Przeglad Menopauzalny最新文献

{"title":"COVID-19 phobia, personality traits and menopausal symptoms in women in the climacteric period.","authors":"Hülya Özberk, Dilek Bilgiç, Fatma Gül Arı, Mehmet Özeren, Melih Başoğlu","doi":"10.5114/pm.2024.143468","DOIUrl":"10.5114/pm.2024.143468","url":null,"abstract":"<p><strong>Introduction: </strong>Menopausal symptoms in women are influenced by personality traits as well as physical and psychological characteristics. The effects of coronavirus disease 2019 (COVID-19) phobia on personality traits and menopausal symptoms in premenopausal and postmenopausal women were examined in this study.</p><p><strong>Material and methods: </strong>The study was conducted in a cross-sectional and descriptive design with 410 women. The data were collected using a descriptive data form, the COVID-19 phobia scale, the menopause rating scale, and the Cervantes personality scale.</p><p><strong>Results: </strong>In this study, 46.8% of the women were premenopausal and 53.2% were postmenopausal. The mean age was 42.9 ±1.97 years in premenopausal women and 50.9 ±2.94 years in postmenopausal women. The psychological, social, and total COVID-19 phobia scores were found to be higher in postmenopausal women than premenopausal women. Postmenopausal women showed more introverted personality traits than premenopausal women. COVID-19 phobia affected postmenopausal women more than premenopausal women in terms of psychological, social and all menopausal symptoms. As COVID-19 phobia increased, neurotic personality traits increased in premenopausal women, and introverted and neurotic personality traits increased in postmenopausal women (p < 0.05). Menopausal symptoms increased with neurotic personality traits in premenopausal women and with introverted personality traits in postmenopausal women (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>COVID-19 phobia affected both groups in terms of menopausal symptoms and personality traits. For the management of menopausal symptoms, it is recommended to consider neurotic personality traits in premenopausal women and introverted personality traits in postmenopausal women.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 3","pages":"133-139"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513530","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}

{"title":"Level of body mass index, functional fitness, quality of life, and satisfaction with life among women aged 60+ years participating in an organised pro-health training programme.","authors":"Maria Krystyna Gacek, Agnieszka Wojtowicz, Grażyna Kosiba, Magdalena Majer, Joanna Gradek, Olga Czerwińska-Ledwig","doi":"10.5114/pm.2024.143478","DOIUrl":"10.5114/pm.2024.143478","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the study is to assess changes in body mass index (BMI), functional fitness, satisfaction with and quality of life among women 60+ years after participating in a 9-month organised health training programme.</p><p><strong>Material and methods: </strong>Research on a group of 74 women aged 60-83 years (M = 67.8; SD = 5.1) was conducted twice, at the beginning and after 9 months of the health training programme (90 minutes, twice a week). The following tools were used in the research: SECA model 764 device, Fullerton functional fitness test, the World Health Organization Quality of Life questionnaire, and the satisfaction with life scale. Calculations were performed using the Statistica 13.1 program, via Pearson's and Spearman's correlation coefficients as well as Student's <i>t</i>-test for dependent measurements and the Wilcoxon paired test. Interactive repeated measures analysis of variance was also used. The assumed level of significance was α = 0.05.</p><p><strong>Results: </strong>Comparing the results before and after implementing the health training programme, it was found that the average BMI value decreased (<i>p</i> < 0.001), while the functional fitness indicators, including the tests: 30-second chair stand (<i>p</i> < 0.001), 30-second arm curl (<i>p</i> < 0.001), back scratch (<i>p</i> = 0.001) and two-minute step-in-place (<i>p</i> = 0.002), increased. Between the first and second measurement, differences in quality of life profiles were also demonstrated, with 3 aspects of quality of life intensifying (somatic, psychological, and environmental), the psychological aspect increasing the most.</p><p><strong>Conclusions: </strong>The obtained results confirmed the positive impact of the 9-month health training programme on the BMI, functional fitness, and quality of life of women above the age of 60 years.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 3","pages":"117-126"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513531","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}

{"title":"Preoperative uterine artery embolisation before hysterectomy in women with giant uterine fibroid and HIV-associated nephropathy.","authors":"Filip Szkodziak, Sławomir Woźniak, Łukasz Światłowski, Emilia Maleszyk, Piotr Szkodziak, Krzysztof Pyra, Viktor Berczi, Tomasz Paszkowski, Tomasz Jargiełło","doi":"10.5114/pm.2024.143483","DOIUrl":"10.5114/pm.2024.143483","url":null,"abstract":"<p><p>Uterine fibroids are the most common pelvic benign tumours occurring in women of reproductive age. Current treatment options include surgical procedures, pharmacological therapies, and minimally invasive procedures. The most commonly applied and accepted minimally invasive procedure used in the treatment of symptomatic uterine fibroid is uterine artery embolisation (UAE). Uterine artery embolisation is a minimally invasive procedure that can be used either as an auxiliary method or the main treatment method of symptomatic uterine fibroids. We would like to present the application of pre-operative UAE before hysterectomy in anaemic women with giant uterine fibroid (21.9 × 14.9 × 10.4 cm) and HIV-associated nephropathy. Among the possible treatment options for uterine fibroids in cases like the one presented in our manuscript, hysterectomy is the treatment of choice. However, surgical treatment in a patient with severe comorbid conditions and giant uterine fibroid carries serious risk of perioperative complications. Pre-operative UAE decreases such risk by reducing blood loss during hysterectomy and shortening operation/anaesthesia time. Although the benefits of pre-operative UAE before planned myomectomy or hysterectomy in high surgical risk patients with large fibroids has yet to be confirmed in a well-designed clinical trial, this procedure seems to be a promising tool to reduce the risk of perioperative complications in such patients.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 3","pages":"159-162"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516754","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}

{"title":"Response to the paper by Carranza-Lira S <i>et al</i>. The relationship between carotid intima-media thickness and cognitive function and depression in postmenopausal women. Prz Menopauz 2023; 22: 21-23.","authors":"Christian Saleh, Hrvoje Budincevic","doi":"10.5114/pm.2024.143467","DOIUrl":"10.5114/pm.2024.143467","url":null,"abstract":"","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 3","pages":"163-165"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513533","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}

{"title":"Serum fibronectin levels in malignant and benign endometrial diseases.","authors":"Dimitar Mitev, Sergei Slavov, Georgi Dimitrov, Irena Shikova, Julieta Hristova, Stoyan Kostov, Angel Yordanov","doi":"10.5114/pm.2024.143419","DOIUrl":"10.5114/pm.2024.143419","url":null,"abstract":"<p><strong>Introduction: </strong>Endometrial cancer is currently the most common malignancy of the female reproductive system. The significance of the disease is determined by the search for additional biomarkers with the aim to optimize earlier diagnosis and to help for timely treatment. The objective of this study was to assess the serum levels of fibronectin (FN) in patients with malignant endometrial pathology and to compare them with patients with benign pathology and healthy women.</p><p><strong>Material and methods: </strong>We analyzed serum FN levels in women with malignant and benign pathology of the endometrium. Blood serum samples were collected from 100 patients - 50 diagnosed with endometrial cancer and 50 with confirmed endometrial polyps. In addition, 50 control subjects were tested. Fibronectin levels were measured by enzyme-linked immunosorbent assay (ELISA) according to the protocol.</p><p><strong>Results: </strong>Statistical analysis was performed and the results demonstrated statistical significances (<i>p</i> = 0.008) of FN levels in the group with endometrial cancer (mean 482.73, median 409.12 µg/ml) compared to the control group (mean 346.86, median 258.87 µg/ml), but no significant difference in FN levels was observed between the group with endometrial malignancy and the group with benign pathology of the endometrium. In addition, in the cancer group FN levels did not show any significant differences depending on the histologic type.</p><p><strong>Conclusions: </strong>The serum FN concentration can be used as an additional tumor marker for gynecological malignancies and can be a potential diagnostic and prognostic marker for malignant endometrial pathology as well as for other gynecological malignancies.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 3","pages":"140-144"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513534","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}

{"title":"Vulval leiomyoma with acute postoperative delirium.","authors":"Manas Ranjan Behera, Aditya Pati, Shabnam K, Sweta Singh","doi":"10.5114/pm.2024.141094","DOIUrl":"10.5114/pm.2024.141094","url":null,"abstract":"<p><p>Leiomyomas are benign, well-circumscribed mesenchymal tumours. While uterine leiomyomas are common, vulval leiomyomas are rare. We report the challenging case of vulval leiomyoma in a multiparous woman, who also developed acute postoperative delirium. A 41-year-old multiparous woman presented with a mass in the perineum of one year duration and discomfort in a sitting position since a month ago. Her menstrual history, family history, and personal history were unremarkable. On examination of the vulva, there was a firm mass of size 10 x 8 cm on the left side, involving the labium majus and minus, which was distorting the introitus. The uterus and ovaries were normal. Preoperative ultrasound was suggestive of a vulval solid lobulated lesion, probably leiomyoma. Excision of the mass was performed. The patient developed postoperative delirium at 3 hours and was treated with an injection of haloperidol, antibiotics, and electrolyte correction. She recovered well and was discharged on the sixth postoperative day. Histopathology confirmed leiomyoma of the vulval mass, with areas of cystic degeneration. At 6-month follow-up the patient was asymptomatic and had no recurrence. To conclude, vulval leiomyoma is rare and treated by excision. The occurrence of postoperative delirium adds to the surgical morbidity, and gynaecologists should be aware of these conditions for optimal outcomes.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 2","pages":"113-116"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402102","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}

{"title":"Optimising antidiabetic medication management for type 2 diabetes and renal dysfunction in Can Tho City, Vietnam.","authors":"Khanh Duy Dang, Huynh Mai Thi Nguyen, Yen Phi Phung, Tu Quyen Nguyen Le","doi":"10.5114/pm.2024.141090","DOIUrl":"10.5114/pm.2024.141090","url":null,"abstract":"<p><strong>Introduction: </strong>The research aimed to delineate and investigate the utilisation of antidiabetic drugs in type 2 diabetes patients with kidney failure at a hospital in Can Tho City, Vietnam.</p><p><strong>Material and methods: </strong>The research analysed the use of antidiabetic drugs at various time points, determined the drug interaction rate, and evaluated the appropriate use of drugs and the relationship with the achievement of target blood glucose and HbA_1c levels. A two-tailed Student's t-test was employed to compare continuous variables, an ANOVA test was used to assess multiple values, and an χ² test was utilised to evaluate categorical variables.</p><p><strong>Results: </strong>Insulin monotherapy was the predominant regimen for treating type 2 diabetes in patients with impaired kidney function. Metformin was the most prescribed oral medication. Approximately 85.78% of patients received safe and appropriate diabetes treatment. Statistical analysis revealed a significant relationship between achieving target blood glucose and HbA_1c after 3 months and factors such as safe drug use and minimal drug interactions (p < 0.05). Patients with chronic kidney disease demonstrated better blood glucose control compared to those with acute kidney disease.</p><p><strong>Conclusions: </strong>The most common drug used for type 2 diabetes patients with impaired kidney function was insulin monotherapy, with usage increasing with the severity of chronic kidney disease. The chronic kidney disease group exhibited a higher rate of achieving target blood glucose and HbA_1c compared to the acute kidney disease group. Rational, safe, and interaction-free drug use significantly contributed to better blood sugar control compared to less prudent medication choices.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 2","pages":"75-82"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402099","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}

{"title":"Diagnostic and prognostic role of soft ultrasound markers in prenatal detection and assessment of foetal abnormalities.","authors":"Behnaz Moradi, Ashkan Bahrami, Seyedeh Maryam Vafaei, Sanaz Sharifpour, Fatemeh Shariatinia, Ali Rezvanimehr, Ali Rashidi-Nezhad, Mobina Fathi, Shirin Yaghoobpoor, Hamed Ghorani","doi":"10.5114/pm.2024.141092","DOIUrl":"10.5114/pm.2024.141092","url":null,"abstract":"<p><p>Various soft markers can be detected in the ultrasonography of foetuses, which can be related to chromosomal abnormalities and increases the risk of abnormalities, or they can be considered as normal variations that can disappear due to the pregnancy progress. There are different tools to detect chromosomal abnormalities like conventional karyotyping, chromosomal microarray analysis (CMA), single nucleotide polymorphism (SNP) array, non-invasive prenatal test (NIPT), and non-invasive prenatal screening (NIPS). Therefore, in the present study, we aim to assess the accuracy of ultrasonic soft markers in the diagnosis of chromosomal abnormalities such as chromosomal structural abnormalities, aneuploidy, and triploidy, especially Trisomy 21 and Trisomy 18. A systemic literature search was performed using PubMed, Scopus, Google Scholar, and Web of Science. We gathered all articles published before August 2023. We selected English studies such as retrospective and cross-sectional ones that assessed the relationship between ultrasonic soft markers and foetal chromosomal abnormalities. A total of 10 articles with 18,580 cases were included in our systematic review article that assessed the foetal abnormalities and aneuploidies by using conventional karyotyping, SNP array, CMA, and NIPT (or NIPS). Trisomy 21, Trisomy 18, and chromosomal structural abnormalities were the most common abnormalities related to ultrasonic soft markers by karyotyping; however, Trisomy 13, 47, XXY, 45, X, and mosaic chromosomal abnormalities were other abnormalities detected. Results by CMA showed Trisomy 21 and Trisomy 18 as the most common abnormalities in the foetuses also with ultrasonic soft markers, and other abnormalities were pathogenic copy-number variations, Turner (XO), polyploidy, 22q11.2deletion, and Trisomy13, respectively. It was discovered that there is a greater possibility of having pathogenic copy number variations (CNVs) in the groups with multiple ultrasonic soft markers, while foetuses with ultrasonic soft markers have a decreased prevalence of CMA abnormality compared to those who had significant abnormalities or abnormal nuchal translucency. Trisomy 21 was the only abnormality found by NIPT in the groups with 1 and 2 soft markers, while groups with multiple soft markers were all normal. By using SNP array, it was identified that the rate of chromosomal abnormalities such as aneuploidy and triploidy, LOH, and CNVs was lower in the group with a single ultrasonic soft marker compared to the group with structural abnormalities in multiple systems. Trisomy 21, Trisomy 18, and chromosomal structural abnormalities were the most common chromosomal abnormalities that ultrasound soft markers could diagnose. Therefore, it is recommended to employ soft markers besides CMA, SNP array, and NIPS (or NIPT) for greater accuracy in detecting foetus abnormalities.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 2","pages":"94-108"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402096","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}

{"title":"Selected aspects of the sexual functioning of women - preliminary studies.","authors":"Alicja Góralska, Katarzyna Plagens-Rotman, Piotr Merks, Urszula Religioni, Witold Kędzia, Magdalena Pisarska-Krawczyk, Grażyna Jarząbek-Bielecka","doi":"10.5114/pm.2024.141091","DOIUrl":"10.5114/pm.2024.141091","url":null,"abstract":"<p><strong>Introduction: </strong>Sexology is a field of study to which too little attention has been paid over the years. It is still regarded as relatively new and is constantly expanding. Undoubtedly, sexual health affects a person's overall heath, influencing not only the development of a person's personality, but also their social communication skills and ability to love. Sexuality, in turn, is also related to reproductive health and mental well-being. The objective of the study was to evaluate female sexual functioning taking into account sociodemographic factors.</p><p><strong>Material and methods: </strong>333 women aged 20-65 years were enrolled in the study. The anonymous online Female Sexual Function Index questionnaire was distributed via social media. It was enriched with sociodemographic questions and selected questions related to gynaecology (age of first menstruation, treatment). In the descriptive analysis, the non-parametric Mann-Whitney U test was used to assess differences in a single trait between 2 groups of women. However, the correlation between the 2 variables was calculated using Spearman's R correlation coefficient.</p><p><strong>Results: </strong>The highest scores were noted in the domain of sexual-related pain (6) - average of 4.94 pts, and sexual satisfaction (5) - average of 4.77 pts. The lowest scores were observed in the domain of arousal (2) - average of 4.34 pts, and desire (1) - average of 3.5 pts. A slightly higher rate of women with possible sexual dysfunction was reported in rural areas - 31 women (33.3%), and in urban areas - 75 women (31.3%). The highest rates of women with possible sexual dysfunction (score ≤ 26 pts) were reported among women with obesity - 21 (44.7%) and overweight - 31 (31.0%), while the lowest rate was recorded in women with normal body mass index (BMI) - 51 (29.0%).</p><p><strong>Conclusions: </strong>There is a statistical relationship between demographics such as age and female sexuality. Age was in low correlation with the results of domains such as desire, arousal, lubrication, and overall sexual functioning. There was a statistical relationship between BMI and the arousal domain, which remained in low correlation with each other. There was no statistical relationship between demographics such as place of residence and women's sexuality. Body mass index did not statistically affect domains such as desire, lubrication, orgasm, sexual satisfaction, sexual pain complaints, and general sexual functioning.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 2","pages":"83-93"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402101","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}

{"title":"Clinical aspects and therapeutic strategy in a case of urinary bladder endocervicosis.","authors":"Dimitrios Diamantidis, Georgios Tsakaldimis, Chrysostomos Georgellis, Stavros Lailisidis, Nikolaos Panagiotopoulos, Charalampos Kafalis, Chousein Chousein, Maria Kouroupi, Evangelia Deligeorgiou, Charilaos Stamos, Alexandra Giatromanolaki, Stilianos Giannakopoulos, Christos Kalaitzis","doi":"10.5114/pm.2024.141093","DOIUrl":"10.5114/pm.2024.141093","url":null,"abstract":"<p><p>The diagnostic complexities posed by lesions within the urinary bladder underscore the need for personalised management approaches. Endocervicosis, a rare condition stemming from Müllerian tissue, is characterised by the benign infiltration of endocervical glands, predominantly affecting the urinary bladder. Despite the absence of definitive symptoms, meticulous preoperative assessment is imperative to ensure precise diagnosis and optimal surgical intervention. While typically benign, recent cases have hinted at a potential association with adenocarcinoma, underscoring the necessity for meticulous management. The management of endocervicosis lacks consensus, with suggested surgical modalities including transurethral resection or partial cystectomy. In this case, a 47-year-old woman presented to our department with chronic pelvic pain following hysterectomy for adenomyosis. Imaging tests revealed a solid lesion situated at the dome of the urinary bladder. Consequently, a segmental cystectomy with circular tumour-only excision, with minimal free surgical margins, was undertaken to preserve bladder integrity. Histopathological analysis confirmed the diagnosis of endocervicosis. While the reported cases of urinary bladder endocervicosis remain limited, this instance contributes valuable insights into its understanding and management. It underscores the pivotal role of accurate diagnosis and tailored surgical intervention in optimising patient outcomes and mitigating postoperative complications, with tumour-only excision emerging as a promising and feasible approach.</p>","PeriodicalId":55643,"journal":{"name":"Przeglad Menopauzalny","volume":"23 2","pages":"109-112"},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402095","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}