1,720,966 research outputs found
Effectiveness of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency: A randomized controlled trial
No full text[No abstract available
Long-term lower urinary tract dysfunction after radical hysterectomy in patients with early postoperative voiding dysfunction.
No full textSexual function after modified radical hysterectomy (Piver II/Type B) vs. classic radical hysterectomy (Piver III/Type C2) for early stage cervical cancer. A prospective study.
No full textIntroduction. When cervical cancer is detected at an early stage (International Federation of Gynecology and
Obstetrics [FIGO] IA2-IB1), it can be successfully treated by radical surgery alone. Considering that most patients
are young and sexually active at the moment of diagnosis and the long life expectancy of survivors after the treatment,
quality of life (QoL) and sexual function are important issues for cancer survivors and caregivers. However, only a
few studies have examined the QoL and sexual function in disease-free cervical cancer survivors, and there are no
studies in the literature comparing prospectively sexual function after different types of radical hysterectomy.
Aim. To compare sexual function in two groups of early stage cervical cancer survivors treated by radical surgery
alone, undergoing two different types of radical hysterectomy.
Methods. Patients treated by radical hysterectomy with systematic lymphadenectomy for early stage cervical cancer
(FIGO IA2-IB1) have been enrolled and divided in two groups with regard to type of radical hysterectomy performed;
S1: modified radical hysterectomy (Piver II/Type B), S2: classic radical hysterectomy (Piver III/ Type C2).
Main Outcome Measure. Twenty-four months after surgery we assessed the sexual function using the European
Organization for Research and Treatment of Cancer Cervix Cancer Module Questionnaire, which is a validated
system for the assessment of disease- and treatment-specific issues that affect the QoL and sexual functioning of
women who are treated for cervical cancer.
Results. Of the 31 patients enrolled in the S1 group and 46 in the S2 group, 23 and 33 patients have been included,
respectively. We observed significant differences between the two groups in terms of symptom experience, sexual/
vaginal functioning, sexual activity, and sexual enjoyment. There was not any significant difference regarding
lymphedema, peripheral neuropathy, and sexual worry.
Conclusion. Survivors of early stage cervical cancer treated by modified radical hysterectomy (Piver II/ Type B) have
a better sexual function than those operated by classic radical hysterectomy (Piver III/ Type C2). Plotti F, Nelaj E,
Sansone M, Antonelli E, Altavilla T, Angioli R, and Benedetti Panici P. Sexual function after modified radical
hysterectomy (Piver II/Type B) vs. classic radical hysterectomy (Piver III/Type C2) for early stage cervical
cancer: A prospective study. J Sex Med 2012;9:909–917
Laparoscopic fertility-sparing staging in unexpected early stage ovarian malignancies
No full textTo assess feasibility and safety of fertility-sparing laparoscopic staging in women affected by unexpected ovarian cancer desiring to preserve their fertility. Prospective study. University clinic. Twenty-seven patients already operated on elsewhere for a presumably benign ovarian cyst. Laparoscopic fertility-sparing staging operations. Perioperative and survival data, reproductive outcome. Histologic findings after first surgery: 12 low malignant potential neoplasms, 11 invasive epithelial ovarian carcinomas,1 sex-cord stromal, and 3 germ cell neoplasms. Fertility-sparing staging consisted of exploration of the peritoneal cavity, peritoneal washing cytology, multiple peritoneal biopsies, omolateral adnexectomy (except in borderline tumors), omentectomy, omolateral or bilateral pelvic and aortic lymph node sampling (except in borderline tumors, well differentiated, mucinous, and granulosa cell (GC) neoplasms), endometrial biopsy, appendectomy in mucinous type. Overall, seven patients (26%) were upstaged. Six patients received adjuvant platinum-based chemotherapy. Two term pregnancies occurred. After a median follow-up of 20 months all patients are alive; one patient has FIGO stage Ic clear cell carcinoma, which recurred 8 months after surgery. Laparoscopic fertility-sparing staging in early ovarian malignancies is feasible and safe in selected and counseled patients and should be performed in experienced gynecological oncology centers trained in endoscopic procedures
Post radical hysterectomy urinary incontinence: A prospective study of transurethral bulking agents injection
No full textThe aim of the present study is to prospectively investigate the efficacy and complications of macroplastique transurethral implantation in cervical cancer patients affected by stress urinary incontinence (SUI) after radical hysterectomy (RH). Patients affected by de novo SUI post type 3 RH were considered for eligibility in this study. Preoperative and postoperative assessment included a standardized urogynecological history, urogynecological and neurological physical examination, evaluation of severity of SUI symptoms, a 3-day voiding diary, urine culture and urodynamic assessment. All patients underwent transurethral implantation using Macroplastique Implantation System (MIS). Patient follow-up was performed 6 and 12 months after surgery. A total of 24 consecutive patients were enrolled. At the 12 month follow up SUI cure rate was 42% (10 of 24 patients), the improvement rate was 42% (10 of 24) and the failure rate was 16% (4 of 24). The overall success rate was 84% (10 patients cured and 10 improved). No intraoperative or postoperative early complications were found. The 4 patients in whom treatment was not a success had preoperative urethral hypermobility. Subjective patient perception of SUI symptom severity showed significant improvement (mean severity of urinary loss perception 6.6+/-1.8 vs 2.3+/-3.3, p<0.05). The frequency of incontinence on the 3-day voiding diary was significantly reduced at the follow up (14.5+/-5.8 vs 4.3+/-7.9 episodes per 3 days, p<0.05). Bulking agents urethral injection could be a valid option having no surgical complications. This therapeutic strategy is able to treat SUI and improve well being of cervical cancer patients after radical surgery
Persistent posttrachelectomy cervical stenosis treated with Petit-Le Four pessary in early cervical cancer patients: a report of two cases
No full textTo report on posttrachelectomy refractory cervical stenosis in two women with early cervical cancer that was resolved by using a Petit-Le Four tube, an older type of cervical pessary. Case report. Tertiary care, university hospital. Two young women with FIGO stage IB1 cervical cancer and posttrachelectomy cervical stenosis. Cervical dilatations and Petit-Le Four cervical pessary insertion. Treatment of hematometra, pelvic pain, and infertility. The Petit-Le Four cervical pessary is a good therapeutic option for the treatment of cervical stenosis after trachelectomy performed for early cervical cancer. Persistent hematometra from cervical stenosis could compromise both fertility and quality of life, and often requires dilatation of the cervical ostium, which must be performed several times in the same patient to obtain optimal results. Cervical dilators left in place could help physicians in the treatment of recurrent cervical stenosis after trachelectomy
Where should bulking agents for female urodynamic stress incontinence be injected?
No full text[No abstract available
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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