21,229 results match your criteria Female Pelvic Medicine & Reconstructive Surgery[Journal]


Internal hernia with incarceration of the cecum through a loop created by an elongated fallopian tube.

Radiol Case Rep 2019 Feb 28;14(2):282-286. Epub 2018 Nov 28.

WWAMI Medical Education Program and Department of Biological Sciences, University of Idaho, 875 Perimeter Drive, Moscow, ID 83844-3051, USA.

We describe a case of a 61-year-old female who presented to the emergency department with a 2-week history of severe right and left lower abdominal quadrant abdominal pain that radiated to the back and was accompanied by nausea and vomiting. An initial computed tomography scan with contrast demonstrated unusual loops of small bowel in the left paracentral pelvis. Follow-up computed tomography scans revealed worsening dilation of the cecum. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.11.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288712PMC
February 2019

Primary gastric inflammatory myofibroblastic tumor: A case report.

Medicine (Baltimore) 2018 Dec;97(50):e13423

Department of Radiology, The First Affiliated Hospital, Nanchang University, Nanchang, Jiangxi, People's Republic of China.

Rationale: Primary gastric inflammatory myofibroblastic tumor is extremely rare. Only a few cases were reported in the domestic and foreign medical literature with corresponding imaging findings of this disease even more rarely reported.

Patient Concerns: We present one case of a 52-year-old female patient with upper abdominal pain, acid reflux, and belching for 2 months. Read More

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http://dx.doi.org/10.1097/MD.0000000000013423DOI Listing
December 2018

Longitudinal intravital imaging of transplanted mesenchymal stem cells elucidates their functional integration and therapeutic potency in an animal model of interstitial cystitis/bladder pain syndrome.

Theranostics 2018 9;8(20):5610-5624. Epub 2018 Nov 9.

Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Mesenchymal stem cell (MSC) therapy may be a novel approach to improve interstitial cystitis/bladder pain syndrome (IC/BPS), an intractable disease characterized by severe pelvic pain and urinary frequency. Unfortunately, the properties of transplanted stem cells have not been directly analyzed , which hampers elucidation of the therapeutic mechanisms of these cells and optimization of transplantation protocols. Here, we monitored the behaviors of multipotent stem cells (M-MSCs) derived from human embryonic stem cells (hESCs) in real time using a novel combination of confocal endoscopic and microscopic imaging and demonstrated their improved therapeutic potency in a chronic IC/BPS animal model. Read More

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http://dx.doi.org/10.7150/thno.27559DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276303PMC
November 2018

Apocrine gland anal sac adenocarcinoma with perineural metastasis in a cat.

JFMS Open Rep 2018 Jul-Dec;4(2):2055116918815323. Epub 2018 Dec 3.

Department of Clinical Sciences and Advanced Medicine, University of Pennsylvania, School of Veterinary Medicine, Philadelphia, PA, USA.

Case Summary: A 15-year-old female spayed domestic shorthair cat was presented for hyporexia and acute development of L4-Cd myelopathy (urinary incontinence, pelvic limb paresis with hyporeflexia and absent tail tone). Humane euthanasia was elected owing to the rapid neurological deterioration and necropsy was performed. Post-mortem examination identified a right-sided anal sac mass and medial iliac lymphadenopathy. Read More

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http://dx.doi.org/10.1177/2055116918815323DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287314PMC
December 2018

Measurable Krukenberg tumor is preferably characterized as a non-target lesion in the clinical evaluation of gastric cancer therapeutics: A case report.

Mol Clin Oncol 2018 Dec 8;9(6):622-628. Epub 2018 Oct 8.

Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, P.R. China.

Metastatic cystic lesions may be considered as target lesions according to the Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. However, cystic lesions are considered as non-measurable according to RECIST 1. Read More

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http://dx.doi.org/10.3892/mco.2018.1744DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6256177PMC
December 2018

The short-term outcome of laser in the management of female pelvic floor disorders: Focus on stress urine incontinence and sexual dysfunction.

Taiwan J Obstet Gynecol 2018 Dec;57(6):825-829

School of Medicine, National Yang-Ming University, Taipei, Taiwan; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Medical Research, China Medical University Hospital, Taichung, Taiwan. Electronic address:

Objective: Female pelvic floor disorders, including female stress urinary incontinence (SUI) or sexual dysfunction are notorious for affecting the quality of women's life. It is reported that laser therapy might result in collagen remodeling and improvement in tissue firmness. The study was conducted to evaluate the short-term outcome of female pelvic floor disorders treated by laser therapy. Read More

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http://dx.doi.org/10.1016/j.tjog.2018.10.010DOI Listing
December 2018

Imaging Description of Extragenital Müllerian Adenosarcoma: A Case Report.

Rev Bras Ginecol Obstet 2018 Dec 12. Epub 2018 Dec 12.

Section of Obstetrics and Gynecology, Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.

Müllerian adenosarcoma is a very rare gynecological disease, comprising 5% of uterine sarcomas. Extragenital localizations are even rarer. We report a very interesting case of a 27-year-old woman complaining of pelvic pain, with a subsequent diagnosis of extragenital Müllerian adenosarcoma. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676110
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http://dx.doi.org/10.1055/s-0038-1676110DOI Listing
December 2018
2 Reads

Occult injuries of the contralateral sacroiliac joint in operatively treated pelvis fractures: incidence, root cause analysis, and proposal of treatment algorithm.

Int Orthop 2018 Dec 11. Epub 2018 Dec 11.

Department of Orthopaedics, Denver Health Medical Center, 777 Bannock Street, Denver, CO, 80204, USA.

Purpose: To determine the most common injury patterns, root cause, and the frequency with which unrecognized contralateral posterior ring injury occurs in patients presenting with surgically treated pelvic fractures.

Methods: The medical records of 73 patients presenting to our level I trauma center (52 male and 21 female patients; mean age 41.8 years; range 18-89 years) with surgically treated pelvic ring fractures between January 1, 2016 and January 1, 2018 were reviewed. Read More

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http://dx.doi.org/10.1007/s00264-018-4268-1DOI Listing
December 2018

Supra-costal tubeless percutaneous nephrolithotomy is not associated with increased complication rate: a prospective study of safety and efficacy of supra-costal versus sub-costal access.

BMC Urol 2018 Dec 11;18(1):112. Epub 2018 Dec 11.

From the Division of Urology, Department of Surgery, Changhua Christian Hospital, 135, Nanxiao St., Changhua City, Changhua County, 500, Taiwan.

Background: To assess the morbidities of tubeless percutaneous nephrolithotomy (PCNL) using supra-costal access and re-evaluate traditional concept of increased complications with supra-costal access.

Methods: From January 2010 to December 2014, a single surgeon performed 118 consecutive one-stage fluoroscopic guided PCNL's for complex renal and upper ureteral stone. Our definition for complex renal stone is defined as partial or complete staghorn stone, multiple renal stones in more than 2 calyxes, obstructive uretero-pelvic stone > 2 cm, and a renal stone in single functional kidney. Read More

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http://dx.doi.org/10.1186/s12894-018-0429-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290519PMC
December 2018

Chondrosarcoma of the pelvis - case report.

Rom J Morphol Embryol 2018 ;59(3):927-931

Department of Obstetrics and Gynecology, University Emergency Hospital of Bucharest, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania;

Chondrosarcoma (CHS) is the third most common primary bone tumor after myeloma and osteosarcoma. Histologically, it is made of pure hyaline cartilage differentiation. The tumor itself may have myxoid modification and calcification. Read More

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January 2018

Pelvic venous congestion induces lower urinary tract dysfunction in rats.

Biomed Res 2018 ;39(6):269-277

Department of Biochemistry, Graduate School of Medicine, University of the Ryukyus.

Pelvic venous congestion (PC) is thought to be related to several diseases of the lower urinary tract (LUT). We examined the characteristics of the LUT in rats with PC. To create PC, female rats were anesthetized with isoflurane, and the bilateral common iliac veins and bilateral uterine veins were ligated. Read More

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http://dx.doi.org/10.2220/biomedres.39.269DOI Listing
January 2018

Epidemiology and etiology of secondary piriformis syndrome: A single-institution retrospective study.

J Clin Neurosci 2018 Oct 24. Epub 2018 Oct 24.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. Electronic address:

Piriformis syndrome (PS) is a rare etiology of extra-spinal sciatica in which pathologies associated with or around the piriformis muscle (PM) irritate the adjacent sciatic nerve (SN), however, there is scarcity in the literature regarding its exact etiologies, thus, we performed a retrospective study to elucidate the epidemiology of PS and assess various causes of the syndrome. Our study included patients assessed at our institution who presented with sciatica of non-spinal origin between May 2014 and December 2015. Radiology reports of all patients who received pelvic MRI were examined for positive findings involving PM and SN. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.10.069DOI Listing
October 2018

Development of a standardized, reproducible screening examination for assessment of pelvic floor myofascial pain.

Am J Obstet Gynecol 2018 Dec 7. Epub 2018 Dec 7.

St. Louis, Missouri; Department of Obstetrics & Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Washington University in St. Louis.

Background: Pelvic floor myofascial pain is common, but physical examination methods to assess pelvic floor muscles are poorly defined. We hypothesized that a simple, transvaginal pelvic floor examination could be developed that would be highly reproducible among providers and adequately screen for the presence of pelvic floor myofascial pain.

Objective: To develop a simple, reproducible pelvic floor examination to screen for pelvic floor myofascial pain. Read More

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http://dx.doi.org/10.1016/j.ajog.2018.11.1106DOI Listing
December 2018

A giant sacrococcygeal teratoma in adult female: A case report.

Int J Surg Case Rep 2018 Nov 22;54:47-50. Epub 2018 Nov 22.

Department of General Surgery, King Abdulla University Hospital, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box (3030), Irbid, 22110, Jordan. Electronic address:

Introduction: Sacrococcygealteratoma is very rare in adults with only few cases reported in literature. It is a slow growing benign cystic tumor with 1-2% chance for malignant transformation and may attain a huge size causing pressure effect on pelvic and intra-abdominal organs. When grows caudally, it causes discomfort, skin excoriation and cosmetic disfigurement. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183054
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http://dx.doi.org/10.1016/j.ijscr.2018.11.039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280595PMC
November 2018
5 Reads

Aggressive Angiomyxoma: A Rare Tumor of Male Pelvic Cavity.

Acta Med Port 2018 Nov 30;31(11):693-696. Epub 2018 Nov 30.

Department of General Surgery. Ankara University School of Medicine. Ankara. Turkey.

Aggressive angiomyxoma is an uncommon, benign, slow-growing, and locally infiltrative soft tissue neoplasm which is located primarily in the genital region and pelviperineal interstitial tissue of female patient in the fourth decade of life. Its occurrence in male patients is even more unusual and commonly appears at a later age. The mainstay of treatment typically involves surgical excision with tumor-free margins, and despite complete resection, local recurrences are common. Read More

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November 2018
3 Reads

Low Bladder Compliance in Women: A Clinical Overview.

Female Pelvic Med Reconstr Surg 2018 Dec 5. Epub 2018 Dec 5.

From the Division of Female Pelvic Medicine and Reconstructive Surgery, Indiana University, Indianapolis, IN.

Bladder compliance refers to the ability of the bladder to accommodate large volumes of urine. Patients with low bladder compliance may present with persistent urinary incontinence and/or evidence of upper tract damage. Clinicians often may not consider low bladder compliance in their differential for patients complaining of bothersome lower urinary tract symptoms. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000666DOI Listing
December 2018
1 Read

Treatment Outcomes and Sensitivity to Hormone Therapy of Aggressive Angiomyxoma: A Multicenter, International, Retrospective Study.

Oncologist 2018 Dec 5. Epub 2018 Dec 5.

Medical Oncology Unit 2, Medical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy

Background: Aggressive angiomyxoma (AA) is a rare, locally aggressive tumor usually arising from pelvis or perineum, with a high local-recurrence rate after complete surgery. Anecdotal responses to hormone therapy have been reported. In the present study we aimed at studying surgical treatment outcomes and sensitivity to hormone therapy of AA. Read More

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http://theoncologist.alphamedpress.org/lookup/doi/10.1634/th
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http://dx.doi.org/10.1634/theoncologist.2018-0338DOI Listing
December 2018
4 Reads

Comparing the effectiveness of functional electrical stimulation via sexual cognitive/behavioral therapy of pelvic floor muscles versus local injection of botulinum toxin on the sexual functioning of patients with primary vaginismus: a randomized clinical trial.

Int Urogynecol J 2018 Dec 1. Epub 2018 Dec 1.

Department of Gynecology and Obstetrics, Imam Khomeini Hospital, Fellowship in Pelvic Floor Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Introduction And Hypothesis: Most patients suffering from vaginismus feel sinful, anxious, and incompetent, with reduced self-confidence. This study was aimed at comparing the effectiveness of the physiotherapy of pelvic floor muscles as a standard treatment and local injection of botulinum toxin on the sexual functioning of patients with primary vaginismus.

Methods: In this randomized clinical trial (RCT), the study population included women with primary vaginismus referred to the Sexual Health and Gynecologic Clinics of Imam Khomeini Hospital during 2013-2014. Read More

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http://link.springer.com/10.1007/s00192-018-3836-7
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http://dx.doi.org/10.1007/s00192-018-3836-7DOI Listing
December 2018
9 Reads
1.961 Impact Factor

Gynaecological cancers and leptin: A focus on the endometrium and ovary.

Facts Views Vis Obgyn 2018 Mar;10(1):5-18

Ovarian Cancer Laboratory, Veterans Affairs Medical Center, Kansas City, MO 64128, United States.

Obesity has an influence on the risk and prognosis of different types of cancers of the female reproductive tract. In the uterus, a common site for neoplasms is the endometrium, the inner lining tissue. Generally, obesity has been documented to be involved in endometrioid carcinoma of the endometrium. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260667PMC
March 2018
4 Reads

Urobiome updates: advances in urinary microbiome research.

Nat Rev Urol 2018 Dec 3. Epub 2018 Dec 3.

Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Female Pelvic Medicine and Reconstructive Surgery, University of California San Diego, La Jolla, CA, USA.

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http://dx.doi.org/10.1038/s41585-018-0127-5DOI Listing
December 2018

Curved periacetabular osteotomy using intraoperative real-time 3-dimensional computed tomography with a robotic C-arm system: A case report.

Medicine (Baltimore) 2018 Nov;97(48):e13519

Rationale: Curved periacetabular osteotomy (CPO) is a procedure with excellent surgical outcome that has been proposed for patients with development dysplasia of the hip (DDH). However, the surgical outcomes depend on the surgeon's experience and proficiency.

Patient Concerns: A 38-year-old female indicated she was experiencing left hip pain while walking. Read More

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http://dx.doi.org/10.1097/MD.0000000000013519DOI Listing
November 2018
6 Reads

An incidental diagnosis of a giant paraovarian cyst in a female teenager: A case report.

Medicine (Baltimore) 2018 Nov;97(48):e13406

Department of Pediatrics.

Rationale: Paraovarian cysts (PCs) are cystic tumors that can be encountered between the ovarian hilum and the ovarian fimbria located within the mesosalpinx and broad ligament, being usually diagnosed within the 3rd and 4th decade of life.

Patient Concerns: We report the case of a 15-year-old female admitted in our clinic for consciousness loss, who was incidentally diagnosed with a giant pelvic cystic at ultrasound.

Diagnoses: The magnetic resonance image showed a cystic mass of 170/140/85 mm, suggesting an origin from the left ovary, reaching the subhepatic area. Read More

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http://dx.doi.org/10.1097/MD.0000000000013406DOI Listing
November 2018
1 Read

Pelvic Pain and Apical Prolapse Surgery: A Population-Based Retrospective Cohort Study.

Female Pelvic Med Reconstr Surg 2018 Nov 27. Epub 2018 Nov 27.

Obstetrics and Gynecology and.

Objectives: The aims of this study were to evaluate the association of preoperative pelvic pain with operative characteristics and the association of patient and operative characteristics with postoperative pain.

Methods: This is a retrospective cohort study utilizing Clinformatics DataMart, a large national commercial insurance database. We collected data for patients older than 18 years who underwent apical prolapse surgery between January 2005 and December 2014. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000674DOI Listing
November 2018

Increased Expression Levels of Metalloprotease, Tissue Inhibitor of Metalloprotease, Metallothionein, and p63 in Ectopic Endometrium: An Animal Experimental Study.

Rev Bras Ginecol Obstet 2018 Nov 28;40(11):705-712. Epub 2018 Nov 28.

Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

Objective:  To characterize the patterns of cell differentiation, proliferation, and tissue invasion in eutopic and ectopic endometrium of rabbits with induced endometriotic lesions via a well- known experimental model, 4 and 8 weeks after the endometrial implantation procedure.

Methods:  Twenty-nine female New Zealand rabbits underwent laparotomy for endometriosis induction through the resection of one uterine horn, isolation of the endometrium, and fixation of tissue segment to the pelvic peritoneum. Two groups of animals (one with 14 animals, and the other with15) were sacrificed 4 and 8 weeks after endometriosis induction. Read More

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http://dx.doi.org/10.1055/s-0038-1675612DOI Listing
November 2018
1 Read

Ethnic Minority Status and Experiences of Infertility in Female Veterans.

J Womens Health (Larchmt) 2018 Nov 27. Epub 2018 Nov 27.

3 Center for Comprehensive Access and Delivery Research and Evaluation (CADRE) , Iowa City VA Health Care System, Iowa City, Iowa.

Background: In the general population, infertility is increasingly prevalent in ethnic minority women; these women suffer longer and are less likely to access care. There is a paucity of data regarding the issue of race and infertility in the growing female military veteran population.

Materials And Methods: This cross-sectional observational study involved computer-assisted telephone interviews of 1,004 Veterans Administration (VA)-enrolled women aged ≤52 years. Read More

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https://www.liebertpub.com/doi/10.1089/jwh.2017.6731
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http://dx.doi.org/10.1089/jwh.2017.6731DOI Listing
November 2018
4 Reads

Epithelioid Trophoblastic Tumor: Expanding the Clinicopathologic Spectrum of a Rare Malignancy.

Int J Gynecol Pathol 2018 Nov 21. Epub 2018 Nov 21.

Department of Pathology and Laboratory Medicine, Wisconsin Institute for Medical Research, The University of Wisconsin-Madison, Madison, Wisconsin (S.M.M.) Department of Pathology, The University of Chicago, Chicago, Illinois (S.M.M., L.V.F., A.G.M., R.B., R.R.L.).

Epithelioid trophoblastic tumor is a malignancy derived from the chorionic laeve-type intermediate trophoblast with sufficient rarity that the vast majority of literature on the topic exists in the form of case reports and small series. Classically, it is regarded as a well-circumscribed tumor with an expansile growth pattern that occurs in reproductive-aged women, usually after a normal pregnancy. However, we recently encountered a case of epithelioid trophoblastic tumor with aggressive spread throughout the abdomen and pelvis in a 68-yr-old female presenting 30 yr after her last delivery. Read More

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http://dx.doi.org/10.1097/PGP.0000000000000563DOI Listing
November 2018
5 Reads

Pubovisceral muscle and anal sphincter defects in women with fecal or urinary incontinence after vaginal delivery.

Tech Coloproctol 2018 Nov 26. Epub 2018 Nov 26.

Unit of Pelvic Floor and Anorectal Physiology, Department of Colorectal Surgery, Sao Carlos Hospital, Ceará, Brazil.

Background: Vaginal delivery is the most frequent cause of direct anal sphincter trauma as well as pelvic floor muscle defects in women with corresponding signs and symptoms. The aim of the present study was to identify anatomical and functional abnormalities of the anal canal and pelvic floor in women who had had a vaginal delivery and determine the relationship between such abnormalities and the symptoms and severity of fecal incontinence (FI).

Methods: Consecutive female patients with symptoms of fecal and/or urinary incontinence were recruited through the colorectal and gynecological outpatient clinics at two large university hospitals and were eligible if they had had at a vaginal delivery. Read More

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http://dx.doi.org/10.1007/s10151-018-1895-xDOI Listing
November 2018
1 Read

CPAF, HSP60 and MOMP antigens elicit pro-inflammatory cytokines production in the peripheral blood mononuclear cells from genital Chlamydia trachomatis-infected patients.

Immunobiology 2018 Nov 20. Epub 2018 Nov 20.

Department of Medical Microbiology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia; Tropical Infectious Disease Research and Education Center, University of Malaya, 50603 Kuala Lumpur, Malaysia.

Background: Persistent inflammation caused by Chlamydia trachomatis in the female genital compartment represents one of the major causes of pelvic inflammatory disease (PID), ectopic pregnancy and infertility in females. Here, we examined the pro-inflammatory cytokine response following stimulation with three different types of C. trachomatis antigens, viz. Read More

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http://dx.doi.org/10.1016/j.imbio.2018.10.010DOI Listing
November 2018
2 Reads

Some Effects of Supplemental Pilates Training on the Posture, Strength, and Flexibility of Dancers 17 to 22 Years of Age.

J Dance Med Sci 2018 Dec;22(4):192-202

Johns Hopkins Physical Medicine and Rehabilitation, Johns Hopkins Medical Center, Baltimore Maryland, USA.

Proper alignment in dancers is a pre-requisite for achieving aesthetic line and form and for efficient execution of movement. Pelvic alignment is a common deficit in dancers that results in faulty technique and impaired performance. Dancers must be able to obtain their personal neutral alignment to avoid injury and achieve ease of execution. Read More

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https://www.ingentaconnect.com/content/10.12678/1089-313X.22
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http://dx.doi.org/10.12678/1089-313X.22.4.192DOI Listing
December 2018
3 Reads

Similarities and differences in the reproductive phenotypes of women with congenital hypogonadotrophic hypogonadism caused by GNRHR mutations and women with polycystic ovary syndrome.

Hum Reprod 2019 Jan;34(1):137-147

University of Paris-Sud and University Paris-Saclay, Le Kremlin-Bicêtre, France.

Study Question: Does the phenotype of women with normosmic congenital hypogonadotrophic hypogonadism (nCHH) and pituitary resistance to GnRH caused by biallelic mutations in the GnRH receptor (GNRHR) (nCHH/bi-GNRHR) differ from that of women with polycystic ovary syndrome (PCOS)?

Summary Answer: Women with nCHH/bi-GNRHR have variable pubertal development but nearly all have primary amenorrhea and an exaggerated LH response to GnRH stimulation, similar to that seen in women with PCOS.

What Is Known Already: Women with nCHH/bi-GNRHR are very rare and their phenotype at diagnosis is not always adequately documented. The results of gonadotrophin stimulation by acute GnRH challenge test and ovarian features have not been directly compared between these patients and women with PCOS. Read More

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https://academic.oup.com/humrep/advance-article/doi/10.1093/
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http://dx.doi.org/10.1093/humrep/dey339DOI Listing
January 2019
6 Reads

Liposomal Bupivacaine vs. Bupivacaine Hydrochloride with Lidocaine During Midurethral Sling Placement: a Randomized Controlled Trial.

J Minim Invasive Gynecol 2018 Nov 22. Epub 2018 Nov 22.

Division of FPMRS, Atlantic Health System, Morristown, NJ.

Study Objective: The primary objective was to study the effects of liposomal bupivacaine (LB) compared to bupivacaine HCL with lidocaine on postoperative day 1 pain scores.

Design: A randomized control trial (Canadian Task Force classification level 1).

Setting: An academic medical center within the department of female pelvic medicine and reconstructive surgery. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.11.005DOI Listing
November 2018
2 Reads

Incidence and Risk Factors of Early Post-Operative Small Bowel Obstruction in Patients Undergoing Hysterectomy for Benign Indications.

Am J Obstet Gynecol 2018 Nov 21. Epub 2018 Nov 21.

Case Western Reserve School of Medicine, Cleveland, OH; Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, OH.

Background: Small bowel obstruction (SBO) is a major cause of postoperative mortality and morbidity following abdominal and pelvic surgery with 225,000 to 345,000 annual admissions. SBO may be classified based on onset from day of surgery. Early SBO occurs within the first 30 days following surgery, while late SBO, occurs after the initial 30-day postoperative window; the majority of either type of bowel obstruction is believed to be secondary to intra-abdominal adhesions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029378183212
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http://dx.doi.org/10.1016/j.ajog.2018.11.1095DOI Listing
November 2018
3 Reads

Posterior Vaginal Wall Prolapse: Suture-Based Repair.

Urol Clin North Am 2019 Feb;46(1):79-85

Glickman Urological and Kidney Institute, Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Pelvic organ prolapse is common in parous women, although few report symptoms. The incidence of posterior compartment prolapse, or rectocele, is less well-reported. Posterior vaginal wall prolapse is associated with pain, constipation, and splinting. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00940143183006
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http://dx.doi.org/10.1016/j.ucl.2018.08.007DOI Listing
February 2019
6 Reads

Surgery for Anterior Compartment Vaginal Prolapse: Suture-Based Repair.

Urol Clin North Am 2019 Feb;46(1):61-70

Female Pelvic Medicine and Reconstructive Surgery, Section of Urology, Virginia Mason Medical Center, 1100 9th Avenue, C7-URO, Seattle, WA 98101, USA. Electronic address:

Native tissue anterior compartment prolapse repair remains an important surgical procedure for pelvic prolapse. Native tissue repair has been well-studied and is successful in relieving vaginal bulge symptoms and reducing prolapse within the vagina. Native tissue cystocele repair has been performed safely since the advent to modern vaginal surgery for prolapse. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.08.008DOI Listing
February 2019
4 Reads

Surgery for Apical Vaginal Prolapse After Hysterectomy: Abdominal Sacrocolpopexy.

Urol Clin North Am 2019 Feb;46(1):113-121

Virginia Mason Medical Center, 1100 Ninth Avenue, Seattle, WA 98111, USA.

The number of surgeries for pelvic organ prolapse in the United States is increasing. Abdominal sacrocolpopexy has become the gold standard for women desiring a restorative repair of their apical pelvic organ prolapse. Despite the associated morbidity of abdominal sacrocolpopexy, advances in minimally invasive approaches have safely increased the number of these surgeries performed, especially among urologists. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.08.006DOI Listing
February 2019

Surgery for Apical Vaginal Prolapse after Hysterectomy: Transvaginal Mesh-Based Repair.

Urol Clin North Am 2019 Feb;46(1):103-111

Department of Obstetrics and Gynecology (by Courtesy), Division of Urogynecology and Pelvic Reconstructive Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Room G304a, Stanford, CA 94305, USA; Department of Urology (by Courtesy), Stanford University School of Medicine, 300 Pasteur Drive, Room G304a, Stanford, CA 94305, USA.

Several transvaginal mesh products have been marketed to address vaginal vault prolapse. Although data are limited, prolapse recurrence rates and subjective outcome measures seem to be equivalent for vaginal mesh compared with native tissue apical prolapse repair, and the different vaginal meshes have not proven superior to one another. Given the known unique complications specific to vaginal mesh with equivalent outcomes for the apical vaginal prolapse, it is reasonable to reserve mesh use for specific high-risk cases, such as patients with large apical prolapse recurrence after native tissue repair who are not candidates for sacrocolpopexy. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.08.005DOI Listing
February 2019
3 Reads

Retained gastric band port and tube 5 years after gastric band removal and laparoscopic Roux-en-Y gastric bypass: a case report.

BMC Surg 2018 Nov 22;18(1):106. Epub 2018 Nov 22.

Faculty of Medicine, University of Aleppo, Aleppo, Syria.

Background: While LAGB has become uncommon in the bariatric surgery practice, band removal with or without revision surgery is still common. Retained postoperative foreign body, of which surgical sponges are the most common, is a rare condition. We report a rare case of retained gastric band port and the attached tube. Read More

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http://dx.doi.org/10.1186/s12893-018-0448-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249761PMC
November 2018

Deep learning enables automatic quantitative assessment of the puborectalis muscle and the urogenital hiatus in the plane of minimal hiatal dimensions.

Ultrasound Obstet Gynecol 2018 Nov 21. Epub 2018 Nov 21.

Imaging Division, University Medical Center Utrecht, Utrecht, the Netherlands.

Objectives: Measuring the length, width and area of the urogenital hiatus (UH), and the length and mean echo intensity (MEP) of the Puborectalis muscle (PRM) automatically and observer independently in the plane of minimal hiatal dimensions from transperineal ultrasound (TPUS) images by automatic segmentation of the UH and the PRM using deep learning.

Methods: In 1318 3D/4D TPUS volume datasets, images of the plane of minimal hiatal dimensions were manually obtained and the UH and the PRM were manually segmented. Those images were obtained from 253 nulliparae at 12 and 36 weeks pregnancy with the PRM at rest, contraction and Valsalva. Read More

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http://dx.doi.org/10.1002/uog.20181DOI Listing
November 2018
3 Reads

Evaluating residual strain throughout the murine female reproductive system.

J Biomech 2018 Nov 9. Epub 2018 Nov 9.

Department of Biomedical Engineering, Tulane University, 6823 St. Charles Ave, New Orleans, LA 70118, USA. Electronic address:

Mounting evidence suggests that cells within soft tissues seek to maintain a preferred biomechanical state. Residual stress is defined as the stress that remains in a tissue when all external loads are removed and contributes to tissue mechanohomeostasis by decreasing the transmural gradient of wall stress. Current computational models of pelvic floor mechanics, however, often do not consider residual stress. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2018.11.001DOI Listing
November 2018
6 Reads

Effects of elastase digestion on the murine vaginal wall biaxial mechanical response.

J Biomech Eng 2018 Nov 15. Epub 2018 Nov 15.

ASME Member, Department of Biomedical Engineering, Lindy Boggs Center Suite 500, Tulane University, New Orleans, LA 70118 USA.

Although the underlying mechanisms of pelvic organ prolapse (POP) remain unknown, disruption of elastic fiber metabolism within the vaginal wall extracellular matrix has been highly implicated. It has been hypothesized that elastic fiber fragmentation correlates to decreased structural integrity and increased risk of prolapse; however, the mechanisms by which elastic fiber damage may contribute to prolapse are poorly understood. Further, the role of elastic fibers in normal vaginal wall mechanics has not been fully ascertained. Read More

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http://dx.doi.org/10.1115/1.4042014DOI Listing
November 2018
2 Reads

PATIENT DOSE IN DIGITAL RADIOGRAPHY UTILISING BMI CLASSIFICATION.

Radiat Prot Dosimetry 2018 Nov 17. Epub 2018 Nov 17.

Department of Medical Physics, School of Medicine, University of Patras, Patras, Greece.

Dose audit is important towards optimisation of patients' radiation protection in diagnostic radiography. In this study, the effect of the body mass index (BMI) on radiation dose received by 1869 adult patients undergoing chest, abdomen, lumbar spine, kidneys and urinary bladder (KUB) and pelvis radiography in an X-ray room with a digital radiography system was investigated. Patients were categorised into three groups (normal, overweight and obese) based on the BMI values. Read More

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https://academic.oup.com/rpd/advance-article/doi/10.1093/rpd
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http://dx.doi.org/10.1093/rpd/ncy194DOI Listing
November 2018
4 Reads

Ultrasound screening for pyelectasis in pregnant women. Clinical necessity or "art for art's sake"?

Authors:
Piotr Szkodziak

J Ultrason 2018 ;18(73):152-157

3rd Department of Gynecology, Medical University of Lublin, Lublin, Poland.

Renal pelvicalyceal dilatation is caused by urine retention in the upper urinary tract. It is referred to as pyelectasis in medical literature. This term does not indicate the cause that leads to the dilatation of and urine retention in the renal pelvicalyceal system. Read More

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http://dx.doi.org/10.15557/JoU.2018.0022DOI Listing
January 2018
7 Reads

Outcome of Medical and Psychosexual Interventions for Vaginismus: A Systematic Review and Meta-Analysis.

J Sex Med 2018 Dec 13;15(12):1752-1764. Epub 2018 Nov 13.

Sexual Medicine and Andrology Unit, Department of Experimental, Clinical, and Biomedical Sciences "Mario Serio", University of Florence, Florence, Italy; Istituto Nazionale Biostrutture e Biosistemi, Rome, Italy. Electronic address:

Introduction: Although vaginismus is a condition with a great impact on psychosexual well-being, the evidence on the efficacy of interventions is lacking.

Aim: To review all information on vaginismus treatment, including data from randomized clinical trials (RCTs) and observational studies.

Methods: A systematic search was conducted of MEDLINE, EMBASE, PsycINFO, and ClinicalTrials. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17436095183122
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http://dx.doi.org/10.1016/j.jsxm.2018.10.003DOI Listing
December 2018
6 Reads

Opioid prescribing after hysterectomy and route of hysterectomy-opportunities to improve care.

Authors:
John B Gebhart

Am J Obstet Gynecol 2018 Nov;219(5):427-429

Division of Female Pelvic Medicine and Reconstructive Surgery, Mayo Clinic, Rochester, MN. Electronic address:

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http://dx.doi.org/10.1016/j.ajog.2018.09.005DOI Listing
November 2018
1 Read

Ten- and 20-year Survivorship of the Hip After Periacetabular Osteotomy for Acetabular Dysplasia.

J Am Acad Orthop Surg 2018 Nov 14. Epub 2018 Nov 14.

From Saint John's Health Center, Hip and Pelvis Institute, Santa Monica, CA (Dr. Ziran, Dr. Foster, and Dr. Matta), Straub Medical Center, Bone and Joint Center, Honolulu, HI (Dr. Varcadipane), David Geffen School of Medicine at UCLA, Los Angeles, CA (Dr. Kadri and Dr. Ussef), and Cedars-Sinai Spine Research Center, Los Angeles, CA (Ms. Kanim).

Introduction: Acetabular dysplasia is a multifactorial condition characterized by a shallow hip socket with predisposition to osteoarthritis of the hip. The Bernese periacetabular osteotomy (PAO), developed by Reinhold Ganz in 1984, reorients the dysplastic hip joint to provide more uniform coverage of the femoral head and to extend the longevity of the native hip. Since 1987, the senior author performed the Bernese PAO on more than 430 patients. Read More

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http://Insights.ovid.com/crossref?an=00124635-900000000-9947
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http://dx.doi.org/10.5435/JAAOS-D-17-00810DOI Listing
November 2018
3 Reads
2.527 Impact Factor

Case 35-2018: A 68-Year-Old Woman with Back Pain and a Remote History of Breast Cancer.

N Engl J Med 2018 Nov;379(20):1946-1953

From the Departments of Medicine (A.B.), Radiology (M.D.H.), and Pathology (E.F.B., V.N.), Massachusetts General Hospital, and the Departments of Medicine (A.B.), Radiology (M.D.H.), and Pathology (E.F.B., V.N.), Harvard Medical School - both in Boston.

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http://dx.doi.org/10.1056/NEJMcpc1616400DOI Listing
November 2018
1 Read

Use of Dynamic MRI of the Pelvic Floor in the Assessment of Anterior Compartment Disorders.

Curr Urol Rep 2018 Nov 13;19(12):112. Epub 2018 Nov 13.

Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, 601 N. Caroline Street, JHOC 3140C, Baltimore, MD, 21287, USA.

Purpose Of Review: Approximately 25% of women in the USA suffer from pelvic floor disorders. Disorders of the anterior compartment of the pelvic floor, in particular, can cause symptoms such as incomplete urinary voiding, urinary incontinence, pelvic organ prolapse, dyspareunia, and pelvic pain, potentially negatively impacting a woman's quality of life. In some clinical situations, clinical exam alone may be insufficient, especially when patient's symptoms are in excess of their pelvic exam findings. Read More

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http://link.springer.com/10.1007/s11934-018-0862-4
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http://dx.doi.org/10.1007/s11934-018-0862-4DOI Listing
November 2018
9 Reads

Comparison of the prevalence of adhesions at the time of diagnostic laparoscopy for infertility between patient who had open myomectomy and those who had no previous pelvic-abdominal surgery or pelvic inflammatory disease.

Niger J Clin Pract 2018 Nov;21(11):1415-1421

Department of Obstetrics and Gynecology, Asokoro District Hospital, Abuja, Nigeria.

Objective: The aim of this study is to determine the prevalence and patterns of adhesions in infertile women with prior open myomectomy compared with women without prior pelvic-abdominal surgery.

Methods: A nested case-control study of infertile women who had diagnostic laparoscopy after open myomectomy between January 2008 and June 2015 in Life Institute for Endoscopy Limited, Nnewi Nigeria, was conducted. At diagnostic laparoscopy, the presence, site, and quality (density) of adhesions was noted and recorded. Read More

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http://dx.doi.org/10.4103/njcp.njcp_39_17DOI Listing
November 2018
1 Read

Repair of colonic neovaginal stenosis using a biological graft in a male-to-female transgender patient.

Int Urogynecol J 2018 Nov 9. Epub 2018 Nov 9.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics, Gynecology, and Women's Health, University of Louisville, 550 S Jackson Street, Ambulatory Care Bldg, 1st floor, Louisville, KY, 40202, USA.

Introduction And Hypothesis: One in 2900 genotypical men report gender dysphoria, and many undergo gender confirmation surgery to match their physical phenotype to their identity. A variety of surgical techniques are used in male-to-female transgender patients, one of which is bowel vaginoplasty, and postoperative stenosis of the colonic neovagina is common. Extracellular matrix grafts have been used in vaginal reconstruction. Read More

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http://link.springer.com/10.1007/s00192-018-3800-6
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http://dx.doi.org/10.1007/s00192-018-3800-6DOI Listing
November 2018
8 Reads

Energy-based treatment for gynecologic conditions including genitourinary syndrome of menopause: Consensus, controversies, recommendations, and FDA clearance.

Lasers Surg Med 2018 Nov 8. Epub 2018 Nov 8.

Department of Gynecology, Uroclinica, Mendoza, Argentina Department of Laser Surgery, Palmares Hospital, Mendoza, Argentina.

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http://dx.doi.org/10.1002/lsm.23031DOI Listing
November 2018