Ginekologia polska最新文献_第9页

Table of contents 2024. 目录2024。

Ginekologia polska Pub Date : 2024-01-01 DOI: 10.5603/gpl.104302

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Comment on annual conference of the International Urological Association (Post IUGA). 对国际泌尿外科协会（Post IUGA）年会的评论。

Ginekologia polska Pub Date : 2024-01-01 DOI: 10.5603/gpl.101245

Grzegorz Gurynowicz, Tomasz Lozinski, Wojciech Cnota, Pawel Szymanowski, Andrzej Kuszka

引用次数: 0

The effect of B-Lynch uterine compression suture performed for uterine atony on future menstrual pattern and reproductive outcome. 因子宫失弛缓而进行的 B-Lynch 子宫压迫缝合术对未来月经模式和生育结果的影响。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-02-09 DOI: 10.5603/gpl.92963

Dilek Kaplanoglu, Mehmet Bulbul, Mustafa Kaplanoglu, Berna Dilbaz

{"title":"The effect of B-Lynch uterine compression suture performed for uterine atony on future menstrual pattern and reproductive outcome.","authors":"Dilek Kaplanoglu, Mehmet Bulbul, Mustafa Kaplanoglu, Berna Dilbaz","doi":"10.5603/gpl.92963","DOIUrl":"10.5603/gpl.92963","url":null,"abstract":"Objectives: The effects of B-Lynch (UCS) compression sutures applied in postpartum hemorrhage cases due to uterine atony on menstrual pattern, fertility, obstetric outcomes, dysmenorrhea and dyspareunia were evaluated.Material and methods: Between January 2012 and March 2017, 77 patients (study group 37, control group 40) diagnosed postpartum hemorrhage in our clinic were included in the study. The long-term results of the patients were evaluated comparatively.Results: In the B-Lynch UCS group, an increase in the postoperative menstrual cycle length and the intensity of dyspareunia measured by the VAS score, and a statistically significant decrease in the duration of menstrual bleeding were observed. In the control group, a decrease in the self-estimated time of postpartum menstrual bleeding and a statistically significant increase in dyspareunia VAS values were observed. There was a statistically significant difference between the groups in terms of menstrual cycle length only after treatment.Conclusions: B-Lynch UCS can be used effectively and safely in PPH due to uterine atony without causing any additional pathology in menstrual pattern, fertility, dysmenorrhea and dyspareunia complaints other than the length of the menstrual cycle.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"687-692"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708827","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}

引用次数: 0

Motherhood and attitudes towards motherhood in women with Mayer-Rokitansky-Küster-Hauser syndrome. 患有 Mayer-Rokitansky-Küster-Hauser 综合症的妇女的母性和对母性的态度。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-05-08 DOI: 10.5603/gpl.98646

Weronika Mazurkiewicz, Urszula Kacprzak, Karolina Paluchowicz, Klaudia Purgal-Zaborowska, Krzysztof Sobczyk, Julia Sochowska, Karina Kapczuk

{"title":"Motherhood and attitudes towards motherhood in women with Mayer-Rokitansky-Küster-Hauser syndrome.","authors":"Weronika Mazurkiewicz, Urszula Kacprzak, Karolina Paluchowicz, Klaudia Purgal-Zaborowska, Krzysztof Sobczyk, Julia Sochowska, Karina Kapczuk","doi":"10.5603/gpl.98646","DOIUrl":"10.5603/gpl.98646","url":null,"abstract":"Objectives: The aim of the study was to find out what proportion of women with MRKHS have decided to become mothers and have children or would like to have children and consider various options for motherhood. Additionally, the survey aimed at identifying factors that might influence the women's decisions and opinions regarding adoption, gestational surrogacy (GS) and uterus transplantation (UTx).Material and methods: The study group consisted of 100 adult women with MRKHS who filled out questionnaires consisting of 56 questions. The survey was self-administered and anonymous.Results: Most of the study participants were under 30, lived in large cities ( > 150 000 inhabitants) and declared to be heterosexuals in a steady relationship (p < 0.05). While 11 participants had children, 66 out of 89 childless women (74%) expressed a desire for motherhood, but as many as 80 surveyed women have felt pressured to have children. The number of participants for whom a biological relationship with offspring was significant and insignificant respectively equaled (p = 1.000). The majority of the study participants supported the process of legalizing GS in Poland (95 vs 4) yet would opt for commercial rather than altruistic GS (64 vs 31) (p < 0.05). Most respondents stated that UTx is consistent with their faith and conscience (91 vs 4) and found UTx ethical (88 vs 4) (p < 0.0001).Conclusions: The majority of Polish women with MRKHS express the need to become a mother, but only one in ten has a child. The women's interest in biological motherhood is significant.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"615-620"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878218","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}

引用次数: 0

Prevalence and diagnosis of polycystic ovary syndrome (PCOS) in adolescents - what's new in 2023? Systematic review. 青少年多囊卵巢综合征（PCOS）的患病率和诊断--2023 年有什么新变化？系统回顾。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-08-14 DOI: 10.5603/gpl.98849

Karolina M Jakubowska-Kowal, Karolina J Skrzynska, Aneta M Gawlik-Starzyk

{"title":"Prevalence and diagnosis of polycystic ovary syndrome (PCOS) in adolescents - what's new in 2023? Systematic review.","authors":"Karolina M Jakubowska-Kowal, Karolina J Skrzynska, Aneta M Gawlik-Starzyk","doi":"10.5603/gpl.98849","DOIUrl":"10.5603/gpl.98849","url":null,"abstract":"Polycystic ovary syndrome (PCOS) is the most common endocrine disorder affecting approximately 5 to 18% of women of reproductive age and 3 to 11% of teenagers. The diagnostic criteria used in adult patients are not suitable for the diagnosis of adolescent patients, because some of the features may be physiological for puberty, so research is still ongoing to improve the criteria for diagnosing PCOS in teenagers. Polycystic ovary syndrome is associated with hormonal and metabolic changes and may predispose to the occurrence of many other diseases, such as obesity, metabolic syndrome, hypertension, type 2 diabetes and non-alcoholic fatty liver disease (NAFLD). Due to the high prevalence of PCOS and the various health problems it brings, it is necessary to select adolescent girls from the risk group, make an efficient diagnosis, start appropriate treatment, and lead the patient through a lifestyle change as soon as possible. Researchers' attention is increasingly focused on patients presenting with PCOS already in their teenage years. In our work, we want to look at the latest reports regarding the prevalence, pathophysiology and diagnosis of PCOS in adolescent girls.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"643-649"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977488","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}

引用次数: 0

Blood type ABO and the cytokine profile of follicular fluid in women undergoing IVF/ET. ABO 血型与接受试管婴儿/ET 的妇女卵泡液中的细胞因子谱。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-02-09 DOI: 10.5603/gpl.98380

Rafal Adamczak, Natalia E Ukleja-Sokolowska, Kinga Lis, Valentyna Chopyak, Anna Havrylyuk, Dagmara Adamczak, Wojciech Cnota, Zbigniew Bartuzi, Mariusz Dubiel

{"title":"Blood type ABO and the cytokine profile of follicular fluid in women undergoing IVF/ET.","authors":"Rafal Adamczak, Natalia E Ukleja-Sokolowska, Kinga Lis, Valentyna Chopyak, Anna Havrylyuk, Dagmara Adamczak, Wojciech Cnota, Zbigniew Bartuzi, Mariusz Dubiel","doi":"10.5603/gpl.98380","DOIUrl":"10.5603/gpl.98380","url":null,"abstract":"Objectives: ABO blood type was hypothesised to be related to a number of infertility processes. There is still an open debate on ABO blood group's incompatibility and infertility. It was associated with ovarian reserve in women with subfertility. There is still not enough information on the influence of blood type and the immunology of follicular fluid (FF).Material and methods: 78 patients were selected, who underwent in vitro fertilization (IVF) between April 2021 and January 2022. FF samples from each individual patient were taken on the day of ovarian puncture and stored at -80°C until immunological assessment. Concentration of chosen interleukins - IL-1α, IL-2, IL-4, IL-5, IL-6, IL-8 IL-10, IL-15, IL-1β, IL-18, IFN, LIF, TNFα, GCSF and PIBF-1 were measured using commercially available ELISA kits.Results: All assessed cytokines were present in the FF of exanimated patients. The concentration was compared to the blood type ABO of all women undergoing in vitro fertilization. No statistical relevance was found between blood type ABO and the concentration of GCSF, PIBF1, LIF, IL-15, IL-5, IL-8, IL-1 alfa, IL-1 beta, INF gamma, IL-2HS, IL-4HS, IL-6HS, IL-10HS in the FF obtained during ovarian puncture (p > 0,05). There was no statistically significant correlation between blood type ABO and the quality of embryo, and the positive pregnancy test in patients undergoing IVF/ET.Conclusions: The blood type ABO does not influence the wide cytokine profile of FF obtained during ovarian puncture in women with infertility of different origin, as well as embryo quality and pregnancy rate.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"557-564"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708852","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}

引用次数: 0

Preeclampsia in pregnant women with polycystic ovary syndrome: risk factor analysis based on a retrospective cohort study. 多囊卵巢综合征孕妇先兆子痫：基于回顾性队列研究的危险因素分析。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-10-20 DOI: 10.5603/gpl.92311

Ruoan Jiang, Yingsha Yao, Ting Wang, Baohua Li, Peiyue Jiang, Fangfang Wang, Fan Qu

{"title":"Preeclampsia in pregnant women with polycystic ovary syndrome: risk factor analysis based on a retrospective cohort study.","authors":"Ruoan Jiang, Yingsha Yao, Ting Wang, Baohua Li, Peiyue Jiang, Fangfang Wang, Fan Qu","doi":"10.5603/gpl.92311","DOIUrl":"10.5603/gpl.92311","url":null,"abstract":"Objectives: To compare the clinical characteristics of pregnant women with polycystic ovary syndrome (PCOS) and perinatal outcomes with or without preeclampsia (PE) and to factors that are potentially associated with the onset of PE.Material and methods: This was a retrospective study of pregnant women diagnosed with PCOS from January 2017 to December 2021. Eligible patients were divided into two groups based on the presence or absence of preeclampsia: a PE group and a non-PE group. Demographics, clinical characteristics, maternal and perinatal outcomes, and potential factors linked to disease recurrence were analyzed.Results: In total, 616 patients were enrolled and respectively classified into the PE group (n = 51) and the non-PE group (n = 565). The incidence of PE in pregnant women with PCOS was 8.28%; this was significantly higher than that in non-PCOS pregnant women (3.22%, p < 0.001). Logistic regression analysis of the predictive factors for PE in women with PCOS revealed that the combination of maternal hyperandrogenism, a pre-pregnancy BMI ≥ 24 kg/m², and a family history of cardiovascular disease (CVD) and assisted reproductive techniques (ART) exhibited the steepest receiver-operating characteristic (ROC) curve value at 0.797 [95% confidence interval (CI): 0.733-0.862].Conclusions: Patients with PCOS have a higher incidence of PE. We identified a series of significant and independent factors associated with PE in PCOS: maternal hyperandrogenism, a pre-pregnancy BMI ≥ 24 kg/m², and a family history of CVD and ART.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"365-372"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686618","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}

引用次数: 0

Which treatment should we choose for tubo-ovarian abscesses? Results of an 8-year clinical training in a tertiary center. 输卵管卵巢脓肿应选择哪种治疗方法？一家三级医疗中心为期 8 年的临床培训结果。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-12-15 DOI: 10.5603/gpl.96824

Ayşegül Bestel, Osman Samet Günkaya, Merve Aldıkactioglu Talmac, Yasemin Ballica, Seyma Colak Yuksek, Zeynep Gedik Ozkose, Burak Elmas, Hale Goksever Celik

{"title":"Which treatment should we choose for tubo-ovarian abscesses? Results of an 8-year clinical training in a tertiary center.","authors":"Ayşegül Bestel, Osman Samet Günkaya, Merve Aldıkactioglu Talmac, Yasemin Ballica, Seyma Colak Yuksek, Zeynep Gedik Ozkose, Burak Elmas, Hale Goksever Celik","doi":"10.5603/gpl.96824","DOIUrl":"10.5603/gpl.96824","url":null,"abstract":"Objectives: Tubo-ovarian abscess (TOA) is inflammation of the pelvic organs, mainly originating from the lower genital tract and intestinal tract. Treatment options include antibiotic therapy, surgical drainage, and radiologically guided (interventional) drainage. In our study, we aimed to evaluate the treatment method to be chosen and thus to manage patients with tuba ovarian abscesses (TOAs) most accurately.Material and methods: This is a retrospective cohort study, and patients who applied to a tertiary center diagnosed with tuba ovarian abscess (TOA) were included. TOA size (cm), pre-treatment C-reactive protein (CRP) value, pre-treatment white blood cell (WBC) value, previous operation type, postoperative complication, and antibiotics used were screened.Results: 305 patients were included in the study, and medical treatment was applied to 140 patients, organ-sparing surgical drainage to 50 patients, and surgical treatment to 115 patients. TOA dimensions measured at the time of diagnosis were significantly lower in patients for whom only medical treatment was sufficient. Pre-treatment CRP levels, WBC levels, and length of stay were significantly lower in patients for whom only medical treatment was sufficient. There was no significant difference between the pre-and post-procedure CRP difference, antibiotics, and hospitalization time.Conclusions: Preferring minimally invasive treatment in cases requiring invasive treatment reduces the frequency of complications. Treatment of tuba ovarian abscesses (TOA) with minimally invasive methods will be more beneficial in terms of patient morbidity.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"350-355"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814030","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}

引用次数: 0

Rectus muscle re-approximation in cesarean section - a surgical dilemma: to close or not to close? 剖宫产术中的直肌再贴合--手术难题：贴合还是不贴合？

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-05-08 DOI: 10.5603/gpl.98027

Orkun Cetin, Kübra Ak, Tuba Bozhüyük Sahin, İpek Dokurel Çetin

{"title":"Rectus muscle re-approximation in cesarean section - a surgical dilemma: to close or not to close?","authors":"Orkun Cetin, Kübra Ak, Tuba Bozhüyük Sahin, İpek Dokurel Çetin","doi":"10.5603/gpl.98027","DOIUrl":"10.5603/gpl.98027","url":null,"abstract":"Objectives: Cesarean section is one of the most common operations worldwide since decades. However, the optimum surgical cesarean section technique is still being discussed. Closure or non-closure of the rectus muscles is also unclear among obstetricians. We aimed to evaluate the effect of rectus muscle re-approximation (RMR) in cesarean section on postoperative pain among singleton primi gravida elective cesarean sections at term.Material and methods: The current study was planned as a prospective, blinded, randomized controlled trial. A total of 279 elective primi gravida singleton cesarean sections; 142 undergoing RMR and 137 not-undergoing RMR were included in the study. All participants were managed with our clinic's postoperative protocol and obstetric outcomes were also recorded. The patients' pain was assessed face to face 24 hours and 48 hours after operation by using visual analog scale (VAS) score.Results: The elective singleton primi gravida cesarean sections with and without RMR exhibited no significant difference with respect to maternal age, Body Mass Index, delivery week and other obstetric outcomes. The VAS scores at 24th and 48th hours (67 ± 24 versus 69 ± 25, p: 0.635; 47 ± 25 versus 52 ± 26, p: 0,126, respectively) were similar between the RMR and non-RMR group.Conclusions: RMR has not any negative effect on postoperative pain, operation time, analgesic use and hospital stay in singleton primi gravida elective CS at term. Additionally, RMR did not lead to any adverse postoperative risks such as increased blood loss and sub-rectus hematoma.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"819-823"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878220","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}

引用次数: 0

Prevalence of urinary incontinence and prolapse after hysterectomy for benign disease versus gynecologic malignancy. 良性疾病与妇科恶性肿瘤子宫切除术后尿失禁和脱垂的发生率。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-08-26 DOI: 10.5603/gpl.98184

Jeannine M Miranne, Iwona Gabriel, Maura Kelly, Alexa Courtepatte, Vatche A Minassian

{"title":"Prevalence of urinary incontinence and prolapse after hysterectomy for benign disease versus gynecologic malignancy.","authors":"Jeannine M Miranne, Iwona Gabriel, Maura Kelly, Alexa Courtepatte, Vatche A Minassian","doi":"10.5603/gpl.98184","DOIUrl":"10.5603/gpl.98184","url":null,"abstract":"Objectives: To estimate the prevalence of UI and POP after hysterectomy for benign disease and gynecologic malignancy. This is a retrospective cohort chart review study. Two major urban tertiary care centers between 2006-2010. Women ≥ 18 years undergoing hysterectomy for benign or malignant indications.Material and methods: Presence of UI and POP was based on patient report in clinic notes, ICD-9 UI and POP diagnosis codes, and CPT codes for treatment. Prevalence of UI and POP after hysterectomy and time to development of UI and POP after hysterectomy.Results: 1363 (55%) women underwent hysterectomy for benign disease while 1107 (45%) had a hysterectomy for malignancy. Postoperative prevalence of UI and POP in the benign versus the malignant group was 15.1% vs 11.1% (p = 0.001), and 12.1% vs 2.8%, (p < 0.001), respectively. The median time to development of UI in the subset of patients without preoperative UI was 3.5 years in the benign group vs 3 years in the malignant group (p < 0.001). The median time to development of POP in the subset of patients without preoperative POP was 5 years in the benign group and 3.5 years in the malignant group (p < 0.001). There was no significant difference in the risk of developing UI or POP between groups after adjusting for confounders or when accounting for pre-hysterectomy UI or POP.Conclusions: When pre-hysterectomy UI or POP is taken into consideration, there is no difference in the prevalence of post-hysterectomy UI or POP.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"940-946"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057659","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}

引用次数: 0