Bilateral notch together with abnormal PI measurements in the uterine artery Doppler screening during the second trimester was associated with poor perinatal outcomes. Such an association was not significant in the NT-proBNP measurements. Larger trials focused on late-onset preeclampsia are needed to draw definitive conclusions.
Objective:We investigated the impact of menopausal status on urinary continence following abdominal sacrocolpopexy (ASC) without an anti-incontinence procedure in continent women.Methods:We conducted a clinical follow-up study of 137 patients diagnosed with stage 3 or higher pelvic organ prolapse (POP) without urinary incontinence between January 2012 and December 2014. Patients were provided with detailed a priori information pertaining to the abdominal sacrocolpopexy procedure and were invited to attend follow-up visits at 1, 3, 12, and 24 months. Follow-up visits included a gynecological examination, cough test, and validated Urinary Distress Inventory-6 (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7) questionnaires.Results:The mean follow-up time for the cohort was 16.5±3.45 months. The study group was divided according to menopausal status: premenopausal (Group-1) and postmenopausal women (Group-II). Anatomical recurrence was not detected during the follow-up period in either group, but de novo stress urinary incontinence was seen in 15 of 53 (28.3%) Group-I patients and in 6 of 84 (7.1%; p < 0.01) Group-II patients.Conclusions:The risk of de novo stress urinary incontinence in postmenopausal women after ASC is low. However, premenopausal patients have a higher incidence of de novo stress incontinence which affect quality of life.
ÖZETOverin matür kistik teratomunun malin transformasyonu oldukça nadir olup %1-2 sıklıkta görülmektedir. Yaklaşık 1 yıl önce meme kanseri nedeni ile tedavi gören 30 yaşındaki kadın hastanın sağ overinde skuamöz karsinom odağı içeren 9 cm lik bir matür kistik teratom saptadık.Anahtar Sözcükler: Malin transformasyon,Matür kistik teratom, Skuamöz hücreli karsinom.
SUMMARYMalign transformation of mature cystic teratoma of ovary is extremely seldom(1-2%).A 9-cm mature cystic teratoma of ovary was diagnosed in a 30 years old woman who was treated for breast cancer about one year ago.Histopathologic examination revealed that teratoma has a small focus of squamous cell carcinoma .
ÖZETAmaç: 2006-2011 yılları arasında hastanemizde gerçekleşen doğumları, sezaryen oranlarını ve yıllara göre sezaryen endikasyonlarının dağılımını incelemek.
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Conclusion:Over the years, the rate of cesarean sections has increased worldwide. This increase was primarily attributed to the increased rate of previous cesarean section. To diminish the rate of ceserean sections, normal birth should be attempted for appropriate patients who have had uterine surgery.
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