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Copyright of Journal of International Obstetrics & Gynecology is the property of TianJin Medical Information Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of International Obstetrics & Gynecology is the property of TianJin Medical Information Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Female pelvic floor dysfunction (PFD) is a series of disease of pelvic organ prolapse secondary to pelvic floor support structure dysfunction with a variety causes. With China's aging society, the prevalence of PFD is increasing. It not only affects the quality of life in elderly women, but also cause the mental and psychological disorders. For the patients with moderate or severe PFD, surgical treatment is the first choice at present. PFD surgery has a long history and various operations. With the development of new medical materials and technologies and updated surgical concepts, many surgical methods have been continuously improved. From vaginal surgery to laparoscopic surgery, from autologous tissue repair to the reconstruction of the entire pelvic floor with synthetic mesh, the success rate of surgery has significantly increased. However, new complications are occurrence along with new techniques and new materials. Though diversity of surgery provides more selections for patients, each surgical method has advantages and disadvantages as well as individualized differences, comprehensive consideration should be made according to age, symptoms, signs, medical history, living habits, sexual life demands and general conditions. Optimal surgical regimen and adequate communication should be made to achieve the best treatment effect. [ABSTRACT FROM AUTHOR]

Oblique vaginal septum syndrome can be defined as double palace body, double cervix, double vagina, congenital unilateral vaginal complete or incomplete atresia associated with urinary system malformation, atresia lateral, with kidney deficiency. Ultrasonography is the first choice for the diagnosis of oblique vaginal septum syndrome. MRI has good tissue resolution, multi parameter and multi orientation imaging, and the imaging performance is more characteristic. Surgery is the only effective way to treat vaginal septum syndrome. At present, the most basic method of operation is the oblique vaginal septum resection. The key point of the operation is to determine the position of oblique septum. The timing of surgery should be suitable for menstruation. Oblique vaginal septum should be fully removed, and ensure smooth drainage, to prevent adhesions and narrow of vaginal incision. Laparoscopy combined with hysteroscopy can not only confirm the diagnosis and classification of vaginal septum syndrome, but also can be used for the treatment at the same time. Oblique vaginal septum side of the uterus is also possible pregnancy, should be avoided resection as far as possible to improve the patient′s ability to conceive. [ABSTRACT FROM AUTHOR]

Copyright of Journal of International Obstetrics & Gynecology is the property of TianJin Medical Information Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective:To investigate the complete androgen insensitivity syndrome (CAIS), and evaluate the application of laparoscopy in the diagnosis and treatment in CAIS. Methods：Four cases of CAIS admitted to and underwent surgeiy in General Gynecology in Tianjin Central Hospital of Gynecology and Obstetrics from September of 2009 to October of 2012 were studied retrospectively, through analyzing and comparing medical histoiy, clinical characteristics, hormone levels [testosterone, estradiol (E2), luteinizing hormone (LH), follicle stimulating hormone (FSH), progesterone, prolactin (PRL) etc.], surgical findings and gonad pathological results were analysed combined with literatures. Results： All patients had a kaiyotype of 46, XY. Hormone levels were measured, compared with normal males, three cases had normal testosterone, one was significantly lower than the normal, four cases had elevated LH, FSH was normal in one case but higher than normal in other three cases, one in which was significantly higher than the normal; E2, progesterone, PRL were normal in four cases. One case underwent laparoscopic bilateral orchiectomy, one case underwent laparoscopic bilateral orchiectomy and perineal vaginoplasty, one case underwent bilateral orchiectomy by vulva, one case underwent laparoscopic assisted bilateral orchiectomy by inguinal. Four cases of pathologically proven after excision of the gonads were dysplasia of testicular tissue. Conclusions ： Early diagnosis of CAIS is veiy important, patients should be treated as female social gender with gonadectomy and subsequent hormone replacement. Laparoscopy has unique advantages in the diagnosis and treatment of CAIS. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the clinical value of transvaginal removal of caesarean scar pregnancy (CSP). Methods:This was a retrospective study on 6 patients with CSP enrolled from September 2012 to September 2013, 6 patients treated by transvaginal removal of caesarean scar pregnancy. Intra-operative blood loss, time required for blood hCG droping to normal, hospital stay and menstruation recovery were observed. Results: The procedure was completed in all the patients without causing complications. Intra-operative blood loss was 20-50 mL,(28.33±11.25)mL; time of blood hCG droping to normal was 10-22 d, (16.83±4.21)d; time of hospital stay was 5-8 d,(6.50±1.05 d); and time of menstruation recovery was 26-58 d,(35±11.73)d. Conclusions: Transvaginal removal of Caesarean scar pregnancy is a safe, economical, quickly and efficient procedure for patients with CSP. [ABSTRACT FROM AUTHOR]