Kari Nieminen

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OBJECTIVE The objective of the study was to compare anterior colporrhaphy with and without a mesh. STUDY DESIGN Two hundred two women with anterior prolapse were assigned to undergo colporrhaphy alone or reinforced with a tailored polypropylene mesh. Before and 2, 12, 24, and 36 months after surgery, the outcome was assessed by examination and standard(More)
To evaluate whether symptom resolution and sexual function is better after reinforcement with polypropylene mesh than with traditional anterior repair. Ninety-seven patients were randomized to anterior colporrhaphy and 105 to an operation with mesh. Participants were evaluated up to 24 months by physical examination, standard questions, and questionnaire.(More)
BACKGROUND To identify risk factors in recurrence and to evaluate anatomic and functional results of vaginal sacrospinous ligament fixation and pelvic floor reconstruction for genital prolapse. METHODS One hundred and thirty-eight women underwent surgery for uterovaginal or vault prolapse. Follow-up data were available for 122 cases; 83% were examined and(More)
OBJECTIVE To assess the feasibility of vaginal sacrospinous ligament fixation for women over 80 years of age with massive vaginal vault or uterovaginal prolapse. DESIGN Retrospective observational study with long term follow up. SETTING Department of Obstetrics and Gynaecology, Tampere University Hospital, Finland. SAMPLE and Methods The study group(More)
PURPOSE This study was designed to compare outcomes of transanal and vaginal techniques for rectocele repair. METHODS Thirty females with symptomatic rectocele were enrolled in a prospective, randomized study. Fifteen underwent transanal rectoceleplasty, the other 15 underwent vaginal posterior colporrhaphy. Patients were assessed by clinical interview(More)
OBJECTIVE To evaluate outcomes of anterior vaginal wall mesh augmentation with concomitant sacrospinous ligament fixation (SSLF) or with concomitant posterior intravaginal slingplasty (IVS) for uterovaginal or vaginal vault prolapse. STUDY DESIGN Women with symptomatic uterovaginal or vaginal vault prolapse were randomly allocated to SSLF or IVS. All(More)
The objective of this study was to assess the long-term impact of management and establish the incidence of hysterectomy, and to identify factors predictive of failure of the procedure among women who had undergone hysteroscopic endometrial resection with or without myomectomy for menorrhagia. Clinical history and data on additional treatment and follow-up(More)
Prolapses of the pelvic floor are common in women after childbirth. After hysterectomy, prolapse surgery is the second most common gynaecological surgery. Knowledge of pelvic anatomy and prolapses is essential for choosing a correct form of treatment and achieving a successful therapy. Follow-up is sufficient for prolapses that are asymptomatic or present(More)
OBJECTIVE To investigate the initial experience with robotic-assisted laparoscopic surgery in gynecologic oncology. DESIGN A retrospective survey. SETTING Tertiary referral center. POPULATION The first 300 patients operated on using robotic assistance at the Department of Obstetrics and Gynecology of Tampere University Hospital, from March 2009(More)
Event-related potentials (ERPs) from the auditory system were investigated in 28 post-operative cardiac patients in order to assess their relevance in the monitoring of patient sedation level. Midazolam (17 patients) and propofol (11 patients) were the sedative agents used. The auditory ERP components of N100 (HAB100) and mismatch negativity (MMN) were(More)