Current Women's Health Reviews - Volume 9, Issue 2, 2013

Cesarean section is the most common surgery performed in the United States with over 30% of deliveries occurring via this route. This number is likely to increase given decreasing rates of vaginal birth after cesarean section (VBAC) and primary cesarean delivery on maternal request, which carries the inherent risk for intraoperative complications. Urologic injury is the most common injury at the time of either obstetric or gyn Read More

Although a variety of the health benefits have been attributed to regular physical activity, some studies suggested that strenuous exercise may be considered as an independent risk factor for the onset of urinary incontinence in young women. The aim of this article is to provide a review of the scientific literature concerning the role of physiotherapy in the prevention and treatment of urinary incontinence in sport women. Stress Read More

Obstetric fistula is a form of maternal morbidity which may occur in any woman of reproductive age who suffers from prolonged obstructed labor or traumatic attempt at vaginal delivery. The medical and social consequences of obstetric fistula can be life-shattering for women, their children and families. The principles of obstetric fistula repair have changed very little over the years, though a number of them are often modifi Read More

Sex hormones have a substantial influence on the female lower urinary tract (LUT) throughout adult life. Estrogen deficiency, particularly when prolonged, is associated with a wide range of urogenital complaints, including frequency, nocturia, incontinence, urinary tract infections and the urge syndrome. Estrogen therapy may be of benefit for the irritative symptoms of urinary urgency, frequency, and urge urinary incontin Read More

Introduction and Objectives: Vesicovaginal fistula (VVF) is the most common type of the genitourinary fistulae. The etiology in the developed countries is commonly following abdominal hysterectomy. In the underdeveloped countries, the etiology is prolonged complicated labor. The best approach for repair; whether abdominal or vaginal; is still debatable. Most experts agree that the optimal technique of repair depends o Read More

Laparoscopic Burch colposuspension is an operation to help elevate the urethro-vesical junction so as to correct stress urinary incontinence. The paravaginal tissue of the urethro-vesical junction is elevated by fixing it with the Cooper’s ligament with the help of non-absorbable sutures or mesh. Subjective and objective cure rates are better with the non-absorbable sutures. Laparoscopy can be done via extra-peritoneal or i Read More

Overactive bladder is a common disorder that affects over 100 million adults worldwide though its prevalence has been grossly underestimated. The magnitude of this problem is increasing steadily with the growing elderly population, increased incidence of obesity, polypharmacy and increased awareness, making its treatment a challenging task for the physician. The treatment strategies may be nonpharmacologic or Read More

Urinary incontinence is a common and distressing condition known to adversely affect quality of life. It is widely prevalent and places a considerable financial burden on society. Stress urinary incontinence describes a symptom or a sign. A diagnosis of urodynamic stress incontinence can only be made following urodynamic investigation. This condition is defined as ‘the involuntary leakage of urine during increased abdominal pres Read More

Interstitial Cystitis/Painful Bladder Syndrome is a controversial chronic disease characterized by pain, urgency and frequency. Patients with severe symptoms have a very miserable life. There is still no international consensus on its name, definition, investigations and management. American, European and Asian guidelines have been recently framed but differ on many important issues. Presentations of IC/PBS patients are hig Read More

Aim of the review: Initial use of synthetic mesh in pelvic organ prolapse surgery involved use of custom made meshes. Custom made mesh involves cutting of a synthetic mesh into appropriate size and shape, and anchoring the mesh to the supporting structures using sutures. On the other hand, there are varieties of pre-designed commercially available mesh kits attached with trocars for insertion of mesh. This review aims to an Read More