Outcome of sonography ‐based minimally‐invasive surgery for deep infiltrating endometriosis of the ureter and urinary bladder – a retrospective cohort study

Abstract IntroductionTo evaluate the accuracy of transvaginal sonography for preoperative detection of bladder endometriosis and surgical outcomes regarding fertility and pain symptoms of women with urinary tract endometriosis. Material and MethodsRetrospective cohort study of consecutive patients with urinary tract endometriosis undergoing laparoscopic partial cystectomy and/or ureterolysis/decompression, ureteric resection and end‐to‐end anastomosis or ureteroneocystostomy for ureteral stenosis and hydronephrosis. ResultsOut of 207 patients with deep infiltrating endometriosis, 50 exhibited urinary tract endometriosis consisting of 30 patients with bladder endometriosis and 23 women with solitary or additional hydronephrosis. Sensitivity, specificity, positive and negative predicitive value, positive/negative likelihood ratios and test accuracy for transvaginal sonography detecting bladder endometriosis were 93%, 99%, 97%, 99%, 155.5, 0.07 and 98.6%. All women with bladder endometriosis underwent partial cystectomy. In cases of hydronephrosis, 14 conservative ureterolysis/decompressions, 6 ureteral resection anastomoses and 3 ureteroneocystostomies were performed. Duration of surgery was 205 minutes (range 89‐365 minutes), avarage blood loss was 1.6 g/dL (range 0.3‐4.6 g/dL) and hospital stay on average 8 days (range 2‐16 days) and the conversion rate was 4%. We observed 5 grade III complications. After a median follow‐up of 23 months dysmenorrhea (7.6 to 1.6; p
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research

Related Links:

Publication date: 15 May 2020Source: Journal of Alloys and Compounds, Volume 823Author(s): Jinzhi Jia, Xu Dong Liu, Xiaojia Li, Linhong Cao, Meng Zhang, Botao Wu, Xiuwen ZhouAbstractThe morphology and size of nanostructures have been considered to be directly related to capacitive performance. Additionally, hydrothermal synthesis is a common method to control nanostructures. In practice, researchers paid more attention to the direct effect of “useful ions” on morphology or size of nanostructures, e.g. the combination and decomposition processes of H+ and WO42− to form WO3. Unfortunately, the effects of ot...
Source: Journal of Alloys and Compounds - Category: Chemistry Source Type: research
Publication date: 15 May 2020Source: Journal of Alloys and Compounds, Volume 823Author(s): Stephan Laube, Hans Chen, Alexander Kauffmann, Steven Schellert, Franz Müller, Bronislava Gorr, Julian Müller, Benjamin Butz, Hans-Juergen Christ, Martin HeilmaierAbstractRefractory high entropy alloys (RHEAs) from the Mo–Cr–Ti–Al system exhibit promising strength at elevated temperatures. However, at room temperature they possess a B2-ordered crystal structure and, therefore, exhibit reduced ductility. Guided by thermodynamic calculations, the Al concentration was systematically reduced in MoCrTi-xAl (x&n...
Source: Journal of Alloys and Compounds - Category: Chemistry Source Type: research
Authors: Ertel KA, Hallam JE, Hillman AR Abstract BACKGROUND: Individuals participating in exercise beyond their level of fitness may be at higher risk for exercise-induced muscle damage, however the impact of training status on muscle damage development is not well understood. The purpose of this study was to measure skeletal muscle damage and soreness after five days of high and low intensity exercise in previously trained and untrained individuals. METHODS: Eighteen males and females (9 trained and 9 untrained) completed five consecutive days of high intensity (HI) exercise and five consecutive days of low i...
Source: Journal of Sports Medicine and Physical Fitness - Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
I haven't used Stimwave since fellowship. Anyone using their technology for peripheral nerve stim? Results? Pros/Cons and feedback from patients? If I were going to use it, it would probably be for suprascapular neuralgia, genicular nerualgia, and/or SI joint pain vs cluneal neuralgia, when other options have failed (i.e. RF).
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
How bad of an idea is it to be pregnant with adequate lead coverage during early months of pregnancy? I had a fellow resident who was pregnant who changed her rotations around to avoid any exposure, however it's my understanding that overall the exposure with adequate coverage is ultimately fine. I know most of you are men - not sure if there are any female pain docs who could chime in? Sigh.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Dear Dr. Ducttape, Beginning in 2020, our Board will offer its longitudinal assessment technology to diplomates of other medical specialties to maintain their Pain Medicine certification. Until now, diplomates of our co-sponsoring boards – American Boards of Physical Medicine and Rehabilitation (ABPMR), Psychiatry and Neurology (ABPN), and Radiology (ABR) – with current certificates in Pain Medicine took a high-stakes recertification exam every 10 years. Our Pain Medicine-certified... New for Pain Recertification- re PMR
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
(Houston Methodist) Surgeons at Houston Methodist Hospital are stemming the tide of addiction to prescription opioids by managing patients' pain after surgery.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
(Columbia University Irving Medical Center) A new study from researchers at Columbia University Vagelos College of Physicians and Surgeons found that non-medical cannabis use -- including frequent or problematic use -- is significantly more common in adults with pain than in those without pain.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
The objective of the study was to identify the relationship between subcortical gray matter (GM) volumes and juvenile myoclonic epilepsy (JME).MethodsWe analyzed the brain magnetic resonance imaging (MRI) scans that were performed during the time of the diagnosis of epilepsy by using voxel-based morphometry (VBM) method. The volumetric three-dimensional sequence was used for structural investigation. The volumes of the thalamus, caudate nucleus, pallidum, and putamen were measured in both hemispheres of patients with JME, patients with generalized tonic–clonic seizures alone (GTCS) (as a disease control group) and he...
Source: Epilepsy and Behavior - Category: Neurology Source Type: research
ConclusionThe risk of injury and seizure exacerbation due to participation in football for patients with epilepsy is low. Clinicians should use their best judgment in deciding whether contact sports increase risks for a particular patient based on individual seizure frequency, concurrent neurological and medical issues, and medication adverse effects.
Source: Epilepsy and Behavior - Category: Neurology Source Type: research
More News: Endometriosis | Hydronephrosis | Laparoscopy | OBGYN | Pain | PET Scan | Pregnancy | Reproduction Medicine | Study | Ureter and Renal Pelvis Cancer | Women