1,147 results match your criteria transvaginal transabdominal


Evaluation of surgical approaches for vesicovaginal fistulae repair: the case for transvaginal repair as the gold standard.

Int Urogynecol J 2021 Jun 11. Epub 2021 Jun 11.

Division of Urology, Department of Surgery, Southern Alberta Institute of Urology, University of Calgary, Calgary, Alberta, Canada.

Introduction And Hypothesis: To highlight the success rates of two approaches of transvaginal vs. transabdominal closures for the vesicovaginal fistula (VVF) repair and to investigate the patient, fistula, and surgical factors relevant to surgical characteristics and successful outcomes.

Methods: Retrospective analysis of 66 consecutive patients who underwent VVF repair between 2005 and 2020. Read More

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Clinical Presentation, Patient Assessment, Anatomy, Pathophysiology, and Imaging of Pelvic Venous Disease.

Semin Intervent Radiol 2021 Jun 3;38(2):233-238. Epub 2021 Jun 3.

Division of Interventional Radiology, Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Pelvic venous disorders (PeVDs) can result in several different clinical presentations, but can be challenging to distinguish from other etiologies of chronic pelvic pain (CPP). Clinical evaluation of CPP patients optimally should be performed in a multidisciplinary fashion and patients who may have PeVD should be referred for consultation with a vascular interventionalist whose evaluation would utilize an imaging workup to search for pelvic varices. Additionally, it is critical to quantify the quality-of-life effects of all CPP to determine the impact on the patient's overall health. Read More

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Transabdominal cerclage in early pregnancy for cervical shortening after radical trachelectomy: A case report.

Case Rep Womens Health 2021 Jul 20;31:e00323. Epub 2021 May 20.

Department of Obstetrics and Gynecology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara Nishihara, Okinawa 903-0215, Japan.

Radical trachelectomy (RT) is a method of fertility preservation for patients with early invasive uterine cervical cancer stage IA2 or IB1 with a tumor diameter of ≤2 cm. However, women who have undergone RT have high risks of abortion and premature birth. To prevent premature birth, cervical cerclage is performed in patients with an ultra-short cervix, but the portio vaginalis is not visible in these patients, and transvaginal uterine cervical cerclage is almost impossible. Read More

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Endometriosis, the hidden enemy: multivariable fractional polynomial approach for evaluation of preoperative risk factors in the absence of ureteral dilation.

Fertil Steril 2021 May 4. Epub 2021 May 4.

Gynecology and Human Reproduction Physiopathology, Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Objective: To determine whether it is possible to predict the risk of ureteral endometriosis (UE) using a mathematical model based on preoperative findings.

Design: Prospective observational study conducted between January 2017 and April 2020.

Setting: Tertiary-level academic referral center. Read More

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ACR Appropriateness Criteria® Postmenopausal Acute Pelvic Pain.

J Am Coll Radiol 2021 May;18(5S):S119-S125

Specialty Chair, University of Toronto and Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Acute pelvic pain is a common presenting complaint in both the emergency room and outpatient settings. Pelvic pain of gynecologic origin in postmenopausal women occurs less frequently than in premenopausal women; however, it has important differences in etiology. The most common causes of postmenopausal pelvic pain from gynecologic origin are ovarian cysts, uterine fibroids, pelvic inflammatory disease, and ovarian neoplasm. Read More

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Transvaginal primary layered repair of postsurgical urethrovaginal fistula.

Int Urogynecol J 2021 May 5. Epub 2021 May 5.

ASST Monza, Ospedale San Gerardo, via G.B. Pergolesi, 33 20900, Monza, Italy.

Introduction And Hypothesis: Urethrovaginal fistula (UVF) is a rare disorder, which implies the presence of an abnormal communication between the urethra and the vagina.

Methods: Surgical repair options include transurethral, transabdominal and transvaginal procedures, either with or without tissue interposition. The vaginal route is considered a safe and effective option to correct UVF. Read More

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Conservative treatment for hypervascularised placental polyp with secondary haemoperitoneum: a case report.

Acta Biomed 2021 04 30;92(S1):e2021157. Epub 2021 Apr 30.

Department of Medicine and Surgery, Unit of Surgical Sciences, Obstetrics and Gynecology University of Parma.

Objective: We describe the first case to our knowledge of Hypervascularised placental polyp (HPP) presenting with acute pelvic pain and hemoperitoneum.

Case Report: A 33 years-old woman with a history of medical abortion three months earlier came to our attention complaining acute pelvic pain and vaginal bleeding. Transvaginal (TV) and transabdominal (TA) ultrasound (US) demonstrated a highly vascular intrauterine lesion and intra-abdominal free fluid consistent with a diagnosis of haemoperitoneum. Read More

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Combined transvaginal and transabdominal oocyte retrieval in a patient with an ectopic ovary and unicornuate uterus.

Fertil Steril 2021 May;115(5):1347-1349

Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medical College, New York, New York.

Objective: To report the utility of combined transvaginal and transabdominal oocyte retrieval in a patient with an ectopic ovary and unicornuate uterus.

Design: Video case report with demonstration of oocyte retrieval technique.

Setting(s): University-affiliated fertility center. Read More

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Transvaginal Evisceration of the Small Bowel More Than 15 Years After Abdominal Hysterectomy and Vaginal Surgery.

Cureus 2021 Mar 17;13(3):e13955. Epub 2021 Mar 17.

Obstetrics and Gynaecology, Russells Hall Hospital, The Dudley Group NHS Foundation Trust, Dudley, GBR.

Transvaginal evisceration of the intra-abdominal organs is a rare emergency event. In this paper, we discuss the case of a 97-year-old female who presented to the emergency department due to abdominal pain and a large prolapse with visible extrusion of the small bowel per vagina. Past surgical history was significant for a total abdominal hysterectomy and surgical repair for pelvic organ prolapse; both performed more than 15 years prior to the patient's current presentation. Read More

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Preoperative staging of advanced ovarian cancer: comparison between ultrasound, CT and WB-DWI/MRI (ISAAC).

Ultrasound Obstet Gynecol 2021 Apr 19. Epub 2021 Apr 19.

Gynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital in Prague.

Objectives: To evaluate transvaginal and transabdominal ultrasound for assessment of sites of disease and prediction of non-resectability compared with the first-line staging method (CT, computed tomography) and a novel technique (WB-DWI/MRI, whole-body magnetic resonance imaging with diffusion-weighted sequence) in patients with suspected ovarian cancer.

Methods: New patients planned for ovarian cancer surgery at a Gynecologic oncology centre were enrolled. They underwent preoperative staging and prediction of non-resectability with ultrasound, CT, and WB-DWI/MRI, following a single predefined evaluation. Read More

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Handheld transabdominal ultrasound, after limited training, may confirm first trimester viable intrauterine pregnancy: a prospective cohort study.

Scand J Prim Health Care 2021 Apr 14:1-8. Epub 2021 Apr 14.

Department of Clinical Science, University of Bergen, Bergen, Norway.

Objectives: Handheld point-of-care abdominal ultrasound (POCUS) may be used by primary care physicians while vaginal ultrasound is limited to use in specialist care. We aimed to compare abdominal handheld ultrasound to vaginal ultrasound in determining first trimester viable intrauterine pregnancy and estimate gestational length.

Design: Prospective cohort study. Read More

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Long-Term Medical Therapy after Laparoscopic Excision of Ovarian Endometriomas: Can We Reduce and Predict the Risk of Recurrence?

Gynecol Obstet Invest 2021 13;86(1-2):170-176. Epub 2021 Apr 13.

Gynecology and Human Reproduction Physiopathology, Dipartimento di Scienze Mediche e Chirurgiche (DIMEC), IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Objectives: Up to 32% of women experience anatomic recurrence after conservative surgery for endometriomas, while pain recurs in 10-40% of cases. Long-term postoperative hormonal therapy is recommended to prevent disease recurrence. We evaluated the efficacy of long-term therapy with estroprogestins (EPs) or progestins (Ps) in preventing endometrioma recurrence, as identifiable cysts and subjective symptoms, after laparoscopic excision. Read More

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[Diagnostic nomograms for the treatment of urogenital fistula].

Urologiia 2021 Mar(1):13-20

Department of Urology of A. I. Evdokimov Moscow State University of Medicine and Dentistry.

Aim: Studies on non-obstetric urogenital fistula provide limited information on predictive factors. The aim of our study was to specify and to analyze the predictors for long-term anatomical and functional results in women with non-obstetric urogenital fistula.

Materials And Methods: A cross-section study of surgical repair for non-obstetric urogenital fistula repairs was carried out. Read More

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Opioid prescribing and risks among commercially insured women undergoing pelvic organ prolapse repair.

Pharmacoepidemiol Drug Saf 2021 Apr 2. Epub 2021 Apr 2.

Department of Urology, Weill Cornell Medical College/New York Presbyterian, New York, New York, USA.

Purpose: Opioid use after surgical repair for pelvic organ prolapse (POP) is intended for short-term post-operative pain. This study compared the incidence of opioid prescribing in women undergoing POP transabdominal repair with mesh and transvaginal native tissue repair.

Methods: A retrospective cohort of women undergoing POP transabdominal repair with mesh or transvaginal native tissue repair, was derived from a 10% random sample of enrollees from 2007 to 2015 within the IQVIA PharMetrics® Plus Database. Read More

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Predicting Malignancy in Adnexal Masses by the International Ovarian Tumor Analysis-Simple Rules.

J Midlife Health 2020 Oct-Dec;11(4):217-223. Epub 2021 Jan 21.

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Background: Accurate prediction of adnexal tumors preoperatively is critical for optimal management of ovarian cancers. The International Ovarian Tumor Analysis Algorithms (IOTA) is a newer tool to characterize adnexal masses as benign or malignant.

Objective: This study is aimed to predict malignancy in adnexal masses and differentiates benign from malignant, applying the sonography features of simple rules given by IOTA. Read More

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January 2021

Variation in the uterine arteries Doppler parameters when obtained transvaginally or transabdominally at different sampling locations.

J Matern Fetal Neonatal Med 2021 Mar 3:1-8. Epub 2021 Mar 3.

Fetal Medicine Research Center, Fetal Medicine México, Querétaro, México.

Introduction: To evaluate differences in Doppler velocimetry parameters when the uterine arteries (UtA) are evaluated transabdominally (TA) at different sampling locations and transvaginally (TV).

Materials And Methods: Five hundred and fifty-seven pregnant women were evaluated between 11 and 39 weeks of gestation. The mean UtA pulsatility index (PI) and prevalence of bilateral notching were obtained at four different locations: (1) TA just above the crossing with the iliac artery; (2) TA just below the crossing with the iliac artery; (3) TA well above approximately 3 cm away from the crossing with the iliac artery; and (4) TV at the point closest to the internal cervical os. Read More

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Stratification of pregnancy care based on risk of pre-eclampsia derived from uterine artery Doppler at 19-24 weeks' gestation.

Ultrasound Obstet Gynecol 2021 Mar 1. Epub 2021 Mar 1.

Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London, UK.

Objectives: There were two objectives of this study. First, to examine the value of uterine artery pulsatility index (UtA-PI) at 19-24 weeks' gestation in the prediction of subsequent development of pre-eclampsia (PE) and to compare the performance of screening between the use of, first, fixed cut-offs of UtA-PI, second, percentile cut-offs of UtA-PI adjusted for gestational age, third, a competing-risks model combining maternal demographic characteristics and medical history with UtA-PI, and, fourth, a competing-risks model combining maternal factors with UtA-PI and mean arterial pressure (MAP). Second, to stratify pregnancy care based on the estimated risk of PE at 19-24 weeks' gestation from UtA-PI and combinations of maternal factors with UtA-PI and MAP. Read More

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Robotic assisted proximal dorsal urethral diverticulectomy.

Int Urogynecol J 2021 Feb 26. Epub 2021 Feb 26.

Department of Urology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Introduction And Hypothesis: Urethral diverticula are rare but clinically significant entities among female patients. Ventrally located, mid-to distal, simple or horseshoe diverticula are most commonly observed and are usually repaired via a transvaginal approach with varying levels of difficulty but high success rates. Dorsally (anteriorly) located urethral diverticula are more challenging to repair secondary to the need to access the side of the urethra opposite the vaginal lumen, abutting the external urethral sphincter. Read More

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February 2021

Efficacy of two micronized purified flavonoid fraction dosing regimens in the pelvic venous pain relief.

Int Angiol 2021 Jun 26;40(3):180-186. Epub 2021 Feb 26.

Savelyev University Surgical Clinic, Pirogov Russian National Research Medical University, Moscow, Russia.

Background: The venoactive drug treatment regimen for pelvic venous disorders (PeVDs) is not finally established. The study aimed at assessing the efficacy of micronized purified flavonoid fraction (MPFF) in a standard or double dose in the pelvic venous pain (PVP) relief in PeVD.

Methods: We analyzed the treatment efficacy in 125 female patients with PeVD, who were allocated to two groups with MPFF treatment in a regular dose of 1000 mg once daily (OD) for 2 months (N. Read More

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Vitamin D as a risk factor for the presence of asymptomatic uterine fibroids in premenopausal Han Chinese women.

Fertil Steril 2021 May 12;115(5):1288-1293. Epub 2021 Feb 12.

State Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, People's Republic of China; School of Public Health and Management, Chongqing Medical University, Chongqing, People's Republic of China. Electronic address:

Objectives: To investigate the relationship between vitamin D deficiency and the risk of asymptomatic uterine fibroids (UFs).

Design: Cross-sectional study.

Setting: University hospital. Read More

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Feasibility and Accuracy of Early Fetal Echocardiography Performed at 13-13 Weeks in a Population with Low and High Body Mass Index: a Prospective Study.

Reprod Sci 2021 Feb 8. Epub 2021 Feb 8.

Department of Obstetrics and Gynecology, Hospital Universitario Materno Infantil de Canarias, Las Palmas de Gran Canaria, Spain.

Purpose: The earlier the detection and diagnosis of congenital heart diseases (CHD), the greater the clinical benefit; however, early fetal cardiac examination can be a challenge. The aim of our study is to demonstrate that the fetal cardiac examination at 13-13 weeks can be as adequately assessed as the examination performed at 16 weeks in patients with low and high body mass index (BMI).

Methods: The study was a prospective observational cohort study. Read More

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February 2021

Fractured copper intrauterine device (IUD) retained in the uterine wall leading to hysterectomy: A case report.

Case Rep Womens Health 2021 Jan 23;29:e00287. Epub 2021 Jan 23.

Twins Springs Gynecology, Massillon, OH 44646, United States of America.

Several types of contraception methods exist, and among these are hormonal and non-hormonal intrauterine devices (IUDs). Cases have been reported of fractured IUD pieces and retention of copper fragments upon attempted removal in office. These findings suggest the importance of careful removal of an IUD by providers. Read More

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January 2021

Surgical management of the rectocele - An update.

J Visc Surg 2021 04 22;158(2):145-157. Epub 2021 Jan 22.

Department of digestive and general surgery, Aix Marseille university, Timone hospital, Assistance publique-Hopitaux de Marseille (AP-HM), 13354 Marseille, France.

Rectocele is defined as a hernia of the rectum with protrusion of the anterior rectal wall through the posterior wall of the vagina. This condition occurs commonly, with an estimated prevalence of 30-50% of women over age 50. The symptomatology that leads to consultation is variable but consists predominantly of anorectal and/or gynecological complaints such as dyschezia, requiring digital disimpaction maneuvers, pelvic heaviness, anal incontinence, or dyspareunia. Read More

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Ultrasound evaluation of the uterus in the uncomplicated postpartum period: a systematic review.

Am J Obstet Gynecol MFM 2021 05 23;3(3):100318. Epub 2021 Jan 23.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA (Dr Bellussi and Dr Berghella). Electronic address:

Objective: The aim of this systematic review and meta-analysis was to define the means and the upper limits of normal for endometrial thickness and uterine measurements in uncomplicated pregnancies at different postpartum periods.

Data Sources: A search was conducted in the Medline, Embase, Cinahl, and Clinicaltrials.gov databases up to January 30, 2020. Read More

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Reliability of the application of transvaginal color Doppler ultrasound in the identification of pelvic tumors in women of childbearing age.

Ann Transl Med 2020 Dec;8(24):1662

Department of Obstetrics and Gynecology, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.

Background: Recently, transvaginal color Doppler ultrasound (TVCDU) has been widely used in the diagnosis of pelvic tumors. This study aimed to assess the reliability of the application of TVCDU in the identification of pelvic tumors in women of childbearing age.

Methods: The clinical data of 209 patients with pelvic tumors at childbearing age admitted to our hospital from January 2016 to December 2019 were retrospectively analyzed. Read More

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December 2020

Universal transvaginal cervical length screening during pregnancy increases the diagnostic incidence of low-lying placenta and placenta previa.

Am J Obstet Gynecol MFM 2021 01 9;3(1):100255. Epub 2020 Oct 9.

Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH.

Background: Universal transvaginal cervical length screening has been increasingly implemented with both positive and negative consequences.

Objective: In this study, we described the diagnostic incidence of low-lying placenta and placenta previa with the implementation of universal transvaginal cervical length screening.

Study Design: This is a retrospective cohort study of women undergoing midtrimester universal transvaginal cervical length screening. Read More

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January 2021

Impact of vesicovaginal fistula repair on urinary and sexual function: patient-reported outcomes over long-term follow-up.

Int Urogynecol J 2021 Jan 9. Epub 2021 Jan 9.

Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

Introduction And Hypothesis: While the anatomical closure rates of vesicovaginal fistula (VVF) following transabdominal (TA) and transvaginal (TV) repairs seem comparable, studies comparing urinary and sexual outcomes following successful repair are lacking. We aimed to report patient-reported outcomes on sexual and urinary functions after long-term follow-up with successful repair.

Methods: We retrospectively reviewed 81 women who had successful VVF repair at our institute. Read More

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January 2021

Post-caesarean Niche (Isthmocele) in Uterine Scar: An Update.

J Obstet Gynaecol India 2020 Dec 21;70(6):440-446. Epub 2020 Sep 21.

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 3082 A, 3rd Floor, Teaching Block, Ansari Nagar, New Delhi, 110029 India.

Uterine niche is one of the emerging complications of caesarean section. With rising caesarean rates, the caesarean-related iatrogenic complications are also on the rise. These include placenta accreta, scar ectopic pregnancy and uterine niche which is a newer entity being described in the recent literature. Read More

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December 2020

Cervical Cerclage: A Review and Rethinking of Current Practice.

Obstet Gynecol Surv 2020 Dec;75(12):757-765

Fellow in Minimally Invasive Gynaecological Surgery, Epworth Hospital, Richmond, Australia.

Importance: Cervical insufficiency (CI) is a serious complication of pregnancy, which can cause preterm birth. Identifying how to most effectively treat CI has the potential to maximize neonatal survival in this population of women.

Objective: To determine whether transabdominal cervical cerclage should be offered as a first-line treatment option in high-risk women. Read More

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December 2020

Acute abdomen or life-threatening heterotopic pregnancy with tubal rupture: where does imaging play a role?

BMJ Case Rep 2020 Dec 23;13(12). Epub 2020 Dec 23.

Radiology, University Hospitals of Leicester NHS Trust, Leicester, UK.

Heterotopic pregnancy (HP) is a rare, potentially life-threatening complication of an intrauterine pregnancy with a simultaneous ectopic pregnancy. There is a higher incidence with assisted reproduction techniques (ART) and radiology can be pivotal in its diagnosis. A 28-year-old woman underwent ART and at 7 weeks' gestation presented with acute right iliac fossa pain. Read More

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December 2020