13,943 results match your criteria transvaginal

Conservative cesarean scar pregnancy treatment: local methotrexate injection followed by hysteroscopic removal with hysteroscopic tissue removal system.

Fertil Steril 2021 Jul 18. Epub 2021 Jul 18.

Division of Gynecology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Objective: To describe a conservative cesarean scar pregnancy (CSP) treatment in a patient with the desire for future pregnancy. To date, there is no gold standard for the management of a viable CSP. There is a wide range of treatment options that include major surgery and minimally invasive procedures. Read More

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Development and pregnancy rates of Camelus dromedarius-cloned embryos derived from in vivo- and in vitro-matured oocytes.

Anim Biosci 2021 Jun 24. Epub 2021 Jun 24.

UAE Biotech Research Center, 30310 Al Wathba, Abu Dhabi, United Arab Emirates.

Objective: The present study evaluated the efficiency of embryo development and pregnancy of somatic cell nuclear transfer (SCNT) embryos using different source-matured oocytes in Camelus dromedarius.

Methods: Camelus dromedarius embryos were produced by SCNT using in vivo- and in vitro- matured oocytes. In vitro embryo developmental capacity of reconstructed embryos was evaluated. Read More

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J Pediatr Adolesc Gynecol 2021 Jul 18. Epub 2021 Jul 18.

Department of Obstetrics and Gynecology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, USA. Electronic address:

Background: To describe a minimally-invasive, image-guided technique for obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome complicated by tubo-ovarian abscess (TOA).

Case: A 15-year-old female with OHVIRA syndrome presented with TOA. MRI abdomen/pelvis demonstrated a loculated pelvic mass and fluid collection near the obstructed left hemivagina. Read More

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Transvaginal radiofrequency energy for the treatment of urinary stress incontinence: A comparison of monopolar and bipolar technologies in both pre- and post-menopausal patients.

Neurourol Urodyn 2021 Jul 20. Epub 2021 Jul 20.

Division of Urogynecology, OBGYN Department, The Christ Hospital, University of Cincinnati, Cincinnati, Ohio, USA.

Aim: A study to compare the effect of two different radio frequency energy models (mono polar and bipolar) for the treatment of urinary stress incontinence.

Methods: Retrospective chart review, which was conducted at 2 sites, 69 patients received treatment with a bipolar radiofrequency device. Out of those 69 patients, 13 patients received bipolar in conjugation with CO laser treatment, while 32 patients received monopolar frequency. Read More

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Evaluating the agreement of ultrasound imaging and beta-human chorionic gonadotropin (β-hCG) measurement in confirming completed medical abortion: cross-sectional study.

Qatar Med J 2021 12;2021(2):22. Epub 2021 Jul 12.

Department of Obstetrics and Gynecology, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran E-mail:

Objective: Clinical methods that are generally used to evaluate the completeness of medical abortion are not reliable. Ultrasound imaging and beta-human chorionic gonadotropin (β-hCG) measurements are used to diagnose completed medical abortion, but a precise evaluation of these two methods has shown contradictory results. The purpose of this study is to evaluate the agreement of serum β-hCG measurement and ultrasound imaging to confirm complete medical abortion. Read More

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Minimally Invasive Cholecystectomy: Transvaginal or Transabdominal Approach-Which Technique Is Preferred by Female Hospital Employees?

J Laparoendosc Adv Surg Tech A 2021 Jul 19. Epub 2021 Jul 19.

Department of General Surgery, Vascular-, Visceral- and Pediatric Surgery, Saarland University Medical Center, Homburg, Germany.

Evidence is lacking concerning a clear benefit of single-port laparoscopic cholecystectomy (SILC) and transvaginal cholecystectomy (TVC) over the classical laparoscopic cholecystectomy (CLC). In this study, we investigated the preferences of the operation techniques among female employees in a tertiary university clinic. Study participants in the department of general surgery and gynecology were interviewed regarding their personal felt preferences for the mentioned procedures using a standardized illustrated questionnaire. Read More

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External Validation of the IOTA Classification in Women with Ovarian Masses Suspected to Be Endometrioma.

J Clin Med 2021 Jul 1;10(13). Epub 2021 Jul 1.

Endometriosis Center of Excellence, Department of Obstetrics and Gynecology, Sheba Medical Center, Ramat-Gan 5262000, Israel.

The study aimed to perform external validation of the International Ovarian Tumor Analysis (IOTA) classification of adnexal masses as benign or malignant in women with suspected endometrioma. A retrospective study including women referred to an endometriosis tertiary referral center for dedicated transvaginal ultrasound (TVUS). Adnexal masses were evaluated using the IOTA classification simple descriptors, simple rules and expert opinion. Read More

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Juvenile cystic adenomyoma, a rare diagnostic challenge: Case Reports and literature review.

F S Rep 2021 Jun 10;2(2):166-171. Epub 2021 Feb 10.

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

Objective: To report 2 very rare cases of young women who presented with severe dysmenorrhea and a large cystic lesion in the myometrium, which presented a diagnostic dilemma because they were confused with a Müllerian anomaly.

Design: Case reports and a literature review.

Setting: A university-based reproductive endocrinology and infertility clinic in the United States. Read More

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A new and practical surgical technique of transvaginal natural orifice specimen extraction surgery (NOSES) in laparoscopic nephroureterectomy-an initial clinical experience.

J Surg Oncol 2021 Jul 16. Epub 2021 Jul 16.

Department of Urology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Objective: To explore the safety, feasibility and clinical effect of transvaginal natural orifice specimen extraction surgery (NOSES) in 3D laparoscopic nephroureterectomy (LNU) for upper tract urothelial carcinoma (UTUC).

Methods: A retrospective analysis was made of 16 female patients who underwent 3D LNU and NOSES in the Department of Urology, Cancer Hospital, Chinese Academy of Medical Sciences from June 2019 to December 2020. The basic clinical data, perioperative related data, perioperative complications, visual analogue pain score (VAS), postoperative scar assessment questionnaire (PSAQ) at 3 months, female pelvic floor dysfunction questionnaire (PFDI-20) and female sexual function index questionnaire (FSFI) at preoperative and postoperative 3 months were analyzed and evaluated. Read More

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The chronological change in transvaginal ultrasound images of a hemorrhagic ovarian cyst observed during infertility treatment: A case report and literature review.

Clin Case Rep 2021 Jul 9;9(7):e04199. Epub 2021 Jul 9.

Department of Obstetrics and Gynecology Hyogo College of Medicine 1-1 Mukogawa-cho Nishinomiya Hyogo 663-8501 Japan.

Insights gained from chronological ultrasonogram images in the current case report will provide useful information for diagnosing and conservatively treating HOC. This could help avoid unnecessary laparotomy. Read More

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The Predictive Value of Cervical Length During the Second Trimester for Non-Medically Induced Preterm Birth.

Int J Gen Med 2021 9;14:3281-3285. Epub 2021 Jul 9.

Department of Obstetrics and Gynecology, Beijing Fengtai Hospital, Beijing, 100071, People's Republic of China.

Objective: The aim of the present study was to investigate the predictive value of transvaginal ultrasonography measurement of cervical length (CL) during the second trimester for spontaneous preterm birth.

Methods: Data from 1222 women with a single fetus pregnancy, who delivered at our hospital between March 2019 and May 2020, were retrospectively analyzed. CL was measured during the second trimester, with a length of <25 mm regarded as cervical shortening. Read More

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Estimated Performance of Transvaginal Ultrasonography for Evaluation of Postmenopausal Bleeding in a Simulated Cohort of Black and White Women in the US.

JAMA Oncol 2021 Jul 15. Epub 2021 Jul 15.

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

Importance: Black women in the US with endometrial cancer (EC) are more likely to be diagnosed with advanced-stage disease independent of insured status and histologic type. The most common way of diagnosing EC at early stages is through screening of people with postmenopausal bleeding to detect endometrial thickness (ET). This approach may disproportionately underperform in Black women secondary to a higher prevalence of fibroids and nonendometrioid EC in this population, both of which affect the quality of ET measurement. Read More

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A Race-Conscious Analysis of the Use of Transvaginal Ultrasonography in the Evaluation of Postmenopausal Bleeding.

JAMA Oncol 2021 Jul 15. Epub 2021 Jul 15.

Department of Obstetrics & Gynecology, Washington University School of Medicine in St Louis, St Louis, Missouri.

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Long-term outcomes of primary cystocele repair by transvaginal mesh surgery versus laparoscopic mesh sacropexy: extended follow-up of the PROSPERE multicentre randomised trial.

BJOG 2021 Jul 15. Epub 2021 Jul 15.

Centre Hospitalier de Dunkerque, 59760, Dunkerque, France.

Objective: To compare the effectiveness and safety of Laparoscopic Sacropexy (LS) and Transvaginal mesh (TVM) at four years.

Design: Extended follow-up of a randomised trial.

Setting: 11 centres POPULATION: Women with cystocele stage ≥ 2 (POP-Q), aged 45 to 75 years without previous prolapse surgery. Read More

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Modified autologous fascial sling technique ('sling on a string') for stress incontinence.

Int Urogynecol J 2021 Jul 14. Epub 2021 Jul 14.

Epsom and St Helier University Hospitals NHS Trust, Epsom, UK.

Introduction And Hypothesis: Describe the modified autologous fascial sling procedure that has been employed in the largest randomized controlled trial comparing autologous slings, mesh slings and xenografts.

Methods: The video aims to demonstrate the modified Aldridge technique. The surgical procedure is demonstrated. Read More

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Pelvic splenosis mimicking a suspicious adnexal mass.

BMJ Case Rep 2021 Jul 13;14(7). Epub 2021 Jul 13.

Department of Paediatrics, Gynaecology and Obstetrics, Hôpitaux Universitaires Genève, Geneva, Switzerland.

A 58-year-old asymptomatic woman was referred to our gynecologic oncology unit for the management of a left adnexal mass found during a routine gynecologic examination. Her personal history included an emergency splenectomy at the age of 4 years old, following traumatic splenic laceration after a car accident. The patient's work-up (including transvaginal ultrasound and MRI) confirmed a pelvic solid mass, which was reported as suspicious for malignancy and classified as Ovarian-Adnexal Reporting & Data System-MRI 5. Read More

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Delta Neutrophil Index as a Promising Biomarker for Placental Implantation Disorders.

Z Geburtshilfe Neonatol 2021 Jul 13. Epub 2021 Jul 13.

Department of Perinatology, Ankara City Hospital, Ankara, Turkey.

Objective: We aimed to investigate the value of maternal serum delta neutrophil index (DNI) levels in predicting placenta accreta spectrum in patients with placenta previa.

Methods: The patients who were found to have placenta previa totalis were included in our study. Location of placental implantation and depth of myometrial invasion were defined by transabdominal and transvaginal 2D gray scale and Doppler sonography and confirmed during cesarean section and histopathological evaluation. Read More

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A novel transforaminal approach to presacral abscess.

World Neurosurg 2021 Jul 10. Epub 2021 Jul 10.

Department of Orthopedics, Shanxi Provincial People's Hospital, Taiyuan 030012, Shanxi, China.

Background: Presacral abscess is a common disease in the developing countries. Treatments include minimally-invasive percutaneous drainage and open surgical debridement. Percutaneous drainage under CT guidance has been recommended by the American College of Radiology as a good alternative to surgical drainage before elective surgical treatment. Read More

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Contribution of ultrasonography to the prediction of the induction-delivery interval: The ECOLDIA prospective multicenter cohort study.

J Gynecol Obstet Hum Reprod 2021 Jul 10:102196. Epub 2021 Jul 10.

Department of Gynecology and Obstetrics, Centre Hospitalier Régional Universitaire Tours, Tours, France.

Introduction: To evaluate the ability of preinduction ultrasonographic cervical length to predict the interval between induction and delivery in women at term with a Bishop score of 4 to 6 at induction.

Study Design: This multicenter prospective observational cohort recruited 334 women from April 2010 to March 2014. Inclusion criteria were women with singleton pregnancies at a gestational age ≥37 weeks, with no previous caesarean, a medical indication for induction of labor, and a Bishop score of 4, 5, or 6. Read More

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The strain rate of endometrium measured by real-time sonoelastography as a predictive marker for pregnancy in gonadotropin stimulated intrauterine insemination cycles.

J Obstet Gynaecol Res 2021 Jul 12. Epub 2021 Jul 12.

Faculty of Medicine, Department of Obstetrics and Gynecology, Pamukkale University, Denizli, Turkey.

Aim: Sonoelastography is an imaging technique that measures tissue strain quantitatively. This study aims to investigate whether the strain rate of endometrium measured by elastography can predict pregnancy after intrauterine insemination (IUI).

Methods: This study examined 197 gonadotropin-stimulated IUI cycles of 148 women diagnosed with unexplained infertility from February 2019 to November 2020. Read More

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A rare case of heterotopic pregnancy after a single embryo transfer: A case report and literature review.

J Obstet Gynaecol Res 2021 Jul 12. Epub 2021 Jul 12.

Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.

Heterotopic pregnancy (HP) is a rare but life-threatening disease. We report a rare case of HP that occurred after single embryo transfer (SET) with spontaneous natural pregnancy possibly due to sexual intercourse (SI) during assisted reproductive technology treatment and reviewed previous reports. A 39-year-old woman at 7 weeks 5 days' gestation with anti-sperm antibody who underwent a single frozen-thawed embryo transfer in her natural cycle presented with lower abdominal pain and vaginal bleeding. Read More

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Lower uterine segment scar assessment at 11-14 weeks gestation to screen for placenta accreta spectrum in women with prior Cesarean delivery.

Ultrasound Obstet Gynecol 2021 Jul 12. Epub 2021 Jul 12.

Department of Maternal Fetal Medicine KK Women's and Children's Hospital, Singapore.

Aim: To prospectively validate lower uterine segment(LUS) scar assessment by transvaginal ultrasound during a first-trimester scan(FTS) and determine the feasibility and accuracy of ultrasound to stratify women with previous caesarean (CS) according to risk for Placenta accreta spectrum(PAS).

Methods: Patients with a history of previous CS were recruited between 11 and 13+6 weeks and underwent LUS scar assessment by transvaginal ultrasound. A standardized mid-sagittal plane was obtained to include the cervicoisthmic canal (CIC), uterine scar and placental site. Read More

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Is diminished ovarian reserve a risk factor for miscarriage? Results of a systematic review and meta-analysis.

Hum Reprod Update 2021 Jul 13. Epub 2021 Jul 13.

Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.

Background: Anti-Müllerian hormone (AMH) serum concentration and antral follicle count (AFC), as measured by transvaginal ultrasonography, accurately reflect the antral follicle pool. However, AMH and AFC association with fertility surrogates (i.e. Read More

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Transvaginal hydrolaparoscopy versus hysterosalpingography in the work-up for subfertility: a randomized controlled trial.

Reprod Biomed Online 2021 May 2. Epub 2021 May 2.

Department of Obstetrics and Gynecology, Maxima Medical Center, 5500 MB Veldhoven, the Netherlands.

Research Question: Is transvaginal hydrolaparoscopy (THL) non-inferior to hysterosalpingography (HSG) as a first-line tubal patency test in subfertile women in predicting the chance of conception leading to live birth?

Design: A multicentre, randomized controlled trial in four teaching hospitals in the Netherlands, which randomized subfertile women scheduled for tubal patency testing to either THL or HSG as a first-line tubal patency test. The primary outcome was conception leading to live birth within 24 months after randomization.

Results: A total of 149 women were randomized to THL and 151 to HSG. Read More

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"Nerve-sparing" laparoscopic treatment of parametrial ectopic pregnancy.

Fertil Steril 2021 Jul 9. Epub 2021 Jul 9.

Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy; Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.

Objective: To demonstrate laparoscopic surgical management of parametrial ectopic pregnancy.

Design: Video presentation of laparoscopic nerve-sparing treatment of parametrial pregnancy.

Setting: Tertiary university center. Read More

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An enzyme immunoassay to determine human chorionic gonadotropin (HCG) in serum and urine samples using an ultra-microanalytical system.

J Pharm Biomed Anal 2021 Jul 2;204:114239. Epub 2021 Jul 2.

"Ramón González Coro" Gyneco-obstetric Hospital, Havana, Cuba. Electronic address:

The determination of Human Chorionic Gonadotropin (HCG) in biological fluids is of great interest in the early pregnancy diagnostics, the evaluation of pregnancy disorders, as a tumor marker, as a screening procedure for anti-doping control, and many other purposes. A simple sandwich-type UltraMicro Enzyme-Linked ImmunoSorbent Assay (UMELISA) has been developed for the measurement of HCG in serum and urine samples. Strips coated with a high affinity MAb directed against HCG are used as solid phase, to ensure the specificity of the assay. Read More

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Approaches in the Treatment of Cesarean Scar Pregnancy and Risk Factors for Intraoperative Hemorrhage: A Retrospective Study.

Front Med (Lausanne) 2021 24;8:682368. Epub 2021 Jun 24.

Department of Obstetrics and Gynecology, Affiliated Hospital of Jiangnan University, Wuxi, China.

Cesarean scar pregnancy (CSP) involves a rare form of placental attachment that often leads to life-threatening conditions. The best treatment for CSP has been debated for decades. We aimed to evaluate the different treatments for CSP and analyzed the risk factors for intraoperative hemorrhage. Read More

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Medical Abortion of a First-Trimester Pregnancy with Large Multiple Uterine Leiomyomata.

Case Rep Obstet Gynecol 2021 19;2021:9988653. Epub 2021 Jun 19.

Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand.

Introduction: Termination of pregnancy in a patient with huge uterine leiomyomata poses significant challenges to clinicians. In this study, we report the successful termination of pregnancy in a patient with large multiple uterine leiomyomata using a combined regimen of drugs for medical abortion.

Case: A 42-year-old woman, 6 weeks pregnant, presented to the Family Planning Clinic with an unintended pregnancy. Read More

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