Ginekologia polska最新文献

{"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}

{"title":"Obstetric and neonatal risks of Streptococcus agalactiae in adolescent pregnancy: a retrospective matched cohort study.","authors":"Jakub Staniczek, Maisa Manasar-Dyrbus, Rafal Stojko, Aleksandra Matonog, Katarzyna Wilk-Sikora, Maja Zieba-Domalik, Jonasz Troszka, Szymon Stojko, Agnieszka Drosdzol-Cop","doi":"10.5603/gpl.105549","DOIUrl":"https://doi.org/10.5603/gpl.105549","url":null,"abstract":"<p><strong>Objectives: </strong>Streptococcus agalactiae (GBS) infection is significant in obstetric and neonatal complications. Maternal age, particularly adolescent pregnancy, may influence the prevalence of GBS colonization and associated clinical outcomes. This study aimed to evaluate the impact of maternal age on obstetric and neonatal outcomes, with a specific focus on the modifying effect of GBS status. The analysis explored whether the associations between maternal age and selected outcomes remained statistically significant after adjusting for GBS interactions.</p><p><strong>Material and methods: </strong>A retrospective matched cohort study was conducted with 582 participants, comprising a study group and a matched control group selected through propensity score matching. The study group included adolescents (≤ 19 years, n = 194) and older individuals (> 19 years, n = 388). Inclusion criteria required GBS screening after the 35th week of gestation, bacterial culture upon hospital admission, and delivery during the same hospitalization. Statistical analyses included logistic and linear regression models adjusted for interactions with GBS.</p><p><strong>Results: </strong>In unadjusted analyses, adolescent mothers showed a higher likelihood of postpartum hemorrhage (OR = 2.715, p = 0.02), uterine atony (OR = 3.594, p = 0.043), transient tachypnea of the newborn (TTN) (OR = 6.16, p = 0.027), and shorter neonatal length (Estimation = -0.791, p = 0.001). However, after adjusting for interactions with GBS, these associations lost statistical significance: postpartum hemorrhage (AOR = 0.67, p = 0.711), uterine atony (AOR = 2.417, p = 0.315), TTN (AOR = 4.87, p = 0.117), and neonatal length (Estimation = -0.207, p = 0.584).</p><p><strong>Conclusions: </strong>These findings indicate that GBS colonization confounds the observed relationships between maternal age and these outcomes. These results underscore the importance of accounting for GBS status in assessing age-related risks during pregnancy and tailoring clinical management accordingly.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063598","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":"The challenge of Mevalonate Kinase Deficiency as one of the causes of nonimmune hydrops fetalis.","authors":"Aleksandra Mikolajczak, Katarzyna Bernat-Sitarz","doi":"10.5603/gpl.104678","DOIUrl":"https://doi.org/10.5603/gpl.104678","url":null,"abstract":"","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055123","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":"Sudden cardiac arrest during Hysterosalpingo Contrast Sonography - a case report.","authors":"Izabela Dymanowska, Karolina Frankowska, Magdalena Poplawska, Karolina Przenioslo, Grzegorz Polak","doi":"10.5603/gpl.104090","DOIUrl":"https://doi.org/10.5603/gpl.104090","url":null,"abstract":"","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039035","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 USG-MRI and post-natal results of Cases with anomalies detected in fetal CNS examination.","authors":"Zafer Bütün, Masum Kayapınar, Gökalp Şenol","doi":"10.5603/gpl.101730","DOIUrl":"https://doi.org/10.5603/gpl.101730","url":null,"abstract":"<p><strong>Objectives: </strong>Magnetic resonance imaging (MRI) imaging can be useful when fetal central nervous system (CNS) anomalies are detected by ultrasound (USG). This study aims to compare the findings from USG and MRI with post-natal results in cases of fetal CNS anomalies.</p><p><strong>Material and: </strong>METHODS: This is a retrospective/prospective study that analyzed the records of 55 pregnant women who underwent both fetal MRI and USG and whose birth results were obtained due to suspected CNS abnormalities between 2020 and 2023.</p><p><strong>Results: </strong>Pearson correlation analysis and Blant-Altman analysis showed that USG and MRI results of right lateral ventricle measurement were more similar compared to left lateral ventricle measurement. When the cut-off value for lateral ventricle measurement was 10 mm, there was a difference in the USG and MRI results of only 1 pregnant woman in the right lateral ventricle USG-MRI comparison, whereas no difference was observed in 9 pregnant women in the left lateral ventricle analysis. One pregnant woman with healthy USG results was found to have corpus callosum hypoplasia by MRI and one pregnant woman with posterior fossa anomaly by USG had healthy MRI results. All other measurements showed similar results between USG and MRI.</p><p><strong>Conclusions: </strong>Fetal MRI, when performed with appropriate indications in selected cases evaluated by USG, is useful for measuring the lateral ventricles and detecting various CNS anomalies. The advancing technology of USG and MRI devices, along with the experience of the physicians interpreting these examinations, will always be important.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050515","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":"Life satisfaction and self-efficacy of nurses and midwives in caring for newborns with lethal anomalies.","authors":"Katarzyna A Urbańska, Beata M Naworska, Karolina Bednarz, Szymon Stojko, Agnieszka B Drosdzol-Cop","doi":"10.5603/gpl.104634","DOIUrl":"https://doi.org/10.5603/gpl.104634","url":null,"abstract":"<p><strong>Objectives: </strong>The nursing and midwifery professions are potential influences on life satisfaction and self-efficacy, especially in obstetric settings dealing with fetal demise or severe congenital anomalies. This study aimed to assess how sociodemographic factors (e.g., workplace, marital status, financial situation, occupation, and tenure) and specific job exposures (frequency of neonatal death and caregiving for newborns with lethal defects) impact life satisfaction and self-efficacy among nurses and midwives. The study further explored the role of employer-provided psychological support in influencing job satisfaction and self-efficacy.</p><p><strong>Material and methods: </strong>A diagnostic survey with a custom questionnaire, supplemented by the General Self-Efficacy Life satisfaction and self-efficacy (GSES) and Satisfaction with Life Scale (SWLS), was conducted in level II and III referral centers in Poland's Silesian region in 2023. Participants included nurses and midwives in various neonatal and obstetric departments. Statistical analyses encompassed descriptive statistics, chi-square tests, and Spearman correlations, with significance set at p < 0.05.</p><p><strong>Results: </strong>A majority of participants reported moderate to high life satisfaction (41.7%) and self-efficacy (59.0%). Key factors impacting life satisfaction included marital status, financial situation, education, tenure, and caregiving frequency for newborns with lethal defects. High self-efficacy was significantly associated with job satisfaction, tenure, and workplace environment but was unaffected by marital status, financial situation, or psychological support.</p><p><strong>Conclusions: </strong>The findings highlight the emotional burden on nurses and midwives in neonatal care. Enhanced psychological support, stress-coping training, and policy adjustments are recommended to support this workforce. Further studies should broaden regional scope and examine links between life satisfaction, self-efficacy, and job satisfaction.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032591","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}