keyword
https://read.qxmd.com/read/38541100/changes-in-pelvic-floor-ultrasonographic-features-after-flat-magnetic-stimulation-in-women-with-chronic-pelvic-pain-and-levator-ani-muscle-hypertonicity
#1
JOURNAL ARTICLE
Marta Barba, Alice Cola, Desirèe De Vicari, Clarissa Costa, Giorgio La Greca, Annalisa Vigna, Silvia Volontè, Matteo Frigerio, Stefano Terzoni, Serena Maruccia
Background and Objectives: Chronic pelvic pain (CPP) represents a major public health problem for women with a significant impact on their quality of life. In many cases of CPP, due to gynecological causes-such as endometriosis and vulvodynia-improper pelvic floor muscle relaxation can be identified. Treatment of CPP with pelvic floor hypertonicity (PFH) usually involves a multimodal approach. Traditional magnetic stimulation has been proposed as medical technology to manage muscle hypertonicity and pelvic pain conditions through nerve stimulation, neuromodulation, and muscle relaxation...
February 23, 2024: Medicina
https://read.qxmd.com/read/38540632/health-related-quality-of-life-and-psychosocial-variables-in-women-with-colorectal-pelvic-floor-dysfunction-a-cross-sectional-study
#2
JOURNAL ARTICLE
Rocío Molina-Barea, Mahmoud Slim, Elena P Calandre
Pelvic floor dysfunction comprises various disorders, including urinary incontinence, fecal incontinence, pelvic organ prolapse, and chronic pelvic pain. This study aimed to evaluate health-related quality of life (HRQoL), anxiety, depression, sleep disturbance, and sexual functioning in women with pelvic floor dysfunction of colorectal etiology compared with control women. Patients were recruited from a specialized colorectal unit and controls were selected from among the patients' friends and relatives. Sociodemographic and clinical data were collected...
March 15, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38531788/rare-but-still-there-a-scoping-review-on-endometriosis-associated-ovarian-cancer
#3
JOURNAL ARTICLE
Karl Livori, Jean Calleja-Agius
Endometriosis is a medical condition affecting at least up to 10% of women of reproductive age. This condition occurs when ectopic endometrial glands and stroma implant outside the uterus and there are several theories regarding the underlying origins of the disease. Endometriosis is one of the major causes of severe dysmenorrhoea, chronic pelvic pain and infertility. While endometriosis is generally a non-malignant condition, it rarely may transform into an invasive cancer, and increase the risk for epithelial ovarian cancer, notably endometrioid or clear cell ovarian cancer...
March 2024: Discovery Medicine
https://read.qxmd.com/read/38528844/initial-experience-with-unidirectional-barbed-suture-for-abdominal-donor-site-closure-in-deep-inferior-epigastric-perforator-flap-breast-reconstruction
#4
JOURNAL ARTICLE
Emily R Finkelstein, Abdel-Moneim Mohamed Ali, Tripp Holton, Benjamin Slavin, Susan Taghioff, Juan Mella-Catinchi, Devinder Singh
BACKGROUND: The deep inferior epigastric perforator (DIEP) flap is a predominant technique for autologous breast reconstruction. However, the best method of abdominal fascial closure in this technique is not well defined. This study details our initial experience with unidirectional barbed suture-only repair of abdominal donor site fascia. METHODS: Patients who underwent DIEP flap breast reconstruction and abdominal fascial closure with Stratafix Symmetric Polydioxanone PDS Plus were retrospectively reviewed...
March 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38524095/laparoscopic-correction-of-isthmocele-and-cesarean-scar-endometriosis-a-report-of-a-successful-pregnancy-and-treatment-of-subfertility
#5
Jijisha Ali, Gazala Khan, Yevginiy Karamurzin, Rida Maryum, Sami Talo
We present a case of subfertility due to isthmocele and cesarean scar endometriosis with a successful pregnancy following laparoscopic repair. This case report is of a 35-year-old female (para 1, living 1) who presented to the gynecological outpatient department with complaints of lower abdominal pain, irregular vaginal bleeding for three months, and subfertility. She was suspected to have isthmocele and endometriosis at the site of the cesarean scar with seroma formation. She underwent a hysteroscopy and laparoscopic excision of the cyst at the site of the cesarean scar with the repair of the cesarean scar defect...
February 2024: Curēus
https://read.qxmd.com/read/38523905/extracorporeal-shockwave-therapy-of-the-perineum-for-male-patients-with-chronic-pelvic-pain-syndrome-a-pilot-study
#6
JOURNAL ARTICLE
Joe K C Lee, Terence Y X Law, Liang Shen, Gregory X W Pek, Qi Y Lim, Yi Q Tan, Jun Y Chia, Man K Li
BACKGROUND: Chronic pelvic pain syndrome (CPPS) is a complex condition that is often difficult to treat and may sometimes require a multidisciplinary team. Among the wide array of treatment options is extracorporeal shockwave therapy (ESWT). However, its role in CPPS remains controversial. The purpose of our study is to assess the efficacy and safety of ESWT of the perineum in male patients with CPPS. METHODS: Fourteen patients aged between 21 and 85 years were recruited in this single-center, single-arm prospective trial from October 2018 to October 2020...
March 2024: Prostate International
https://read.qxmd.com/read/38514357/ultrasound-guided-erector-spinae-nerve-block-for-relief-of-endometriosis-pain-in-the-emergency-department
#7
Robert Stenberg, Kristen Septaric, Erin L Simon
Endometriosis is a debilitating chronic condition often accompanied by severe pelvic pain and infertility issues. When outpatient medical management is not adequate, controlling pain can be challenging for providers in the acute setting. We report the case of a 23-year-old female with a past medical history of endometriosis who presented to a freestanding emergency department with a chief complaint of 10/10 pelvic pain on a numeric rating scale. She had tried non-steroidal inflammatory medications and heat with no success...
March 15, 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38514162/chronic-pelvic-pain-and-dysmenorrhea-disguising-a-rare-submucosal-leiomyoma-of-the-urinary-bladder
#8
JOURNAL ARTICLE
Brody Smith, Kashish Khanna, Daniel P Pierce, Trushar Patel
Representing 0.43% of all urinary bladder neoplasms, leiomyomas are rare mesenchymal tumours with a benign pathophysiology. There have only been approximately 250 cases published on this subject, necessitating further inquiry into this disease and effective management protocols. Treatment options may include a broad spectrum of surgical interventions, from minimally invasive resection to radical cystectomy, depending on the location, size and symptoms associated with the tumour. To date, few cases of leiomyoma have resulted in recurrence after removal, and zero have reported malignant transformation...
March 21, 2024: BMJ Case Reports
https://read.qxmd.com/read/38512726/postoperative-imaging-of-endometriosis
#9
JOURNAL ARTICLE
Glaucy L Neme, Cassia T S Guimarães, Patricia P Dantas, Daniel D B Santana, Fernando I Yamauchi, Hilton M Leão Filho, Leonardo K Bittencourt, Ricardo M A Pereira, Leandro A Mattos
Endometriosis is a highly prevalent disease that affects 10%-15% of women of reproductive age worldwide and is mainly associated with chronic pelvic pain and infertility. With the widespread use of imaging for the diagnosis and monitoring of endometriosis, combined with the ability of surgery to eradicate the disease and address infertility, there has been a significant increase in recent years in imaging examinations for postoperative evaluation of endometriosis. US and MRI are used not only to help diagnose and map endometriosis but also to evaluate refractory symptoms, residual lesions, and complications at posttreatment assessment...
April 2024: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://read.qxmd.com/read/38512418/evaluation-of-management-of-ct-scan-proved-solid-organ-injury-in-blunt-injury-abdomen-a-prospective-study
#10
JOURNAL ARTICLE
Sourodip Mukharjee, Dinesh B V, Bharath S V
BACKGROUND: Trauma especially road traffic injury is one of the major health-related issues throughout the world, especially in developing countries like India (Mattox 2022). Solid organ injury is the most common cause of morbidity and mortality in patients with blunt abdominal trauma. The non-operative management (NOM) is being consistently followed for hemodynamically stable patients with respect to solid organ injuries. This study aims to provide an evidence base for management modalities of solid organ injuries in blunt abdominal trauma...
March 21, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38507980/app-mohedo%C3%A2-a-mobile-app-for-the-management-of-chronic-pelvic-pain-a-design-and-development-study
#11
JOURNAL ARTICLE
Esther Díaz-Mohedo, Antonio L Carrillo-León, Andrés Calvache-Mateo, Magdalena Ptak, Natalia Romero-Franco, Juan Carlos-Fernández
BACKGROUND: Chronic Pelvic Pain (CPP) has been described as a public health priority worldwide, and it is among the most prevalent and costly healthcare problems. Graded motor imagery (GMI) is a therapeutic tool that has been successfully used to improve pain in several chronic conditions. GMI therapy is divided into three stages: laterality training (LRJT, Left Right Judgement Task), imagined movements, and mirror therapy. No tool that allows working with LRJT in pelvic floor has been developed to date...
March 15, 2024: International Journal of Medical Informatics
https://read.qxmd.com/read/38505548/role-of-the-gut-microbiota-in-the-pathogenesis-of-endometriosis-a-review
#12
REVIEW
Cuishan Guo, Chiyuan Zhang
Endometriosis is classically defined as a chronic inflammatory heterogeneous disorder occurring in any part of the body, characterized by estrogen-driven periodic bleeding, proliferation, and fibrosis of ectopic endometrial glands and stroma outside the uterus. Endometriosis can take overwhelmingly serious damage to the structure and function of multi-organ, even impair whole-body systems, resulting in severe dysmenorrhea, chronic pelvic pain, infertility, fatigue and depression in 5-10% women of reproductive age...
2024: Frontiers in Microbiology
https://read.qxmd.com/read/38500327/observation-of-the-efficacy-of-elongated-needle-therapy-in-treating-patients-with-%C3%A2-b-prostatitis-of-stagnant-dampness-heat-syndrome
#13
JOURNAL ARTICLE
Yu-Zhen Shao, Zi-Xue Sun, Peng-Chao Li, Fang-Ge Zhao, Jia-Xin Cui, Di Zhang
OBJECTIVES: To observe the clinical efficacy in patients with ⅢB prostatitis of stagnant dampness-heat syndrome treated with elongated needle therapy. METHODS: A total of 90 patients with ⅢB prostatitis of stagnant dampness-heat syndrome were selected and randomly divided into a treatment group(45 cases, 2 dropped out) and a control group(45 cases, 1 dropped out) using a random number table method. The control group was treated with oral administration of Qianlie Shutong Capsule, 3 capsules per dose, 3 times a day for a total of 4 weeks...
March 25, 2024: Zhen Ci Yan Jiu, Acupuncture Research
https://read.qxmd.com/read/38496183/a-narrative-review-on-the-viability-of-osteopathic-manipulative-medicine-in-treating-irritable-bowel-syndrome-with-constipation-ibs-c
#14
REVIEW
Mahi Basra, Hemangi Patel, Alison Stern-Harbutte, David Lee, Randal K Gregg, Holly B Waters, Anna K Potter
Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by chronic abdominal pain and alterations in bowel habits, with global prevalence. The etiology of the disease is likely multifactorial; however, autonomic nervous system (ANS) dysfunction and immune-mediated inflammation may contribute the most to the hallmark symptoms of abdominal pain and altered motility of the gut. Current pharmacological therapies operate to modulate intestinal transit, alter the composition of the gut flora and control pain...
February 2024: Curēus
https://read.qxmd.com/read/38493828/laparoscopic-multibipolar-radiofrequency-myolysis-for-symptomatic-myomas-in-10-steps
#15
JOURNAL ARTICLE
Raphael Niddam, Antoine Netter, Blandine Courbière, Aubert Agostini, Laura Miquel
OBJECTIVE: To describe a minimal invasive 10-step technique of laparoscopic multibipolar radiofrequency myolysis for symptomatic myomas. DESIGN: A step-by-step video demonstration of the technique SETTING: A woman with symptomatic FIGO 5 myoma of 60 mm of diameter, confirmed by magnetic resonance imaging. The patient included in this video gave consent for publication of the video and posting of the video online including social media, the journal website, scientific literature websites (such as PubMed, ScienceDirect, Scopus, etc...
March 15, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38493580/isoliquiritigenin-reduces-experimental-autoimmune-prostatitis-by-facilitating-nrf2-activation-and-suppressing-the-nlrp3-inflammasome-pathway
#16
JOURNAL ARTICLE
Rui Feng, Tong Meng, Xiaohu Zhao, Weidong Yu, Haolin Li, Zicheng Wang, Jing Chen, Cheng Yang
BACKGROUND: Chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS) lead to severe irritation and impaired sperm quality in males. However, current therapeutic options often fail to achieve satisfactory effects. Consequently, the investigation of novel treatment strategies or remedies holds substantial clinical importance. As a flavonoid monomer, isoliquiritigenin (ISL) has been shown to possess anti-inflammatory activity, especially in several chronic nonspecific-inflammatory conditions...
March 16, 2024: Molecular Immunology
https://read.qxmd.com/read/38493551/mesh-less-laparoscopic-extraperitoneal-linear-suspension-treatment-of-vaginal-vault-prolapse
#17
JOURNAL ARTICLE
Wenhui Wang, Haiyan Liang, Huan Yu, Chunhong Rong, Yuxiao Dong, Ming Xue, Xiaodie Liu, Jing Liang, Bin Ling
OBJECTIVES: To report the results of a mesh-less laparoscopic extraperitoneal linear suspension technique for the treatment of post-hysterectomy vaginal vault prolapse (PHVP). STUDY DESIGN: A retrospective observational study was conducted collecting medical records of 41 patients with symptomatic PHVP treated between November 2017 to November 2019 in Gynecologic department of China-Japan Friendship Hospital. All patients had Pelvic Organ Prolapse Quantification (POP-Q) scores indicating stage 3-4 PHVP and underwent mesh-less laparoscopic extraperitoneal linear suspension...
February 23, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38489713/ferroptosis-and-oxidative-stress-in-endometriosis-a-systematic-review-of-the-literature
#18
JOURNAL ARTICLE
Chenghong Ni, Dingheng Li
BACKGROUND: Endometriosis (EMT) a common gynecological condition in women, an inflammatory disease characterized by the presence of endometrial tissue on organs and tissues in the pelvis, and is mainly associated with chronic pelvic pain and infertility. As the etiology has not been fully elucidated, current treatment is limited to surgery, hormones and painkillers, with more side effects and difficulty in achieving long-term relief. Oxidative stress manifests itself as an overproduction of reactive oxygen species, which has an integral impact in the pathology of female reproductive disorders...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38482856/management-of-hypoactive-sexual-desire-dysfunction-at-a-specialized-service-in-women-s-sexual-health
#19
JOURNAL ARTICLE
Bruna Holanda Luz do Nascimento, Juliana Ribeiro Figueira, Ana Carolina Japur de Sá Rosa-E-Silva, Rosana Maria Reis, Maíra Cristina Ribeiro Andrade, Luiz Gustavo Oliveira Brito, Lucia Alves da Silva Lara
Hypoactive sexual desire dysfunction (HSDD) is prevalent among women. This retrospective cohort study aimed to verify the results of the strategies used by Gynecologists and Obstetricians (Ob-gyn) residents in the management of female HSDD. For this, we conducted a data collection of patient medical records of women with HSDD from the Human Sexuality Studies outpatient clinic of the Human Reproduction Center, Department of Gynecology and Obstetrics of FMRP-USP, from 2005 to 2019. Among the 437 women included, 361 (82...
March 14, 2024: Journal of Sex & Marital Therapy
https://read.qxmd.com/read/38473005/spontaneous-fistula-and-abdominal-wall-endometriosis-due-to-occult-existence-of-unicornuate-right-uterus-with-rudimentary-non-communicating-functioning-left-horn
#20
JOURNAL ARTICLE
Gheorghe Cruciat, Adelina Staicu, Andreea Florian, Georgiana Nemeti, Diana Sachelaru, David Andras, Daniel Muresan
Accurate diagnosis of Müllerian duct anomalies (MDA) remains a clinical challenge even by direct surgical inspection. Although obstetrical complications are more frequent in women with MDA, some subtypes allow normal reproduction, further delaying the diagnosis. Unicornuate uterus with a rudimentary non-communicating functioning horn is a rare form of MDA, susceptible to many gynecologic and obstetric complications such as miscarriages, premature birth, hematosalpinx, endometriosis, and chronic pelvic pain...
March 2, 2024: Diagnostics
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