Archives of Gynecology and Obstetrics最新文献_第5页

Unilateral nerve preservation during parametrectomy is not sufficient to prevent persistent urinary retention after cytoreductive endometriosis surgery.

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 Epub Date: 2024-11-28 DOI: 10.1007/s00404-024-07842-2

Mauro Poggiali Gasparoni, Marlon de Freitas Fonseca, Luciano Alves Favorito, Fernando Salles da Silva Filho, Andre Luiz Lima Diniz, Mathias Ferreira Schuh, Fernanda Hack Gomes, José Anacleto Dutra de Resende

{"title":"Unilateral nerve preservation during parametrectomy is not sufficient to prevent persistent urinary retention after cytoreductive endometriosis surgery.","authors":"Mauro Poggiali Gasparoni, Marlon de Freitas Fonseca, Luciano Alves Favorito, Fernando Salles da Silva Filho, Andre Luiz Lima Diniz, Mathias Ferreira Schuh, Fernanda Hack Gomes, José Anacleto Dutra de Resende","doi":"10.1007/s00404-024-07842-2","DOIUrl":"10.1007/s00404-024-07842-2","url":null,"abstract":"Objectives: This study sought to quantify the risks of urinary retention following different levels or degrees of nerve preservation during parametrectomies for deep endometriosis (DE).Methods: Women undergoing laparoscopic and robotic nerve-sparing DE surgeries were studied. The cases were divided into 6 groups according to the degree of preservation of parasympathetic parametrium fibers on each side: P1 (P1 left /P1 right-Excellent preservation: presacral and pararectal fascia bilateral preservation), P2 (P1/P2 or P2/P1, P2/P2-Regular preservation: fascia violation with local fat visualization-either of both sides; and P3 (P1/P3 or P3/P1, P2/P3 or P3/P2, P3/P3)-Poor preservation: musculature and pelvic floor exposure-even if only unilateral.Results: Of a total of 151 women eligible for the study, 110 (72.8%) had excellent nerve preservation; 24 (15.8%) had regular nerve preservation, and 17 (11.2%) had poor-nerve preservation. The incidence of elevated PVR was higher in the P3 group. Thirty-five patients were catheterized post-operatively, more common in the P3 group. In four cases from the P3 group, prolonged intermittent self-catheterization after discharge was necessary. The calculated risk of needing intermittent catheterization in the P3 group was 23.1% up to 8 weeks and 7.7% up to 8 months post-surgery.Conclusion: Parametrectomy with poor-nerve preservation can lead to urinary retention, even with excellent contralateral preservation.","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":"3267-3278"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Retraction Note: The effect of uterine massage after vaginal delivery on the duration of placental delivery and amount of postpartum hemorrhage. 撤稿说明：阴道分娩后子宫按摩对胎盘娩出时间和产后出血量的影响。

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 DOI: 10.1007/s00404-024-07768-9

Pinar Kadirogullari, Berna Aslan Cetin, Mustafa Goksu, Hale Cetin Arslan, Kerem Doga Seckin

引用次数: 0

Exploring tests used in routine clinical practice for improving prediction, diagnosis and long-term prognosis of intrahepatic cholestasis of pregnancy.

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 Epub Date: 2024-12-03 DOI: 10.1007/s00404-024-07857-9

Stefania Triunfo

引用次数: 0

Laparoscopic lateral suspension with mesh for severe anterior and apical pelvic organ prolapse: an observational cohort study for safety and efficacy at 2-year follow-up. 腹腔镜侧位悬吊术与网片治疗严重的前部和顶部盆腔器官脱垂：一项关于两年随访安全性和有效性的观察性队列研究。

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 Epub Date: 2024-10-23 DOI: 10.1007/s00404-024-07792-9

Xiao-Xiao Wang, Ying Xu, Yan-Feng Song, Chao-Qin Lin, Xiao-Xiang Jiang

{"title":"Laparoscopic lateral suspension with mesh for severe anterior and apical pelvic organ prolapse: an observational cohort study for safety and efficacy at 2-year follow-up.","authors":"Xiao-Xiao Wang, Ying Xu, Yan-Feng Song, Chao-Qin Lin, Xiao-Xiang Jiang","doi":"10.1007/s00404-024-07792-9","DOIUrl":"10.1007/s00404-024-07792-9","url":null,"abstract":"Purpose: This study aimed to investigate the clinical safety and efficacy of laparoscopic lateral suspension (LLS) with mesh in the treatment of severe anterior and apical pelvic organ prolapse (POP) Chinese women with a 2-year follow-up.Methods: We conducted an observational cohort study. Sixty patients who presented apical (uterovaginal or vault) and anterior prolapse at stage 3 or higher were enrolled. The LLS surgical procedure was performed in accordance with Dubuisson standard operation. The objective and subjective cures as well as the surgery-related complications were evaluated. The POP-related questionnaires were used to evaluate the quality of life before operation and at 24 months after operation follow-up.Results: Objective cure rates at 2 years of follow-up were 88.3% for the anterior compartment, 100% for the apical compartment and 93.3% for the posterior compartment. The subjective cure rate reached to 93.3%. There were statistically significant lower scores of the pelvic floor impact questionnaire-7 (PFIQ-7) and the pelvic floor distress inventory-short form-20 (PFDI-20) for all women after surgery and they exhibited similar scores of the pelvic organ prolapsed-urinary incontinence sexual questionnaire-12 (PISQ-12) (P = 0.317). And no significant difference was demonstrated in international consultation on the incontinent questionnaire short form (ICI-Q-SF) (P = 0.551). No major complications associated with LLS were observed in our study.Conclusion: We consider that LLS with mesh operation is safe, feasible and effective to correct severe apical and anterior POP after 2-year follow-up.","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":"3259-3265"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

The effect of breastfeeding on postpartum sexual function: an observational cohort study.

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 DOI: 10.1007/s00404-024-07847-x

Stephanie Sun, Felicia Hamilton, Alexis A Dieter, Serenity Budd, Feven Getaneh

{"title":"The effect of breastfeeding on postpartum sexual function: an observational cohort study.","authors":"Stephanie Sun, Felicia Hamilton, Alexis A Dieter, Serenity Budd, Feven Getaneh","doi":"10.1007/s00404-024-07847-x","DOIUrl":"10.1007/s00404-024-07847-x","url":null,"abstract":"Purpose: Postpartum women commonly experience sexual dysfunction; however, little is known regarding the effect of breastfeeding on sexual function and postpartum women's interest in treatment. We aimed to evaluate sexual function and genitourinary symptoms based on infant-feeding status and assess desire for treatment.Methods: Cross-sectional observational study of women 5-6 months postpartum following singleton delivery was performed. Participants were grouped based on self-reported infant-feeding status: (1) primarily breastfeeding (BF) and (2) primarily formula feeding (FF). Female Sexual Function Index (FSFI) and Day-to-day Impact on Vaginal Aging (DIVA) questionnaires and interest in treatment were compared.Results: In total, 125 women were included with 61 (49%) breastfeeding and 64 (51%) formula feeding. Compared to FF women, BF women were less likely to identify as African American (47% vs 79%; SD 0.8) or have Medicaid (28% vs 66%; SD 0.9). No other large differences were noted. BF women had significantly lower FSFI score indicating poorer sexual function (20.8 (IQR 10, 24) BF vs 24.5 (IQR 19.5, 27.8) FF, p = 0.009). Both cohorts reported low bother from vaginal symptoms and low interest in treatment of symptoms with BF cohort reporting higher interest in use of vaginal lubricants (69% BF vs 30% FF, SD 0.8). Factors associated with lower FSFI score were BF, perineal laceration, use of progesterone long-acting reversible contraception, and single relationship status.Conclusion: Both breastfeeding and formula feeding women experienced high rates of sexual dysfunction but low bother from vaginal symptoms and low interest in treatment. Further research is needed to explore these findings and assess postpartum sexual health.","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":"3289-3296"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Pilates-assisted childbirth preparation and hypnotherapy for normal labour.

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 Epub Date: 2024-12-03 DOI: 10.1007/s00404-024-07819-1

Ben W Mol

引用次数: 0

Publisher Correction: Fetal fibronectin (Quick Check fFN test^®) for detection of premature rupture of fetal membranes.

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 DOI: 10.1007/s00404-024-07852-0

Ibrahim A Abdelazim

引用次数: 0

Relationship of female pelvic floor muscle function and body composition: cross-sectional study. 女性盆底肌肉功能与身体成分的关系：横断面研究。

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 Epub Date: 2024-11-27 DOI: 10.1007/s00404-024-07848-w

Ana Jéssica Dos Santos Sousa, Stela Márcia Mattiello, Patricia Driusso

{"title":"Relationship of female pelvic floor muscle function and body composition: cross-sectional study.","authors":"Ana Jéssica Dos Santos Sousa, Stela Márcia Mattiello, Patricia Driusso","doi":"10.1007/s00404-024-07848-w","DOIUrl":"10.1007/s00404-024-07848-w","url":null,"abstract":"Purpose: Investigate the relationship between female pelvic floor muscle (PFM) function and body composition.Methods: Cross-sectional study-participants answered sociodemographic and urogynecological questions. The amount of fat mass was measured by dual-emission X-ray densitometry (DXA), and subcutaneous fat thickness was assessed by abdominal ultrasound. PFM assessment was performed using the Modified Oxford Scale and vaginal manometry. Descriptive analysis, independent t test, spearman correlation, and univariate regression were performed.Results: Ninety-nine women were included. All body composition variables evaluated, except subcutaneous fat thickness, indicated that women with a higher concentration of fat in the pelvic, android, and visceral region have lower maximum voluntary PFM contraction strength assessed by Modified Oxford Scale and manometry. The univariate model pointed out that the fat concentration increases the chances of reduced PFM strength in the entire body (0.6%), android (5.4%), visceral region (25.3%), and pelvic (89.9%). There was a correlation between the concentration of total, pelvic, and android fat with MVC/average peak.Conclusion: The accumulation of \"total\", \"pelvic\", \"android\", and \"visceral\" fat mass is correlated with reduction in PFM strength, and there is an association between MVC and the variables of total and segmented fat. However, pelvic fat concentration is predictive in 89.9% of cases.","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":"3297-3303"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Discontinuation of pessary therapy within 24 months: can it be predicted?

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 Epub Date: 2024-11-30 DOI: 10.1007/s00404-024-07846-y

L M Elting, L R van der Vaart, C H van der Vaart, A Vollebregt

{"title":"Discontinuation of pessary therapy within 24 months: can it be predicted?","authors":"L M Elting, L R van der Vaart, C H van der Vaart, A Vollebregt","doi":"10.1007/s00404-024-07846-y","DOIUrl":"10.1007/s00404-024-07846-y","url":null,"abstract":"Introduction: Pelvic organ prolapse is a distressing condition affecting women. Pessary therapy is a conservative and effective treatment option. However, 20-60% of women discontinue pessary treatment within 24 months.Objective: To identify patient characteristics associated with discontinuation of pessary treatment for symptomatic pelvic organ prolapse up to 24 months and to explore whether a prediction model can be developed.Study design: Prospective observational study in 22 Dutch hospitals with a follow-up duration of 24 months.Method: Baseline patient characteristics from 6 different domains were compared between women who continued pessary therapy and women who discontinued pessary therapy within 24 months. Women with initial fitting failure were not included in analysis. Univariable and multivariable analysis were applied to identify predictors.Results: Of the 251 women included in analysis, 102 stopped using a pessary at 24 months (40.6%). After multivariable analysis, age (OR 0.95, 95% CI 0.92-0.98, p < 0.001) and the presence of patient-reported allergies (OR 2.48, 95% CI 1.32-4.66, p = 0.005) were found to be predictive for pessary discontinuation within 24 months. These two factors explain 11% of the models' variance. However, in 49% of patient-reported allergies, the allergy was not specified.Conclusion: Younger women and those who reported allergies at baseline were less likely to continue pessary use. However, the high number of unspecified reported allergies and the lack of a clear scientific explanation, suggests that a direct causal link is unlikely and warrants additional research.","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":"3279-3288"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Mode of delivery may seriously affect omics studies using umbilical cord blood and amniotic fluid. 分娩方式可能会严重影响利用脐带血和羊水进行的全息研究。

IF 2.1 3区医学

Archives of Gynecology and Obstetrics Pub Date : 2024-12-01 Epub Date: 2024-11-19 DOI: 10.1007/s00404-024-07828-0

Yun Huang, Lin Zhang, Qian Chen, Jun Zhang

{"title":"Mode of delivery may seriously affect omics studies using umbilical cord blood and amniotic fluid.","authors":"Yun Huang, Lin Zhang, Qian Chen, Jun Zhang","doi":"10.1007/s00404-024-07828-0","DOIUrl":"10.1007/s00404-024-07828-0","url":null,"abstract":"There is a general lack of awareness regarding how the mode of delivery can significantly influence the omics composition of biological samples such as umbilical cord blood and amniotic fluid. To address this, we analyzed the impact of delivery mode on proteomic and metabolomic profiles in a cohort of 40 healthy pregnant women without complications, including 16 who had vaginal delivery (VD), 16 who underwent elective cesarean delivery by maternal request (CS), and 8 who had intrapartum cesarean section (Intra_CS). Using label-free liquid chromatography-tandem mass spectrometry (LC-MS/MS) for proteomic and untargeted metabolomic analyses, we compared amniotic fluid and cord blood samples across delivery modes. The amniotic fluid proteomic and metabolomic profiles of CS women exhibited clear separation from those of VD individuals, whereas only the proteomic profiles of the Intra_CS group differed when compared to the CS group. In cord blood, metabolomic profiles differed between CS and VD women, but proteomic profiles showed no separation. These findings highlight the significant impact of delivery mode on omics profiles, particularly amniotic fluid proteomics and metabolomics, and cord blood metabolomics. Larger studies are needed to validate these findings and expand their generalizability to broader populations.","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":"3305-3308"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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