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vaginal ultrasound

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https://www.readbyqxmd.com/read/29155140/pregnancy-and-parturition-negatively-impact-vaginal-angle-and-alters-expression-of-vaginal-mmp-9
#1
Sallie Oliphant, Timothy Canavan, Stacy Palcsey, Leslie Meyn, Pamela Moalli
BACKGROUND: Parity is the greatest risk factor for the development of pelvic organ prolapse. The normally supported vagina is pulled up and back over the levator ani. Loss of vaginal angulation has been associated with prolapse and may represent injury to the vaginal supportive tissues. OBJECTIVE: We propose that 1) pregnancy and delivery impact support to the vagina leading to loss of vaginal angle; 2) vaginal angulation is restored postpartum; and 3) uncomplicated vaginal delivery (VD) is associated with accelerated remodeling of the vaginal fibrillar matrix...
November 16, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29152320/intramuscular-progesterone-gestone-versus-vaginal-progesterone-suppository-cyclogest-for-luteal-phase-support-in-cycles-of-in-vitro-fertilization-embryo-transfer-patient-preference-and-drug-efficacy
#2
Amal Yaseen Zaman, Serdar Coskun, Ahmed Abdullah Alsanie, Khalid Arab Awartani
Background: The requirement for luteal phase support (LPS) in stimulated IVF cycles is well established, however drug choice, and route of administration and duration of use are not. This report evaluates patients' preference and satisfaction by using either vaginal or intramuscular (IM) progesterone (P) supplementation for luteal phase support after in vitro fertilization and embryo transfer (IVF-ET). Methods: It is a prospective cohort study done in a reproductive and infertility unit in a tertiary care hospital from March 2013 through February 2015 for four hundred and nine patients undergoing IVF-ET...
2017: Fertility Research and Practice
https://www.readbyqxmd.com/read/29147754/vaginal-ultrasound-for-imaging-of-a-urinary-bladder-mass-and-treatment-of-a-large-leiomyoma-of-the-urinary-bladder-in-pregnancy
#3
Roman Zachoval, Kristyna Dukatova, Kamil Svabik
No abstract text is available yet for this article.
November 16, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/29142797/cervical-funneling-potential-pitfall-of-point-of-care-pelvic-ultrasound
#4
Lori A Stolz, Richard Amini, Elaine H Situ-LaCasse, Faryal Shareef, Heather A Reed, Srikar Adhikari
Though point-of-care ultrasound applications continue to expand, there are findings that are not within the scope of emergency ultrasound. It is important for emergency physicians to be aware of incidental findings that can be identified on comprehensive ultrasounds performed by other imaging departments in order to fully understand the limitations of bedside ultrasound. In this case, a gravid patient presented to the emergency department with pelvic cramping and vaginal bleeding. Point-of-care transabdominal pelvic ultrasound examination was performed and demonstrated cervical funneling...
September 3, 2017: Curēus
https://www.readbyqxmd.com/read/29130005/a-case-of-haematometra-secondary-to-cervical-stenosis-after-vesicle-vaginal-fistula-surgical-repair
#5
Athanase Lilungulu, Willy Mwibea, Mzee Nassoro, Balthazar Gumodoka
Background. Haematometra is a rare postobstetrics fistula surgical repair outcome complication; however the condition can be misinterpreted especially in limited resource areas that lack routine ultrasound guidance and with a slowly progressed increase in size of abdomen accompanied with a history of amenorrhoea together with a history of having unprotective sexual intercourse which may increase the possibility of being controversial to full-term gravid uterus. The causes of haematometra might be either due to congenital abnormality of the vaginal canal or acquired iatrogenically...
2017: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29128372/six-week-retention-after-post-placental-copper-intrauterine-device-placement
#6
Alyssa Covelli Colwill, Courtney A Schreiber, Mary D Sammel, Sarita Sonalkar
OBJECTIVES: We sought to evaluate the six-week clinical outcomes (IUD retention, recognized expulsions, ability to visualize or palpate strings, and need for ultrasound evaluation) in women who received a TCu380A PPIUD after vaginal (VD) or Cesarean delivery (CD). STUDY DESIGN: We conducted a retrospective cohort study to examine the six-week retention of TCu380A IUDs placed within ten minutes of placental delivery in VD (n=137) and CD (n=73). We used Student's t-test and Wilcoxon rank sum tests for continuous data and Pearson Chi-squared test and Fisher's exact test for categorical data...
November 8, 2017: Contraception
https://www.readbyqxmd.com/read/29124818/diagnosis-and-management-of-patients-with-enhanced-myometrial-vascularity-associated-with-retained-products-of-conception
#7
Yvette S Groszmann, Amie Lynn Healy Murphy, Beryl R Benacerraf
OBJECTIVES: We performed this study to assess the complication rate, including the estimated amount of blood loss, in patients who underwent dilation and curettage for treatment of retained products of conception with markedly enhanced myometrial vascularity mimicking arteriovenous malformations. METHODS: This is a retrospective medical records review study of patients with retained products of conception with enhanced myometrial vascularity presenting to our ultrasound unit between August 1, 2015 and August 1, 2017...
November 10, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29123079/a-case-of-round-ligament-varices-presenting-in-pregnancy
#8
Luis F García-Paredes, Stephanie C Torres-Ayala, Wilmarie Rivera-Hernández, Wilma Rodriguez Mojica
BACKGROUND Round ligament varices (RLV) are rare and are almost exclusively seen in pregnant women. RLV may clinically resemble an inguinal hernia, inguinal mass, or other pathology involving the inguinal canal and round ligament. Ultrasound imaging is important to make the diagnosis of RLV. CASE REPORT A 34-year-old Hispanic woman, gravida 1 para 0, at 34 weeks gestation, presented to our outpatient department with a complaint of a small, painless, reducible right inguinal mass. Gray-scale sonography showed an asymmetric right inguinal anechoic mass composed of multiple serpentine tubular channels, which became more prominent when the patient performed a Valsalva maneuver...
November 10, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/29112996/angle-of-progression-on-ultrasound-in-the-second-stage-of-labor-and-spontaneous-vaginal-delivery
#9
Carolina Bibbo, Caroline E Rouse, David E Cantonwine, Sarah E Little, Thomas F McElrath, Julian N Robinson
No abstract text is available yet for this article.
November 7, 2017: American Journal of Perinatology
https://www.readbyqxmd.com/read/29110345/pyometra-and-unilateral-uterine-horn-torsion-in-a-sheep
#10
J M Castillo, J C Dockweiler, S H Cheong, M Diel de Amorim
A 13-year-old Romanov sheep presented for evaluation of vaginal discharge, depression and anorexia. Blood work demonstrated mature neutrophilia and marked hyperlactatemia. Transrectal and transabdominal ultrasound revealed echogenic fluid (pus) within the uterus. Purulent uterine fluid culture yield Escherichia coli. A diagnosis of pyometra was made. After medical treatment without clinical improvement, an exploratory laparotomy was performed, and a 360-degree uterine left horn torsion was identified with the pyometra and multiple corpora lutea on both ovaries...
November 7, 2017: Reproduction in Domestic Animals, Zuchthygiene
https://www.readbyqxmd.com/read/29110260/disparities-in-reproductive-outcomes-according-to-the-endometrial-preparation-protocol-in-frozen-embryo-transfer-the-risk-of-early-pregnancy-loss-in-frozen-embryo-transfer-cycles
#11
I Hatoum, L Bellon, N Swierkowski, M Ouazana, S Bouba, K Fathallah, B Paillusson, M Bailly, F Boitrelle, L Alter, M Bergère, J Selva, R Wainer
PURPOSE: The purpose of this study was to determine the effect of stimulated and artificial endometrial preparation protocols on reproductive outcomes in frozen embryo transfer (FET) cycles. METHODS: We performed a retrospective study of 1926 FET cycles over a 3.5-year period in the Fertility Unit at a University Hospital. Stimulated and artificial protocols were used for endometrial preparation. The embryos for FET were obtained from either in vitro fertilization or intracytoplasmic sperm injection cycles...
November 6, 2017: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/29107981/prevalence-and-risk-factors-of-monochorionic-diamniotic-twinning-after-assisted-reproduction-a-six-year-experience-base-on-a-large-cohort-of-pregnancies
#12
Bing Song, Zhao-Lian Wei, Xiao-Feng Xu, Xue Wang, Xiao-Jin He, Huan Wu, Ping Zhou, Yun-Xia Cao
OBJECTIVE: To characterize the incidence and risk factors for monochorionic diamniotic(MC-DA) twinning after assisted reproductive technologies (ART). DESIGN: Retrospective population-based study. SETTING: The study was conducted in China; Department of Reproductive Medicine Center at The First Affiliated Hospital of Anhui Medical University. POPULATION: A cohort of 8860 clinical pregnancies after embryo transfer (ET) carried out in our center between 2011 and 2016 were retrospectively analyzed for the incidence of MC-DA twinning...
2017: PloS One
https://www.readbyqxmd.com/read/29101608/failed-manual-removal-of-the-placenta-after-vaginal-delivery
#13
Johanna Bjurström, Sally Collins, Jens Langhoff-Roos, Karin Sundberg, Annemette Jørgensen, Johannes J Duvekot, Lene Groenbeck
PURPOSE: A retained placenta after vaginal delivery where manual removal of placenta fails is a clinical challenge. We present six cases that illustrate the heterogeneity of the condition and discuss the etiology and terminology as well as the clinical management. METHODS: Members of the European Working group on Abnormally Invasive Placenta (EW-AIP) were invited to report all recent cases of retained placenta that were not antenatally suspected to be abnormally adherent or invasive, but could not be removed manually despite several attempts...
November 3, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29095775/vaginal-foreign-bodies-the-potential-role-of-point-of-care-ultrasound-in-the-pediatric-emergency-department
#14
Isabel Theresia Gross, Antonio Riera
Transabdominal point-of-care ultrasound may be a helpful tool during the evaluation of children with suspected vaginal foreign bodies. We discuss the case of an 11-year-old girl presenting after having placed a pen into her vagina. The patient attempted to remove the pen, but there was concern the cap may have been retained in the vagina. Point-of-care ultrasound findings confirmed a retained pen cap that was subsequently removed by pediatric surgery. We discuss the role of transabdominal point-of-care ultrasound for the detection of vaginal foreign bodies in pediatric patients...
November 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29090103/unilateral-atraumatic-expulsion-of-an-ectopic-pregnancy-in-a-case-of-bilateral-ectopic-pregnancy
#15
Victoria Sampson, Oluremi Mogekwu, Ammar Ahmed, Farida Bano
Ectopic pregnancy occurs in 1-2% of pregnancies. The fallopian tube is the most common site; however, bilateral tubal ectopic pregnancy is an extremely rare phenomenon, seen in approximately 1/200,000 pregnancies. It is usually the result of assisted reproductive techniques (ART). Ultrasound (USS) and serial beta-hCG levels have shown poor efficacy for accurate diagnosis. Laparoscopy is the diagnostic gold standard. The majority of cases are managed surgically with bilateral salpingectomy. A 26-year-old female presented to our early pregnancy unit with pain and vaginal bleeding at 5-week gestation after IVF...
2017: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29082805/identification-and-prediction-of-the-fertile-window-with-a-new-web-based-medical-device-using-a-vaginal-biosensor-for-measuring-the-circadian-and-circamensual-core-body-temperature
#16
Pedro-Antonio Regidor, Marta Kaczmarczyk, Esther Schiweck, Maren Goeckenjan-Festag, Henry Alexander
Fertility awareness-based (FAB) methods represent a term that includes all family planning methods that are based on the identification of the fertile window. They are based on the woman's observation of physiological signs of the fertile and infertile phases of the menstrual cycle. The first approach consists basically in symptothermal methods accompanied by cervical mucus measurements and clinical menstrual cycling data recording. The second most often used methods are the urinary measurement of E3G and luteinizing hormone (LH) with a personalized computer system...
October 28, 2017: Gynecological Endocrinology
https://www.readbyqxmd.com/read/29076695/broad-ligament-haematoma-following-normal-vaginal-delivery
#17
Faiza Ibrar, Azra Saeed Awan, Touseef Fatima, Hina Tabassum
A 37-year-old, patient presented in emergency with history of normal vaginal delivery followed by development of abdominal distention, vomiting, constipation for last 3 days. She was para 4 and had normal vaginal delivery by traditional birth attendant at peripheral hospital 3 days back. Imaging study revealed a heterogeneous complex mass, ascites, pleural effusion, air fluid levels with dilatation gut loops. Based upon pelvic examination by senior gynaecologist in combination with ultrasound; a clinical diagnosis of broad ligament haematoma was made...
July 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29072372/misoprostol-treatment-vs-expectant-management-in-early-non-viable-pregnancy-in-women-with-vaginal-bleeding-a-pragmatic-randomized-controlled-trial
#18
A Fernlund, L Jokubkiene, P Sladkevicius, L Valentin
OBJECTIVES: To compare vaginal misoprostol treatment with expectant management in early non-viable pregnancies with vaginal bleeding with regard to complete evacuation of the uterine cavity within 10 days. METHODS: Parallel randomized controlled, open label, trial conducted in Skåne university hospital, Sweden. Patients with anembryonic pregnancy or early fetal demise (crown-rump length <33mm) and vaginal bleeding were randomly allocated to either expectant management or single dose 800μg of misoprostol vaginally...
October 26, 2017: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29061036/diagnosing-ectopic-pregnancy-in-the-emergency-setting
#19
Robert Lee, Carolyn Dupuis, Byron Chen, Andrew Smith, Young H Kim
Ectopic pregnancy is the implantation of a fertilized egg outside the uterine endometrial cavity. For women presenting to the emergency department with abdominal pain and/or vaginal bleeding, ectopic pregnancy is an important diagnostic consideration. The diagnosis is made based on laboratory values and ultrasound imaging findings. The ultrasound appearance of both normal early pregnancy and ectopic pregnancy are variable and often subtle, presenting diagnostic challenges for radiologists. This pictorial essay describes and illustrates the sonographic findings of ectopic pregnancy and reviews the differential diagnoses that can mimic ectopic pregnancy on ultrasound...
August 19, 2017: Ultrasonography
https://www.readbyqxmd.com/read/29046621/applying-a-statistical-method-in-transvaginal-ultrasound-training-lessons-from-the-learning-curve-cumulative-summation-test-lc-cusum-for-endometriosis-mapping
#20
Vered H Eisenberg, Juan L Alcazar, Nissim Arbib, Eyal Schiff, Reuven Achiron, Motti Goldenberg, David Soriano
BACKGROUND: Methods available for assessing the learning curve, such as a predefined number of procedures or direct mentoring are lacking. Our aim was to describe the use of a statistical method to identify the minimal training length of an experienced sonographer, newly trained in deep infiltrating endometriosis (DIE) mapping by evaluating the learning curve of transvaginal ultrasound (TVUS) in the preoperative assessment of endometriosis. METHODS: A retrospective study in a tertiary referral center for endometriosis...
2017: Gynecological Surgery
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