RESUMEN
OBJECTIVE: The appropriate management of endometrial polyps in asymptomatic postmenopausal patients remains controversial. The aim of the study was to evaluate the relationship between endometrial polyp size and malignancy risk among asymptomatic postmenopausal women. METHODS: This observational retrospective study investigated 472 postmenopausal asymptomatic women who underwent hysteroscopic polypectomy between 2010 and 2014 (Canadian Task Force Classification II-3). RESULTS: Of the 472 women, premalignant and malignant lesions were found in 11 (2.33%) cases; four (0.84%) had endometrial carcinoma, and seven (1.49%) had atypical endometrial hyperplasia. The incidence of premalignant or malignant lesions among various cut-offs of polyp size (10, 15, 20 mm) was not significantly different. CONCLUSION: In the current series no significant risk factor for malignancy was found among different cut-offs of polyp size.
Asunto(s)
Pólipos/epidemiología , Posmenopausia , Neoplasias Uterinas/epidemiología , Anciano , Femenino , Humanos , Israel/epidemiología , Persona de Mediana Edad , Pólipos/etiología , Pólipos/patología , Estudios Retrospectivos , Factores de Riesgo , Neoplasias Uterinas/etiología , Neoplasias Uterinas/patologíaRESUMEN
OBJECTIVES: The aims of this study were (1) to determine the success rate of induction of labor (IOL) in women with a prior cesarean section (CS) and (2) to compare the perinatal outcome of a trial of labor (TOL) in women with one prior CS who had an IOL, spontaneous onset of labor, or an elective repeated CS (ERCS). MATERIAL AND METHODS: This study population was divided into three groups: women who had (1) ERCS (n = 1916), (2) spontaneous TOL (n = 4263), and (3) IOL (n = 1576). RESULTS: (1) The rate of IOL in the study cohort was 20.3%; of these, 67.4% had a successful vaginal birth after cesarean (VBAC). (2) Patients in the spontaneous TOL group had a higher VBAC rate than did those who had IOL (P < 0.001). (3) The rate of uterine rupture was comparable among all study groups. And (4) a prior vaginal birth increased the likelihood of having a successful induction and a VBAC by 50%. CONCLUSION: IOL in patients with a previous CS is successful in about two-thirds of the cases. Induction is a safe and useful tool that can serve as an alternative for ERCS and assist to reduce the rate of ERCS.
Asunto(s)
Trabajo de Parto Inducido , Parto Vaginal Después de Cesárea , Adulto , Cesárea Repetida/efectos adversos , Estudios de Cohortes , Femenino , Humanos , Recién Nacido , Trabajo de Parto Inducido/efectos adversos , Masculino , Embarazo , Resultado del Embarazo , Trastornos Puerperales/etiología , Estudios Retrospectivos , Esfuerzo de Parto , Parto Vaginal Después de Cesárea/efectos adversos , Adulto JovenRESUMEN
Pelvic organ prolapse is a common and bothersome problem that affects women's work, traveling, physical exercise, sleep, and sexual function. Synthetic implants show superiority in reducing recurrence of pelvic organ prolapse. However, inserting foreign materials carries an increased risk of complications. In this article containing the most updated available literature, we look back at the history of synthetic mesh repair, examine its efficacy and advantages, assess common complications, review current opinions, and look at the future for ways to improve the use of mesh for better results and fewer complications in an attempt to improve women's quality of life.