Pub Date : 2025-04-18DOI: 10.1016/j.gine.2025.101037
V. Monsalvo , J.C. Corredor , D. Pinzón
Sigmoid volvulus is one of the main causes of intestinal obstruction in the world, leading to consequences that derive from the decrease in mesenteric blood supply that can condition partial intestinal resection, leading to important changes in the quality of life of patients. Ovarian torsion is a gynecological emergency that becomes important in the short, medium and long term due to the crucial role of ovarian function in hormonal regulation and fertility. Both entities can generate an acute surgical abdomen, however few cases have been described in the literature on the simultaneous presence of these pathologies. We present a case of sigmoid volvulus secondary to adnexal cyst with torsion, with successful surgical management with partial salpingo-oophorectomy + sigmoidectomy + terminal colostomy in a 33 year-old woman with no important medical history, in the Regional Hospital of Duitama (Boyacá, Colombia).
{"title":"Vólvulo del sigmoide secundario a torsión ovárica: reporte de caso","authors":"V. Monsalvo , J.C. Corredor , D. Pinzón","doi":"10.1016/j.gine.2025.101037","DOIUrl":"10.1016/j.gine.2025.101037","url":null,"abstract":"<div><div>Sigmoid volvulus is one of the main causes of intestinal obstruction in the world, leading to consequences that derive from the decrease in mesenteric blood supply that can condition partial intestinal resection, leading to important changes in the quality of life of patients. Ovarian torsion is a gynecological emergency that becomes important in the short, medium and long term due to the crucial role of ovarian function in hormonal regulation and fertility. Both entities can generate an acute surgical abdomen, however few cases have been described in the literature on the simultaneous presence of these pathologies. We present a case of sigmoid volvulus secondary to adnexal cyst with torsion, with successful surgical management with partial salpingo-oophorectomy + sigmoidectomy + terminal colostomy in a 33 year-old woman with no important medical history, in the Regional Hospital of Duitama (Boyacá, Colombia).</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101037"},"PeriodicalIF":0.1,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844242","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}
Pub Date : 2025-04-17DOI: 10.1016/j.gine.2025.101035
M.R. Noguero , A. Azcoaga , C. Valentín , M. De Matías , J.A. Rueda , S. Bartolomé , E. Abreu , R. Barba , A.B. Cuesta
Aims
This study aimed to evaluate the operative time, hospital stay and complications in patients undergoing robotic gynaecological surgery before and after completing the surgical team's learning curve.
Methods
Observational retrospective study that included 185 patients who underwent Da Vinci robot-assisted gynaecological surgery from January 2013 to December 2021 at the Gynaecology and Obstetrics Department of the Rey Juan Carlos University Hospital (Spain). The sample was divided into two groups: those conducted before and after the completion of the established learning curve, set at 35 procedures per surgeon.
Results
During the study period, 185 patients underwent robot-assisted gynaecological surgery, 77 (41.6%) during period one and 108 (58.4%) during period two after. The median reduction in operative time was 43 min (95% CI 17–70) in period two compared to period one. The median length of hospital stay was two days (IQR = 2–3) and one day (IQR = 1–2) (p = 0.001) respectively. There were no statistically significant differences in transfusion rates, complications, and readmissions.
Conclusions
Completing the learning curve significantly reduced the operative time and hospital stay. While there were fewer complications during the second period, these differences were not statistically significant.
{"title":"Development of a gynecological robotic surgery program with the Da Vinci system: Beginnings and consolidation","authors":"M.R. Noguero , A. Azcoaga , C. Valentín , M. De Matías , J.A. Rueda , S. Bartolomé , E. Abreu , R. Barba , A.B. Cuesta","doi":"10.1016/j.gine.2025.101035","DOIUrl":"10.1016/j.gine.2025.101035","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to evaluate the operative time, hospital stay and complications in patients undergoing robotic gynaecological surgery before and after completing the surgical team's learning curve.</div></div><div><h3>Methods</h3><div>Observational retrospective study that included 185 patients who underwent Da Vinci robot-assisted gynaecological surgery from January 2013 to December 2021 at the Gynaecology and Obstetrics Department of the Rey Juan Carlos University Hospital (Spain). The sample was divided into two groups: those conducted before and after the completion of the established learning curve, set at 35 procedures per surgeon.</div></div><div><h3>Results</h3><div>During the study period, 185 patients underwent robot-assisted gynaecological surgery, 77 (41.6%) during period one and 108 (58.4%) during period two after. The median reduction in operative time was 43<!--> <!-->min (95% CI 17–70) in period two compared to period one. The median length of hospital stay was two days (IQR<!--> <!-->=<!--> <!-->2–3) and one day (IQR<!--> <!-->=<!--> <!-->1–2) (<em>p</em> <!-->=<!--> <!-->0.001) respectively. There were no statistically significant differences in transfusion rates, complications, and readmissions.</div></div><div><h3>Conclusions</h3><div>Completing the learning curve significantly reduced the operative time and hospital stay. While there were fewer complications during the second period, these differences were not statistically significant.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101035"},"PeriodicalIF":0.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839377","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}
Pub Date : 2025-04-12DOI: 10.1016/j.gine.2025.101036
L. Melo, C. Sousa, I. Santos Silva
Until 2014, the options available for women suffering from absolute uterine factor infertility (AUFI) to experience motherhood were adoption or surrogacy and uterine transplantation (UTx) changes this paradigm, emerging as a possible treatment for these patients and despite being associated with a significant risk of morbidity, with 3 or 4 surgeries and immunosuppression being indispensable until hysterectomy is performed, studies prove that pregnancy after UTx is possible, safe and capable of creating healthy newborns.
{"title":"Pregnancy after uterine transplantation. What can we tell to women?","authors":"L. Melo, C. Sousa, I. Santos Silva","doi":"10.1016/j.gine.2025.101036","DOIUrl":"10.1016/j.gine.2025.101036","url":null,"abstract":"<div><div>Until 2014, the options available for women suffering from absolute uterine factor infertility (AUFI) to experience motherhood were adoption or surrogacy and uterine transplantation (UTx) changes this paradigm, emerging as a possible treatment for these patients and despite being associated with a significant risk of morbidity, with 3 or 4 surgeries and immunosuppression being indispensable until hysterectomy is performed, studies prove that pregnancy after UTx is possible, safe and capable of creating healthy newborns.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101036"},"PeriodicalIF":0.1,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823606","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}
Pub Date : 2025-04-11DOI: 10.1016/j.gine.2025.101034
M.K. Abd El-Haseeb, O.A. Soliman Sallam, M.S. Abd El-Hamed
Background
The relationship between sleep quality and outcomes of assisted reproductive technologies (ART), particularly intracytoplasmic sperm injection (ICSI), remains relatively unexplored. Understanding this association is crucial for optimizing fertility treatments and improving success rates. This study aimed to investigate the impact of sleep quality on ICSI outcomes and explore potential correlations with various variables.
Methods
A prospective observational study was conducted on 150 infertile couples undergoing ICSI treatment. Demographic, clinical, and sleep quality data were collected. Statistical analyses, including Spearman's correlation and multiple linear regression, were performed to assess the relationships between sleep quality, treatment variables, and outcomes.
Results
The mean age of participants was 32.71 years, with a majority residing in rural areas. No significant differences were found in pregnancy rates or embryo characteristics across different sleep quality groups. However, moderate positive correlations were observed between sleep quality scores and fertilization rates (p < 0.05).
Conclusion
While sleep quality did not significantly impact ICSI outcomes in this study, moderate correlations were found with fertilization rates. Further research is needed to elucidate the complex interplay between sleep quality, reproductive treatments, and outcomes to optimize fertility care.
{"title":"Investigating the impact of sleep disorders on intracytoplasmic sperm injection outcome: A prospective observational study","authors":"M.K. Abd El-Haseeb, O.A. Soliman Sallam, M.S. Abd El-Hamed","doi":"10.1016/j.gine.2025.101034","DOIUrl":"10.1016/j.gine.2025.101034","url":null,"abstract":"<div><h3>Background</h3><div>The relationship between sleep quality and outcomes of assisted reproductive technologies (ART), particularly intracytoplasmic sperm injection (ICSI), remains relatively unexplored. Understanding this association is crucial for optimizing fertility treatments and improving success rates. This study aimed to investigate the impact of sleep quality on ICSI outcomes and explore potential correlations with various variables.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted on 150 infertile couples undergoing ICSI treatment. Demographic, clinical, and sleep quality data were collected. Statistical analyses, including Spearman's correlation and multiple linear regression, were performed to assess the relationships between sleep quality, treatment variables, and outcomes.</div></div><div><h3>Results</h3><div>The mean age of participants was 32.71 years, with a majority residing in rural areas. No significant differences were found in pregnancy rates or embryo characteristics across different sleep quality groups. However, moderate positive correlations were observed between sleep quality scores and fertilization rates (<em>p</em> <!--><<!--> <!-->0.05).</div></div><div><h3>Conclusion</h3><div>While sleep quality did not significantly impact ICSI outcomes in this study, moderate correlations were found with fertilization rates. Further research is needed to elucidate the complex interplay between sleep quality, reproductive treatments, and outcomes to optimize fertility care.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101034"},"PeriodicalIF":0.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815340","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}
Pub Date : 2025-04-01DOI: 10.1016/j.gine.2025.101033
L. López-Vendrell , L. Blay , I. Pascual , P. Rodriguez , A. Mariscal , M.A. Luna , C. Rios , A. Olivé , J.F. Julian , I. Casafont-Solé
Idiopathic granulomatous mastitis (IGM) is a rare benign chronic inflammatory disease. Diagnosis is by exclusion with histopathological confirmation. Treatment, although not standardized, is medical, complemented with percutaneous drainage and/or surgical treatment. A retrospective observational study of 14 patients diagnosed with IGM at the Germans Trias i Pujol Hospital between 2015 and 2020 was carried out. The average age was 39 years. The most frequent clinical presentation was a solitary painful mass (7/14) in the left breast (8/14). Risk factors were observed in 12 patients (12/14). Treatment in 11 patients (11/14) was with prednisone (PDN). In the absence of clinical remission, methotrexate (MTX) was administered to 6 patients (6/14), and 2 received anti-TNF (2/14) after not responding to PDN or MTX. Antibiotics were administered to 8 patients (8/14), 6 patients required percutaneous drainage (6/14), and 1 patient required surgery. IGM is a rare disease that affects young women. A multidisciplinary and protocolized approach will allow for early diagnosis and treatment.
{"title":"Mastitis granulomatosa: ¿quién, cuándo y cómo? Revisión de 14 casos","authors":"L. López-Vendrell , L. Blay , I. Pascual , P. Rodriguez , A. Mariscal , M.A. Luna , C. Rios , A. Olivé , J.F. Julian , I. Casafont-Solé","doi":"10.1016/j.gine.2025.101033","DOIUrl":"10.1016/j.gine.2025.101033","url":null,"abstract":"<div><div>Idiopathic granulomatous mastitis (IGM) is a rare benign chronic inflammatory disease. Diagnosis is by exclusion with histopathological confirmation. Treatment, although not standardized, is medical, complemented with percutaneous drainage and/or surgical treatment. A retrospective observational study of 14 patients diagnosed with IGM at the Germans Trias i Pujol Hospital between 2015 and 2020 was carried out. The average age was 39<!--> <!-->years. The most frequent clinical presentation was a solitary painful mass (7/14) in the left breast (8/14). Risk factors were observed in 12 patients (12/14). Treatment in 11 patients (11/14) was with prednisone (PDN). In the absence of clinical remission, methotrexate (MTX) was administered to 6 patients (6/14), and 2 received anti-TNF (2/14) after not responding to PDN or MTX. Antibiotics were administered to 8 patients (8/14), 6 patients required percutaneous drainage (6/14), and 1<!--> <!-->patient required surgery. IGM is a rare disease that affects young women. A multidisciplinary and protocolized approach will allow for early diagnosis and treatment.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101033"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817313","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}
Pub Date : 2025-04-01DOI: 10.1016/j.gine.2024.101015
D. Vela , F. Bernardez , C. Braxs , J. Calaf , E. Calle , P. Carpintero , J. Castañeda , F. Carmona
This article reviews two highly prevalent medical conditions: abnormal uterine bleeding (AUB) and heavy menstrual bleeding (HMB), highlighting their impact on women's health and quality of life. It is noted that AUB, particularly HMB, is associated with iron deficiency and anemia, which not only affect physical health but also emotional well-being and work productivity. The importance of early detection and appropriate management to prevent long-term complications is emphasized.
The article reviews the physiology of menstrual bleeding, the structural and non-structural causes of AUB according to the PALM-COEIN classification, and the relevance of iron metabolism in these conditions. Additionally, it discusses the epidemiology of AUB and HMB, noting that these conditions are underdiagnosed, which perpetuates their negative impact.
Methods
for diagnosing HMB in clinical practice are proposed, including qualitative tools such as questionnaires, and the importance of a comprehensive approach that considers the impact of bleeding on patients’ quality of life is highlighted. Finally, treatment strategies for HMB and iron deficiency are discussed, emphasizing the need for individualized and appropriate management.
{"title":"Ferritina antes que hemoglobina. Impacto del sangrado uterino anormal en la calidad de vida","authors":"D. Vela , F. Bernardez , C. Braxs , J. Calaf , E. Calle , P. Carpintero , J. Castañeda , F. Carmona","doi":"10.1016/j.gine.2024.101015","DOIUrl":"10.1016/j.gine.2024.101015","url":null,"abstract":"<div><div>This article reviews two highly prevalent medical conditions: abnormal uterine bleeding (AUB) and heavy menstrual bleeding (HMB), highlighting their impact on women's health and quality of life. It is noted that AUB, particularly HMB, is associated with iron deficiency and anemia, which not only affect physical health but also emotional well-being and work productivity. The importance of early detection and appropriate management to prevent long-term complications is emphasized.</div><div>The article reviews the physiology of menstrual bleeding, the structural and non-structural causes of AUB according to the PALM-COEIN classification, and the relevance of iron metabolism in these conditions. Additionally, it discusses the epidemiology of AUB and HMB, noting that these conditions are underdiagnosed, which perpetuates their negative impact.</div></div><div><h3>Methods</h3><div>for diagnosing HMB in clinical practice are proposed, including qualitative tools such as questionnaires, and the importance of a comprehensive approach that considers the impact of bleeding on patients’ quality of life is highlighted. Finally, treatment strategies for HMB and iron deficiency are discussed, emphasizing the need for individualized and appropriate management.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101015"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863747","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}
Pub Date : 2025-04-01DOI: 10.1016/j.gine.2024.101029
A. Mangana Molina , I. Da Cuña Carrera , A. Alonso Calvete , L. Núñez Remiseiro , M. Fernández Paz
Postmenopause is the period following menopause, where women experience a series of changes, including vasomotor symptoms, difficulty sleeping, low mood, and vaginal dryness. These are associated with a deterioration in physical, mental and sexual health, which decreases women's quality of life. Physiotherapy as a therapeutic alternative has great benefits to relieve these symptoms, so this review aims to compile the most current scientific literature to evaluate its effects on the quality of life of postmenopausal women. A bibliographic search was carried out during the month of December 2023 in the PubMed, Web of Science, Medline, Scopus, CINAHL, Cochrane Library and PEDro databases. The descriptors «Physical Therapy Modalities», «Menopause», «Climacteric» and «Quality of Life» were used. Randomized clinical trials that were published in the last 6 years in English or Spanish were included. After applying the eligibility criteria, 9 results were obtained. The chosen studies developed different physiotherapy interventions, including different exercise programs, yoga or Pilates sessions, craniofacial massage and even psycho-educational programs. In all of them, the main variable analyzed was quality of life. The different modalities of physical therapy seem to improve symptoms and, therefore, the quality of life of women in the postmenopausal stage.
绝经后是指绝经后的一段时间，女性会经历一系列变化，包括血管舒缩症状、睡眠困难、情绪低落和阴道干燥。这些都与身体、精神和性健康的恶化有关，从而降低了妇女的生活质量。物理治疗作为一种治疗方法对缓解这些症状有很大的好处，因此本综述旨在收集最新的科学文献来评估其对绝经后妇女生活质量的影响。我们于2023年12月在PubMed、Web of Science、Medline、Scopus、CINAHL、Cochrane Library和PEDro数据库中进行了文献检索。使用了描述符“物理治疗方式”、“更年期”、“更年期”和“生活质量”。在过去6年中以英语或西班牙语发表的随机临床试验也被纳入其中。应用合格标准，得到9个结果。所选的研究开发了不同的物理治疗干预措施，包括不同的运动项目，瑜伽或普拉提课程，颅面按摩，甚至心理教育项目。在所有这些研究中，分析的主要变量是生活质量。不同形式的物理治疗似乎改善症状，因此，生活质量的妇女在绝经后阶段。
{"title":"Fisioterapia en la calidad de vida de las mujeres posmenopáusicas","authors":"A. Mangana Molina , I. Da Cuña Carrera , A. Alonso Calvete , L. Núñez Remiseiro , M. Fernández Paz","doi":"10.1016/j.gine.2024.101029","DOIUrl":"10.1016/j.gine.2024.101029","url":null,"abstract":"<div><div>Postmenopause is the period following menopause, where women experience a series of changes, including vasomotor symptoms, difficulty sleeping, low mood, and vaginal dryness. These are associated with a deterioration in physical, mental and sexual health, which decreases women's quality of life. Physiotherapy as a therapeutic alternative has great benefits to relieve these symptoms, so this review aims to compile the most current scientific literature to evaluate its effects on the quality of life of postmenopausal women. A bibliographic search was carried out during the month of December 2023 in the PubMed, Web of Science, Medline, Scopus, CINAHL, Cochrane Library and PEDro databases. The descriptors «Physical Therapy Modalities», «Menopause», «Climacteric» and «Quality of Life» were used. Randomized clinical trials that were published in the last 6 years in English or Spanish were included. After applying the eligibility criteria, 9 results were obtained. The chosen studies developed different physiotherapy interventions, including different exercise programs, yoga or Pilates sessions, craniofacial massage and even psycho-educational programs. In all of them, the main variable analyzed was quality of life. The different modalities of physical therapy seem to improve symptoms and, therefore, the quality of life of women in the postmenopausal stage.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101029"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864554","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}
Pub Date : 2025-01-15DOI: 10.1016/j.gine.2024.101018
J.A. García-Mejido , F. Fernández-Palacín , J.A. Sainz-Bueno
We want to determine what the diagnostic criteria for pelvic organ prolapse (POP) should be for each pelvic compartment, establishing their diagnostic capability based on the current literature.
This is a systematic review and meta-analysis of studies published until March 2024 that compared the diagnosis of POP between transperineal ultrasound and clinical POP-Q examination. The authors searched various databases including PubMed/MEDLINE, Scopus, Web of Science, CINAHL, The Cochrane Library and ClinicalTrials.gov.
The Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool was used to assess study quality. Estimates of odds ratios, 95% confidence intervals and significance of sensitivity and specificity were obtained by aggregating all selected studies. All analyses were performed with R software.
The search identified 2359 citations and after applying the inclusion and exclusion criteria, a total of 8 studies were finally included. All studies were considered to have low applicability concerns in terms of patient selection, index test, reference standard, flow and timing. The pooled sensitivity for ultrasound diagnosis of POP was 72.3% with a standard error of 3.1% (p < 0.001), tau of 0.11, I2 of 97.1% (p < 0.001). The pooled specificity for ultrasound diagnosis of POP was 78.0% with a standard error of 4.4% (p < 0.001), tau of 0.16, I2 of 98.6% (p < 0.001).
The value of 10 mm is the cut-off point for the diagnosis of symptomatic cystocele (static measurement). A value of 15 mm is used for the diagnosis of symptomatic rectocele (static measurement) and for uterine prolapse (dynamic measurement). The current evidence is limited, so future research is needed to provide further confirmation.
{"title":"Systematic review and meta-analysis of the ultrasound diagnosis of pelvic organ prolapse (MUDPOP)","authors":"J.A. García-Mejido , F. Fernández-Palacín , J.A. Sainz-Bueno","doi":"10.1016/j.gine.2024.101018","DOIUrl":"10.1016/j.gine.2024.101018","url":null,"abstract":"<div><div>We want to determine what the diagnostic criteria for pelvic organ prolapse (POP) should be for each pelvic compartment, establishing their diagnostic capability based on the current literature.</div><div>This is a systematic review and meta-analysis of studies published until March 2024 that compared the diagnosis of POP between transperineal ultrasound and clinical POP-Q examination. The authors searched various databases including PubMed/MEDLINE, Scopus, Web of Science, CINAHL, The Cochrane Library and ClinicalTrials.gov.</div><div>The Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool was used to assess study quality. Estimates of odds ratios, 95% confidence intervals and significance of sensitivity and specificity were obtained by aggregating all selected studies. All analyses were performed with R software.</div><div>The search identified 2359 citations and after applying the inclusion and exclusion criteria, a total of 8 studies were finally included. All studies were considered to have low applicability concerns in terms of patient selection, index test, reference standard, flow and timing. The pooled sensitivity for ultrasound diagnosis of POP was 72.3% with a standard error of 3.1% (<em>p</em> <!--><<!--> <!-->0.001), tau of 0.11, <em>I</em><sup>2</sup> of 97.1% (<em>p</em> <!--><<!--> <!-->0.001). The pooled specificity for ultrasound diagnosis of POP was 78.0% with a standard error of 4.4% (<em>p</em> <!--><<!--> <!-->0.001), tau of 0.16, <em>I</em><sup>2</sup> of 98.6% (<em>p</em> <!--><<!--> <!-->0.001).</div><div>The value of 10<!--> <!-->mm is the cut-off point for the diagnosis of symptomatic cystocele (static measurement). A value of 15<!--> <!-->mm is used for the diagnosis of symptomatic rectocele (static measurement) and for uterine prolapse (dynamic measurement). The current evidence is limited, so future research is needed to provide further confirmation.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101018"},"PeriodicalIF":0.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168601","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}
Pub Date : 2025-01-11DOI: 10.1016/j.gine.2024.101030
N. Mateos-Canals, S. Ruiz-Martínez, N. Martínez Sánchez, J.L. Bartha Rasero, M.C. Fernández-Miranda
Objective
To evaluate the use of social media (SM) and its impact on pregnant women in the northern area of Madrid, Spain.
Method
An anonymous survey was conducted with 231 pregnant women who were monitored in the Obstetrics Service of La Paz University Hospital (Madrid). The use of various SM platforms and the information sought were evaluated, as well as the perceived credibility, influence on attitudes, and effects on perceived anxiety following their use.
Results
97% of pregnant women used SM, with 83.5% using it daily. Usage was higher among younger age groups, with Instagram being the most used SM platform. 81.7% of them followed profiles related to obstetrics/perinatal care, but one in five was unaware of the professionalism of the person behind the profile. Information about pregnancy, childbirth, neonatal care, and breastfeeding were the most sought-after topics, with an increase in the search for breastfeeding information among younger women. 45.4% considered the information to be highly credible, and 49.3% believed it could moderately influence their attitudes. Finally, 47.4% reported feeling moderately calm with the information, and 51.2% experienced low levels of anxiety.
Conclusions
The use of SM among pregnant women reflects that of the general population, with Instagram being the most popular platform. Many patients seek medical information on SM but often verify it with healthcare professionals. The credibility of information on SM varies, having a moderate influence on attitudes and perceived anxiety.
{"title":"Impacto del uso de redes sociales en las gestantes del área norte de Madrid","authors":"N. Mateos-Canals, S. Ruiz-Martínez, N. Martínez Sánchez, J.L. Bartha Rasero, M.C. Fernández-Miranda","doi":"10.1016/j.gine.2024.101030","DOIUrl":"10.1016/j.gine.2024.101030","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the use of social media (SM) and its impact on pregnant women in the northern area of Madrid, Spain.</div></div><div><h3>Method</h3><div>An anonymous survey was conducted with 231 pregnant women who were monitored in the Obstetrics Service of La Paz University Hospital (Madrid). The use of various SM platforms and the information sought were evaluated, as well as the perceived credibility, influence on attitudes, and effects on perceived anxiety following their use.</div></div><div><h3>Results</h3><div>97% of pregnant women used SM, with 83.5% using it daily. Usage was higher among younger age groups, with Instagram being the most used SM platform. 81.7% of them followed profiles related to obstetrics/perinatal care, but one in five was unaware of the professionalism of the person behind the profile. Information about pregnancy, childbirth, neonatal care, and breastfeeding were the most sought-after topics, with an increase in the search for breastfeeding information among younger women. 45.4% considered the information to be highly credible, and 49.3% believed it could moderately influence their attitudes. Finally, 47.4% reported feeling moderately calm with the information, and 51.2% experienced low levels of anxiety.</div></div><div><h3>Conclusions</h3><div>The use of SM among pregnant women reflects that of the general population, with Instagram being the most popular platform. Many patients seek medical information on SM but often verify it with healthcare professionals. The credibility of information on SM varies, having a moderate influence on attitudes and perceived anxiety.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101030"},"PeriodicalIF":0.1,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168256","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":"Women empowerment and its impact on fertility","authors":"J. Puerta Suárez , S.M. Vélez Cuervo , W.D. Cardona Maya","doi":"10.1016/j.gine.2024.101017","DOIUrl":"10.1016/j.gine.2024.101017","url":null,"abstract":"","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 1","pages":"Article 101017"},"PeriodicalIF":0.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746046","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}
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