Tag: gynecology

1. In this multicenter retrospective cohort study, pediatric patients with an ovarian neoplasm had high rates of oophorectomy despite low rates of malignancy. Premenarchal status, clinical symptoms on presentation, concerning features on imaging, and having the surgery performed by an adult gynecologist or pediatric surgeon were all associated with...

1. In a prospective cohort, a diagnosis of endometriosis was associated with a higher risk of subsequent infertility. 2. This association was only statistically significant for women under 35 years old. Evidence Rating Level: 1 (Excellent) Study Rundown: Endometriosis, a condition in which endometrial tissue exists outside of the uterus and affects...

1. Compared to women not receiving treatment, a higher proportion of women on oral fluconazole in early pregnancy experienced miscarriage. 2. Miscarriage was higher among women on oral fluconazole even when compared to women on topical anti-fungals. Evidence Rating Level: 2 (Good) Study Rundown: Vaginal candidiasis, commonly known as a yeast infection,...

  1. Compared with placebo, patients who took Tramadol or Celecoxib experienced significantly reduced pain during and after hysteroscopy. 2. There was no significant difference in pain scores between the Tramadol and Celecoxib groups. Evidence Rating Level: 1 (Excellent) Study Rundown: Hysteroscopy is the gold standard for diagnosing focal endometrial pathology that causes...

1. Overall reoperation rates ten years after vaginal mesh surgery for stress incontinence was low. 2. Patients of high-volume surgeons were less likely to require reoperation. Evidence Rating Level: 2 (Good) Study Rundown: Stress urinary incontinence impacts thousands of women in the U.S. and remains underreported. A combination of factors, including childbirth...

1. Contractile forces and nerve density were reduced in vaginal smooth muscle after mesh implantation. 2. Mesh stiffness and weight were predictive of smooth muscle outcomes. Evidence Rating Level: 2 (Good)            Study Rundown: Pelvic organ prolapse (POP), or the descent of pelvic organs relative to the hymenal ring, is a common condition...

Image: PD 1. African American women were more likely to present with vulvar cancer at a younger age compared to white women. 2. Among women ≥ 60 years of age, African Americans had lower vulvar cancer related mortality.  Evidence Rating Level: 2 (Good) Study Rundown: This study explored the epidemiology of vulvar...

Image: PD 1. An enhanced recovery protocol was associated with shortened hospital stays and reduced costs among patients undergoing major gynecologic surgeries (cytoreduction, surgical staging, or pelvic organ prolapse surgery).  2. Enhanced recovery protocols were associated with decreased use of patient-controlled anesthesia.  Evidence Rating Level: 2 (Good)  Study Rundown: This study found that...

Image: PD   Human Ovarian Follicle 1. HbA1c and fasting plasma glucose (FPG) demonstrated low sensitivity in detecting pre-diabetes in polycystic ovary syndrome (PCOS) patients. 2. The incidence of pre-diabetes was surprisingly high (7%) in normal weight PCOS patients (BMI < 25 kg/m2). Evidence Rating Level: 2 (Good) Study Rundown: This study found...