Milena M. Weinstein

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BACKGROUND & AIMS Three-dimensional ultrasound (3D-US) imaging is a powerful tool to visualize various components of the anal sphincter complex, that is, the internal anal sphincter (IAS), the external anal sphincter (EAS), and the puborectalis muscle (PRM). Our goal was to determine the reliability of the 3D-US imaging technique in detecting morphologic(More)
BACKGROUND Anal sphincter complex muscles, the internal anal sphincter, external anal sphincter, and puborectalis muscles, play an important role in the anal continence mechanism. Patients with symptoms of fecal incontinence have weak anal sphincter complex muscles; however, their length-tension properties and relationship to anatomical disruption have(More)
OBJECTIVES Minimally invasive apical sacropexies (MI-APSC) can be performed using robotics or laparoscopy. We hypothesized that operative characteristics of MI-APSC, laparoscopic (LSC) and robotic (RSC), were similar. The objective of our study was to compare operative characteristics, objective prolapse outcomes, and robotic learning curve. METHODS(More)
We have reported five complications related to the catheters used for total parenteral nutrition. The only acceptable position for the catheter tip is in the superior vena cava near the junction of the right atrium. Rigid aseptic technique, careful nursing skills and repeated radiographic and clinical examination of the patient can reduce these(More)
OBJECTIVE Using three-dimensional transperineal ultrasonography, we compared the prevalence of levator ani muscle injury after forceps with vacuum-assisted vaginal delivery. METHODS This was a retrospective cohort study. Women who experienced at least one forceps delivery (across all deliveries) were compared with women who had at least one vacuum birth.(More)
To evaluate the effects of maternal magnesium sulfate treatment on neonatal magnesium and calcium homeostasis, the authors studied 23 term neonates whose mothers had received intravenous magnesium sulfate for pre-eclampsia and compared them with 14 control neonates. Total and ionized calcium, magnesium, phosphorus, and albumin were measured in maternal and(More)
OBJECTIVE Our aims were to: (1) recognize the anatomic landmarks for measurement of puborectalis muscle on 3-dimensional ultrasound images, (2) assess intra- and interobserver reliability of puborectalis muscle measurements, (3) determine whether there is measurable puborectalis muscle shortening with pelvic floor squeeze, and (4) assess pelvic hiatus(More)
BACKGROUND The indications for operation in patients with obstructed defecation syndrome (ODS) with rectocele are not well defined. METHODS A total of 90 female patients with ODS and rectocele were prospectively evaluated and treated with fiber supplements and biofeedback training. Univariate and multivariate regression was used to determine factors(More)
BACKGROUND The association between an objective measure of fecal incontinence severity and patient-reported quality of life is poorly understood. OBJECTIVE The purpose of this study was to evaluate patients with various degrees of fecal incontinence to determine whether their quality of life as measured by the Fecal Incontinence Quality of Life Scale is(More)
OBJECTIVE The purpose of this study was to determine the shape and characteristics of the vaginal high-pressure zone (HPZ) by imaging a compliant fluid-filled bag that had been placed in the vaginal HPZ with the 3-dimensional ultrasound system. STUDY DESIGN Nine nulliparous asymptomatic women underwent 3-dimensional ultrasound imaging and vaginal pressure(More)