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Gynecology Obstetrics & Reproductive Medicine     Open Access   (Followers: 1)
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Gynecology Obstetrics & Reproductive Medicine
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1300-4751
Published by Medical Network Homepage  [1 journal]
  • Double Cerclage In Cervical Insufficiency: A Single Tertiary Center
           Experience

    • Authors: Ismet Hortu, Cagdas Sahin, Orkun Ilgen, Mert Kazandi, Ali Akdemir, A. Mete Ergenoglu
      Pages: 70 - 74
      Abstract: Objective: The aim of this study is to compare the perinatal outcomes of double cerclage via laparoscopic plus transvaginal technique in women with a history of transvaginal cerclage failure, between women with single transvaginal cerclage.Study Design: Five women who were diagnosed with cervical insufficiency with a history of at least one vaginal cerclage failure and 10 women who were diagnosed with cervical insufficiency were included in this study. Laparoscopic cerclage was performed to all women who have a medical history of vaginal cerclage failure, before pregnancy and additional transvaginal cervical cerclage was performed during their pregnancy (Group 1). Single transvaginal cervical cerclage was performed to the 10 women who had a short cervix and/or cervical insufficiency during their pregnancy (Group 2). The number of cerclage failure, perinatal outcomes, gestational week at the time of delivery, birth weight and Apgar scores were evaluated.Results: All five women in group 1 underwent a cesarean section. None of them had chorioamnionitis or poor obstetric outcomes and all gave birth after the 34th week of pregnancy. All ten women in group 2 were evaluated. Two women gave birth vaginally at the 33rd week of pregnancy. Remaining eight cases gave birth above 34th week of pregnancy. Six of the eight cases underwent cesarean section and two of the remaining were delivered vaginally. Mean birth weight of the fetuses were 2490±265 g and 2.710 ±361 g in group1 and group 2, respectively. Mean gestational age at the time of birth in group 1 and group 2 were found 36±1.83 weeks and 35.6±1.14 weeks, respectively.Conclusion: Laparoscopic cervical cerclage during pregnancy could be a safe and effective treatment. However, sometimes it might not be enough and transvaginal cervical cerclage may be needed to strengthen cervical tension.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2019.953
      Issue No: Vol. 26, No. 2 (2020)
       
  • Antenatal Depression and Anxiety Among Women with Threatened Abortion: A
           Case-Control Study

    • Authors: Bahar Sariibrahim Astepe, Sukriye Bosgelmez
      Pages: 75 - 82
      Abstract: Objective: Threatened abortion is a stressful condition for a pregnant woman which may influence mental health. This study aims to investigate the relationship between threatened abortion, anxiety, and depression during pregnancy. Study Design: Study group consisted of 121 pregnant women <20 weeks of gestation having vaginal bleeding; control group consisted of 129 pregnant women <20 weeks of gestation not having vaginal bleeding in their pregnancy until that time. Hospital anxiety and depression scale was used to assess potential anxiety and depression. Results: Statistical analyses indicated that (i) vaginal bleeding group had significantly higher rates of moderate/ severe anxiety (28.1% vs. 14.7% p=0.010); (ii) there was no statistically significant difference between depression rates of the women according to the presence of vaginal bleeding (38.8% vs. 34.9% p=0.517); (iii) low education (OR=2.233; 95% CI: 1.177-4.236; p=0.014) was possible predictors of antenatal depression. Although in the univariate analyses age, gravidity, and parity were associated with anxiety, only nulliparity was found as possible predictors of anxiety (OR=2.589; 95% CI: 1.362-4.922, p=0.004). Conclusion: Pregnant women without obstetric complications had similar rates of depression and anxiety as in women with threatened abortion, although anxiety levels were higher in women with threatened abortion.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2019.867
      Issue No: Vol. 26, No. 2 (2020)
       
  • Does Fetal Fibronectin Predict the Delivery Route in Nulliparous Women at
           Postterm Induced by Dinoprostone'

    • Authors: Hale Goksever Celik, Engin Celik, Gonca Yetkin Yildirim
      Pages: 83 - 87
      Abstract: Objective: Digital cervical evaluation has been used to determine the likelihood of vaginal delivery which is considered by many women to be non-tolerable. Recently, alternative approaches such as transperineal ultrasound, fetal fibronectin test in cervicovaginal secretions have been investigating for the prediction of the delivery route. We aimed to study whether the usefulness of qualitative fetal fibronectin test in cervicovaginal secretions for the prediction of vaginal delivery in pregnant women at postterm induced with dinoprostone.Study design: A total of 32 nulliparous pregnant women at postterm were enrolled in this prospective observational study. Fetal fibronectin test was applied to all participated women before the induction with dinoprostone and transvaginal ultrasonography was performed to measure cervical length.Results: The women having positive fetal fibronectin test result gave birth through vaginal route, except one case. Although there is no statistically significant difference, the shorter cervical length was associated with vaginal delivery in our population.Conclusion: Fetal fibronectin test has a predictive value for delivery route in nulliparous women at postterm. Fetal fibronectin test may be used as a “rule out” test because the rate of fetal fibronectin positivity was found to be higher in patients who gave birth via vaginal route. As also shown in our study, although there is no statistically significant difference, the pregnant women with shorter cervical length might have a high possibility to achieve vaginal delivery.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2018.880
      Issue No: Vol. 26, No. 2 (2020)
       
  • Effectiveness of Perineal Massage in the Second Stage of Labor in
           Preventing Perineal Trauma

    • Authors: Suleyman Cemil Oglak, Mehmet Obut
      Pages: 88 - 93
      Abstract: OBJECTIVE: This study was aimed to investigate the effect of perineal massage in the second stage of labor in prevention perineal traumas during childbirth.STUDY DESIGN: This observational study was conducted with 171 nulliparous women delivered by vaginally between January 2017 and May 2019. All the patients managed by the selective episiotomy principle. All the patients were divided into two groups: the perineal massage group and the control group. The perineal massage was performed during the second stage of labor until the baby's head was birth. The control group received routine labor care. In the case of threatening tears in any patient and at the preference of the midwife, mediolateral episiotomy was performed. Following childbirth, the perineum and vagina were examined for perineal tears and episiotomy by the midwives.RESULTS: The length of the second stage of labor was significantly lower in the massage group (36±19 minute) compared with the control group (46±25 minute, p=0.024). Twenty-five women (28.8%) in the massage group had intact perineum after vaginal birth, compared with five (6.0%) in the control group (p=0.003). The rate of first- and second-degree perineal tears are higher in the massage group [28 patients (32.2%) and 9 patients (10.3%), respectively] than in the control group [10 patients (11.9%) and 5 patients (6.0%), respectively, p<0.001]. The incidence of episiotomy was significantly lower in the massage group (25 patients, 28.7%) than in the control group (64 patients, 76.1%, p<0.001). CONCLUSION: Perineal massage should be considered a routine intervention to reduce the incidence of perineal trauma.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2020.1068
      Issue No: Vol. 26, No. 2 (2020)
       
  • Investigation of Adolescent Pregnancy Outcomes and Postpartum Depression
           Frequency and Risk Factors: Prospective Case Control Study

    • Authors: Mehmet Sukru Budak, Sedat Akgol
      Pages: 94 - 100
      Abstract: Objective: The aim of this study was to evaluate the frequency of postpartum depression (PPD), accompanying risk factors, and obstetrics and neonatal outcomes in adolescent pregnancies.Study Design: This prospective study was conducted on adolescent and adult pregnant patients giving birth in Diyarbakır Gazi Yaşargil Training and Research Hospital of Health Sciences University between January 01 and 31, 2018. Groups were compared in terms of PPD rates and PPD-related factors were also determined in both groups.Results: The frequency of PPD was higher in adolescent patients than in adult patients but the difference was not considered statistically significant (p> 0.05). In adolescent and adult patients, the following factors were found to increase PPD risk: illiteracy, living in an urban area, divorced parents, having fewer than 4 siblings, anemia and caesarean delivery.Conclusion: The study results showed no significant difference in PPD rates between adolescent and adult pregnant patients. In both groups, the factors of illiteracy, living in an urban area, divorced parents, anemia, fewer than 4 siblings, and caesarean delivery were found to increase the risk of development of PPD.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2018.818
      Issue No: Vol. 26, No. 2 (2020)
       
  • Magnitude, Characteristics, Maternal and Feto-Neonatal Outcomes of
           Obstetric Emergencies in Western Ethiopia, Nekemte, Ethiopia

    • Authors: Ashenafi Habte Woyessa, Jote Markos Caffo, Thanasekaran Palanichamy
      Pages: 101 - 109
      Abstract: Objective: In Ethiopia very little or probably nothing is known about the significance of obstetric emergencies. This study was therefore aimed at assessing magnitude, characteristics, and outcomes of obstetric emergencies in western Ethiopia.Study Design: Institution based prospective cohort study was employed from January to June 2017. To select the hospitals, area sampling technique was used. Total of 567 pregnant women with obstetric emergencies presented and treated in respective hospitals during the study periods and met the inclusion criteria were consecutively included.Results: Majority (91.7%) of the identified obstetric emergencies have led to termination of pregnancy. Significant proportions of pregnant women (11%) who reached health facility died of obstetric emergencies. Pregnant women with obstetric emergencies traveled to facility carried by people were found to have died about 8 times more likely as compared to those who were transported by ambulance. While 29.21% of women gave birth to normal life births, stillbirth and neonatal death were 8.02% and 7.4% respectively. Higher number of neonatal death was also observed among mothers in whom final mode of delivery was a cesarean section (AOR: 0.19(0.05, 0.62)) compared to spontaneous vaginal delivery.Conclusion: This study has revealed that obstetric emergencies are responsible for the significant number of maternal and perinatal death. If the women have been accessed early and received optimum emergency care, many cases of the occurred death would have been prevented. Better outcome can be achieved through maximum utilization of quality and comprehensive antenatal care and organized pre-hospital obstetric emergency services.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2019.936
      Issue No: Vol. 26, No. 2 (2020)
       
  • Is There a Difference in Terms of Perinatal Outcomes Between Fresh and
           Frozen Embryo Transfers'

    • Authors: Ayse Zehra Ozdemir, Pervin Karli
      Pages: 110 - 115
      Abstract: OBJECTIVE: Nowadays, fresh embryo transfers and frozen embryo transfers are frequently employed in the treatment of in vitro fertilization. This study aims to compare the pregnancy outcomes in patients who underwent fresh embryo transfers and frozen embryo transfers.
      STUDY DESIGN: All patients who underwent fresh embryo transfers and frozen embryo transfers at the in vitro fertilization center, Ondokuz Mayis University between 2010 and 2017 were screened retrospectively and the pregnancy results were evaluated at one-year follow-up. The study included a total of 912 transfers, 679 of which were fresh embryo transfers and 233 were fresh embryo transfers, in 756 patients. Comparisons were made in terms of biochemical pregnancy, clinical pregnancy rate, ongoing pregnancy, and live birth rate.RESULTS: Ectopic pregnancy, biochemical pregnancy, and abortus in fresh embryo transfers were found to be significantly more than that in frozen embryo transfers (p=0.001). However, no statistically significant difference in terms of clinical or ongoing pregnancy rate or live birth rate was observed. Birth weight was significantly lower in fresh embryo transfers than in frozen embryo transfers (p=0.001, p= 0.031). Multiple pregnancies preeclampsia, preterm labor, and placental abruption did not show a statistically significant difference in fresh embryo transfers and frozen embryo transfers. Yet, gestational diabetes was significantly more in frozen embryo transfers (p=0.011).CONCLUSIONS: Early pregnancy complications in fresh embryo transfers are higher than that in frozen embryo transfers. In terms of neonatal results, higher birth weight and gestational diabetes are more prevalent in frozen embryo transfers. In this study, it has been shown that fresh embryo transfers are more often associated with negative pregnancy outcomes. frozen embryo transfers can be better for pregnancy results
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2019.932
      Issue No: Vol. 26, No. 2 (2020)
       
  • Evaluation of the Diagnostic Performance of Physical Examination Combined
           with Transvaginal Ultrasonography in Patients with Endometriosis

    • Authors: Talha Tiryaki, Tolga Karacan, Seyma Yesiralioglu, Eser Ozyurek, Huseyin Kiyak, Engin Oral
      Pages: 116 - 122
      Abstract: Objective: Owing to its high sensitivity and specificity, and because it is widely available, transvaginal ultrasonography is the first-line imaging test of choice used for the diagnosis of endometriosis. Ultrasonographic findings evaluated in conjunction with symptoms and signs may improve the diagnosis of endometriosis. Therefore, we hypothesized that transvaginal ultrasonography combined with physical examinations performed by physicians could predict endometriosis better in patients with symptoms suggestive of endometriosis compared with asymptomatic patients at presentation.Study Design: In this retrospective cohort study, the first subjective impression obtained from the history, physical examination, and transvaginal ultrasonography performed by the physician during the first visit in the outpatient clinic was taken into consideration. Patients who underwent surgery with the indication of ovarian mass were divided into two groups according to their admission types; symptomatic and asymptomatic.Results: The number of patients reported to have endometriosis histopathologically was 138;132 were in the premenopausal period (symptomatic group n=101, asymptomatic group n=31) and 6 were in the postmenopausal period (symptomatic group n=1, asymptomatic group n=5). The positive predictive value and positive likelihood ratio of the combination of pelvic examination and transvaginal ultrasonography in premenopausal symptomatic and asymptomatic patients, and postmenopausal symptomatic and asymptomatic patients were 97.8%, 11.5; 47.3%, 6.9; 25.0%, 4.6; and 11.1%, 2.3, respectively.Conclusion: The diagnostic performance of transvaginal ultrasonography in combination with physical examination in patients with asymptomatic endometriosis cannot reach the diagnostic accuracy of physical examination combined with transvaginal ultrasonography in patients with endometriosis who present with symptoms.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2019.901
      Issue No: Vol. 26, No. 2 (2020)
       
  • Oxidative Stress in Endometrial Flushing Fluid of Patients with Polycystic
           Ovary Syndrome, Endometrioma and Uterine Leiomyoma: Comparison with
           Healthy Controls

    • Authors: Mustafa Demir, Onur Ince, Bulent Yilmaz, Mert Ulas Barut, Ulviye Cansu Ozturk, Avni Kılıc, Ahmet Berkiz Turp, Recep Sutcu, Seyithan Taysi
      Pages: 123 - 129
      Abstract: OBJECTIVE: Polycystic ovary syndrome, myoma uteri and endometrioma are frequently seen gynecologic problems and all three diseases may cause infertility. Aim of this cross-sectional study was to compare total antioxidant status, ceruloplasmin, total sulfhydryl , total oxidant status, lipid hydroperoxide and oxidative stress index levels in endometrial flushing fluid of patients with Polycystic ovary syndrome (n=20), uterine leiomyoma (n=20), endometrioma (n=19), and healthy women (n=20).STUDY DESIGN: We compare endometrial flushing fluid of patients with polycystic ovary syndrome (n=20), uterine leiomyoma (n=20), endometrioma (n=19) and healthy women (n=20). Endometrial flushing fluid samples were collected during the implantation window of all women.RESULTS: Mean age of groups was 28.90±5.45, 37.25±2.73, 32.84±6.62 and 32.15±5.18 in Polycystic ovary syndrome, myoma uteri, endometrioma and control groups, respectively (p<0.05). Mean total antioxidant status, ceruloplasmin and total sulfhydryl levels indicating antioxidant state were comparable between Polycystic ovary syndrome, myoma uteri, endometrioma and control groups (p=0.806, p=0.156, p=0.328 respectively for markers). Similarly, oxidant state-related markers didn’t differ significantly between 4 groups (p=0.090 for total oxidant status, p=0.087 for lipid hydroperoxide, p=0.312 for oxidative stress index).CONCLUSION: Endometrial flushing fluid total antioxidant status, total oxidant status, lipid hydroperoxide, ceruloplasmin, and total sulfhydryl levels during implantation window didn’t differ between women with Polycystic ovary syndrome, uterine leiomyoma, endometrioma, and healthy controls.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2020.1091
      Issue No: Vol. 26, No. 2 (2020)
       
  • Investigation of the Incidence of Coital Incontinence in Incontinent Women

    • Authors: Omer Demir, Cihan Comba
      Pages: 130 - 133
      Abstract: Objective: Coital incontinence is the involuntary leakage of urine during sexual intercourse and is rarely reported in women with urinary incontinence. The aim of this study is to investigate the frequency of coital incontinence and its association with incontinence types.Study Design: All sexually active women with urinary incontinence (diagnosed as self-reported) attending the out-patient gynecology clinic of a regional state hospital were interviewed consecutively between September 2017 and September 2018 about their experience with regards to coital incontinence. The clinical evaluation consisted of medical history, physical examination, and urine analysis. The SPSS 20 program designed for Windows was used for statistical analysis. Results: Twenty-two of the 64 women who participated in the study were diagnosed with coital incontinence and the remaining 42 women were to be compared. 42 women were included in the control group, and 22 women were defined as the study group. The women with coital incontinence had significantly higher stress test positivity than the control group (p = 0.00). No significant differences in the frequency of coital incontinence between incontinence types were found. The chi-square test was applied, and the p-value was >0.05 (p=0.110). So there was no statistically significant relationship between the type of incontinence and the frequency of coital incontinence.Conclusion: Coital incontinence is much more prevalent than expected and therefore patients with symptomatic urinary incontinence should be investigated for the presence of coital incontinence, as this may affect patient approach and treatment.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2019.948
      Issue No: Vol. 26, No. 2 (2020)
       
  • The Learning Curve of Total Laparoscopic Hysterectomy in a Rural Hospital

    • Authors: İsmail Biyik, Mustafa Albayrak, Fatih Keskin, Ayse Nur Usturali Mut
      Pages: 134 - 139
      Abstract: OBJECTIVES: Online education and certification programs which help most gynecologic surgeons to advance, improve and prove their skills. However, the benefits of such distant programs in terms of complication rate and operation time has not been evaluated so far. The aim of this study was to report the improvement of a single surgeon’s learning curve in total laparoscopic hysterectomy who had no previous mentorship/fellowship education, working in a rural district hospital before and after the completion of a distant on-line education and certification program - Gynaecological Endoscopic Surgical Education and Assessment.
      STUDY DESIGN: Medical records of patients who underwent total laparoscopic hysterectomy between May 2015 and December 2018 were retrospectively reviewed and grouped based on the certification date of the surgeon, Group 1 before and Group 2 after certification. Groups were compared for variables that impact the learning curve (operation time, complications and conversion to laparotomy)
      RESULTS: Of the 57 women eligible for evaluation 30 had total laparoscopic hysterectomy in Group 1 and 27 had total laparoscopic hysterectomy in Group 2. BMI, number of vaginal/cesarean births, previous abdominal/pelvic surgeries, operation indications, uterine weight, adnexectomy, and adhesiolysis rates, transfusion requirements, and the decrease in hemoglobin before and after operation were similar between the groups (p>0.05). Operation time was significantly shorter in Group 2 (83 min vs.116 min, p<0.0001).
      CONCLUSION: Thirty total laparoscopic hysterectomy operations seem enough to reach a plateau in the learning curve for gynecologists working in rural areas with limited facilities who cannot afford lengthily and expensive fellowship/mentorship programs, after completing distant online certification programs.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2019.1003
      Issue No: Vol. 26, No. 2 (2020)
       
  • The Post-Discharge Growth of Very Low Birth Weight Preterm Infants

    • Authors: Tuba Ozdemir, Abdullah Baris Akcan, Munevver Kaynak Turkmen
      Pages: 140 - 145
      Abstract: OBJECTIVE: In the present study, we investigate the growth characteristics of very low birth weight premature infants of up to two years corrected age, considering the factors affecting growth and catch-up growth time.STUDY DESIGN: The demographic data, clinical features, and comorbidities of 77 preterm infants with birth weights of less than or equal to 1.500 g were examined, the infants’ growth statuses in the 40th gestational week (gw) and at 6, 12, 18 and 24 months the corrected age, including their weight, height and head circumference, were evaluated.RESULTS: The findings revealed that very low birth weight infants should be closely monitored either during their stay in the Neonatal Intensive Care Unit, or for up to 6 months corrected age, paying particular attention to growth data, and the appropriate supportive treatment should be administered. The applied support process is influential on the future somatic growth of preterm infants. It was noted in the study that bronchopulmonary dysplasia, proven sepsis, respiratory distress syndrome, steroid treatment for more than three days, patent ductus arteriosus, and ibuprofen treatment seemed to affect somatic growth negatively.CONCLUSION: Small for gestational age newborns were found to catch up with appropriate for gestational age newborns at 2 years corrected age in terms of growth, although the percentage of catch-up growth during follow-up at the 40thgw, and at the 6th, 12th and 18th months was lower than that of appropriate for gestational age newborns.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2020.1023
      Issue No: Vol. 26, No. 2 (2020)
       
  • Peripartum Cardiomyopathy: A Case Report

    • Authors: Ozlem Ece Basaran, Emine Seda Guvendag guven, Suleyman Guven
      Pages: 146 - 147
      Abstract: Peripartum cardiomyopathy is one of the potentially life-threatening complications of pregnancy. It is characterized by symptoms of heart failure in the last months of gestation or within five months after birth. The objective of this case report was to report a case of peripartum cardiomyopathy. A 20-years-old (G1P0) pregnant woman was referred for further evaluation of heart failure in pregnancy. The patient’s family and medical histories were both unremarkable. She had a 36 weeks and 2 days dichorionic diamniotic twin pregnancy. Emergency cesarean section was performed under spinal anesthesia. During the early postoperative period, the patient complaint of respiratory distress and the diagnosis of peripartum cardiomyopathy was confirmed with physical examination, laboratory and echocardiography findings. She was transferred to the cardiac intensive care unit and received supplemental oxygen, noninvasive ventilation and intravenous infusion of lidocaine. She well tailored the medical therapy and she and her babies were discharged uneventfully after 10 days of delivery.The clinicians should keep in mind the diagnosis of peripartum cardiomyopathy in young woman with twin pregnancy in third trimester who presents with symptoms of heart failure even after delivery. Emergent cardiologic evaluation and intervention must be done for this rare and potentially morbid and mortal condition.
      Keywords: Ejection fraction, Peripartum cardiomyopathy, Pregnancy
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2018.803
      Issue No: Vol. 26, No. 2 (2020)
       
  • Laparoscopic Sentinel Node Mapping with Surgical Staging following
           Hysteroscopic Endometrial Resection in Endometrial Stromal Sarcoma

    • Authors: Phornsawan Wasinghon, Chyi-Long Lee
      Pages: 148 - 150
      Abstract: A 50-year-old woman presented with symptoms of abnormal uterine bleeding. Ultrasonography showed an intrauterine cavity nodule sized approximately 2 cm. A hysteroscopic resection was diagnosed. The histopathology revealed high-grade endometrial stromal sarcoma. The surgery was laparoscopic surgical staging with indocyanine green sentinel lymph node mapping. Two positive indocyanine green sentinel lymph node of the right and left pelvic nodes showed no nodal metastasis. Also, the five positive indocyanine green sentinel lymph node showed no nodal metastasis. The occult lymph nodes were dissected at the right and left pelvic nodes for nodes 4 and 9, respectively. Conclusively, hysteroscopic resection is beneficial for the diagnosis of uterine sarcoma. Notwithstanding, laparoscopy can be used for uterine cancer and the indocyanine green sentinel lymph node showed no false negative. The patient was stage IA.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2018.857
      Issue No: Vol. 26, No. 2 (2020)
       
  • A Case Report of Embryonal Botryoid Rhabdomyosarcoma of the Uterine Cervix
           in a 26- Year-Old Woman

    • Authors: Gunel Ziyadova, Altan Kavuncuoglu, Gonca Ozten, Zafer Selcuk Tuncer
      Pages: 151 - 154
      Abstract: Botryoid rhabdomyosarcoma originating from the cervix is rare among fertile women and constitutes 0.2% of all uterine cancers. A 26-year-old female patient with a cervical polyp presented with a case of sarcoma botryoides. The biopsy specimen confirmed the botryoid sarcoma of the uterine cervix and the patient underwent definitive surgery with lymphadenectomy. Pathology showed negative margins and total extraction of tumor. The tumor was confined to the cervix. The patient is considered group 1A in Intergroup RMS Working Group V (IRSG) criteria and the treatment plan continued with adjuvant vincristine, actinomycin D, cyclophosphamide chemotherapy.In the case of cervical polyps in the fertile age, the specimen must be carefully and histologically examined to rule out genital rabdomyosarcoma. Since the stage is a very important prognostic factor, an early diagnosis is crucial.
      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2018.788
      Issue No: Vol. 26, No. 2 (2020)
       
  • The Effect of Transobturator Tape Surgery on Female Sexual Functions: A
           Systematic Review

    • Authors: Engin Yildirim, Nuriye Buyukkayaci Duman, Umit Gorkem, Ozgur Kan
      Pages: 155 - 161
      Abstract: Objective: Stress urinary incontinence is one of the diseases that change the quality of life of women. Although there are various medical and surgical treatment modalities exist, transobturator tape surgery is one of the current options with the least complication rates. The aim of this systematic review was to evaluate sexual functional results after the transobturator tape procedure.study desıgn: Data were taken from those cohort, case-control and cross-sectional studies that were done with human subjects in full texts, were written in the English language.Results: A total of 24 clinical trials were evaluated. The most frequently administered scales were the female sexual function index and The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire -12. In total, 8 clinical studies employed female sexual function index whereas 8 clinical studies administered Prolapse/Urinary Incontinence Sexual Questionnaire -12. 4 of these studies tried to understand women’s sexual functions through questions determined by the researchers (N/A). 2 of the other studies used the Sexual Impact Questionnaire and a visual analogue scale, 1 study used Nine Questions on Sexual Functioning (NSF-9) and 1 study used International Consultation on Incontinence Questionnaire Vaginal Symptoms Module (ICIQ-VS). It was found that transobturator tape surgery that is performed for incontinence produces positive results on both sexual functions and urinary functions.Conclusion: Maintaining urinary continence is detected to directly be correlated with sexual functions. It is of high importance that before initiating surgical treatments, clinicians should give the patients a detailed medical examination in terms of both urinary and sexual functions.


      PubDate: 2020-08-04
      DOI: 10.21613/GORM.2020.1054
      Issue No: Vol. 26, No. 2 (2020)
       
 
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