keyword
https://read.qxmd.com/read/38531476/the-impact-of-embedment-of-the-side-arms-of-52-mg-levonorgestrel-intrauterine-device-on-bleeding-and-pain-a-prospective-cohort-study
#1
JOURNAL ARTICLE
P A H H van der Heijden, M Y Bongers, S Veersema, J P Dieleman, P M A J Geomini
PURPOSE: The purpose of this study was to analyse the impact of embedment of side arms of the levonorgestrel 52 mg intrauterine device (LNG-IUD) in the myometrium (assessed by three-dimensional transvaginal ultrasound (3D-TVUS)) on uterine bleeding and pain. MATERIALS AND METHODS: We performed a prospective cohort study in a large Dutch teaching hospital between February 2015 and December 2016. Participants over 18 years of age who selected a LNG-IUD for contraception or because of heavy menstrual bleeding were eligible for inclusion...
March 24, 2024: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/38514153/ewing-sarcoma-of-the-cervix-an-unusual-site-of-presentation
#2
JOURNAL ARTICLE
Jesús Guillermo Hernández-García, Luis José Pinto García, Osvaldo Alexis Marché Fernández, Juan Daniel Diaz-Garcia
Ewing sarcoma is an exceedingly rare form of cancer that affects the cervix. It falls within the spectrum of neoplastic diseases known as Ewing's family of tumours, typically observed in osseous tissues. A woman in her 40s, experiencing symptoms of leucorrhoea and transvaginal bleeding that commenced 3 months before her consultation, was referred to our gynaecological oncology clinic with a preliminary diagnosis of ovarian teratoma. A colposcopy procedure was conducted unveiling a complete loss of cervical anatomy with friable and malodorous tissue...
March 21, 2024: BMJ Case Reports
https://read.qxmd.com/read/38501030/pathological-insights-on-polypropylene-mesh-complications-from-laparoscopic-sacrocolpopexy-a-case-series
#3
JOURNAL ARTICLE
Nobuo Okui, Machiko A Okui
Background The use of polypropylene mesh in laparoscopic sacrocolpopexy (LSC) is a common treatment for pelvic organ prolapse (POP). Despite its widespread application, postoperative complications such as mesh pain and infection sometimes necessitate the removal of the mesh. However, it remains unclear in which cases mesh removal is warranted. Our research focused on the pathological changes at the sacral fixation point of the mesh. We sought to evaluate the pathological alterations of the sacral mesh removed through an innovative approach of transvaginal natural orifice transluminal endoscopic surgery (vNOTES)...
March 2024: Curēus
https://read.qxmd.com/read/38498161/the-association-of-endometrial-closure-during-cesarean-section-to-the-risk-of-developing-uterine-scar-defect-a-randomized-control-trial
#4
JOURNAL ARTICLE
Aya Mohr-Sasson, Elias Castel, Tal Dadon, Ariel Brandt, Roie Etinger, Adiel Cohen, Michal Zajicek, Jigal Haas, Roy Mashiach
PURPOSE: The surgical technique for uterine closure following cesarean section influences the healing of the cesarean scar; however, there is still no consensus on the optimal technique regarding the closure of the endometrium layer. The aim of this study was to compare the effect of closure versus non-closure of the endometrium during cesarean section on the risk to develop uterine scar defect and associated symptoms. METHODS: A randomized prospective study was conducted of women undergoing first elective cesarean section at a single tertiary medical center...
March 18, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38496787/uterine-vascular-abnormalities-linked-to-pregnancy-complications-color-and-power-doppler-assisted-transvaginal-ultrasound-evaluation
#5
JOURNAL ARTICLE
Ashraf Talaat Youssef
AIM: Abnormal uterine vascular pattern can be observed during transvaginal ultrasound examination used for investigating post-abortion bleeding and secondary postpartum hemorrhage. The purpose of this series of cases was to evaluate almost all the rare causes of uterine vascular abnormalities linked to pregnancy complications, and determine how to arrive at the diagnosis to optimize patient management, which is crucial for preventing life-threatening massive vaginal bleeding. MATERIAL AND METHODS: Retrospective observational case series study including 20 women with postpartum or post-abortion vaginal bleeding who were found to have an abnormal uterine vascular pattern during a transvaginal color duplex assessment...
February 2024: Journal of Ultrasonography
https://read.qxmd.com/read/38496126/spontaneous-pregnancy-after-the-removal-of-long-term-retained-laminaria
#6
Mika Miyamori, Akihiro Hamuro, Kohei Kitada, Takuya Misugi, Daisuke Tachibana
We report the case of a woman with laminaria retention up to six years, followed by spontaneous pregnancy after the removal by hysteroscope of the intrauterine retained laminaria. A 26-year-old woman (G1P0) visited our hospital with complaints of prolonged menstrual bleeding, dyspareunia, and infertility. She had a history of dilatation and evacuation (D&E) at nine weeks of gestation six years earlier. A transvaginal ultrasound showed an artifact, and hysteroscopy revealed a long foreign body, which was suspected to be a laminaria retained after the prior abortion...
February 2024: Curēus
https://read.qxmd.com/read/38493828/laparoscopic-multibipolar-radiofrequency-myolysis-for-symptomatic-myomas-in-10-steps
#7
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/38492083/the-contradictive-findings-between-ultrasound-hysteroscopy-and-cytokines-in-women-with-nonhormonal-iuds-suffering-from-menorrhagia-a-prospective-study
#8
JOURNAL ARTICLE
Hadel Watad, Udi Ifrach, David Stockheim, Vered Yulzari, Orly C Meron, Miri Blank, Benjamin Sredni, Boaz Weisz, Shlomo B Cohen
PURPOSE: The objective of this study is to assess the correlation between bleeding irregularities and the accurate placement of the intrauterine device (IUD) device in the uterine cavity, determined through transvaginal ultrasonography and hysteroscopy. In addition, the study aims to examine the cytokine profile in the uterine cavity and serum of patients experiencing bleeding irregularities after the insertion of nonhormonal IUDs. METHODS: A prospective cohort study was conducted at a single tertiary medical center, wherein patients experiencing intermenstrual bleeding and spotting after the insertion of nonhormonal IUDs were enrolled...
March 16, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38459972/complete-bladder-eversion-after-colpocleisis
#9
JOURNAL ARTICLE
Lauren Nicola-Ducey, W Thomas Gregory, Sara Cichowski, Kamran P Sajadi
BACKGROUND: Because complete urinary bladder eversion is rare, a medical dilemma exists on the optimal treatment approach. The most extensive cases of this disorder have required a laparotomy for definitive management. Our transvaginal approach in this case provides an additional surgical perspective, which could potentially guide clinical care for patients with this disorder. CASE: We cared for a 76-year-old multiparous, postmenopausal woman with transurethral bladder eversion following a Le Fort colpocleisis, who presented with vaginal pain, bleeding, and renal failure...
March 9, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38444293/the-role-of-hysteroscopy-with-morcellator-without-anesthesia-in-the-management-of-abnormal-uterine-bleeding
#10
JOURNAL ARTICLE
Francesco Giuseppe Martire, Luca Labanca, Matteo Giorgi, Aikaterini Selntigia, Consuelo Russo, Gabriele Centini, Alessandro Ginetti, Claudia D'Abate, Stella Capriglione, Caterina Exacoustos, Francesco Catania, Errico Zupi, Lucia Lazzeri
OBJECTIVE: To evaluate the feasibility of hysteroscopy with morcellator without anesthesia and the diagnostic accuracy of 2D, 3D and power Doppler transvaginal sonography (TVS) in patients with abnormal uterine bleeding (AUB). MATERIAL AND METHODS: This was a retrospective study including women with AUB. All patients underwent 2D, 3D and power Doppler TVS evaluation of the uterine cavity, and patients with suspicion on ultrasound (US) of endometrial pathology (EP) underwent hysteroscopy with morcellator without anesthesia...
March 6, 2024: Journal of the Turkish German Gynecological Association
https://read.qxmd.com/read/38434136/cesarean-scar-pregnancy-results-of-treatment-using-a-double-balloon-cervical-ripening-catheter
#11
JOURNAL ARTICLE
Azadeh Tarafdari, Alireza Hadizadeh, Elnaz Irandoost, Sedigheh Borna, Azin Ghamari, Fahimeh Ghotbizadeh Vahdani
BACKGROUND: Being considered a life-threatening condition, cesarean scar pregnancy (CSP) leads to loss of fertility, severe bleeding, and even maternal mortality. We intended to assess the effect of double-balloon cervical ripening catheter insertion on CSP termination before nine weeks of gestation. METHOD: All participants were diagnosed CSP by abdominal and transvaginal ultrasound . The cases were treated with a sterile, double-balloon cervical ripening catheter inserted with real-time transabdominal ultrasound guidance and removed three days later...
February 2024: Journal of Obstetrics and Gynaecology of India
https://read.qxmd.com/read/38434135/efficacy-of-levonorgestrel-intrauterine-system-in-the-management-of-abnormal-uterine-bleeding-a-retrospective-analysis-of-a-100-women
#12
JOURNAL ARTICLE
Atul Ganatra, Freni Shah, Keya Ganatra
AIM: Abnormal uterine bleeding (AUB) is a common gynaecological complaint affecting around 10-30% women during reproductive years. It adversely affects a woman's life, leading to psychological, medical, social and sexual problems. We aim to study the efficacy of a levonorgestrel intrauterine system (LNG-IUS) in 100 women suffering from AUB. METHODOLOGY: A retrospective study was carried out at a private nursing home in Mumbai over a period of 4 years. A total of 100 patients aged 30 years to 50 years (average age = 42...
February 2024: Journal of Obstetrics and Gynaecology of India
https://read.qxmd.com/read/38432071/adenomyosis-diagnosis-among-adolescents-and-young-women-with-dysmenorrhoea-and-heavy-menstrual-bleeding
#13
JOURNAL ARTICLE
Silvia Vannuccini, Chiara Meleca, Federico Toscano, Pina Mertino, Francesca Pampaloni, Massimiliano Fambrini, Vincenzina Bruni, Felice Petraglia
RESEARCH QUESTION: What is the prevalence of adenomyosis at ultrasonography among adolescents and young women reporting dysmenorrhoea and/or heavy menstrual bleeding (HMB)? DESIGN: This observational cohort study involved adolescents and young women referred for dysmenorrhoea and/or HMB to the Adolescent Medicine Unit at Careggi University Hospital, Italy. Patients with endometriosis and bleeding disorders were excluded. Transvaginal ultrasonography or transrectal sonography using a transvaginal probe was performed...
December 14, 2023: Reproductive Biomedicine Online
https://read.qxmd.com/read/38425637/interstitial-ectopic-pregnancy-associated-with-painless-and-severe-vaginal-bleeding-a-rare-atypical-clinical-presentation
#14
Anna Thanasa, Efthymia Thanasa, Vasiliki Grapsidi, Ioannis-Rafail Antoniou, Ektoras-Evangelos Gerokostas, Evangelos Kamaretsos, Athanasios Chasiotis, Ioannis Thanasas
Interstitial ectopic pregnancy is rare (2%-4% of ectopic pregnancies). The atypical clinical presentation of interstitial ectopic pregnancy associated with massive vaginal bleeding is extremely rare and makes early preoperative diagnosis even more difficult. The presentation of our case concerns the early diagnosis and surgical treatment of a patient with an interstitial ectopic pregnancy without rupture, which presented atypically with painless, severe vaginal bleeding. A 27-year-old fourth-term pregnant woman presented with massive painless vaginal bleeding...
January 2024: Curēus
https://read.qxmd.com/read/38420295/evaluating-non-ablative-erbium-yttrium-aluminium-garnet-yag-laser-treatment-for-polypropylene-mesh-induced-vaginal-erosion-a-case-series
#15
JOURNAL ARTICLE
Nobuo Okui, Yuko Kouno, Kaori Nakano, Machiko A Okui
Background Vaginal erosion caused by the polypropylene mesh is a serious side effect, and the development of effective treatment methods is required. This study explored the potential of non-ablative vaginal erbium yttrium aluminum garnet (YAG) laser treatment (VEL) as a novel treatment approach. Methods In this study, VEL was performed on nine women who experienced vaginal erosion after undergoing treatment for pelvic organ prolapse (POP) with polypropylene mesh. These patients visited our hospital between April and December 2020...
February 2024: Curēus
https://read.qxmd.com/read/38412750/perimenopausal-abnormal-uterine-bleeding
#16
REVIEW
Eva Dreisler, Christian Seerup Frandsen, Lian Ulrich
Abnormal uterine bleeding is a frequent symptom in the perimenopause. Causes are numerous, ranging from physiological reactions due to decreasing/unstable ovarian function to premalignant and malignant conditions. Benign findings such as endometrial polyps and myomas increase with age, leading to more abnormal uterine bleeding in the perimenopause. Cervical and vaginal causes of abnormal uterine bleeding should be excluded by speculum examination. Sexually transmitted diseases or pregnancy should be ruled out...
February 22, 2024: Maturitas
https://read.qxmd.com/read/38409155/correlation-between-the-clinical-diagnosis-and-sonographic-diagnosis-in-women-with-first-trimester-vaginal-bleeding
#17
JOURNAL ARTICLE
O C Anajuba, C O Okafor, C S Nwosu, C I Okafor, M O Nwabunike, A C Emegoakor, C G Azubuike, I O Uzukwu, U A Aguwamba, K U Okoye, K C Eze
BACKGROUND: Vaginal bleeding is the most common cause of presentation at the emergency department in the first trimester. Clinical presentation helps determine the likely cause of first-trimester vaginal bleeding. However, ultrasound imaging is required to reach a definitive diagnosis. OBJECTIVE: To determine the relationship between clinical diagnosis and ultrasonographic findings in women with first-trimester vaginal bleeding. METHODS: A prospective longitudinal study was conducted on 94 pregnant patients with a history of bleeding per vagina (PV) in the first trimester by using transvaginal ultrasound...
February 1, 2024: Nigerian Journal of Clinical Practice
https://read.qxmd.com/read/38385632/ultrasound-appearance-of-the-endometrium-post-radiofrequency-ablation
#18
JOURNAL ARTICLE
Meredith Carrel-Lammert, Shivani Parikh, C Ganga Devaiah, Nima R Patel, Catrina C Crisp
OBJECTIVE: To describe the ultrasonographic appearance of the post-ablative endometrium to improve knowledge of its sonographic findings. METHODS: This was an Institutional Review Board approved prospective study of patients who underwent second-generation endometrial ablation from 2016 to 2019 at a single health system. Patients had postoperative transvaginal ultrasounds at 2, 6, and 12 months. Ultrasound reports were analyzed for endometrial thickness, description of the endometrium and myometrium, presence of uterine fibroids, and uterine size...
February 22, 2024: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/38371103/development-of-hydrosalpinx-after-prior-vaginal-hysterectomy-and-bilateral-salpingectomy
#19
Jennifer M Lai, Megan Masten, Amy Markese
Hydrosalpinx is defined as the obstruction and fluid distension of the fallopian tube. It is most often seen in the setting of pelvic inflammatory disease, but preserved fallopian tubes or tubal segments after hysterectomy can also develop hydrosalpinx. This case report highlights an instance of painful hydrosalpinx after vaginal hysterectomy and advocates for the complete removal of fallopian tubes as the standard of care at the time of hysterectomy of any route. In this case, a 40-year-old female, G4P3104, with a history of vaginal hysterectomy and prophylactic bilateral salpingectomy for abnormal uterine bleeding and symptomatic uterine leiomyoma two years prior, presented with one month of left lower quadrant pain...
January 2024: Curēus
https://read.qxmd.com/read/38370501/uterine-carcinosarcoma-with-heterologous-mesenchymal-element-a-case-report-of-a-rare-and-aggressive-tumor
#20
Shahd Asfer, Suhair Hmidan Samsam, Rama Zakkar, Habib Jarbouh
Uterine carcinosarcoma (UCS), also known as malignant mixed Müllerian tumor, is a rare malignancy, which consists of both carcinomatous and sarcomatous elements, with a clinical picture resembling endometrial carcinoma. We report a case of a 74-year-old woman is reported with UCS, diagnosed after a 7 months history of vaginal bleeding and abdominal pain. Previous transvaginal sonography showed nonspecific findings, but a repeated one revealed a central uterine mass. Dilatation and curettage and several biopsies were performed...
February 2024: Oxford Medical Case Reports
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