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Journal of Lower Genital Tract Disease

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https://read.qxmd.com/read/30817690/should-we-always-look-before-we-leep-a-discussion-of-the-pros-and-cons-of-colposcopic-biopsy-prior-to-treatment
#1
Richard Guido, Rebecca B Perkins, Katie M Smith
No abstract text is available yet for this article.
February 26, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30817689/vulvovaginal-lichen-planus-a-disease-in-need-of-consensus-based-clinicopathologic-diagnostic-criteria
#2
Tania Day, Geoff Otton, Ken Jaaback, James Scurry
No abstract text is available yet for this article.
February 26, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30817688/reply-to-is-vulvovaginal-lichen-planus-associated-with-squamous-cell-carcinoma
#3
Stefano Basile, Sara Pinelli, Pierluigi Benedetti Panici
No abstract text is available yet for this article.
February 26, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30817687/simple-hysterectomy-for-cervical-cancer-risk-factors-for-failed-screening-and-deviation-from-screening-guidelines
#4
Tara Castellano, Kai Ding, Kathleen N Moore, Lisa M Landrum
OBJECTIVE: The aim of this study is to describe risk factors associated with either false-negative cervical cancer screening or deviations from screening guidelines that result in incidentally found invasive cervical cancer at the time of simple hysterectomy for benign indications. MATERIALS AND METHODS: This is a retrospective review from 1990 to 2017 of subjects with incidental cervical cancer. Baseline demographics, preoperative evaluations, surgical data, and histopathologic characteristics were recorded...
February 26, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30817686/evaluation-of-folate-receptor-mediated-cervical-dyeing-as-a-method-for-detection-of-cervical-lesions
#5
Yun Zhao, Mingzhu Li, Yali Li, Qiubo Lv, Fei Chen, Bin Li, Zhenyu Zhang, Hongyan Guo, Dan Lu, Fengying Wang, Jianjun Zhai, Limin Feng, Ailuan Lai, Hongxia Li, Chen Yao, Lihui Wei
OBJECTIVES: The aim of the study was to evaluate the performance of a folate receptor-mediated tumor detection (FRD) assay for detection of cervical high-grade lesions. MATERIALS AND METHOD: A total of 1504 patients with abnormal cytology and/or positive human papillomavirus (HPV) testing during primary screening from November 2014 to August 2015 were enrolled. The patients were recruited from the Peking University People's Hospital and 12 other hospitals. Folate receptor-mediated tumor detection was applied in all the patients before colposcopy to compare the detection rate, sensitivity, specificity, positive predictive value, negative predictive value, and coincidence rate with HPV and cytology tests according to the pathologic diagnosis...
February 26, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30789385/the-clinical-role-of-laser-for-vulvar-and-vaginal-treatments-in-gynecology-and-female-urology-an-ics-issvd-best-practice-consensus-document
#6
Mario Preti, Pedro Vieira-Baptista, Giuseppe Alessandro Digesu, Carol Emi Bretschneider, Margot Damaser, Oktay Demirkesen, Debra S Heller, Naside Mangir, Claudia Marchitelli, Sherif Mourad, Micheline Moyal-Barracco, Sol Peremateu, Visha Tailor, Tufan Tarcan, Elise J B De, Colleen K Stockdale
In this best practice document, we propose recommendations for the use of LASER for gynecologic and urologic conditions such as vulvovaginal atrophy, urinary incontinence, vulvodynia, and lichen sclerosus based on a thorough literature review. Most of the available studies are limited by their design; for example, they lack a control group, patients are not randomized, follow-up is short term, series are small, LASER is not compared with standard treatments, and most studies are industry sponsored. Because of these limitations, the level of evidence for the use of LASER in the treatment of these conditions remains low and does not allow for definitive recommendations for its use in routine clinical practice...
February 15, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30768446/descriptors-of-vulvodynia-a-multisocietal-definition-consensus-international-society-for-the-study-of-vulvovaginal-disease-the-international-society-for-the-study-of-women-sexual-health-and-the-international-pelvic-pain-society
#7
Jacob Bornstein, Mario Preti, James A Simon, Sawsan As-Sanie, Colleen K Stockdale, Amy Stein, Sharon J Parish, Gianluigi Radici, Pedro Vieira-Baptista, Caroline Pukall, Micheline Moyal-Barracco, Andrew Goldstein
OBJECTIVES: Three scientific societies, the International Society for the Study of Vulvovaginal Disease (ISSVD), the International Society for the Study of Women Sexual Health (ISSWSH), and the International Pelvic Pain Society (IPPS) developed the "2015 ISSVD, ISSWSH, and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia" (referred to as the "2015 consensus terminology").The terminology included 11 descriptors of vulvodynia. However, the definitions of the descriptors were not included in the 2015 consensus terminology publications...
February 12, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30741754/reimbursement-incentives-to-improve-adherence-to-follow-up-of-cervical-cancer-cytology-screening-results-in-peru
#8
Daron G Ferris, Jessica Chen, Austin Isaac, Evan Braithwaite, Elena Beideck, Nima Mikail, Debra Krotish, Jennifer L Waller
OBJECTIVE: The purpose of this study was to determine Peruvian women's attitudes toward novel reimbursement incentives used to improve adherence to obtaining cervical cytology test results. MATERIALS AND METHODS: Women presenting for cervical cancer screening in Peru completed a 34-item Investigational Review Board-approved questionnaire. The questionnaire determined their attitudes toward various reimbursement incentives to improve adherence to obtaining cervical cytology results...
February 7, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30741753/vulvovaginal-discomfort-is-common-in-both-premenopausal-and-postmenopausal-women
#9
LaTina J Watson, Kaitlyn E James, Ida J Hatoum Moeller, Caroline M Mitchell
OBJECTIVES: We surveyed women from a primary care population to assess the prevalence of unreported vulvovaginal symptoms. MATERIALS AND METHODS: A random sample of women aged 18 to 84 years without a diagnosis of vulvovaginitis or vulvodynia in the past year were surveyed anonymously about prevalence and severity of vulvar and vaginal symptoms of itching, burning, irritation, vaginal discharge, vaginal dryness, and vulvovaginal pain in the past month. Women reporting at least 1 moderate-severe symptom were considered symptomatic...
February 7, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30707116/factors-related-to-overtreatment-in-the-see-and-treat-approach-a-retrospective-multicentric-observational-study
#10
Andrea Ciavattini, Stefano Morini, Giovanni Delli Carpini, Anna Del Fabro, Matteo Serri, Valeria Verdecchia, Federica Cigolot, Manuela Cadel, Nicolò Clemente, Francesco Sopracordevole
OBJECTIVE: The aim of the study was to evaluate the association between colposcopic features, age, menopausal status, and overtreatment in women subjected to "see-and-treat" approach, to identify subgroups of patients in which this approach could be more appropriate. MATERIALS AND METHODS: Retrospective multicentric cohort study conducted on women older than 25 years, with a high-grade squamous cytological report and a visible squamocolumnar junction, in which colposcopy and the excisional procedure were performed at the same time without a previous cervical biopsy (see and treat)...
January 30, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30694884/observed-colposcopy-practice-in-us-community-based-clinics-the-retrospective-control-arm-of-the-improve-colpo-study
#11
Warner K Huh, Emmanouil Papagiannakis, Michael A Gold
OBJECTIVE: The aim of the study was to characterize colposcopy practice and management of women with cervical abnormalities in US community-based clinics. MATERIALS AND METHODS: IMPROVE-COLPO was a 2-arm study of colposcopy patients with an abnormal screening result. The prospective arm recruited women to undergo examination with a commercial digital colposcope. The retrospective-control arm collected data (chart review) from previous colposcopies performed using standard equipment and methods...
January 25, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30688761/should-we-always-biopsy-in-clinically-evident-lichen-sclerosus
#12
Siobhan McCarthy, Neil MacEoin, Michael OʼDriscoll, Roisin OʼConnor, Cynthia C B B Heffron, Michelle Murphy
The aims of the study were to review cases of clinically diagnosed lichen sclerosus (LS) and to compare the histological features found on biopsy to clinical features seen on examination. METHODS: A retrospective chart review was undertaken of patients attending a specialist vulval service between 2013 and 2015 with a clinical diagnosis of LS. Patients in whom there was clinical diagnostic uncertainty or those with features of lichen planus or lichen planus/LS overlap were excluded. We determined the proportion of these patients who underwent vulval biopsy and reviewed their histology...
January 25, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30688760/mindfulness-based-group-cognitive-behavior-therapy-for-provoked-localized-vulvodynia-a-randomized-controlled-trial
#13
Alyson D Guillet, Nicole H Cirino, Kyle D Hart, Catherine M Leclair
OBJECTIVE: The aim of the study was to compare the effectiveness of mindfulness-based group cognitive behavior therapy (M-gCBT) versus education support group therapy for the pain and distress associated with provoked localized vulvodynia. MATERIALS AND METHODS: Participants were randomized to M-gCBT or education support group therapy. Mindfulness-based group cognitive behavior participants attended 8 weekly sessions. Education support group participants received 8 weeks of online education with 3 in-person group visits...
January 25, 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30586020/response-to-immediate-loop-electrode-excisional-procedure-for-high-grade-cervical-cytology-one-size-fits-all
#14
Ali McGregor, Kimberly Gecsi
No abstract text is available yet for this article.
January 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30586019/calcinosis-cutis-of-the-vulva-a-review
#15
Qing Wang, Debra S Heller
Idiopathic calcinosis cutis (CC) is an uncommon skin condition. Although it has been reported many times in the scrotum, it is exceedingly rare in the vulva. Most reports of vulvar CC are in children. Vulvar CC may be thought clinically to be inclusion cysts. Other causes of calcinosis such as autoimmune disease or alterations in serum calcium levels, potentially associated with malignancy, must be considered before considering a case as idiopathic.
January 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30586018/should-self-sampling-be-an-option-for-women-in-the-united-states
#16
Jose Jeronimo, Rebecca B Perkins, Jennifer Scalici, Jennifer Y Pierce
No abstract text is available yet for this article.
January 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30489433/why-do-women-get-cervical-cancer-in-an-organized-screening-program-in-canada
#17
Rebecca Jackson, Li Wang, Nathaniel Jembere, Joan Murphy, Rachel Kupets
OBJECTIVE: The aim of the study was to determine factors associated with the development of cervical malignancy among women participating in an organized cervical screening program. MATERIALS AND METHODS: A population-based retrospective cohort study was performed examining the screening histories 2 to 10 years before diagnosis of invasive cancer in Ontario women between 2011 and 2014. RESULTS: A total of 2,002 cases of cervical cancer were identified; 1,358 (68%) were squamous cell carcinomas and 644 (32%) were adenocarcinomas...
January 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30252710/fact-or-fiction-adipose-derived-stem-cells-and-platelet-rich-plasma-for-the-treatment-of-vulvar-lichen-sclerosus
#18
REVIEW
Panteha Eshtiaghi, Leslie Ann Sadownik
OBJECTIVE: The aim of the study was to summarize and review the evidence for the efficacy and safety of adipose-derived stem cells (ADSCs) and platelet-rich plasma (PRP) for the treatment of vulvar lichen sclerosus (LS). MATERIALS AND METHODS: PubMed/MEDLINE, Ovid, Web of Science, and clinicaltrials.gov were searched from inception up to May 7, 2018. RESULTS: Seven observational studies were identified, with a total of 98 patients. Both ADSCs and PRP were reported to improve symptoms, quality of life measures, as well as clinical and histological signs of vulvar LS...
January 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30161052/vaginal-intraepithelial-neoplasia-clinical-presentation-management-and-outcomes-in-relation-to-hiv-infection-status
#19
Melissa Bradbury, Natalia Xercavins, Ángel García-Jiménez, Asunción Pérez-Benavente, Silvia Franco-Camps, Silvia Cabrera, José Luis Sánchez-Iglesias, Javier De La Torre, Berta Díaz-Feijoo, Antonio Gil-Moreno, Cristina Centeno-Mediavilla
OBJECTIVES: The data available on vaginal intraepithelial neoplasia (VAIN) and infection by HIV are scarce. We therefore aimed to review the clinical presentation, management, and survival outcomes of VAIN in this group of women. MATERIALS AND METHODS: This is an observational cohort study of women diagnosed with VAIN for a 23-year period. Clinical characteristics and outcomes were analyzed according to women's HIV infection status. Disease-free and progression-free survival were compared between groups...
January 2019: Journal of Lower Genital Tract Disease
https://read.qxmd.com/read/30489432/anti-inflammatory-effect-of-surfactant-lipid-in-the-vaginal-mucosa-a-pilot-study
#20
Colin MacNeill, Glendell S de Guzman, Kate Lupo, Todd Umstead, David S Phelps, Joanna Floros
OBJECTIVE: The aim of the study was to test the hypothesis that vaginal administration of surfactant lipids, which may counter-balance the proinflammatory effects of vaginal surfactant protein A, will decrease proinflammatory cytokines and increase anti-inflammatory cytokines in vaginal mucosal fluid in healthy women. MATERIALS AND METHODS: Three groups of healthy cycling women were randomized to receive vaginally a single dose of the following: (1) low-dose calfactant, a type of surfactant lipids, 0...
November 27, 2018: Journal of Lower Genital Tract Disease
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