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Pelvic Floor

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Outcomes of robotic partial excision of the levator ani muscle for locally advanced low rectal cancer invading the ipsilateral pelvic floor at the anorectal ring level.

The international journal of medical robotics + computer assisted surgery : MRCAS
PURPOSE: The purpose of this study is to evaluate partial excision of the levator ani muscle (PELM) enables preservation of anal sphincter function although levator ani muscle (LAM) was invaded.

Feasibility of a deep learning-based method for automated localization of pelvic floor landmarks using stress MR images.

International urogynecology journal
INTRODUCTION AND HYPOTHESIS: Magnetic resonance imaging (MRI) plays an important role in assessing pelvic organ prolapse (POP), and automated pelvic floor landmark localization potentially accelerates MRI-based measurements of POP. Herein, we aimed t...

Laparoscopic Approach for Shull Repair of Pelvic Floor Defects.

Journal of minimally invasive gynecology
STUDY OBJECTIVE: To prove the feasibility of the Shull technique by a laparoscopic approach in a patient affected by pelvic organ prolapse (POP) with apical loss of support.

Automatic anal sphincter integrity detection from ultrasound images via convolutional neural networks.

Technology and health care : official journal of the European Society for Engineering and Medicine
BACKGROUND: The anal sphincter complex comprises the anal sphincter and the U-shaped deep and superficial puborectalis muscle. As an important supporting structure of the posterior pelvic floor, together with its surrounding tissues and muscles, the ...

Evaluation of ChatGPT for Pelvic Floor Surgery Counseling.

Urogynecology (Philadelphia, Pa.)
IMPORTANCE: Large language models are artificial intelligence applications that can comprehend and produce human-like text and language. ChatGPT is one such model. Recent advances have increased interest in the utility of large language models in med...

Effectiveness of ultrasound-guided pelvic floor muscle training in improving prolonged urinary incontinence after robot-assisted radical prostatectomy.

Drug discoveries & therapeutics
Persistence of urinary incontinence (UI) after robot-assisted radical prostatectomy (RARP) is a bothersome problem because of its negative effect on the patient's quality of life (QOL). This study aimed to evaluate the effect of transperineal ultraso...

Long-term mesh erosion rate following abdominal robotic reconstructive pelvic floor surgery: a prospective study and overview of the literature.

International urogynecology journal
INTRODUCTION AND HYPOTHESIS: The use of synthetic mesh in transvaginal pelvic floor surgery has been subject to debate internationally. Although mesh erosion appears to be less associated with an abdominal approach, the long-term outcome has not been...

The Pelvis-First Approach for Robotic Proctectomy in Patients with Redundant Abdominal Colon.

Annals of surgical oncology
BACKGROUND: Robotic surgery is increasingly performed for low rectal cancer.1 A redundant sigmoid colon makes retraction and pelvic dissection challenging. We present a 'pelvis-first' approach to robotic proctectomy where pelvic dissection occurs pri...

Automatic segmentation of levator hiatus from ultrasound images using U-net with dense connections.

Physics in medicine and biology
In this paper, we propose a fully automatic method based on a densely connected convolutional network for the segmentation of the levator hiatus from ultrasound images. A densely connected path is incorporated into a U-net to achieve a deep architect...

Minimally invasive surgery in pelvic floor repair.

Current opinion in obstetrics & gynecology
PURPOSE OF REVIEW: To review the use and efficacy of minimally invasive surgery in pelvic organ prolapse (POP) repair. This review summarizes surgical options for management of POP with special emphasis on minimally invasive surgical approach and dis...