Urogynecology Levator Ani Avulsion 6 Jun 2021 Definition Levator avulsion is the traumatic disconnection of the puborectalis componentof the levator ani from the os pubis (Dietz, 2019). Types The levator ani avulsion may be categorized as: LAM…
Urogynecology Ureterocele 13 Feb 2021 Definition A congenital dilation of the distal portion of the ureter, frequently but not exclusively associated with ureteral duplication. Clinical Image & Complications Large ureteroceles can cause acute urinary obstruction,…
Urogynecology Pelvic Floor Ultrasound: The Cystocele 22 Jan 2021 Types of cystocele: MedialLateralCombined mediolateralApical Symptoms of anterior vaginal wall prolapse like incomplete bladder emptying or feeling of vaginal bulge are frequent when: The coordinate "Ba" on POPQ descends at…
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…
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).…