Identifying modifiable risk factors for urinary tract infections after benign hysterectomies using ACS-NSQIP
Hysterectomies are among the most commonly performed surgical procedures, with over 600,000 performed each year. As hysterectomies involve breaching the genital tract and often require use of an indwelling catheter postoperatively, patients who undergo hysterectomies are susceptible to urinary tract infections (UTIs). The evaluation and treatment of a UTI costs the US healthcare system an estimated $2 billion and also impacts quality of life. Further, postoperative UTI is a quality indicator for pelvic surgery. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Murthy, L Pandya, W Kobak, K Forero Source Type: research
Vaginal natural orifice transluminal endoscopic surgery (vNOTES) for gender affirmation
The process of transitioning from female to male in transgender persons usually includes medical treatment as well as surgical interventions, including removal of the uterus and ovaries. Nulliparity and prolonged exposure of the vaginal mucosa to testosterone, which are common among transgender men, may present challenges to performing a vaginal hysterectomy with salpingo-oophorectomy, which is commonly performed only for multiparous individuals. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Mohr-Sasson, M Hui, M Bonilla Moreno, A Montealegre Source Type: research
Vitamin D deficiency in black women with uterine fibroids
Uterine leiomyomas are benign tumors of the uterus that are composed of smooth muscle cells and fibroblasts and are rich in extracellular matrix. Leiomyomas are often associated with pelvic pain or pressure, menorrhagia, dysmenorrhea, dyspareunia, miscarriage and infertility, and are one of the leading indications for hysterectomy. Vitamin D is a hormone with anti-proliferative and anti-fibrotic effects that have been found to inhibit the growth of human uterine leiomyoma cells. In vitro studies have shown that myometrial tissue are sensitive target organs for vitamin D, and that their cell growth is effectively inhibited ...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Williams, K Forlenza, H Swede, D Luciano, A Ulrich Source Type: research
Does preoperative uterine artery embolization decrease blood loss during total abdominal hysterectomy for uterine fibroids?
Uterine fibroids, a common gynecologic condition in reproductive-age women, often present with symptoms of heavy uterine bleeding and abdominal pain. Hysterectomy is the definitive treatment, particularly for large fibroids. Intraoperative bleeding risks are of concern during hysterectomy for large fibroid uterus as bleeding can limit intraoperative visualization and increase morbidity. Uterine artery embolization (UAE) is a minimally invasive procedure that decreases blood flow to the uterus and fibroids by occluding the uterine arteries. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: C Lara, G Lewis Source Type: research
A comparative carbon footprint analysis of uterine manipulators for hysterectomy
The health care system is a main contributor of greenhouse gas emissions in the United States. Single-use disposable supplies contribute significantly to these emissions and over 95% of their environmental impacts occur during production and manufacturing phases. Uterine manipulators can be manufactured from reusable stainless steel, disposable materials, or both, all of which have distinct carbon footprints. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Melnyk, N Silva De Souza Lima Cano, S Glass Clark, A Artsen Source Type: research
Ultrasound diagnosis of adenomyosis – a blinded validation study of the 2022 MUSA guidelines
Adenomyosis is a common gynecologic condition characterized by the presence of endometrial glands and stroma within the myometrium and can lead to heavy, painful menses. It is also associated with infertility and poor IVF outcomes. The gold standard for diagnosis is histopathologic examination of the uterus which requires hysterectomy. A growing body of evidence suggests that ultrasound can identify adenomyosis. Consensus guidelines describing standardized terms to describe specific features of adenomyosis were published in 2015 by the Morphological Uterus Sonographic Assessment (MUSA) group. (Source: American Journal of O...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Chatroux, P Maghsoudlou, M Ajao, L King, Y Groszmann Source Type: research
Cesarean scar pregnancy: is surgery the preferred method of treatment?
As the rate of Cesarean sections continue to elevate, Cesarean section scar pregnancies are becoming more common. This unique ectopic pregnancy can be missed if early diagnosis is not completed, due to persist longer pregnancy that can lead to catastrophic consequences. Early diagnosis allows effective treatment with good outcomes. Treatment is recommended based on the desire for future fertility and the gestational age at diagnosis and include surgical and conservative treatments. Surgical approaches include hysterectomy when future fertility is not desired, and hysteroscopy or excision of the pregnancy with uterine niche...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Bhalwal, N Das Agarwal, A Mohr-Sasson Source Type: research
Complex cervical dysgenesis and concurrent uterine anomalies: a dynamic case presentation and management
Cervical agenesis and dysgenesis are rare anomalies, occurring between approximately 1 in 80,000 to 100,000 women. Cervical dysgenesis may present with other complicating uterine and vaginal anomalies including transverse vaginal septum or hemi-uterus. Those presenting with combination anomalies are difficult to both diagnose and manage. There remains great variation in treatment including conservative measures and hysterectomy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: K Gervas, A Croak Source Type: research
Risk factors and indications for hospital readmission after benign hysterectomy
Understanding patient-specific risk factors associated with readmission to the hospital after hysterectomy is essential to improving patient outcomes and reducing healthcare costs. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: E Marra, G Chapman, C Rossi, L Griebel Source Type: research
Adverse events and practice considerations for transgender patients undergoing hysterectomy
Transgender individuals are people whose gender identities do not align with their sex recorded at birth. For transgender men, gender affirming care often involves using testosterone and undergoing hysterectomy to reduce dysphoria associated with menses. (1) Two large studies have found no increased rate of postoperative complication in a transgender cohort compared to cisgender women undergoing hysterectomy. (2, 3) However due to vaginal atrophy from testosterone and gender dysphoria, it has been suggested that transgender patients may seek care for vaginal bleeding (VB) more often than their cisgender counterparts. (Sour...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: C Pando, L Gerlach, SA Challa, A Pan, J Francis Source Type: research
Preoperative factors associated with the diagnosis of adenomyosis and coexistent endometriosis at hysterectomy
Despite recent developments in imaging-based criteria for adenomyosis, early and accurate diagnosis is limited by heterogeneous symptomatology and frequent coexistence of other gynecologic pathologies. Delayed or misdiagnosis may be associated with inappropriate treatments, persistent symptoms, and reductions in quality of life. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: H Kyllo, C Mangham, G Whitmore, J Tam, K Hampanda, M Orlando Source Type: research
Racial and ethnic disparities in rates of minimally invasive hysterectomy across the united states: a systematic review
Minimally invasive hysterectomy (MIH) is associated with important clinical benefits compared with abdominal hysterectomy, including faster recovery and reduced surgical complications. Despite constituting the standard of care for benign gynecologic conditions, disparities in access to MIH have been demonstrated in multiple studies from varied regions, datasets, populations, and racial groups. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: K Sandhu, R Wilson, M Yao, L Hackett, M Orlando, R Kho Source Type: research
Surgical outcomes in patients undergoing hysterectomy for gender dysphoria
Gender-affirming surgeries are performed to help individuals with gender dysphoria align their physical characteristics with their gender identity. Comparative data on the surgical outcomes and complications between different approaches of hysterectomy performed for gender dysphoria is minimally reported. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: D Strozza, S Narayanamoorthy, K Hanson, E Habermann, J Occhino Source Type: research
Patient experiences with standard behavioral restrictions after total laparoscopic hysterectomy
Hysterectomy is one of the most commonly performed procedures in the United States. Patients typically receive standard counseling on postoperative behavioral limitations to optimize healing and decrease risk of complications. While pelvic rest may be associated with reduced risk of vaginal cuff dehiscence, other limitations, such as weight bearing exercise and lifting, have limited evidence supporting their efficacy in reducing complications. Additionally, they may significantly interfere with patients ’ activities of daily living and risk increasing postoperative morbidity such as deconditioning and venous thromboembol...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: RG Silverstein, K Lecroy, N Abu-Alnadi, E Carey, A Mcclurg Source Type: research
Analysis of temporal trends and characteristics of gender affirming hysterectomies pre- and post-expansion of health care coverage at a large integrated california health care system
Due to changes in gender affirming practices and the expansion of healthcare coverage in 2013, access to gender affirming care is steadily increasing. Despite improved access, few studies have investigated temporal trends in gender affirming surgeries (GAS) including hysterectomies. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Radoc, E Zaritsky, Y Zhao, L Tucker, A Huynh, M Weintraub Source Type: research
