Gynecologie Obstetrique Fertilite & Senologie最新文献_第2页

[Single-centre study on the benefits of pre-vaginoplasty therapeutic education].

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-21 DOI: 10.1016/j.gofs.2025.02.004

David Bembaron, Jonathan Rausky, Michale Atlan, Patricia Laprade, Sarra Cristofari

{"title":"[Single-centre study on the benefits of pre-vaginoplasty therapeutic education].","authors":"David Bembaron, Jonathan Rausky, Michale Atlan, Patricia Laprade, Sarra Cristofari","doi":"10.1016/j.gofs.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.gofs.2025.02.004","url":null,"abstract":"<p><strong>Objectives: </strong>Therapeutic education has been investigated in various surgical contexts to assess its impact on outcomes and hospital stay duration. This retrospective observational study evaluates the benefits of therapeutic education in vaginoplasty, focusing on hospital stay duration, follow-up rate, and vaginal stenosis incidence.</p><p><strong>Materials and methods: </strong>This study included all patients who underwent vaginoplasty between October 2018 and April 2021. A therapeutic education program, conducted by a specialized nurse, was introduced in June 2020, providing a control group (pre-June 2020) and a therapeutic education (TE) group (post-June 2020). Data were retrospectively analyzed, with the primary outcome being the length of hospital stay post-surgery.</p><p><strong>Results: </strong>A total of 153 patients were included, with 121 in the control group and 32 in the TE group. The TE group experienced a significantly reduced hospital stay (5.56 days) compared to the control group (9.98 days), p < 0.001. Although no significant increase in follow-up rates was observed, a decrease in loss to follow-up was noted in the TE group. No significant reduction in the vaginal stenosis rate was found.</p><p><strong>Conclusion: </strong>Preoperative therapeutic education for vaginoplasty appears to reduce hospital stay and reduce the loss to follow-up rate. To our knowledge, this is the first and largest study on this topic.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[How I do… The right measurements to characterize urinary incontinence by perineal ultrasound?]

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-19 DOI: 10.1016/j.gofs.2025.02.002

Chloé Miguet-Bensouda, Charles-André Philip, Ana Gjorgjievska-Delov, Erdogan Nohuz, Laura Vernier, Delphine Nantois, Gautier Chene, Gery Lamblin

引用次数: 0

[The donation of begetting in France: The proposal of a new model].

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-17 DOI: 10.1016/j.gofs.2025.02.001

Mikaël Agopiantz, Hélène Malmanche, Guillaume Mougniotte, Jérôme Courduriès, Olivier Morel

引用次数: 0

[Impact of training middle school staff about papillomavirus before national vaccination campaign in Reunion Island].

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-13 DOI: 10.1016/j.gofs.2025.01.007

Lise Capillon, Rodolphe Manaquin, Antoine Bertolotti, Vincent Balaya, Julie Marcadet, Mohamed Khettab, Franck Ah Pine, Camille Brochard, Malik Boukerrou, Phuong Lien Tran

{"title":"[Impact of training middle school staff about papillomavirus before national vaccination campaign in Reunion Island].","authors":"Lise Capillon, Rodolphe Manaquin, Antoine Bertolotti, Vincent Balaya, Julie Marcadet, Mohamed Khettab, Franck Ah Pine, Camille Brochard, Malik Boukerrou, Phuong Lien Tran","doi":"10.1016/j.gofs.2025.01.007","DOIUrl":"10.1016/j.gofs.2025.01.007","url":null,"abstract":"<p><strong>Objective: </strong>In February 2023, the French government announced the generalization of vaccination against human papillomavirus (HPV) infections for all voluntary 5th graders free of charge. Regional Health Agency and Reunion's rectorate asked two practitioners to run a training course on HPV, for principal education advisors, science and earth life teachers, and school nurses/doctors of all Reunion's middle schools.</p><p><strong>Methods: </strong>Our aim was to assess the impact of this training on knowledge and acceptability of HPV vaccination among middle school staff. A first questionnaire (Q1) was filled in by participants during the training course, a second (Q2) at the immediate end of the course and a third (Q3) 2 months later, at the start of the new school year.</p><p><strong>Results: </strong>In Q1, 198 respondants obtained 45.1% of good answers, in Q2, there were 83.5% of good answers among 58 respondants and in Q3, 59.7% for 27 respondants. HPV vaccination training improved the knowledge of middle school staff, but the knowledge score decreased over time. In addition, middle-school staff seemed to be generally in favor of HPV vaccination. But their intention to have their own children (or future children) vaccinated seemed to decrease over time, at a distance from the training (80.7% at time of Q2 and 66.7% at Q3).</p><p><strong>Conclusion: </strong>Regular refresher courses seem necessary to maintain knowledge levels and motivation in vaccination intention.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment je fais… une chirurgie reconstructrice clitoridienne après excision rituelle en 10 étapes 我该怎么做……仪式切除后的阴蒂重建手术[j]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2025.01.002

Erdogan Nohuz , Philippe Chabert , Gautier Chene

引用次数: 0

Réduction embryonnaire pour demande maternelle en cas de grossesse gémellaire : enquête nationale française [双胎妊娠中应产妇要求减少胚胎数量：法国的一项实践研究]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2024.09.006

Cécile Pasteau , Karima Bettahar , Anne-Sophie Weingertner , Philippe Bouhanna , Nicolas Sananès

{"title":"Réduction embryonnaire pour demande maternelle en cas de grossesse gémellaire : enquête nationale française","authors":"Cécile Pasteau , Karima Bettahar , Anne-Sophie Weingertner , Philippe Bouhanna , Nicolas Sananès","doi":"10.1016/j.gofs.2024.09.006","DOIUrl":"10.1016/j.gofs.2024.09.006","url":null,"abstract":"<div><h3>Introduction</h3><div>In France, embryo reduction is controversial in twin pregnancy, especially when there is no underlying pathology. The objective of this study was to establish the status of this practice in France and to depict the ethical issues around this problematic.</div></div><div><h3>Study design</h3><div>A questionnaire drafted by Maternal and Fetal Medicine physicians and family planning teams of the University Hospital from Strasbourg was distributed to the 48 French Multidisciplinary Prenatal Diagnosis Centers, among which 28 answered (58,3%).</div></div><div><h3>Results</h3><div>Embryo reduction in twin pregnancy on maternal request has already challenged 71% of the centers; 29% have performed such a reduction. The overall position of the centers to these requests is negative (3.1/10), with very mixed levels of in-team agreement. The main arguments against this practice are that twin pregnancy is not a pathology, that embryo reduction exposes to the risk of loosing the entire pregnancy, the feeling of being held hostage with the alternative of abortion of the whole pregnancy, and the lack of legal framing. On the contrary, the arguments in favor of the reduction are: that the reduction can avoid an abortion, that this type of reduction can be related to a partial abortion, that it responds to women's rights and that mental health is an integral part of women's health.</div></div><div><h3>Conclusion</h3><div>There is no consensus about how to respond to patients requesting for embryo reduction in twin pregnancy. However, the majority of Centers have been confronted with it and it would be necessary to open the debate on this problem and the ethical questions it raises.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 87-93"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Épidémie à parvovirus B19 chez les femmes enceintes : évolution épidémiologique depuis 5 ans au CHU de Bordeaux [孕妇中的 Parvovirus B19 流行病：波尔多大学医院过去 5 年的流行趋势]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2024.10.002

Hanane Bouchghoul , Marie Vincienne , Isabelle Garrigue , Loïc Sentilhes , Hugo Madar

引用次数: 0

Myopathie congénitale myotubulaire liée à l’X : du diagnostic prénatal au conseil génétique familial [X连锁肌管肌病：从产前诊断到家庭遗传咨询]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2024.07.004

Jimmy Guichard , Coralie Dumont , Asma Omarjee , Marine Lafont , Malik Boukerrou , Phuong Lien Tran

引用次数: 0

Conduite à tenir devant une femme ayant une cytologie cervico-utérine anormale : actualisation des recommandations INCa après la mise en place du dépistage par le test HPV

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2024.11.006

Jean-Luc Brun , Christine Bergeron , Gerlinde Averous , Katty Ardaens , Olivier Aynaud , Hortense Baffet , Sylvain Bouquet , Geoffroy Canlorbe , Charlotte Charpentier , Christine Clavel , Béatrix Cochand-Priollet , Monique Courtade , Mélanie Frigenza , Isabelle Garrigue , Jean Gondry , Isabelle Hernandez , Raphaël Hocquemiller , Bernard Huynh , Philippe Judlin , Karine Le Bail-Carval , Xavier Carcopino

{"title":"Conduite à tenir devant une femme ayant une cytologie cervico-utérine anormale : actualisation des recommandations INCa après la mise en place du dépistage par le test HPV","authors":"Jean-Luc Brun , Christine Bergeron , Gerlinde Averous , Katty Ardaens , Olivier Aynaud , Hortense Baffet , Sylvain Bouquet , Geoffroy Canlorbe , Charlotte Charpentier , Christine Clavel , Béatrix Cochand-Priollet , Monique Courtade , Mélanie Frigenza , Isabelle Garrigue , Jean Gondry , Isabelle Hernandez , Raphaël Hocquemiller , Bernard Huynh , Philippe Judlin , Karine Le Bail-Carval , Xavier Carcopino","doi":"10.1016/j.gofs.2024.11.006","DOIUrl":"10.1016/j.gofs.2024.11.006","url":null,"abstract":"<div><h3>Objective</h3><div>To update the recommendations issued by the National Cancer Institute (INCa) on the management of women with abnormal cervical cytology.</div></div><div><h3>Methods</h3><div>INCa recommendations on the management of women with abnormal cervical cytology were published in 2016. In 2019, the High Authority of Health (HAS) recommends HPV test for cervical cancer screening in women over 30. It was therefore necessary to update the initial management and follow-up of women with a reflex cytology abnormality after a positive HPV test. We used the modified Delphi method. Each decision tree was modified by the 3 members of the organizing committee and then presented to 35 experts over 2 rounds, in order to obtain their agreement in terms of validity and clarity.</div></div><div><h3>Results</h3><div>This formalized consensus of experts allowed the creation of 17 decision trees instead of 15 previously: 13 on the diagnostic management of abnormal cytology, stratified according to age, and 4 on therapeutic indications in abnormal histology. The median agreement scores were 89% (81–97).</div></div><div><h3>Conclusion</h3><div>These 17 decision trees respond to the different situations that health professionals may encounter in order to enable them to act, to follow-up or delegate according to their specialties.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 54-75"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Les déterminants de la vaccination anti-papillomavirus humain des garçons à La Réunion : enquête auprès des parents et des médecins généralistes [留尼汪岛男孩接种人类乳头瘤病毒疫苗的决定因素：对家长和全科医生的调查]

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2025-02-01 DOI: 10.1016/j.gofs.2024.07.002

Camille Rouglan , Antoine Bertolotti , Vincent Balaya , Marie France Malcher , Mohamed Khettab , Malik Boukerrou , Phuong Lien Tran

{"title":"Les déterminants de la vaccination anti-papillomavirus humain des garçons à La Réunion : enquête auprès des parents et des médecins généralistes","authors":"Camille Rouglan , Antoine Bertolotti , Vincent Balaya , Marie France Malcher , Mohamed Khettab , Malik Boukerrou , Phuong Lien Tran","doi":"10.1016/j.gofs.2024.07.002","DOIUrl":"10.1016/j.gofs.2024.07.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the knowledge, barriers and acceptability factors of parents and general practitioners about HPV vaccination amongst boys in Reunion Island, in order to adapt primary prevention locally.</div></div><div><h3>Methods</h3><div>This was a quantitative, descriptive, cross-sectional, observational study involving 88 parents of boys aged 11 to 19 and 81 general practitioners based in Reunion Island. Both populations volunteered to answer a questionnaire available online or on paper.</div></div><div><h3>Results</h3><div>Parents’ knowledge about HPV was insufficient. In Reunion Island, social media and the precarious status of parents play a particularly negative role in the vaccine intention. The number of doctors who have started HPV vaccination on boys is low despite awareness of the recommendation, particularly older doctors who practice alone, in certain sectors of the island.</div></div><div><h3>Conclusions</h3><div>The young and precarious population of Reunion Island is particularly at risk of pathologies related to HPV and requires adapted prevention to the territory's specificities. It seems necessary to continue to inform general practitioners, in order to promote vaccination and to fight against the misinformation of media about the HPV vaccine.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"53 2","pages":"Pages 94-101"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0