Archives of gynecology and obstetrics
-
Arch. Gynecol. Obstet. · Aug 2014
Multicenter Study Comparative StudyInterest of human papillomavirus DNA quantification and genotyping in paired cervical and urine samples to detect cervical lesions.
Cervical cancer is caused by persistent infection with high-risk human papillomavirus (HR-HPV). Conventional human papillomavirus (HPV) testing requires cervical sampling. However, vaginal and urine self-sampling methods are more acceptable for patients and result in increased participation when they are available in screening programs. In this context, we have developed a non-invasive screening method via the detection of HPV DNA in urine samples. ⋯ High concordance rates for HPV-DNA quantification and high/low-risk HPV genotyping in paired urine/cervical samples suggest that urinary HPV DNA testing could be useful for cervical lesion screening.
-
Arch. Gynecol. Obstet. · Aug 2014
Randomized Controlled TrialRandomized trial of long-term effects of percutaneous tibial nerve stimulation on chronic pelvic pain.
To evaluate the long-term effects of percutaneous tibial nerve stimulation (PTNS) on quality of life in women with chronic pelvic pain. ⋯ PTNS is a minimally invasive treatment method that leads to decrease in pain severity and improvement in quality of life in women with chronic pelvic pain with effects continuing at 6 months.
-
Arch. Gynecol. Obstet. · Aug 2014
Randomized Controlled TrialEffect of local infiltration analgesia on post-operative pain following TVT-O: a double-blind, placebo-controlled randomized study.
To evaluate the effect of a protocol of local anesthesia and epinephrine associated with sedo-analgesia on post-TVT-O pain in comparison with infiltration of saline and epinephrine. ⋯ This randomized study seems to indicate that systematic infiltration before TVT-O positioning with local anesthetic may reduce immediate post-operative pain.
-
Arch. Gynecol. Obstet. · Aug 2014
Randomized Controlled TrialEffect of bupivacaine-soaked spongostan in cesarean section wound on postoperative maternal health.
To investigate the efficacy of bupivacaine-soaked spongostan in cesarean section wound for postoperative anxiety level, satisfaction and early postpartum depression rate. ⋯ Placement of bupivacaine-soaked spongostan into the cesarean section wound resulted in decreased postoperative anxiety level and postpartum depression rate and increased satisfaction.
-
Arch. Gynecol. Obstet. · Aug 2014
Case ReportsVulvodynia and proctodynia treated with topical baclofen 5 % and palmitoylethanolamide.
The prevalence of idiopathic vulvodynia and proctodynia is high. Pain management with anti-depressants and anti-epileptics may induce undesirable side effects. Therefore, topical baclofen cream and palmitoylethanolamide might be new therapeutic options. ⋯ Topical baclofen and palmitoylethanolamide can be a viable treatment option in chronic vulvodynia and proctodynia.