keyword
https://read.qxmd.com/read/38522504/robotic-assisted-uterine-transposition-followed-by-anatomic-pelvic-repositioning-for-a-patient-with-intramural-fibroids-and-rectal-cancer
#1
JOURNAL ARTICLE
Megan E Gornet, Mindy S Christianson, Rebecca L Stone
OBJECTIVE: To report the first described case of robotic-assisted utero-ovarian transposition followed by anatomic repositioning in the pelvis and cervico-vaginal anastomosis in a woman with uterine fibroids, which was performed for fertility preservation in the context of pelvic radiation for rectal cancer. DESIGN: Description of technique and live-action narrated surgical footage showing uterine transposition and repositioning. SUBJECT(S): 36 year-old woman with a new diagnosis of cT3N2M0 rectal adenocarcinoma, planned for neoadjuvant chemotherapy and pelvic radiation, who desired fertility preservation permissive of future pregnancy...
March 22, 2024: Fertility and Sterility
https://read.qxmd.com/read/38341545/spontaneous-regression-of-a-giant-uterine-leiomyoma-after-delivery-a-case-report-and-literature-review
#2
REVIEW
Lifang Zhu-Ge, Qiaoli Bei, Weiping Pan, Xiaojun Ni
BACKGROUND: Uterine leiomyomas are hormone-dependent benign tumors and often begin to shrink after menopause due to the reduction in ovarian steroids. The influence of pregnancy on uterine leiomyomas size remains unclear. Here, we present a case of spontaneous regression of a giant uterine leiomyoma after delivery. CASE PRESENTATION: A 40-year-old woman presented with multiple uterine leiomyomas, one of which is a giant uterine leiomyomas (approximately 8 cm in diameter) that gradually shrinked after delivery...
February 10, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38259363/uterine-leiomyomas-and-infertility-a-comparison-of-national-and-international-guidelines
#3
REVIEW
Georgios Michos, Themistoklis Dagklis, Evangelos Papanikolaou, Ioannis Tsakiridis, Kyriakos Oikonomou, Apostolos M Mamopoulos, Ioannis A Kalogiannidis, Apostolos Athanasiadis
Uterine leiomyomas are the most common benign tumors of the female genital track, causing various symptoms and problems, including a possible impact on fertility. The relationship between fibroids and infertility has long been a debate among gynecologists. Management of fibroids in women with otherwise unexplained infertility worldwide lacks standardized, evidence-based guidelines. Therefore, a review of guidelines from the Royal Australian and New Zealand College of Obstetricians and Gynecologists, the American College of Obstetricians and Gynecologists, the Society of Obstetricians and Gynecologists of Canada, the Collège National des Gynécologues et Obstétriciens Français, and the American Society of Reproductive Medicine was conducted...
December 2023: Curēus
https://read.qxmd.com/read/38229776/the-hangman-s-tourniquet-a-safe-and-practical-approach-for-reducing-blood-loss-during-uterine-myomectomy
#4
JOURNAL ARTICLE
Vishal Bahall, Lance De Barry, Keevan Singh
STUDY OBJECTIVES: The application of a pericervical uterine artery tourniquet is a useful method of reducing intraoperative haemorrhage during abdominal myomectomy. However, the utilization of a single combined pericervical uterine artery and infundibulopelvic ligament tourniquet is a more effective and influential method of temporarily occluding the uterine vasculature to decrease intraoperative blood loss, reducing the requirement for blood products, the risk of conversion to hysterectomy, and patient morbidity and mortality during fertility-sparing leiomyoma surgery...
December 2023: Curēus
https://read.qxmd.com/read/38161540/a-female-with-urinary-bladder-leiomyoma-a-case-report
#5
Salahadin Lamy, Mohammed F Hadidi, Nawaf Alhamami, Marshad A Almutairi, Abdullah Qashgry
Bladder leiomyoma is a rare benign tumor that can be found in different bladder parts. Leiomyomas can be investigated through a computed tomography (CT) scan or magnetic resonance imaging (MRI), along with cystoscopy, and surgical intervention is considered the standard treatment for this type of cancer. Our case is a 36-year-old female who presented to a urology clinic with lower abdominal pain and lower urinary tract symptoms (LUTS) for three months. The patient was investigated using MRI and was found to have intramural bladder leiomyoma, which was treated with partial cystectomy with bladder mass resection as it is the gold standard treatment...
December 2023: Curēus
https://read.qxmd.com/read/38102631/cotyledonoid-dissecting-leiomyoma-of-the-uterus-a-case-report-and-review-of-the%C3%A2-literature
#6
REVIEW
Mahboobeh Chahkandi, Marzieh Ataei, Amir Reza Bina, Farnaz Mozayani, Ali Fanoodi
BACKGROUND: Cotyledonoid dissecting leiomyoma, also named Sternberg tumor, is a rare variant of uterine leiomyoma. The tumor is benign, but the appearance and growth pattern are unusual and alarming. In this article, we report a case of cotyledonoid dissecting leiomyoma in a 55-year-old woman as well as review relevant literature. CASE PRESENTATION: We report a case of cotyledonoid dissecting leiomyoma in a 55-year-old Iranian woman who presented with vaginal bleeding 4 months after menopause...
December 16, 2023: Journal of Medical Case Reports
https://read.qxmd.com/read/38039750/outcome-prediction-for-symptomatic-patients-with-fibroids-who-underwent-uterine-artery-embolization
#7
JOURNAL ARTICLE
Qingxia Wu, Mina Motaghi, Hao Tang, Bita Hazhirkarzar, Mohammadreza Shaghaghi, Maryam Ghadimi, Azarakhsh Baghdadi, Roya Rezvani, Alireza Mohseni, Ali Borhani, Seyedeh Panid Madani, Shadi Afyouni, Ghazal Zandieh, Ihab R Kamel
PURPOSE: To predict the clinical outcome of symptomatic patients with uterine leiomyomas who underwent uterine artery embolization (UAE), based on clinical and radiological features. METHODS: Patients with symptomatic uterine leiomyomas who underwent UAE from March 2010 to September 2019 were consecutively included in this retrospective study. Patients with persistent or recurrent symptoms and those who needed repeated UAE, myomectomy, or hysterectomy following the initial treatment were considered to have a poor outcome after UAE...
January 2024: Clinical Imaging
https://read.qxmd.com/read/38009829/the-challenge-of-figo-type-3-leiomyomas-and-infertility-exploring-therapeutic-alternatives-amidst-limited-scientific-certainties
#8
REVIEW
Alessandro Favilli, Ivan Mazzon, Andrea Etrusco, Miriam Dellino, Antonio Simone Laganà, Andrea Tinelli, Vito Chiantera, Ettore Cicinelli, Sandro Gerli, Amerigo Vitagliano
Uterine leiomyomas (ULs) are non-cancerous tumors composed of smooth muscle cells that develop within the myometrium and represent the most prevalent pathological condition affecting the female genital tract. Despite the volume of available research, many aspects of ULs remain unresolved, making it a "paradoxical disease" where the increase in available scientific literature has not been matched by an increase in solid evidence for clinical management. Fertility stands at the top of the list of clinical issues where the role of ULs is still unclear...
November 27, 2023: International Journal of Gynaecology and Obstetrics
https://read.qxmd.com/read/37809132/high-intensity-focused-ultrasound-ablation-of-uterine-fibroids-a-review
#9
REVIEW
Nainita Patel, Kamlesh Chaudhari, Dharmesh Patel, Jalormy Joshi
Leiomyomas, or uterine fibroids, are growths consisting of muscle and tissue that develop in or on the uterine wall. The most frequent benign uterine tumours in women of reproductive age are thought to be fibroids. Dysmenorrhea, spotting, hypermenorrhoea, abdominal pain, pressure on surrounding organs, and issues with micturition and defecation are among the symptoms that are often present. Fibroids can form as a single nodule or as a cluster. Uterine fibroids, especially large submucosal and intramural uterine fibroids, can cause obstacles to implantation and lead to pregnancy loss...
September 2023: Curēus
https://read.qxmd.com/read/37762939/occurrence-and-risk-factors-for-perioperative-treatment-discontinuation-during-magnetic-resonance-guided-high-intensity-focused-ultrasound-mr-hifu-therapy-in-symptomatic-uterine-fibroids-a-retrospective-case-control-study
#10
JOURNAL ARTICLE
Jakub Kociuba, Tomasz Łoziński, Kamil Latra, Lidia Korczyńska, Artur Skowyra, Elżbieta Zarychta, Michał Ciebiera
BACKGROUND: The main aim of our study involves the analysis of reasons and risk factors for perioperative treatment discontinuation in patients with symptomatic uterine fibroids (UFs) who were qualified for magnetic resonance-guided high-intensity focused ultrasound (MR-HIFU) and in whom the procedure was discontinued. METHODS: The presented research included 372 women who were primarily eligible for MR-HIFU, but the procedure was interrupted. The reasons and risk factors for treatment discontinuation were analyzed...
September 16, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37697329/-evolution-of-intravascular-leiomyomatosis
#11
JOURNAL ARTICLE
Li Chen, Yunping Yang, Chengzhi Zhao
BACKGROUND: Intravenous leiomyomatosis (IVL) is a rare and specific type of smooth muscle tumor that is histologically benign but has a malignant biological behavior. It is commonly associated with a history of uterine leiomyomas. CASE PRESENTATION: A 36-year-old woman, G1P1, presented to the hospital with left lower abdominal pain for 2 months and she has accepted hysteroscopic myomectomy about 1 year ago. Ultrasound venography, echocardiography and computed tomography venography (CTV) of inferior vena cava were performed, which revealed IVL located in left intramural myometrium walls growing along the left ovarian vein reaching the level of the lumbar 5-sacral 1 disc...
September 11, 2023: BMC Women's Health
https://read.qxmd.com/read/37675138/minimizing-blood-loss-in-laparoscopic-myomectomy-with-temporary-occlusion-of-the-hypogastric-artery
#12
JOURNAL ARTICLE
Ligia Balulescu, Samuel Nistor, Diana Lungeanu, Simona Brasoveanu, Marilena Pirtea, Cristina Secosan, Dorin Grigoras, Radu Caprariu, Andrea Pasquini, Laurentiu Pirtea
INTRODUCTION: Uterine leiomyomas are common benign pelvic tumors. Currently, laparoscopic myomectomy (LM) is the preferred treatment option for women in the fertile age group with symptomatic myomas. The authors hypothesize that combining LM with a bilateral temporary occlusion of the hypogastric artery (TOHA) using vascular clips minimizes uterine blood flow during surgery and can significantly reduce surgery-associated blood loss. MATERIALS AND METHODS: This single-center, prospective randomized study was conducted at the Department of Obstetrics and Gynecology, Municipal Emergency Clinical Hospital Timisoara, Romania...
2023: Frontiers in Medicine
https://read.qxmd.com/read/37284865/incidence-and-changes-in-endometrial-leiomyoma-fistula-following-uterine-artery-embolization-a-single-center-retrospective-analysis
#13
JOURNAL ARTICLE
Yasuteru Sasakura, Tetsuya Katsumori, Kaori Nishizawa, Tomoaki Nishimura, Tatsuya Yoshikawa, Akiko Takahata, Kei Yamada
OBJECTIVES: To investigate whether the number and size of endometrial-leiomyoma fistulas (ELFs) change following uterine artery embolization (UAE) for leiomyoma and the correlation between ELFs and vaginal discharge (VD). MATERIALS & METHODS: This study was a retrospective analysis of 100 patients who underwent UAE at a single institution between May 2016 and March 2021. They all underwent MRI at baseline, 4 months, and 1 year after UAE. The number and size of the ELFs were compared with the MRI images each time...
June 7, 2023: European Radiology
https://read.qxmd.com/read/37271023/rare-clinical-entity-of-huge-leiomyoma-uteri-in-a-17-year-old-adolescent-managed-with-a-fertility-sparing-procedure-case-report-and-literature-review
#14
Samer Barahmeh, Oadi N Shrateh, Afnan W M Jobran, Lyudmila Hamarsheh, Iyas Tanib, Mohammad J Alwahsh
INTRODUCTION AND IMPORTANCE: The most frequent benign uterine tumor is uterine fibroids. Approximately, 20 to 30 % of women between the ages of 30 and 50 have them. Teenagers do, however, rarely experience them; the prevalence is less than 1 % in general population. CASE PRESENTATION: We present a 17-year-old nulliparous female who was admitted to the hospital due to gradually increasing abdominopelvic pain. Transabdominal pelvic ultrasound showed massive uterine enlargement, with a heterogenous structure within the fundus measuring 9...
June 1, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37051383/-torsion-of-a-myomatous-uterus-in-a-non-gravid-female-a-case-report
#15
Yuri Kim, Young Mi Ku, Yoo Dong Won
The torsion of the uterus is a rare gynecological emergency. It occurs mainly in the gravid uterus and extremely rarely in the non-gravid uterus. In this article, we report a case of a torsion of non-gravid uterus accompanied by a huge intramural leiomyoma with focus on CT and MR imaging findings.
March 2023: J Korean Soc Radiol
https://read.qxmd.com/read/37024902/evaluation-of-the-relationship-between-ovarian-reserve-with-congenital-anomalies-and-intramural-uterine-leiomyoma-among-infertile-women-a-cross-sectional-study
#16
JOURNAL ARTICLE
Ashraf Moini, Mehri Kalhor, Shahideh Jahanian Sadatmahalleh, Maryam Niknejadi, Malihe Nasiri, Azar Yahyaei, Shohreh Irani, Seyedeh Saeedeh Mousavi, Saeideh Mikaeili, Negin Mirzaei
BACKGROUND: Ovarian reserve is a crucial indicator of a woman's fertility potential, which is determined by the quality and quantity of antral follicles and oocytes. However, certain factors such as endometriosis, pelvic inflammatory disease, myoma, and the natural process of aging can lead to a poor ovarian response to stimulation, reducing a woman's chances of conceiving. OBJECTIVE: To evaluate the effect of uterus congenital anomalies and uterine leiomyoma are associated on ovarian reserve...
April 6, 2023: Journal of Ovarian Research
https://read.qxmd.com/read/37008168/a-rare-case-of-fulminant-sepsis-secondary-to-postpartum-pyomyoma-caused-by-prevotella-bivia-a-case-report
#17
Tatsuhiko Ogawa
UNLABELLED: Pyomyoma is rare but can cause life-threatening sepsis from uterine leiomyoma infection. Curative radical surgery to completely remove all infectious foci is preferable if conservative treatment fails, but for patients with fertility concerns, alternatives to uterine removal should be considered. The author reports a case of postpartum pyomyoma to remind clinicians of this rare disease and the need for rapid intervention to preserve patient fertility. CASE PRESENTATION: A postpartum female with a fever of unknown origin was admitted to a public hospital...
March 2023: Annals of Medicine and Surgery
https://read.qxmd.com/read/36980984/two-oncomirs-mir-182-5p-and-mir-103a-3p-involved-in-intravenous-leiomyomatosis
#18
JOURNAL ARTICLE
Edyta Barnaś, Joanna Ewa Skręt-Magierło, Sylwia Paszek, Ewa Kaznowska, Natalia Potocka, Andrzej Skręt, Agata Sakowicz, Izabela Zawlik
Leiomyomas, also referred to as fibroids, belong to the most common type of benign tumors developing in the myometrium of the uterus. Intravenous leiomyomatosis (IVL) tends to be regarded as a rare type of uterine leiomyoma. IVL tumors are characterized by muscle cell masses developing within the uterine and extrauterine venous system. The underlying mechanism responsible for the proliferation of these lesions is still unknown. The aim of the study was to investigate the expression of the two epigenetic factors, oncomiRs miR-182-5p and miR-103a-3p, in intravenous leiomyomatosis...
March 14, 2023: Genes
https://read.qxmd.com/read/36813123/the-effect-of-%C3%A2-6-cm-sized-noncavity-distorting-intramural-fibroids-on-in%C3%A2-vitro-fertilization-outcomes-a-systematic-review-and-meta-analysis
#19
REVIEW
Murat Erden, Esra Uyanik, Mehtap Polat, Irem Yarali Ozbek, Hakan Yarali, Sezcan Mumusoglu
IMPORTANCE: The potential detrimental effects of fibroids on natural fecundity and in vitro fertilization (IVF) outcomes may be influenced by their size, location, and number. The impact of small noncavity-distorting intramural fibroids on reproductive outcomes in IVF is still controversial, with conflicting results. OBJECTIVE(S): To determine whether women with noncavity-distorting intramural fibroids of ≤6 cm size have lower live birth rates (LBRs) in IVF than female age-matched controls with no fibroids...
June 2023: Fertility and Sterility
https://read.qxmd.com/read/36699795/spontaneous-expulsion-of-a-prolapsed-pedunculated-uterine-leiomyoma-a-rare-gynecologic-enigma
#20
Twisha J Patel, Sandhya P Pajai, Kalyani S Mahajan
Uterine leiomyomas, also known as uterine fibroids, are smooth muscle tumors in the uterus, mostly benign in nature. They occur in the reproductive age group i.e. between 15 and 49 years. Asymptomatic in nature; rarely, they may be associated with symptoms like abnormal uterine bleeding, pelvic pain, and compression symptoms or secondary changes. Patients of the reproductive age group may be associated with infertility and recurrent pregnancy loss. Fibroids run in families and are associated with both estrogen and progesterone levels...
December 2022: Curēus
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