three trocars. Concomitant colporrhaphy should be performed at the beginning of the surgery if anterior or posterior prolapse…
Gynaecologia 