Reviews in Gynaecological Practice最新文献_第10页

Anorectal malformations in females—facts for the gynaecologist 女性肛肠畸形-妇科医生的事实

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/J.RIGP.2003.11.001

A. Vaidya

引用次数: 0

A review on vulval pain syndromes 外阴疼痛综合征的研究进展

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/J.RIGP.2003.11.005

M. Folch, D. Nunns

引用次数: 1

A review on vulval pain syndromes 外阴疼痛综合征的研究进展

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/j.rigp.2003.11.005

Marina Folch , David Nunns

{"title":"A review on vulval pain syndromes","authors":"Marina Folch , David Nunns","doi":"10.1016/j.rigp.2003.11.005","DOIUrl":"https://doi.org/10.1016/j.rigp.2003.11.005","url":null,"abstract":"<div><p>The vulval pain syndromes are enigmatic causes of vulval pain. Although not new conditions, only since the mid-1980s have the clinical descriptions of these women have been standardised. In 1991 the term vulvodynia and its subsets were introduced by the International Society for the Study of Vulval Diseases (ISSVD) to describe women with chronic vulval discomfort characterised by burning, stinging, rawness or irritation. The terminology is potentially confusing as vulvodynia was originally described as having subsets including both infective and dermatological diagnoses. These included vulval dermatoses (e.g. lichen sclerosus), vulval vestibulitis, vestibular papillomatosis, dysaesthetic (formerly essential vulvodynia) and cyclical vulvitis. This review article focuses on vulval vestibulitis and dysaesthetic vulvodynia as these relate to vulval pain when infection and organic causes have been excluded and together form the vulval pain syndromes. Recent interest in these pain syndromes probably relates to an increasing number of patients attending vulval clinics, patients’ demands and general increased awareness amongst women and health professionals.</p></div>","PeriodicalId":101089,"journal":{"name":"Reviews in Gynaecological Practice","volume":"4 1","pages":"Pages 10-19"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rigp.2003.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91761610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Therapeutic options in the management of interstitial cystitis 间质性膀胱炎的治疗选择

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/S1471-7697(03)00092-3

A. Rosamilia, P. Dwyer

引用次数: 4

Medical management of chronic pelvic pain: the evidence 慢性盆腔疼痛的医学治疗:证据

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/S1471-7697(03)00090-X

Alexander Swanton, Philip Reginald

{"title":"Medical management of chronic pelvic pain: the evidence","authors":"Alexander Swanton, Philip Reginald","doi":"10.1016/S1471-7697(03)00090-X","DOIUrl":"https://doi.org/10.1016/S1471-7697(03)00090-X","url":null,"abstract":"<div><p>Chronic pelvic pain (CPP) forms a significant number of referrals both in primary care and to gynaecology clinics. Much has been written and reported on the subject, however, it remains a poorly understood and managed condition. CPP is defined as recurrent or constant pain in the lower abdominal region that has lasted at least 6 months. A specialist in the field encompassed within a multidisciplinary setting should ideally manage CPP. The causes of CPP can be not only of a gynaecological nature, but also span other branches of medicine including urology, gastroenterology, rheumatology, genitourinary medicine and psychiatry. Investigations are often unrewarding in eliciting a cause for particular symptomatology, which highlights the difficulty in treating these patients. Most studies have been directed towards the major gynaecological causes of CPP including pelvic venous congestion, endometriosis, and pelvic inflammatory disease (PID). However, these have been limited and evaluated treatments are confined to small sample sizes. This review aims to provide evidence-based medical management of the main causes of CPP.</p></div>","PeriodicalId":101089,"journal":{"name":"Reviews in Gynaecological Practice","volume":"4 1","pages":"Pages 65-70"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1471-7697(03)00090-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89992007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Management of endometrial polyps: a clinical review 子宫内膜息肉的治疗:临床回顾

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/J.RIGP.2003.11.004

Malini Sharma, A. Taylor, A. Magos

引用次数: 14

Therapeutic options in the management of interstitial cystitis 间质性膀胱炎的治疗选择

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/S1471-7697(03)00092-3

Anna Rosamilia , Peter L. Dwyer

{"title":"Therapeutic options in the management of interstitial cystitis","authors":"Anna Rosamilia , Peter L. Dwyer","doi":"10.1016/S1471-7697(03)00092-3","DOIUrl":"https://doi.org/10.1016/S1471-7697(03)00092-3","url":null,"abstract":"<div><p>There are many uncertainties about the symptom complex which comprises urinary frequency, urgency and pain, and in the absence of any other cause is defined as interstitial cystitis (IC). The name itself is controversial. Should it be known as painful bladder, irritable bladder, chronic pelvic pain of the bladder or part of chronic pelvic pain syndrome? It is difficult to obtain a consensus view where to date there is no specific clinical sign, serum or urine marker, or tissue diagnosis. At the same time, the options available for the treatment of interstitial cystitis are continuing to increase. General and supportive measures are of great importance as is education and information through the support group network. Oral therapies such as amitriptyline, elmiron, hydroxyzine and analgesics including nonsteroidal anti-inflammatories can be useful. Intravesical dimethyl sulfoxide (DMSO) and/or heparin have proven efficacy. Sacral neuromodulation is an exciting development for those not responsive to conservative therapy; the surgical techniques continue to evolve and long-term evaluation is awaited. Major urologic surgery is occasionally required for a small percentage of IC patients. The evaluation of efficacy of treatments for IC is difficult because of factors such as the natural history of the condition with its flares and remissions, and the known placebo effect of 30%. Nonetheless, this is an important exercise which is currently underway and the results of the randomized controlled trials are eagerly awaited.</p></div>","PeriodicalId":101089,"journal":{"name":"Reviews in Gynaecological Practice","volume":"4 1","pages":"Pages 46-49"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1471-7697(03)00092-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91765016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Anorectal malformations in females—facts for the gynaecologist 女性肛肠畸形-妇科医生的事实

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/j.rigp.2003.11.001

Amrish S. Vaidya

{"title":"Anorectal malformations in females—facts for the gynaecologist","authors":"Amrish S. Vaidya","doi":"10.1016/j.rigp.2003.11.001","DOIUrl":"https://doi.org/10.1016/j.rigp.2003.11.001","url":null,"abstract":"<div><p>Anorectal malformations in females are characterized by an abnormal position of the anal orifice, anterior to the normal site. In such children, there is a close association between the anorectum and the genitourinary systems, with possible gynaecologic and obstetric implications. The malformations include a spectrum of defects, ranging from the least severe, where the anus opens on the perineum, to the most severe—the common cloaca. Here the urinary, genital and alimentary systems open into a common orifice. There is a high incidence of genital and urinary anomalies associated with the cloaca. At times, the vagina may have to be reconstructed. The surgery of anorectal anomalies is usually done through the posterior sagittal approach. This approach allows for good visualization and access to the anorectal and genital region. Frequently, it is possible to observe, but not correct the associated genital anomalies, which are usually asymptomatic in childhood. However, on attaining menarche, such anomalies may be manifest. Also, these anomalies may be of significance at the time of conception and childbirth.</p></div>","PeriodicalId":101089,"journal":{"name":"Reviews in Gynaecological Practice","volume":"4 1","pages":"Pages 7-9"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rigp.2003.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91682993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum to the “Abstracts for the International Congress on Gynaecological Endoscopy” “国际妇科内窥镜会议摘要”的勘误

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/S1471-7697(04)00027-9

E.H.A.A Al-Ojaimi

引用次数: 0

Management of minor cervical cytological abnormalities 轻微宫颈细胞学异常的处理

Reviews in Gynaecological Practice Pub Date : 2004-03-01 DOI: 10.1016/j.rigp.2003.09.001

Swati Chakravarti , Mahmood I Shafi

引用次数: 1