Journal of the Turkish German Gynecological Association

Objective: The climacteric syndrome related to many symptoms often causes discomfort in women. Nonpharmacological treatment is one of the treatment options for these individuals, and this syndrome can be cured with psychological treatments such as CBT. The present study aimed to compare the efficacy of various CBT methods on the improvement of climacteric symptoms. Materials and Methods: PubMed, Scopus, Cochrane, Medline, PsycINFO, and Google Scholar were searched for the relevant articles published within January 1990 and August 2018...

Objective: As the reproductive technology advanced along with the improved outcome in cancer treatment demands implementing new fertility preservation. Developing algorithms on fertility preservation requires tailoring for each society. Here authors attempts to modify the current medical literature on fertility preservation for Turkish population. Materials and Methods: Pubmed search was conducted using the term fertility preservation as the keyword. Initially, 280 items of literature have been accessed...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

Objective: To investigate the role of Mammalian Target of Rapamycin (mTOR) in human granulosa cell ovarian tumors and the therapeutic effect of rapamycin in COV434 mitotic granulosa cell lines. Methods: A retrospective evaluation of the medical records and pathological sections of patients with granulosa cell ovarian carcinoma was performed. mTOR and p-mTOR expression was immunohistochemically investigated. COV434 cell culture were treated with 0.5, 1, 2 and 5 μM rapamycin...

Resection of all tumor implants with the aim of maximal cytoreduction is the main predictor of overall survival in ovarian carcinoma. However, there are high risk sites of tumor recurrence, and perihepatic region especially the point where ligamentum teres hepatis enters the liver parenchyma under the hepatic bridge (pont hepatique) is one of them. This video demonstrates the resection of ligamentum teres hepatis both in a cadaveric model and ovarian cancer patient.

Objective: To describe clinical characteristics and location of lesions in patients with deeply infiltrating endometriosis using the revised Enzian (rEnzian) classification. Methods: Clinical records of 60 patients undergoing laparoscopy for deeply infiltrating endometriosis at Hospital Civil de Culiacán, Sinaloa and Hospital San Javier, Jalisco, México were reviewed. Age, body mass index (BMI), number of pregnancies, childbearing, previous abortions, laparoscopic suggestion (pelvic pain, bleeding, infertility), size and location of the lesions, were assessed according to rEnzian classification...

Pregnant women are susceptible to a wide range of oral health conditions that could be harmful to their own health and the future of their baby. There are lots of myths about the safety of dental care during pregnancy. As a result pregnant women recieve less dental care than when they are pregnant. In our review we tried to emphasise the importance and safety of routine dental care for pregnant women.

Objective: A birth before the normal term of 38 weeks of gestation is called a preterm birth (PTB). It is one of the major reasons for neonatal death. The objective of this article is to predict the PTB well in advance so that it is converted to a term birth. Material and Methods: This study uses the historical data of expectant mothers and an innovative stacked ensemble (SE) algorithm to predict the PTB. The proposed algorithm stacks the classifiers in multiple tiers...

Internal iliac artery is the main vascular supply of pelvic visceral structures. All the pelvic surgeons must know the anatomic landmarks and basic steps of internal iliac artery ligation to stop a massive pelvic hemorrhage. This cadaveric demonstration and clinical review of internal iliac artery shows the anatomic landmarks and basic steps of internal iliac artery ligation.

Objective: To compare the effectiveness of perioperative vaginal misoprostol to intraoperative pericervical hemostatic tourniquet in reducing blood loss during abdominal myomectomy. Material and Methods: A randomized controlled trial involving women with uterine leiomyoma who underwent abdominal myomectomy at a tertiary facility in Nigeria. Participants were recruited after informed consent and randomized into Group I (single dose 400 µg vaginal misoprostol one-hour before surgery) and Group II (intraoperative pericervical hemostatic tourniquet)...

Herein, we aimed to review, report and discuss the role of cystoscopy and clinical phenotyping in interstitial cystitis/bladder pain syndrome (IC/BPS). For this purpose; a comprehensive nonsystematic review of the relevant literature was conducted. We reviewed articles published in English and indexed in the PubMed, Embase, and Google Scholar databases. Original manuscripts, review articles, case series, and case reports were taken into consideration. Data regarding the indications for, technique and possible findings of cystoscopy with hydrodistension (HD) and biopsy, as well as clinical implications of cystoscopic information and the concept and utility of clinical phenotyping within the context of IC/BPS were extracted and discussed...

Fibroids are relatively common in women undergoing in vitro fertilization (IVF) treatment due to their high prevalence in women. It is generally accepted that submucosal fibroids are deleterious to the IVF outcome and their removal is beneficial. Evidence from relatively low quality studies on the impact of intramural fibroids on IVF outcome is also suggestive of a detrimental impact. The majority of published studies included women with relatively small intramural fibroids and women with cavity distorting fibroids were usually excluded, hence it is quite likely that the detected impact in the systematic reviews is an underestimation...

No abstract text is available yet for this article.

To show a simplified technique of extraperitoneal laparoscopic suture. Step-by-step explanation of the technique using an educative video and pictures. This technique of extraperitoneal laparoscopic suture is highlighted through two laparoscopic procedures: a sacrocolpopexy (mesh fixation) for a pelvic organ prolapse and an ovariopexy after hysterectomy without adnexectomy (fibromatous uterus). This method avoids the need for repetitive use of the knot-pusher in performing extraperitoneal knots. Time saved in the operating room and limited gestures can theoretically contribute to decrease cost and improve safety...

No abstract text is available yet for this article.

Polycystic ovary syndrome (PCOS) is complex heterogeneous disorder that has several aspects in terms of pathology such as metabolic, endocrine, reproductive, and psychological. However, the etiology of PCOS remains poorly understood. Several studies suggest that insulin resistance and hyperandrogenism play a central role in the progression of PCOS pathophysiology. Therefore, common treatment strategies of PCOS are based on lifestyle modification, which include exercise, diet, and nutrient supplementation therapy...

Objective: The aim of the present study was to assess the influence of maternal age and maternal body mass index of early pregnancy on the risk of preterm delivery. Material and Methods: The study included 2.1 million liveborn single newborns with documented data at perinatal surveys. Statistical analyses were performed using the SPSS statistics program. Results: The risk of preterm births increased in obese women and in women with advanced age...

Objective: Human papillomavirus (HPV) infection is an important sexually-transmitted infection worldwide. Persistent infections with different high-risk HPV genotypes may cause cervical intraepithelial neoplasia and cervical cancer. Single nucleotide polymorphisms of glutathione S-transferase omega (GSTO) 1 and 2 play an important role in cancer progression. To evaluate GSTO gene polymorphism influence on women’s susceptibility to low-risk or high-risk HPV infections and also risk of cervical cancer development...

Objective: To analyze the value of autopsy reports for determining the cause of maternal deaths in Turkey. Material and Methods: In this descriptive retrospective study, the case files of 992 maternal deaths, except for accidental causes, that occurred in Turkey between 2012 and 2016 were reviewed. An autopsy examination was performed in 177 (17.8%) of the cohort. When the files were reviewed, maternal descriptive data and the cause of maternal mortality according to the autopsy reports were recorded...