Ginekologia polska最新文献

{"title":"Clear cell carcinoma with lung metastasis arising from endometriosis in the abdominal surgical scar - management with a multidisciplinary mode.","authors":"Chi Yuan Liao, Fuh Jinn Luo, Fang Ling Chiu, Jan Sing Hsieh","doi":"10.5603/gpl.103947","DOIUrl":"https://doi.org/10.5603/gpl.103947","url":null,"abstract":"","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is there a relationship between genital hiatus distance and the presence of pelvic organ prolapse?","authors":"Erdinç Dinçer, Fatih Tarhan","doi":"10.5603/gpl.104178","DOIUrl":"https://doi.org/10.5603/gpl.104178","url":null,"abstract":"<p><strong>Objectives: </strong>Pelvic organ prolapse (POP) is an important disease affecting the quality of life of women. We aimed to investigate the relationship of genital hiatus (GH) and anogenital distance (AGD) measurements with POP in patients with lower urinary tract symptoms.</p><p><strong>Material and methods: </strong>1696 Patients who underwent urodynamic investigations in our clinics were evaluated retrospectively. Demographic data, physical examination data and urodynamic investigation results of all patients were evaluated. Those beyond POPQ stage 2 and above were considered to have pelvic organ prolapse.</p><p><strong>Results: </strong>The mean age was 49.44 ± 0.27 years, and the mean body-mass index was 30.08 ± 0.16 kg/m². While 682 patients (40.2%) were considered as having no POP, 1014 patients (59.8%) were considered as having POP. A statistically significant difference was found between the groups in terms of POP status respect of the parity, mean GH and AGD, and hysterectomy rate (p < 0.05). Mean GH, PB and AGD were significantly different among POP stage groups. (p < 0.05). In the correlation analysis, there was a positive correlation between POP stage parity (p = 0.0003, r = 0.059), GH (p < 0.0001, r = 0.353) and AGD (p < 0.0001, r = 0.299). The logistic regression revealed that genital hiatus distance and hysterectomy were statistically significant factors associated with POP. In ROC analysis, when the GH distance measurement is > 2.5 cm, the probability of POP status was found with sensitivity of 77.4% and specificity of 53.2% (p < 0.001).</p><p><strong>Conclusions: </strong>GH measurement can be marker for POP in a population of women being evaluated for urinary incontinence. GH measurement > 2.5 cm may associated with POP status.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnant women's knowledge of and attitudes toward pertussis, influenza and COVID-19 vaccination.","authors":"Gabriela Mierzwa, Julia Jurga, Justyna Kuciel, Magdalena Kolak, Andrzej Jaworowski, Hubert Huras","doi":"10.5603/gpl.103799","DOIUrl":"https://doi.org/10.5603/gpl.103799","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the robust scientific evidence supporting the safety and efficacy of vaccinations in preventing severe illness, complications, and death, trust in immunizations has been declining, among others, in a particularly vulnerable group, such as pregnant women. This study aimed to present women's attitudes towards vaccinations against pertussis, influenza, and COVID-19 during pregnancy, their knowledge of the subject, and their motivations for getting vaccinated.</p><p><strong>Material and methods: </strong>An anonymous, self-reported questionnaire developed for this study was distributed to postpartum women hospitalized at the Department of Obstetrics and Perinatology, Jagiellonian University Medical College in Cracow, Poland, between February and April 2023. Participants provided sociodemographic and obstetric information, reasons for getting vaccinated or not, and their sources of vaccination knowledge.</p><p><strong>Results: </strong>Women's primary motivation (96.4%) for vaccinating during pregnancy was to protect their children from severe cases of pertussis, influenza or COVID-19. Among the reasons for not getting vaccinated against pertussis and influenza during pregnancy, most patients cited the belief in the lack of necessity for vaccination (42.9%, 34.3% respectively), and in the case of COVID-19 - receiving the vaccine before pregnancy (27.6%). Obstetricians provided information about recommended vaccinations only to 49.3% of respondents. 64.2% of surveyed patients expressed a willingness to vaccinate their child in the future with both mandatory and recommended vaccines.</p><p><strong>Conclusions: </strong>Our results indicate that a lack of knowledge leads to an insufficient vaccination rate during pregnancy. We see a crucial role for physicians, especially obstetricians, in providing patient information while underlining undeniable benefits of maternal vaccination to the children's health.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should we abandon the use of transvaginal mesh in woman's pelvic floor reconstructive surgery? - 10 years of experience in the field of vaginal pelvic floor surgery.","authors":"Patrycja Pietak, Konrad Futyma, Ewa Rechberger-Krolikowska, Aleksandra Struzyk, Aleksandra Kolodynska, Tomasz Rechberger","doi":"10.5603/gpl.104105","DOIUrl":"https://doi.org/10.5603/gpl.104105","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to investigate how surgical management strategies for pelvic organ prolapse (POP) have changed in a single-centre department over the last decade, as Food and Drug Administration (FDA) warnings have changed worldwide attitudes to mesh augmented reconstruction.</p><p><strong>Material and methods: </strong>The study group consisted of 4180 patients who were operated on due to advanced symptomatic POP (≥ 2 POP-Q scale) from January 2010 to December 2020. Patients were divided into three groups depending on the type of POP vaginal surgery performed: group 1 - vaginal native tissue repair (VNTR) - (n = 1376); group 2 - transvaginal mesh repair (TVM; anterior, posterior, or both) - (n = 2494), and group 3 - transvaginal hysterectomy (TVH) - (n = 310). The clinical effectiveness of each type of procedure was estimated by means of the NIH Pelvic Floor Disorders Network criteria.</p><p><strong>Results: </strong>The number of VNTR surgeries has significantly increased since 2017, following FDA warnings about the safety of these surgeries. The reoperation rate during the follow-up period did not differ between the investigated groups. However, urgency occurrence was significantly lower in the VNTR group when compared to the TVM and TVH groups (p < 0.05).</p><p><strong>Conclusions: </strong>In most cases of symptomatic POP, vaginal native tissue repair is a safe and effective primary treatment. Based on the reoperation rate and the functional outcome we have not found any evidence of benefits from augmenting surgical prolapse repairs with polypropylene mesh inlays.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnancy and neonatal outcomes in women with myasthenia gravis: two decades experience from a university clinic.","authors":"Slavica Aksam, Dusica Kocijancic Belojevic, Jelena Dotlic, Miljana Jovandaric, Ivana Babovic, Milena Mitrovic, Ivana Vukovic, Jovan Bila, Snezana Vukajlovic","doi":"10.5603/gpl.102412","DOIUrl":"https://doi.org/10.5603/gpl.102412","url":null,"abstract":"<p><strong>Objectives: </strong>Myasthenia gravis (MG) can increase pregnancy complications and cause adverse pregnancy outcome, while pregnancy can deteriorate the course of MG. The study evaluated pregnancy and neonatal outcomes in women with myasthenia gravis and factors that impact these outcomes.</p><p><strong>Material and methods: </strong>The study included all 94 pregnant women with MG who were examined and delivered between 2000 and 2020 in our referral university clinic. Data on the mothers' medical history, symptoms and therapies during pregnancy along with overall condition after delivery were collected. Regarding neonates we registered gestational weeks and types of deliveries, anthropometric parameters, Apgar scores, symptoms, complications and therapies upon birth.</p><p><strong>Results: </strong>Examined women were mostly primiparous with an average age of 30.81 ± 4.47 years. MG lasted for 4.3 ± 2.96 years before pregnancy and was treated with thymectomy and acetylcholinesterase inhibitors. Myasthenia gravis was mostly stable or improved during pregnancy, but deteriorated in 6.4% cases during and 3.2% cases after pregnancy. The predictor of maternal condition after delivery was MG symptoms severity during pregnancy. Delivery mostly occurred in term (84.3%). Cesarean sections rate was 37.2%. All investigated newborns were in good condition upon birth (average Apgar score 8.75 ± 0.57). Although 12.8% of newborns had mild symptoms of transient neonatal MG, none had any consequences. A higher MG class and an earlier week of delivery were predictors for complications of neonates upon birth.</p><p><strong>Conclusions: </strong>With close monitoring and appropriate current therapies pregnancy of MG patients can be uneventful with favorable outcomes for both mothers and neonates.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of graft materials used in the McIndoe procedure in terms of anatomical and sexual function in a tertiary care hospital and a brief overview of vaginoplasty techniques.","authors":"Ahmet Beyazıt, Oya Soylu Karapınar, Kenan Serdar Dolapçıoğlu","doi":"10.5603/gpl.102662","DOIUrl":"https://doi.org/10.5603/gpl.102662","url":null,"abstract":"<p><strong>Objectives: </strong>Vaginal agenesis is one of the most common causes of primary amenorrhea. Creating a vagina that allows coitus is a necessary procedure for the psychological and social well-being of these patients. For this purpose, McIndoe method is the most frequently used method. Various materials are used as grafts in this surgery. In this study, the aim was to compare the amnion and skin grafts that are used in the McIndoe method.</p><p><strong>Material and methods: </strong>Between 2011 and 2021, 12 patients were operated on using the McIndoe method. Chromosomal analysis, operation time S: , preoperative and postoperative vaginal length S: and complications were evaluated. Sexual function of the patients was evaluated with the Female Sexual Function Index (FSFI) questionnaire.</p><p><strong>Results: </strong>Skin was used in seven patients and amnion was used in five patients. Chromosomal anomaly was detected in two patients. Operation times were significantly shorter in the group with amnion grafts. Postoperative tissue infection developed in one patient. In the evaluation at the end of the first year, it was observed that vaginal stenosis developed in two patients in whom amnion was used. Vaginal lengths were longer in skin group (8.7 ± 1.1 cm vs 5.4 ± 2.5 cm). Nine patients had active sex life. Female Sexual Function Index score was 30.3 ± 5.8 in skin group n = 6 and 27.9 ± 5.5 in amnion group n = 3 which was evaluated as normal.</p><p><strong>Conclusions: </strong>The most used method for vaginoplasty is McIndoe. There is no consensus on the ideal material for grafting. Regardless of which graft is used, regular usage of the dilator is the cornerstone of this procedure.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fetal hypoplastic left heart syndrome and neonatal follow-up in Polish Mother's Memorial Hospital Research Institute report from January 2023 to January 2024: an improvement of survival rate.","authors":"Maria Respondek-Liberska, Iwona Strzelecka, Maciej Slodki, Michal Krekora, Mariusz Grzesiak, Ewa Gulczynska, Iwona Maroszynska, Tomasz Moszura, Edward Malec, Katarzyna Januszewska","doi":"10.5603/gpl.104906","DOIUrl":"https://doi.org/10.5603/gpl.104906","url":null,"abstract":"<p><strong>Objectives: </strong>In 2023 and 2024, our primary study group consisted of 39 fetuses with HLHS MATERIAL AND METHODS: From the final analysis, we excluded the following: 1 twin pair (twin A with normal heart anatomy and twin B with HLHS), 2 terminations of pregnancy, and 2 newborns without prenatal echocardiography (only ultrasound was performed, and HLHS was not detected prenatally). As a result, our study group comprised 34 fetuses. The mean gestational age at the detection of HLHS was 19 weeks (± 6 weeks). Extracardiac malformations were present in 7 fetuses out of 34. Prenatally diagnosed genetic problems included Turner syndrome, DiGeorge syndrome, and an abnormal Y chromosome.</p><p><strong>Results: </strong>Most pregnancies ended at term, with a mean gestational age at delivery of 38.5 weeks (± 0.9). The mean birth weight was 3142 g, and the mean Apgar score was 8 at 1 minute. After birth, there were 2 neonatal deaths: one newborn with HLHS and a birth weight of 1900 g, and another with HLHS and lymphangiectasies. Norwood surgery was performed in 32 newborns: in survivors, at a mean age of 12 ± 5 days, and in the non-survivor group, at a mean of 17 ± 5 days (t-test p = 0.027). The overall survival rate from 2023 to 2024 was 87% for liveborn fetuses/neonates, significantly higher than the historical data from 2008-2015, which showed a survival rate of 64% (chi-square p = 0.015).</p><p><strong>Conclusions: </strong>Prenatal echocardiographic data do not equate to cardiac surgery data, as they include deaths in utero, terminations of pregnancy, and deaths after delivery (presurgery mortality). In consultations with future parents following the prenatal detection of HLHS, the entire spectrum of possible outcomes should be discussed, including the survival rate after Norwood surgery at our center, which was approximately 90% from January 2023 to January 2025. The day of cardiac surgery may be an additional important risk factor.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing V-NOTES hysterectomy: a comparative analysis of GelPoint and Glove techniques.","authors":"Eralp Bulutlar, Gizem Berfin Uluutku Bulutlar, Sadık Şahin","doi":"10.5603/gpl.104335","DOIUrl":"https://doi.org/10.5603/gpl.104335","url":null,"abstract":"<p><strong>Objectives: </strong>Vaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) has emerged as a minimally invasive approach for hysterectomies, offering improved outcomes and patient satisfaction. Various techniques, including the GelPoint® and Glove methods, are used during V-NOTES procedures, each with potential advantages and drawbacks. This study aims to compare the effectiveness of the GelPoint® and Glove techniques in V-NOTES hysterectomy surgeries by evaluating their impact on surgical outcomes, complication rates, operative time, patient satisfaction, aesthetic results, and costs. This is a retrospective study analyzing data from patients who underwent V-NOTES hysterectomy between 2022 and 2024.</p><p><strong>Material and methods: </strong>A total of 60 patients were included, divided into two groups based on the technique used: GelPoint (n = 30) and Glove (n = 30). Data on operative time, intraoperative and postoperative complications, hospital stay duration, aesthetic satisfaction, and costs were collected retrospectively.</p><p><strong>Results: </strong>The mean operative time was significantly shorter in the GelPoint group (85 ± 12 minutes) compared to the Glove group (102 ± 15 minutes, p < 0.01). Postoperative complication rates were also lower in the GelPoint group (7%) than in the Glove group (15%, p < 0.05). The material cost for the Glove technique was 200 USD, whereas for the GelPoint technique, it was 500 USD.</p><p><strong>Conclusions: </strong>Both GelPoint and Glove techniques are safe and effective for V-NOTES hysterectomies. The GelPoint technique is associated with shorter operative times and fewer complications, whereas the Glove technique provides a more cost-effective solution.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel surgical vaginal rejuvenation technique involving cosmetic reconstruction of the vaginal outlet.","authors":"Ali Selcuk Yeniocak, Merve Karakaya, Can Tercan, Emrah Dagdeviren","doi":"10.5603/gpl.102904","DOIUrl":"https://doi.org/10.5603/gpl.102904","url":null,"abstract":"<p><strong>Objectives: </strong>Vaginal rejuvenation surgery became increasingly popular due to evolving societal perceptions, aiming to address both aesthetic concerns and female sexual dysfunction (FSD). This prospective cohort study aimed to investigate a novel approach aimed at preserving clitoral function while reconstructing the perineum in vaginal rejuvenation surgery, elucidate its procedural intricacies, evaluate short-term surgical outcomes, and assess changes in female sexual function and satisfaction postoperatively, using validated scoring systems, the Female Sexual Function Index (FSFI) and Sexual Satisfaction Scale for Women (SSS-W).</p><p><strong>Material and methods: </strong>Fifty sexually active patients undergoing elective female cosmetic genital surgery were included. Demographic data and surgical procedures were documented. Preoperative and postoperative 6th-month FSFI and SSS-W scores were collected. The Shapiro-Wilk, McNemar chi-square, and Wilcoxon tests were employed to evaluate the statistical outcomes.</p><p><strong>Results: </strong>Significant improvements were observed in FSFI domains, particularly in satisfaction (p < 0.001), pain (p < 0.001), and overall sexual function (p = 0.002) postoperatively. Patients with preoperative FSD demonstrated significant improvements in the arousal (p = 0.014), satisfaction (p < 0.001), and pain (p < 0.001) domains, as well as overall sexual function (p < 0.001). Notably, desire (p = 0.006), lubrication (p = 0.010), orgasm (p = 0.035), and satisfaction (p < 0.001) domains improved significantly in patients without preoperative FSD. Sexual Satisfaction Scale for Women questionnaire results corroborated these findings, showing significant enhancements in various domains of sexual satisfaction postoperatively.</p><p><strong>Conclusions: </strong>Vaginal rejuvenation surgery shows promise in enhancing female sexual function and satisfaction. However, it is crucial to recognize that FSD is a multifaceted disease, influenced by a range of physiological, psychological, and social factors that extend beyond the scope of a single surgical intervention.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective comparation of three surgical interventions for retained products of conception (RPOC) following terminations of pregnancy in the second and third trimesters: a single center study.","authors":"Hong-Juan Zhang, Li-Jin Shao, Zhi-Min Zhang, Li-Na Wang, Yu Gao, Wei Cui","doi":"10.5603/gpl.102509","DOIUrl":"https://doi.org/10.5603/gpl.102509","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to report our experience and explore optimal surgical interventions for treating retained products of conception (RPOC) following second and third-trimester pregnancies.</p><p><strong>Material and methods: </strong>Medical records of women who underwent either ultrasound-guided dilatation and curettage (D&C) or hysteroscopic electroresection of RPOC at the Fourth Hospital of Shijiazhuang, Hebei province, China, between 2018 and 2020 were retrospectively reviewed. The patients were divided into three groups based on surgical methods and intervention timing. Group A underwent D&C within two weeks to one month after diagnosis (n = 60), Group B had hysteroscopic electroresection within the same timeframe (n = 60), and Group C underwent hysteroscopic electroresection within 1 to 2 months after diagnosis (n = 60). Intraoperative conditions and postoperative complications were compared among three groups.</p><p><strong>Results: </strong>Mean surgical times were 25.20 ± 7.70 minutes in Group A, 39.38 ± 9.25 minutes in Group B, and 24.50 ± 7.49 minutes in Group C, with significant differences between Groups A and B, as well as B and C (p = 0.0000). Intraoperative bleeding volumes were 128.62 ± 13.15 mL in Group A, 79.35 ± 11.23 mL in Group B, and 30.18 ± 9.85 mL in Group C, showing significant intergroup differences (p = 0.0000). Secondary surgeries occurred in 12 cases in Group A, one case in Group B, and none in Group C (p = 0.0023). The rate of postoperative intrauterine adhesion (IUA) was highest in Group A (p = 0.0012). Intraoperative complications occurred in one case in Group A, two cases in Group B, and none in Group C.</p><p><strong>Conclusions: </strong>Hysteroscopic electroresection for RPOC within the specified timeframes resulted in shorter operation times, reduced bleeding, lower IUA rate, and fewer secondary surgeries compared to D&C or earlier electroresection.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}