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urogynecology

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https://www.readbyqxmd.com/read/29031387/metabolic-pathways-of-oleic-and-palmitic-acid-are-intensified-in-pcos-patients-with-normal-androgen-levels
#1
Szczuko Małgorzata, Zapałowska-Chwyć Marta, Drozd Arleta, Maciejewska Dominika, Starczewski Andrzej, Stachowska Ewa
CONTEXT: The aetiology and pathogenesis polycystic ovary syndrome (PCOS) remain uncertain and thus the relative studies are still crucial. OBJECTIVE: Our aim was to analyse the fatty acids profiles of the main phospholipids species in serum from women with PCOS classified into phenotypes, and to diagnose women more susceptible to the occurrence of inflammatory state. DESIGN: PCOS screening tests were performed in The Clinic of Gynecology and Urogynecology of Pomeranian Medical University in the 2014-2015 years...
November 2017: Prostaglandins, Leukotrienes, and Essential Fatty Acids
https://www.readbyqxmd.com/read/29026065/urethral-diverticulum-presenting-as-a-large-vaginal-mass-complicating-pregnancy-and-delivery
#2
Everett F Magann, Lisa S Newton, Susan A Barr
BACKGROUND A case report of urethral diverticulum complicating pregnancy is presented. The diagnosis and management are challenging because of the rare nature of this condition, the varied presentations and differential diagnoses, and the possibility of misdiagnosis. CASE REPORT A 25-year-old primigravida with scheduled induction of labor at 39 weeks gestation due to gestational diabetes mellitus presented for a routine antenatal appointment at 38 weeks and four days. On digital cervical examination, she was found to have a large semi-solid anterior vaginal mass, shown by trans-vaginal ultrasound to have a nearly solid appearance of a 5×7 cm mass with septation...
October 13, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28959063/quality-of-life-sexuality-anatomical-results-and-side-effects-of-implantation-of-an-alloplastic-mesh-for-cystocele-correction-at-follow-up-after-36-months
#3
Christian Fünfgeld, Margit Stehle, Brigit Henne, Jan Kaufhold, Dirk Watermann, Markus Grebe, Mathias Mengel
INTRODUCTION: Pelvic organ prolapse can significantly reduce quality of life of affected women, with many cases requiring corrective surgery. The rate of recurrence is relatively high after conventional prolapse surgery. In recent years, alloplastic meshes have increasingly been implanted to stabilize the pelvic floor, which has led to considerable improvement of anatomical results. But the potential for mesh-induced risks has led to a controversial discussion on the use of surgical meshes in urogynecology...
September 2017: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/28953125/association-of-vulvar-symptoms-with-pelvic-organ-prolapse-and-urinary-incontinence
#4
Avery A Whitis, Susan W Lipinski, Catherine S Bradley, Colleen K Stockdale
OBJECTIVE: The aim of this study was to compare vulvar symptoms between urogynecology patients diagnosed with urinary incontinence (UI) and/or pelvic organ prolapse to women presenting for annual gynecological care. METHODS: This is a retrospective cross-sectional study. Vulvar symptoms (burning, pain, itching, dyspareunia, and discharge) were measured by asking respondents to rate the severity of each symptom from 0 (none) to 10 (most severe). Patient history, diagnoses, and the Urogenital Distress Inventory-6 (UDI-6) score were abstracted from records...
October 2017: Journal of Lower Genital Tract Disease
https://www.readbyqxmd.com/read/28953080/health-literacy-in-women-presenting-to-a-urogynecology-practice
#5
Abhishek A Sripad, Betty M Rupp, Jessica L Gage, Katherine M Feliciano, Marcella Willis-Gray, Jennifer M Wu
OBJECTIVE: Health literacy (HL) is the degree to which an individual can obtain, process, and communicate basic health information to make appropriate health decisions. Understanding HL of patients can improve outcomes. Thus, we evaluated HL in women with pelvic floor disorders and investigated its relationship to patient demographics, reading level, and cognition. METHODS: We conducted a cross-sectional study with a convenience sample of English-speaking women 18 years or older, recruited from female pelvic medicine and reconstructive surgery clinics from July 2016 to January 1, 2017...
September 25, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28952701/-sling-procedures-to-treat-urinary-incontinence-in-the-russian-federation
#6
M Yu Gvozdev, D Yu Pushkar
Surgical treatment of urinary incontinence using synthetic slings is one of the most frequently used procedures in modern urogynecology. The availability of almost identical surgical sets manufactured by different companies can at times significantly hamper the choice of a synthetic sling for a particular patient. This article presents a brief overview of the literature on the efficacy and safety of sub-urethral synthetic slings registered in the Russian market.
September 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/28932868/urogynecology-digest-presented-by-autumn-edenfield
#7
Autumn Edenfield
No abstract text is available yet for this article.
September 20, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28925270/-reconstruction-of-the-posterior-and-central-compartment-with-the-prolift-posterior-cohort-study-with-a-5-year-follow-up
#8
K Brányik, L Krofta, P Kraus, M Krčmář, O Gojiš, I Urbánková, J Feyereisl
OBJECTIVE: To analyse the results of the long-term prospective follow-up study of vaginal prolapse reconstructed using a Prolift Posterior. STUDY DESIGN: Prospective, cohort study. SETTING: Institute for the Care of Mother and Child, Prague. METHODS: Over a 5-year period (I/2006 - XII/2011) we prospectively followed a cohort of patients with posterior vaginal wall defect who underwent surgical reconstruction using a monofilament polypropylene implant Prolift Posterior (Gynecare, Ethicon, Inc...
2017: Ceská Gynekologie
https://www.readbyqxmd.com/read/28914702/digitation-to-void-what-is-the-significance-of-this-symptom
#9
Ismael Ortega, Nishamini Subramaniam, Talia Friedman, Friyan Turel, Hans Peter Dietz
OBJECTIVE: Digitation to void is defined as the need to apply manual pressure on the perineum or the vagina to assist with voiding. It has been associated with prolapse; however, there is little objective data concerning this symptom. Our aim was to determine the correlation between digitation to void, symptoms and signs of pelvic organ prolapse (POP), and urodynamic data. METHODS: This was a retrospective study that included a total of 1174 patients seen at a tertiary urogynecological unit...
September 13, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28914700/use-of-ketorolac-after-outpatient-urogynecologic-surgery-a-randomized-control-trial
#10
Elisa R Trowbridge, Dahea Kim, Lauren Caldwell, Denise Franko, Jessica Nicole Jackson, Ashley Shilling, Kathie L Hullfish
OBJECTIVE: Patient surveys highlight a prevalence of moderate to severe pain in the postanesthesia care unit. Multimodal analgesia has been promoted to improve this with fewer opioid-induced adverse effects. The aim of this study was to evaluate the opioid sparing and analgesic effect of postoperative intravenous (IV) ketorolac after outpatient transvaginal surgery. METHODS: Forty patients were enrolled in this institutional review board-approved, randomized, double-blind, placebo-controlled study, to receive either 30 mg of IV ketorolac or IV saline placebo postoperatively...
September 13, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28891280/pelvic-floor-evaluation-with-transperineal-ultrasound-a-new-approach
#11
Francesca Vellucci, Cristina Regini, Chiara Barbanti, Stefano Luisi
The increased life expectancy, the importance of the prevention in younger age and the role of the pelvic floor disfunction not only in the disease of the third age, but also in the childbearing age, as the influence on the type of delivery, underline the importance of the evaluation of the pelvic floor. The evaluation of pelvic floor is generally clinical, but in the last 2 decades, the use of ultrasound has become a mainstream diagnostic tool in the investigation of female pelvic organ prolapse, urinary and fecal incontinence and defecation disorders, providing an immediate objective confirmation of findings obtained on clinical examination and filling some of the gaps of the urogynecological exam...
September 5, 2017: Minerva Ginecologica
https://www.readbyqxmd.com/read/28885414/urinary-symptoms-and-their-associations-with-urinary-tract-infections-in-urogynecologic-patients
#12
Tanaka J Dune, Travis K Price, Evann E Hilt, Krystal J Thomas-White, Stephanie Kliethermes, Cynthia Brincat, Linda Brubaker, Paul Schreckenberger, Alan J Wolfe, Elizabeth R Mueller
OBJECTIVE: To assess urinary symptoms associated with urinary tract infection (UTI) in a urogynecologic population of women. METHODS: In this cohort study, we enrolled 150 urogynecologic patients who completed the validated UTI Symptom Assessment questionnaire and contributed transurethral catheterized urine samples. The primary measure (UTI diagnosis) was defined in three ways. Self-report (a nonculture-based UTI diagnosis) was defined by a yes or no response to the query "Do you think you have a UTI?" Two culture-based UTI diagnoses also were analyzed: standard urine culture (10 colony-forming units [CFU]/mL or greater) and enhanced quantitative urine culture (10 CFU/mL or greater) of any uropathogen...
October 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28884810/comparison-between-the-valsalva-maneuver-and-intraoperative-traction-measurements-in-pelvic-organ-prolapse-assessment
#13
Stergios K Doumouchtsis, Nivedita Gauthaman, Azar Khunda, Maya Basu, Kiran Dadhwal, Yasmin V Gayle, Constantin M Durnea
OBJECTIVE: To compare the assessment of pelvic organ prolapse (POP) between the Pelvic Organ Prolapse Quantification (POP-Q) system with Valsalva maneuver and intraoperative measurement with mechanical traction. METHODS: A prospective observational study included 100 women with POP attending a tertiary urogynecology clinic in the UK and undergoing vaginal prolapse surgical procedures between October 2011 and October 2014. The women were examined in the clinic using POP-Q with the Valsalva maneuver and in the operating theater under general anesthesia with mechanical traction...
September 8, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28884346/quality-of-randomized-controlled-trials-published-in-the-international-urogynecology-journal-2007-2016
#14
Kyu Shik Kim, Jae Hoon Chung, Jung Ki Jo, Jae Heon Kim, Seungjun Kim, Jeoung Man Cho, Hee Ju Cho, Hong Yong Choi, Seung Wook Lee
INTRODUCTION AND HYPOTHESIS: Randomized controlled trials (RCTs) provide the best quality clinical evidence. The aim of this study was to assess the quality of RCTs published by the International Urogynecology Journal (IUJ) in 2007-2016. METHODS: RCTs in original articles were extracted from PubMed and IUJ homepage. Change in RCT quality over time was assessed with Jadad and van Tulder scales and Cochrane Collaboration's risk of bias tool (CCRBT). Jadad scores of 3-5 or van Tulder scores of >5 indicated high-quality RCTs...
September 7, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28875234/in-obesity-even-young-women-suffer-from-urogynecological-symptoms
#15
Janina Brucker, Ina Wagner, Gottfried Rudofsky, Geraldine Rauch, Christof Sohn, Kerstin A Brocker
PURPOSE: To evaluate the occurrence of urogynecological symptoms in obese women treated in a university outpatient clinic for obesity, setting a focus on younger women. METHODS: In this explorative, prospective, cross-sectional, single-center, multidisciplinary clinical trial, all consecutively recruited women received the Prolapse Quality of Life questionnaire (P-QOL) for data acquisition. The total study population (TSP) and a subgroup (SG) aged 18-49 years were evaluated descriptively regarding symptom demonstration...
September 5, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28865142/learning-curve-for-the-single-incision-suburethral-sling-procedure-for-female-stress-urinary-incontinence
#16
Federico Spelzini, Matteo Frigerio, Cristina Regini, Stefania Palmieri, Stefano Manodoro, Rodolfo Milani
OBJECTIVE: To evaluate the learning curve for the single-incision sling (SIS) procedure in a single-surgeon case series. METHODS: Data were retrospectively analyzed from women with non-recurrent symptomatic stress urinary incontinence confirmed by urodynamics and treated at San Gerardo Hospital, Monza, Italy, between October 2008 and November 2015. All women underwent the SIS procedure using a MiniArc sling fitted by the same urogynecologic surgeon. Blood loss, operative time, and complications were recorded...
September 2, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28861678/perioperative-serum-creatinine-changes-and-ureteral-injury
#17
Sam Siddighi, Junchan J Yune, Nicole B Kwon, Jeffrey S Hardesty, Joo H Kim, Philip J Chan
PURPOSE: To illustrate a simple method that screens for ureteral injury in the acute postoperative period after urogynecologic surgeries. METHODS: Serum creatinine measurements in the preoperative (baseline) and postoperative periods of urogynecologic surgeries were determined and the correlation of the change to ureteral injury and/or obstruction analyzed. The sample size calculation showed 7 cases and 28 controls were sufficient to detect significant changes in creatinine...
November 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28856017/repeatability-and-reproducibility-of-measurements-of-the-suburethral-tape-location-obtained-in-pelvic-floor-ultrasound-performed-with-a-transvaginal-probe
#18
Maria Magdalena Dresler, Jacek Kociszewski, Edyta Wlaźlak, Piotr Pędraszewski, Agnieszka Trzeciak, Grzegorz Surkont
INTRODUCTION: Implants used to treat patients with urogynecological conditions are well visible in US examination. The position of the suburethral tape (sling) is determined in relation to the urethra or the pubic symphysis. AIM OF THE STUDY: The study was aimed at assessing the accuracy of measurements determining suburethral tape location obtained in pelvic US examination performed with a transvaginal probe. MATERIAL AND METHODS: The analysis covered the results of sonographic measurements obtained according to a standardized technique in women referred for urogynecological diagnostics...
June 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/28851338/a-modified-neo-vagina-procedure-in-a-low-resource-urogynecological-unit-a-case-report-of-a-21%C3%A2-year-old-with-mayer-rokitansky-k%C3%A3-ster-hauser-mrkh-syndrome-operated-at-mbarara-referral-hospital-southwestern-uganda
#19
Musa Kayondo, Joseph Njagi, Peter Kivuniike Mukasa, Tom Margolis
BACKGROUND: Although vaginal agenesis as may occur in Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare condition, it is associated with not only anatomical problems but also serious psychological and social problems like painful sexual intercourse, primary amenorrhea and infertility. Surgery, which is aimed at reconstruction of a vagina of adequate length and width to serve the function, is the main method of treatment. Many methods for vaginal reconstruction have been described but each has its complications and limitations...
August 29, 2017: BMC Urology
https://www.readbyqxmd.com/read/28846554/american-urogynecologic-society-best-practice-statement-evaluation-and-counseling-of-patients-with-pelvic-organ-prolapse
#20
(no author information available yet)
Women with prolapse should have an examination to quantify the loss of anatomic support and should be evaluated for associated bladder, bowel, and prolapse symptoms as well as associated bother. Treatment options should be tailored to meet the patient's medical health and personal functional goals. In most cases, women should be informed of the range of treatment options including observation as well as nonsurgical and surgical management.
September 2017: Female Pelvic Medicine & Reconstructive Surgery
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