Enhanced Recovery after Surgery (ERAS) in Gynecologic Surgery —A Review
AbstractPurpose of ReviewThe purpose of this review is to summarize the newly published guidelines on enhanced recovery after surgery (ERAS) in gynecologic oncology and discuss recent studies evaluating the outcomes of ERAS implementation in general gynecology and gynecologic oncology.Recent FindingsERAS guidelines for gynecologic surgery include preoperative diet, preoperative education, multimodal analgesia, early postoperative feeding, early mobilization and urinary catheter removal, avoidance of mechanical bowel preparation and drains, maintenance of normothermia, and minimal fluid shifts. The studies evaluated in this...
Source: Current Obstetrics and Gynecology Reports - September 1, 2018 Category: OBGYN Source Type: research

Postoperative Hormonal Suppression for Prevention of Deeply Infiltrative Endometriosis Recurrence After Surgery
This article reviews the literature of hormonal suppression for the prevention of postoperative recurrence of DIE. Despite the dearth of data, the current evidence suggests the utility of long-term postoperative hormonal suppression after surgery especially in those who underwent incomplete excision of DIE. Longer follow-up studies are greatly needed. (Source: Current Obstetrics and Gynecology Reports)
Source: Current Obstetrics and Gynecology Reports - September 1, 2018 Category: OBGYN Source Type: research

Natural History of Uterine Fibroids: A Radiological Perspective
AbstractPurpose of ReviewThis review aims to update our understanding of the radiological life cycle of fibroids, so that we may better counsel patients making difficult treatment decisions. Evidence for both pregnant and non-pregnant women have been considered separately.Recent FindingsRecent findings have shown that fibroids can undergo both growth and regression in non-gravid uterus. In pregnant women, fibroid growth is non-linear fashion, with the greatest growth occurring in the first 7  weeks of pregnancy. Growth in the later trimesters was significantly slower.SummaryFibroid growth, both in the intra- and inter-gra...
Source: Current Obstetrics and Gynecology Reports - September 1, 2018 Category: OBGYN Source Type: research

Correction to: In Pursuit of Solving a Global Health Problem: Prototype Medical Device for Autotransfusing Life-Threatening Postpartum Hemorrhage in Resource-Limited Settings
The original version of this article contains an error in the spelling of an author ’s last name. Originally, the name was spelled as Hananeh Esmailbeighi. Her last name should be spelled as Esmailbeigi. (Source: Current Obstetrics and Gynecology Reports)
Source: Current Obstetrics and Gynecology Reports - August 9, 2018 Category: OBGYN Source Type: research

The Non-neurogenic Overactive Bladder: an Update
The objective of this study was to review the most recent literature to evaluate and analyse new information regarding the evaluation and treatment trends that is available.Recent FindingsThe aetiology and pathophysiology for the non-neurogenic or idiopathic overactive bladder (OAB) remains unclear. Recent functional MRI studies of the brain indicate an age-related decrease in neurological control of continence of urine. Microbiomes in the urogenital tract have also been implicated in the aetiology of the OAB. The diagnosis and initial management should be based on a thorough history, examination and basic investigations t...
Source: Current Obstetrics and Gynecology Reports - August 1, 2018 Category: OBGYN Source Type: research

Enhanced Recovery after Surgery (ERAS) in Gynecologic Surgery —A Review
AbstractPurpose of ReviewThe purpose of this review is to summarize the newly published guidelines on enhanced recovery after surgery (ERAS) in gynecologic oncology and discuss recent studies evaluating the outcomes of ERAS implementation in general gynecology and gynecologic oncology.Recent FindingsERAS guidelines for gynecologic surgery include preoperative diet, preoperative education, multimodal analgesia, early postoperative feeding, early mobilization and urinary catheter removal, avoidance of mechanical bowel preparation and drains, maintenance of normothermia, and minimal fluid shifts. The studies evaluated in this...
Source: Current Obstetrics and Gynecology Reports - July 12, 2018 Category: OBGYN Source Type: research

Postoperative Hormonal Suppression for Prevention of Deeply Infiltrative Endometriosis Recurrence After Surgery
This article reviews the literature of hormonal suppression for the prevention of postoperative recurrence of DIE. Despite the dearth of data, the current evidence suggests the utility of long-term postoperative hormonal suppression after surgery especially in those who underwent incomplete excision of DIE. Longer follow-up studies are greatly needed. (Source: Current Obstetrics and Gynecology Reports)
Source: Current Obstetrics and Gynecology Reports - July 7, 2018 Category: OBGYN Source Type: research

Female Voiding Dysfunction: a Practical Approach to Diagnosis and Treatment
AbstractPurpose of ReviewIn this review, we examined a practical approach to diagnosis and treatment of voiding dysfunction in female patients.Recent FindingsThis field of urogynaecology has been the subject in many studies over the last few decades, but despite that, there is no universally accepted algorithm for diagnosis and treatment of this condition. This is primarily related to a lack of standardised definition of different types of voiding dysfunction. The International continence society (ICS) and International Urogynecology Association (IUGA) have created a joint document on terminology of female pelvic floor dys...
Source: Current Obstetrics and Gynecology Reports - June 1, 2018 Category: OBGYN Source Type: research

New Horizons in Fibroid Management
AbstractPurpose of ReviewReview of the latest advances in the treatment of uterine fibroids. Addressing conservative management, medical therapy, interventional radiological procedures (non-surgical alternatives or non-excisional procedures) and conservative or radical endoscopic or open surgery (myomectomy, hysterectomy).Recent FindingsNewer medical therapy relied on the use of selective progesterone receptor modulators (SPRMs) (Esmya/UPA) for management of heavy menstrual bleeding (HMB) associated with fibroids. However, the drug is currently under investigation for a link with hepatic damage associated with its use. Oth...
Source: Current Obstetrics and Gynecology Reports - June 1, 2018 Category: OBGYN Source Type: research

An Overview of Surgical Treatment for Female Stress Urinary Incontinence
AbstractPurpose of ReviewWe aimed to present an overview of recent data on the proven surgical techniques for female stress urinary incontinence (SUI) including their efficacy, safety, and adverse events.Recent FindingsSurgical treatment of female SUI is the mainstay of urogynecological surgery, with two accepted gold standard techniques: Burch colposuspension and synthetic midurethral slings (MUS). Thorough understanding of the historical evolution of the surgical techniques before and after the introduction of integral theory is important. This theory enhances our comprehension for the continence mechanism of MUS, which ...
Source: Current Obstetrics and Gynecology Reports - June 1, 2018 Category: OBGYN Source Type: research

The Loss of Vaginal Hysterectomy
AbstractPurpose of ReviewThe purpose of this review is to provide an update on evidence to support primary use of the minimally invasive approach provided by vaginal hysterectomy in benign conditions that meet criteria for removal of the uterus. This paper will also serve to discuss why the vaginal approach to hysterectomy has decreased over the last decade and to provide observations and solutions to this problem.Recent FindingsRecent findings continue to support vaginal hysterectomy as the preferred route for hysterectomy as endorsed by position statements by the American College of Obstetrics and Gynecology, the America...
Source: Current Obstetrics and Gynecology Reports - June 1, 2018 Category: OBGYN Source Type: research

Endometrial Ablation —Current Evidence for Patient Optimization and Long-Term Outcomes
AbstractPurpose of ReviewEndometrial ablation is a minimally invasive surgical option to treat abnormal uterine bleeding. Here, we summarize the evidence regarding patient optimization prior to endometrial ablation and the long-term outcomes of this procedure. Patient optimization includes preoperative planning, patient selection, and preoperative predictors of postoperative failure. Long-term outcomes include postoperative bleeding patterns, frequency of additional procedures for treatment failure, patient satisfaction, risk of endometrial cancer, and pregnancy outcomes.Recent FindingsEndometrial ablation is a safe proced...
Source: Current Obstetrics and Gynecology Reports - June 1, 2018 Category: OBGYN Source Type: research

The Life Cycle of the Uterine Fibroid Myocyte
AbstractPurpose of ReviewUterine fibroids are common benign tumors of women in the USA and worldwide, yet the biological nature and pathogenesis of these tumors remain largely unknown. This review presents our view of the stages in the life cycle of a subset of uterine fibroid myocytes, introduces hypothetical concepts and morphological data to explain these changes, and relates these changes in individual myocytes to the phases of fibroid tumor development.Recent FindingsThe observations gained from light and electron microscopic, immunohistochemical, and morphometric studies in our laboratory have led to the hypothesis t...
Source: Current Obstetrics and Gynecology Reports - June 1, 2018 Category: OBGYN Source Type: research