Archives of Gynecology and Obstetrics最新文献

{"title":"Hormone and HER2-receptor status in breast cancer: determination using sonographically guided core needle biopsy and correlation with excision specimen—a German single institution diagnostic accuracy study","authors":"Maximilian Pruss,&nbsp;Jan-Philipp Cieslik,&nbsp;Janet Török,&nbsp;Jerome Dobrowolski,&nbsp;Melissa Neubacher,&nbsp;Martina Helbig,&nbsp;Verena Friebe,&nbsp;Lena Häberle,&nbsp;Natalia Krawczyk,&nbsp;Felix Borgmeier,&nbsp;Tanja Fehm,&nbsp;Frederic Dietzel,&nbsp;Svjetlana Mohrmann","doi":"10.1007/s00404-024-07920-5","DOIUrl":"10.1007/s00404-024-07920-5","url":null,"abstract":"<div><h3>Background</h3><p>Sonographically guided core needle biopsy (CNB) is a well-established tool for diagnosing breast lesions. Preoperative estrogen receptor (ER), progesterone receptor (PR), and HER2-receptor status are essential for a personalized treatment approach.</p><h3>Objectives</h3><p>We evaluated the concordance of the hormone- and HER2-receptor status between the CNB and the surgical specimen to determine the accuracy of the CNB as a diagnostic method.</p><h3>Design</h3><p>This is a non-interventional retrospective study analyzing breast cancer patients treated at the breast care center of the University Medical Center Duesseldorf between January 2002 and December 2005.</p><h3>Methods</h3><p>Patients with paired CNB and surgical specimens and a diagnosis of invasive breast cancer were included. ER, PR, and HER2 status were determined by immunohistochemistry (IHC). Patients with IHC 2+ results were further examined by fluorescence in situ hybridization (FISH). Concordance of receptor status was calculated using specificity, sensitivity, and negative and positive predictive values.</p><h3>Results</h3><p>We found a very good agreement between CNB and surgical specimens regarding receptor status. A total of 248 patients were analyzed. Concordance rates in cases of primary surgery for ER, PR, and HER2 were 92.9%, 92.9%, and 93%, respectively. In cases of neoadjuvant chemotherapy, the concordance rates for ER, PR, and HER2 were 100%, 87.5%, and 96%, respectively.</p><h3>Conclusion</h3><p>CNB demonstrated high diagnostic accuracy compared with surgical specimens regarding ER, PR, and HER2-receptor status. Our findings support the recommendation to use sonographically guided CNB as the initial diagnostic method for guiding tailored treatment plans.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"311 3","pages":"881 - 891"},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00404-024-07920-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menstrual and sexual functions in female patients after sleeve gastrectomy due to obesity: obesity and sexual function","authors":"Hayal Uzelli Şimşek,&nbsp;Ece Nur Varol,&nbsp;Sertaç Ata Güler,&nbsp;Turgay Şimşek,&nbsp;Enes Şahin,&nbsp;Nuh Zafer Cantürk","doi":"10.1007/s00404-025-07966-z","DOIUrl":"10.1007/s00404-025-07966-z","url":null,"abstract":"<div><h3>Purpose</h3><p>Obesity is a systemic condition that is increasingly common. Obesity negatively affects sexual function and menstrual regularity. Therefore, losing excess weight is important for women's sexual and menstrual health.</p><h3>Methods</h3><p>The change in body mass index (BMI) and and excess weight loss (EWL) of sexually active female patients who underwent laparoscopic sleeve gastrectomy (LSG) were evaluated by a general surgeon. The preoperative and postoperative periods were compared by a gynecologist using the survey method menstrual patterns, dysmenorrhea complaints, if any, and sexual function with the Female Sexual Function Scale (FSFI).</p><h3>Results</h3><p>The study included 55 patients with a mean ± standard deviation BMI on the day of the operation of 45.32 ± 5.82 kg/m2. In the first postoperative year, the mean BMI significantly reduced to 27.88 ± 1.99 (<i>p</i> &lt; 0.001). The mean percentage of EWL at the end of 1 year was 73.09 ± 19.74 after LSG. The median (range) preoperative FSFI score of the patients was 26.30 (22.70–27.70). One year after LSG, the median FSFI score significantly improved to 34.50 (30.20–35.30) (<i>p</i> &lt; 0.001). Compared to the period before surgery, the frequency of sexual intercourse increased from two-to-three times a week (<i>p</i> &lt; 0.001).</p><h3>Conclusion</h3><p>Women's sexual desires are a fundamental human right and contribute to female well-being. Thus, it is important to treat sexual dysfunction. The results of the present study demonstrate a significant improvement in sexual dysfunctions after LSG. LSG was an effective procedure that may be recommended to obese women with sexual dysfunction and menstrual problems.</p><h3>Graphical abstract</h3>\u0000<div><figure><div><div><picture><source><img></source></picture></div></div></figure></div></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"311 3","pages":"741 - 747"},"PeriodicalIF":2.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00404-025-07966-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal and infant outcomes of pregnancy after kidney transplantation: a retrospective cohort study.","authors":"Yan Zhang, Lily Zhang, Weicong Xia, Lulu Fang, Tongwei Zhu","doi":"10.1007/s00404-025-07947-2","DOIUrl":"https://doi.org/10.1007/s00404-025-07947-2","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effect of postoperative pregnancy on maternal-infant outcomes and transplanted kidney function in kidney transplantation (KT) recipients.</p><p><strong>Methods: </strong>Our study included 104 KT recipients and 104 non-KT women who delivered at four hospitals affiliated with Zhejiang University School of Medicine from December 2015 to November 2023.</p><p><strong>Results: </strong>In the KT group, kidney function showed a downward trend after delivery, and most patients recovered normal kidney function within 6 months postpartum. Tacrolimus blood concentration during pregnancy averaged (6.1 ± 1.4) μg/L, increasing to (7.1 ± 2.6) μg/L on the second day after delivery, indicating an upward trend in postpartum concentrations. Compared to the non-KT group, the KT group had higher prevalences of gestational hypertension (33.7% vs. 3.3%), gestational diabetes mellitus (21.2% vs. 17.5%), intrahepatic cholestasis of pregnancy (5.8% vs. 1.7%), placental abruption (1.9% vs. 0.8%), and preterm birth rate (79.8% vs. 9.2%) but had a lower prevalence of fetal growth restriction (8.3% vs. 21.7%). Univariate analysis showed that pre-pregnancy estimated glomerular filtration rate (eGFR), penatal eGFR, gestational hypertension, and preeclampsia may influence neonatal outcomes. Binary logistic regression analysis showed that preeclampsia (odds ratio [OR] = 133.89, 95% confidence interval [CI]: 1.27-156.20, P = 0.031) and hypertension during pregnancy (OR = 5.81, 95% CI: 1.02-33.27, P = 0.048) were risk factors, and glomerular filtration rate during pregnancy (OR = 0.95, 95% CI: 0.90-0.99, P = 0.026) was a protective factor.</p><p><strong>Conclusion: </strong>Although pregnancies in KT recipients are considered high-risk, the overall risks are manageable. Strengthening the management of KT recipients with reproductive intent is recommended to improve maternal and infant outcomes.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188033","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}

{"title":"Changes of maternal carotid artery elasticity in patients with pregnancy concurred with hypertension","authors":"Qianyu Lan,&nbsp;Shasha Liu,&nbsp;Qianqian He,&nbsp;Yuan Li","doi":"10.1007/s00404-025-07941-8","DOIUrl":"10.1007/s00404-025-07941-8","url":null,"abstract":"<div><h3>Background</h3><p>Echo-tracking (ET) technology can visually determine whether vascular endothelial function is impaired. However, it remains uncertain whether routine ET testing for pregnant women could effectively diagnose pregnancy concurrent with hypertension (PCH) based on changes in vascular elasticity.</p><h3>Methods</h3><p>An ET ultrasound system was employed to assess the elasticity of the carotid artery. The plasma nitric oxide (NO) levels were determined using radioimmunoassay, and the levels of endothelin-1 (ET-1) were determined using an enzyme-linked immunosorbent assay. The prediction of PCH occurrence was assessed using receiver-operating characteristic curve analysis. The correlation between the two factors was evaluated using regression analysis.</p><h3>Results</h3><p>Pregnant women with PCH display significant differences in systolic blood pressure, diastolic blood pressure, and proteinuria compared to those with normal pregnancies. ET parameters, such as pulse wave velocity β (PWVβ), <i>β</i>-stiffness, pressure-strain elastic modulus (<i>Eρ</i>), and arterial compliance (AC), also reveal significant variances between women with PCH and those with normal pregnancies. These four factors are strongly associated with the disease progression in women with PCH and serve as reliable predictors for the occurrence of PCH. Additionally, the ET-1 level increases, while the NO level decreases in women with PCH, having the ability to predict the occurrence of PCH. Carotid endothelial elasticity decreases, and carotid endothelial function is impaired in pregnant women with PCH.</p><h3>Conclusion</h3><p>The ET parameters and indexes of carotid endothelial function can reliably predict the occurrence of PCH.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"311 3","pages":"731 - 740"},"PeriodicalIF":2.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00404-025-07941-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative analysis of the impact of three distinct laparoscopic myomectomy techniques on ovarian reserve: a randomized clinical trial.","authors":"Maryam Hashemi, Behnaz Mohammad Ebrahimi, Safoura Rouholamin","doi":"10.1007/s00404-025-07961-4","DOIUrl":"https://doi.org/10.1007/s00404-025-07961-4","url":null,"abstract":"<p><strong>Purpose: </strong>Laparoscopic myomectomy is one of the preferred surgical treatments for symptomatic uterine fibroids. This study aimed to compare the effects of laparoscopic myomectomy with temporary uterine artery occlusion (TUAO), permanent uterine artery occlusion (PUAO), and vasopressin injection (VPI) on ovarian reserve in women with symptomatic uterine leiomyomas.</p><p><strong>Methods: </strong>This randomized clinical trial (RCT) study was conducted on women with symptomatic uterine fibroids referred to Shahid Beheshti and Al-Zahra Hospitals in Isfahan, Iran, from January 2024 to July 2024. A total of 54 women were included, with 18 women in each group. The women were randomly grouped based on the used techniques of TUAO, PUAO, and VPI. Moreover, ovarian reserve marker, including anti-Mullerian hormone (AMH) level, were measured before and after surgery. This parameter was evaluated 3 months after surgery for all patients. Also, the amount of hemoglobin was measured before and after 24 h after surgery for participants in each method.</p><p><strong>Results: </strong>TUAO, PUAO and VPI laparoscopic myomectomy techniques had almost similar effects on ovarian reserve. The AMH level before the surgery in TUAO, PUAO, and VPI groups was reported as 3.87 ng/mL, 3.42 ng/mL, and 3.57 ng/mL, respectively. The AMH level (3 month) after the surgery was 3.78 ng/mL, 3.34 ng/mL and 3.48 ng/mL, respectively. No significant difference was reported between AMH levels among the methods before and after the surgery (P = 0.27, P = 0.12, and P = 0.29, respectively). The Hb level before the surgery in TUAO, PUAO, VPI was 11.23 g/dL, 11.55 g/dL and 11.67 g/dL, respectively. The Hb level after the surgery (24 h) was reported as 10.95 g/dL, 11.31 g/dL and 11.25 g/dL, respectively. No significant difference was reported between Hb levels among the methods before and after the surgery (P = 0.36, P = 0.31, and P = 0.13, respectively).</p><p><strong>Conclusion: </strong>As the choice of technique may depend on the factors such as surgeon preference and patient-specific factors, findings of this study have important implications for women undergoing LM and also highlight the need for further studies on the long-term effects of these techniques on ovarian reserve with larger sample sizes.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188026","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}

{"title":"Diagnostic yield of chromosomal microarray to examine the genetic factors associated with fetal aberrant right subclavian artery.","authors":"Wenli Wu, Fanyong Zhang, Yuting Li, Peng Li, Miao Liu, Fengge Wang, Dongmei Man","doi":"10.1007/s00404-025-07946-3","DOIUrl":"https://doi.org/10.1007/s00404-025-07946-3","url":null,"abstract":"<p><strong>Purpose: </strong>The primary objective was to find the risk factors that increase the probability of chromosomal abnormalities in fetal aberrant right subclavian artery (ARSA). Secondary objectives were to assess the factors which impact the adverse pregnancy outcomes in ARSA fetuses.</p><p><strong>Methods: </strong>This retrospective study included a total of 104 pregnant women whose fetuses were diagnosed with ARSA from January 2020 to July 2024, with subsequent chromosomal microarray analysis (CMA) performed.</p><p><strong>Results: </strong>Among the 104 cases of ARSA in this study, 46 (44.2%) were classified as isolated ARSA and 58 (55.8%) as non-isolated ARSA. Classification of non-isolated ARSA based on ultrasound soft marker abnormalities and structural abnormalities showed that an increase in the number of combined ultrasound soft marker abnormalities was associated with increased fetal chromosomal abnormalities and pathogenicity. In fetuses with structural abnormalities and ultrasonographic soft markers, they have more microarray abnormalities and higher pathogenicity compared to ARSA with only a single soft marker. The chromosomal abnormalities in ARSA fetuses predominantly manifest as trisomy 21, partial segmental microduplications, and microdeletions. Logistic regression analysis indicated that the presence of ultrasonographic soft marker abnormalities alongside ARSA serves as a risk factor for adverse pregnancy outcomes in ARSA fetuses.</p><p><strong>Conclusion: </strong>In contrast to isolated ARSA, chromosomal disorders indicate a significant risk in ARSA accompanied by ultrasound abnormalities, and the risk is closely related to the number of ultrasonographic soft marker abnormalities. In addition, the combination of ultrasonographic soft marker abnormalities was a risk factor for adverse pregnancy outcomes in ARSA, while maternal age, structural abnormalities, polyhydramnios, and intrauterine growth restriction were not associated with it.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078332","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}

{"title":"The effect of endometriosis on oocyte quality: mechanisms, diagnosis and treatment","authors":"Yuhang Fan,&nbsp;Qingmei Yang,&nbsp;Yifeng Lin,&nbsp;Xiaoying Fu,&nbsp;Jing Shu","doi":"10.1007/s00404-025-07965-0","DOIUrl":"10.1007/s00404-025-07965-0","url":null,"abstract":"<div><p>Endometriosis significantly impacts the physical and mental health of women of reproductive age. While some patients can achieve pregnancy through surgery or in vitro fertilization (IVF), many still struggle with IVF failure due to poor oocyte quality. This presents a major clinical challenge that requires immediate attention. The causes of oocyte quality decline in endometriosis patients are diverse and have not yet been definitively identified. Furthermore, effective diagnostic mechanisms and therapeutic strategies remain elusive. To provide possible clinical solutions to improve pregnancy rates in patients with endometriosis, this review evaluates the current literature on the impact of endometriosis on oocyte quality, the possible mechanisms and management strategies of endometriosis leading to poor oocyte quality.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"311 3","pages":"841 - 850"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00404-025-07965-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prospective sonographic assessment of the lower uterine segment after cesarean section and its clinical utility.","authors":"Stephan Spahn, Alex Horky, Dianita Sugiyo, Franz Bahlmann, Ammar Al Naimi","doi":"10.1007/s00404-025-07963-2","DOIUrl":"https://doi.org/10.1007/s00404-025-07963-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate the sonographic features of the lower uterine segment (LUS) and their association with successful vaginal birth after a cesarean section (VBAC).</p><p><strong>Methods: </strong>This is a prospective observational cohort study of women who underwent a first cesarean section (CS). Inclusion criteria were age over 18 years and open family planning. Women with a history of any additional uterine surgery, as well as a vertical or inverted T uterotomy during the CS were excluded. A pregestational transvaginal sonography, followed by serial transabdominal ultrasound examinations at the first, second, and third trimesters upon starting a new pregnancy were performed. Each intra-gestational examination involved measuring the LUS on a sagittal plane over a length of 3 cm starting from the most inferior identifiable part of the myometrium behind a full bladder. Logistic regression was performed to test the association between measures of the LUS and successful vaginal birth after CS.</p><p><strong>Results: </strong>96 women with a follow-up pregnancy within 2 years of the initial CS were included in the analysis. The pregestational RMT ratio was 62% and 38 (39%) women had a niche. The median thickness of the lower uterine segment was 8.34 mm (5.57-9.77), 4.75 mm (4.02-5.95), and 2.55 mm (2.01-3.55) at the first, second and third trimester, respectively. 70 women attempted VBAC and the risk of unplanned repeat CS was 37.1%. One millimeter increase in LUS thickness in the first trimester increased the odds of VBAC by 50-120% depending on the used measure (p < 0.05). This association weakened with increasing gestational age and the p values increased above 0.05.</p><p><strong>Conclusion: </strong>There is a good chance of successful VBAC for women attempting it. The sonographic assessment of the lower uterine segment during pregnancy could be helpful in counseling these women, albeit it seems that performing ultrasound during the first trimester is more informative than second and third trimesters.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073793","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}

{"title":"Do menstrual symptoms affect motor imagery skills in young women?","authors":"Özgü İnal Özün, Merve Öztürk, Esra Üzelpasacı","doi":"10.1007/s00404-025-07936-5","DOIUrl":"https://doi.org/10.1007/s00404-025-07936-5","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the relationship between menstrual symptoms and motor imagery skills in young women.</p><p><strong>Methods: </strong>A total of 117 women between the ages of 18-40 were included in the study. Visual Analog Scale (VAS) for the menstrual pain intensity, the Menstrual Symptom Questionnaire (MSQ) for the menstrual-related symptoms, and the Kinesthetic and Visual Imagery Questionnaire-20 (KVIQ-20) for the motor imagery were used. All measurements were conducted on the first or second day of the menstruation, depending on when the subject declared subjectively experiencing most symptoms.</p><p><strong>Results: </strong>The relationship between menstruation symptoms and visual imagery (VI) and kinesthetic imagery (KI) skills was examined. A weak negative correlation was found between MSQ_negative effects/somatic complaints and KVIQ-20_KI (p = .040, r = -.199). The relationship between menstrual pain intensity and KVIQ-20 items was examined. The strongest relationship was found between VAS and KVIQ-20_knee_VI and KVIQ-20_hip_VI (p = 003, r = -.288; p = 005, r = -.270; p = 004, respectively). A weak negative correlation was also found between VAS and KVIQ-20_VI_total and KVIQ-20_KI_total (p = 0.004, r = -.275; p = 0.19, r = -.227, respectively).</p><p><strong>Discussion: </strong>This is the first study to examine menstrual symptoms in women in detail and reveal their relationship with motor imagery skills. Menstrual symptoms, especially negative effects/somatic complaints seen during menstruation, negatively affect kinesthetic imagery ability. In addition; chronic menstrual pain has a negative effect on both kinesthetic and visual imagery abilities. Considering the impairments in motor imagery skills due to negative effects/somatic complaints during menstruation and chronic menstrual pain, adding motor imagery training to treatment programs aimed at improving women's health may have positive effects.</p>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073785","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}

{"title":"Neobladder saving caesarean section in a pregnant woman with congenital bladder exstrophy","authors":"Chiara Granieri,&nbsp;Silvia D’Ippolito,&nbsp;Aniello Foresta,&nbsp;Benedetta Gui,&nbsp;Nazario Foschi,&nbsp;Giovanni Esposito,&nbsp;Giovanni Scambia","doi":"10.1007/s00404-025-07937-4","DOIUrl":"10.1007/s00404-025-07937-4","url":null,"abstract":"<div><h3>Purpose</h3><p>To propose an obstetric management model for patients with congenital bladder exstrophy (BE) and multiple previous surgeries, recognizing the unique anatomical variations of each patient and emphasizing the importance of personalized treatment approaches.</p><h3>Methods</h3><p>We present the obstetric management and delivery of a 32-year-old pregnant woman with congenital BE, focusing on antenatal anatomical assessment, accurate delivery planning and key surgical steps during an elective caesarean section. Additionally, we conduct a comprehensive review of the current literature to enhance understanding of the reproductive implications associated with this exceptionally rare condition.</p><h3>Results</h3><p>Following urological magnetic resonance imaging and intraoperative ultrasound, a successful neobladder-saving caesarean section was performed at 37 weeks, resulting in the delivery of a healthy infant with no maternal complications.</p><h3>Conclusion</h3><p>Obstetric management in women with congenital BE presents unique challenges due to its significant impact on urinary and reproductive functions. Careful delivery planning and antenatal anatomical assessment are crucial for optimizing both maternal and fetal outcomes. A personalized, multidisciplinary approach can help minimize potential complications.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"311 4","pages":"1221 - 1225"},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00404-025-07937-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}