1,503 results match your criteria Journal of Lower Genital Tract Disease [Journal]


Exploring Hygienic Behaviors and Vulvodynia.

J Low Genit Tract Dis 2019 Apr 8. Epub 2019 Apr 8.

Boston University School of Public Health, Boston, MA.

Objectives: Vulvodynia is common and characterized by vulvar discomfort and pain. However, few studies have assessed hygienic practices in relation to onset. We investigated whether hygienic behaviors were associated with the onset of vulvodynia. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000477DOI Listing

Tablet-Based Patient Education Regarding Human Papillomavirus Vaccination in Colposcopy Clinic.

J Low Genit Tract Dis 2019 Apr 8. Epub 2019 Apr 8.

Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Boston, MA.

Objective: The aim of this study was to use an electronic tablet-based education module to increase patient knowledge about human papillomavirus (HPV).

Methods: Patients presenting to an academic colposcopy clinic were first queried as to whether they had been infected with HPV. A quality improvement project was then conducted using a 4-question pretest assessing baseline knowledge about HPV and cancer, followed by a tablet-based education module and a 5-question posttest. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000474DOI Listing
April 2019
4 Reads

Concordance of Self- and Clinician-Collected Anal Swabs to Detect Human Papillomavirus in a Sample of HIV-Negative Men.

J Low Genit Tract Dis 2019 Apr 3. Epub 2019 Apr 3.

Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN.

Objective: The aim of this study was to determine the concordance of self- and clinician-collected anorectal swabs for the detection of human papillomavirus (HPV) DNA in a population of HIV-negative men who have sex with men (MSM).

Methods: This cross-sectional study involved recruitment of HIV-negative MSM in a Midwestern US metropolitan area to collect paired sequential self- and clinician-collected anorectal swabs using illustrated instructions. Swabs were tested for type-specific HPV DNA with a comparison of type-specific HPV categories detected by each method. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000475DOI Listing

Acceptability of Women Self-Sampling versus Clinician-Collected Samples for HPV DNA Testing: A Systematic Review.

J Low Genit Tract Dis 2019 Mar 28. Epub 2019 Mar 28.

Centre for Population Health (CePH), Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Objectives: Female self-sampling for human papillomavirus (HPV) DNA testing is an alternative screening method that can potentially increase cervical cancer screening coverage. This review addresses the acceptability of HPV DNA testing using self-sampling compared with conventional clinician-collected sampling. Barriers to and others factors associated with acceptability of either method were also examined. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000476DOI Listing
March 2019
1 Read

Impact of the Sampling Site in the Result of Wet Mount Microscopy.

J Low Genit Tract Dis 2019 Apr;23(2):176-181

Unidade de Tracto Genital Inferior, Centro Hospitalar de São João, Porto, Portugal.

Objectives: Wet mount microscopy (WMM) is an ancillary test in the diagnosis of vulvovaginitis. However, there are little data about the impact of the sampling site. Our main objective was to determine the agreement between samples collected from different vaginal sites. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000467DOI Listing
April 2019
1 Read

International Anal Neoplasia Society Guidelines for the Practice of Digital Anal Rectal Examination.

J Low Genit Tract Dis 2019 Apr;23(2):138-146

Anal Neoplasia Clinic, Research and Education (ANCRE) Center, San Francisco, CA.

Objective: The aim of the study was to develop recommended techniques and quality assurance metrics for the practice of Digital Anal Rectal Examination (DARE).

Materials And Methods: The International Anal Neoplasia Society undertook a literature review and, using the AGREE II technique, developed guidelines for performing DARE.

Results: A consensus was formed regarding the optimum conditions and characteristics of DARE. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000458DOI Listing

Cervical, Vaginal, and Vulvar Cancer Costs Incurred by the Medicaid Program in Publicly Insured Patients in Texas.

J Low Genit Tract Dis 2019 Apr;23(2):102-109

Department of Management, Policy, and Community Health, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX.

Objectives: To determine from the perspective of the State of Texas, the direct medical care costs associated with cervical, vaginal, and vulvar cancers in Texas Medicaid enrollees.

Materials And Methods: We conducted a case-control study and searched Texas Medicaid databases between 2008 and 2012 for eligible cancer patients. A comparison group was selected for each cancer site using a 2-step 1:1 propensity score matching method. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000472DOI Listing
April 2019
6 Reads
1.110 Impact Factor

Guidelines for Cervical Cancer Screening in Immunosuppressed Women Without HIV Infection.

J Low Genit Tract Dis 2019 Apr;23(2):87-101

Department of Obstetrics and Gynecology, University of Oklahoma Tulsa, OU-TU School of Community Medicine, Tulsa, OK.

Executive Summary: The risk of cervical cancer (CC) among women immunosuppressed for a variety of reasons is well documented in the literature. Although there is improved organ function, quality of life and life expectancy gained through use of immunosuppressant therapy, there may be increased long-term risk of cervical neoplasia and cancer and the need for more intense screening, surveillance, and management. Although guidance for CC screening among HIV-infected women (see Table 1) has been supported by evidence from retrospective and prospective studies, recommendations for CC screening among non-HIV immunosuppressed women remains limited because quality evidence is lacking. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000468DOI Listing
April 2019
2 Reads

International Anal Neoplasia Society Guidelines for the Practice of Digital Anal Rectal Examination.

J Low Genit Tract Dis 2019 Mar 19. Epub 2019 Mar 19.

Anal Neoplasia Clinic, Research and Education (ANCRE) Center, San Francisco, CA.

Objective: The aim of the study was to develop recommended techniques and quality assurance metrics for the practice of Digital Anal Rectal Examination (DARE).

Materials And Methods: The International Anal Neoplasia Society undertook a literature review and, using the AGREE II technique, developed guidelines for performing DARE.

Results: A consensus was formed regarding the optimum conditions and characteristics of DARE. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000458DOI Listing
March 2019
2 Reads

CD101 Topical Compared With Oral Fluconazole for Acute Vulvovaginal Candidiasis: A Randomized Controlled Trial.

J Low Genit Tract Dis 2019 Mar 19. Epub 2019 Mar 19.

Wayne State University School of Medicine, Detroit, MI.

Objectives: Vulvovaginal candidiasis (VVC) is an infection of the vagina's mucous membranes, caused by Candida albicans in more than 90% of acute VVC. Several topical and oral azole agents are available in a variety of formulations, and all seem to have similar effectiveness. Azoles are fungistatic, meaning that the fungi are inhibited from growth or replication but are not eradicated. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000473DOI Listing
March 2019
1 Read

Conflict of Interest Disclosures.

Authors:

J Low Genit Tract Dis 2019 Apr;23(2S Suppl 1):S29-S35

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http://dx.doi.org/10.1097/LGT.0000000000000471DOI Listing

2019 ASCCP Oral Presentation Abstracts.

Authors:

J Low Genit Tract Dis 2019 Apr;23(2S Suppl 1):S11-S28

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http://dx.doi.org/10.1097/LGT.0000000000000470DOI Listing
April 2019
1 Read

2019 ASCCP Oral Presentations.

Authors:

J Low Genit Tract Dis 2019 Apr;23(2S Suppl 1):S1-S10

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http://dx.doi.org/10.1097/LGT.0000000000000388DOI Listing

Should We Always Look Before We LEEP? A Discussion of the Pros and Cons of Colposcopic Biopsy Prior to Treatment.

J Low Genit Tract Dis 2019 Apr;23(2):147-150

Department of Obstetrics and Gynecology University of Oklahoma Health Sciences Center, Oklahoma City, OK.

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http://dx.doi.org/10.1097/LGT.0000000000000466DOI Listing

Vulvovaginal Lichen Planus: A Disease in Need of Consensus-Based Clinicopathologic Diagnostic Criteria.

J Low Genit Tract Dis 2019 Apr;23(2):185

Faculty of Health and Medicine University of Newcastle Callaghan New South Wales, Australia Maternity and Gynaecology John Hunter Hospital New Lambton Heights New South Wales Division of Gynaecologic Oncology John Hunter Hospital New Lambton HeightsNew South Wales Australia Faculty of Health and Medicine University of Newcastle Callaghan New South Wales Australia Pathology New South Wales Hunter New England Newcastle New South Wales Australia.

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http://dx.doi.org/10.1097/LGT.0000000000000465DOI Listing

Reply to "Is Vulvovaginal Lichen Planus Associated With Squamous Cell Carcinoma?"

J Low Genit Tract Dis 2019 Apr;23(2):184

Department of Obstetrics and Gynecology II Pisa University Hospital Pisa, Italy Department of Gynecologic-Obstetrical and Urologic Sciences Sapienza University Hospital of Rome Rome, Italy.

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http://dx.doi.org/10.1097/LGT.0000000000000464DOI Listing
April 2019
1 Read

Simple Hysterectomy for Cervical Cancer: Risk Factors for Failed Screening and Deviation From Screening Guidelines.

J Low Genit Tract Dis 2019 Apr;23(2):124-128

University of Oklahoma, Stephenson Cancer Center, Oklahoma City, OK.

Objective: The aim of this study is to describe risk factors associated with either false-negative cervical cancer screening or deviations from screening guidelines that result in incidentally found invasive cervical cancer at the time of simple hysterectomy for benign indications.

Materials And Methods: This is a retrospective review from 1990 to 2017 of subjects with incidental cervical cancer. Baseline demographics, preoperative evaluations, surgical data, and histopathologic characteristics were recorded. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000463DOI Listing
April 2019
1 Read

Evaluation of Folate Receptor-Mediated Cervical Dyeing as a Method for Detection of Cervical Lesions.

J Low Genit Tract Dis 2019 Apr;23(2):133-137

Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, China.

Objectives: The aim of the study was to evaluate the performance of a folate receptor-mediated tumor detection (FRD) assay for detection of cervical high-grade lesions.

Materials And Method: A total of 1504 patients with abnormal cytology and/or positive human papillomavirus (HPV) testing during primary screening from November 2014 to August 2015 were enrolled. The patients were recruited from the Peking University People's Hospital and 12 other hospitals. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000411DOI Listing
April 2019
7 Reads
1.110 Impact Factor

The Clinical Role of LASER for Vulvar and Vaginal Treatments in Gynecology and Female Urology: An ICS/ISSVD Best Practice Consensus Document.

J Low Genit Tract Dis 2019 Apr;23(2):151-160

Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA.

In this best practice document, we propose recommendations for the use of LASER for gynecologic and urologic conditions such as vulvovaginal atrophy, urinary incontinence, vulvodynia, and lichen sclerosus based on a thorough literature review. Most of the available studies are limited by their design; for example, they lack a control group, patients are not randomized, follow-up is short term, series are small, LASER is not compared with standard treatments, and most studies are industry sponsored. Because of these limitations, the level of evidence for the use of LASER in the treatment of these conditions remains low and does not allow for definitive recommendations for its use in routine clinical practice. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000462DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462818PMC
April 2019
6 Reads

Descriptors of Vulvodynia: A Multisocietal Definition Consensus (International Society for the Study of Vulvovaginal Disease, the International Society for the Study of Women Sexual Health, and the International Pelvic Pain Society).

J Low Genit Tract Dis 2019 Apr;23(2):161-163

Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences and the Center for Vulvovaginal Disorders, Washington, DC.

Objectives: Three scientific societies, the International Society for the Study of Vulvovaginal Disease (ISSVD), the International Society for the Study of Women Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS) developed the "2015 ISSVD, ISSWSH, and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia" (referred to as the "2015 consensus terminology").The terminology included 11 descriptors of vulvodynia. However, the definitions of the descriptors were not included in the 2015 consensus terminology publications. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000461DOI Listing
April 2019
1.110 Impact Factor

Reimbursement Incentives to Improve Adherence to Follow-Up of Cervical Cancer Cytology Screening Results in Peru.

J Low Genit Tract Dis 2019 Apr;23(2):116-123

Augusta University, Augusta, GA.

Objective: The purpose of this study was to determine Peruvian women's attitudes toward novel reimbursement incentives used to improve adherence to obtaining cervical cytology test results.

Materials And Methods: Women presenting for cervical cancer screening in Peru completed a 34-item Investigational Review Board-approved questionnaire. The questionnaire determined their attitudes toward various reimbursement incentives to improve adherence to obtaining cervical cytology results. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000459DOI Listing
April 2019
4 Reads

Vulvovaginal Discomfort Is Common in Both Premenopausal and Postmenopausal Women.

J Low Genit Tract Dis 2019 Apr;23(2):164-169

Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, MA.

Objectives: We surveyed women from a primary care population to assess the prevalence of unreported vulvovaginal symptoms.

Materials And Methods: A random sample of women aged 18 to 84 years without a diagnosis of vulvovaginitis or vulvodynia in the past year were surveyed anonymously about prevalence and severity of vulvar and vaginal symptoms of itching, burning, irritation, vaginal discharge, vaginal dryness, and vulvovaginal pain in the past month. Women reporting at least 1 moderate-severe symptom were considered symptomatic. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000460DOI Listing
April 2019
3 Reads

Factors Related to Overtreatment in the See-and-Treat Approach: A Retrospective Multicentric Observational Study.

J Low Genit Tract Dis 2019 Apr;23(2):129-132

Gynecological Oncology Unit, Centro di Riferimento Oncologico - National Cancer Institute, Aviano, Italy.

Objective: The aim of the study was to evaluate the association between colposcopic features, age, menopausal status, and overtreatment in women subjected to "see-and-treat" approach, to identify subgroups of patients in which this approach could be more appropriate.

Materials And Methods: Retrospective multicentric cohort study conducted on women older than 25 years, with a high-grade squamous cytological report and a visible squamocolumnar junction, in which colposcopy and the excisional procedure were performed at the same time without a previous cervical biopsy (see and treat). Overtreatment was defined as histopathological finding of cervical intraepithelial lesion grade 1 or normal tissue. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000455DOI Listing
April 2019
13 Reads

Observed Colposcopy Practice in US Community-Based Clinics: The Retrospective Control Arm of the IMPROVE-COLPO Study.

J Low Genit Tract Dis 2019 Apr;23(2):110-115

Oklahoma Cancer Specialists and Research Institute and University of Oklahoma School of Community Medicine, Tulsa, OH.

Objective: The aim of the study was to characterize colposcopy practice and management of women with cervical abnormalities in US community-based clinics.

Materials And Methods: IMPROVE-COLPO was a 2-arm study of colposcopy patients with an abnormal screening result. The prospective arm recruited women to undergo examination with a commercial digital colposcope. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000454DOI Listing
April 2019
2 Reads

Should We Always Biopsy in Clinically Evident Lichen Sclerosus?

J Low Genit Tract Dis 2019 Apr;23(2):182-183

Department of Dermatology, South Infirmary Victoria University Hospital, Cork, Ireland.

The aims of the study were to review cases of clinically diagnosed lichen sclerosus (LS) and to compare the histological features found on biopsy to clinical features seen on examination.

Methods: A retrospective chart review was undertaken of patients attending a specialist vulval service between 2013 and 2015 with a clinical diagnosis of LS. Patients in whom there was clinical diagnostic uncertainty or those with features of lichen planus or lichen planus/LS overlap were excluded. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000457DOI Listing

Mindfulness-Based Group Cognitive Behavior Therapy for Provoked Localized Vulvodynia: A Randomized Controlled Trial.

J Low Genit Tract Dis 2019 Apr;23(2):170-175

Oregon Health & Science University, Portland, OR.

Objective: The aim of the study was to compare the effectiveness of mindfulness-based group cognitive behavior therapy (M-gCBT) versus education support group therapy for the pain and distress associated with provoked localized vulvodynia.

Materials And Methods: Participants were randomized to M-gCBT or education support group therapy. Mindfulness-based group cognitive behavior participants attended 8 weekly sessions. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000456DOI Listing
April 2019
6 Reads

Response to "Immediate Loop Electrode Excisional Procedure for High-Grade Cervical Cytology: One Size Fits All?"

J Low Genit Tract Dis 2019 Jan;23(1):85

Magee Women's Hospital - University of Pittsburgh Medical Center, Pittsburgh, PA Reproductive Biology - Obstetrics and Gynecology UH Cleveland Medical Center Cleveland, OH.

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http://dx.doi.org/10.1097/LGT.0000000000000451DOI Listing
January 2019
2 Reads

Calcinosis Cutis of the Vulva: A Review.

J Low Genit Tract Dis 2019 Jan;23(1):75-76

Department of Pathology & Laboratory Medicine, Rutgers-New Jersey Medical School, Newark, NJ.

Idiopathic calcinosis cutis (CC) is an uncommon skin condition. Although it has been reported many times in the scrotum, it is exceedingly rare in the vulva. Most reports of vulvar CC are in children. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000425DOI Listing
January 2019
19 Reads

Should Self-Sampling Be an Option for Women in the United States?

J Low Genit Tract Dis 2019 Jan;23(1):54-57

University of South Alabama, Mitchell Cancer Institute, Mobile, AL.

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http://dx.doi.org/10.1097/LGT.0000000000000453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325773PMC
January 2019
12 Reads

Why Do Women Get Cervical Cancer in an Organized Screening Program in Canada?

J Low Genit Tract Dis 2019 Jan;23(1):1-6

Preventive Care - Cancer Care Ontario.

Objective: The aim of the study was to determine factors associated with the development of cervical malignancy among women participating in an organized cervical screening program.

Materials And Methods: A population-based retrospective cohort study was performed examining the screening histories 2 to 10 years before diagnosis of invasive cancer in Ontario women between 2011 and 2014.

Results: A total of 2,002 cases of cervical cancer were identified; 1,358 (68%) were squamous cell carcinomas and 644 (32%) were adenocarcinomas. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000450DOI Listing
January 2019
18 Reads
1.110 Impact Factor

Anti-Inflammatory Effect of Surfactant Lipid in the Vaginal Mucosa: A Pilot Study.

J Low Genit Tract Dis 2019 Jan;23(1):71-74

Department of Obstetrics & Gynecology, Pennsylvania State University College of Medicine, Hershey, PA.

Objective: The aim of the study was to test the hypothesis that vaginal administration of surfactant lipids, which may counter-balance the proinflammatory effects of vaginal surfactant protein A, will decrease proinflammatory cytokines and increase anti-inflammatory cytokines in vaginal mucosal fluid in healthy women.

Materials And Methods: Three groups of healthy cycling women were randomized to receive vaginally a single dose of the following: (1) low-dose calfactant, a type of surfactant lipids, 0.8 mg/ml; (2) high-dose calfactant 8. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000448DOI Listing
January 2019
3 Reads

Immediate Loop Electrode Excisional Procedure for High-Grade Cervical Cytology: One Size Fits All?

J Low Genit Tract Dis 2019 Jan;23(1):84

Hospital Lusíadas Porto Porto, Portugal, Unidade de Tracto Genital Inferior, Centro Hospitalar de São João, Porto, Portugal Serviço de Ginecologia e Obstetrícia, Centro Hospitalar de São João, Porto, Portugal Unidade de Tracto Genital Inferior, Centro Hospitalar de São João, Porto, Portugal.

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http://dx.doi.org/10.1097/LGT.0000000000000452DOI Listing
January 2019
11 Reads

Importance of Colposcopy Impression in the Early Diagnosis of Posthysterectomy Vaginal Cancer.

J Low Genit Tract Dis 2019 Jan;23(1):13-17

Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.

Objective: The aim of the study was to investigate the value of cytology, high-risk human papillomavirus (hrHPV) status and colposcopy in the early diagnosis of vaginal cancer after hysterectomy.

Materials And Methods: A retrospective study was performed in the Obstetrics and Gynecology Hospital of Fudan University. Posthysterectomy patients who were diagnosed with vaginal high-grade intraepithelial lesion (HSIL) by colposcopy-directed biopsy with colposcopy impression of extensive HSIL or suspicion of cancer and underwent upper or total vaginectomy from January 2009 to December 2017 were included. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000446DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325769PMC
January 2019
23 Reads

Localized Provoked Vulvodynia: Association With Nerve Growth Factor and Transient Receptor Potential Vanilloid Type 1 Genes Polymorphisms.

J Low Genit Tract Dis 2019 Jan;23(1):58-64

Department of Obstetrics & Gynecology, Galilee Medical Center, Nahariya, Israel.

Objective: The aim of the study was to study the associations between localized provoked vulvodynia (LPV) and several single-nucleotide polymorphisms (SNPs) in the transient receptor potential vanilloid type 1 (TRPV1), nerve growth factor (NGF), and the heparanase (HPSE) genes.

Materials And Methods: Prevalence of SNPs among 65 women with moderate or severe primary LPV (initial symptoms occur with first provoking physical contact) and 126 healthy, ethnically matched controls was analyzed in an observational case-control study. Each participant answered a questionnaire addressing familial LPV occurrence and comorbid pain conditions. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000445DOI Listing
January 2019
15 Reads

Improved anal Cytology Sampling: Tush Brush Compared With Dacron Swab.

J Low Genit Tract Dis 2019 Jan;23(1):48-53

Georgia Cancer Center, Augusta University, Augusta, GA.

Objective: The objective of this study was to determine the performance characteristics of the Tush brush (TB) compared with a saline moistened Dacron swab (DS) as anal cytology sampling devices.

Materials And Methods: TB and DS anal cytology tests were randomly collected from 146 patients presenting for anal cytology. High-resolution anoscopy and biopsies were obtained as indicated. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000447DOI Listing
January 2019
7 Reads

Trainee Performance in Loop Electrosurgical Excision Procedure (LEEP) After Simulation Training.

J Low Genit Tract Dis 2019 Jan;23(1):28-32

University of Queensland Faculty of Medicine, Brisbane, Queensland, Australia.

Objective: The aim of the study was to review the performance of trainees in loop electrosurgical excision procedure (LEEP) procedures after the introduction of a simulation training program.

Materials And Method: A simulation training program was introduced in September 2016 for gynecology trainees at the study institution. Trainees were encouraged to perform at least 3 simulated LEEP procedures before operating. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000443DOI Listing
January 2019
1 Read

Onclarity Human Papillomavirus Extended Genotyping in the Management of Cervical Intraepithelial Neoplasia 2+ Lesions.

J Low Genit Tract Dis 2019 Jan;23(1):39-42

Clinical Analysis Laboratory, Humanitas Research Hospital, Rozzano, Milan, Italy.

Objective: Many methods are available today for human papillomavirus (HPV) testing; they differ for technology, targets, and information on the genotypes detected. In this study, we evaluated the performance of the Onclarity HPV assay in detection and follow-up of cervical preneoplastic lesions.

Materials And Methods: One hundred sixty-seven women referred to the European Institute of Oncology, Milan, for treatment of cervical lesions were enrolled. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000441DOI Listing
January 2019
4 Reads

Risk Factor Analysis of Persistent High-Grade Squamous Intraepithelial Lesion After Loop Electrosurgical Excision Procedure Conization.

J Low Genit Tract Dis 2019 Jan;23(1):24-27

Medical Center of Diagnosis and Treatment for Cervical Diseases, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.

Objective: The aim of the study was to analyze the clinical outcomes of high-grade squamous intraepithelial lesion (HSIL) 6 months after loop electrosurgical excision procedure (LEEP). We explored the risk factors of persistent cervical HSIL after LEEP and evaluated the methods of follow-up.

Patients And Methods: This retrospective study included women who underwent a LEEP and had a diagnosis of HSIL in their LEEP specimen during 2011 to 2015. Read More

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http://Insights.ovid.com/crossref?an=00128360-900000000-9945
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http://dx.doi.org/10.1097/LGT.0000000000000444DOI Listing
January 2019
7 Reads

Vulvar Edema as Presenting Complication of Simultaneous Pancreas-Kidney Transplantation With Bladder Drainage.

J Low Genit Tract Dis 2019 Jan;23(1):82-83

The Ohio State University Wexner Medical Center, Columbus, OH.

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http://dx.doi.org/10.1097/LGT.0000000000000442DOI Listing
January 2019
3 Reads

Comparison of Electrosurgical Devices for Cervical Conization: Novel Monopolar Scalpel (VIO) Versus Ultrasonic Scalpel.

J Low Genit Tract Dis 2019 Jan;23(1):43-47

Gynecology Service, National Kyushu Cancer Center, Fukuoka, Japan.

Objective: The aim of this study was to compare the outcomes associated with the use of a novel monopolar scalpel with those associated with the use of an ultrasonic scalpel for cervical conization of cervical intraepithelial neoplasia.

Materials And Methods: We conducted a retrospective cross-sectional study in patients treated in our institute between April 2010 and March 2017. We used either the VIO monopolar scalpel (VIO) or Harmonic ultrasonic scalpel (HS) for cervical conization. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000439DOI Listing
January 2019
15 Reads

Gynecologic Screening for Men in an OBGYN Resident Community Outreach Clinic: The Transgender Care Experience.

J Low Genit Tract Dis 2018 Oct;22(4):333-335

Department of ObGyn, The Reading Hospital of Tower Health, Reading, PA.

Objective: The aim of the study was to promote the importance of providing gynecologic screening for transgender men (TGM) who desire to keep their female organs.

Materials And Methods: In June 2015, the Women's Health Center (WHC) at Reading Hospital was approached to become a resource for transgender (TG) patients in our community. This also presented the opportunity to develop an educational program for OBGYN residents/providers in TG healthcare. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000429DOI Listing
October 2018
2 Reads

Human Papillomavirus Knowledge, Attitudes, Practices, and Prevalence Among Men Who Have Sex With Men in Monrovia, Liberia.

J Low Genit Tract Dis 2018 Oct;22(4):326-332

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

Objective: The aim of this study was to assess human papillomavirus (HPV) prevalence, knowledge, attitudes, and practices, among men who have sex with men (MSM) in Monrovia, Liberia.

Materials And Method: This cross-sectional study was conducted with 107 MSM, aged 18 to 58 years, completing questionnaires and anal HPV screenings. Using peer-educators and direct community involvement, demographics, risk factors, and HPV knowledge data were collected. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000436DOI Listing
October 2018
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Cervical Cancer Incidence Among Elderly Women in Massachusetts Compared With Younger Women.

J Low Genit Tract Dis 2018 Oct;22(4):314-317

Department of Obstetrics and Gynecology, Boston Medical Center, Boston University School of Medicine, Boston, MA.

Importance: Current cancer screening guidelines recommend cessation of cervical cancer screening at the age of 65 years for most women. To examine residual risk among elderly women, we compared cervical cancer incidence rates (IRs) in Massachusetts from 2004 to 2015 among women younger than 65 years versus 65 years and older.

Materials And Methods: The Massachusetts Cancer Registry was used to identify all women diagnosed with cervical cancer between January 01, 2004, to December 31, 2015. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000435DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161498PMC
October 2018
22 Reads
1.110 Impact Factor

Cervical Cancer Screening Beliefs and Prevalence of LSIL/HSIL Among a University-Based Population in Cameroon.

J Low Genit Tract Dis 2018 Oct;22(4):274-279

Maricopa Integrated Health System, Phoenix, AZ.

Objective: The aim of the study was to determine beliefs and utilization of cervical cancer screening and prevalence of low-grade squamous intraepithelial lesion/high-grade squamous intraepithelial lesion among a university-based population in the Southwest region of Cameroon.

Materials And Methods: A public-private partnership was established between the University of Arizona, University of Buea, and the Cameroon Baptist Convention Health Services. A single-day screening clinic using visual inspection with acetic acid and Lugol's iodine solution (VILI) was provided at the University of Buea. Read More

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http://Insights.ovid.com/crossref?an=00128360-201810000-0000
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http://dx.doi.org/10.1097/LGT.0000000000000433DOI Listing
October 2018
4 Reads

Fact or Fiction? Adipose-Derived Stem Cells and Platelet-Rich Plasma for the Treatment of Vulvar Lichen Sclerosus.

J Low Genit Tract Dis 2019 Jan;23(1):65-70

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of British Columbia.

Objective: The aim of the study was to summarize and review the evidence for the efficacy and safety of adipose-derived stem cells (ADSCs) and platelet-rich plasma (PRP) for the treatment of vulvar lichen sclerosus (LS).

Materials And Methods: PubMed/MEDLINE, Ovid, Web of Science, and clinicaltrials.gov were searched from inception up to May 7, 2018. Read More

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http://Insights.ovid.com/crossref?an=00128360-900000000-9945
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http://dx.doi.org/10.1097/LGT.0000000000000440DOI Listing
January 2019
17 Reads

Expression of Psoriasin in Human Papillomavirus-Induced Cervical High-Grade Squamous Intraepithelial Lesions.

J Low Genit Tract Dis 2019 Jan;23(1):33-38

Department of Clinical Sciences, Division of Obstetrics and Gynecology, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.

Objectives: Persistent infection with human papillomavirus causes cervical high-grade squamous intraepithelial lesions (HSILs). The role of antimicrobial peptides (AMPs) in premalignant and malignant transformation is not fully understood. In this study, we examined the expression of human β-defensin 1 (HBD-1), HBD-2, HBD-3, LL37, psoriasin, and interleukin 8 (IL-8) in women with HSIL before and 6 months after surgery. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000438DOI Listing
January 2019
1 Read

Preference for Human Papillomavirus Self-Collection and Papanicolaou: Survey of Underscreened Women in North Carolina.

J Low Genit Tract Dis 2018 Oct;22(4):302-310

Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC.

Objectives: Self-collection of samples for human papillomavirus (HPV) testing (self-collection) has the potential to increase cervical cancer screening among underscreened women. We assessed attitudes toward at-home HPV self-collection compared with clinic-based Pap testing in this higher-risk population.

Materials And Methods: Participants were low-income women in North Carolina overdue for cervical cancer screening. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000430DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174678PMC
October 2018
3 Reads

Prevalence of Anal Squamous Intraepithelial Lesions in HIV-1-Infected Young Men Who Have Sex With Men and Transwomen.

J Low Genit Tract Dis 2018 Oct;22(4):340-347

Department of Pediatrics, Division of Pediatric Infectious Diseases, Emory University School of Medicine, Atlanta, GA.

Objective: Anal cancer rates are increasing among HIV-infected persons. Although an efficacious human papillomavirus (HPV) vaccine is available, HPV vaccination rates remain low. Therefore, providers perform anal cancer screening, but there is no consensus on the optimal methods or timing of screening. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000437DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158076PMC
October 2018
25 Reads

Cervical Cancer Screening for Women With Disabilities: Time for a New Approach?

J Low Genit Tract Dis 2018 Oct;22(4):318-319

Johns Hopkins University School of Medicine, Baltimore, MD, and.

Women with disabilities are underscreened for cervical cancer compared with the general population, likely because, in part, of both emotional and physical challenges associated with Pap testing. Women with certain disabilities often require an examination under anesthesia to undergo a speculum examination. However, anesthesia is not without risks and the perioperative experience can be burdensome to patients and caregivers. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000432DOI Listing
October 2018
17 Reads