Search Our Scientific Publications & Authors

J Obstet Gynaecol Can 2021 May 10. Epub 2021 May 10.

Mount Sinai Hospital, 700 University Avenue, 8-816 Toronto, Ontario, M5G 1Z5. Electronic address:

Objective: The incidence of post-hysterectomy vault prolapse following native tissue repair has been reported to be as high as 43%. The optimal way to maintain vault support is unknown. Our aim was to evaluate the long-term efficacy of modified McCall culdoplasty during vaginal hysterectomy for symptomatic uterine prolapse in preventing the recurrence of vaginal vault prolapse. Read More

J Obstet Gynaecol Can 2021 May 10. Epub 2021 May 10.

Professor Emeritus, University of Tennessee Health Science Centre, Memphis Tennessee, USA; Institutional Review Board, Virginia Commonwealth University, Richmond, Virginia, USA.

Objective: To evaluate the prevalence of endometriosis and peritoneal pockets and to analyze whether these pockets are associated with pain.

Methods: Analysis of prospectively registered data of all women undergoing laparoscopy for infertility or pelvic pain between 1988 and 2011 at KU Leuven University Hospital.

Results: Of 4497 women, 191 had 238 pockets, with a prevalence of 4. Read More

Am J Obstet Gynecol 2021 May 10. Epub 2021 May 10.

Department of Obstetrics, Gynecology & Reproductive Science, University of California San.

Background: There is limited literature identifying racial and ethnic health disparities among surgical modalities and outcomes in the field of urogynecology and specifically pelvic organ prolapse surgery.

Objective: To evaluate differences in surgical approach for apical vaginal prolapse and postoperative complications by race and ethnicity STUDY DESIGN: This is a retrospective cohort study of women undergoing surgical repair for apical vaginal prolapse between 2014 and 2017 using data from the American College of Surgeons National Surgical Quality Improvement Program. Patients were eligible for inclusion if they underwent either a vaginal colpopexy or abdominal sacrocolpopexy (ASC). Read More

Aust N Z J Obstet Gynaecol 2021 May 13. Epub 2021 May 13.

Anaesthesia and Pain Medicine, Mater Health Services, Brisbane, Queensland, Australia.

Persistent pelvic pain (PPP) is an important cause of psychological distress and productivity loss in women. In 2017, a multidisciplinary clinic was established to care for Queensland women with PPP. By analysing clinic and emergency department data, we found 19% fewer patients required any presentation to the emergency department for exacerbations of pelvic pain (P = 0. Read More

Br J Nurs 2021 May;30(9):S18-S26

National Lymphoedema Research Specialist, Lymphoedema Network Wales.

Background: Adults and children report genital oedema but prevalence is unknown. Pre-registration nurse training rarely includes genital oedema and postgraduate training opportunities are rare.

Aim: To identify the education needs of health professionals regarding management of genital oedema. Read More

Abdom Radiol (NY) 2021 May 13. Epub 2021 May 13.

Alexandria University, Alexandria, Egypt.

Purpose: To show utility of tadalafil in enhancing visualization of posterior urethra in patients with urethral stricture.

Methods: We retrospectively reviewed the records of adults male who failed to delineate the posterior urethra while undergoing combined voiding cystourethrogram and retrograde urethrogram (VCUG and RUG), as a part of preoperative assessment of stricture length and location before urethral reconstruction. The study was repeated 24 h later after a single dose of tadalafil 20 mg was administrated 2 h before the procedure (Tadalafil group). Read More

Br J Neurosurg 2021 May 13:1-5. Epub 2021 May 13.

Firoozgar Clinical Research and Development Center (FCRDC), Iran University of Medical Sciences, Tehran, Iran.

Background And Objectives: Understanding the biomechanical relationship between the spine and the pelvis is important for the management of symptomatic lumbar disease. There are several different metrics that may be used to evaluate the spine in the sagittal plane. The aim of this study is to compare spinopelvic parameters and global sagittal angle (GSA) in a cohort of patients with upper lumbar disc herniations (ULDH) to identify a correlation between the pelvic incidence (PI) and GSA with ULDH. Read More

J Int Med Res 2021 May;49(5):3000605211014797

Department of Paediatrics, Tri-Service General Hospital, National Defense Medical Centre, Taipei.

The coexistence of imperforate hymen and vaginal septum is rare and their ability to mimic malignant manifestations have not been frequently reported. This current case report describes a 13-year-old girl that presented with cyclic abdominal pain for 6 months. She was found to have a huge mass via abdominal plain film X-ray and sonography, with inexplicably high levels of serum carcinoembryonic antigen, cancer antigen (CA)-19-9 and CA-125. Read More

Am Fam Physician 2021 May;103(10):597-604

AdventHealth Orlando Family Medicine Residency Program, Orlando, FL, USA.

Dyspareunia is recurrent or persistent pain with sexual intercourse that causes distress. It affects approximately 10% to 20% of U.S. Read More

J Ultrasound Med 2021 May 13. Epub 2021 May 13.

Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, California, USA.

Objectives: To assess adequacy of transvaginal ultrasound-guided fine-needle aspiration biopsy (TVUS-FNAB) for pathologic diagnosis of pelvic masses performed using onsite cytopathology consultation.

Methods: In this Institutional Review Board approved, Health Insurance Portability and Accountability Act (HIPAA) compliant study, radiology records were retrospectively queried to identify patients who underwent TVUS-FNAB of a pelvic mass over a 11-year duration. TVUS-FNAB adequacy was determined by correlating cytopathology results with transvaginal ultrasound-guided core-needle biopsy (TVUS-CNB) or surgical pathology results when available, and with clinical diagnostic confidence when additional pathology confirmation was not available. Read More

Acta Radiol 2021 May 13:2841851211009466. Epub 2021 May 13.

Department of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.

Background: Computed tomography (CT) is the gold standard for the accurate measurement of cup inclination and anteversion in total hip arthroplasty (THA). However, functional cup position strongly depends on the tilt of the pelvis and thus pelvic tilt in the supine position on the CT table harbors the risk of misinterpretation.

Purpose: To evaluate the influence of pelvic tilt on cup measurements in postoperative CT scans. Read More

Dig Dis Sci 2021 May 12. Epub 2021 May 12.

Pediatric Gastroenterology and Hepatology Research Center, Pediatric Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, No. 62, Dr. Qarib St, Keshavarz Blvd, 14194 33151, Tehran, Iran.

Background: We compared the effects of transcutaneous functional electrical stimulation (TFES) and biofeedback therapy with TFES alone in a cohort of children with functional non-retentive fecal incontinence (FNRFI).

Methods: This prospective, single-center randomized clinical trial was performed on 40 children with FNRFI. Patients were randomly allocated into two equal treatment groups. Read More

Hawaii J Health Soc Welf 2021 May;80(5):104-107

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

The uterine sandwich is a relatively new surgical technique for managing postpartum hemorrhage, which is the leading cause of maternal mortality worldwide. The purpose of this case series is to describe a novel method of constructing the uterine sandwich by simultaneously combining intrauterine balloon tamponade and uterine compression sutures. Six patients with postpartum bleeding refractory to medical management were successfully treated with this novel method and avoided hysterectomy. Read More

Res Rep Urol 2021 5;13:215-219. Epub 2021 May 5.

Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, 10400, Thailand.

Background: Double-J stents are favorably utilized after pyeloplasty. In rare situations, the stent may migrate upward. Here, we demonstrate the implementation and result of a supine percutaneous nephroscopic surgery (PNS) to retrieve a proximately migrated ureteral catheter in a pediatric patient. Read More

Front Oncol 2021 26;11:659442. Epub 2021 Apr 26.

Department of Urology, Kidney and Urology Center, Pelvic Floor Disorders Center, The Seventh Affiliated Hospital, Sun Yat-Sen University, Shenzhen, China.

Background: Prostate cancer (PCa) is the second most common cancer among males in the world and the majority of patients will eventually progress to the metastatic phase. How to choose an effective way for the treatment of metastatic PCa, especially in the later stage of the disease is still confusing. Herein we reported the case of a patient diagnosed with metastatic PCa and conducted a literature review on this issue. Read More

BMJ Case Rep 2021 May 12;14(5). Epub 2021 May 12.

Epworth Hospital, Richmond, Victoria, Australia.

A nulliparous patient in her early 20s was referred to a fertility specialist for fertility preservation, before commencing chemo-radiation therapy for a recently diagnosed malignant brain tumour. Two weeks prior, she had presented with seizures and undergone emergency craniotomy and tumour resection. Taking into consideration of the tight time frame and her comorbidities, several measures were undertaken to minimise the potential increase in intracranial pressure that may lead to cerebral oedema during laparoscopy. Read More

Eur J Sport Sci 2021 May 12:1-23. Epub 2021 May 12.

Department of Electronics, Information and Bioengineering (DEIB), Politecnico di Milano, Milan, Italy.

Success in sprint kayaking depends on the propulsive power generated by trunk, pelvis, shoulder and lower limb movements. However, no studies have examined whole-body kinematics over a simulated distance. We aimed to study the changes in movement patterns of kayakers performing a 500-m kayak sprint. Read More

Surg Innov 2021 May 13:15533506211018433. Epub 2021 May 13.

Li Ka Shing Faculty of Medicine, Department of Obstetrics & Gynaecology, 25809The University of Hong Kong, Hong Kong, Hong Kong.

. The emergence of robotic-assisted surgical techniques has gained significant indications in terms of reduced trauma, shortened recovery, and higher patients' satisfaction. However, limitations by present surgical robotic systems used in natural orifice transluminal endoscopic surgery (NOTES) gynecology still exists, such as arm collisions, countertraction, instrument dexterity, and, in particular, space confinement due to the narrow pelvic anatomy. Read More

Respir Physiol Neurobiol 2021 May 9:103682. Epub 2021 May 9.

Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland. Electronic address:

Objectives: The purpose of the study was to check if the trunk muscle activation done in accordance with rules of the Bobath concept affects the occlusion pressure and respiratory muscle efficacy in forced breathing manoeuvres in healthy participants.

Design: Randomized controlled trial. Between-subjects design. Read More

J Am Geriatr Soc 2021 May 12. Epub 2021 May 12.

Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Objectives: To present a flexible protocol of vaginal pessaries for older women with significant pelvic organ prolapse (POP).

Design: A prospective cohort study of 140 consecutive older women (aged ≥65 years) with significant POP treated with individually fitted vaginal pessaries. After initial insertion, each patient was invited for a first evaluation after 1 month and subsequent follow-ups at increasing intervals of 1 month. Read More

PLoS One 2021 12;16(5):e0250965. Epub 2021 May 12.

Sciences and Technologies in Health Post-graduation Program, University of Brasília, Brasília, Federal District, Brazil.

Patellofemoral pain (PFP) is one of the most prevalent injuries in runners. Unfortunately, a substantial part of injured athletes do not recover fully from PFP in the long-term. Although previous studies have shown positive effects of gait retraining in this condition, retraining protocols often lack clinical applicability because they are time-consuming, costly for patients and require a treadmill. Read More

Spine Deform 2021 May 12. Epub 2021 May 12.

Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Purpose: To describe clinical, radiological and functional outcomes of patients with post-tubercular healed kyphosis operated by posterior-only three-column osteotomy.

Methods: The hospital records of 47 patients from a single center, operated for healed, post-tubercular kyphosis were retrospectively analyzed. Deformity correction in all patients was done utilizing a three-column osteotomy by a single-stage, posterior-only approach. Read More

Clin J Gastroenterol 2021 May 12. Epub 2021 May 12.

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Niigata, Japan.

We herein report a rare case of HCC metastases to the ovary and peritoneum in a 61-year-old female patient who has achieved 11-year survival with multidisciplinary therapy. The patient was diagnosed with HCC during balloon angioplasty performed for Budd-Chiari syndrome in 1994 and underwent partial hepatectomy twice. Five years after the second hepatectomy, allochronic recurrence of a single nodule detected in S8 was treated by radiofrequency ablation, followed by percutaneous ethanol injection therapy and stereotactic body radiotherapy. Read More

Surg Endosc 2021 May 12. Epub 2021 May 12.

Department of Digestive Surgery, Kawaguchi Municipal Medical Center, 180, Nishiaraijuku, Kawaguchi, Saitama, 333-0833, Japan.

Background: Ureteral injury is the most common urological complication of pelvic surgery, with a reported incidence during colon resection of 0.3-1.5%. Read More

Female Pelvic Med Reconstr Surg 2021 May 13. Epub 2021 May 13.

From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics, Gynecology, and Reproductive Sciences Biomedical Sciences Graduate Program Department of Pathology, School of Medicine Department of Pediatrics, School of Medicine Department of Bioengineering, Jacobs School of Engineering Center for Microbiome Innovation Department of Computer Science and Engineering, University of California San Diego, La Jolla, CA.

Objective: The aim of this study was to describe effects of vaginal estrogen (VE) on the urogenital microbiome in postmenopausal women with recurrent urinary tract infections (rUTIs).

Methods: This is a secondary analysis of 17 participants enrolled in a randomized controlled trial of VE versus placebo on urinary tract infection recurrence in postmenopausal women with rUTIs. Paired clean-catch urine samples were collected at baseline and after 6 months of VE and sequenced using 16S rRNA gene sequencing. Read More

Minerva Obstet Gynecol 2021 May 12. Epub 2021 May 12.

Department of Maternal and Child Health and Urological Sciences, Sapienza, University of Rome, Policlinico Umberto I, Rome, Italy -

Minerva Obstet Gynecol 2021 May 12. Epub 2021 May 12.

Latifa Hospital, Dubai, Unated Arab Emirates.

Endometriosis and pelvic pain are associated. However, only half of the subtle and typical, and not all cystic and deep lesions are painful. The mechanism of the pain is explained by cyclical trauma and repair, an inflammatory reaction, activation of nociceptors up to 2. Read More

Minerva Obstet Gynecol 2021 May 12. Epub 2021 May 12.

Department of Obstetrics and Gynaecology, Second Faculty of Medicine, University Hospital Motol, Charles University, Prague, Czech Republic.

Uterine artery pseudoaneurysm (UAP) is a rare complication during pregnancy that can cause serious consequences in both the pregnant woman and the fetus. Herein, we have described the cases of two pregnant women with UAP. Both patients had a history of laparoscopy for management of endometrioid ovarian cysts. Read More

Turk Neurosurg 2020 Dec 14. Epub 2020 Dec 14.

Tekirdag Namik Kemal University School of Medicine, Department of Neurosurgery, Tekirdag, Turkey.

Aim: The study aims to find out the anatomical changes in spine and pelvis and the impact of various breast sizes of women on the quality of life.

Material And Methods: Sixty women with back pain volunteered to participate in this study. Their body mass index was calculated. Read More

Global Spine J 2021 May 12:21925682211001812. Epub 2021 May 12.

12297NYU Langone Medical Center's Hospital for Joint Diseases, NY, USA.

Study Design: Retrospective chart review.

Objective: The goal of this study is to examine the relationship between global alignment and proportion (GAP) score and postoperative orthoses with likelihood of developing proximal junctional kyphosis (PJK).

Methods: Patients who underwent thoracic or lumbar fusions of ≥4 levels for adult spinal deformity (ASD) with 1-year post-operative alignment x-rays were included. Read More