The gold standard treatment for endometrial cancer is surgery. Less invasive surgical procedures (e.g. vaginal surgery), provide equivalent cure rates and are preferred interventions for elderly women or women with…
Women affected by early stage invasive cancer of the cervix are usually treated by surgery. Radical abdominal hysterectomy with pelvic lymphadenectomy is the most widely used technique. Because the morbidity…
Radical vaginal trachelectomy is today an established method of treating selected women with cervical cancer stage IA2 and IB1, with tumour size less than 2 cm without precluding future childbearing….
Stress urinary incontinence is a common condition that can severely affect a woman’s quality of life. Midurethral slings (tension-free vaginal tape and transobturator tape) are becoming first-line surgical treatments for…
The pathogenesis of prolapse and the requirements for a successful surgical outcome vary from one person to another. The importance of traditional risk factors is questionable, but failed previous repair…
In this review, I aim to establish the place of vaginal pelvic organ prolapse surgery with mesh, drawing on personal experience. Physiopathologic justifications for the use of synthetic implants are…
Pelvic-organ-prolapse repair presents unique challenges to the pelvic surgeon. Historically, the unacceptable failure rates with traditional procedures have instigated the many conceptual and technique changes. Critical analysis of the biomechanics…
Contemporary understanding of the dynamic anatomy of pelvic floor support has lead us to new conservative surgery for the management uterine prolapse. The uterus itself does not play any role…
Current studies do not support any benefit of supracervical hysterectomy in reducing perioperative morbidity and adverse effects on pelvic support, sexual and urinary function. Prolapse, pelvic mass and bleeding were…
Vaginal subtotal (or supracervical) hysterectomy and vaginal myomectomy are elegant procedures rarely carried out by the average gynaecologist. Both techniques, however, are easily learned, and in view of the proven…
