3,781 results match your criteria guidelines pelvic

Malignant transformation of hepatic endometriosis: a case report and literature review.

BMC Womens Health 2021 06 21;21(1):249. Epub 2021 Jun 21.

Department of Pathology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.

Background: Extrapelvic endometriosis is defined as the presence of ectopic endometrial tissue in structures outside the pelvis. Although extra-pelvic endometriosis is generally considered benign conditions, malignant potential within endometriotic foci occurs even after definitive surgery. Malignant transformation of hepatic endometriosis is extremely rare. Read More

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Evaluation of clinical practice guidelines (CPG) on the management of female chronic pelvic pain (CPP) using the AGREE II instrument.

Int Urogynecol J 2021 Jun 19. Epub 2021 Jun 19.

Department of Obstetrics and Gynaecology, Epsom & St Helier University Hospitals NHS Trust, Dorking Road, London, KT18 7EG, UK.

Introduction And Hypothesis: Variations in guidelines may result in differences in treatments and potentially poorer health-related outcomes. We aimed to systematically review and evaluate the quality of national and international guidelines and create an inventory of CPG recommendations on CPP.

Methods: We searched EMBASE and MEDLINE databases from inception till August 2020 as well as websites of professional organizations and societies. Read More

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Locoregional relapses in the accord12/0405-prodige 02 study: dosimetric study and risk factors.

Radiother Oncol 2021 Jun 15. Epub 2021 Jun 15.

APHP, Tenon Hospital, Department of Radiation Oncology, Paris, France; UMR_S 938, Centre de Recherche de Saint Antoine, Paris, France.

Purpose: The aim of this study is to correlate locoregional relapse with radiation therapy volumes in patients with rectal cancer treated with neoadjuvant chemoradiation in the ACCORD 12/0405-PRODIGE 02 trial.

Patients And Methods: We identified patients who had a locoregional relapse included in ACCORD 12 database. We studied their clinical, radiological, and dosimetric data to analyze the dose received by the area of relapse. Read More

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Chronic Pelvic Pain in Women: A Review.

JAMA 2021 Jun;325(23):2381-2391

Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California, Los Angeles.

Importance: Chronic pelvic pain (CPP) is a challenging condition that affects an estimated 26% of the world's female population. Chronic pelvic pain accounts for 40% of laparoscopies and 12% of hysterectomies in the US annually even though the origin of CPP is not gynecologic in 80% of patients. Both patients and clinicians are often frustrated by a perceived lack of treatments. Read More

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Recommendations for planning and delivery of radical radiotherapy for localized urothelial carcinoma of the bladder.

Radiother Oncol 2021 Jun 10;161:95-114. Epub 2021 Jun 10.

Department of Radiotherapy, Institut Bergonié, Bordeaux, France. Electronic address:

Purpose: Curative radio-chemotherapy is recognized as a standard treatment option for muscle-invasive bladder cancer (MIBC). Nevertheless, the technical aspects for MIBC radiotherapy are heterogeneous with a lack of practical recommendations.

Methods And Materials: In 2018, a workshop identified the need for two cooperative groups to develop consistent, evidence-based guidelines for irradiation technique in the delivery of curative radiotherapy. Read More

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Contraception 2021 Jun 9. Epub 2021 Jun 9.

Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Objective: To assess how women's reproductive history, contraceptive experience and need of abortion care are associated with priorities for contraception.

Study: Design In this cross-sectional survey study, we gathered information on women's history of births and abortions, previous use and satisfaction with contraceptive methods, and features of contraceptive methods they value most. Women were recruited at public family planning and outpatient abortion clinics in the capital region of Helsinki, Finland. Read More

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Surgical management of urinary diversion and stomas in adults: multidisciplinary Italian panel guidelines.

Minerva Urol Nephrol 2021 Jun 11. Epub 2021 Jun 11.

General Surgery Unit, Santa Maria della Misericordia Hospital, Rovigo, Italy.

Background: Urinary stomas represent a worldwide medical and social problem. Data from literature about stoma management are extensive, but inhomogeneous. No guidelines exist about this topic. Read More

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Investigation of polycystic ovarian syndrome: variation in practice and impact on the speed of diagnosis.

Cardiovasc Endocrinol Metab 2021 Jun 23;10(2):120-124. Epub 2021 Feb 23.

Academic Department of Obstetrics and Gynaecology, Maternity Centre, University Hospital of North Midlands.

Objective: Accurate diagnosis of polycystic ovarian syndrome (PCOS) enables clinical interventions/cardiometabolic risk factor management. Diagnosis can take over 2 years and multiple clinician contacts. We examined patterns of PCOS-associated biochemical investigations following initial consultation prior to pelvic ultrasound scan (USS). Read More

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: test positivity in syndromic presentations and clinicians' adherence with treatment guidelines at Sydney Sexual Health Centre.

Int J STD AIDS 2021 Jun 9:9564624211022583. Epub 2021 Jun 9.

The Kirby Institute, UNSW Sydney, Sydney, NSW, Australia.

() is associated with urethritis, cervicitis, pelvic inflammatory disease, proctitis and epididymitis. Its treatment is complicated by antimicrobial resistance. To assess clinicians' adherence to diagnostic testing recommendations for syndromic presentations, as well as resistance-guided management of at Sydney Sexual Health Centre, we reviewed patients presenting between August and December 2018. Read More

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Rectus Sheath Hematoma Due to Low Molecular Weight Heparin in a COVID-19 Patient in Turkey.

Tolga Kalayci

Cureus 2021 May 6;13(5):e14870. Epub 2021 May 6.

General Surgery, Erzurum Regional Education and Research Hospital, Erzurum, TUR.

This case report presents a large left rectus sheath hematoma (RSH) case developed in a COVID-19 patient who had received no anticoagulant therapy before hospital admission. It discusses the patient's diagnosis and treatment process. A 78-year-old woman was admitted to the ED with acute cough and shortness of breath. Read More

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Selection of Oral Therapeutics in China for the Treatment of Colorectal Cancer.

Curr Treat Options Oncol 2021 Jun 7;22(7):55. Epub 2021 Jun 7.

Department of Medical Oncology, The Sixth Affiliated Hospital, Guangdong Province Key Laboratory of Colorectal and Pelvic Floor Diseases, Sun Yat-Sen University, Guangzhou, Guangdong, 510655, People's Republic of China.

Opinion Statement: Intravenous administration of fluoropyrimidine-based chemotherapy has been the backbone of treatment in colorectal cancer (CRC) for decades. The availability of oral capecitabine has improved the tolerability and simplified combination schedules. In addition to capecitabine, several other oral drugs have proven efficacy, particularly in palliative treatment lines. Read More

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Stereotactic pelvic radiotherapy with HDR boost for dose escalation in intermediate and high-risk prostate cancer (SPARE): Efficacy, toxicity and quality of life.

Radiother Oncol 2021 Jun 3;161:40-46. Epub 2021 Jun 3.

Odette Cancer Centre, Sunnybrook Health Sciences Centre, Canada; Department of Radiation Oncology, University of Toronto, Canada; Institute of Health Policy, Management and Evaluation, Canada. Electronic address:

Background: The ASCO/CCO guidelines recommend brachytherapy (BT) boost for eligible intermediate- (IR) or high-risk (HR) prostate cancer (PCa) patients. We present efficacy, toxicity and quality-of-life (QoL) outcomes in patients treated on a prospective protocol of MRI dose-painted high-dose-rate BT boost (HDR-BT) followed by 5-fraction pelvic radiotherapy (RT) and 6-18 months of androgen deprivation therapy (ADT).

Methods: In this phase I/II study, IR or HR PCa patients received HDR-BT 15 Gy × 1 to prostate and up to 22. Read More

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Development of a multinational, multidisciplinary competency framework for physiotherapy training in pessary management: an E-Delphi study.

Int Urogynecol J 2021 Jun 5. Epub 2021 Jun 5.

Curtin School of Allied Health, Curtin University, Perth, WA, 6845, Australia.

Introduction And Hypothesis: Vaginal support pessaries are intravaginal devices designed to relieve symptoms of pelvic organ prolapse, but they can cause serious medical complications if not managed well. Physiotherapists are well placed to manage pessaries, but there are no guidelines on the training required for competency in pessary management (PM).

Methods: A scoping review of current literature on PM training was conducted to develop draft competency standards, which were reviewed by a multidisciplinary focus group. Read More

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Evoked potential as an adjuvant predictive tool for neurological deficit in acetabular and pelvic ring injuries: A meta-analysis.

Injury 2021 May 29. Epub 2021 May 29.

Orthopedic and Traumatology department of Federal University of São Paulo, Brazil. Electronic address:

Objectives: To identify the value of the evoked potential as an adjuvant predictive tool in pelvic ring and acetabulum fractures focusing on the neurological deficit.

Material And Methods: Adhering to PRISMA guidelines, we performed a systematic review with a priori design to identify randomized controlled trials, retrospective and prospective cohort studies, and case-control studies of interventions in acetabular and pelvic ring injuries. The search strategy included the use of Title/Abstract related to: ("somatosensory" or "evoked potential" or "electrophysiology") and ("randomized controlled trials" or "clinical studies" or "controlled clinical trial" or "systematic literature review" or "meta-analysis" or "review" or "overview") and ("complications"). Read More

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Ga-PSMA-11 PET/CT in patients with occult biochemical recurrence of prostate carcinoma and negative F-Choline PET/CT. Preliminary assessment of its clinical use.

Actas Urol Esp (Engl Ed) 2021 Jun 14;45(5):353-358. Epub 2021 May 14.

Unidad de Imagen Molecular, CIMES-FGUMA, Málaga, Spain.

Objective: To assess the clinical usefulness of 68Ga-PSMA PET/CT studies in patients with occult biochemical recurrence of prostate carcinoma, with negative or inconclusive radiologic and 18 F-Choline PET/CT imaging studies.

Material And Methods: Retrospective descriptive study. The first 14 patients with a history of prostate carcinoma, treated with curative intent and presenting suspicion of biochemical recurrence with low PSA values (<3 ng/mL) were selected. Read More

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Adamantinoma: metastatic disease masquerading as a gynaecological malignancy.

BMJ Case Rep 2021 Jun 3;14(6). Epub 2021 Jun 3.

Department of Gynaecological Oncology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK

Adamantinoma is a rare low-grade malignancy of the appendicular skeleton with unclear histogenesis. We present the case of a 65-year-old woman with known recurrent and metastatic right tibial disease despite clear resection margins. On further investigation, a positron emission tomography-CT scan identified a primary breast lesion and an 11 cm mass in the right iliac fossa of suspected ovarian malignancy amenable to surgical resection. Read More

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Acting on the potentially reversible causes of traumatic cardiac arrest: Possible but not sufficient.

Resuscitation 2021 Jun 1;165:8-13. Epub 2021 Jun 1.

UNIV Angers, CHU Angers, Univ Rennes, Inserm, EHESP, IRSET (Institut de Recherche en Santé, Environnement et Travail) - UMR_S1085, Angers, France; CHU Angers, Poison Control Centre, Clinical Data Centre, Angers, France.

Introduction: Traumatic cardiac arrest (TCA) guidelines emphasize specific actions that aim to treat the potential reversible causes of the arrest. The aim of this study was to measure the impact of these recommendations on specific rescue measures carried out in the field, and their influence on short-term outcomes in the resuscitation of TCA patients.

Methods: We conducted a retrospective study of all TCA patients treated in two emergency medical units, which are part of the Northern Alps Emergency Network, from January 2004 to December 2017. Read More

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Comprehensive reporting of pelvic floor muscle training for urinary incontinence: CERT-PFMT.

Physiotherapy 2021 Mar 6;112:103-112. Epub 2021 Mar 6.

Rehabilitation Teaching and Research Unit (RTRU), Department of Medicine, University of Otago, Wellington, New Zealand.

Aim: To produce a pelvic floor muscle training variation of the Consensus on Exercise Reporting Template (CERT-PFMT).

Methods: Qualitative methods were used to explore the perspectives of physiotherapists who have postgraduate continence and pelvic floor rehabilitation qualifications on using research evidence to implement pelvic floor muscle training for urinary incontinence. The same experienced facilitator guided the discussions with questions derived from systematic reviews and content experts. Read More

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ESCP Guidance on use of mesh in pelvis in colorectal surgery.

Colorectal Dis 2021 Jun 1. Epub 2021 Jun 1.

Colorectal Surgery and Lennard-Jones Intestinal Failure Unit, St Mark's Hospital, Harrow, UK.

The guidance is intended to provide information that may assist colorectal surgeons and other healthcare professionals and recommendations are targeted at clinicians only. The recommendations in this guidance do not replace the need for clinical decision making to each individual presentation nor variations based on locality, facility and resource availability. Ultimately, doctors or other healthcare professionals must make individual decisions regarding particular clinical procedures or treatment plans taking into consideration clinical information presented by the patient and the diagnostic and treatment options available, using their knowledge and expertise. Read More

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Oncologic outcomes in the era of modern radiation therapy using FIGO 2018 staging system for cervical cancer.

Gynecol Oncol 2021 May 28. Epub 2021 May 28.

Department of Radiation Oncology, Centre hospitalier de l'Université de Montréal (CHUM), Montreal, Canada. Electronic address:

Background: The recently published ASTRO cervical cancer guidelines recommend the use of modern radiotherapy. Imaging is now incorporated in the updated FIGO 2018 staging with a new stage IIIC. This study aims to evaluate the oncologic outcomes and predictors of survival using FIGO 2018 staging in a cohort of patients treated in an era of high-precision image-guided radiotherapy. Read More

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A systematic review of cross-cultural adaptation of the National Institutes of Health Chronic Prostatitis Symptom Index.

Health Qual Life Outcomes 2021 May 31;19(1):159. Epub 2021 May 31.

Urology Surgery, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Hospital, Shanghai University of Traditional Chinese Medicine, 110 Ganhe Road, Shanghai, 200437, China.

Background: The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was developed to accurately assess the pain, urinary symptoms, and quality of life related to chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). This study aimed to evaluate the cross-cultural adaptations of the NIH-CPSI.

Method: PubMed, Embase, CINAHL, and SciELO databases were searched from their established year to September 2020. Read More

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Predictive Factors in Sacral Neuromodulation: A Systematic Review.

Urol Int 2021 May 31:1-21. Epub 2021 May 31.

Department of Urology, Maastricht University Medical Centre (MUMC+), Mastricht, The Netherlands.

Introduction: Sacral neuromodulation (SNM) is an effective treatment in patients with overactive bladder syndrome or nonobstructive urinary retention when conservative treatment fails. Several factors that could impact outcome with SNM have been studied. This systematic review investigated these predictive factors and their relevance for clinical practice. Read More

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Potential for optimizing the perioperative care in robotic prostatectomy patients by adoption of enhanced recovery after surgery principles.

J Robot Surg 2021 May 29. Epub 2021 May 29.

Department of Urology and Pediatric Urology, University Clinic Mainz, Mainz, Germany.

Several benefits have been reported after applying the principles of enhanced recovery after surgery (ERAS) into the perioperative care of patients undergoing robot-assisted radical prostatectomy (RARP). Nevertheless, there are still barriers. We aimed to identify the key areas by systematically surveying urology departments in Germany and Austria. Read More

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Diagnosis and Treatment of Vulvo-Perineal Endometriosis: A Systematic Review.

Front Surg 2021 11;8:637180. Epub 2021 May 11.

Department of Gynecology-Andrology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.

To describe the available knowledge on vulvo-perineal endometriosis including its diagnosis, clinical management and recurrence rate. We followed the PRISMA guidelines for Systematic Reviews and our study was prospectively registered with PROSPERO (CRD42020202441). The terms " and " or " were used as keywords. Read More

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The intersect of gastrointestinal symptoms and malnutrition associated with anorexia nervosa and avoidant/restrictive food intake disorder: Functional or pathophysiologic?-A systematic review.

Int J Eat Disord 2021 Jun 27;54(6):1019-1054. Epub 2021 May 27.

ACUTE at Denver Health, Denver, Colorado, USA.

Objective: Although multiple pathophysiologic changes develop within the gastrointestinal (GI) system in the setting of malnutrition, the etiology of the reported multitude of symptoms in those with anorexia nervosa and avoidant restrictive intake disorder, as well as their contribution toward disordered eating, remain poorly understood. This systematic review seeks to better understand how these physiologic changes of malnutrition of the esophagus, stomach, intestines, and pancreas contribute toward the reported GI symptoms, as well as better understand how celiac disease, inflammatory bowel disease, pelvic floor dysfunction, and Ehlers-Danlos syndrome contribute toward disordered eating.

Methods: Studies of any design exploring the pathogenesis of complications and treatment strategies were included. Read More

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Case Report: Long-Term Survival of a Pediatric Patient With an Intra-Abdominal Undifferentiated Carcinoma of Unknown Primary.

Front Oncol 2021 10;11:590913. Epub 2021 May 10.

Telethon Kids Cancer Centre, Telethon Kids Institute, University of Western Australia, Perth, WA, Australia.

An 8-year and 10-month-old boy presented following 2 weeks of abdominal pain, vomiting, constipation, and rectal pain. A diffuse lower-abdominal mass was felt upon palpation, with radiological findings confirming the presence of a large, multilobulated intraperitoneal mass with mesenteric lymphadenopathy and hepatic metastatic disease. A biopsy of the mass revealed anatomical pathological findings consistent with a diagnosis of intra-abdominal undifferentiated carcinoma of unknown primary (CUP). Read More

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A systematic review of English language patient-reported outcome measures for use in urogynaecology and female pelvic medicine.

Int Urogynecol J 2021 May 26. Epub 2021 May 26.

Department of Urogynaecology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

Introduction: Patient-reported outcome measures (PROMs) are widely used in clinical practice and research in urogynaecology. There is no consensus on which PROMs should be used. No unifying document identifies all available PROMs and compares the psychometric properties of these. Read More

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Delayed coloanal anastomosis as a stoma-sparing alternative to immediate coloanal anastomosis: A systematic review and meta-analysis.

ANZ J Surg 2021 May 24. Epub 2021 May 24.

Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Background: Recent clinical trials have demonstrated favorable outcomes associated with trans-anal colonic pull-through for rectal resection followed by delayed coloanal anastomoses (DCA), resulting in a resurgence in popularity of the technique. This meta-analysis aims to review existing literature to evaluate the postoperative complications associated with DCA, and to make comparisons with immediate coloanal anastomoses (ICA) after colorectal resection to assess the suitability of DCA as an alternative form of surgical treatment.

Methods: Medline and Embase databases were reviewed from inception until 31 July 2020 in accordance with PRISMA guidelines. Read More

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Reconsideration of planned vaginal breech delivery in selected cases.

Med J Malaysia 2021 May;76(3):390-394

MAHSA University, Saujana Putra Campus, Jenjarom, Selangor, Malaysia.

Introduction: The debate surrounding the management of term breech presentation (BP) has resulted in the presence of a multitude of guidelines, reviews, and directives. The vaginal delivery of a breech baby requires sound obstetric skills since approximately 3-4% of babies at term are breech presentations. BP is the commonest of all malpresentations. Read More

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Development and validation of pelvic floor muscles exercise intervention for urinary incontinence among pregnant women.

Med J Malaysia 2021 May;76(3):332-339

Universiti Putra Malaysia, Faculty of Medicine and Health Sciences, Department of Psychiatry, Malaysia.

Introduction: The prevalence of urinary incontinence among pregnant women is high in Malaysia. However, healthcare providers appear to pay little attention to it along with a limited local intervention that addresses the continence health during pregnancy. This study aims to develop and validate intervention with pelvic floor muscle exercise (PFME) for pregnant women. Read More

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