Improved Methods of Egg Preservation and Counseling Patients Seeking to Delay Conception
ACOG
In October 2012, the American Society of Reproductive Medicine announced it no longer considers oocyte freezing experimental. This raises complex questions about how to counsel patients who wish to preserve eggs for social indications.
Botulinum Toxin A Therapy Proven Effective for Treating Urgency Urinary Incontinence
ACOG
In a randomized study of 249 women treated for urge incontinence, Botulinum toxin A (Botox) reduced episodes from an average of 5 per day to 3.3 per day, equal to standard anticholinergic treatment.
Use of a Prophylactic Sling in Prolapse Repair Prevents Stress Incontinence
ACOG
“Using a prophylactic sling during prolapse repair significantly reduces postoperative stress incontinence,” said Anthony Visco, a representative of the American Urogynecologic Society at the 61st annual American Congress of Obstetricians and Gynecologists meeting.
Recognizing and Treating Vulvar Diseases
ACOG
Many ob/gyns and nurse practitioners see vulvovaginal disease on a day-to-day-basis, but lack the knowledge to accurately diagnose and treat them. At ACOG’s 61st Annual Clinical Meeting, Hope Haefner, MD, Department of Obstetrics and Gynecology at the University of Michigan, and Lynette Margesson, MD, Adjunct Assistant Professor of Obstetrics and Gynecology and Surgery (Dermatology) at the Geisel School of Medicine at Dartmouth, presented tips to help clinicians identify common and rare vulvar diseases.
Therapeutic Options for Maintaining Midlife Mood, Mind, and Memory
ACOG
Hormones, particularly transdermal estradiol, may help women maintain mood, cognition and memory in middle-age and beyond. “What we have learned the past decade is that not all estrogens are the same,” said ACOG presenter Sarah Berga, MD, of Women’s Health at Wake Forrest School of Medicine, “and that the differences can be critical.”
Managing Pelvic Pain with Complementary and Alternative Medicine
ACOG
One in seven women will experience pelvic pain in her lifetime, and between one- and two-thirds will have chronic pain that persists for more than three years. But although it’s common, it can be one of the most difficult and frustrating conditions physicians treat.
AAGL 2012: Endometriosis May Be Underdiagnosed
AAGL
A study to determine the prevalence rate of endometriosis in Hispanic women found that endometriosis may be under diagnosed due to failure to biopsy suspected lesions at the time of surgery and failure to accurately dictate and thoroughly describe operative findings in OpNote.
AAGL 2012: Preoperative Measurements Predict Surgical Difficulty in Overweight and Obese Women
November 9th 2012AAGL
Preoperative measurement of intra-abdominal visceral fat, and the ratio of intra-abdominal visceral fat to subcutaneous fat, may help predict women at greater risk for difficulties during robotic surgery.
AAGL 2012: Poor Pregnancy Outcomes Confirm Need Contraceptive Counseling after Endometrial Ablation
AAGL
The use of NovaSure for endometrial ablation results a variety of poor pregnancy outcomes, according to a study presented by Shannon Smith, MD, at the Global Congress of the American Association of Gynecologic Laparoscopists.
AAGL 2012: Unusual Case of Mesh Erosion and the Need for Vigilance with Po-Op Complications
AAGL
While the cervical stump may serve as a tissue barrier for a patient who has undergone a laparoscopic sacrocervicopexy for organ prolapse, mesh erosion and bacterial infection can still occur.
AAGL 2012: Establishing Safe Zones for Laparoscopic Port Placement in Obese Patients
AAGL
In obese patients, laparoscopic ports should be placed more than 10 centimeters from the midline to minimize the chance of injury to epigastric vessels, according to research presented at the 41st Global Congress of the American Association of Gynecologic Laparoscopists.
AAGL 2012: RFVTA Effectively Treats Menorrhagia in Women with Symptomatic Fibroids
AAGL
Radiofrequency volumetric thermal ablation is a safe and effective treatment for menorrhagia in women with symptomatic fibroids, providing both clinically and statistically significant reduction in blood loss, according to new research.
AAGL 2012 Spotlight: The Impact of Obesity on Laparoscopic and Robotic Surgery
November 6th 2012AAGL
More than 64% of the adult women in the United States are overweight or obese, and these patients pose special challenges for surgeons. New research examining outcomes and complication rates, particularly in the emerging field of robotic surgery, will allow better management of these patients, and ObGyn.net will be paying special attention to this research at AAGL 2012 in Las Vegas.