2019 ASCCP Risk-Based Management Consensus Guidelines for Abnormal Cervical Cancer Screening Tests and Cancer Precursors: Erratum
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Erratum Source Type: research

Response to Letter to the Editor Regarding: 2019 ASCCP Risk-Based Management Consensus Guidelines for Abnormal Cervical Cancer Screening Tests and Cancer Precursors
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Letters to the Editor Source Type: research

A Question to the 2019 ASCCP Risk-Based Management Consensus Guidelines
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Letters to the Editor Source Type: research

Letter to the Editor: Response
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Letters to the Editor Source Type: research

Letter to the Editor
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Letters to the Editor Source Type: research

Reply to: Letter to the Editor
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Letters to the Editor Source Type: research

HPV Catch-up Vaccination Reduces the Prevalence of HPV 16 and 18 Infections and Cervical Disease: A Retrospective Study
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Letters to the Editor Source Type: research

Variation of the Vaginal Lactobacillus Microbiome in Cytolytic Vaginosis
Objective This pilot study aimed to evaluate whether different microbial compositions cause symptoms in patients with Lactobacillus overgrowth and to investigate the variation in Lactobacillus microbiome in cytolytic vaginosis (CV). Materials and Methods Lactobacillus species were identified from the vaginal fluid of 70 healthy women and 79 patients with CV using molecular analysis of the 16S rRNA gene. χ2 and Fisher exact tests were used to compare the isolated rates of Lactobacillus species between the 2 groups. The capabilities of dominant Lactobacillus strain to produce acid in the 2 groups were analyzed by re...
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Benign Vulvovaginal Conditions Source Type: research

Prevalence and Characteristics of Postpartum Vulvovaginal Atrophy and Lack of Association With Postpartum Dyspareunia
This study aimed to evaluate the prevalence and characteristics of postpartum vulvovaginal atrophy according to 3 different diagnostic methods and to estimate its association with postpartum dyspareunia and daily vulvovaginal symptoms. Methods This is a prospective cohort study of puerperal women attending a routine postpartum checkup. Participants completed a questionnaire and underwent a gynecological examination. Atrophy was diagnosed separately according to gynecologist impression, vaginal pH measurement (≥5.1), and cytologic vaginal maturation index. Patients were followed up with a telephone survey 2–3 mo...
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Benign Vulvovaginal Conditions Source Type: research

Severe Postmenopausal Genital Pain Treated Successfully With Prolonged Estrogen Therapy: A Case Series and Narrative Review
Conclusions Information about this severe but remediable condition that is associated with lack of estrogen may guide specialists who are treating complex vulvar pain. The patients' clinical histories and therapeutic courses invite a review of estrogen receptor physiology related to urogenital pain conditions. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Benign Vulvovaginal Conditions Source Type: research

Evaluation of Long-Term Surgical Success and Satisfaction of Patients After Vestibulectomy
Objective Vestibulectomy is one of the only proven therapeutic treatments for provoked vulvodynia (PVD). However, little is known about long-term surgical success. Methods Patients who underwent vestibulectomy between 1991 and 2003 were interviewed to assess frequency of intercourse and degree of pain during various activities, as well as satisfaction with and willingness to recommend the surgery. We also examined the outcome relation to PVD type being primary or secondary. Differences in pain over time were assessed using a paired-sample t test or a Wilcoxon signed-rank test. Results Of 85 eligible patients, 50 (5...
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Benign Vulvovaginal Conditions Source Type: research

Clinicopathologic Diagnosis of Differentiated Vulvar Intraepithelial Neoplasia and Vulvar Aberrant Maturation
Conclusions The morphology of dVIN encompasses nonkeratinizing and keratinizing types, the latter subdivided into traditional, acantholytic, atrophic, hypertrophic, and subtle. Diagnosis relies on basal atypia with supportive p16 and p53. Atypia exists on a biologic spectrum with mild abnormalities of VAM and reactive change. Identification of dVIN and VAM requires collaboration between clinicians and pathologists experienced in vulvar disorders. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Vulvovaginal Neoplasia Source Type: research

Management of Vulvar Cancer Precursors: A Survey of the International Society for the Study of Vulvovaginal Disease
Conclusions Treatment of VHSIL and dVIN varies among vulvar experts with excision being the most common treatment, except in multifocal VHSIL where imiquimod is commonly used. There is wide variation in how patients are followed after treatment. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Vulvovaginal Neoplasia Source Type: research

Clinical Characteristics and Long-Term Follow-up of Patients Treated for High-Grade Vaginal Intraepithelial Neoplasia: Results From a 20-Year Survey in Italy
Conclusions The surgical treatment of HG-VaIN should be tailored according to the clinical characteristics of each woman and each lesion. However, in potentially high-risk cases (VaIN 3, previous hysterectomy for human papillomavirus–related disease, and menopausal women) or in those cases in which an occult invasive disease cannot be ruled out, an excisional approach should be preferred. In any case, long-term follow-up is advisable in women treated for HG-VaIN. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Vulvovaginal Neoplasia Source Type: research

Is There a Place for the Introduction of Colposcopy Quality Standards?
Conclusions In Israel, there is a considerable shortfall in performance and documentation of most international quality measures for colposcopy. Quality measures for cervical examinations and colposcopy should be considered for inclusion in the National Program for Quality Measures. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Cervical Neoplasia Screening and Management Source Type: research

Cervical Stenosis: Previously Unrecognized Cause of False-Negative Human Papillomavirus Tests in Women Developing Cervical Cancer
Conclusions Cervical stenosis in women developing cervical cancer can cause misleading sampling and false-negative HPV test results. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Cervical Neoplasia Screening and Management Source Type: research

Intraoperative Human Papillomavirus Test Predicts 24-Month High-Grade Squamous Intraepithelial Lesion Recurrence Saving Costs: A Prospective Cohort Study
Conclusions The HPV test performed after loop electrosurgical resection procedure predicted recurrence of HSIL at 24 months with a similar diagnostic accuracy than the HPV test at 6 months. The use of the IOP-HPV test in the management of HSIL will allow early detection of the risk of recurrent disease and to save costs because of potential suppression of the need of HPV and follow-up controls at 6 months. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Cervical Neoplasia Screening and Management Source Type: research

Impact of a High Coverage Vaccination Rate on Human Papillomavirus Infection Prevalence in Young Women: A Cross-sectional Study
Objective The aim of the study was to compare the rate of high-risk human papillomavirus (HR-HPV) genotypes in vaccinated (Gardasil [quadrivalent]) and unvaccinated cohorts of young women. Materials and Methods This is a retrospective, cross-sectional study, consisting of the comparison of the prevalence of HPV 16, 18, and other HR genotypes in 2183 women younger than 25 years, according to their birth year (born>1994 [mostly vaccinated (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Cervical Neoplasia Screening and Management Source Type: research

Effect of Obesity on Cervical Cancer Screening and Outcomes
Objectives The aims of the study were to identify whether obese women are less appropriately screened for cervical cancer before diagnosis and to explore related cancer outcomes. Methods We retrospectively reviewed all cervical cancer patients at a single institution between 1986 and 2016 and collected demographic information including age, cancer stage, body mass index (BMI), screening information, and cancer outcomes. Morbid obesity was defined as BMI of 40 kg/m2 or greater, obesity as BMI of 30 to less than 40 kg/m2, and nonobese as BMI of less than 30 kg/m2. χ2, Fisher exact, and Wilcoxon rank sum tests were u...
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Cervical Neoplasia Screening and Management Source Type: research

Do High Rates of Atypical Glandular Cells Correlate With Higher Incidence of Disease in a Large Safety Net Hospital
Objective The aim of the study was to describe the incidence and correlates of atypical glandular cell (AGC) Pap tests in a low socioeconomic status, underserved population. Materials and Methods Medical records of patients with AGC Pap tests at a single institution were reviewed from January 2013 to August 2019. Baseline characteristics were extracted including age, body mass index, birth control, abnormal uterine bleeding, and human papillomavirus (HPV). All colposcopy and endometrial biopsies were classified into negative/low-risk (polyps, tubular metaplasia, microglandular hyperplasia, cervical intraepithelial neo...
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Cervical Neoplasia Screening and Management Source Type: research

Patient Satisfaction With Human Papillomavirus Self-Sampling in a Cohort of Ethnically Diverse and Rural Women in Yunnan Province, China
Objective Rural Yunnan Province is one of the most ethnically, culturally, and religiously diverse regions in China. The majority of its women have never been screened for cervical cancer. It is not known whether women would feel comfortable and ultimately even prefer using a human papillomavirus (HPV) self-swabbing method. Methods In a 6-day period, 3,600 women were taught the role of HPV in cervical cancer. They were then given self-swabbing instructions. After obtaining their specimens, 600 women were interviewed about their experience with HPV self-testing. The women were of the Yi, Hui, Dai, and Han ethnicities. ...
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Cervical Neoplasia Screening and Management Source Type: research

The Cervical Dysplasia Worksheet: A Longitudinal Map of Cervical Dysplasia Cytology and Histology Tests and Procedures
Conclusions The CDW is a novel tool to display a patient's cervical dysplasia history to visualize treatment and future care while enhancing patient-provider communication. Patient evaluation of the tool was largely positive, and suggestions will be taken into consideration for future modification. Further evaluation of the CDW among healthcare providers is needed to analyze its efficacy in the clinical setting. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Cervical Neoplasia Screening and Management Source Type: research

Assessing Physician Adherence to Guidelines for CervicalCancer Screening and Management of AbnormalScreening Results
Conclusions Midwestern obstetrician-gynecologists' adherence to the guidelines for cervical cancer screening and management of abnormal results is suboptimal. Although co-testing for women aged 30–65 years has been broadly adopted, primary HPV testing has not. Physicians overscreen, overtreat low-grade lesions, and undertreat high-grade lesions in young women. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - September 26, 2020 Category: OBGYN Tags: Cervical Neoplasia Screening and Management Source Type: research

International Society for the Study of Vulvovaginal Disease 2019 Presidential Address
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Commentaries Source Type: research

The International Classification of Diseases, 11th Revision: A Step-Back for Women With Vulvodynia?
Conclusions The ICD-11 is not aligned with current vulvodynia diagnostic criteria and terminology, approved by the ISSVD, ISSWSH, and IPPS. Collaboration among the International Association for the Study of Pain Task Force on Classification of Chronic Pain, ICD team, ISSVD, ISSWSH, and IPPS is needed to harmonize terminologies, codes, and clinical approach regarding vulvar pain and vulvodynia classification. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Commentaries Source Type: research

Differences Between Squamous Intraepithelial Lesions of the Vulva and the Cervix
We describe differences between high-grade squamous intraepithelial lesion of the vulva and cervix (vulvar intraepithelial neoplasia and cervical intraepithelial neoplasia), in embryology (arising from ectoderm vs mesoderm), clinical presentations (symptoms or signs due to many vulvar lesions vs abnormal cytology), examination techniques and diagnosis (clinical examination of potentially widely involved areas vs colposcopy of the transformation zone), natural history, management, and follow-up requirements (long-term clinical assessment vs cytology and human papillomavirus testing). We believe that failure to understand th...
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Commentaries Source Type: research

Clinicopathologic Diagnostic Criteria for Vulvar Lichen Planus
Conclusions Clinicopathological correlation yields the most reliable diagnosis of vulvar LP. Disease appearance overlaps with other physiologic, dermatologic, infectious, and neoplastic entities; a low threshold for biopsy at all morphologically distinct areas is recommended. Use of the histopathologic criteria described in this document may reduce the nondiagnostic biopsy rate for clinically diagnosed LP. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Vulvovaginal Derm Source Type: research

Anogenital High-Grade Squamous Intraepithelial Lesion Comorbid With Vulvar Lichen Sclerosus and Lichen Planus
Conclusions Histopathologic identification of comorbid HSIL and LS/LP may be challenging because of keratinizing morphology and loss of diagnostic features of LS. Clinicopathologic correlation and use of p16 and p53 are essential to achieve an accurate diagnosis and enact disease-specific management plans. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Vulvovaginal Derm Source Type: research

Fat Grafting Improves Fibrosis and Scarring in Vulvar Lichen Sclerosus: Results From a Prospective Cohort Study
Objective The aim of the study was to evaluate the effect of lipotransfer in women presenting with fibrosis and scarring due to lichen sclerosus. Materials and Methods This prospective cohort study included 33 women attending the vulvar clinic of a public hospital. Patients received one lipotransfer treatment. Validated measures were used prospectively to assess the sexual function (Female Sexual Function Index, Female Sexual Distress Scale); symptoms (visual analog scale for itching, burning, soreness), pain (Pain Anxiety Symptoms Scale 20); psychological status and quality of life (Hospital Anxiety and Depression Sc...
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Vulvovaginal Derm Source Type: research

Vulvar Lichen Sclerosus: Outcomes Important to Patients in Assessing Disease Severity
Conclusions Future LS severity assessment tools will need to include a combination of patient-rated symptoms, clinical rated signs and anatomical changes, and quality of life measures. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Vulvovaginal Derm Source Type: research

Adult Vulvar Lichen Sclerosus: Can Experts Agree on the Assessment of Disease Severity?
Conclusions Global experts were unable to agree on any signs, architectural changes, or an overall global impression to assess vulvar LS disease severity based on analysis of vulvar photographs. Standardized descriptions regarding what constitutes mild, moderate, and severe signs and anatomical changes are required before further scale development can occur. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Vulvovaginal Derm Source Type: research

Features of the Vaginal and Vestibular Microbioma in Patients With Vestibulodynia: A Case-Control Study
Objective Our objective was to determine the role of vaginal and/or vestibular microbiota disturbance as an associated factor of symptom characteristic of provoked vestibulodynia (PVD). Study Design In an observational case-control study, the bacterial microbiomes in the vagina and vestibule from 20 women with PVD and 18 healthy controls were compared using a 16S rRNA gene-based molecular analysis. Clinical data were recorded through a 0- to 10-point visual analog scale related to dyspareunia and vulvovaginal pain/burning. Results Comparative assessment of the bacterial taxa (cutoff ≥15%) revealed 105 genera in ...
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Vaginal Source Type: research

Oral Intake of Lactobacilli Can Be Helpful in Symptomatic Bacterial Vaginosis: A Randomized Clinical Study
Conclusions Oral intake of L. crispatus LMG S-29995, L. brevis, and L. acidophilus can significantly decrease percent of recurrences of BV in recently treated women and prolong time to recurrence of the disease. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Vaginal Source Type: research

Five Percent Monolaurin Vaginal Gel for the Treatment of Bacterial Vaginosis: A Randomized Placebo-Controlled Trial
Conclusions Monolaurin was no more clinically or microbiologically effective than placebo in curing BV. Future research should explore whether monolaurin may be used to increase Lactobacilli species. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Vaginal Source Type: research

Management of Malignant Vulval Melanoma: A Retrospective Case Series and Review of the Literature
Conclusions This retrospective multicenter study highlights the high recurrence rate and poor prognosis of vulval melanoma. Lymph node surgery did not make any difference to recurrence-free survival or overall survival. The presence of microsatellites was associated with a statistically increased risk of death. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Other Neoplasia Source Type: research

Predictive Value of an Alternative Strategy for Measuring Depth and Size of Stage 1 Vulvar Squamous Cell Carcinoma
Conclusions Patients downstaged using alternative measurement techniques lacked nodal disease/recurrence; one-third of those with nodal sampling experienced postoperative morbidity. Our data suggest that the use of alternative depth and cumulative extent of invasion could safely allow some conventional stage IB vulvar SCC patients to avoid groin surgery, thereby reducing treatment-related morbidity. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Other Neoplasia Source Type: research

Cervical Stratified Mucin-Producing Intraepithelial Lesion: A Systematic Review of Diagnosis and Management
Conclusions Stratified mucin-producing intraepithelial lesion is a rare lesion with a paucity of research on necessary cytology and IHC stains for diagnosis, but p16 and Ki-67 IHC stains can be performed to rule out benign lesions. The lesion is associated with high risk of concurrent high-grade squamous intraepithelial lesion, adenocarcinoma in situ, and invasive carcinoma, but studies on the risk of pursuing fertility-preserving management are needed. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Management Source Type: research

Risk of Recurrence After Treatment for Cervical Intraepithelial Neoplasia 3 and Adenocarcinoma In Situ of the Cervix: Recurrence of CIN 3 and AIS of Cervix
Conclusions Recurrence risk of CIN 3 and AIS is related to age, histology, and posttreatment cytology, which should assist with discharge planning from colposcopy. Definitive treatment with hysterectomy should be considered in women older than 45 years with additional risk factors for recurrence. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Management Source Type: research

Risk of High-Grade Histopathology Diagnosed by Cervical Conization in Endocervical Curettage Cervical Intraepithelial Neoplasia 1: A Case-Control Study
Objective The aim of the study was to estimate risks of cervical intraepithelial neoplasia 2+ (CIN 2+) on loop electrosurgical excisional procedure (LEEP) specimens with the diagnosis of endocervical curettage (ECC) CIN 1 compared with biopsy CIN 1. Materials and Methods We performed a retrospective computer-based search for subjects enrolled in the Obstetrics and Gynecology Hospital of Fudan University. The case group comprised women with an ECC CIN 1 (ECC results of CIN 1 with colposcopy-directed biopsy results ≤CIN 1), and the control group comprised women with a biopsy CIN 1 (colposcopy-directed biopsy results ...
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Management Source Type: research

Evaluation of Liquid Versus Dry Specimen Transport With a Newly Validated Isothermal Amplification High-Risk Human Papillomavirus Assay
Conclusions Endocervical specimens transported dry have similar proportion of positive HR-HPV tests as those transported in liquid media. Dry brush transport of endocervical samples paired with the special characteristics of AmpFire HR-HPV may become an important addition to population based cervical cancer screening. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Screening Source Type: research

Retrospective 15-Year Review of Anal Cytology Screening in Women at Mayo Clinic Rochester, Minnesota
Conclusions High-risk women should be screened on a periodic basis for anal cancer. Anal cytology is one possible modality that can be used. Further insight into AIN progression, regression, recurrence, and outcome after treatment will help direct future screening recommendations. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Screening Source Type: research

P16/Ki-67 Immunostaining in the Triage of Postmenopausal Women With Low-Grade Cytology Results
Conclusions Dual p16/Ki-67 immunostaining is a useful additional method in postmenopausal patients with low-grade cytology. Considering the high specificity and negative predictive value in our study, we believe that it could be helpful in avoiding unnecessary referrals to colposcopy and thus reduce the cost of the program. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 23, 2020 Category: OBGYN Tags: Screening Source Type: research

Health Care for Transgender Men: What Is Missing in OB/GYN Care?
Conclusions It is important for TGM who have a vagina, cervix, and/or uterus to have routine gynecological screenings. However, the lack of gender inclusive care in OB/GYN clinics presents a barrier for many TGM and the recommendations emphasized in this commentary will increase sensitivity for the TGM patient population and decrease their marginalization in health care settings. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - April 1, 2020 Category: OBGYN Tags: Commentary Source Type: research

Vestibulovaginal Sclerosis in a Transgender Man on Testosterone
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - April 1, 2020 Category: OBGYN Tags: Vulvovaginal Disease Source Type: research

Fractionated CO2 Laser as Therapy in Recalcitrant Lichen Sclerosus
Conclusions The fractionated CO2 laser may be a helpful approach for managing LS that is unresponsive to traditional treatment options. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - April 1, 2020 Category: OBGYN Tags: Vulvovaginal Disease Source Type: research

Allergic Contact Dermatitis of the Anogenital Region in Men and Women
Conclusions The top positive and relevant allergens seen were in concordance with other reports from Australia and the rest of the world. Fragrances and medicaments are common allergens, and it is recommended that products used on anogenital skin be fragrance free. Testing patients own products is imperative. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - April 1, 2020 Category: OBGYN Tags: Vulvovaginal Disease Source Type: research

Interactive Learning Modules With Visual Feedback Improve Resident Learning in Colposcopy
Conclusions Learning outcomes improved after introduction of a novel teaching intervention. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - April 1, 2020 Category: OBGYN Tags: Management HPV Assoc Conditions Source Type: research

The Effect of Forced Cough to Minimize Pain and Discomfort at the Time of Colposcopy-Guided Cervical Biopsy
Conclusions We observed a trend that cough reduced pain associated with the colposcopy-guided cervical biopsy but did not reach statistical significance. A similar outcome was observed in anxiety level, where anxiety was reduced in the cough group but was not statistically significant as compared with the no cough group. Further studies are necessary to assess various modalities in reducing pain and anxiety associated with colposcopy-guided cervical biopsy. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - April 1, 2020 Category: OBGYN Tags: Management HPV Assoc Conditions Source Type: research

Role of Oral Tramadol 50 mg in Reducing Pain During Colposcopy-Directed Cervical Biopsy: A Randomized Controlled Trial
Conclusions Oral tramadol 50 mg significantly reduces pain perception during colposcopy-guided ectocervical biopsy, ECC, endocervical brushing, and 10 minutes after colposcopy with tolerable adverse effects. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - April 1, 2020 Category: OBGYN Tags: Management HPV Assoc Conditions Source Type: research

Loop Electrosurgical Excision Procedure or Cervical Conization to Exclude Cervical Cancer Before Simple Hysterectomy
Conclusions After colposcopy, women with ECC of CIN 2 or CIN 3, cervical biopsy of CIN 3, or colposcopic impression of CIN 2+ require LEEP or cone before simple hysterectomy. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - April 1, 2020 Category: OBGYN Tags: Management HPV Assoc Conditions Source Type: research