21,898 results match your criteria Female Pelvic Medicine & Reconstructive Surgery[Journal]


American Urogynecologic Society Systematic Review: Microscopic Hematuria as a Screening Tool for Urologic Malignancies in Women.

Female Pelvic Med Reconstr Surg 2019 Apr 12. Epub 2019 Apr 12.

Vanderbilt University Medical Center, Nashville, TN.

Introduction: Most causes of microscopic hematuria (MH) are benign but may indicate an underlying malignancy. Current MH evaluation guidelines are reflective of male urologic malignancy risks. The objective of this systematic review was to evaluate whether the finding of MH predicts subsequent urologic malignancy in women. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000726DOI Listing
April 2019
1 Read

Evaluating the Quality and Readability of Online Resources for Labiaplasty.

Female Pelvic Med Reconstr Surg 2019 Apr 12. Epub 2019 Apr 12.

From the Division of Female Pelvic Medicine and Reconstructive Surgery, Ohio State University Wexner Medical Center, Columbus, OH.

Objectives: The aim of this study was to evaluate the quality, readability, and accuracy of Web-based information regarding labiaplasty and to characterize the types of Web sites providing this information.

Methods: Investigators used 3 major search engines to query the internet using the search terms labiaplasty, labia reduction, and vaginal rejuvenation. Two validated tools were used to evaluate Web sites: the JAMA benchmark tool and the DISCERN instrument. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000725DOI Listing

Letter to the Editor.

Menopause 2019 Apr 15. Epub 2019 Apr 15.

Department of Female Pelvic Medicine and Reconstructive Surgery, The Christ Hospital, Cincinnati, OH.

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http://dx.doi.org/10.1097/GME.0000000000001345DOI Listing
April 2019
2 Reads

Female lower urinary tract microbiota do not associate with IC/PBS symptoms: a case-controlled study.

Int Urogynecol J 2019 Apr 16. Epub 2019 Apr 16.

Department of Microbiology and Immunology, Loyola University Chicago, Health Sciences Division, Stritch School of Medicine, Maywood, IL, 60153, USA.

Introduction And Hypothesis: The current etiology of interstitial cystitis/painful bladder syndrome (IC/PBS) is poorly understood and multifactorial. Recent studies suggest the female urinary microbiota (FUM) contribute to IC/PBS symptoms. This study was designed to determine if the FUM, analyzed using mid-stream voided urine samples, differs between IC/PBS patients and controls. Read More

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http://dx.doi.org/10.1007/s00192-019-03942-9DOI Listing

End-stage renal disease in a Down syndrome patient caused by delayed diagnosis of nonneurogenic bladder: A case report.

Medicine (Baltimore) 2019 Apr;98(15):e15145

Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

Rationale: Patients with Down syndrome (DS) have a higher incidence of nonneurogenic neurogenic bladder (NNB) than do normal subjects. Renal failure may occur frequently in NNB patients. Although most of the cases of NNB patients with DS reported to date have been acute renal injuries, we report a patient with DS who was diagnosed late with urinary tract obstruction due to NNB that finally proceeded to end-stage renal disease (ESRD). Read More

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http://dx.doi.org/10.1097/MD.0000000000015145DOI Listing
April 2019
1 Read

Long-term Physical Activity Levels and Physical Functioning Outcomes After Midurethral Sling.

Female Pelvic Med Reconstr Surg 2019 Apr 11. Epub 2019 Apr 11.

From the Division of Female Pelvic Medicine and Reconstructive Surgery, and.

Objectives: The objective of this study was to describe changes in leisure physical activity (PA) levels and physical functioning (PF) in women 60 months or more after midurethral sling for stress urinary incontinence (SUI).

Methods: This is a long-term follow-up study of a previously published prospective study of women undergoing outpatient midurethral sling for SUI from 2009 to 2011. Women completed questionnaires for incontinence, PA, and PF at baseline, 6, 12, and 60 months or more postoperatively. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000728DOI Listing
April 2019
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The Preferred Catheter Type After Prolapse Surgery: A Survey Study of Surgeons.

Female Pelvic Med Reconstr Surg 2019 Apr 11. Epub 2019 Apr 11.

Objective: The aim of this study was to determine surgeon preference for catheter type in the management of postoperative urinary retention after prolapse surgery, specifically comparing transurethral indwelling catheters (TIC), clean intermittent self-catheterization (CISC), and suprapubic tubes (SPT).

Methods: Electronic surveys were sent to 1182 urogynecologists and urologists through the American Urogynecologic Society and the Canadian Society of Pelvic Medicine.

Results: A total of 247 (21%) surveys were completed, where 53% of the respondents ranked TIC as the best catheter option, compared with 42% for CISC and 4% for SPT (P < 0. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000724DOI Listing
April 2019
1 Read

Case report: interventional radiology's potential role for in vitro fertilization post ovarian transposition and pelvic radiation.

Fertil Res Pract 2019 2;5. Epub 2019 Apr 2.

Boulder Community Health, Interventional Radiology, Boulder, CO USA.

Introduction: Ovarian transposition is a procedure that can help preserve fertility for female patients requiring radiation in the abdominopelvic region. However, the displacement of ovaries from its original anatomic location can make oocyte retrieval challenging.

Case Presentation: A 24-year-old nulligravid patient recently diagnosed with colorectal carcinoma [CRC] underwent ovarian transposition prior to radiation. Read More

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http://dx.doi.org/10.1186/s40738-019-0056-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444845PMC
April 2019
1 Read

Editorial Comment.

J Urol 2019 Apr 12:10109701JU000055783585809f1. Epub 2019 Apr 12.

Department of Surgery, Cleveland Clinic Lerner College of Medicine, Female Pelvic Medicine and Reconstructive Surgery, Glickman Urological Institute , Cleveland , Ohio.

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http://dx.doi.org/10.1097/01.JU.0000557835.85809.f1DOI Listing
April 2019
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Medicinal chemistry of Alternative therapeutics: Novelty and hopes with genus Ammannia.

Curr Top Med Chem 2019 Apr 11. Epub 2019 Apr 11.

Laboratory of Chemistry, Department of Applied Sciences, Rajkiya Engineering College (An associate college of Dr. A.P.J. Abdul Kalam Technical University, Lucknow), Churk, Sonbhadra-231206. India.

The plants have formed the basis of folklore remedy since beginning of human civilization. The cumulative human endeavor and experience over a period of thousands of years developed into well to organize traditional medicine systems viz. Ayurvedic, Unani, Chinese amongst others. Read More

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http://dx.doi.org/10.2174/1568026619666190412101047DOI Listing

Assessment of female pelvic floor support to the urethra using 3D transperineal ultrasound.

Int Urogynecol J 2019 Apr 11. Epub 2019 Apr 11.

Department of Ultrasound in Medicine, Shanghai Institute of Ultrasound in Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Shanghai, 200233, China.

Introduction And Hypothesis: To explore the feasibility of three-dimensional (3D) transperineal tomographic ultrasound in evaluating pelvic floor support of the urethra in women.

Methods: Three-dimensional transperineal ultrasound volume data sets of 50 women with stress urinary incontinence (SUI) and 25 women without SUI were obtained for analysis. Pelvic floor support of the urethra was evaluated by studying the relationship between the urethra and vagina in vaginal cross section and quantified by estimating the urethral depression (UD) rate. Read More

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http://dx.doi.org/10.1007/s00192-019-03946-5DOI Listing
April 2019
4 Reads

The Dangers of Hymenotomy for Imperforate Hymen: A Case of Iatrogenic Pelvic Inflammatory Disease with Pyosalpinx.

J Pediatr Adolesc Gynecol 2019 Apr 8. Epub 2019 Apr 8.

Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, United States.

Background: Complications associated with imperforate hymen include cyclical abdominal pain, acute urinary retention, endometriosis, and even iatrogenic infections.

Case: A 14 year old female was diagnosed with an imperforate hymen, hematocolpos, and right hematosalpinx. A hymenotomy was performed, followed by a hymenectomy three days later. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.04.002DOI Listing
April 2019
1 Read
1.812 Impact Factor

Please Be Careful with Me: Discrepancies between Adolescent Expectations and Clinician Perspectives on the Management of Pelvic Inflammatory Disease.

J Pediatr Adolesc Gynecol 2019 Apr 8. Epub 2019 Apr 8.

Johns Hopkins School of Medicine; Bloomberg School of Public Health.

Study Objective: To compare clinician perspectives for the treatment of pelvic inflammatory disease (PID) with those of adolescent patients and parents.

Design: Cross-sectional study.

Setting: Urban academic pediatric and adolescent medicine practices and school-based health clinics in a large urban community with a high prevalence of sexually transmitted infections (STI) and a national sample of adolescent-serving clinicians. Read More

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http://dx.doi.org/10.1016/j.jpag.2019.04.001DOI Listing
April 2019
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Primary Care Physician Perceptions of Female Pelvic Floor Disorders.

Hawaii J Med Public Health 2019 Apr;78(4):132-136

Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.

Primary care physicians (PCPs) play a major role in patient access to appropriate health care. This study examines PCPs' perceptions and management of female pelvic floor disorders. Surveys were mailed to family medicine and internal medicine physicians associated with the Hawai'i Medical Service Association. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452021PMC
April 2019
1 Read

Bowel obstruction caused by colonic metastasis of lung adenocarcinoma: a case report and literature review.

World J Surg Oncol 2019 Apr 8;17(1):63. Epub 2019 Apr 8.

Department of Anatomical and Clinical Pathology, Wesley Medical Center, 550 N. Hillside St, Wichita, KS, 67214, USA.

Introduction: Lung cancer is the most common cause of cancer-related deaths globally. Metastatic disease is often found at the time of initial diagnosis in the majority of lung cancer patients. However, colonic metastases are rare. Read More

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http://dx.doi.org/10.1186/s12957-019-1611-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454752PMC
April 2019
1 Read

Terminology for bladder health research in women and girls: Prevention of Lower Urinary Tract Symptoms transdisciplinary consortium definitions.

Neurourol Urodyn 2019 Apr 8. Epub 2019 Apr 8.

Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Diego, San Diego, California.

Aim: To report research terminology and definitions for describing healthy bladder function among women and girls.

Methods: The Prevention of Lower Urinary tract Symptoms (PLUS) Consortium developed research terminology and definitions for elements of healthy bladder function based on existing understanding of storage and emptying functions of the bladder and accepted definitions of lower urinary tract symptoms (LUTS). The novel concept of a bladder "bioregulatory" function was also proposed. Read More

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http://dx.doi.org/10.1002/nau.23985DOI Listing
April 2019
1 Read

Effectiveness of C2 Incidence Angle for Evaluating Global Spinopelvic Alignment in Mild Degenerative Spondylotic Patients.

World Neurosurg 2019 Apr 4. Epub 2019 Apr 4.

Department of Orthopaedic Surgery, BioMedical Research Institute, Pusan National University Hospital, 179 Gudeok-Ro, Seo-Gu, Busan 49241, Republic of Korea. Electronic address:

Objective: To analyze the correlation between C2 incidence (C2I) and cervical and thoracolumbar sagittal parameters and determine the effectiveness of C2I for evaluating global spinopelvic sagittal alignment.

Methods: The whole spine standing lateral radiographs of 226 patients (age: 47.8±11. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.274DOI Listing
April 2019
3 Reads

Letter to the Editor on: Bladder Agenesis and Associated Pelvic Arterial Anomaly in 2 Female Pediatric Patients.

Urology 2019 Apr 4. Epub 2019 Apr 4.

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY.

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http://dx.doi.org/10.1016/j.urology.2019.03.026DOI Listing

Paraneoplastic Lambert-Eaton syndrome in a patient with disseminated metastatic cancer.

Cir Cir 2019 ;86(1):72-76

Rehabilitation Medicine, Faculty of Medicine, Universidad de Guanajuato. León, Gto., Mexico.

Background: Neurological paraneoplastic syndromes are rare, occur in 0.01% of all cancer patients; like part of them, the Lambert-Eaton syndrome is an autoimmune presynaptic disorder of neuromuscular transmission characterized by muscle weakness and neurovegetative dysfunction, and often associated with small cell lung cancer.

Case Report: A 72 years old female with a family history of lung cancer and leukemia, with 7 months of dry cough and 3 months with waist and pelvic muscle weakness, oropharyngeal dysphagia, dry mouth, chronic constipation and weight loss of 10 kg. Read More

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http://dx.doi.org/10.24875/CIRUE.M18000011DOI Listing
January 2019
5 Reads

Age and "general health"-beside fracture classification-affect the therapeutic decision for geriatric pelvic ring fractures: a German pelvic injury register study.

Int Orthop 2019 Apr 4. Epub 2019 Apr 4.

Department of Trauma Surgery, BG Trauma Centre Murnau, Professor Küntscher Str. 8, 82418, Murnau, Germany.

Purpose: Pelvic ring fractures in the elderly gain increasing importance. Nonetheless, data on factors influencing treatment decision in relation to fracture classification, age, and the resulting treatment are still rare.

Methods: Prospectively collected data of the German Pelvic Injury Registry from patients aged over 65 years with a pelvic ring fracture were evaluated retrospectively. Read More

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http://dx.doi.org/10.1007/s00264-019-04326-wDOI Listing
April 2019
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Gender Is a Significant Prognostic Factor for Upper Tract Urothelial Carcinoma: A Large Hospital-Based Cancer Registry Study in an Endemic Area.

Front Oncol 2019 21;9:157. Epub 2019 Mar 21.

Department of Radiation Oncology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.

Our hospital is a tertiary medical center located in southern Taiwan, which is an endemic area for upper tract urothelial carcinoma (UTUC) cases. Using a large registry-based surgical database, we examined our cohort of patients with UTUC, and evaluated the treatment outcome and gender-specific differences in this population. A total of 506 patients with localized UTUC undergoing nephroureterectomy from 2004 to 2013 were enrolled. Read More

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http://dx.doi.org/10.3389/fonc.2019.00157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437032PMC

Uterine-preserving pelvic organ prolapse surgery using the UPHOLD LITE vaginal support system: The outcomes of 291 patients.

Medicine (Baltimore) 2019 Apr;98(14):e15086

Department of Obstetrics and Gynecology.

This article aims to evaluate the safety and outcome of women with pelvic organ prolapse (POP) treated by a minimally invasive bilateral sacrospinous hysteropexy (UPHOLD LITE Vaginal Support System, Boston Scientific) without concomittent anti-incontinence surgery.This retrospective study was conducted between 2014 and 2016. Evaluated items included surgical parameter and postoperative outcome. Read More

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http://dx.doi.org/10.1097/MD.0000000000015086DOI Listing
April 2019
1 Read

Long-term compliance of vaginal pessaries: Does stress urinary incontinence matter?

Medicine (Baltimore) 2019 Apr;98(14):e15063

Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung.

Vaginal pessary treatment for pelvic organ prolapse (POP) is relatively safe and cost-effective. Since long-term use is an important key to keep the benefit of pessary treatment, we would like to investigate the factors which might affect the compliance of vaginal pessaries. In this retrospective study, 65 women were included, and we found poor compliance in women with severe stress urinary incontinence (SUI) after reduction (1-hour pad test >10 gm vs ≦10 gm, 57. Read More

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http://dx.doi.org/10.1097/MD.0000000000015063DOI Listing
April 2019
7 Reads

Autonomic neurophysiologic implications of disorders comorbid with bladder pain syndrome vs myofascial pelvic pain.

Neurourol Urodyn 2019 Apr 4. Epub 2019 Apr 4.

Department of Neurology, Medical College of Wisconsin, Milwaukee, Wisconsin.

Aims: The neuropathophysiology of a debilitating chronic urologic pain condition, bladder pain syndrome (BPS), remains unknown. Our recent data suggests withdrawal of cardiovagal modulation in subjects with BPS, in contrast to sympathetic nervous system dysfunction in another chronic pelvic pain syndrome, myofascial pelvic pain (MPP). We evaluated whether comorbid disorders differentially associated with BPS vs MPP shed additional light on these autonomic differences. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/nau.23995
Publisher Site
http://dx.doi.org/10.1002/nau.23995DOI Listing
April 2019
4 Reads

Patterns and predictors of Hunner lesion recurrence in patients with interstitial cystitis.

Neurourol Urodyn 2019 Apr 3. Epub 2019 Apr 3.

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

Aims: To evaluate the patterns and predictive factors associated with Hunner lesions (HLs) recurrence in patients with interstitial cystitis (IC).

Methods: This study was a retrospective analysis of data from patients with IC who underwent transurethral resection and cauterization (TUR-C) of HLs between October 2011 and December 2017. Symptoms were evaluated using the Pelvic Pain and Urgency/Frequency Patient Symptom Scale (PUF), O'Leary-Sant Interstitial Cystitis Symptom Index, and Visual Analogue Scale (VAS). Read More

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http://dx.doi.org/10.1002/nau.23998DOI Listing

Ultraviolet A/blue light-emitting diode therapy for vulvovaginal candidiasis: a case presentation.

Lasers Med Sci 2019 Apr 3. Epub 2019 Apr 3.

Bahiana School of Medicine and Public Health, Av. Dom Joao VI, 275, Brotas, Salvador, Bahia, 40290-000, Brazil.

Vulvovaginal candidiasis (VVC) is a frequent infection of the female genitourinary tract. It is considered the second most common genital infection in women, after bacterial vaginosis. VVC is treated with oral or topical azole derivatives. Read More

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http://dx.doi.org/10.1007/s10103-019-02782-9DOI Listing
April 2019
3 Reads

Complete Urogenital and Anorectal Duplication in a Dog.

Case Rep Vet Med 2019 3;2019:3696978. Epub 2019 Mar 3.

Department of Clinical, Diagnostic, and Population Medicine and Emerging Pathogens Institute, University of Florida, Gainesville, FL 32610, USA.

A 10-week-old sexually intact female golden retriever was evaluated for two functional anal openings and a bipartite vulva. Examination revealed haired skin between two separate anatomically smaller anal openings. On rectal palpation, a soft tissue septum (5 cm) with a mucosal surface between the two anal openings was palpated. Read More

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http://dx.doi.org/10.1155/2019/3696978DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421014PMC
March 2019
1 Read

Acute Pelvic Pain.

Emerg Med Clin North Am 2019 May;37(2):207-218

Medstar Georgetown University Hospital, 3800 Reservoir Road Northwest, Washington, DC 20007, USA.

Acute pelvic pain has gynecologic and nongynecologic causes, and distinguishing between them can be difficult in the emergency department. Ovarian cysts, adnexal torsion, and pelvic inflammatory disease are conditions that emergency physicians must be able to identify. Pelvic pathologic condition can be readily assessed with ultrasound but has significant limitations. Read More

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http://dx.doi.org/10.1016/j.emc.2019.01.012DOI Listing
May 2019
2 Reads

Genital Complaints at the Extremes of Age.

Authors:
Sara Manning

Emerg Med Clin North Am 2019 May;37(2):193-205

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address:

Variations in estrogen levels across a woman's lifetime lead to important changes in genital physiology and pathophysiology. Low estrogen states like menopause and the prepubertal period share important physiologic changes, including more friable, dry, and inelastic mucosa that is prone to irritation, injury, and infection. These and other factors lead to unique gynecologic pathologic conditions encountered at the extremes of age. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07338627193000
Publisher Site
http://dx.doi.org/10.1016/j.emc.2019.01.003DOI Listing
May 2019
6 Reads

A forgotten disease: Pelvic congestion syndrome as a cause of chronic lower abdominal pain.

PLoS One 2019 2;14(4):e0213834. Epub 2019 Apr 2.

Department of Gynecology and Gynecological Oncology, University Women`s Hospital of Basel, University of Basel, Basel, Switzerland.

Objectives: Pelvic congestion syndrome is defined as chronic pelvic pain due to incompetent (dilated and refluxing) pelvic veins. The aim of this study was to investigate the prevalence of this condition by examining the prevalence of dilated ovarian and para-uterine veins in pre- and postmenopausal female patients, irrespective of their symptoms. We subsequently investigated how many women with dilated veins suffered from chronic pelvic pain. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213834PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445463PMC
April 2019
3 Reads

Evaluating pelvic floor muscle contractility using two-dimensional transperineal ultrasonography in patients with pelvic organ prolapse.

Neurourol Urodyn 2019 Apr 1. Epub 2019 Apr 1.

Department of Female Urology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.

Aim: The hiatal anterior-posterior distance (APD), as measured by two-dimensional (2D) transperineal ultrasonography, is an indicator of pelvic floor muscle (PFM) contractility. The function of the pelvic floor is independently related to pelvic organ prolapse (POP) severity. However, little evidence concerning the APD for patients with POP before and after PFM training (PFMT) has been published. Read More

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http://dx.doi.org/10.1002/nau.23987DOI Listing
April 2019
4 Reads

Role of MRI in uterine didelphys with co-existing endometrial carcinosarcoma.

BJR Case Rep 2018 Dec 31;4(4):20180010. Epub 2018 Oct 31.

Imaging Department, Western Health and Social Care Trust, Londonderry, UK.

A case report reviewing MRI in a patient diagnosed with carcinosarcoma and uterine didelphys following presentation with post-menopausal bleeding. Staging MRI images demonstrate the anatomical anomaly and pathological features in these co-existing conditions. This report presents an interesting case of carcinosarcoma in a uterine didelphys. Read More

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http://dx.doi.org/10.1259/bjrcr.20180010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438403PMC
December 2018
1 Read

Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome.

J Psychosom Res 2019 May 21;120:1-7. Epub 2019 Feb 21.

Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Aims: To investigate the combined impact of somatic and psychosocial factors on symptom severity and physical and mental quality of life (QoL) in male and female patients with chronic pelvic pain syndrome (CPPS).

Methods: We examined 234 patients aged 18 to 84 years attending an interdisciplinary outpatient clinic for patients with CPPS in Hamburg, Germany. Using self-reports, we assessed CPPS symptom severity (NIH-CPSI), with the female counterpart of each male anatomical site used in the questionnaire for women; physical and mental QoL (SF-12) as well as symptoms of depression (PHQ-9) and anxiety (GAD-7); pain catastrophizing cognitions (PCS); social support (F-SozU) and medication intake. Read More

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http://dx.doi.org/10.1016/j.jpsychores.2019.02.010DOI Listing
May 2019
2 Reads

Changes in Female Sexual Function After Vaginal Mesh Repair Versus Native Tissue Repair for Pelvic Organ Prolapse: A Meta-Analysis of Randomized Controlled Trials.

J Sex Med 2019 Mar 26. Epub 2019 Mar 26.

Department of Obstetrics and Gynecology, Mackay Memorial Hospital, New Taipei City, Taiwan; Mackay Medical College, New Taipei City, Taiwan; Mackay Junior College of Medicine, Nursing, and Management, Taipei City, Taiwan. Electronic address:

Aim: To evaluate changes in female sexual function after transvaginal mesh (TVM) repair versus native tissue repair for pelvic organ prolapse.

Methods: Eligible studies, published through November 2017, were retrieved through searches of ClinicalTrials.gov, MEDLINE, Embase, and Cochrane Review databases and associated bibliographies. Read More

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http://dx.doi.org/10.1016/j.jsxm.2019.02.016DOI Listing
March 2019
1 Read

Uterine Inversion Presenting as Pelvic Organ Prolapse in a Patient with Leiomyosarcoma.

J Minim Invasive Gynecol 2019 Mar 26. Epub 2019 Mar 26.

Division of Female Pelvic Medicine and Reconstructive Surgery, Women & Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

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http://dx.doi.org/10.1016/j.jmig.2019.03.013DOI Listing
March 2019
2 Reads

Delayed recognition of lower urinary tract injuries following hysterectomy for benign indications: a NSQIP-based study.

Am J Obstet Gynecol 2019 Mar 26. Epub 2019 Mar 26.

Center for Urogynecology & Pelvic Reconstructive Surgery, Obstetrics, Gynecology & Women's Health Institute, Cleveland Clinic, Cleveland, OH.

Objective: To describe the incidence of and factors associated with lower urinary tract (LUT) complications recognized in the immediate postoperative period following hysterectomy for benign gynecologic indications using the National Surgical Quality Improvement Program (NSQIP) database.

Methods: Patients who underwent hysterectomy for benign indications from 2014 through 2016 were identified in the NSQIP database using Current Procedural Terminology codes and International Classification of Diseases codes. Patient demographics, preoperative comorbidities, American Society of Anesthesiologists (ASA) classification system scores and total operating time were collected. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.03.015DOI Listing
March 2019
2 Reads

Biomarkers implicated in lower urinary tract symptoms: systematic review and pathway analyses.

J Urol 2019 Mar 29:101097JU0000000000000257. Epub 2019 Mar 29.

National Institute of Diabetes and Digestive and Kidney Diseases , Bethesda , MD.

Purpose: Lower urinary tract symptoms (LUTS) are prevalent and burdensome, yet methods to enhance diagnosis and appropriately guide therapies are lacking. We systematically reviewed the literature for human studies of biomarkers associated with LUTS.

Materials And Methods: PUBMED, EMBASE, and Web of Science were searched from inception to February 13, 2018. Read More

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http://dx.doi.org/10.1097/JU.0000000000000257DOI Listing
March 2019
1 Read

MRI safety risks in the obese: The case of the disposable lighter stored in the pannus.

Radiol Case Rep 2019 May 15;14(5):634-638. Epub 2019 Mar 15.

Department of Radiation Oncology, Washington University School of Medicine, 4921 Parkview Place, St. Louis, MO 63110, US.

Obese patients constitute 40% of the adult population. MRIs of obese patients are typically challenging because of the effects of a large field of view on image quality and the increased risk of thermal burns from contact with the bore. In this case report, the impacts of obesity on MRI procedures and safety are introduced. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.02.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424094PMC

A Novel Proteomics Approach to Identify Serum and Urinary Biomarkers and Pathways that Associate with Lower Urinary Tract Symptoms in Men and Women: Pilot Results of the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Study.

Urology 2019 Mar 25. Epub 2019 Mar 25.

National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda MD.

Objectives: To assess the feasibility of a novel proteomics approach to identify biomarkers associated with LUTS within serum and urine, because many clinical factors contribute to lower urinary tract symptoms (LUTS) in men and women. These factors confound clinicians' abilities to reliably evaluate and treat LUTS. Previous studies identified candidate LUTS biomarkers, but none are clinically utilized. Read More

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http://dx.doi.org/10.1016/j.urology.2019.03.014DOI Listing
March 2019
2 Reads

Prenatal toxicity and maternal-fetal distribution of 1,3,5,8-tetrachloronaphthalene (1,3,5,8-TeCN) in Wistar rats.

Chemosphere 2019 Mar 19;226:75-84. Epub 2019 Mar 19.

Department of Toxicology, Medical University of Lodz, Muszynskiego 1, 90-151 Lodz, Poland. Electronic address:

1,3,5,8-tetrachloronaphthalene (1,3,5,8-TeCN) is a Persistent Organic Pollutant (POP) that belongs to the group of polychlorinated naphthalenes (PCNs). The aim of the study was to investigate the maternal-fetal distribution and prenatal toxicity of 1,3,5,8-TeCN after its administration to pregnant Wistar rats during organogenesis. Radiolabeled 1,3,5,8-tetrachloronaphthalene-[ring-U-H] was given by gavage at a dose of 0. Read More

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http://dx.doi.org/10.1016/j.chemosphere.2019.03.107DOI Listing
March 2019
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The Association Between Pelvic Floor Muscle Force and General Strength and Fitness in Postpartum Women.

Female Pelvic Med Reconstr Surg 2019 Mar 27. Epub 2019 Mar 27.

Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT.

Objective: The aim of the study was to determine whether measures of muscular strength and fitness are associated with pelvic floor muscle (PFM) force 1-year postpartum in a population of primiparous women who delivered vaginally.

Methods: This cross-sectional analysis is an ancillary study to an ongoing prospective cohort study and includes 203 primiparous women. Procedures collected 1-year postpartum included maximal PFM force, grip strength, trunk flexor muscle endurance, percent body fat, intra-abdominal pressure during trunk flexor endurance testing, intra-abdominal pressure during strain, and self-reported physical activity. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000718DOI Listing
March 2019
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Assessing the Performance of the De Novo Postoperative Stress Urinary Incontinence Calculator.

Female Pelvic Med Reconstr Surg 2019 Mar 27. Epub 2019 Mar 27.

Department of Obstetrics, Gynecology and Reproductive Sciences of the University of Pittsburgh, Division of Urogynecology and Reconstructive Surgery, Magee-Womens Hospital of UPMC, Pittsburgh, PA.

Objective: The aim of the study was to determine the performance of a previously published stress urinary incontinence (SUI) risk calculator in women undergoing minimally invasive or transvaginal apical suspensions.

Methods: Using a database of stress-continent women who underwent minimally invasive or transvaginal apical suspensions, we calculated 2 prediction risks for development of SUI within 12 months based on inclusion of a "prophylactic" midurethral sling at the time of prolapse surgery. Observed subjective and objective continence status was abstracted from medical records. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000717DOI Listing

Practice Patterns Regarding Apical Support Procedures at Time of Hysterectomy for Pelvic Organ Prolapse.

Female Pelvic Med Reconstr Surg 2019 Mar 27. Epub 2019 Mar 27.

From TriHealth, Cincinnati, OH.

Objectives: We sought to understand practice patterns of non-female pelvic medicine and reconstructive surgery (FPMRS) clinicians regarding concurrent apical support procedures during hysterectomies when primarily performed for the treatment of pelvic organ prolapse. We also sought to describe differences between those receiving and not receiving apical support.

Methods: This retrospective study analyzed medical records of individuals undergoing hysterectomy for the primary indication of pelvic organ prolapse between 2012 and 2017 at all locations within the TriHealth system. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000716DOI Listing
March 2019
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Extraperitoneal radical trachelectomy with pelvic lymphadenectomy.

Int J Gynecol Cancer 2019 Mar 26. Epub 2019 Mar 26.

Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Japan

Radical trachelectomy combined with pelvic lymphadenectomy has been used to treat patients with early-stage cervical cancer who wish to preserve their fertility. Vaginal, abdominal, laparoscopic, and robotic approaches have been employed during this procedure, but all cause peritoneal damage, which could result in periadnexal adhesion. As periadnexal adhesion can lead to female infertility due to restricted sweeping of the fimbria over the ovary, it is important to minimize peritoneal damage during the fertility-preserving surgery. Read More

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http://dx.doi.org/10.1136/ijgc-2018-000196DOI Listing
March 2019
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A Culture-Independent Analysis of the Microbiota of Female Interstitial Cystitis/Bladder Pain Syndrome Participants in the MAPP Research Network.

J Clin Med 2019 Mar 26;8(3). Epub 2019 Mar 26.

c/o Department of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.

We surveyed urine microbiota of females diagnosed with interstitial cystitis/bladder pain syndrome (IC/BPS) and matched control participants enrolled in the National Institutes of Health (NIH) Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network using the culture-independent methodology. Midstream urine specimens were analyzed with the Plex-ID molecular diagnostic platform that utilizes polymerase chain reaction⁻electrospray ionization⁻time-of-flight⁻mass spectrometry (PCR-ESI-TOF MS) to provide a comprehensive identification of bacterial and select fungal species. IC/BPS and control participants were evaluated for differences (presence, diversity, and abundance) in species and genus. Read More

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http://dx.doi.org/10.3390/jcm8030415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462969PMC
March 2019
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Factors Associated With Nonadherence to Pelvic Floor Physical Therapy Referral for the Treatment of Female Pelvic Pain.

Phys Ther 2019 Mar 27. Epub 2019 Mar 27.

Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, 1161 21st Ave, MCN B-1100, Nashville, TN 37232 (USA).

Background: Patients with pelvic pain due to pelvic floor myofascial pain syndrome are often referred for pelvic floor physical therapy, the primary treatment option. However, many patients do not adhere to the treatment.

Objective: The purpose of this study was to examine the adherence rate and outcomes of patients referred for physical therapy for pelvic floor myofascial pain syndrome, and identify risk factors associated with nonadherence. Read More

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http://dx.doi.org/10.1093/ptj/pzz050DOI Listing
March 2019
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Clustering of Patients with Interstitial Cystitis/Bladder Pain Syndrome and Chronic Prostatitis/Chronic Pelvic Pain Syndrome.

J Urol 2019 Mar 27:101097JU0000000000000250. Epub 2019 Mar 27.

Division of Urologic Surgery, Department of Surgery , and.

Aims: To use clustering analysis of patient symptoms to discover common patient subtypes in females and males with interstitial cystitis/bladder pain syndrome (IC/BPS) or chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).

Methods: Clinical variables included in the k-means clustering included the severity of urologic pain (0-10 numeric rating scale, NRS), urinary urgency (0-10 NRS), frequency (0-10 NRS), non-urologic pain (0-10 NRS), and either a yes or no to each of the six UPOINT domains.

Results: 211 UCPPS patients seeking care of their IC/BPS or CP/CPPS were included. Read More

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http://dx.doi.org/10.1097/JU.0000000000000250DOI Listing
March 2019
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Alterations of elastin in female reproductive tissues arising from advancing parity.

Arch Biochem Biophys 2019 Mar 23. Epub 2019 Mar 23.

Department of Physics, The Graduate Center of the City University of New York, NY, United States; Department of Physics, Brooklyn College of the City University of New York, Brooklyn, NY, United States; Department of Chemistry, The Graduate Center of the City University of New York, NY, United States; Department of Biochemistry, The Graduate Center of the City University of New York, NY, United States. Electronic address:

Female reproductive tissues undergo significant alterations during pregnancy, which may compromise the structural integrity of extracellular matrix proteins. Here, we report on modifications of elastic fibers, which are primarily composed of elastin and believed to provide a scaffold to the reproductive tissues, due to parity and parturition. Elastic fibers from the upper vaginal wall of virgin Sprague Dawley rats were investigated and compared to rats having undergone one, three, or more than five pregnancies. Read More

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http://dx.doi.org/10.1016/j.abb.2019.03.008DOI Listing
March 2019
7 Reads
3.017 Impact Factor

Mesenteric Ischemia Caused by Heparin-induced Thrombocytopenia: A Case Report.

Cureus 2019 Jan 16;11(1):e3900. Epub 2019 Jan 16.

Surgery, Riverside Community Hospital, Riverside, USA.

Deep venous thrombosis (DVT) prophylaxis is the current standard of care in trauma patients. While most of the anticoagulation complications are obvious and can be promptly identified, heparin-induced thrombocytopenia (HIT) requires a high index of suspicion for early diagnosis to prevent a potentially fatal outcome. A 39-year-old female presented to our emergency room after sustaining a gunshot wound to her left flank and pelvis requiring a sigmoid colon and left fallopian tube and ovary resection with colostomy diversion. Read More

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https://www.cureus.com/articles/16243-mesenteric-ischemia-ca
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http://dx.doi.org/10.7759/cureus.3900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6424548PMC
January 2019
3 Reads