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As of 2013, an estimated 75% of 700 million dogs worldwide were free to roam and reproduce, resulting in overpopulation, high mortality rates and poor health. [1] The main management approach is surgical sterilization, i.e. the removal of testes or ovaries, often performed through trap-neuter-return strategies. [2]
Uterine prolapse is a form of pelvic organ prolapse in which the uterus and a portion of the upper vagina protrude into the vaginal canal and, in severe cases, through the opening of the vagina. [4] It is most often caused by injury or damage to structures that hold the uterus in place within the pelvic cavity. [ 2 ]
When operating a pelvic organ prolapse, introducing a mid-urethral sling during or after surgery seems to reduce stress urinary incontinence. [13] Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. [ 14 ]
Pyometra or pyometritis is a uterine infection. Though it is most commonly known as a disease of the unaltered female dog, it is also a notable human disease. It is also seen in female cattle, horses, goats, sheep, swine, cats, rabbits, hamsters, ferrets, rats and guinea pigs.
Gold-plated stem pessary (intrauterine device) from 1920A pessary is a prosthetic device inserted into the vagina for structural and pharmaceutical purposes. It is most commonly used to treat stress urinary incontinence to stop urinary leakage and to treat pelvic organ prolapse to maintain the location of organs in the pelvic region. [1]
Reconstructive pelvic prolapse surgery may be done without resorting to complete hysterectomy by hysteropexy, [2] the resuspension of the prolapsed uterus. Traditional gynecologic practice favors removal of the uterus or ovaries (or both) at the time of prolapse surgery, and one estimate states that of the 600,000 hysterectomies performed in ...
Uterine balloon tamponade (UBT) is a non-surgical method of treating refractory postpartum hemorrhage. Once postpartum hemorrhage has been identified and medical management given (including agents such as uterotonics and tranexamic acid ), UBT may be employed to tamponade uterine bleeding without the need to pursue operative intervention.
[3] [4] Complications may arise from concomitant surgery and inappropriate surgical techniques, while they can also be prevented with uterus preservation. [ 5 ] [ 6 ] Transvaginal mesh was once used widely for nearly 25% of prolapse interventions until the FDA ban, yet approximately 1 out of 15 patients required a mesh removal in the past decade.