Outcomes of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) for Uterosacral Ligament Suspension in Apical Compartment Prolapse: A Systematic Review.

Introduction And Hypothesis: This systematic review is aimed at assessing the efficacy and safety of transvaginal natural orifice transluminal endoscopic surgery-uterosacral ligament suspension (vNOTES-USLS) based on current evidence.

Methods: A comprehensive search of PubMed and Web of Science was conducted for studies published up to 31 December 2024. Original studies on vNOTES-USLS were included, whereas reviews, abstracts, and publications not in the English language were excluded.

Risk Factors and Prediction Model for Preoperative Lower-Extremity Venous Thrombosis in Elderly Women Undergoing Colpocleisis.

Introduction And Hypothesis: Preoperative lower-extremity venous thrombosis (LEVT) is a potential concern in elderly women undergoing colpocleisis for advanced pelvic organ prolapse (POP), given their increased risk owing to age, limited mobility, and comorbidities. This study is aimed at determining the prevalence of LEVT, identifying independent risk factors, and developing a predictive model to assist in risk stratification.

Methods: A retrospective study was conducted on elderly women scheduled for colpocleisis owing to advanced POP between August 2019 and September 2024.

Efficacy and safety of laparoscopic lateral suspension with mesh for pelvic organ prolapse: A systematic review and meta-analysis.

Introduction: Laparoscopic lateral suspension (LLS) with mesh is an alternative treatment for pelvic organ prolapse, offering enhanced apical vaginal suspension. This review aims to comprehensively evaluate the efficacy and safety of LLS for the treatment of pelvic organ prolapse through systematic review and meta-analysis.

Material And Methods: Original studies including randomized controlled trials, prospective, or retrospective studies reporting outcomes on the efficacy and safety of LLS with mesh for pelvic organ prolapse were retrieved from PubMed and Web of Science up to November 30, 2024.

Effects of transumbilical single-port laparoscopy versus multi-port laparoscopy for adnexal mass during pregnancy: a retrospective cohort study.

Objectives: To compare the effects of transumbilical single-port laparoscopic surgery (TSPLS) and multi-port laparoscopic surgery (MPLS) for adnexal mass during pregnancy.

Methods: A retrospective analysis was performed on patients with adnexal mass during pregnancy admitted to our hospital between January 2015 and June 2023. The patients were divided into a TPLS group and a MPLS group according to surgical methods.

Outcomes of Temperature-Controlled Radiofrequency in Treating Vulvar Lichen Sclerosus: A Pilot Study.

Objective: This study aimed to evaluate the efficacy and safety of transcutaneous temperature-controlled radiofrequency (TTCRF) in the treatment of female vulvar lichen sclerosus (VLS).

Methods: A retrospective analysis was conducted on VLS patients treated with TTCRF at our hospital between May 2021 and May 2023. Each patient underwent ten TTCRF sessions, spaced 1 week apart.

Risk factors and a predictive model for mixed urinary incontinence among parous women: Insights from a large-scale multicenter epidemiological investigation.

Purpose: This study aims to identify independent risk factors for mixed urinary incontinence (MUI) in parous women using a multicenter epidemiological study and to establish and validate a predictive nomogram.

Methods: A large-scale survey was conducted from June 2022 to September 2023, including parous women aged over 20 selected through stratified random sampling. Data encompassed sociodemographic and obstetric histories, comorbidities, and standardized questionnaires.

Efficacy of Two Modes of Transvaginal Temperature-Controlled Radiofrequency for Female Stress Urinary Incontinence.

Introduction And Hypothesis: This study was aimed at comparing the efficacy of different modes of transvaginal temperature-controlled radiofrequency (TTCRF) in improving female stress urinary incontinence (SUI).

Methods: A randomized trial with a nested prospective cohort included 89 women with SUI, who were randomized into a unipolar group (n = 35) and a comprehensive group (n = 54). The comprehensive mode group was treated with unipolar and bipolar combination therapy.

Treatment outcomes of Manchester procedure versus vaginal hysterectomy for mid-compartment prolapse: A systematic review and meta-analysis.

Introduction: To compare the effectiveness and safety of Manchester procedure versus vaginal hysterectomy in the treatment of mid-compartment prolapse in women.

Material And Methods: We searched PubMed, Web of Science, Google Scholar, and the Cochrane Library for randomized controlled trials (RCTs), prospective, or retrospective studies comparing the Manchester procedure and vaginal hysterectomy up to July 2024. Primary outcomes included anatomical recurrence, subjective recurrence, overall complication rate, and reoperation.

Machine-Learning-Based Predictive Model for Bothersome Stress Urinary Incontinence Among Parous Women in Southeastern China.

Introduction And Hypothesis: Accurate identification of female populations at high risk for urinary incontinence (UI) and early intervention are potentially effective initiatives to reduce the prevalence of UI. We aimed to apply machine-learning techniques to establish, internally validate, and provide interpretable risk assessment tools.

Methods: Data from a cross-sectional epidemiological survey of female urinary incontinence conducted in 2022 were used.

Laparoscopic lateral suspension with mesh for severe anterior and apical pelvic organ prolapse: an observational cohort study for safety and efficacy at 2-year follow-up.

Purpose: This study aimed to investigate the clinical safety and efficacy of laparoscopic lateral suspension (LLS) with mesh in the treatment of severe anterior and apical pelvic organ prolapse (POP) Chinese women with a 2-year follow-up.

Methods: We conducted an observational cohort study. Sixty patients who presented apical (uterovaginal or vault) and anterior prolapse at stage 3 or higher were enrolled.

Incidence, Risk Factors, and Correlation with Caprini Score of Deep Vein Thrombosis After Colpocleisis with/without Concomitant Hysterectomy for Pelvic Organ Prolapse in Elderly Women.

Introduction And Hypothesis: The objective was to investigate the incidence and risk factors of lower extremity deep vein thrombosis (DVT) in elderly women undergoing colpocleisis for pelvic organ prolapse and to evaluate the predictive efficacy of the Caprini scores.

Methods: Data from patients who underwent colpocleisis from August 2019 to April 2024 were retrospectively analyzed. The primary endpoint was DVT detected by ultrasonography within 7 days of surgery.

Development and Validation of a Risk Prediction Model for Female Stress Urinary Incontinence in Rural Fujian, China.

Purpose: With China's rapidly aging population and the rising proportion of obese people, an increase in the number of women suffering from urinary incontinence (UI) is to be expected. In order to identify high-risk groups before leakage occurs, we aimed to develop and validate a model to predict the risk of stress UI (SUI) in rural women.

Patients And Methods: This study included women aged 20-70 years in rural Fujian who participated in an epidemiologic survey of female UI conducted between June and October 2022.

Outcomes of a novel modified total colpocleisis for advanced pelvic organ prolapse in elderly women and its efficacy on lower urinary tract symptoms.

Objectives: To evaluate the effectiveness of modified total colpocleisis for advanced pelvic organ prolapse (POP) in elderly women and to assess the improvement in lower urinary tract symptoms (LUTS) of the patients.

Methods: An observational cohort study was conducted, including 105 POP patients who underwent modified total colpocleisis between April 2020 and December 2022. The study analyzed the patients' demographic characteristics, perioperative outcomes, and follow-up outcomes, including complications, remission of LUTS, satisfaction rates, and regret rates.

Prevalence, Risk Factors, and Impact on Life of Female Urinary Incontinence: An Epidemiological Survey of 9584 Women in a Region of Southeastern China.

Purpose: To investigate the prevalence, risk factors, and impact on quality of life (QOL) of female urinary incontinence (UI) in a region of southeastern China.

Patients And Methods: This cross-sectional study, conducted between June 2022 and March 2023, included 9584 women aged 20-70 years who completed a standardized questionnaire through face-to-face interviews. This sample size represents almost 10% of the population in the target area.

A population-based cross-sectional survey on the prevalence, severity, risk factors, and self-perception of female urinary incontinence in rural Fujian, China.

Introduction And Hypothesis: To determine the prevalence, severity, risk factors and self-perception of female urinary incontinence (UI) in rural Fujian, China.

Methods: This population-based cross-sectional study was conducted between June and October 2022. Women aged 20 to 70 years from rural communities in Fujian Province were selected by multistage random sampling.

Outcomes of Manchester procedure combined with high uterosacral ligament suspension for uterine prolapse.

Aim: The objective of this study was to evaluate the outcomes of the Manchester procedure (MP) with or without concomitant high uterosacral ligament suspension (HUSLS) for treating uterine prolapse. The primary outcomes were to compare the two methods for differences in perioperative complications and recurrence rates, and to explore whether MP combined with concomitant HUSLS is beneficial in reducing recurrence rates.

Methods: A total of 98 uterine prolapse patients underwent MP or MP-HUSLS during the study period.

A nomogram model can predict the risk of venous thromboembolism in postoperative patients with gynecological malignancies.

Objective: To explore independent factors influencing the risk of lower extremity deep vein thrombosis during the postoperative period in patients with gynecological malignancies by constructing a predictive model.

Methods: In our study, we collected 573 patients with gynecological malignancies in the postoperative period between September 2016 and September 2020, who were divided into a modeling (n = 402) and verification group (n = 171) according to a ratio of 7:3. Univariate and multivariate regression analyses were used to determine independent factors influencing deep vein thrombosis (DVT).

A comparison study of post-operative infection analysis of cold-knife conization and loop electrosurgical excision procedure for cervical high-grade squamous intraepithelial lesion.

Background: High-grade squamous intraepithelial lesion (HSIL) is a premalignant condition of the cervical cancer. Loop electrosurgical excision procedure (LEEP) and cold-knife conization (CKC) were the most effective treatment. Most studies focused on the recurrence rate, positive margin rate, residual disease rate, secondary hemorrhage or cervical stenosis of these two methods.

The -Lactamase Gene Profile and a Plasmid-Carrying Multiple Heavy Metal Resistance Genes of .

In this work, by high-throughput sequencing, antibiotic resistance genes, including class A ( , , , , , and ), class C ( , , , , and ), and class D ( ) -lactamase genes, were identified among the pooled genomic DNA from 212 clinical isolates. Six -positive strains were identified, and pulsed-field gel electrophoresis (PFGE) showed that these strains were not clonally related. The complete genome of the positive strain (Y546) consisted of both a chromosome (4.

[Significance of urodynamic analysis in the patients with recent voiding dysfunction after radical hysterectomy].

Objective: To study the urodynamic changes in patients with recent non-infective voiding dysfunction following radical hysterectomy and assess its significance.

Methods: Ninety-six patients with cervical cancer, who were not found any abnormal representation of urodynamics before the operation, were selected into this study group. Eighty-three patients in the study group without urinary infection were detected by urodynamic examination following radical hysterectomy, in order to analyze the urodynamic reasons for the non-infective voiding dysfunction following the surgery.