Urology

Abdominal sacral colpopexy is still the "gold standard" for this complicated problem. But early results with two minimally invasive procedures show promise for safely managing prolapse.

Early diagnosis of m?llerian anomalies is important because they can have a significant impact on a woman?s reproductive potential. Sonographic clues lead the way to prompt and precise classification.

The pathogenic triad of vascular stasis, hypercoagulability, and vascular injury remains the prime initiator of thrombosis, and gynecologic surgery is associated with all three.

Weight loss surgery may increase fertility but it can also heighten her risk of nutritional deficiencies and the GI problems associated with pregnancy. As more patients seek these procedures, ob/gyns need practical guidelines for managing their care.

Miss SC was a 21-year-old G4, P0030 at 21 weeks' gestation by last menstrual period and confirmed by second-trimester ultrasound. Her pregnancy, which had been managed through a clinic, was complicated by multiple urinary tract infections and she had recently been diagnosed with pyelonephritis. The condition was treated with IV antibiotics at a community hospital and she was discharged with a prescription for ampicillin to be taken for 7 days. Miss SC said she felt well until 2 days before her second admission to the same community hospital, when she began having sharp, intermittent right upper-quadrant pain that was unrelated to eating.

What causes male infertility? Look to the Y chromosome, says this leading expert. Among the high-tech solutions worth considering: testicular sperm extraction (TESE), microsurgical epididymal sperm retrieval (MESA), and intracytoplasmic sperm injection (ICSI).

Many women have sexual dysfunction, and effective treatments are available for some conditions. Routinely discussing sexual function with your patients, and their partners, is important because dysfunction truly is a couples issue.

It's imperative to identify more HIV-infected women earlier in pregnancy through HIV testing and to reduce mother-to-child transmission of the virus that causes AIDS.

Specially designed visual aids and written materials-intended to help surgeons present treatment options to women newly diagnosed with early-stage breast cancer and to help them participate in the treatment decision process-left women better educated about their disease and treatment options.

Urinary incontinence can often be successfully treated without referral, but first ob/gyns need to broach the subject! Two experts tell how to evaluate this widespread condition.

An expert in infertility and microsurgery explains how to interpret semen analysis in Part 1 of a two-part series on male infertility. He also tells why much traditional treatment of male infertility, including varicocelectomy, is pointless.

Urinary incontinence can often be successfully treated without referral, but first ob/gyns need to broach the subject! Two experts tell how to evaluate this widespread condition.

Thanks to advances in U/S technology, clinicians can now detect ventricular enlargement in its earliest stages. Unfortunately, a few fetuses with borderline ventriculomegaly still have chromosomal or structural malformations.

Using a technique called super crowning, avoiding episiotomy, and reaching for a vacuum device rather than forceps during operative vaginal deliveries are among the strategies that can help reduce the number of third- and fourth-degree lacerations.

Here's what you need to know to identify patients at higher risk for SSIs and provide effective preventive strategies. These measures include good glucose control and well-timed prophylactic antibiotics.

The dopamine agonists cabergoline and bromocriptine have replaced surgery for prolactinomas, a key cause of infertility. Two experts share their protocols for treating these benign tumors and explain which drug to choose when pregnancy is the goal--and which better restores menses.

Out of Israel come several potentially useful ob/gyn devices, the development of which is being sponsored in part by the government's Chief Scientist Office.

Two experts review the tension-free vaginal tape procedure that revolutionized SUI treatment, the wide choice of pubovaginal sling types now available, and the latest approach: transobturator slings.

There are several biological mechanisms behind the age-related drop in female fertility--and a number of tests to assess this decline.

Case Studies in Coding--Practical advice on reimbursement.

Bladder shape and size are clues to the etiology and extent of hydronephrosis. Knowing whether a lesion is likely to resolve on its own or respond to in utero treatment can make the difference between a positive and a negative postnatal outcome.

This bimonthly series is aimed at educating physicians on the pertinent aspects of litigation. Each case study provides analysis of an actual ob/gyn lawsuit defended by the New York firm of Aaronson, Rappaport, Feinstein & Deutsch, LLP.