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12Aug 202118 Aug 2021

vNOTES USL Suspension

vNotes Uterosacral Ligament Suspension

Indication Uterine/cervical prolapse. Advantages Οffers easier and safer onco-preventive adnexectomy at the time of vaginal surgery.Creates a better anatomical correction…

Levator Ani Avulsion

Definition Levator avulsion is the traumatic disconnection of the puborectalis componentof the levator ani from the os pubis (Dietz, 2019).…

19Feb 202123 Feb 2021

Laparoscopic Myomectomy

Indication The main condition is that the patient desires to preserve her childbearing potential.The main indication is intramural or subserosal…

Total Laparoscopic Hysterectomy (TLH)

24 Oct 202030 Nov 2020

Indication Benign gynecological conditionsUterine fibroids causing serious symptoms (with exception of small, singular intracavitary fibroids FIGO I or II).High suspicion of adenomyosis uteri interna resistant to endocrine therapy.Dysfunctional uterine bleeding…

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…

Laparoscopic Management of an Immature Teratoma

21 Sep 202030 Nov 2020

Indication 31-year old P1 with unilateral, 11.5cm large, multilocular, cystic ovarian tumor with solid components up to 4.2cm cointaining feeding vessels in doppler-sonography. CA-125 was negative. The patient desired further…

De Novo Stress Urinary Incontinece After Prolapse Surgery

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…

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).…

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…