Current Opinion in Obstetrics and Gynecology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Diversity and inclusion: the role of unconscious bias on patient care, health outcomes and the workforce in obstetrics and gynaecology
Purpose of review Although the business world has long recognized the benefits of diversity and inclusion and the effects of unconscious bias, the discourse is just now gaining traction in the medical field. In addition, many businesses have developed key initiatives to address unconscious bias in the workplace. Recent findings In the medical field, diversity leads to improved health outcomes, increased access to healthcare by the underserved and more innovation. However, unconscious bias may inadvertently propagate health disparities, affect trainee evaluations, hinder faculty satisfaction and exclude populations fro...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: SPECIAL COMMENTARIES Source Type: research

Mass lesions of the myometrium: interpretation and management of unexpected pathology
Purpose of review Uterine leiomyomas are the most common benign uterine smooth muscle tumors. On the basis of imaging, these masses are often presumed to be benign conventional leiomyomas and surgical excision is a common treatment choice. After myomectomy or hysterectomy for presumed leiomyomas, the surgical pathology report may reveal an unexpected diagnosis of another type of mesenchymal tumor. These can range from a variant of benign smooth muscle tumors to smooth muscle tumors of uncertain malignant potential to malignant sarcomas. This review describes these variant pathologies and reviews data on recurrence risk a...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: SPECIAL COMMENTARIES Source Type: research

Artificial intelligence and augmented reality in gynecology
We present an overview of artificial intelligence and augmented reality and current use in medical practice with a focus on gynecology. (Source: Current Opinion in Obstetrics and Gynecology)
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: SPECIAL COMMENTARIES Source Type: research

Current treatment of older patients with recurrent gynecologic cancer
Purpose of review Gynecologic cancer patients of elderly has been increasing rapidly. Useful information on older patients, especially, with recurrent gynecological cancer is extremely limited. Recent findings A unified concept for assessing treatment risk was proposed when providing cancer treatment to older patients. Fit: patients capable of withstanding the same standard treatment as healthy younger patients; Vulnerable: patients incapable of withstanding the same standard treatment as healthy younger patients, but capable of undergoing some sort of treatment; and Frail: patients incapable of withstanding the same ...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: SPECIAL COMMENTARIES Source Type: research

The advent of human papillomavirus detection for cervical screening
Purpose of review This review updates progress in the human papillomavirus (HPV)-based revolution in cervical screening and vaccination predicted to eventually eliminate cervical cancer. Recent findings HPV PCR, patented by the author in 1987, has recently begun to replace cytology for primary cervical screening. I highlight the findings from large randomized clinical trials that have brought about this change, and progress with implementation. Australia was the first to introduce a national, publicly-funded HPV PCR-based program of primary screening, on 1 December 2017. The United Kingdom is set to follow, as are oth...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: SPECIAL COMMENTARIES Source Type: research

Corynebacterium kroppenstedtii: a challenging culprit in breast abscesses and granulomatous mastitis
This article reviews a patient case and data from 87 other cases to compile current best practices for diagnosis, treatment, and monitoring, and provides areas for future study. Summary In cases of granulomatous mastitis and breast abscess, especially if recurrent, infection with C. kroppenstedtii should be considered. Microbiologists should be alerted to the specialized growth conditions and tools needed for appropriate culturing, identification, and antibiotic susceptibility testing. Clinicians should utilize a multimodal approach with surgical and antibiotic treatment to maximize clinical cure and reduce recurrence. ...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: SPECIAL COMMENTARIES Source Type: research

The complex relationship between urinary and defecatory disorders in young and adolescent girls
Purpose of review Scientific advancements have led to enhanced clarity about the interrelationship between urinary tract pathology and functional bowel disturbances. The present article will review the current literature regarding the cause, pathophysiology, diagnosis, and treatment of lower urinary tract dysfunction and abnormal bowel habits in young and adolescent girls. Recent findings Complex neurological, physiological mechanisms and functional behaviors exist that contribute to the development of coexisting urinary symptoms and defecatory disorders in young and adolescent girls. Bladder bowel dysfunction (BBD) i...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Roshi M. Zinn Source Type: research

Emerging technologies in pediatric gynecology: new paradigms in women's health care
Purpose of review The current review highlights the complexity of the pediatric and adolescent gynecology subspecialty as well as the recent and exciting opportunities for innovation within the field. Recent findings The opportunities for concept, treatment, instrument, and knowledge-transfer innovation to better serve the specific needs of pediatric gynecology patients include novel approaches to neovagina creation using magnets, improving postoperative vaginal wound healing through newly designed and degradable vaginal stents, and complex Mullerian reconstructive surgical planning using virtual reality immersive exp...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Roshi M. Zinn Source Type: research

Evaluation of ambiguous genitalia
Purpose of review To provide a framework for the evaluation of ambiguous genitalia. Recent findings The most pressing evaluation of ambiguous genitalia is assessment for life-threatening causes such as salt-wasting congenital adrenal hyperplasia (CAH) or syndromes with underlying anomalies such as neurologic or cardiac malformations. A multidisciplinary team, including specialists in Gynecology, Endocrinology, Urology, Genetics, Clinical Psychology/Psychiatry, Radiology, Nursing, Neonatology, and Pediatric Surgery, should be involved. Each patient should be approached in an individualized manner to assign sex of reari...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Roshi M. Zinn Source Type: research

The Ob/Gyn and the transgender patient
Purpose of review Over the last few years, awareness and visibility of transgender individuals have exponentially grown. With this growth comes the need for medical providers who understand the unique needs of this population. The present review serves to help obstetrician–gynecologists recognize their important role in the care of these patients. Recent findings Although long-term data are still lacking in the medical care of individuals with gender dysphoria, standards of care for the medical treatment of transgender patients and long-term screening recommendations in the primary care setting were discussed. Summ...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Roshi M. Zinn Source Type: research

The female adolescent breast: disorders of development
This article will provide an overview on female breast development and focus on common abnormalities of growth, the emerging role of breast self-awareness, and discuss trends in the evaluation and treatment of the breast masses and disorders most often encountered in the female adolescent population. Recent findings Although the embryology of breast development is unchanged, data are emerging on the role of environmental factors on the timing of puberty and thelarche. As breast development occurs, the role of breast self-awareness is also a new trend that allows teens to be cognizant of changes in their own breast and t...
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Roshi M. Zinn Source Type: research

Editorial introduction
No abstract available (Source: Current Opinion in Obstetrics and Gynecology)
Source: Current Opinion in Obstetrics and Gynecology - August 31, 2019 Category: OBGYN Tags: EDITORIAL INTRODUCTION Source Type: research

Important considerations for women in the late reproductive and perimenopausal years desiring myomectomy
Purpose of review To review important considerations in the counseling and management of women over the age of 40 desiring a myomectomy for symptomatic fibroids. Recent findings Women in the late reproductive and perimenopausal years may choose a myomectomy over a hysterectomy for reasons of fertility preservation or a personal desire to retain their uterus. Data suggest that laparoscopic myomectomy is a low-risk procedure that can be offered to older women, though the age-related risk of uterine malignancy must be evaluated. Summary When assessing the surgical candidacy of older women desiring myomectomy, it is im...
Source: Current Opinion in Obstetrics and Gynecology - July 8, 2019 Category: OBGYN Tags: MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew Siedhoff Source Type: research

Mentoring millennials in surgical education
Purpose of review We seek to define the Millennial generation and identify strengths that can be employed to improve medical and surgical education and career development. We outline how generational traits can be incorporated into adult learning theory, offer suggestions for modernizing traditional teaching and mentorship models, and discuss why Millennials are ideally positioned to succeed in 21st century medicine. Recent findings Millennials (born ∼1981 to 1996) have several consistently identified traits that should be considered when teaching trainees and mentoring junior faculty. Millennials are technologicall...
Source: Current Opinion in Obstetrics and Gynecology - July 8, 2019 Category: OBGYN Tags: MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew Siedhoff Source Type: research

Postmenopausal endometriosis, where are we now?
Purpose of review Postmenopausal endometriosis is a gynecologic disease, affecting 2–5% of postmenopausal woman. Current literature assessing the prevalence, pathogenesis, and treatment of this uncommon condition is limited, stressing the necessity for future research. This review examines the current literature on postmenopausal endometriosis to help inform clinical decision-making and point to novel approaches for treatment and management. Recent findings Although one unifying theory to explain the pathogenesis of endometriotic lesions has not been elucidated, estrogen dependence is central to the pathophysiologic...
Source: Current Opinion in Obstetrics and Gynecology - July 8, 2019 Category: OBGYN Tags: MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew Siedhoff Source Type: research