Use of multi-detector CT angiography in identification and classification of aorto-iliac diseases; clinical and surgical application
Conclusions MDCT angiography is excellent noninvasive scanning technique for patients suspected of having aorto-iliac occlusive disease, with higher spatial resolution and faster acquisition times, allowing assessment of the aorta and its branches with greater accuracy than other modalities.
This study investigates the distribution of femoral metastases in cancer patients, specifically addressing the incidence of distal femoral metastases. PET/CT examinations routinely extend only to mid-thigh level, precluding detection of distal metastases. We found a total of 208 femoral metastases in 112 patients. 30% had distal femoral metastases in addition to other areas of involvement. 7% of patients with femoral metastases had only distal femur disease. 6 patients had distal pathologic fractures. Exclusion of the distal femur during PET/CT may result in a missed or delayed diagnosis that could contribute to the develo...
To evaluate whether oxycodone use for postoperative pain control after hysterectomy for benign disease differs based on hysterectomy route.
The aim of this study is to assess whether the use of MRI as part of preoperative workup in the setting of patients with chronic pelvic pain and presumed diagnosis of endometriosis is predictive of pathology-proven endometriosis.
Despite the increasing morbidity and mortality of the opioid epidemic, the rates of pain medication use among the urogynecology patient population is not known. Our objective was to describe the baseline prevalence of preoperative opioid and neuropathic pain medication use in patients presenting for urogynecologic surgery and to determine whether this rate changed before and after passage of anti-opioid state legislation.
Urinary urgency without incontinence, frequently referred to as “dry overactive bladder” is a poorly understood condition. Our aim was to investigate the relationship of clinical symptoms (urgency and pain) with urinary biomarkers of neuroinflammation in women with urinary urgency without incontinence.
Little is known about mechanisms underlying nocturia in women with bladder pain syndrome/interstitial cystitis (BPS/IC). The thalamus plays a primary role in the organization of the sleep-wake cycle. Our hypothesis was that nocturia is associated with activation of the thalamus in women with BPS/IC as compared to controls.
Although sexual function outcomes in Pelvic Organ Prolapse (POP) trials are usually secondary outcomes, they are important outcomes to patients and should be reported in comparative trials. The IUGA-ICS Joint Report on Sexual Health in Women with Pelvic Floor Disorders recommends a minimum of reporting sexual activity, pain/dyspareunia, and overall sexual function based on a validated sexual function questionnaire. It is also important to report not only postoperative dyspareunia and sexual activity rates but also preoperative rates.
Preoperative anxiety has been associated with increased postoperative pain and lower patient satisfaction. The purpose of this study was to evaluate the effect of listening to music just prior to surgery on preoperative anxiety compared to usual care in patients undergoing reconstructive pelvic surgery.
The purpose of this study is to describe the rate of appendiceal endometriosis (AppE) in women having coincidental appendectomy at time of gynecologic surgery for pelvic pain, stage I-II endometriosis, or stage III-IV endometriosis. Coincidental appendectomy as standard of care in surgery for endometriosis and chronic pelvic pain has not been widely adopted largely due to uncertainty as to the prevalence of appendiceal pathology and procedure safety.
To test the hypothesis that preoperative levator ani muscle (LAM) and transvaginal pudendal nerve (PN) injections with bupivacaine and dexamethasone would improve postoperative pain after vaginal apical prolapse repair.