Journal of minimally invasive gynecology最新文献

{"title":"Influence of Tubal Patency on Endometriosis Recurrence: a Retrospective Matched Case-control Study.","authors":"Sofie Neutens, Arne Vanhie, Barbara Van Elst, Annouschka Laenen, Christel Meuleman, Carla Tomassetti","doi":"10.1016/j.jmig.2025.12.041","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.12.041","url":null,"abstract":"<p><strong>Study objective: </strong>To study if bilateral non-patency of fallopian tubes is correlated with a lower recurrence rate of endometriosis.</p><p><strong>Design: </strong>Retrospective 2:1 matched case control study.</p><p><strong>Setting: </strong>University hospital with tertiary referral center for fertility and endometriosis surgery in Leuven, Belgium.</p><p><strong>Patients: </strong>All patients undergoing complete laparoscopic excision of any rASRM-stage endometriosis between 2010 and 2014 (n=896).</p><p><strong>Intervention: </strong>Comparison between patients with bilateral non-patent or absent fallopian tubes versus matched controls with at least one patent fallopian tube.</p><p><strong>Measurements and main results: </strong>Primary outcome was the recurrence rate which was analyzed on 4 levels: overall recurrence, symptom recurrence, recurrence on imaging and need for reintervention. Out of 896 patients, 49 had bilateral non-patent or absent fallopian tubes. These cases were compared with 98 matched controls with at least one patent fallopian tube. Symptoms recurred in 12.2% of the cases (n=6) and 25.5% of the controls (n =25) (P=0.09). Recurrence was confirmed by imaging in 8% of the cases (n=4) and in 10.2% of the controls (n=10) (P=0.77). In 3 patients of the case group and in 12 patients of the control group, there was a need for reintervention (P=0.39). Within this subgroup, recurrence of endometriosis was histologically confirmed in none of the patients of the case group and in 5 patients of the control group (P=0.51).</p><p><strong>Conclusion: </strong>This study did not observe a statistically significant reduction in endometriosis recurrence in patients with bilateral occlusion/absence of the fallopian tubes after endometriosis surgery. A type II error may count for this result.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of intramural perforated levonorgestrel-intrauterine system with mesosalpinx entrapment.","authors":"Yui Honjo, Junko Ishigaki, Kenichi Someya, Bao-Liang Lin","doi":"10.1016/j.jmig.2025.12.032","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.12.032","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author's Reply.","authors":"Bahi Fayek, Yang Doris Liu, Mohamed A Bedaiwy","doi":"10.1016/j.jmig.2025.12.039","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.12.039","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Female Sexual Desire, Arousal, and Orgasmic Dysfunctions: A Systematic Review and Meta-Analysis of Treatment Options","authors":"Rafaela Germano Toledo MD ,&nbsp;William D. Winkelman MD ,&nbsp;Daniela Reyes-Gonzalez MD ,&nbsp;Sophie Bergeron PhD ,&nbsp;Anne Fladger MLS ,&nbsp;Michele R. Hacker ScD ,&nbsp;Mallika Anand MD, MS","doi":"10.1016/j.jmig.2025.06.004","DOIUrl":"10.1016/j.jmig.2025.06.004","url":null,"abstract":"<div><h3>Objective</h3><div>To conduct a systematic review and meta-analysis of treatments for female sexual desire, arousal, and orgasmic dysfunction in patients without sexual pain conditions.</div></div><div><h3>Data Source</h3><div>MEDLINE, Embase, Web of Science, Cochrane Library, PsycINFO, and ClinicalTrials.gov.</div></div><div><h3>Methods of Study Selection</h3><div>Following the initial search in December 2024, a total of 8994 abstracts were screened, 278 full-text articles were reviewed, and 36 studies met criteria for data abstraction including a patient population with female sexual dysfunction (FSD) of desire, arousal, and/or orgasm (DAO) and outcome measures including the Female Sexual Function Index (FSFI), its DAO subscales, and the Female Sexual Distress Scale (FSDS). Studies including patients with sexual pain conditions were excluded. Two reviewers independently conducted each phase.</div></div><div><h3>Tabulation, Integration, and Results</h3><div>Of the 36 studies, 26 were RCTs and 10 were single-arm trials. Ten studies evaluated cognitive behavioral therapy (CBT), 24 investigated medication therapy, and 2 investigated devices. Meta-analyses were conducted for mindfulness-based CBT, flibanserin, and bremelanotide. Mindfulness-based CBT significantly improved total FSFI and subscales of desire, arousal, and orgasm. Conversely, flibanserin improved total FSFI and desire while bremelanotide improved total FSFI and its desire and arousal subscales. No studies directly compared CBT to pharmacotherapy.</div></div><div><h3>Conclusion</h3><div>In this systematic review of treatments of females with sexual DAO dysfunctions without pain, we found that CBT improves DAO; flibanserin improves desire; and bremelanotide improves both desire and arousal; and all 3 treatments reduce distress. Our findings align with previous literature and expand upon it to include multiple treatment modalities. This broader perspective offers a starting point for clinicians, including gynecologists, who frequently serve as the first point of care for FSD. Conclusions regarding most other treatments could not be drawn due to limited numbers of studies of FSD excluding pain, heterogeneous terminology for DAO disorders, and varying outcome measures across studies.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 1","pages":"Pages 16-33.e3"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Devices and Erotica","authors":"Sophie Tucker BA ,&nbsp;Eliza Burr MD ,&nbsp;Sara Perelmuter MPhil ,&nbsp;Quynh Tran BS ,&nbsp;Alexis Thompson MPH ,&nbsp;Julia Rubin BS ,&nbsp;Melissa Davide BA ,&nbsp;Ibukunoluwa Omole BA ,&nbsp;Yash Adroja BA ,&nbsp;Jessica Yih MD ,&nbsp;Rachel Rubin MD ,&nbsp;Christine Vaccaro DO","doi":"10.1016/j.jmig.2025.09.001","DOIUrl":"10.1016/j.jmig.2025.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Sexual wellness is directly associated with overall physical and mental health. Sex span, which is the period spent enjoying a satisfying, vibrant, and joyful sexual life, is directly correlated to quality of life. Gynecologic surgeons are well-positioned to discuss sexual function with their patients as it pertains to a variety of pathologic pelvic conditions, including pelvic pain disorders, urinary/bowel incontinence, pelvic organ prolapse, as well as urogenital and non-urogenital cancers and other related conditions.</div></div><div><h3>Objective</h3><div>Describe sexual devices, tools, and erotica commonly used by female patients, and provide resources for clinicians. Vibrators, dildos, depth-limiting devices/collision aids, dilators, wands, and erotica are discussed in the context of evidence-based practices when available.</div></div><div><h3>Conclusion</h3><div>Sexual devices, tools, and erotica are means for both enhancing sexual pleasure and augmenting treatment of female sexual dysfunction. Despite a lack of standardized medical educational resources devoted to female sexuality, clinician familiarity with sexual devices, tools, practices, and erotica is necessary to build a comprehensive treatment plan supporting sexual health-related quality of life.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 1","pages":"Pages 100-109"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Female Sexual Function, Dysfunction, and Treatment: A Biopsychosocial Multidisciplinary Approach","authors":"Anna Myers APRN-CNP ,&nbsp;Jean Marino APRN-CNP ,&nbsp;Karen Connor PT DPT ,&nbsp;Erika L. Kelley PhD ,&nbsp;Sheryl A. Kingsberg PhD ,&nbsp;Rachel Pope MD, MPH","doi":"10.1016/j.jmig.2025.07.019","DOIUrl":"10.1016/j.jmig.2025.07.019","url":null,"abstract":"<div><h3>Objective</h3><div>Female sexual function is a multidimensional, complex, often understated aspect of health that encompasses desire, arousal, and orgasm. Physiological, psychological, and emotional factors impact sexual satisfaction. This article presents an expert-guided summary of the physiology and pathology of female sexual dysfunction and management of female sexual dysfunction from a multidisciplinary team lens.</div></div><div><h3>Data sources</h3><div>Key peer-reviewed articles, summary articles and books, and consensus guidelines on identification and management of female sexual dysfunction identified via a multimodal search.</div></div><div><h3>Methods of Study Selection</h3><div>The multidisciplinary team iteratively selected key peer-reviewed articles, summary articles and books, and consensus guidelines on identification and management of female sexual dysfunction, with a particular focus on implications for minimally invasive gynecology.</div></div><div><h3>Tabulation, Integration, and Results</h3><div>In recent years, advancements in minimally invasive gynecology have provided practitioners with innovative techniques to address physical issues often affecting female sexual function.</div></div><div><h3>Conclusion</h3><div>The identification and management of female sexual dysfunction often requires a multidisciplinary approach, as physiological contributing factors rarely are the sole direct cause of dysfunction. The authors, who are part of a multidisciplinary sexual health division at a metropolitan teaching hospital, discuss normal female sexual function, dysfunction, implications of age and surgical changes, and treatment options through the biopsychosocial model.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 1","pages":"Pages 10-15"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Female Dyspareunia and the Relationship to Neurophysiologic Mechanisms: A Scoping Review","authors":"Elizabeth Cook MD ,&nbsp;Amanda Yunker DO, MSCR ,&nbsp;Rachel Lane Walden MLIS ,&nbsp;Ella Barrett-Chan MD ,&nbsp;Hargun Dhillon ,&nbsp;Avonae Gentles MSc ,&nbsp;Mahfuza Sreya BMLSc ,&nbsp;William Zhu BSc ,&nbsp;Sawsan As-Sanie MD, MPH ,&nbsp;Paul J. Yong MD, PhD","doi":"10.1016/j.jmig.2025.07.018","DOIUrl":"10.1016/j.jmig.2025.07.018","url":null,"abstract":"<div><h3>Objective</h3><div>This scoping review aims to evaluate recent studies that examine the relationship between dyspareunia and neurophysiologic factors, and to synthesize their results as it pertains to the development and treatment of introital/vulvar dyspareunia and deep dyspareunia</div></div><div><h3>Data sources</h3><div>A comprehensive search was conducted in PubMed (NLM), Embase (Elsevier), CINAHL (EBSCOhost), Web of Science (Clarivate), Psycinfo (ProQuest), and Cochrane Library (Wiley) to find peer reviewed studies written in English published in 2000 or later that discussed how neurophysiology is related to dyspareunia. Search terms: dyspareunia; painful intercourse; genito-pelvic pain; penetration disorder; neuropsychology; central nervous system sensitization; neur; central sensitization.</div></div><div><h3>Methods of study selection</h3><div>A total of 1101 studies were screened and 108 were included in the review.</div><div>Abstract and full text screening were performed by 4 authors. Articles were also excluded if they did not include an objective diagnostic tool or objective treatment outcome of dyspareunia. We included original peer-reviewed published research in the form of randomized control trials, cohort studies, case control studies, case series of greater than 20 participants, and systematic reviews.</div></div><div><h3>Integration and Results</h3><div>Multiple study types were noted: 22 randomized control trials, 9 prospective cohort studies, 3 retrospective cohort studies, 30 case control, 16 case series, 17 cross-sectional, and 11 systematic reviews. Of these articles, 72 focused on introital/superficial dyspareunia, 23 focused on deep dyspareunia, and 13 on both. Data was synthesized in text and table format, separated by type of dyspareunia (introital vs deep) and either etiology/diagnosis or treatment.</div></div><div><h3>Conclusion</h3><div>There are complex neurophysiologic mechanisms that influence both introital and deep dyspareunia, highlighting the roles of peripheral and central sensitization, nerve fiber density, and neuroplasticity in this condition. There are several promising treatments, including TENS, botulinum toxin A, physical therapy, and various multimodal approaches; but further research is needed to establish standardized therapeutic guidelines.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 1","pages":"Pages 34-59"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Board Of Directors-Ed Calendar","authors":"","doi":"10.1016/S1553-4650(25)00968-9","DOIUrl":"10.1016/S1553-4650(25)00968-9","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 1","pages":"Page A1"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review and Meta-Analysis of Energy-based Devices For Postmenopausal Sexual Dysfunction","authors":"Fiona G. Li MD ,&nbsp;Akshara Shyamsunder MD ,&nbsp;Erin Nesbitt-Hawes PhD ,&nbsp;Rebecca Deans PhD ,&nbsp;Jason Abbott PhD","doi":"10.1016/j.jmig.2025.05.019","DOIUrl":"10.1016/j.jmig.2025.05.019","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the efficacy of energy-based treatments in the management of sexual dysfunction in postmenopausal women and guide evidence-based practice, highlighting quality and evidence gaps.</div></div><div><h3>Data Sources</h3><div>We performed a systematic review of available data until December 2024 from PubMed, Embase, and Scopus.</div></div><div><h3>Methods of Study Selection</h3><div>Two independent reviewers screened 954 possible manuscripts for inclusion using title and abstract with full-text extraction as appropriate. All randomized controlled trials (RCTs) with sham or placebo control investigating an energy-based vaginal treatment in postmenopausal women that assessed the severity of sexual dysfunction or dyspareunia were included in this study. Meta-analyses were performed for any comparable measures of the primary outcome.</div></div><div><h3>Tabulation, Integration, and Results</h3><div>From 9 included sham or placebo RCTs, 610 participants were enrolled, with 5 of 9 trials (55%) (including 248 participants in total) using a double-blinded methodology; 6 studied carbon dioxide laser, 3 studied radiofrequency treatment, 1 studied erbium-doped yttrium-aluminum-garnet laser, and 1 studied hybrid frequency laser. Pooled data from 6 studies with high heterogeneity suggest significant improvement in sexual function as measured by the Female Sexual Function Index with a mean change of 4.18 out of 36 (95% confidence interval, 2.89–5.47) and improvement in dyspareunia assessed by visual analog scale out of 10 from 4 studies with a mean change of −5.15 (95% confidence interval, −5.97 to −4.43).</div></div><div><h3>Conclusion</h3><div>Data from both blinded and unblinded RCTs suggest that energy-based treatments may be beneficial for the treatment of sexual dysfunction and dyspareunia. High heterogeneity and variability in outcomes despite similar protocols suggest considerable uncertainty of the results and require caution when interpreting these data.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 1","pages":"Pages 81-93"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emphasizing Sexual Health in Gynecologic Surgery","authors":"Barbara Levy MD, FACOG, FACS ,&nbsp;Cheryl B. Iglesia MD, FACOG, FACS","doi":"10.1016/j.jmig.2025.10.001","DOIUrl":"10.1016/j.jmig.2025.10.001","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 1","pages":"Pages 1-2"},"PeriodicalIF":3.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}