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In a retrospective study, the sacrospinous hysteropexy was associated with a shorter recovery time compared to a vaginal hysterectomy with no differences in anatomical outcomes. No randomized trials are performed. Sixty-six women with stage 2–4 uterine descent were randomized for vaginal hysterectomy(31) or sacrospinous hysteropexy(35). Recovery time,(More)
BACKGROUND The length of recovery after benign gynecological surgery and return to work frequently exceeds the period that is recommended or expected by specialists. A prolonged recovery is associated with a poorer quality of life. In addition, costs due to prolonged sick leave following gynecological surgery cause a significant financial burden on society.(More)
BACKGROUND Pelvic floor disorders are a major public health issue. For female genital prolapse, sacrocolpopexy is the gold standard. Laparoscopic ventral mesh rectopexy is a relatively new and promising technique correcting rectal prolapse. There is no literature combining the 2 robotically assisted techniques. OBJECTIVE This study was designed to(More)
Myositis of the gluteal region caused by group A streptococci 1 year after a sacrospinous ligament fixation was recognised as a serious complication of this procedure. Most likely, the infection was spread to the gluteal region through a port d’entree caused by vaginal atrophy, via the non-resorbable sutures. The patient was treated successfully with(More)
OBJECTIVE Long-term outcome of tension-free vaginal tape (TVT) in women with a history of surgery for urinary incontinence and/or prolapse. STUDY DESIGN Prospective cohort study of 809 women. Twenty-eight teaching and 13 local hospitals, 54 gynecologists and urologists performed the TVTs. The Incontinence Impact Questionnaire (IIQ-7) and Urogenital(More)
OBJECTIVE Serious games are new in the field of laparoscopic surgical training. We evaluate the residents׳ opinion of a new laparoscopic simulator for the Nintendo Wii-U platform. DESIGN Prospective questionnaire study. Participants received a standardized introduction and completed level 3 and 4 of the game "Underground." They filled out a questionnaire(More)
Transvaginal mesh placement has become a popular surgical treatment for prolapse. The space in which the mesh is positioned is created through an incision in the vaginal wall. The mesh is fixed in a semi-blind fashion by anchors. The number of complications reported has increased over the years; mesh erosion, which occurs in 4-19% of patients, is regarded(More)
OBJECTIVE To asses the long term outcome of tension-free vaginal tape procedure in women with isolated stress urinary incontinence (SUI). DESIGN Prospective cohort study. SETTING Twenty-eight teaching hospitals and 13 local hospitals, with 54 gynaecologists and urologists performing the surgery. SAMPLE Eight hundred and nine participants. METHODS(More)
BACKGROUND Due to the strong reduction in the length of hospital stays in the last decade, the period of in-hospital postoperative care is limited. After discharge from the hospital, guidance and monitoring on recovery and resumption of (work) activities are usually not provided. As a consequence, return to normal activities and work after surgery is(More)
OBJECTIVE The intra- and postoperative anatomic complications, frequency, and influence of risk factors of the tension-free vaginal tape are described. STUDY DESIGN This was a prospective cohort study of 809 patients. RESULTS The total intraoperative complication rate was 6.2%. Previous prolapse surgery was a risk factor for complications (odds ratio,(More)
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