Search for dissertations about: "pelvic organ prolapse"

Showing result 11 - 15 of 22 swedish dissertations containing the words pelvic organ prolapse.

  1. 11. ULTRASOUND STUDIES ON PELVIC FLOOR PHYSIOLOGY AND OBSTETRIC PERINEAL TEARS

    Author : Ann-Kristin Örnö; Lund Obstetrik och gynekologi; []
    Keywords : MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES; reproduction; sexuality; Obstetrik; andrology; bladder neck descent; rectoanal inhibitory reflex; rectal sensation; Hirschsprung´s disease; Obstetrics; gynaecology; Valsalva manoeuvre; perineal tears; Pelvic floor; anal sphincter; gynekologi; andrologi; reproduktion; sexualitet;

    Abstract : Repair of obstetric perineal tears is one of the most frequent procedures in surgical practice. Despite repair such tears may result in anal and urinary incontinence and prolapses of the pelvic floor, problems in need of surgical repair later in life. READ MORE

  2. 12. Surgical quality control of minimally invasive procedures, fast-track surgery and implant technology in gynaecological surgery in Sweden

    Author : Emil Karl Nüssler; Mats Löfgren; Pär Nordin; Umeå universitet; []
    Keywords : MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES; Prolapse; mesh surgery; fast track surgery; laparoskopic hysterectomi; obstetrik och gynekologi; Obstetrics and Gynaecology;

    Abstract : Internationally as well as in Sweden, efforts for improvement in gynaecological surgery in recent decades have mainly focused on three new treatment concepts:(1) Use of minimally invasive procedures: since there is an interdependency between the extent of surgical trauma and the risk for adverse outcome, increased use of supposedly atraumatic endoscopic procedures has revolutionized several aspects of surgical care(2) A multimodal approach to eliminate harmful procedures in the peri-operative process based on evidence-based principles(3) Introduction of implants to support damaged tissue with synthetic mesh in incontinence and pelvic organ prolapse patients.Research question 1: Is introduction of a minimally invasive operation enough per se or is the measured improvement mediated by elimination of harmful procedures in the perioperative process?Findings: Our study (Paper I) indicates that by applying a multimodal intervention programme for the pre- and postoperative care of patients undergoing supravaginal hysterectomy, the surgical procedure per se is of less importance than generally considered. READ MORE

  3. 13. Clinical and epidemiological aspects of pelvic floor dysfunction

    Author : Gunilla Tegerstedt; Karolinska Institutet; Karolinska Institutet; []
    Keywords : Questionnaire; prevalence; risk factors; genuine stress incontinence; pelvic organ prolapse;

    Abstract : The overall objective of this thesis was to estimate the prevalence of symptomatic pelvic floor disorders, to study associations with putative risk factors and to evaluate surgical procedures for this condition. Methods: Thirteen questions for identifying POP were constructed, and from these five questions were identified to in combination have a sensitivity of 92. READ MORE

  4. 14. Pelvic Floor Dysfunction and Perineal and Vaginal Tears in Primiparous Women

    Author : Markus Jansson; Kerstin Nilsson; Karin Franzén; Gunilla Tegerstedt; Anna Marie Ellström Engh; Örebro universitet; []
    Keywords : MEDICIN OCH HÄLSOVETENSKAP; MEDICAL AND HEALTH SCIENCES; Pelvic floor dysfunction; perineal tears; vaginal tears; postpartum; primiparous women;

    Abstract : Pelvic floor dysfunction (PFD), including urinary incontinence, faecal incontinence (FI), and pelvic organ prolapse, is highly prevalent among parous women. There is evidence that pregnancy, vaginal delivery, and obstetric perineal tears increase the risk of pelvic floor dysfunction, but many of the studies in this field are retrospective. READ MORE

  5. 15. Studies on the extracellular matrix of the dysfunctional pelvic floor

    Author : Marie Westergren Söderberg; Karolinska Institutet; Karolinska Institutet; []
    Keywords : Pelvic floor; pelvic organ prolapse; stress urinary incontinence; extracellular matrix; collagen; SLRPs; decorin; lumican; fibromodulin; elastin associated proteins; fibrillin-1; fibulin-5; sex steroid hormone receptors; ER; PR; AR;

    Abstract : Objective: Pelvic floor dysfunction cause impaired quality of life of many women and is one of the most common reasons for gynaecological surgery on benign indications. Little is known about the pelvic floor extracellular matrix as a pre-requisite for mechanical sustainability through vaginal delivery, age and hormonal changes. READ MORE