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. ResultsOf 207 patients with deep infiltrating endometriosis, 50 exhibited urinary tract endometriosis, comprising 30 patients with bladder endometriosis and 23 women with solitary or additional hydronephrosis. Sensitivity, specificity, positive and negative predictive 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% respectively. All women with bladder endometriosis underwent partial cystectomy. In cases of hydronephrosis, 14 conservative ureterolysis/decompressions, six ureteral resection anastomoses and three ureteroneocystostomies were performed. Duration of surgery was 205 min (range 89–365 min), average 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). The conversion rate was 4%. We observed five grade III complications. After a median follow up of 23 months, there was a ...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: Original Research Article Source Type: research

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Short-eared Owl at Burwell Fen, photographed mid-January One evening in late November, I was once again, hoping to catch sight of the Starling murmurations that occur over the Broad Lane balancing pond. As mentioned in a previous, issue the local Starlings and their continental counterparts will often roost in the reed bed there, last winter there were literally thousands. At the time of writing, just a few hundred are roosting, but that can change on a wind as arrivals from Europe turn up when the weather changes. Anyway, reader Alison waved as she passed the pond on her dog walk. I later heard that she’d seen a scu...
Source: David Bradley Sciencebase - Songs, Snaps, Science - Category: Science Authors: Tags: Birds Source Type: blogs
CONCLUSION: There is an increased risk of adverse infant outcomes in women who experience imprisonment compared with the general population, whether they are in prison during pregnancy or not. PMID: 31948864 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
Abstract In this work, a selective silica-based molecular imprinted solid-phase microextraction (SPME) sorbent was prepared through the sol-gel process. Difenoconazole was used as a template to prepare imprinted materials on the surface of mesoporous silica. The SPME fiber followed by gas chromatography-electron capture detection was applied for the extraction and determination of difenoconazole. Fourier transform infrared spectrometry, field emission scanning electron microscopy, X-ray diffraction, and thermal gravimetry were used to characterize the imprinted SPME fiber. Two different procedures were presented t...
Source: Analytica Chimica Acta - Category: Chemistry Authors: Tags: Anal Chim Acta Source Type: research
This article summarizes basic information that the forensic practitioner should know about psychedelic substances, including their various effects and proposed mechanism of action; describes historical and recent research into psychedelics and criminal behavior; and offers evaluators a practical means by which to assess individuals' psychedelic use in forensic contexts. PMID: 31948993 [PubMed - as supplied by publisher]
Source: Journal of the American Academy of Psychiatry and the Law - Category: Medical Law Tags: J Am Acad Psychiatry Law Source Type: research
Publication date: February 2020Source: Annals of Emergency Medicine, Volume 75, Issue 2Author(s): Brandon J. Ricke, Bradley S. Jackson
Source: Annals of Emergency Medicine - Category: Emergency Medicine Source Type: research
Publication date: February 2020Source: Annals of Emergency Medicine, Volume 75, Issue 2Author(s): Mohamed Mohamed, Robert Long, Olha Krichevskiy, Mary J. Hughes
Source: Annals of Emergency Medicine - Category: Emergency Medicine Source Type: research
Publication date: February 2020Source: Annals of Emergency Medicine, Volume 75, Issue 2Author(s): Taiju Miyagami, Yasuhiro Suyama, Yuichi Takahashi, Kwang-Seok Yang, Toshio Naito
Source: Annals of Emergency Medicine - Category: Emergency Medicine Source Type: research
ConclusionDiverse women had high acceptance of contraception counseling in the ED. Perspectives expressing both support and concern in regard to ED contraception counseling were explored in detail.
Source: Annals of Emergency Medicine - Category: Emergency Medicine Source Type: research
ConclusionIt is envisaged that the current review will add value to more scientific research on M. flabellifolius and enhance/promote the increased interest in the sustainable commercialization of M. flabellifolius herbal tea as well as lead to the validation of unverified ethnobotanical claims.Graphical abstract
Source: Journal of Ethnopharmacology - Category: Drugs & Pharmacology Source Type: research
Publication date: Available online 17 January 2020Source: The Journal of Prosthetic DentistryAuthor(s): Panos Papaspyridakos, Yo-wei Chen, Bahaa Alshawaf, Kiho Kang, Matthew Finkelman, Vasilios Chronopoulos, Hans-Peter WeberAbstractStatement of problemData on the accuracy of printed casts from complete-arch digital implant scans are lacking.PurposeThe purpose of this in vitro study was to compare the 3D accuracy of printed casts from a complete-arch digital implant intraoral scan with stone casts from conventional impressions.Material and methodsAn edentulous mandibular cast with 4 multiunit abutments with adequate an...
Source: The Journal of Prosthetic Dentistry - Category: Dentistry Source Type: research
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