Robotic pelvic reconstruction for a case of multiple uterine myomas with acute urinary retention combined with pelvic organ prolapse and occult stress urinary incontinence

Pelvic organ prolapse (POP) is the descent of the female organs that result in a protrusion of the vagina and/or uterus. Women often present with multiple complaints including bladder, bowel, and pelvic symptoms. Urinary retention was the symptom that woman presents uncommonly. Treatments of urinary...

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Main Authors: Feng-Sheng Jin, Chen-Yu Wang, Yu-Kuen Wang, Hsiang-Chun Dong, Cheng-Chang Chang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Medical Sciences
Subjects:
Online Access:http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2019;volume=39;issue=1;spage=55;epage=59;aulast=
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author Feng-Sheng Jin
Chen-Yu Wang
Yu-Kuen Wang
Hsiang-Chun Dong
Cheng-Chang Chang
author_facet Feng-Sheng Jin
Chen-Yu Wang
Yu-Kuen Wang
Hsiang-Chun Dong
Cheng-Chang Chang
author_sort Feng-Sheng Jin
collection DOAJ
description Pelvic organ prolapse (POP) is the descent of the female organs that result in a protrusion of the vagina and/or uterus. Women often present with multiple complaints including bladder, bowel, and pelvic symptoms. Urinary retention was the symptom that woman presents uncommonly. Treatments of urinary retention were including removing the etiology of compression of the urethra and rescuing the normal position of pelvic organs. Surgery may be by abdominal, vaginal, or laparoscopic or robotic approach according to doctor's skillfulness, patient's need, and involving pelvic organs. Robotic technology has advantages of minimally invasive surgery such as reduced postoperative pain, shorter hospital stay, and quicker recovery times. It also has advantages of faster performance times, increased accuracy, enhanced dexterity, more accessible and more comfortable suturing, and a lower number of errors when compared to conventional laparoscopic instrumentation. Hence, it could be performed complex surgery such as this case. We present a case of multiple uterine myomas with compression symptoms and occult stress urinary incontinence. At the case of paravaginal wall defect with stress incontinence, she underwent robotic Burch colposuspension and paravaginal repair. Robotic pelvic reconstruction can be accomplished safely and efficiently and should be considered as an option for patients who had POP with urinary incontinence and who are prepared undergoing robotic surgery.
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spelling doaj.art-5a5340f23c0345a2bc040820abb40e4c2022-12-21T20:32:45ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642019-01-01391555910.4103/jmedsci.jmedsci_72_18Robotic pelvic reconstruction for a case of multiple uterine myomas with acute urinary retention combined with pelvic organ prolapse and occult stress urinary incontinenceFeng-Sheng JinChen-Yu WangYu-Kuen WangHsiang-Chun DongCheng-Chang ChangPelvic organ prolapse (POP) is the descent of the female organs that result in a protrusion of the vagina and/or uterus. Women often present with multiple complaints including bladder, bowel, and pelvic symptoms. Urinary retention was the symptom that woman presents uncommonly. Treatments of urinary retention were including removing the etiology of compression of the urethra and rescuing the normal position of pelvic organs. Surgery may be by abdominal, vaginal, or laparoscopic or robotic approach according to doctor's skillfulness, patient's need, and involving pelvic organs. Robotic technology has advantages of minimally invasive surgery such as reduced postoperative pain, shorter hospital stay, and quicker recovery times. It also has advantages of faster performance times, increased accuracy, enhanced dexterity, more accessible and more comfortable suturing, and a lower number of errors when compared to conventional laparoscopic instrumentation. Hence, it could be performed complex surgery such as this case. We present a case of multiple uterine myomas with compression symptoms and occult stress urinary incontinence. At the case of paravaginal wall defect with stress incontinence, she underwent robotic Burch colposuspension and paravaginal repair. Robotic pelvic reconstruction can be accomplished safely and efficiently and should be considered as an option for patients who had POP with urinary incontinence and who are prepared undergoing robotic surgery.http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2019;volume=39;issue=1;spage=55;epage=59;aulast=Uterine myomaspelvic organ prolapsestress incontinencerobotic pelvic reconstructionburch colposuspensionparavaginal repair
spellingShingle Feng-Sheng Jin
Chen-Yu Wang
Yu-Kuen Wang
Hsiang-Chun Dong
Cheng-Chang Chang
Robotic pelvic reconstruction for a case of multiple uterine myomas with acute urinary retention combined with pelvic organ prolapse and occult stress urinary incontinence
Journal of Medical Sciences
Uterine myomas
pelvic organ prolapse
stress incontinence
robotic pelvic reconstruction
burch colposuspension
paravaginal repair
title Robotic pelvic reconstruction for a case of multiple uterine myomas with acute urinary retention combined with pelvic organ prolapse and occult stress urinary incontinence
title_full Robotic pelvic reconstruction for a case of multiple uterine myomas with acute urinary retention combined with pelvic organ prolapse and occult stress urinary incontinence
title_fullStr Robotic pelvic reconstruction for a case of multiple uterine myomas with acute urinary retention combined with pelvic organ prolapse and occult stress urinary incontinence
title_full_unstemmed Robotic pelvic reconstruction for a case of multiple uterine myomas with acute urinary retention combined with pelvic organ prolapse and occult stress urinary incontinence
title_short Robotic pelvic reconstruction for a case of multiple uterine myomas with acute urinary retention combined with pelvic organ prolapse and occult stress urinary incontinence
title_sort robotic pelvic reconstruction for a case of multiple uterine myomas with acute urinary retention combined with pelvic organ prolapse and occult stress urinary incontinence
topic Uterine myomas
pelvic organ prolapse
stress incontinence
robotic pelvic reconstruction
burch colposuspension
paravaginal repair
url http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2019;volume=39;issue=1;spage=55;epage=59;aulast=
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