Gynecology and Minimally Invasive Therapy-GMIT最新文献_第10页

The Efficacy of Polyacrylamide Hydrogel (Bulkamid) Transurethral Injection System: The Outcome of Short-term Follow-up of 100 Cases. 聚丙烯酰胺水凝胶（Bulkamid）经尿道注射系统的疗效：100例近期随访结果。

IF 1.7

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-07-19 eCollection Date: 2025-07-01 DOI: 10.4103/gmit.GMIT-D-24-00027

Ekhlas Abdulraheem, Abdorrahman Attuwaybi, Ji Young Lee, Abeer Eddib

{"title":"The Efficacy of Polyacrylamide Hydrogel (Bulkamid) Transurethral Injection System: The Outcome of Short-term Follow-up of 100 Cases.","authors":"Ekhlas Abdulraheem, Abdorrahman Attuwaybi, Ji Young Lee, Abeer Eddib","doi":"10.4103/gmit.GMIT-D-24-00027","DOIUrl":"10.4103/gmit.GMIT-D-24-00027","url":null,"abstract":"Objectives: The injection of transurethral bulking agents is an office procedure that has been used as a primary and secondary treatment to improve urethral coaptation and restore urinary continence. The treatment has been available in the US since January 2020. In this study, we aim to present our experience with the efficacy of Bulkamid transurethral injection as a primary and secondary treatment among women with stress urinary incontinence (SUI) or mixed urinary incontinence.Materials and methods: This is a retrospective study that was performed on 100 patients who received Bulkamid as primary or secondary treatment. The data were collected by reviewing medical records. The procedure was performed in the office with the injection of local anesthesia. The patients were followed up approximately 30 days after the procedure and the efficacy of Bulkamid injection was evaluated.Results: One hundred patients were evaluated upon returning to the office. The mean age of patients was 62 years, and the mean body mass index was 29. Forty-eight patients have received Bulkamid treatment for stress incontinence as a primary procedure and 49 as a salvage procedure. The mean satisfaction reported by the patients was 53.7% for the primary group and 69.69% for the secondary group, with a P = 0.0187 which is statistically different. There are no complications reported in the follow-up.Conclusion: Bulkamid transurethral injection appears to be a safe and effective treatment option for women with primary and secondary SUI. There is a trend toward higher short-term satisfaction in patients with previous anti-incontinence procedures.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 3","pages":"241-245"},"PeriodicalIF":1.7,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

V-notes Sacrospinous Ligament Fixation for the Treatment of Apical Vaginal Prolapse. 骶棘韧带固定治疗阴道根尖脱垂。

IF 1.7

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-07-19 eCollection Date: 2025-07-01 DOI: 10.4103/gmit.GMIT-D-25-00016

Ahkam Göksel Kanmaz, Emrah Töz, Yaşam Kemal Akpak

引用次数: 0

Comparison of Single-port Robotic Surgery Using the Da Vinci SP Surgical System and Single-port Laparoscopic Surgery for Benign Indications. 达芬奇SP手术系统单孔机器人手术与单孔腹腔镜手术良性适应症的比较。

IF 1.7

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-07-19 eCollection Date: 2025-07-01 DOI: 10.4103/gmit.GMIT-D-24-00048

Hironori Miyamura, Yusuke Mizuno, Akiko Ohwaki, Mayuko Ito, Eiji Nishio, Haruki Nishizawa

{"title":"Comparison of Single-port Robotic Surgery Using the Da Vinci SP Surgical System and Single-port Laparoscopic Surgery for Benign Indications.","authors":"Hironori Miyamura, Yusuke Mizuno, Akiko Ohwaki, Mayuko Ito, Eiji Nishio, Haruki Nishizawa","doi":"10.4103/gmit.GMIT-D-24-00048","DOIUrl":"10.4103/gmit.GMIT-D-24-00048","url":null,"abstract":"Objectives: Robot-assisted surgery has become popular in Japan, especially with the introduction of the da Vinci SP® surgical system, which is a significant advancement in minimally invasive surgery. The da Vinci SP® surgical system, which enables single-port surgery, has recently been developed. This study aims to compare the surgical outcomes of conventional single-port laparoscopic surgery and single-port robotic surgery using the da Vinci SP surgical system.Materials and methods: We included 23 patients who underwent single-port robot-assisted total hysterectomy (SP-RAH) for uterine fibroids and 33 patients who underwent conventional single-port total laparoscopic hysterectomy (SP-TLH). Surgical outcomes from the 1st year after the introduction of the da Vinci SP® system were compared between the two techniques.Results: Surgical outcomes showed the following differences between the SP-RAH and SP-TLH groups: Weights of the resected uterus: 217 (90-500) g versus 256 (100-436) g (P = 0.06); intraoperative blood loss: 12 (4-147) mL versus 80 (10-780) mL (P < 0.01); total surgery duration: 199 (131-251) min versus 239 (110-282) min (P < 0.03); pneumoperitoneal surgery duration: 146 (90-221) min versus 186 (110-282) min (P = 0.03). SP-RAH showed significantly less blood loss and shorter operative durations.Conclusion: The da Vinci SP system allows the safe introduction of single-port total hysterectomy and improves surgical outcomes in the early stages compared to conventional single-port laparoscopy. Future studies may expand its use to improve wound alignment and reduce patient burden.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 3","pages":"229-233"},"PeriodicalIF":1.7,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laparoscopic Mesh-less Pectopexy for Uterine Prolapse with Simultaneous Total Laparoscopic Hysterectomy: Surgical Technique. 腹腔镜无网胸固定术联合腹腔镜全子宫切除术治疗子宫脱垂：手术技术。

IF 1.7

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-07-19 eCollection Date: 2025-07-01 DOI: 10.4103/gmit.GMIT-D-24-00023

Ismail Biyik, Georgios Grigoriadis, Sener Gezer, Angelos Daniilidis

引用次数: 0

A Decade-long Battle: Successful Stereotactic Radiotherapy for a Delayed Lung Metastasis from Endometrial Cancer. 长达十年的战斗：成功的立体定向放疗治疗子宫内膜癌延迟性肺转移。

IF 1.7

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-06-19 eCollection Date: 2025-07-01 DOI: 10.4103/gmit.GMIT-D-24-00004

Yukihiro Hama, Etsuko Tate

引用次数: 0

Surgical Management of Cervical Canal Stenosis with Clinical Tuberculosis Using Foley's Catheter Stent: A Case Report. Foley导管支架治疗颈椎管狭窄伴临床结核1例。

IF 1.7

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-06-16 eCollection Date: 2025-07-01 DOI: 10.4103/gmit.GMIT-D-24-00046

Dheerja Sachdeva, Rohan Singhal, Sonum Sachdeva, Sachit Sachdeva

{"title":"Surgical Management of Cervical Canal Stenosis with Clinical Tuberculosis Using Foley's Catheter Stent: A Case Report.","authors":"Dheerja Sachdeva, Rohan Singhal, Sonum Sachdeva, Sachit Sachdeva","doi":"10.4103/gmit.GMIT-D-24-00046","DOIUrl":"10.4103/gmit.GMIT-D-24-00046","url":null,"abstract":"Uterine cervical canal stenosis can lead to significant complications, particularly in the context of active clinical tuberculosis. This case study discusses a 25-year-old woman with undiagnosed clinical tuberculosis who presented with amenorrhea and persistent abdominal pain. Further evaluation revealed uterine cervical canal stenosis and frozen pelvis. Surgical intervention was necessary after confirming the diagnosis through clinical assessment. A laparotomy with hysterotomy was performed, during which a Foley's catheter was used to create a patent uterocervical channel. This innovative approach successfully alleviated her abdominal pain and restored her menstrual function. The patient's recovery was smooth, and her symptoms improved markedly. This case underscores the importance of recognizing cervical stenosis as a potential consequence of tuberculosis and demonstrates the effectiveness of surgical treatment in managing complex cases without resorting to hysterectomy or bilateral salpingo-oophorectomy, thereby preserving reproductive potential for women of childbearing age.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 3","pages":"268-271"},"PeriodicalIF":1.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reliability of Digital Palpation to Perineometeric Scoring for Assessment of Pelvic Floor Muscle Strength: A Comparative Study. 数字触诊与会阴计分法评估盆底肌力的可靠性：一项比较研究。

IF 1.7

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-06-10 eCollection Date: 2025-07-01 DOI: 10.4103/gmit.gmit_72_24

Alisha Rai, Sanjeev Kumar Jain, Nidhi Sharma, Astha Lalwani, Sonika Sharma

{"title":"Reliability of Digital Palpation to Perineometeric Scoring for Assessment of Pelvic Floor Muscle Strength: A Comparative Study.","authors":"Alisha Rai, Sanjeev Kumar Jain, Nidhi Sharma, Astha Lalwani, Sonika Sharma","doi":"10.4103/gmit.gmit_72_24","DOIUrl":"10.4103/gmit.gmit_72_24","url":null,"abstract":"Objectives: This study aimed to assess the level of agreement between digital palpation and perineometeric scoring in measuring the strength of PFM. The objective was to ascertain the worth of digital assessment, enabling healthcare professionals to utilize it as a convenient screening and evaluation tool without the requirement of acquiring specialized equipment.Materials and methods: This study included 435 Indian women between the ages of 18 and 55 years. The researchers evaluated PFMS using digital palpation and perineometeric scoring. Urogenital surgery, incontinence, and a history of pelvic organ prolapse were excluded. The data analysis encompassed demographic variables, the kappa coefficient, Pearson's correlation, and regression analysis.Results: The average age was 30 years, and the average body mass index was 23.95. The majority of individuals were nulliparous. The assessment of PFMS was conducted satisfactorily, demonstrating a significant level of agreement (κ = 0.63) between digital palpation and perineometeric scoring. The regression analysis provided confirmation of the reliability, with an R-value of 0.954 and an R-square value of 0.910.Conclusion: It is essential to have dependable techniques to evaluate PFMS in Indian women. The outcomes highlight the need of using standardized evaluation methods and taking demographic factors into account. The low engagement of women, particularly prior to childbirth, in PFM activities highlights the importance of promoting knowledge and understanding. This study enhances the management of pelvic floor dysfunction and underscores the significance of accurate assessment for optimal treatment planning.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 3","pages":"223-228"},"PeriodicalIF":1.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative Long-term Outcomes of Laparoscopic Radical Hysterectomy with Sentinel Node Navigation and Open Surgery for Cervical Cancer. 前哨淋巴结导航腹腔镜根治性子宫切除术与开放手术治疗宫颈癌的远期疗效比较。

IF 1.7

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-05-30 eCollection Date: 2025-07-01 DOI: 10.4103/gmit.GMIT-D-24-00003

Shinichi Togami, Nozomi Furuzono, Mika Fukuda, Hiroaki Kobayashi

{"title":"Comparative Long-term Outcomes of Laparoscopic Radical Hysterectomy with Sentinel Node Navigation and Open Surgery for Cervical Cancer.","authors":"Shinichi Togami, Nozomi Furuzono, Mika Fukuda, Hiroaki Kobayashi","doi":"10.4103/gmit.GMIT-D-24-00003","DOIUrl":"10.4103/gmit.GMIT-D-24-00003","url":null,"abstract":"Objectives: Minimally invasive surgery (MIS) for cervical cancer is associated with poorer outcomes compared with open surgery. The Laparoscopic Approach to Cervical Cancer trial revealed an increased recurrence and mortality risk after MIS. We aimed to compare the long-term outcomes of laparoscopic radical hysterectomy (LRH) with those of sentinel node navigation surgery (SNNS) and open surgery for cervical cancer, emphasizing techniques to prevent cancer spillages.Materials and methods: We retrospectively analyzed data from 103 patients with cervical cancer who underwent radical hysterectomy at Kagoshima University Hospital between 2007 and 2023. The patients were divided into the LRH with SNNS and open surgery groups. All LRH procedures involved closing the vagina using a vaginal cuff without a uterine manipulator. Clinicopathological factors and oncological outcomes, including 5-year recurrence-free survival (RFS) and overall survival (OS), were compared between the groups.Results: The 5-year RFS and OS rates were 92.7% and 94% and 85.5% and 88.3% for LRH and open surgery, respectively, with no significant intergroup differences. No peritoneal dissemination or recurrence was observed in the LRH group. LRH with SNNS procedure achieved 100% sentinel node identification, and lower extremity lymphedema or pelvic lymphocele did not occur.Conclusion: LRH with SNNS and open surgery for cervical cancer exhibited comparable long-term outcomes. Vaginal closure using a vaginal cuff without a uterine manipulator is crucial for preventing cancer spillage. Combining LRH with SNNS is less invasive and avoids compromising oncological outcomes. High-quality randomized controlled trials are required to validate these findings.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 3","pages":"234-240"},"PeriodicalIF":1.7,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prediction of Factors Contributing to Continued Voiding Dysfunction in Patients with Pelvic Organ Prolapse. 盆腔器官脱垂患者持续排尿功能障碍因素的预测。

IF 1.7

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-05-30 eCollection Date: 2025-10-01 DOI: 10.4103/gmit.GMIT-D-24-00002

Kenji Kuroda, Koetsu Hamamoto, Kazuki Kawamura, Ayako Masunaga, Akio Horiguchi, Keiichi Ito

{"title":"Prediction of Factors Contributing to Continued Voiding Dysfunction in Patients with Pelvic Organ Prolapse.","authors":"Kenji Kuroda, Koetsu Hamamoto, Kazuki Kawamura, Ayako Masunaga, Akio Horiguchi, Keiichi Ito","doi":"10.4103/gmit.GMIT-D-24-00002","DOIUrl":"10.4103/gmit.GMIT-D-24-00002","url":null,"abstract":"Objectives: Postoperative voiding dysfunction has been observed soon after surgically correcting pelvic organ prolapse (POP) and stress urinary incontinence, but it often resolves after a few months postoperatively. The causes of continued voiding dysfunction after POP repair remain unclear. The present study investigated significant predictors of postoperative prolonged voiding dysfunction.Materials and methods: The study enrolled 174 patients who underwent surgery for POP at our hospital, including 90 and 84 patients treated with laparoscopic sacrocolpopexy and transvaginal mesh surgery, respectively. Prolonged voiding dysfunction is defined as postvoid residual (PVR) urine volume of ≥100 mL at 3 months postoperatively. Pearson's Chi-squared test and multiple logistic regression analysis were conducted to assess independent factors for prolonged voiding dysfunction.Results: Pearson's Chi-squared test revealed that patients with PVR of ≥100 mL preoperatively and PVR of ≥100 mL at 2-3 days or 1 month postoperatively, as well as postoperative catheter usage demonstrated a greater association with PVR of >100 mL at 3 months postoperatively. Multiple logistic regression analysis exhibited only PVR of ≥100 mL at 1 month postoperatively as an independent factor for PVR of ≥100 mL at 3 months postoperatively in the multivariate analysis (odds ratio: 42.79; 95% confidence interval: 3.776-484.8405; P = 0.0024).Conclusion: PVR of ≥100 mL at 1 month postoperatively may be a significant predictor of PVR of ≥100 mL at 3 months postoperatively. Appropriate management should be given to patients with PVR of ≥100 mL at 1 month postoperatively to prevent long-term urinary problems.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"311-317"},"PeriodicalIF":1.7,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring Intersections: Endometrial and Ovarian Cancer Investigations. 探索交叉点：子宫内膜癌和卵巢癌的调查。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2025-05-22 eCollection Date: 2025-04-01 DOI: 10.4103/gmit.GMIT-D-25-00020

Chyi-Long Lee

引用次数: 0