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Language: search.filters.language.EnglishSubject: search.filters.subject.stress urinary incontinence

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    Item type:Publication,
    ПРОЦЕНКА НА ЕФЕКТИВНОСТА НА ПЛИКАТУРИРАНА КОЛПОСУСПЕНЗИЈА КАЈ ПАЦИЕНТКИ СО СТРЕС УРИНАРНА ИНКОНТИНЕНЦИЈА
    (Македонско лекарско друштво = Macedonian medical association, 2024)
    Zlateska Gjurikj, Sofija
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    Introduction. Urinary incontinence (UI) is a common medical issue that can affect women of all ages. UI is rarely life-threatening, but impacts patients’ mental, physical and social well-being. Ultrasound in urogynecology enables accurate evaluation of both static and dynamic relationships in the lower urinary tract. Methods. This study aimed to demonstrate the use of ultrasound in pre- and postoperative evaluation of patients with SUI. Additionally, it assessed the effectiveness of pleated colposuspension. A total of 40 preoperative SUI patients were included, divided into two subgroups with 20 patients each: the first group was underwent an isolated colposusension, and the second, in addition, underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy. Using transperineal 2D ultrasound, α and β angles were measured at rest and during Valsalva maneuver. Results. The α and β angles were significantly lower in postoperative state compared to the Preoperative one. A t-test confirmed that these increments were statistically significant (p≤0.05). Conclusion. By monitoring α and β angles pre- and postoperatively, clinicians can objectively evaluate the success of surgical interventions for SUI.
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    COMPLICATIONS AFTER PLEATED COLPOSUSSPENSION
    (Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2025-04)
    Zlateska Gjurikj, Sofija
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    Zlateska Damjanovikj, Aleksandra
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    Ilkoski, Ana
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    The case is about a 60-year-old woman with abdominal swelling, lower abdominal cramps, and occasional urine leakage triggered by coughing, sneezing, or laughing. She had no nocturia or urgency symptoms but reported significant social discomfort. Her history included two vaginal deliveries. A pelvic exam revealed mild urethral hypermobility during Valsalva, no significant pelvic organ prolapse, and a highly positive Marshall test for stress urinary incontinence (SUI). Additionally, a firm, mobile mass was palpated in the right abdomen. Ultrasound identified a 13 cm cystic formation in the right ovary with thick edges and no solid components. To assess malignancy risk, we applied our original ROMI index, evaluating serum CA-125 levels, menopausal status, personal and familial history, and ultrasound features. The patient’s ROMI score was 6, indicating low malignancy risk. Laparotomy revealed a large retroperitoneal mass adhering to the right ureter, necessitating J-J stent placement. A successful tumor excision was performed, followed by an abdominal hysterectomy and our modified Pleated Colposuspension after Antovska for SUI correction.