Category Obstetrics and Gynecology

In 1998 synthetic midurethral slings became commercially available in the United States. These procedures were robustly compared with suspension procedures, and pubovaginal slings were found to be much less invasive with comparable long-term outcomes. These slings have stood the test…

In 1996, Ulmsten and colleagues introduced the first synthetic midurethral sling, which they named the tension-free vaginal tape (TVT) procedure. This procedure introduced the concept of placing a synthetic material (polypropylene) under the midportion of the urethra in a tension-free…

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Anterior Vaginal Wall Prolapse Anterior vaginal wall prolapse, or cystocele, is defined as pathologic descent of the anterior vaginal wall and overlying bladder base. The cause of anterior vaginal wall prolapse is not completely understood but is probably multifactorial, with…

Simple Vaginal Hysterectomy When hysterectomy is indicated, the most appropriate route of removal of the uterus must be chosen. Hysterectomy can be performed transvaginally, abdominally, laparoscopically, robotically, or with laparoscopic or robotic assistance. The decision to proceed with a vaginal…

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