Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0033377 (prolapse)
 11,717 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The consequences of an earlier published priority grouping system for reduction mammaplasty are described. The system is based on breast volume but gives priority to certain age groups (25 years or less and 60 years or more), asymmetry, and ptosis, whereas overweight is considered as a negative factor. Additional points are given for psychological or somatic symptoms, or both. A total of 210 patients, who had been operated on were evaluated, and based on their total priority score, patients were assigned to one of five priority groups. Only five of the patients operated on belonged to the two groups with the lowest priority which indicates that the grouping system is a useful tool for sorting waiting lists and making decisions about priorities. The impact of the age related score and the subjective extra score for somatic and psychological distress is, however, considerable and questionable. Most of the patients (57%) less than 21 years old were in the group with the highest priority. The mean time period between acceptance for operation and the actual operation is 14 months in this age and priority group, which is far less than any other group. We think that the main focus should be the actual size of the breast and we have therefore recently modified the grouping system and reduced the impact of age and variables based on subjective scoring.
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PMID:Evaluation of a priority grouping system for patients undergoing reduction mammaplasty. 888 17

Stress urinary incontinence (SUI) is an under-diagnosed problem affecting up to 50% of women worldwide. SUI is a source of psychological distress to the individual and also imposes a financial burden to the individual and the health care system. The role of surgery in the treatment in SUI has evolved steadily in the last two decades. The synthetic mid-urethral sling and its different insertion methods have gained widespread popularity and are now the most frequently used surgical interventions for women with SUI in Europe. As the use of synthetic slings becomes more widespread, an increasing number of complications are being reported. With the recent concerns surrounding the use of synthetic transvaginal meshes in organ prolapse surgery, synthetic slings have been put under further scrutiny. It is imperative for health care providers to be aware of the current issues associated with synthetic slings and the alternative surgical options available. Traditional autologous pubovaginal slings (PVS) have re-emerged as a viable alternative to synthetic slings in light of the issues with synthetic slings. The re-adoption of autologous PVS has however, been slow due to the technical difficulty of the surgery and perceived higher morbidity rates. In this article, we will discuss the various aspects of autologous PVS and its indications as an alternative to synthetic slings. We will also touch on the current evidence and controversies for synthetic mesh slings.
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PMID:Autologous pubovaginal slings: back to the future or a lost art? 2684 79