A Conservative Approach to Peritoneal Dialysis-Associated Rectocele

Lew, Susie Q.; Robinson, James K.

doi:10.3747/pdi.2012.00026

Cited by 5 publications

(5 citation statements)

References 5 publications

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“…With regard to PD options, APD may be offered to the patient. 3 APD was performed in the supine position, with minimal to no PD fluid remaining in the abdomen during the daytime when the patient was in the erect position, and so intra-abdominal pressure was decreased compared with CAPD.…”

Section: Discussionmentioning

confidence: 99%

“…Conservative management is more demanding, and the necessity of surgical intervention remains a controversial issue. 3 4 POP surgery in ESRD patients is often associated with many potential perioperative morbidity events 6 ; thus, the complicated medical condition makes anesthesia management more challenging. Based on this, a conservative treatment, such as a vaginal pessary, could be considered for such patients.…”

Section: Discussionmentioning

confidence: 99%

“… 2 In end-stage renal disease (ESRD) patients treated with continuous ambulatory peritoneal dialysis (CAPD), massive abdominal fluid during the upright position can result in additional pressure that is exerted on the pelvic floor, thereby increasing the risks of symptomatic POP in these patients. 3 4 …”

Section: Introductionmentioning

confidence: 99%

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Application of single-incision transvaginal mesh in a woman undergoing peritoneal dialysis and suffering from refractory advanced stage pelvic organ prolapse

Sun

2017

Gynecology and Minimally Invasive Therapy

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Objective:We would like to provide an option of minimal invasive surgical intervention for a patient with end-stage renal disease undergoing continuous ambulatory peritoneal dialysis, who was at the advanced-stage pelvic organ prolapse (POP) and who also failed to be treated conservatively.Materials and method:We present a case of uterine prolapse stage IV in a woman who underwent continuous ambulatory peritoneal dialysis due to end-stage renal disease. Her severity of POP had only limited improvement after being switched to hemodialysis and vaginal cream use. After her informed consent, we performed a uterus-sparing transvaginal mesh procedure to adjust the anterior, apical, and posterior defects of pelvis.Results:There has been no recurrence of any compartment of POP during the 16-month follow-up period, nor any mesh-related complications. The perineal swelling subsided after switching to nocturnal automated peritoneal dialysis only in the supine position.Conclusion:Patients with POP at an advanced stage during peritoneal dialysis who failed to be treated conservatively may require a surgical intervention. Uterus-sparing transvaginal mesh was a feasible minimal invasive option.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Application of single-incision transvaginal mesh in a woman undergoing peritoneal dialysis and suffering from refractory advanced stage pelvic organ prolapse

Sun

2017

Gynecology and Minimally Invasive Therapy

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“…Pelvic organ prolapse (POP) occurs frequently in females compared to males as the risk factors include childbirth, parity, advanced age, and obesity 90 . POP may be exacerbated by situations that repetitively increase intra‐abdominal pressure such as chronic constipation, heavy lifting, and the continuous presence of PD fluid in a PD patient 91–93 …”

Section: Management Of Pd When Other Abdominal Procedures Are Performedmentioning

confidence: 99%

“…POP, complicated by increased intra‐abdominal pressure, may be minimized by using automated peritoneal dialysis (APD) performed in the supine position with minimal to no PD fluid remaining in the abdomen during the daytime when the patient sits or stands. Conservative management includes the use of a vaginal pessary 92,93 . An intraperitoneal approach involving laparoscopy or abdominal sacrocolpopexy for repair introduces the risk of infection.…”

Section: Management Of Pd When Other Abdominal Procedures Are Performedmentioning

confidence: 99%

When end‐stage kidney disease complicates abdominal surgery

Lew

Collins

2020

Seminars in Dialysis

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Patients receiving peritoneal dialysis (PD) encounter an increased risk for infection, bleeding, and PD fluid leakage after abdominal surgery. These complications may affect the future use of PD. Appropriate patient preparation may mitigate complications. Certain complications or procedures allow patients to remain on PD while others require transition to hemodialysis. We review the etiology and management of infection, bleeding, and PD fluid leakage associated with abdominal surgery as well as the relationship of specific abdominal procedures to continuing PD.

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Noninfectious Complications of Peritoneal Dialysis

Kennedy

Bargman

2023

Nolph and Gokal's Textbook of Peritoneal Dialysis

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A Conservative Approach to Peritoneal Dialysis-Associated Rectocele

Cited by 5 publications

References 5 publications

Application of single-incision transvaginal mesh in a woman undergoing peritoneal dialysis and suffering from refractory advanced stage pelvic organ prolapse

Application of single-incision transvaginal mesh in a woman undergoing peritoneal dialysis and suffering from refractory advanced stage pelvic organ prolapse

When end‐stage kidney disease complicates abdominal surgery

Noninfectious Complications of Peritoneal Dialysis

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