WorldWideScience

Sample records for Vagina

  1. Antibiotic susceptibility of Atopobium vaginae

    Directory of Open Access Journals (Sweden)

    Verschraegen Gerda

    2006-03-01

    Full Text Available Abstract Background Previous studies have indicated that a recently described anaerobic bacterium, Atopobium vaginae is associated with bacterial vaginosis (BV. Thus far the four isolates of this fastidious micro-organism were found to be highly resistant to metronidazole and susceptible for clindamycin, two antibiotics preferred for the treatment of BV. Methods Nine strains of Atopobium vaginae, four strains of Gardnerella vaginalis, two strains of Lactobacillus iners and one strain each of Bifidobacterium breve, B. longum, L. crispatus, L. gasseri and L. jensenii were tested against 15 antimicrobial agents using the Etest. Results All nine strains of A. vaginae were highly resistant to nalidixic acid and colistin while being inhibited by low concentrations of clindamycin (range: G. vaginalis strains were also susceptible for clindamycin ( 256 ?g/ml but susceptible to clindamycin (0.023 – 0.125 ?g/ml. Conclusion Clindamycin has higher activity against G. vaginalis and A. vaginae than metronidazole, but not all A. vaginae isolates are metronidazole resistant, as seemed to be a straightforward conclusion from previous studies on a more limited number of strains.

  2. Vesicouterine fistula and blind vagina

    International Nuclear Information System (INIS)

    A case of vesicouterine fistula with blind vagina following cesarean section for obstructed labor is presented. It was surgically treated by fistulectomy, cervicoplasty and maintenance of bladder and cervical potency by catheterization. Intrauterine synechiae formation was prevented by copper T insertion and oral contraceptive pills. The patient is making uneventful a symptomatic progress planning to conceive. (author)

  3. Adenocarcinoma de células claras de la vagina

    Directory of Open Access Journals (Sweden)

    Rubén Urrejola S.

    2004-01-01

    Full Text Available Se presenta un caso clínico de adenocarcinoma de células claras de vagina en mujer de 23 años, sin antecedentes de exposición intrauterina a dietilestilbestrol. Se efectuó colpohisterectomía radical, linfadenectomía pélvica completa y ooforopexia bilateral, más radioterapia externa adyuvante (45 Gy. Sin evidencia de enfermedad a 5 meses de completada su terapiaA case of clear cell adenocarcinoma of the vagina in a 23 year old woman, without diethylstilbestrol intrauterine exposure, is presented. The surgical and the radiotherapy treatment are discussed. Without evidence of disease at 5 months follow up. A brief discussion of literature is also provided

  4. Adenocarcinoma de células claras de la vagina

    Scientific Electronic Library Online (English)

    Rubén, Urrejola S.; Ana María, Carrasco T.; Fernando, Heredia M..

    Full Text Available SciELO Chile | Language: Spanish Abstract in spanish Se presenta un caso clínico de adenocarcinoma de células claras de vagina en mujer de 23 años, sin antecedentes de exposición intrauterina a dietilestilbestrol. Se efectuó colpohisterectomía radical, linfadenectomía pélvica completa y ooforopexia bilateral, más radioterapia externa adyuvante (45 Gy) [...] . Sin evidencia de enfermedad a 5 meses de completada su terapia Abstract in english A case of clear cell adenocarcinoma of the vagina in a 23 year old woman, without diethylstilbestrol intrauterine exposure, is presented. The surgical and the radiotherapy treatment are discussed. Without evidence of disease at 5 months follow up. A brief discussion of literature is also provided [...

  5. Imaging of the vagina and vulva

    International Nuclear Information System (INIS)

    In gynecological daily practices, the vulva and vagina are examined during physical examination, however there are situations where this is not possible or it is needed to determine the extension of an injury through imaging methods. The magnetic resonance imaging is an excellent cross-sectional modality for evaluation the alterations of vulva and vagina due its multiplanar evaluation and high tecidual contrast. Other cross-sectional modalities are ultrasound and enhanced computed tomography. This paper intends to give an overview of vaginal and vulvar pathology that can be identified by the radiologist. (author)

  6. Yolk sac tumor of the vagina

    International Nuclear Information System (INIS)

    Malignant germ-cell tumors (GCT) are rare tumors of childhood accounting for less than 3% of pediatric malignancies. Endodermal sinus tumors (EST) form the most common histologic subtype of malignant GCT. The vagina is an extremely rare site for GCTs. An 8-month-old-female was admitted with a short history of vaginal bleeding, and a mass protruding from the vagina. A mass was palpable anteriorly on rectal examination. Computed tomography showed a tumor mass posterior to the bladder. A biopsy revealed a vaginal EST. The serum alpha-fetoprotein was elevated. Vaginohysterectomy was carried out. She was subsequently referred to the oncologist for further management. (author)

  7. Primary leiomyosarcoma of vagina: case report

    International Nuclear Information System (INIS)

    Primary malignant lesions of the vagina are uncommon and represent about 1% of all gynecological malignancies. Most of these neoplasms are carcinomas. Sarcomas comprise less than 2% of all malignant vaginal tumours. In this present article, we describe a primary vaginal leiomyosarcoma in a 40-years-old woman. (author)

  8. Endometrial stromal sarcoma arising in vaginaEndometrial stromal sarcoma arising in vagina

    OpenAIRE

    Liu, Zhaoxia; Ding, Jiao; Li, Xia; Yu, Kehan

    2013-01-01

    Endometrial stromal sarcoma (ESS) arising in the vagina is an extremely rare extrauterine endometrial stroma sarcoma, with only 4 cases reported in the literature up to date. Here we report a case of neoplasm originating from vagina. A 32-year-old woman complained of intermittent vaginal bleeding especially after intercourse. A mass with a diameter of 1.0 cm was found in the middle and upper segments of the right posterior vaginal wall. Biopsy showed ESS. Total abdominal hysterectomy, unilate...

  9. Cáncer primario de vagina Vaginal primary cancer

    Directory of Open Access Journals (Sweden)

    Raiza Ruiz Lorente

    2010-09-01

    Full Text Available El carcinoma primario de vagina es una neoplasia poco frecuente, representando solamente el 1-2 % de todos los tumores malignos del área ginecológica. Según la FIGO solo se considera como cáncer primario de vagina a aquellas lesiones confinadas a la vagina sin invasión del cuello uterino o la vulva. El pronóstico depende principalmente del estadio en que se encuentra la enfermedad, pero la supervivencia se reduce en pacientes mayores de 60 años de edad, si son sintomáticos al momento del diagnóstico, tienen lesiones del centro y tercio inferior de la vagina o tienen tumores mal diferenciados. Los objetivos de este estudio fueron evaluar la experiencia en el manejo del cáncer primario de vagina, identificar variables demográficas y clínicas, mostrar la variedad histológica de presentación de esta neoplasia tan rara, así como el grado de diferenciación en cada caso. Igualmente relacionar estadio del cáncer, tratamiento y respuesta en cada una de las pacientes. Se trata de un estudio retrospectivo de cinco pacientes con cáncer primario de vagina atendidas en el Servicio de Patología de cuello del Hospital Ramón González Coro, durante el año 2008. La evaluación inicial consistió en una historia clínica completa, examen físico haciendo hincapié en el área ginecológica descartando lesiones en vulva o cuello uterino. A todas las pacientes se les realizó biopsia excisional del tumor, enviando la muestra al estudio histopatológico. Se les realizó cistoscopia, rectoscopia, urograma descendente, a aquellas pacientes con sospecha de infiltración de vejiga o recto, laboratorio, radiografía del tórax y se estadiaron según la clasificación de la FIGO.The primary vaginal carcinoma is a uncommon neoplasm present only in the 1-2% of all the malignant tumors of gynecology area. According to International Federation of Gynecology and Obstetrics only is considered as a primary vaginal cancer of those lesions confined to vagina without invasion of cervix or the vulva. The prognosis depends mainly on the disease stage, but the survival is reduced in patients aged over 60 if they are symptomatic at diagnosis, have lesions of the center and the inferior third of vagina or have ill-differentiated. The objectives of present study were to assess the experience in the vaginal primary cancer management, to identify demographic and clinical variables, to show the histological variety of presentation of this so rare neoplasm, as well as the differentiation grade of each case and to relate the cancer stage, the treatment and the response of each patient. It is retrospective study conducted in 5 patients presenting vaginal primary cancer seen in the Cervix Pathology Service of the "Ramón González Coro" Gynecology and Obstetrics Hospital during 2008. The initial assessment included a complete medical record, physical examination with emphasis in the gynecological area ruling out vulva or cervix uteri lesions. All patients underwent excision biopsy of tumor with the corresponding histopathological study of the sample. A cystoscopy, rectoscopy descending urogram were carried out in those patients with a possible bladder or rectum infiltration, lab tests, thorax Rx staged according the International Federation of Gynecology and Obstetrics classification.

  10. Cáncer primario de vagina / Vaginal primary cancer

    Scientific Electronic Library Online (English)

    Raiza, Ruiz Lorente; Daisy, Hernández Durán; Tania Graciela, Tamayo Lien; Ana Isabel, de la Torre.

    2010-09-01

    Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish El carcinoma primario de vagina es una neoplasia poco frecuente, representando solamente el 1-2 % de todos los tumores malignos del área ginecológica. Según la FIGO solo se considera como cáncer primario de vagina a aquellas lesiones confinadas a la vagina sin invasión del cuello uterino o la vulva. [...] El pronóstico depende principalmente del estadio en que se encuentra la enfermedad, pero la supervivencia se reduce en pacientes mayores de 60 años de edad, si son sintomáticos al momento del diagnóstico, tienen lesiones del centro y tercio inferior de la vagina o tienen tumores mal diferenciados. Los objetivos de este estudio fueron evaluar la experiencia en el manejo del cáncer primario de vagina, identificar variables demográficas y clínicas, mostrar la variedad histológica de presentación de esta neoplasia tan rara, así como el grado de diferenciación en cada caso. Igualmente relacionar estadio del cáncer, tratamiento y respuesta en cada una de las pacientes. Se trata de un estudio retrospectivo de cinco pacientes con cáncer primario de vagina atendidas en el Servicio de Patología de cuello del Hospital Ramón González Coro, durante el año 2008. La evaluación inicial consistió en una historia clínica completa, examen físico haciendo hincapié en el área ginecológica descartando lesiones en vulva o cuello uterino. A todas las pacientes se les realizó biopsia excisional del tumor, enviando la muestra al estudio histopatológico. Se les realizó cistoscopia, rectoscopia, urograma descendente, a aquellas pacientes con sospecha de infiltración de vejiga o recto, laboratorio, radiografía del tórax y se estadiaron según la clasificación de la FIGO. Abstract in english The primary vaginal carcinoma is a uncommon neoplasm present only in the 1-2% of all the malignant tumors of gynecology area. According to International Federation of Gynecology and Obstetrics only is considered as a primary vaginal cancer of those lesions confined to vagina without invasion of cerv [...] ix or the vulva. The prognosis depends mainly on the disease stage, but the survival is reduced in patients aged over 60 if they are symptomatic at diagnosis, have lesions of the center and the inferior third of vagina or have ill-differentiated. The objectives of present study were to assess the experience in the vaginal primary cancer management, to identify demographic and clinical variables, to show the histological variety of presentation of this so rare neoplasm, as well as the differentiation grade of each case and to relate the cancer stage, the treatment and the response of each patient. It is retrospective study conducted in 5 patients presenting vaginal primary cancer seen in the Cervix Pathology Service of the "Ramón González Coro" Gynecology and Obstetrics Hospital during 2008. The initial assessment included a complete medical record, physical examination with emphasis in the gynecological area ruling out vulva or cervix uteri lesions. All patients underwent excision biopsy of tumor with the corresponding histopathological study of the sample. A cystoscopy, rectoscopy descending urogram were carried out in those patients with a possible bladder or rectum infiltration, lab tests, thorax Rx staged according the International Federation of Gynecology and Obstetrics classification.

  11. Linfoma no Hodgkin primario de vagina

    Scientific Electronic Library Online (English)

    Eva María, Guldrís N; María Pía, Vázquez C; Elba, Carballo N; Magdalena, Porto Q; Luis, Heliodoro Alba O; Begoña, Iglesias R.

    Full Text Available SciELO Chile | Language: Spanish Abstract in spanish La afectación primaria del tracto genital femenino de los linfomas no Hodgkin es poco frecuente (2% de los linfomas primarios extraganglionares). Los órganos más afectados son los ovarios seguidos del cérvix, siendo la localización endometrial y vaginal extremadamente rara. Presentamos el caso de un [...] a paciente de 44 años diagnosticada de linfoma primario de vagina, estadio IE A, con remisión completa tras tratamiento combinado quimioterápico y quirúrgico. Es importante tener presente estas raras aunque posibles localizaciones de linfomas para evitar que se puedan confundir con lesiones inflamatorias u otros tipos de tumores que nos lleven a un fracaso terapéutico. Abstract in english Primary non-Hodgkin lymphomas rarely involve the female genital tract (2% of primary extranodal lym-phomas). The ovaries followed by the cervix are the most common affected sites while the involvement of the endometrium and vagina is extremely rare. We report the case of a 44 year old woman with a p [...] rimary lymphoma of the vagina, stage IE A, with complete remission after combined chemotherapy and surgical treatment. These rare but possible locations must be kept in mind to avoid misdiagnosis with inflammatory lesions or other types of tumors which may lead us to a therapeutic failure.

  12. Primary leiomyosarcoma of vagina: case report; Leiomiossarcoma primario de vagina: relato de caso

    Energy Technology Data Exchange (ETDEWEB)

    Vieira, Leonardo Jose [Hospital ASCONCER Associacao Feminina de Prevencao e Combate ao Cancer, Juiz de Fora, MG (Brazil). Servico de Cirurgia; Freitas, Rosyane Rena de [Juiz de Fora Univ., MG (Brazil). Faculdade de Medicina; Oliveira, Alexandre Ferreira de [Juiz de Fora Univ., MG (Brazil). Faculdade de Medicina. Disciplina de Cirurgia Gastroenterologica; Assis, Raimunda Violante Campos de [Juiz de Fora Univ., MG (Brazil). Faculdade de Medicina. Dept. de Patologia; Cugola, Elaine Aline; Costa, Sandra Marcia Carvalho Ribeiro

    2004-07-01

    Primary malignant lesions of the vagina are uncommon and represent about 1% of all gynecological malignancies. Most of these neoplasms are carcinomas. Sarcomas comprise less than 2% of all malignant vaginal tumours. In this present article, we describe a primary vaginal leiomyosarcoma in a 40-years-old woman. (author)

  13. Susceptibility testing of Atopobium vaginae for dequalinium chloride

    Directory of Open Access Journals (Sweden)

    Lopes dos Santos Santiago Guido

    2012-03-01

    Full Text Available Abstract Background Atopobium vaginae and Gardnerella vaginalis are major markers for bacterial vaginosis. We aimed to determine the MIC and MBC range of the broad-spectrum anti-infective and antiseptic dequalinium chloride for 28 strains, belonging to 4 species of the genus Atopobium, i.e. A. vaginae, A. minutum, A. rimae and A. parvulum. Methods The MIC was determined with a broth microdilution assay. Results The MIC and MBC for Atopobium spp. for dequalinium chloride ranged between Conclusions This study demonstrated that dequalinium chloride inhibits and kills clinical isolates of A. vaginae at concentrations similar to those of clindamycin and lower than those of metronidazole.

  14. Radiation therapy for carcinoma of vagina

    Energy Technology Data Exchange (ETDEWEB)

    Mieda, Chieko; Hirota, Saeko; Soejima, Toshinori (Hyogo Medical Center for Adults, Akashi (Japan)) (and others)

    1993-07-01

    Thirty-four patients with carcinoma of the vagina were treated by radiotherapy at the Hyogo Medical Center for Adults between April 1965 and May 1990. All patients were treated with a combination of external and intracavitary or interstitial irradiation. Twenty-three patients had squamous cell carcinoma, five had adenocarcinoma and two had malignant melanoma. The five-year survival of patients with squamous cell carcinoma was 70% in Stage I (10 patients), 40% in Stage II (seven patients), 50% in Stage III (three patients) and 0% in Stage IV (three patients). Local control was achieved in 72.7% of the patients with squamous cell carcinoma and 60% of those with adenocarcinoma. However, neither of the malignant melanomas was controlled. Five patients had severe complications that required surgical treatment: severe proctitis and small-bowel perforation, ileus, rectal stenosis, vesicovaginal fistula and small-bowel perforation. Local and pelvic failure was noted in three patients. Patients with previous hysterectomy were more likely to develop serious treatment-related complications. (author).

  15. Primary malignant melanoma of the vagina: a case report

    International Nuclear Information System (INIS)

    A primary malignant melanoma of the vagina is a very rare gynecological malignant tumor. Its clinical behavior is more aggressive than that of cutaneous and vulvar melanomas. We present a case of a large sized primary melanoma of the lower third of the vagina, with a cervical lesion, in a 58-year-old postmenopausal woman. The patient was treated with conventional external radiation therapy and intracavitary radiotherapy (lCR), without surgical treatment. Although the primary lesion showed a partial response, the patient died of extensive metastases, which were found 4.5 months after the initial diagnosis. We suggest that shortening the treatment period, such as hypofractionated radiation therapy and surgical removal, and various systemic therapies for preventing early distant metastasis, are appropriate treatments for a primary malignant melanoma of the vagina, with a large tumor size

  16. First Report of Spontaneous Intrapartum Atopobium vaginae Bacteremia

    OpenAIRE

    Chan, Jasper F. W.; Lau, Susanna K. P.; Curreem, Shirly O. T.; To, Kelvin K. W.; Leung, Sally S. M.; Cheng, Vincent C. C.; Yuen, Kwok-yung; Woo, Patrick C. Y.

    2012-01-01

    We report the first case of spontaneous intrapartum Atopobium vaginae bacteremia identified by 16S rRNA gene sequencing. The bacterium was misidentified by RapID ANA II, API Rapid ID 32A, and matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS). The likely source of bacteremia was the female genital tract. In invasive infections caused by A. vaginae, ?-lactams and clindamycin are the antibiotics of choice, as most strains are resistant to metronidazole....

  17. Aggressive angiomyxoma of the vagina: a case report / Angiomiosarcoma agressivo da vagina: relato de caso

    Scientific Electronic Library Online (English)

    Cátia, Lourenço; Nuno, Oliveira; Filomena, Ramos; Isabel, Ferreira; Mário, Oliveira.

    2013-12-01

    Full Text Available SciELO Brazil | Language: English Abstract in portuguese O angiomixoma agressivo é tumor raro de tecidos moles, de lento crescimento e que geralmente ocorre na pelve e nas regiões perineais de mulheres em idade reprodutiva, com forte tendência à recorrência local. Devido à sua raridade, ele é frequentemente mal diagnosticado. A exerese cirúrgica é a modal [...] idade principal para o tratamento do angiomixoma agressivo. Descrevemos aqui um caso de angiomixoma vaginal agressivo em mulher de 47 anos de idade, que foi diagnosticado apenas após exame histológico. Descrevemos também a etiologia e apresentação, bem como o diagnóstico e tratamento desse raro tumor. O angiomixoma da vulva e vagina constitui doença rara. Devido à raridade desse tumor e à ausência de elementos diagnósticos, o diagnóstico pré-operatório é difícil, mas deveria ser considerado na presença de qualquer massa na região genital, perianal e pélvica de mulheres em idade reprodutiva. Portanto, esses casos deveriam ser submetidos a propedêutica radiológica completa antes da exerese, uma vez que um pré-diagnóstico pode modificar a modalidade de tratamento e o prognóstico do paciente. Abstract in english Aggressive angiomyxoma is a rare, slow-growing soft tissue tumor that usually arises in the pelvis and perineal regions of women in reproductive age, with a marked tendency to local recurrence. Because of its rarity, it is often initially misdiagnosed. Surgical resection is the main treatment modali [...] ty of aggressive angiomyxoma. We describe a case of a vaginal aggressive angiomyxoma in a 47-year-old woman in which the diagnosis was only made after histological examination. The etiology, presentation, diagnosis and management of this rare tumor are outlined. Angiomyxoma of vulva and vagina refers to a rare disease. Pre-operative diagnosis is difficult due to rarity and absence of diagnostic features, but it should be considered in every mass in genital, perianal and pelvic region in a woman in the reproductive age. Thus, these cases should have complete radiological workup before excision, as pre-diagnosis can change the treatment modality and patient prognosis'.

  18. Management of radionecrosis of the vulva and distal vagina

    International Nuclear Information System (INIS)

    Twelve patients were seen between January 1983 and June 1989 with the clinical diagnosis of radionecrosis of the vulva or distal vagina. Seven patients received radiation for vulvar cancer, three for distal vaginal cancer, and two for recurrent endometrial cancer. No patient healed spontaneously and the mean delay in surgical therapy was 8.5 months. The radionecrotic site was treated with local therapy, radical local excision (with or without colostomy), or exenteration. The operative defect was closed primarily in three patients and covered with local flaps or myocutaneous flaps in seven patients. The two patients with local care still have radionecrotic ulcers. One of three patients who were closed primarily continues to have an ulcer. All other patients have healed satisfactorily except one who died after two attempts to correct the problem. Radionecrosis of the vulva and distal vagina should generally be treated surgically

  19. Primary Melanoma of the Vagina Treated by Imatinib: Case Report

    Directory of Open Access Journals (Sweden)

    Karima Oualla

    2013-08-01

    Full Text Available Melanoma of the vagina is a rare lesion. It results from the malignant transformation of ectopic melanocytes occurring in post-menopause. The CKIT is expressed in 36% of cases in addition to melanoma markers. Prognosis is poor especially for inoperable and disseminated forms despite systemic therapy. Treatment with Imatinib is an option in cases of metastatic mucosal melanoma with CKIT mutation or amplification. We report the case of post-menopausal women, treated at Hassan II University Hospital, diagnosed with metastatic melanoma of the vagina, that didn’t respond to first line of chemotherapy, and received Imatinib as second line of treatment, with good clinical response and durable stability at radiological assessment.

  20. Management of radionecrosis of the vulva and distal vagina

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, W.S.; Hoffman, M.S.; LaPolla, J.P.; Ruas, E.; Fiorica, J.V.; Cavanagh, D. (Univ. of South Florida, Tampa (USA))

    1991-05-01

    Twelve patients were seen between January 1983 and June 1989 with the clinical diagnosis of radionecrosis of the vulva or distal vagina. Seven patients received radiation for vulvar cancer, three for distal vaginal cancer, and two for recurrent endometrial cancer. No patient healed spontaneously and the mean delay in surgical therapy was 8.5 months. The radionecrotic site was treated with local therapy, radical local excision (with or without colostomy), or exenteration. The operative defect was closed primarily in three patients and covered with local flaps or myocutaneous flaps in seven patients. The two patients with local care still have radionecrotic ulcers. One of three patients who were closed primarily continues to have an ulcer. All other patients have healed satisfactorily except one who died after two attempts to correct the problem. Radionecrosis of the vulva and distal vagina should generally be treated surgically.

  1. Radiosterilisation of the vagina in therapeutic doses - does it exist

    International Nuclear Information System (INIS)

    The endogenous genital flora is a major source of infections of the female genital tract, especially in patients with cervical or endometrial cancer. Until recently the 'radiosterilisation of the vagina', respectively a prophylactic and/or therapeutic effect of irradiation (external highvoltage as well as intracavitary-radium) concerning infections was postulated in the literature. This theory was disproved in a prospective clinical and bacteriological study covering 48 patients with advanced cervical cancer undergoing primary intracavitary radium-irradiation and 38 patients with inoperable endometrical cancer, undergoing primary iridium-192-afterloading. Following intracavitary radium for cervical cancer some typical nosocomial pathogens like Streptococcus faecalis, Enterobacter, Klebsiella, Proteus and Pseudomonas were isolated significantly more frequently than before treatment. Likewise, the mean number of aerobic bacterial species increased significantly after irradiation. Also primary Ir-192 (afterloading) irradiation did not alter the frequency of isolation of the resident flora in endometrial cancer patients. Therefore, 'radiosterilisation' of the vagina as result of radiotherapy does not exist. (orig.)

  2. Inseminación artificial de alpacas con semen colectado por aspiración vaginal y vagina artificial / Artificial insemination of alpacas with semen collected by vaginal aspiration and by artificial vagina

    Scientific Electronic Library Online (English)

    Virgilio, Alarcón B; Wilber, García V; P. Walter, Bravo.

    Full Text Available SciELO Peru | Language: Spanish Abstract in spanish Semen de alpaca fue colectado por dos métodos: por aspiración de la vagina de la hembra después de la monta natural y con vagina artificial. El semen colectado fue evaluado y diluido con Tris tamponado, y luego usado en inseminacion artificial. Se trabajó con 160 alpacas hembras adultas de capacidad [...] reproductiva comprobada y 5 alpacas machos. Se colectó semen post cópula de los cinco machos en 10 hembras, y se hicieron 50 colecciones de semen con vagina artificial de estos machos, dos veces por semana. Se determinó volumen, motilidad, concentración espermática, porcentaje de espermatozoides vivos, viscosidad y color. Los resultados para semen colectado por aspiración de la vagina y con vaginal artificial fueron: volumen (3.6 y 1.5 mL), motilidad (73.4 y 69.0%), concentración espermática (75.2 y 80.3 millones/mL), espermatozoides vivos (75.3 y 70.8%), respectivamente, con diferencia entre métodos (p Abstract in english Semen from alpacas was collected by two methods: by aspiration from the female’s vagina following mating and with an artificial vagina. Semen was collected, evaluated and extended with Tris buffer, and then used in artificial insemination. Altogether 160 female alpacas with proven reproductive histo [...] ry and five males were used. Semen was collected by vaginal aspiration from 10 females using five males as semen donors; likewise, semen from the same males was collected with an artificial vagina twice a week 50 times. Volume, motility, spermatic concentration, live spermatozoa, viscosity and color was evaluated. Seminal characteristics of semen collected by aspiration and with an artificial vagina were: volume (3.6 and 1.5 mL), motility (73.4 and 69.0%), sperm concentration (75.2 and 80.3 million/mL), live spermatozoa (75.3 and 70.8%) respectively, with statistical difference between methods (p

  3. Primary malignant melanoma of the vagina: A case report and review of literature

    OpenAIRE

    Chaudhuri, Snehamay; Das, Diptimay; Chowdhury, Soham; Gupta, Anjan Das

    2013-01-01

    A 60 year old woman presented in gynecology department with bleeding per vagina and subsequently histotpathologically, it was diagnosed as malignant melanoma of the vagina. She underwent excision biopsy. On metastatic work-up, Positron emission tomography (PET) scan proved that she had distant metastasis and received palliative radiotherapy and chemotherapy, with temozolamide. She is alive after one year.

  4. Primary Small Cell Neuroendocrine Carcinoma of Vagina: A Rare Case Report

    OpenAIRE

    Parekh, Malay N.; Kapapura, Dhiren V.; Bhalodia, Jignasa N.

    2011-01-01

    Primary small cell neuroendocrine carcinoma of vagina is an extremely rare disease. There have been only 26 previously reported cases in literature. Here, we report a case of primary small cell neuroendocrine carcinoma of vagina. Immunohistochemistry (IHC) showed tumor cells positive for synaptophysin, chromogranin, and neuron-specific enolase (NSE).

  5. Allergic contact dermatitis of the vagina and perineum: causes, incidence of, and differentiating factors.

    Science.gov (United States)

    Harper, Justin; Zirwas, Matthew

    2015-03-01

    Review of allergic contact dermatitis of the vagina and perineum, including causes, incidence of, and differentiating factors. The causes include common allergens found in everyday products. The true incidence of contact dermatitis of the vagina and perineum is unknown, however, it is a common problem facing clinicians. The differentiating factors include itching, erythema, and persistence. PMID:25608257

  6. Almacenamiento de espermatozoides en la vagina de la lagartija vivípara Sceloporus torquatus (Sauria: Prhynosomatidae) / Sperm storage in the vagina of the viviparous lizard Sceloporus torquatus (Sauria: Prhynosomatidae)

    Scientific Electronic Library Online (English)

    Martín, MARTÍNEZ-TORRES.

    2009-12-01

    Full Text Available Las hembras de muchas especies de lagartijas tienen la capacidad de almacenar espermatozoides en un sistema de túbulos especiales presentes en la vagina. Sin embargo, en otras especies los espermatozoides se almacenan en el infundíbulo. Se utilizó una técnica sencilla y rápida para determinar sí la [...] vagina de Sceloporus torquatus tiene la capacidad de almacenar espermatozoides. En las hembras de esta especie, los espermatozoides son retenidos al menos 167 días en un sistema de túbulos especiales localizados en la vagina. La cantidad de espermatozoides presentes en los lavados vaginales disminuyó gradualmente a partir de diciembre y su desaparición ocurrió en la preñez tardía. Los espermatozoides ascienden al útero e infundíbulo antes de que ocurra la ovulación, sin embargo, en estos órganos no existen estructuras especiales para almacenar espermatozoides. Abstract in english Females of many lizard species are able to store sperm in a special system of tubules present in the vagina. However, in other species sperm storage occurs in the infundibulum. A quick and simple technique to determine if the vagina of Sceloporus torquatus has the capacity to store sperm was used. I [...] n this species the spermatozoa are retained at least during 167 days after mating in a special system of tubules located in the vagina. The amount of spermatozoa observed through vaginal flushing was reduced gradually from December on and the spermatozoa disappeared in late pregnancy. The spermatozoa reached the uterus and infundibulum before ovulation started; however, in these organs there are no special structures for sperm storage.

  7. Radiation-induced morphological changes in the vagina

    Energy Technology Data Exchange (ETDEWEB)

    Kirchheiner, K.; Fidarova, E.; Schmid, M.P.; Sturdza, A.; Kranz, A.; Poetter, R. [Medical Univ. of Vienna (Austria). Dept. of Radiation Oncology; Nout, R.A. [University Medical Center Leiden (Netherlands). Dept. of Clinical Oncology; Wiebe, E. [Alberta Univ., Cross Cancer Institute, Edmonton, AB (Canada). Dept. of Radiation Oncology; Polterauer, S. [Medical Univ. of Vienna (Austria). Dept. of General Gynecology and Gynecologic Oncology; Doerr, W. [Medical Univ. of Vienna (Austria). Dept. of Radiation Oncology; Medical Univ. of Vienna (Austria). Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology

    2012-11-15

    Background and purpose: Treatment-induced chronic vaginal changes after definitive radio(chemo)therapy for locally advanced cervical cancer patients are reported as one of the most distressing consequences of treatment, with major impact on quality of life. Although these vaginal changes are regularly documented during gynecological follow-up examinations, the classic radiation morbidity grading scales are not concise in their reporting. The aim of the study was therefore to identify and qualitatively describe, on the basis of vaginoscopies, morphological changes in the vagina after definitive radio(chemo)therapy and to establish a classification system for their detailed and reproducible documentation. Patients and methods: Vaginoscopy with photodocumentation was performed prospectively in 22 patients with locally advanced cervical cancer after definitive radio(chemo)therapy at 3-24 months after end of treatment. All patients were in complete remission and without severe grade 3/4 morbidity outside the vagina. Results: Five morphological parameters, which occurred consistently after treatment, were identified: mucosal pallor, telangiectasia, fragility of the vaginal wall, ulceration, and adhesions/occlusion. The symptoms in general were observed at different time points in individual patients; their quality was independent of the time of assessment. Based on the morphological findings, a comprehensive descriptive and semiquantitative scoring system was developed, which allows for classification of vaginal changes. A photographic atlas to illustrate the morphology of the alterations is presented. Conclusion: Vaginoscopy is an easily applicable, informative, and well-tolerated procedure for the objective assessment of morphological vaginal changes after radio(chemo)therapy and provides comprehensive and detailed information. This allows for precise classification of the severity of individual changes. (orig.)

  8. Particles translocate from the vagina to the oviducts and beyond

    Energy Technology Data Exchange (ETDEWEB)

    Wehner, A.P.; Hall, A.S.; Weller, R.E.; Lepel, E.A.; Schirmer, R.E.

    1985-03-01

    To investigate whether particles deposited in the vagina translocate to the oviducts, 0.3 ml of a 4% bone black suspension was deposited in the posterior vaginal fornix of each of five cynomolgus monkeys (Macaca fascicularis) during their mid-menstrual cycle. Simultaneously, each animal received 10 units of oxytocin by intramuscular injection. The oviducts of three animals were removed 1 hr after administration of the bone black, while those of the remaining two animals were removed 72 hr after dosing. The removed oviducts were flushed with Hank's solution and then with collagenase solution. The solutions were collected in clean vials and filtered. The filters were examined for bone black particles by light microscopy, as were filters through which solution blanks (negative controls) had been passed. Particles resembling bone black were found on all filters. There were no appreciable differences in the number or shape of these particles between the solution-blank filters and the oviduct-flush filters. The particles on both the solution-blank filters and on the oviduct-flush filters probably originated from environmental contamination by ubiquitous carbon particles. While these results suggested that no translocation took place, translocation could not be ruled out with certainty in the absence of quantitative analyses. A more definitive pilot study was then conducted with two dosed monkeys and one control, using talc labelled by neutron activation to circumvent the problem of environmental contamination. Gamma-Ray analysis of tissue and peritoneal lavage samples for the radionuclides /sup 46/Sc, /sup 59/Fe and /sup 60/Co indicated that no measurable quantities (i.e. greater than 0.5 micrograms) of talc translocated from the deposition site in the vagina to the uterine cavity and beyond.

  9. The irradiation tolerance dose of the proximal vagina

    International Nuclear Information System (INIS)

    Purpose: The purpose of this investigation was to determine the irradiation tolerance level and complication rates of the proximal vagina to combined external irradiation and low dose rate (LDR) brachytherapy. Also, the mucosal tolerance for fractionated high dose rate (HDR) brachytherapy is further projected based on the biological equivalent dose (BED) of LDR for an acceptable complication rate. Materials and methods: Two hundred seventy-four patients with stages I-IV cervical carcinoma treated with irradiation therapy alone from 1987 to 1997 were retrospectively reviewed for radiation-associated late sequelae of the proximal vagina. All patients received LDR brachytherapy and 95% also received external pelvic irradiation. Follow-up ranged from 15 to 126 months (median, 43 months). The proximal vagina mucosa dose from a single ovoid (single source) or from both ovoids plus the tandem (all sources), together with the external irradiation dose, were used to derive the probability of a complication using the maximum likelihood logistic regression technique. The BED based on the linear-quadratic model was used to compute the corresponding tolerance levels for LDR or HDR brachytherapy. Results: Grades 1 and 2 complications occurred in 10.6% of patients and Grade 3 complications occurred in 3.6%. There were no Grade 4 complications. Complications occurred from 3 to 71 months (median, 7 months) after completion of irradiation, with over 60% occurring in the first year. By over 60% occurring in the first year. By logistic regression analysis, both the mucosal dose from a single ovoid or that from all sources, combined with the external irradiation dose, demonstrate a statistically significant fit to the dose response complication curves (both with P=0.016). The single source dose was highly correlated with the all source dose with a cross-correlation coefficient 0.93. The all source dose was approximately 1.4 times the single source dose. Over the LDR brachytherapy dose rate range, the complication rate was relatively stable to small variations of the underlying tumor biological characteristics and the dose rate. The complication rates change approximately an absolute 1% over the range of the alpha-beta ratio (?/?) from 2 to 4 Gy and repair constant (?) of 0.46/h to 0.60/h. The complication rates increased an absolute 2% over the mucosa dose rate from 1.75 to 3.50 Gy/h. They markedly increased as the dose rate increased above 3.00 Gy/h as in HDR brachytherapy. The projected HDR Grade 3 tolerance varied from 25 Gy for one fraction to 57 Gy for six fractions in addition to 20 Gy external irradiation for nominal 3-5% complication rates. The traditional LDR tolerance dose of 150 Gy was shown to yield nominal 11% and 4% Grades 1 and 2 and Grade 3 sequelae, respectively. Conclusions: The traditional 150 Gy LDR tolerance dose (single source plus external irradiation) can be relaxed to 175 Gy or equivalently a full mucosal dose of 238 Gy (all sources plus external irradiation) for a nominal 5% Grade 3 complication rate. Higher fractionation is necessary with four to six fractions in HDR therapy for similar rates of sequelae. The mucosal surface dose from a single ovoid, which can be readily computed, remains a convenient tolerance check for treatment planning purposes

  10. Normal bacterial flora from vaginas of Criollo Limonero cows.

    Science.gov (United States)

    Zambrano-Nava, Sunny; Boscán-Ocando, Julio; Nava, Jexenia

    2011-02-01

    In order to describe the normal bacterial flora in vaginas of Criollo Limonero cows, 51 healthy multiparous cows, at least 90-day postpartum, were selected. Duplicated swabs (N = 102) were taken from the vaginal fornix of cows to perform aerobic and anaerobic cultures as well as conventional biochemical tests. Out of 102 swabs, bacterial growth was obtained in 55 (53.9%) while the remaining 47 (46.1%) did not exhibited any bacterial growth. Of the 55 bacterial growths, 23 (41.8%) were aerobic whereas 32 (58.1%) were anaerobic. Likewise, 29 (52.72%) of bacterial growths were pure and 26 (47.27%) were mixed. Under both aerobic and anaerobic conditions, Gram positive bacteria were predominant (81.82% and 73.08%, respectively) over Gram negative bacteria (18.18% and 26.92%, respectively). Isolated bacteria were Arcanobacterium pyogenes (22.92%), Staphylococcus aureus (15.63%), Staphylococcus coagulase negative (17.71%), Erysipelothrix rhusiopathiae (6.25%), Bacteroides spp. (13.54%), and Peptostreptococcus spp. (7.29%). In conclusion, normal vaginal bacterial flora of Criollo Limonero cows was predominantly Gram positive and included A. pyogenes, S. aureus, coagulase negative Staphylococcus, E. rhusiopathiae, Bacteroides spp., and Peptostreptococcus spp. In Criollo Limonero cattle, adaptive aspects such as development of humoral and physical mechanisms for defense, and bacterial adaptation to host deserve research attention. PMID:21082249

  11. Carcinoma of vagina 10 or more years following pelvic irradiation therapy

    International Nuclear Information System (INIS)

    Gynecologic cancer records of 4,238 patients treated between 1956 and 1974 were reviewed. Sixteen patients developed neoplasia in the cervix or vagina 10 or more years following pelvic irradiation. Three patients had squamous carcinoma in situ; the other 13 patients had invasive squamous cancer involving the upper vagina. Only 1.26 percent of invasive carcinoma of the cervix treated by radiation therapy from 1956 to 1966 presented with a late or recurrent or new primary tumor involving the vagina or cervix 10 or more years after primary treatment. The authors conclude that the risk of developing radiation-induced carcinoma in the upper vagina or cervix following pelvic irradiation is low. Follow-up Pap smears are indicated for all patients treated for cervical or vaginal malignancies by radiation therapy in order to detect vaginal neoplasia as well as recurrent carcinoma of the cervix

  12. LASER EN EL TRATAMIENTO DE LA NEOPLASIA INTRAEPITELIAL DE VAGINA

    Scientific Electronic Library Online (English)

    Roberto, Yazigi I; Tulio, Rodríguez A; Luis, Contreras M.

    Full Text Available SciELO Chile | Language: Spanish Abstract in spanish Objetivo: Presentar la experiencia en el tratamiento de la neoplasia intraepitelial de vagina (VAIN) utilizando el láser de CO2. Método: 19 pacientes con el diagnóstico histológico de VAIN fueron tratadas con esta técnica. Se utilizó un diámetro del punto de helio-neón de 1,5 a 2 mm y un poder de de [...] nsidad de 400 a 500 W/cm². Toda la lesión detectable más un margen de al menos 5 mm de tejido circundante aparentemente normal fueron vaporizados a una profundidad de 2 mm. Resultados: 12 de las 14 pacientes evaluables lograron una respuesta completa inicial (86%), de éstas 12 hubo 2 recidivas posteriores (17%), obteniendo una curación en 10 de las 14 evaluables (71%). No hubo complicaciones y se preservó una función vaginal normal. Conclusión: La vaporización con láser es una buena modalidad terapéutica en VAIN, particularmente en mujeres jóvenes en que se ha descartado razonablemente la coexistencia de cáncer invasor Abstract in english Objective: To describe our experience in the treatment of vaginal intra-epithelial neoplasia (VAIN) with the use of CO2 laser. Method: Nineteen patients with the diagnosis of VAIN were treated by this technique. We used a spot size of 1.5 to 2 mm and a power density of 400 to 500 W/cm². The entire l [...] esion in addition to at least a 5 mm margin of adjacent tissue were vaporized to a depth of 2 mm. Results: 12 of 14 evaluable patients had an initial complete response (86%), of these 12, there were 2 recurrences (17%), obtaining a 71% cure rate (10/14). There were no complications and preservation of normal vaginal function. Conclusion: Laser vaporization is a very good treatment modality, particularly in young women in whom the co-existence of invasive malignancy has been ruled out

  13. Non-Diethylstilbestrol-Associated Primary Clear Cell Carcinoma of the Vagina: Two Case Reports with Immunohistochemical Studies and Literature Review

    OpenAIRE

    Mufti, Shagufta T.; Ali, Hiba Hassan

    2014-01-01

    Primary clear cell adenocarcinomas most commonly involve the genitourinary system, including the vagina. Previously, primary clear cell adenocarcinomas of the vagina have been discussed within the context of prenatal exposure to diethylstilbestrol. Due to its widely proven role in the development of this carcinoma, administration of diethylstilbestrol is prohibited. We present two cases of non-diethylstilbestrol-associated primary clear cell adenocarcinoma of the vagina from the archives of t...

  14. Malignant melanoma of the vagina: A case report and review of the literature.

    Science.gov (United States)

    Chen, Lifeng; Xiong, Yin; Wang, Huan; Liang, Lizhi; Shang, Huiling; Yan, Xiaojian

    2014-10-01

    Primary malignant melanoma of the vagina is an extremely rare variant of melanoma that accounts for vaginal malignancies. Primary malignant melanoma of the vagina has a worse prognosis as compared with non-genital melanomas or other vaginal malignant neoplasms. A-35-year-old female had a diagnosis of primary malignant melanoma of the vagina. A local excision of the tumor was first performed, followed by a radical excision as a further therapeutic measure. The patient returned after three weeks, presenting with a vesico-vaginal fistula. A conservative operation was subsequently performed in order to improve the quality of life of the patient. Pelvic metastases were identified 6 months after the completion of the last surgical therapy and subsequent follow-up examinations were performed in another hospital. The present case study describes the clinical features and surgical procedures of this patient with primary malignant melanoma of the vagina. In conclusion, melanoma of the vagina is an extremely aggressive cancer and the overall prognosis is poor despite the various treatment options. PMID:25202372

  15. Ultrastructural characteristics of the vaginae of the basal monogenean Chimaericola leptogaster (Leuckart, 1830).

    Science.gov (United States)

    Poddubnaya, Larisa G; Hemmingsen, Willy; Gibson, David I

    2013-12-01

    In the first study of the vaginal ultrastructure of any monogenean, the paired vaginae of Chimaericola leptogaster, a basal polyopisthocotylean from the gills of a holocephalan, are described. Each vagina opens laterally. A unique feature of this relict parasite is a short vagino-intestinal connecting duct, the lining of which is separated by septate junctions from the linings of the vagina and the intestine. After giving rise to this vagino-intestinal duct, each vagina travels in a posterior direction and opens into the vitelline collecting duct. The lining of each vagina close to the vaginal pore resembles the body tegument, the syncytial lining of which measures about 2.5 ?m in thickness and has a dense surface layer 0.2 ?m in thickness and different apical projections. Proximal to this and before the entrance to the vaginal-intestinal duct, the vaginal lining is characterised by: uniformly distributed electron-dense, lanceolate, spine-like surface structures of about 1.7 ?m in length; three kinds of surrounding glands with three kinds of secretory granules (abundant oval or rounded electron-dense granules 0.7-2.5 ?m in length, much less numerous spheroidal, vesicular granules 0.3-0.4 ?m in diameter, and tightly packed, spheroidal granules 0.8 ?m in diameter and containing fine particulate material of low density); and four kinds of sensory receptors (three uniciliate and one aciliate). These features are absent from the rest of the vagina. The likely roles of the vagino-intestinal connection, the different gland cells, sensory structures, and the armament of the distal vaginal regions are discussed. Considering the suggested polyopisthocotylean ancestor for the Neodermata, the relict parasite fauna of holocephalans and the unique vagino-intestinal connection in C. leptogaster, which is also known in turbellarians, an ancient origin for chimaericolids is supported. PMID:24043615

  16. Delayed contact hypersensitivity in the vagina and skin of the guinea pig.

    Science.gov (United States)

    Newmann, E A; Buehler, E V; Parker, R D

    1983-01-01

    A new method was developed to permit the contact of haptens exclusively with the vaginal mucosal surfaces of the guinea pig. The method described has some unique characteristics that make it potentially useful, not only for studies of the immune response but also for other areas of toxicologic concern. Utilizing this approach it was demonstrated that delayed contact hypersensitivity was as readily produced in the vagina as it was in the skin. Grossly, the vaginas of sensitized animals appeared normal when challenged with a non-irritating concentration of hapten but, histologically, a perivascular lymphocytic cuffing, that is the hallmark of the delayed hypersensitivity response, was demonstrated. PMID:6662292

  17. Non-diethylstilbestrol-associated primary clear cell carcinoma of the vagina: two case reports with immunohistochemical studies and literature review.

    Science.gov (United States)

    Mufti, Shagufta T; Ali, Hiba Hassan

    2014-05-01

    Primary clear cell adenocarcinomas most commonly involve the genitourinary system, including the vagina. Previously, primary clear cell adenocarcinomas of the vagina have been discussed within the context of prenatal exposure to diethylstilbestrol. Due to its widely proven role in the development of this carcinoma, administration of diethylstilbestrol is prohibited. We present two cases of non-diethylstilbestrol-associated primary clear cell adenocarcinoma of the vagina from the archives of the Anatomical Pathology Department at King Abdulaziz University in order to improve our understanding of its biological behavior. Our findings suggest that primary clear cell adenocarcinoma of the vagina may be unrelated to diethylstilbestrol exposure and that non-diethylstilbestrol-associated primary clear cell adenocarcinoma of the vagina, when present at a younger age, may have a worse prognosis. PMID:24850989

  18. Melanoma amelanótico primario de vagina: reporte de un caso y revisión de la literatura Primary amelanotic melanoma of the vagina: a case report and literature review

    Directory of Open Access Journals (Sweden)

    María Paula Houghton-Martínez

    2012-03-01

    Full Text Available Objetivo: revisar el diagnóstico clínico, histológico e inmunohistoquímico; las alternativas terapéuticas y los factores que influyen en el pronóstico del melanoma amelanocítico de vagina. Materiales y métodos: se presenta el caso de una paciente de 49 años que consultó por masa vaginal de 8 cm en pared anterior de vagina, nacarada y con fondo necrótico a la Unidad de Patología Cervical y Colposcopia del Hospital de Engativá, institución de segundo nivel de complejidad que atiende pacientes de nivel socioeconómico bajo afiliados al régimen de seguridad pública. Se realizó resección amplia de la lesión. La patología quirúrgica informó melanoma fusocelular y epiteloide maligno. Se realizó una búsqueda sistemática usando las palabras clave: melanoma primario y vagina en las bases de datos Medline vía PubMed, Cochrane y Ebsco. Resultados: se encontraron 489 artículos de los cuales 31 estaban relacionados directamente con el tema, de estos se seleccionaron diez que correspondieron a nueve reportes de caso y a una revisión del tema. El diagnóstico clínico no es fácil. Las proteínas HMB45 y S100 son de gran utilidad en su identificación. La respuesta al tratamiento quirúrgico, la radioterapia y la quimioterapia es pobre. El pronóstico depende de la ploidía, la amelanosis y el índice mitótico. Conclusiones: el melanoma primario de vagina es una neoplasia rara y de mal pronóstico. Hace parte del grupo de melanomas de mucosa que tienen un origen y comportamiento biológico diferente al cutáneo. Tiene tendencia a la diseminación hematógena rápida y a recaídas locales. El tratamiento se basa en cirugía conservadora, radioterapia, quimioterapia y terapia biológica; sin embargo, su eficacia es limitada.Objective: reviewing clinical, histological and immunohistochemical diagnosis, therapeutic alternatives and factors influencing prognosis for amelanotic melanoma of the vagina. Materials and methods: this article presents the case of a 49yearold patient who consulted the Engativá Hospital’s Cervical Pathology and Colposcopy Unit due to an 8 cm diameter necrotic pearlywhite vaginal mass on the anterior vaginal wall. The hospital is a secondary level complexity institution dealing with low socioeconomic level patients affiliated to the public (subsidized social security (health system. A broad resection was made of the lesion. Surgical pathology revealed epithelioid fusocellular malignant melanoma. A systematic literature search was made using the following key words: primary melanoma and vagina in Medline databases via Pub Med, Cochrane and Ebsco. Results: 31 of the 489 articles found were directly related to the topic; 10 new case reports and a review were selected. Clinical diagnosis is not easy; HMB45 and S100 proteins are extremely useful in identifying it.Response to surgical treatment, radiotherapy and chemotherapy is poor. Prognosis depends on ploidy, amelanosis and mitotic index. Conclusions: Primary melanoma of the vagina is a rare neoplasm and has a poor prognosis. It forms part of a group of mucosal melanoma having an origin and biological behavior different to that of cutaneous melanoma. It tends to have rapid hematogenous dissemination and local relapses. Treatment is based on conservative surgery, radiotherapy, chemotherapy and biological therapy; however, its effectiveness is limited.

  19. Melanoma amelanótico primario de vagina: reporte de un caso y revisión de la literatura / Primary amelanotic melanoma of the vagina: a case report and literature review

    Scientific Electronic Library Online (English)

    María Paula, Houghton-Martínez; Jairo, Amaya-Guío; Luz Amparo, Díaz-Cruz.

    2012-03-01

    Full Text Available SciELO Colombia | Language: Spanish Abstract in spanish Objetivo: revisar el diagnóstico clínico, histológico e inmunohistoquímico; las alternativas terapéuticas y los factores que influyen en el pronóstico del melanoma amelanocítico de vagina. Materiales y métodos: se presenta el caso de una paciente de 49 años que consultó por masa vaginal de 8 cm en p [...] ared anterior de vagina, nacarada y con fondo necrótico a la Unidad de Patología Cervical y Colposcopia del Hospital de Engativá, institución de segundo nivel de complejidad que atiende pacientes de nivel socioeconómico bajo afiliados al régimen de seguridad pública. Se realizó resección amplia de la lesión. La patología quirúrgica informó melanoma fusocelular y epiteloide maligno. Se realizó una búsqueda sistemática usando las palabras clave: melanoma primario y vagina en las bases de datos Medline vía PubMed, Cochrane y Ebsco. Resultados: se encontraron 489 artículos de los cuales 31 estaban relacionados directamente con el tema, de estos se seleccionaron diez que correspondieron a nueve reportes de caso y a una revisión del tema. El diagnóstico clínico no es fácil. Las proteínas HMB45 y S100 son de gran utilidad en su identificación. La respuesta al tratamiento quirúrgico, la radioterapia y la quimioterapia es pobre. El pronóstico depende de la ploidía, la amelanosis y el índice mitótico. Conclusiones: el melanoma primario de vagina es una neoplasia rara y de mal pronóstico. Hace parte del grupo de melanomas de mucosa que tienen un origen y comportamiento biológico diferente al cutáneo. Tiene tendencia a la diseminación hematógena rápida y a recaídas locales. El tratamiento se basa en cirugía conservadora, radioterapia, quimioterapia y terapia biológica; sin embargo, su eficacia es limitada. Abstract in english Objective: reviewing clinical, histological and immunohistochemical diagnosis, therapeutic alternatives and factors influencing prognosis for amelanotic melanoma of the vagina. Materials and methods: this article presents the case of a 49yearold patient who consulted the Engativá Hospital’s Cervical [...] Pathology and Colposcopy Unit due to an 8 cm diameter necrotic pearlywhite vaginal mass on the anterior vaginal wall. The hospital is a secondary level complexity institution dealing with low socioeconomic level patients affiliated to the public (subsidized) social security (health) system. A broad resection was made of the lesion. Surgical pathology revealed epithelioid fusocellular malignant melanoma. A systematic literature search was made using the following key words: primary melanoma and vagina in Medline databases via Pub Med, Cochrane and Ebsco. Results: 31 of the 489 articles found were directly related to the topic; 10 new case reports and a review were selected. Clinical diagnosis is not easy; HMB45 and S100 proteins are extremely useful in identifying it.Response to surgical treatment, radiotherapy and chemotherapy is poor. Prognosis depends on ploidy, amelanosis and mitotic index. Conclusions: Primary melanoma of the vagina is a rare neoplasm and has a poor prognosis. It forms part of a group of mucosal melanoma having an origin and biological behavior different to that of cutaneous melanoma. It tends to have rapid hematogenous dissemination and local relapses. Treatment is based on conservative surgery, radiotherapy, chemotherapy and biological therapy; however, its effectiveness is limited.

  20. Mioepitelioma de vagina: neoplasia poco frecuente en esta localización, reporte de un caso

    Directory of Open Access Journals (Sweden)

    Alfredo Romero R

    2012-01-01

    Full Text Available Antecedentes: Los mioepiteliomas, son tumores poco frecuentes originados a partir de la proliferación de células mioepiteliales. La mayor parte localizados en las extremidades inferiores y en glándulas salivales. Existen ocasionales informes previos de MEP que involucren la vagina. Objetivo: Describir un caso de mioepitelioma localizado en vagina. Caso clínico: Embarazada de 29 años edad, quien presenta una masa vaginal de un año de evolución, localizada en el himen. El examen histopatológico muestra una lesión compuesta por células fusiformes con positividad inmunohistoquímica para vimentina, citoqueratinas (CK AE1/ AE3, S100, CD10, receptores de estrógenos y progesterona, Bcl2 y calponina y negatividad para desmina, actina muscular especifica, actina de músculo liso y p63. Con los anteriores hallazgos se interpreta la lesión como un mioepitelioma primario vaginal. Conclusión: Los mioepiteliomas son tumores que requieren para su diagnostico, análisis con técnicas de inmunohistoquímica o ultraestructurales que permitan diferenciarlos de otros tumores.Background: The myoepitheliomas are rare tumors arising from the proliferation of myoepithelial cells. Most tumors are located in the lower extremity and salivary glands. There have been only occasional myoepithelial neoplasms previously reported involving the vagina. Objective: Describe a case of myoepithelioma located in the vagina of a pregnant woman. Case report: A 29 years old pregnant female, who about 1 year prior has a vaginal mass, located in the hymen. At histopathological examination shows a mass composed of spindle cells with positivity immunohistochemical studies for vimentin, cytokeratin AE1/AE3, S100, CD10 and calponin and negative for desmin, actinmuscle specific (HHF35, smooth muscle actin and p63. With these findings it was established the diagnosis of myoepithelioma in the vagina. Conclusion: Myoepitheliomas are tumors requiring for diagnostic of immunohistochemistry or ultrastructural techniques that allow its differentiation from other tumors.

  1. Mioepitelioma de vagina: neoplasia poco frecuente en esta localización, reporte de un caso

    Scientific Electronic Library Online (English)

    Alfredo, Romero R; Mario, Melo U; Paula, Barajas S; Juvenal, Baena A; Luz Mery, Vargas L.

    Full Text Available Antecedentes: Los mioepiteliomas, son tumores poco frecuentes originados a partir de la proliferación de células mioepiteliales. La mayor parte localizados en las extremidades inferiores y en glándulas salivales. Existen ocasionales informes previos de MEP que involucren la vagina. Objetivo: Describ [...] ir un caso de mioepitelioma localizado en vagina. Caso clínico: Embarazada de 29 años edad, quien presenta una masa vaginal de un año de evolución, localizada en el himen. El examen histopatológico muestra una lesión compuesta por células fusiformes con positividad inmunohistoquímica para vimentina, citoqueratinas (CK) AE1/ AE3, S100, CD10, receptores de estrógenos y progesterona, Bcl2 y calponina y negatividad para desmina, actina muscular especifica, actina de músculo liso y p63. Con los anteriores hallazgos se interpreta la lesión como un mioepitelioma primario vaginal. Conclusión: Los mioepiteliomas son tumores que requieren para su diagnostico, análisis con técnicas de inmunohistoquímica o ultraestructurales que permitan diferenciarlos de otros tumores. Abstract in english Background: The myoepitheliomas are rare tumors arising from the proliferation of myoepithelial cells. Most tumors are located in the lower extremity and salivary glands. There have been only occasional myoepithelial neoplasms previously reported involving the vagina. Objective: Describe a case of m [...] yoepithelioma located in the vagina of a pregnant woman. Case report: A 29 years old pregnant female, who about 1 year prior has a vaginal mass, located in the hymen. At histopathological examination shows a mass composed of spindle cells with positivity immunohistochemical studies for vimentin, cytokeratin AE1/AE3, S100, CD10 and calponin and negative for desmin, actinmuscle specific (HHF35), smooth muscle actin and p63. With these findings it was established the diagnosis of myoepithelioma in the vagina. Conclusion: Myoepitheliomas are tumors requiring for diagnostic of immunohistochemistry or ultrastructural techniques that allow its differentiation from other tumors.

  2. Morphological Studies on the Vagina and Vestibule of Dromedary Camels (Camelus dromedarius) / Estudios Morfológicos de la Vagina y Vestíbulo del Camello (Camelus dromedarius)

    Scientific Electronic Library Online (English)

    Ahmed, Sayed-Ahmed; Anwer, Elshafey; Ahmed, Abd-Elmaksoud.

    1156-11-01

    Full Text Available El camello (Camelus dromedarius) es una importante especie de ganado de usos múltiples y el consumo de su carne corresponde al 10% aproximadamente del consumo de carne roja en Egipto. La eficiencia reproductiva del camello, bajo condiciones naturales, se considera generalmente baja. El conocimiento [...] adecuado sobre los órganos genitales tubulares de esta especie podría facilitar la aplicación de una nueva metodología de reproducción. Por lo tanto, se llevó a cabo este estudio para investigar la morfología de la superficie de la mucosa de la vagina y el vestíbulo en camellos, utilizando luz, escaneado y microscopía electrónica de transmisión. La superficie de la mucosa de la vagina está formado por epitelio columnar estratificado con células secretoras mucosas (células en copa). La microscopía electrónica de barrido (SEM) de la vagina reveló la presencia de pliegues primarios y secundarios longitudinales y pequeños pliegues transversales. El epitelio columnar mostró un límite celular marcado y su superficie apical se evidenció salpicado por una gran cantidad de microvellosidades. La microscopía electrónica por transmisión (TEM) confirmó la presencia de microvellosidades en las superficies apicales y mostró algunos gránulos secretores en la región supranuclear del epitelio columnar. El vestíbulo del dromedario está revestido por epitelio estratificado queratinizado, de tipo escamoso. La lámina basal y el estrato granuloso de este epitelio mostraron una fuerte reacción PAS positiva. La microscopía electrónica de barrido (SEM) del vestíbulo reveló la presencia de pequeños pliegues transversales longitudinales y finos, con gran cantidad de restos de mucosidad. Sin embargo, la microscopía electrónica por transmisión (TEM) del vestíbuloreveló un epitelio queratinizado escamoso estratificado, con una capa basal de células cúbicas y capas superficiales de células escamosas. Abstract in english The camel (Camelus dromedarius) is an important multipurpose livestock species and its meat represents about 10% of the red meat consumption in Egypt. The reproductive efficiency of camel under natural condition is generally considered to be low. Sound knowledge about the tubular genital organs of t [...] his species might facilitate the application of new reproductive methodology. Our study was therefore conducted to investigate the morphology of mucosal surface of vagina and vestibule on camels using light, scanning and transmission electron microscopy. The mucosal surface of vagina consisted of stratified columnar epithelium with mucous secreting cells (goblet-like cells). SEM of vagina revealed the presence of longitudinal primary and secondary folds and small transverse folds. The columnar epithelium showed marked cell boundary and its apical surface was studded by a lot of microvilli. TEM confirmed the presence of microvilli at apical surfaces and showed some secretory granules in the supranuclear region of the columnar epithelium. The vestibule of dromedary camel was lined by stratified squamous keratinized epithelium. Basal lamina and stratum granulosum of this epithelium showed strong PAS positive reaction. SEM of vestibule revealed the presence of small longitudinal and fine transverse folds with a lot of mucous debris. However TEM of vestibule showed the stratified squamous keratinized epithelium with basal layer of cuboidal cells and superficial layers of squamous cells.

  3. Primary carcinoma of the vagina: A study of a Radiumhemmet series of 145 cases

    International Nuclear Information System (INIS)

    The infrequency of carcinoma of the vagina and the concomitant paucity of cases treated at any one institution have long delayed an appreciation of the fundamental characteristics of this disease and hindered the development of an effective programme of management. In the past decade publications based on relatively large number of cases have appeared from several clinics. These have greatly augmented previous reports of this disorder. However, the lack of a uniform clinical classification regarding the extent of the disease process before treatment has invalidated any attempt to compare the efficacy of methods of therapy employed at different clinics. It is the purpose of this paper to suggest a clinical classification for carcinoma of the vagina and to evaluate the cases treated at the Radiumhemmet in accordance with this proposed staging

  4. Squamous cell carcinoma of the vagina: natural history, treatment modalities and prognostic factors.

    Science.gov (United States)

    Gadducci, Angiolo; Fabrini, Maria Grazia; Lanfredini, Nora; Sergiampietri, Claudia

    2015-03-01

    Squamous cell carcinoma of the vagina accounts for less than 2% of all gynecologic malignancies. Surgery has a role in selected cases only. The standard treatment is radiotherapy, external beam radiation and/or brachytherapy, depending on the extent, thickness, location and morphology of the lesion. The role of chemotherapy is still under evaluation. Radiotherapy obtained 5-year overall survival rates ranged from 35% to 78%, with severe late complication rates of 9.4-23.1%. Tumor stage is the strongest prognostic factor. Tumor size >4cm, tumor location outside the upper third of the vagina, and old age at presentation are additional predictors of poor survival in most papers, whereas the prognostic value of histological grade, prior hysterectomy, and hemoglobin levels is controversial. High-risk HPV DNA and low MIB-1 index are associated with better clinical outcome. Because of the rarity of this tumor, future multicenter studies would be strongly warranted. PMID:25476235

  5. Temperature of the artificial vagina and its effect on seminal quality and behavioral characteristics of stallions.

    Science.gov (United States)

    Hillman, R B; Olar, T T; Squires, E L; Pickett, B W

    1980-10-15

    Stallion semen was collected, using artificial vaginas at 44 to 46, 48 to 50, and 52 to 54 C, to study the effects of temperature on seminal quality and sexual behavior. The temperature of the artificial vagina had no significant effect on motility, gel volume, gel-free seminal volume, total seminal volume, pH, number of mounts per ejaculate, total time to ejaculation, or seminal temperature. Spermatozoa were collected, then exposed to water-bath temperatures of 38, 45, 49, or 53 C for 1 minute. Mean motility was similar after exposure to temperatures of 38 or 45 C, but exposure to temperatures of 49 or 53 C resulted in a significant decrease (P < 0.05) in spermatozoal motility with each increase in temperature. Thus, it was concluded that spermatozoa exposed to temperatures greater than 45 C may be irreversibly damaged. PMID:7192277

  6. Recurrent Fistula between Ileal Pouch and Vagina—Successful Treatment with a Gracilis Muscle Flap

    OpenAIRE

    Aydin, Feride; Eisenberger, Claus Ferdinand; Raffel, Andreas; Rehders, Alexander; Hosch, Stefan Benedikt; Knoefel, Wolfram Trudo

    2009-01-01

    Fistulae between an ileal pouch and the vagina are an uncommon complication of ileal pouch-anal anastomosis following proctocolectomy and mucosectomy in patients with familial adenomatous polyposis coli. Several reports describe the successful use of muscle flaps to close recurrent pouch-vaginal-fistulae (PVF). However, series only contain small numbers and an optimal management has not yet been determined. We report the case of a 26-year old woman with a third recurrence of a PVF after proct...

  7. Phospholipase activity of Candida albicans isolated from vagina and urine samples

    OpenAIRE

    Sanaz Miry; Majid Zarrin; Ali Zarei Mahmoudabadi

    2010-01-01

    Introduction and objective: Candida albicans is the most virulent among the Candida species, and can cause several forms of candidiasis in human. Extracellular phospholipases in C. albicans is discussed as one of the virulence factors. The present study, focused on extracellular phospholipase activities in different isolates of C. albicans isolated from vagina and urine samples from Ahvaz, Iran. In addition, phospholipase activities were compared in C. albicans isolated from two different sou...

  8. A simple, inexpensive applicator for irradiation of localized areas of the vagina with intracavitary brachytherapy

    International Nuclear Information System (INIS)

    Purpose: To describe the construction of a simple, inexpensive applicator for irradiation of localized areas of the vagina with intracavitary brachytherapy Methods and Materials: It was desirable to avoid an interstitial implant in an elderly patient with a stage T2 vaginal cancer. The final phase of radiation therapy was delivered with a custom made intracavitary cylinder that allowed the high-dose area to be limited to the portion of the vagina at high risk for residual disease. The applicator was fabricated from a clear cast acrylic (Lucite) rod with dimensions 3.5 cm diameter x 5.0 cm long. The applicator contained 11 parallel grooves, each 1.8 mm deep x 2.2 mm wide, machined along the surface of the cylinder parallel its long axis at 1.0 cm increments. Plastic needles (15 gauge) were inserted into the grooves along the surface of the acrylic cylinder and held in place with heat shrink tubing. The applicator was easily inserted and positioned without anesthesia. Standard low dose rate 192Ir ribbons were inserted into the plastic needles after positioning the applicator in the vagina. Results: Construction of this applicator system requires a few weeks notice and approximately $150. Fabrication of the grooved cylinder is a routine task for a workshop with a milling machine. A step-by-step description of how to construct and use the applicator is provided along with the telephone numbers of commercial vendors to call to order all necessary materials. Concall to order all necessary materials. Conclusion: This article describes a simple, inexpensive method for constructing a customized vaginal applicator that can be used to treat a limited area of the vagina with intracavitary brachytherapy

  9. Verrucous carcinoma of the cervix and vagina treated by radiation therapy

    International Nuclear Information System (INIS)

    Seven cases of verrocous carcinoma of the uterine cervix (five) and vagina (two) were reviewed. Four of the five patients managed primarily with radiation therapy have survived a median of 10 years. Of the two patients managed primarily with surgery, one experienced recurrence and was then successfully treated with radiation therapy; the other died of metastatic carcinoma. No anaplastic transformation of lesions or distant metastases occurred in the patients treated with radiation therapy. Human papilloma virus was isolated in two patients

  10. Survival of gram positive anaerobic cocci on swabs and their isolation from the mouth and vagina.

    OpenAIRE

    Smith, G. L.; Cumming, C. G.; Ross, P. W.

    1986-01-01

    The survival of Gram positive anaerobic cocci on plain cotton wool and albumin coated swabs held in various transport media was investigated. Results suggested that in most cases Amies', Stuart's and VMGII media do not offer any more protection to the bacteria than storing swabs dry in their containers. A technique was developed for the isolation and identification of Gram positive anaerobic cocci from the mouth and vagina, incorporating bicozamycin in the medium as a selective agent. Few str...

  11. Involvement of activin signaling in abnormalities of mouse vagina exposed neonatally to diethylstilbestrol.

    Science.gov (United States)

    Nakajima, Tadaaki; Iguchi, Taisen; Sato, Tomomi

    2011-06-01

    Perinatal exposure to a synthetic estrogen, diethylstilbestrol (DES), causes cervicovaginal adenosis and permanent hyperplastic cornified vaginal epithelium with keratinization in mice. To investigate the mechanisms of the induction of vaginal abnormalities by DES, we have focused on activin A signaling. We have found that the ?A-subunit mRNA is mainly expressed in the neonatal vaginal stroma, whereas activin A receptor type IB is localized in the neonatal vaginal epithelium. SMAD2, the intracellular signaling protein, is phosphorylated in the neonatal vagina. Cell proliferation in the vaginal epithelium grown in vitro is reduced by DES treatment or by activin signaling suppression through inhibin treatment. Thus, activin A (a homodimer of the ?A-subunit) in the stroma stimulates epithelial cell proliferation in the neonatal vagina. DES treatment decreases the expression of the ?A-subunit and activin receptor IIB but increases the expression of the ?B-subunit and inhibin receptor. Neonatal DES treatment inhibits the phosphorylation of SMAD2 in the vaginal epithelium, indicating the inhibition of activin A signaling in the vaginal epithelium by neonatal DES treatment. Treatment with DES or inhibin, a native antagonist of activin, induces adenosis-like structures and keratinization in the vagina grown in vitro. These data suggest that the suppression of activin A signaling by DES is involved in the induction of cervicovaginal adenosis and keratinization in the neonatal mouse vaginal epithelium. PMID:21509459

  12. Association of Atopobium vaginae, a recently described metronidazole resistant anaerobe, with bacterial vaginosis

    Directory of Open Access Journals (Sweden)

    Fortenberry J Dennis

    2004-02-01

    Full Text Available Abstract Background Bacterial vaginosis (BV is a polymicrobial syndrome characterized by a change in vaginal flora away from predominantly Lactobacillus species. The cause of BV is unknown, but the condition has been implicated in diverse medical outcomes. The bacterium Atopobium vaginae has been recognized only recently. It is not readily identified by commercial diagnostic kits. Its clinical significance is unknown but it has recently been isolated from a tuboovarian abcess. Methods Nucleotide sequencing of PCR amplified 16S rRNA gene segments, that were separated into bands within lanes on polyacrylamide gels by denaturing gradient gel electrophoresis (DGGE, was used to examine bacterial vaginal flora in 46 patients clinically described as having normal (Lactobacillus spp. predominant; Nugent score ? 3 and abnormal flora (Nugent score ? 4. These women ranged in age from 14 to 48 and 82% were African American. Results The DGGE banding patterns of normal and BV-positive patients were recognizably distinct. Those of normal patients contained 1 to 4 bands that were focused in the centre region of the gel lane, while those of BV positive patients contained bands that were not all focused in the center region of the gel lane. More detailed analysis of patterns revealed that bands identified as Atopobium vaginae were present in a majority (12/22 of BV positive patients, while corresponding bands were rare (2/24 in normal patients. (P A. vaginae isolates were cultivated from two patients whose DGGE analyses indicated the presence of this organism. Two A. vaginae 16S rRNA gene sequences were identified among the clinical isolates. The same two sequences were obtained from DGGE bands of the corresponding vaginal flora. The sequences differed by one nucleotide over the short (~300 bp segment used for DGGE analysis and migrated to slightly different points in denaturing gradient gels. Both isolates were strict anaerobes and highly metronidazole resistant. Conclusion The results suggest that A. vaginae may be an important component of the complex bacterial ecology that constitutes abnormal vaginal flora. This organism could play a role in treatment failure if further studies confirm it is consistently metronidozole resistant.

  13. Congenital malformation of the vaginal orifice, imperforate vagina, in the common marmoset (Callithrix jacchus).

    Science.gov (United States)

    Niimi, Kimie; Oguchi, Ayaka; Nishio, Kenji; Okano, Yasushi; Takahashi, Eiki

    2014-11-13

    The following is a report on a congenital vaginal malformation, imperforate vagina, in the common marmoset (Callithrix jacchus). This anomaly was observed for the first time in an adult female in our research colony. There was no uterine and vaginal aplasia or atresia in her grossly normal genital tract. The plasma progesterone concentration suggested that the ovarian cycle had ceased. However, this may not be related to a functional anomaly, but rather to suppressed ovulation resulting from subordination to cagemates considering the various stages of follicular development observed. PMID:25391536

  14. Melanosis of the vagina and human papillomavirus infection, an uncommon pathology: Case Report / Melanosis de la vagina e infección por virus del papiloma humano, una patología poco común: Reporte de un Caso

    Scientific Electronic Library Online (English)

    José, Núñez-Troconis; Mariela, Delgado; Gerardo, González; Airiaudis, Rivas; Katherine, Molero.

    2011-09-01

    Full Text Available SciELO Venezuela | Language: English Abstract in spanish Las lesiones melanóticas de la vagina son infrecuentes. y Solo pocos casos han sido reportados. Se presenta el caso de una mujer de 34 años quien es referida con diagnóstico de una Neoplasia Intraepitelial Vaginal 1. Al examen ginecológico, se encontraron dos áreas hiperpigmentadas en la vagina. La [...] exploración colposcópica del cuello uterino y vagina reveló la presencia de una lesión aceto-blanca en la pared lateral derecha del tercio superior de la vagina. Muestras de biopsias fueron tomadas en dichas áreas. El estudio histológico reportó una melanosis de la vagina y una infección por el virus del Papiloma Humano (VPH). Se realizó un panel de estudio inmunohistoquímico de marcadores epiteliales en las muestras vaginales: tales como citoqueratina AE1/AE3 y antígeno epitelial de membrana; marcador mesenquimal: vimentin; marcadores melanóticos: proteina S-100 y HMB45 (Human Melanoma Black); marcadores de proliferación celular: antígeno de proliferación nuclear (PCNA), y la oncoproteína P-53. Se realizó Hibridización In Situ para establecer los tipos de alto (16, 18, 31, 45) y bajo (6, 11) riesgo de VPH en las muestras vaginales. Los marcadores CK, EMA y Vimentin fueron 2+. Los marcadores melanótico, el HMB45 y el S100, y el PCNA fueron 1+ en la capa basal. P-53 fue negativo. El tejido melanótico y la lesión acetoblanca fueron positivos al VPH 6,11. En conclusión, la melanosis vaginal es una patología poco frecuente. Usualmente, se ha reportado en mujeres mayores de 40 años. Presentamos un caso de una melanosis de la vagina infectada con un tipo de VPH de bajo riesgo en una mujer joven y una revisión de la literatura. Abstract in english Benign melanotic lesions of the vagina are uncommon and only a few cases have been reported in the literature. A 34-year-old woman was referred because of a Vaginal Intraepithelial Neoplasia 1 biopsy result. On the gynecological examination, two different hyperpigmented areas were noted in the vagin [...] a. The colposcopic visualization of the cervix and vagina found an aceto-white lesion at the right lateral wall of the upper third of the vagina. Biopsies from three areas were taken. Histological study reported a melanosis of the vagina and HPV infection. An immunohistochemical panel of epithelial markers was performed in vaginal samples, such as Cytokeratin AE1/AE3 and epithelial membrane antigen, mesenchymal marker: vimentin; melanocytic makers: protein S-100 and HMB45 (Human Melanoma Black); proliferating cell marker: proliferating cell nuclear antigen (PCNA), and P-53 oncoprotein. High Risk (16, 18, 31, 45) and Low Risk (6, 11) HPV types were studied by In Situ Hybridization using the same vaginal samples. CK, EMA and Vimentin were 2+. Melanocytic markers, HMB45 and S100, and PCNA were 1+ in basal cell layer. P-53 was negative. The melanotic tissue and acetowhite lesion were positives to HPV Types 6,11. In conclusion, melanosis of the vagina is a uncommon benign pathology. Usually, melanosis is present in women over 40 years old. We present a case of melanosis of the vagina in a young woman infected with low-risk HPV types and review the literature.

  15. A longitudinal study of Staphylococcus hyicus colonization of vagina of gilts and transmission to piglets

    DEFF Research Database (Denmark)

    Wegener, Henrik Caspar; Skov Jensen, E.W.

    1992-01-01

    High Staphylococcus hyicus colonization rates were found in vaginal samples of healthy breeding sows and in skin samples of their offspring. Twenty-two different phage types were identified among the 720 isolates of S. hyicus examined. Two to 13 different phage types were isolated per herd. Phage typing, as well as characterization of about 10 % of the isolates by plasmid profiles and antibiogram patterns, showed that, several different clones of S. hyicus could be present simultaneously in vagina of gilts and also on skin of piglets. Generally isolates from the vagina of one animal were identical as regards to phage types, plasmid profiles, and antibiogram patterns during the entire investigation period. Isolates from the skin of piglets were of the same type as their mothers, indicating that vertical transmission had taken place. S. hyicus strains isolated from the skin of piglets within 24 h after birth were identical to strains isolated 3 weeks after birth from the same litter, indicating that the vaginalstrains became part of a stable skin flora.

  16. [Ultrastructural characteristics of the vitellaria, uterus and vagina of Amphilina foliacea Rudolphi, 1819 (Cestoda: Amphilinidea)].

    Science.gov (United States)

    2013-01-01

    The ultrastructural features of the vitelline follicles, uterus and vagina of the amphilinid cestode Amphilina foliacea from the body cavity of Acipenser ruthenus of the Volga basin are described. Some new distinguishing characters are revealed, including the presence of a single type of the cellular component in the vitelline follicles with sarcoplasmic processes filling the space around and within vitellocytes. The,uterus of this species is recognized by the presence of the syncytial epithelial lining with underlying secretory perikaria and different kinds of luminal projections. The most distal part of the uterus, situated closely to the uterine pore, is characterized by nuclei occupying the syncytial uterine epithelium. Slightly further proximally, they are located basally and then transformed into sunken perikaria. The vaginal epithelium is characterized by the syncytial structure with underlying epithelial perikaria in its distal region, with intraepithelial location of the nuclei slightly further proximally and the absence of the nuclei in its proximal region (the seminal receptacle). The syncytial cytoplasm of the vagina contains numerous vesicles and possesses microvilli-like surface structures. The morphological aspects of the female reproductive system of A. foliacea are compared with those of other Cestoda and Neodermata. PMID:25508370

  17. Migration of a particulate radioactive tracer from the vagina to the peritoneal cavity and ovaries

    International Nuclear Information System (INIS)

    In this report we describe a radionuclide procedure designed to evaluate the migration of a particulate radioactive tracer from the vagina to the peritoneal cavity and ovaries, as well as the determination of the patency of the pathways between these two extremes of the female reproductive system. Technetium-99m-labelled human albumin microspheres (technetium-99m-HAM) were deposited in the posterior fornices of 24 patients a day before they were to undergo different gynaecological operations. During this period sequential images were obtained and after the operation radioactivity levels in the removed organs and tissues were counted with a scintillation detector. In 14 out of 21 cases, the ovaries and fallopian tubes were counted separately from the uterus. Nine were positive (radioactivity levels were sufficiently high in the tubes and ovaries) and 5 were negative (no substantial radioactivity levels could be detected in either the tubes or the ovaries). The 5 negative results all occurred in patients with proved tubal damage as a result of previous infection. All the results were either true positive or true negative, providing evidence of migration, or obstruction, of technetium-99m-HAM from the vagina through the uterus and tubes to the peritoneal cavity and ovaries

  18. Postirradiation squamous cell carcinoma in situ of the vagina: treatment by topical 20 percent 5-fluorouracil cream

    International Nuclear Information System (INIS)

    Eight patients with squamous cell carcinoma in situ of the vagina were treated with monthly 5 day courses of 20% 5-fluorouracil cream applied to the vagina. Seven (87.5%) of the women had an initial complete response; however, three subsequently developed recurrence after the treatment was stopped. They were retreated, and two of these three patients achieved a subsequent complete response. The overall response to therapy was 75% (6/8) with the six women off therapy from 1.1 to 6.9 years. Total follow-up of all patients was 3.1 to 6.9 years with no patients having developed invasive carcinoma. Because of the high success rate with no associated serious sequelae, this is believed to be a satisfactory method of therapy for women with squamous cell carcinoma in situ of the vagina occurring after pelvic irradiation

  19. Reconstruction of the anus, rectovaginal septum, and distal part of the vagina after postirradiation necrosis. Report of a unique case

    International Nuclear Information System (INIS)

    Successful repair of postirradiation total loss of the anal sphincters, rectovaginal septum, and distal part of the vagina is reported. Gracilis muscle flap was used as a substitute sphincter. Part of the muscle was wrapped-up in a split skin graft. To the authors' knowledge, this is the first report on new application of gracilis muscle and split skin graft in perineal reconstruction

  20. Expression of Ezrin in Vagina Cells of Postmenopausal Rats after Dietary Administration of Omega-3 Fatty Acid Formula

    Science.gov (United States)

    Lee, Hae-Hyeog; Park, Junsik; Lee, Arum; Park, Yongsoon; Byun, Dong Won; Kim, Min Jung; Lim, Heesook

    2014-01-01

    Objectives To see the effect of dietary administration of omega 3-fatty acid formula on the vaginal cells of postmenopausal rats. Methods Three-week-old female Wistar/ST rats were raised after one week of adjustment period. The rats were then divided into three groups, for three different kinds of diet; general diet, 1% omega-3 fatty acid diet, and 2% omega-3 fatty acid diet. After eight weeks of having assigned diet, after the oophorectomy, with the same diet previously they had Immunohistochemistry, Immunofluorescence, and Western Blot about ezrin, merlin were done. Results In immunohistochemistry, estrogen injection group revealed thicker and well differentiated features. In Immunofluorescence, Omega-3 fatty acid composition in diet did not effect expression of ezrin and merlin in rat vagina in estrogen injection group, their vaginal epithelium showed full layers (from basal to apical layer). In Western Blot analysis, Omega-3 fatty acid composition in diet did not affect expression of ezrin and merlin in rat vagina estrogen presented significant impact on expression of ezrin and merlin. Conclusion Although omega-3 fatty acid composition changed in diet, vaginal epithelial morphology unchanged. Estrogen did effect on vagina cell, but omega-3 fatty acid did not effect on ezrin and merlin in vagina. PMID:25580420

  1. Neuropeptide receptor transcripts are expressed in the rat clitoris and oscillate during the estrus cycle in the rat vagina.

    Science.gov (United States)

    Dangoor, David; Giladi, Eliezer; Fridkin, Mati; Gozes, Illana

    2005-12-01

    Vasoactive intestinal peptide (VIP), calcitonin gene-related peptide (CGRP) and angiotensin 2 are key neuropeptides that innervate the sexual organs. For further understanding of neuropeptide involvement in female sexual function, we investigated peptide receptor mRNA expression using reverse transcription-polymerase chain reaction (RT-PCR) in the rat vagina and clitoris, and alteration during the shift from the proestrus to the estrus phase. VIP, angiotensin 2 and CGRP receptor subtypes transcripts were found to be expressed in the vagina and the clitoris. Significantly increased levels of angiotensin 2 and CGRP receptor subtypes transcripts were observed in the vagina as compared to the clitoris. Significant increases in the expression of the VIP receptor type 2 (VPAC2) mRNA and parallel increases in a novel VIP responsive gene, activity-dependent neuroprotective protein (ADNP) mRNA were detected in the rat vagina during the estrus phase. The expression pattern of neuropeptide receptors in the female sexual organs suggest an intimate involvement of the corresponding neuropeptides in female sexual function. PMID:16023261

  2. The oophorectomy effect on Walker 256 tumor inoculated into the vagina and uterine cervix of female rats / Efeito da ooforectomia no tumor de Walker 256 inoculado em vagina e colo de útero de ratos fêmeas

    Scientific Electronic Library Online (English)

    Nara Macedo Botelho, Brito; Rita de Kássia Vidigal, Carvalho; Lia Tavares de Moura Brasil, Matos; Rodolfo Costa, Lobato; Rosângela Baía, Brito.

    2009-02-01

    Full Text Available SciELO Brazil | Language: English Abstract in portuguese OBJETIVO: Verificar o efeito da ooforectomia à inoculação do tumor de Walker 256 em vagina e colo de útero de ratas. MÉTODOS: Foram utilizadas 10 ratas Wistar, fêmeas, virgens, adultas, distribuídas em dois grupos de estudo com 05 animais cada: grupo tumor (GT): ratas inoculadas com tumor de Walker [...] 256, e grupo Ooforectomia (GO): ratas ooforectomizadas e inoculadas com tumor de Walker 256. No dia anterior à inoculação vaginal do tumor, foram inoculados 0,3ml de ácido acético na vagina das ratas de ambos os grupos; no dia seguinte, foi realizada a escarificação da parede vaginal com uma escova de endocérvice e inoculado tumor de Walker 256. Após 12 dias, foi removido o tumor em bloco com vagina e cornos uterinos para análise macro e microscópica. Os dados foram submetidos à análise estatística. RESULTADOS: Não houve diferença estatística entre os dois grupos; no entanto, notou-se que o comportamento de crescimento do tumor no grupo GO apresentou maior invasividade em extensão, comprometendo cornos uterinos. CONCLUSÃO: Observou-se que o grupo GO apresentou comportamento macroscópico diferente ao grupo GT, no entanto, em termos totais de massa tumoral ambos apresentam desenvolvimento similar. Abstract in english PURPOSE: Verify the effect of oophorectomy on the evolution of the Walker 256 tumor inoculated into the vagina and cervix of female rats. METHODS: Ten Wistar, female rats were used, distributed into two groups with 05 animals each: Tumor group (TG): Rats inoculated with Walker 256 tumor; Oophorectom [...] y group (OG): oophorectomized rats inoculated with Walker 256 tumor. The day before the tumor vaginal inoculation, acetic acid was inoculated into the vaginas of both groups of rats; the following day, the vaginal walls were scarified with an endocervix brush, and then Walker 256 tumor was inoculated. After 12 days, the tumor was removed together with the vagina and uterine horns for macro and microscopic analyses. The data were submitted to statistical analyses. RESULTS: There was no statistical difference between the two groups; however it was observed that the behavior of tumor growth on the OG group presented greater invasion, compromising the uterine horns. CONCLUSION: The results of the study on the GO group presented a macroscopic behavior different from the TG group, however, both of them presented similar development in terms of tumor mass.

  3. Experimental inoculation model of Walker 256 carcinoma into vagina and cervix uteri of female rats / Modelo experimental de Tumor de Walker 256 em vagina e colo de útero de ratas

    Scientific Electronic Library Online (English)

    Nara Macedo Botelho, Brito; Marcus Vinicius Henriques, Brito; Rita de Kássia Vidigal, Carvalho; Lia Tavares de Moura Brasil, Matos; Thiago Sousa, Veloso; Diego Matos de, Vasconcelos; Rosângela Baía, Brito.

    2007-12-01

    Full Text Available SciELO Brazil | Language: English Abstract in portuguese OBJETIVO: Estabelecer um modelo de inoculação de Tumor de Walker 256 em vagina e colo de útero de ratas. MÉTODOS: Foram utilizadas 15 ratas fêmeas, virgens, adultas, pesando entre 200-250g, distribuídas em três grupos de estudo com cinco animais cada: grupo A (GA): ratas com tumor de Walker 256 em c [...] oncentração de 4x10(6) sem ácido acético; grupo B (GB): ratas com tumor de Walker 256 em concentração de 2x10(6) células com ácido acético; grupo C (GC): ratas com tumor de Walker 256 em concentração de 4x10(6) células com ácido acético. No dia anterior à inoculação do tumor, foi realizada a inoculação de 0,3 ml de ácido acético a 10% na vagina das ratas de GB e GC; no dia seguinte, tanto estas como as ratas do grupo GA foram anestesiadas, feita a escarificação da parede vaginal com uma escova de endocérvice e inoculado 0,3ml de tumor na concentração de 4x10(6) células nos grupos GA e GC e 2x10(6) células no grupo GB. Após 12 dias, foi realizada a eutanásia e removido o tumor em bloco com vagina e cornos uterinos para análise, sendo pesado e averiguado seu volume e calculado as relações entre o seu peso e o peso final da rata e o seu volume e o peso final da rata. Os dados foram colhidos e submetidos à análise estatística pelo método ANOVA (um critério). RESULTADOS: A pega em GB e GC foi 100% e em GA 20%. Não houve diferença estatística entre as médias obtidas entre GB e GC. CONCLUSÃO: De acordo com a metodologia utilizada, o modelo de tumor de Walker 256 na vagina apresenta pega de 100% quando associado a ácido acético e não há diferença de comportamento com a inoculação de 4x10(6)ou 2x10(6) células. Abstract in english PURPOSE: To establish an inoculation model of Walker 256 carcinoma on cervix uteri and vagina of rats. METHODS: Fifteen female rats were used, and assigned to three groups each one with five rats: group A - rats with 4x10(6) cells of Walker 256 carcinoma without acid acetic inoculation; group B - ra [...] ts with 2x10(6) cells of Walker 256 carcinoma with acid acetic inoculation and group C: rats with 4x10(6) cells of Walker 256 carcinoma with acid acetic inoculation. The day before tumor cells inoculation the rats from groups B and C were anaesthetized with diethylether and 0,3 ml of acetic acid was inoculated into their vaginas. Tumor cell inoculation into the vagina and cervix was done under general anesthesia with diethylether. Then a endocervical brush was used to scrape the vaginal wall and after that 0,3 ml of the liquid containing tumor cells was inoculated on the vagina and cervix. For the tumor analysis, animals were euthanized at day 12 following tumor cell implantation by an excessive inhalation of diethylether. Tumor was resected entirely and weighed and the tumors were then sectioned and counter stained with hematoxylin and eosin for histopathologic evaluation. It was also calculated the percentage of tumor equivalent to the body weight by the formula: P= tumor weight / body weight x 100. Data were analyzed by one-way analysis of variance - ANOVA. P values

  4. La vagina dentada: una interpretación de la Estela 25 de Izapa y las guacamayas del juego de pelota de Copán The dented vagina: an interpretation for Stela 25 of Izapa and ballcourt macaws of Copan

    Directory of Open Access Journals (Sweden)

    Oswaldo Chinchilla Mazariegos

    2010-01-01

    Full Text Available Las aves representadas en la Estela 25 de Izapa y el juego de pelota de Copán forman el punto de partida para un examen del tema mitológico de la vagina dentada en Mesoamérica, y sus expresiones en el arte y la narrativa. Un amplio conjunto de narraciones mitológicas recopiladas en México y Guatemala sirve como base para un examen de la historia de Siete Guacamayo en el Popol Vuh, la cual se interpreta como una variante de un mito ampliamente difundido, relacionado con el origen del Sol y la Luna. La identificación de asuntos comunes, entre ellos el de la vagina dentada, refuerza la relación entre el mito del Popol Vuh y las representaciones de Izapa y Copán. A la vez, revela detalles poco conocidos sobre el simbolismo sexual presente en los mitos cosmogónicos mesoamericanos.The birds represented at Stela 25 of Izapa and Copan ball court are the starting point for the analysis of the mythological topic focused on the vagina dentata in Ancient Mesoamerica, as well as their expressions on art and narrative. A large body of mythological narratives is used as a basis for the examination of the "Siete Guacamayo" story included in the Popol Vuh, which is interpreted as part of a widely extended myth related with the creation of the Sun and the Moon. The identification of common issues, as the vagina dentata topic, strengthens the links between the Popol Vuh myth and the Izapa and Copan representations. It also reveals less known details on the sexual symbolism included in the Mesoamerican cosmogonic myths.

  5. Squamous carcinoma of the vagina: treatment, complications, and long-term follow-up

    International Nuclear Information System (INIS)

    Seventy-five cases of primary squamous cell carcinoma of the vagina treated at the University of Pennsylvania are reviewed with long-term follow-up presented. These comprised 2.5% of all female genital malignancies treated during 1958 to 1980 inclusive. Patients treated during that time with non-squamous cell cancers have been excluded. Patients are analyzed with regard to stage, therapy, complications, and survival. Sixty-five percent of patients were stage I or II. Five-year survival for the entire group was 45%. Patients treated with radical surgery other than exenteration did well, with 7 of 8 surviving 5 years. Serious treatment complications were mostly related to radiation therapy and primarily involved the bowel and bladder. Three patients died of complications. Recurrence carried a grave prognosis as 30 of 33 patients with recurrence died of disease. Most recurrences were diagnosed within the first year following treatment. Patients with advanced disease were more likely to have distant recurrences. Although radiation therapy is generally the treatment of choice, radical surgery can yield excellent results when used in carefully selected patients. With meticulous attention to radiation dosage and technique it is hoped that treatment morbidity can be reduced. Optimal treatment of advanced disease may require some form of adjuvant systemic therapy

  6. Assessment of the effects of naringenin-type flavanones in uterus and vagina.

    Science.gov (United States)

    Keiler, Annekathrin Martina; Dörfelt, Peggy; Chatterjee, Namita; Helle, Janina; Bader, Manuela I; Vollmer, Günter; Kretzschmar, Georg; Kuhlee, Franziska; Thieme, Detlef; Zierau, Oliver

    2015-01-01

    The potential utilization of plant secondary metabolites possessing estrogenic properties as alternatives to the classical hormone replacement therapy (HRT) for the relief of postmenopausal complaints asks for an evaluation regarding the safety in reproductive organs. In order to contribute to the estimation of the safety profile of the flavanones naringenin (Nar), 8?prenylnaringenin (8PN) and 6?(1,1?dimethylally) naringenin (6DMAN), we investigated uterus and vagina derived from a three?day uterotrophic assay in rats. Also, we investigated the metabolite profile resulting from the incubation of the three substances with liver microsomes. While no metabolites were detectable for naringenin, hydroxylation products were observed for 8PN and 6DMAN after incubation with human as well as rat liver microsomes. The parent compound naringenin did not evoke any estrogenic responses in the investigated parameters. A significant increase of the uterine wet weight, uterine epithelial thickness and proliferating vaginal cells was observed in response to 8PN, questioning the safety of 8PN if applied in the human situation. In contrast, no estrogenic effects on the reproductive organs were observed for 6DMAN in the conducted study, rendering it the compound with a more promising safety profile, therefore justifying further investigations into its efficacy to alleviate postmenopausal discomforts. PMID:25305411

  7. Specific adhesion and invasion of Salmonella Enteritidis in the vagina of laying hens.

    Science.gov (United States)

    Mizumoto, Naoe; Sasai, Kazumi; Tani, Hiroyuki; Baba, Eiichiroh

    2005-11-30

    Salmonella Enteritidis is the predominant serovar associated with egg-borne salmonellosis in humans. The colonization of S. Enteritidis in the vagina may play a role in the production of S. Enteritidis-contaminated eggs. In the first experiment, the in vitro adhesion of S. Enteritidis in vaginal and follicular explants was compared with that of S. Typhimurium by bacteriological isolation methods. The mean number of S. Enteritidis associated with vaginal explants was significantly (P serovars associated with follicular explants. In the second experiment, the in vitro adhesion and invasion of S. Enteritidis strains in the vaginal epithelium was compared with that of several strains of S. Agona, S. Infantis, S. Hadar, S. Heidelberg, S. Montevideo and S. Typhimurium, by immunohistochemical methods. The mean number of Salmonella in the vaginal epithelium depended on their lipopolysaccharide (LPS) type, with the rank order as follows: LPS type O9 (S. Enteritidis) > LPS type O4 (S. Agona, S. Typhimurium and S. Heidelberg) > LPS type O7 (S. Montevideo and S. Infantis) and LPS type O8 (S. Hadar). This rank order of Salmonella invasiveness is in accordance with the frequency of Salmonella outbreaks involving contaminated eggs. These findings suggest that S. Enteritidis has a higher ability to colonize the vaginal epithelium than other serovars, and the Salmonella LPS type may play an essential role in tropism of the reproductive tract. PMID:16242866

  8. Reconstruction of the anus, rectovaginal septum, and distal part of the vagina after postirradiation necrosis. Report of a unique case

    Energy Technology Data Exchange (ETDEWEB)

    Nowacki, M.P.; Towpik, E.

    1988-08-01

    Successful repair of postirradiation total loss of the anal sphincters, rectovaginal septum, and distal part of the vagina is reported. Gracilis muscle flap was used as a substitute sphincter. Part of the muscle was wrapped-up in a split skin graft. To the authors' knowledge, this is the first report on new application of gracilis muscle and split skin graft in perineal reconstruction.

  9. Expression of estrogen receptor alpha and beta in the uterus and vagina of immature rats treated with 17-ethinyl estradiol.

    Science.gov (United States)

    Kang, Jin Seok; Lee, Beom Jun; Ahn, Byeongwoo; Kim, Dae Joong; Nam, Sang Yoon; Yun, Young Won; Nam, Ki Taek; Choi, Mina; Kim, Hyung Sik; Jang, Dong Deuk; Lee, Yong Soon; Yang, Ki-Hwa

    2003-12-01

    The action of estrogen on target organs has been actively studied with the discovery of estrogen receptor (ER) beta. This study was carried out to examine the expression of ERalpha and ERbeta in the uterus and the vagina of immature Sprague-Dawley rats treated with 17-ethinyl estradiol (EE). Twenty days old rats were subcutaneously treated with EE at the doses of 0 (vehicle control), 0.03, 0.3, 1.0, 3.0, and 10.0 microg/kg/day for three consecutive days. The treatment of EE at the doses of 0.3, 1.0, 3.0 and 10.0 microg/kg/day significantly increased the weights of the uterus and vagina of rats (pfluid in the uterus of rats. At the high doses of 3.0 and 10.0 microg/kg/day, the treatment of EE caused an increase in the uterine height, hypertrophy, and a decrease in the expression of ERalpha and ERbeta in the uterine luminal and glandular epithelium. The treatment of EE at the doses of 3.0 and 10.0 microg/kg/day also caused cornification and a decrease in the expression of ERalpha and ERbeta in the vaginal epithelium. These results suggest that the EE treatment decrease the expression of ERalpha and ERbeta in the uterus and vagina of immature rats and that may be associated with the morphological changes such as increase in the uterine height, hypertrophy of the uterine epithelium, and cornification of the vagina. PMID:14709816

  10. A primary amelanotic melanoma of the vagina, diagnosed by immunohistochemical staining with HMB-45, which recurred as a pigmented melanoma

    OpenAIRE

    Oguri, H.; Izumiya, C.; Maeda, N.; Fukaya, T.; Moriki, T.

    2004-01-01

    Usually, malignant melanoma is readily diagnosed by the presence of melanin granules. Although amelanotic melanoma contains a few melanin granules, it is often difficult to differentiate from non-epithelial malignant tumours. This report describes a case of amelanotic melanoma of the vagina, which was originally suspected to be a non-epithelial malignant tumour, but was subsequently correctly diagnosed by immunohistochemical staining with the HMB-45 antibody and for the S-100 protein. A light...

  11. In Utero Exposure to Low Doses of Bisphenol A Lead to Long-term Deleterious Effects in the Vagina

    Directory of Open Access Journals (Sweden)

    G. Schönfelder

    2002-01-01

    Full Text Available The origins of the “endocrine disrupter hypothesis” may be traced to reports on adolescent daughters born to women who had taken the highly potent synthetic estrogen, diethylstilbestrol, while pregnant, and who developed a rare form of vaginal cancer and adenocarcinoma. Bisphenol A (BPA is an estrogenic chemical that is highly employed in the manufacture of a wide range of consumer products. Some observational studies have suggested that the amounts of BPA to which we are exposed could alter the reproductive organs of developing rodents. We examined the influence of BPA at low doses to address the questions of (a whether in utero exposure affects the vagina of the offspring and (b which mechanisms cause the toxic effects. Gravid Sprague-Dawley dams were administered either 0.1 (low dose or 50 mg/kg per day BPA, the no observed effect level, or 0.2 mg/kg per day 17?ethinyl estradiol by gavage. Striking morphological changes were observed in the vagina of postpubertal offspring leading us to examine vaginal estrogen receptor (ER expression because BPA binds to the ER?, which is important for growth of the vaginal epithelium. We show that the full-length ER? is not expressed during estrus in the vagina of female offspring exposed to either dose of BPA when compared to the control group, whereas ER? expression does not differ from the control group during the diestrus stage. ERa downregulation seems to be responsible for the observed altered vaginal morphology.

  12. In vivo Raman spectroscopy of human uterine cervix: exploring the utility of vagina as an internal control

    Science.gov (United States)

    Shaikh, Rubina; Dora, Tapas Kumar; Chopra, Supriya; Maheshwari, Amita; Kedar K., Deodhar; Bharat, Rekhi; Krishna, C. Murali

    2014-08-01

    In vivo Raman spectroscopy is being projected as a new, noninvasive method for cervical cancer diagnosis. In most of the reported studies, normal areas in the cancerous cervix were used as control. However, in the Indian subcontinent, the majority of cervical cancers are detected at advanced stages, leaving no normal sites for acquiring control spectra. Moreover, vagina and ectocervix are reported to have similar biochemical composition. Thus, in the present study, we have evaluated the feasibility of classifying normal and cancerous conditions in the Indian population and we have also explored the utility of the vagina as an internal control. A total of 228 normal and 181 tumor in vivo Raman spectra were acquired from 93 subjects under clinical supervision. The spectral features in normal conditions suggest the presence of collagen, while DNA and noncollagenous proteins were abundant in tumors. Principal-component linear discriminant analysis (PC-LDA) yielded 97% classification efficiency between normal and tumor groups. An analysis of a normal cervix and vaginal controls of cancerous and noncancerous subjects suggests similar spectral features between these groups. PC-LDA of tumor, normal cervix, and vaginal controls further support the utility of the vagina as an internal control. Overall, findings of the study corroborate with earlier studies and facilitate objective, noninvasive, and rapid Raman spectroscopic-based screening/diagnosis of cervical cancers.

  13. Self-assessment of anatomy, sexual sensitivity, and function of the labia and vagina.

    Science.gov (United States)

    Schober, Justine M; Alguacil, Nieves Martin; Cooper, R Scott; Pfaff, Donald W; Meyer-Bahlburg, Heino F L

    2015-04-01

    Patient perceptions of genital esthetics are motivating requests for plastic surgeries that could change sexual sensitivity. There is little information about the sensitivities of labial and introital sites. The aim of this study is to assess the relationship between sexual sensitivity and self-reported sizes of labial and introital sites. Sixty-two healthy, sexually active, adult women (mean age 37.9, range 21-60) with no history of genital or vaginal surgery gave written consent to participate in this study. A modified version of Self-Assessment of Genital Anatomy and Sexual Function (L-SAGASF-F) was used to assess labial and introital size. Site-specific sensation was rated on Likert scales of 1-5. Anatomical locations were compared for ratings. Of 62 responders, 84% (52) described their labia as "average-sized," 11% (7) described their labia minora and 13% (8) their labia majora as "large", and 3% (2) and 5% (3) as "small". Sexual pleasure ratings were "moderate" (median value: 3.0 for external genitalia and vaginal lumen) or "strong" (median value: 4.0 for the interior vagina). Significantly higher rankings related to the vaginal opening (P?=?0.007). Orgasm intensity for stimulation of the external genitalia progressively increased toward the vaginal opening, from 1.0 to 3.0 (P?=?0.001); vaginal ratings showed a similar progression, from 2.0 at the external luminal margin to 3.0 in the deep interior (P?labial and introital sensitivity, regardless of self-reported size, were very similar to those at other genital sites for sexual pleasure. Surgical excision of labial and introital structures could modify sexual sensation. Clin. Anat. 28:355-362, 2015. © 2015 Wiley Periodicals, Inc. PMID:25683213

  14. xpression of estrogen and progesterone receptor genes in endometrium, myometrium and vagina of postmenopausal women treated with estriol / Expresión de los genes receptores de estrógeno y progesterona en el endometrio, miometrio y vagina en mujeres posmenopáusicas tratadas con estriol

    Scientific Electronic Library Online (English)

    Magdalena, Bry& #347; ; Krzysztof, Szytto; Hanna, Romanowicz-Makowska; Zbigniew, Dobrowolski; Izabela, Mastowska; Wanda, Krajewska.

    Full Text Available SciELO Brazil | Language: English Abstract in spanish CONTEXTO Y OBJETIVO: El estriol es un estrógeno con un efecto estimulatorio bastante más débil sobre la proliferación endometrial que el estradiol. Se realizó un estudio para determinar los efectos de una terapia vaginal de 14 días con estriol, sobre el nivel de receptores de estrógeno (ER) y recept [...] ores de progesterona (PR), comparado con mujeres sin esa terapia. La expresión de los genes de ER y PR se analizó en el endometrio, miometrio y vagina de mujeres posmenopáusicas tratadas con estriol. DISEÑO Y UBICACIÓN: Estudio Transversal analítico, en el Instituto de Investigación del Hospital de la Madre Polaca en Lodz, Polonia. MÉTODOS: Se incluyeron veintisiete mujeres posmenopáusicas (de 57 a 74 años) en el estudio. Todas ellas estaban en espera de una histerectomía per vaginam o de cirugía plástica de la vagina y del perineo debido a un prolapso del útero. La expresión de genes de los receptores ER y PR se estableció por la técnica de RT-PCR. RESULTS: En las pacientes tratadas con estriol en comparación con el grupo de control, se observó un aumento significativo de la expresión del gen de ER en el endometrio y la vagina, mientras que un aumento de la expresión del gen de PR se encontró en el endometrio. De todas formas, en el examen histológico del endometrio, se diagnosticó estimulación estrogénica de bajo y medio grado en el 21.4% y en el 14.3% de las mujeres tratadas con estriol, respectivamente. CONCLUSIONES: Los resultados obtenidos sugieren que un tratamiento de 14 días con estriol en pacientes, aunque aumentan el nivel de ER y de PR mRNA, tiene muy poco o ningún efecto sobre la proliferación endometrial. Abstract in english CONTEXT AND OBJECTIVE: Estriol is an estrogen with considerably weaker stimulatory effects on endometrial proliferation than estradiol. A study was conducted to determine the level of estrogen receptors (ERs) and progesterone receptors (PRs) in women who received 14-day vaginal estriol therapy, comp [...] ared with those who did not receive this therapy. ER and PR gene expression was analyzed in the endometrium, myometrium and vagina of postmenopausal women treated with estriol. DESIGN AND SETTING: Analytical cross-sectional study, at the Research Institute of the Polish Mothers' Memorial Hospital, Lodz, Poland. METHODS: Twenty-seven postmenopausal women (57-74 years of age) were included in the study. All of them were waiting for per vaginam hysterectomy or plastic surgery on the vagina and perineum because of uterine prolapse. ER and PR gene expression was determined by means of the technique of reverse transcription polymerase chain reaction (RT-PCR). RESULTS: In the estriol-treated patients, in comparison with the control group, a significant increase in ER gene expression was observed in the endometrium and vagina, while enhanced PR gene expression was found in the endometrium. However, under histological examination of the endometrium, estrogen stimulation of low and medium degree was diagnosed for 21.4% and 14.3% of the estriol-treated women, respectively. CONCLUSION: The results obtained suggest that the women who received 14 days of treatment with vaginal estriol had higher ER and PR mRNA levels. No difference between these groups regarding endometrial proliferation was observed.

  15. Avaliação dosimétrica de uma combinação de aplicadores para braquiterapia de tumores do colo uterino com acometimento da porção distal da vagina / Dosimetric evaluation of a combination of brachytherapy applicators for uterine cervix cancer with involvement of the distal vagina

    Scientific Electronic Library Online (English)

    Roger Guilherme Rodrigues, Guimarães; Heloisa de Andrade, Carvalho; Silvia Radwanski, Stuart; Rodrigo Augusto, Rubo; Rodrigo Migotto, Seraide.

    2009-08-01

    Full Text Available OBJETIVO: Avaliar uma alternativa de braquiterapia para tumores do colo uterino acometendo a porção distal da vagina, sem aumentar os riscos de toxicidade. MATERIAIS E MÉTODOS: Estudo teórico comparando três diferentes aplicadores de braquiterapia intracavitária de alta taxa de dose: sonda intrauter [...] ina e cilindro vaginal (SC); sonda e anel associado ao cilindro vaginal (SA+C) e um aplicador virtual com sonda, anel e cilindro vaginal em um único conjunto (SAC). Foram prescritas doses de 7 Gy no ponto A e 5 Gy na superfície ou a 5 mm de profundidade na mucosa vaginal, mantendo as doses nos pontos de reto, bexiga e sigmoide abaixo dos limites de tolerância. Foram comparados os volumes englobados pelas isodoses de 50% (V50), 100% (V100), 150% (V150) e 200% (V200), respectivamente. RESULTADOS: Tanto SA+C quanto SAC apresentaram melhor distribuição de dose quando comparados ao aplicador SC. A distribuição de dose obtida com SA+C foi semelhante à do aplicador SAC, sendo V150 e V200 cerca de 50% maiores para SA+C, todavia, dentro do cilindro. CONCLUSÃO: A utilização de SA+C em uma única aplicação em dois tempos pode ser uma alternativa de tratamento para pacientes que apresentam tumores de colo uterino com acometimento distal da vagina. Abstract in english OBJECTIVE: To evaluate an alternative brachytherapy technique for uterine cervix cancer involving the distal vagina, without increasing the risk of toxicity. MATERIALS AND METHODS: Theoretical study comparing three different high-dose rate intracavitary brachytherapy applicators: intrauterine tandem [...] and vaginal cylinder (TC); tandem/ring applicator combined with vaginal cylinder (TR+C); and a virtual applicator combining both the tandem/ring and vaginal cylinder in a single device (TRC). Prescribed doses were 7 Gy at point A, and 5 Gy on the surface or at a 5 mm depth of the vaginal mucosa. Doses delivered to the rectum, bladder and sigmoid colon were kept below the tolerance limits. Volumes covered by the isodoses, respectively, 50% (V50), 100% (V100), 150% (V150) and 200% (V200) were compared. RESULTS: Both the combined TR+C and TRC presented a better dose distribution as compared with the TC applicator. The TR+C dose distribution was similar to the TRC dose, with V150 and V200 being about 50% higher for TR+C (within the cylinder). CONCLUSION: Combined TR+C in a two-time single application may represent an alternative therapy technique for patients affected by uterine cervix cancer involving the distal vagina.

  16. Avaliação dosimétrica de uma combinação de aplicadores para braquiterapia de tumores do colo uterino com acometimento da porção distal da vagina Dosimetric evaluation of a combination of brachytherapy applicators for uterine cervix cancer with involvement of the distal vagina

    Directory of Open Access Journals (Sweden)

    Roger Guilherme Rodrigues Guimarães

    2009-08-01

    Full Text Available OBJETIVO: Avaliar uma alternativa de braquiterapia para tumores do colo uterino acometendo a porção distal da vagina, sem aumentar os riscos de toxicidade. MATERIAIS E MÉTODOS: Estudo teórico comparando três diferentes aplicadores de braquiterapia intracavitária de alta taxa de dose: sonda intrauterina e cilindro vaginal (SC; sonda e anel associado ao cilindro vaginal (SA+C e um aplicador virtual com sonda, anel e cilindro vaginal em um único conjunto (SAC. Foram prescritas doses de 7 Gy no ponto A e 5 Gy na superfície ou a 5 mm de profundidade na mucosa vaginal, mantendo as doses nos pontos de reto, bexiga e sigmoide abaixo dos limites de tolerância. Foram comparados os volumes englobados pelas isodoses de 50% (V50, 100% (V100, 150% (V150 e 200% (V200, respectivamente. RESULTADOS: Tanto SA+C quanto SAC apresentaram melhor distribuição de dose quando comparados ao aplicador SC. A distribuição de dose obtida com SA+C foi semelhante à do aplicador SAC, sendo V150 e V200 cerca de 50% maiores para SA+C, todavia, dentro do cilindro. CONCLUSÃO: A utilização de SA+C em uma única aplicação em dois tempos pode ser uma alternativa de tratamento para pacientes que apresentam tumores de colo uterino com acometimento distal da vagina.OBJECTIVE: To evaluate an alternative brachytherapy technique for uterine cervix cancer involving the distal vagina, without increasing the risk of toxicity. MATERIALS AND METHODS: Theoretical study comparing three different high-dose rate intracavitary brachytherapy applicators: intrauterine tandem and vaginal cylinder (TC; tandem/ring applicator combined with vaginal cylinder (TR+C; and a virtual applicator combining both the tandem/ring and vaginal cylinder in a single device (TRC. Prescribed doses were 7 Gy at point A, and 5 Gy on the surface or at a 5 mm depth of the vaginal mucosa. Doses delivered to the rectum, bladder and sigmoid colon were kept below the tolerance limits. Volumes covered by the isodoses, respectively, 50% (V50, 100% (V100, 150% (V150 and 200% (V200 were compared. RESULTS: Both the combined TR+C and TRC presented a better dose distribution as compared with the TC applicator. The TR+C dose distribution was similar to the TRC dose, with V150 and V200 being about 50% higher for TR+C (within the cylinder. CONCLUSION: Combined TR+C in a two-time single application may represent an alternative therapy technique for patients affected by uterine cervix cancer involving the distal vagina.

  17. Dosimetric evaluation of a combination of brachytherapy applicators for uterine cervix cancer with involvement of the distal vagina; Avaliacao dosimetrica de uma combinacao de aplicadores para braquiterapia de tumores do colo uterino com acometimento da porcao distal da vagina

    Energy Technology Data Exchange (ETDEWEB)

    Guimaraes, Roger Guilherme Rodrigues [Real e Benemerita Sociedade Portuguesa de Beneficencia, Sao Paulo, SP (Brazil). Servico de Radioterapia Estereotactica; Carvalho, Heloisa de Andrade; Stuart, Silvia Radwanski; Rubo, Rodrigo Augusto [Universidade de Sao Paulo (USP), SP (Brazil). Hospital das Clinicas. Servico de Radioterapia], e-mail: handrade@hcnet.usp.br; Seraide, Rodrigo Migotto [Centro de Oncologia Campinas, SP (Brazil)

    2009-07-15

    Objective: To evaluate an alternative brachytherapy technique for uterine cervix cancer involving the distal vagina, without increasing the risk of toxicity. Materials And Methods: Theoretical study comparing three different high-dose rate intracavitary brachytherapy applicators: intrauterine tandem and vaginal cylinder (TC); tandem/ring applicator combined with vaginal cylinder (TR+C); and a virtual applicator combining both the tandem/ring and vaginal cylinder in a single device (TRC). Prescribed doses were 7 Gy at point A, and 5 Gy on the surface or at a 5 mm depth of the vaginal mucosa. Doses delivered to the rectum, bladder and sigmoid colon were kept below the tolerance limits. Volumes covered by the isodoses, respectively, 50% (V50), 100% (V100), 150% (V150) and 200% (V200) were compared. Results: Both the combined TR+C and TRC presented a better dose distribution as compared with the TC applicator. The TR+C dose distribution was similar to the TRC dose, with V150 and V200 being about 50% higher for TR+C (within the cylinder). Conclusion: Combined TR+C in a two-time single application may represent an alternative therapy technique for patients affected by uterine cervix cancer involving the distal vagina. (author)

  18. Efecto del sistema de crianza (extensivo vssemiintensivo del macho cabrío, sobre la obtención de semen mediante vagina artificial

    Directory of Open Access Journals (Sweden)

    V\\u00EDctor Manuel Prado

    2001-01-01

    Full Text Available Con el propósito de evaluar el efecto del sistema de crianza (extensivo vs semiintensivo del macho cabrío, en el entrenamiento para colecta de semen mediante vagina artificial, se utilizaron ocho animales criollos, de dos años de edad, con experiencia sexual; cuatro habían sido criados bajo condiciones extensivas, y los restantes bajo un manejo semiintensivo. Todos recibieron ocho sesiones de entrenamiento, exponiéndoles en forma individual, dos veces por semana, ante una hembra en celo durante 20 minutos o menos, para el caso de que eyacularan antes de cubrir el periodo. El orden de exposición se modificó en cada día de entrenamiento, pero siempre alternando los machos de acuerdo con su tipo de crianza. Los cuatro machos criados bajo condiciones semiintensivas eyacularon en la vagina artificial desde la primera exposición, mientras que ninguno de los animales criados bajo condiciones extensivas lograron eyacular durante las ocho sesiones de entrenamiento a que se sometieron. Los resultados sugieren que aquellos animales criados bajo condiciones extensivas, pueden desarrollar altos niveles de miedo durante evaluaciones sexuales ante la presencia cercana del humano, disminuyendo su motivación sexual bajo tales condiciones.

  19. Dosimetric evaluation of a combination of brachytherapy applicators for uterine cervix cancer with involvement of the distal vagina

    International Nuclear Information System (INIS)

    Objective: To evaluate an alternative brachytherapy technique for uterine cervix cancer involving the distal vagina, without increasing the risk of toxicity. Materials And Methods: Theoretical study comparing three different high-dose rate intracavitary brachytherapy applicators: intrauterine tandem and vaginal cylinder (TC); tandem/ring applicator combined with vaginal cylinder (TR+C); and a virtual applicator combining both the tandem/ring and vaginal cylinder in a single device (TRC). Prescribed doses were 7 Gy at point A, and 5 Gy on the surface or at a 5 mm depth of the vaginal mucosa. Doses delivered to the rectum, bladder and sigmoid colon were kept below the tolerance limits. Volumes covered by the isodoses, respectively, 50% (V50), 100% (V100), 150% (V150) and 200% (V200) were compared. Results: Both the combined TR+C and TRC presented a better dose distribution as compared with the TC applicator. The TR+C dose distribution was similar to the TRC dose, with V150 and V200 being about 50% higher for TR+C (within the cylinder). Conclusion: Combined TR+C in a two-time single application may represent an alternative therapy technique for patients affected by uterine cervix cancer involving the distal vagina. (author)

  20. Definitive radiotherapy for carcinoma of the vagina: outcome and prognostic factors

    International Nuclear Information System (INIS)

    Purpose: Primary carcinoma of the vagina is an uncommon tumor. Because of the long-standing interest in this disease at our institution a substantial number of patients with this disease has been accumulated, and this retrospective review was performed to define disease outcome, to delineate significant prognostic factors, and to provide treatment guidelines. Methods and Materials: This was a retrospective review of 301 patients with vaginal carcinoma (271 with squamous cell and 30 with adenocarcinoma) who received definitive radiotherapy between 1953 and 1991. Prognostic factors for outcome (local control, pelvic control, metastatic relapse, survival, and complications) were evaluated using univariate and multivariate techniques. Results: Patients disease was staged using the International Federation of Gynecology and Obstetrics (FIGO) system, and stages were distributed as follows: 0, 37 (12%); I, 65 (22%); II, 122 (40%); III, 60 (20%); and, IVA, 17 (6%). Treatment varied according to stage, with brachytherapy predominating for early disease but external beam playing a prominent role for more advanced disease. Patients with in situ disease received brachytherapy alone or transvaginal orthovoltage irradiation. For Stage I, brachytherapy alone was used in 25, external beam and brachytherapy in 38, and transvaginal alone in 2. For Stage II, brachytherapy alone was used in 20, external and brachytherapy in 66, and external irradiation alone in 36. For Stage III, externaiation alone in 36. For Stage III, external and brachytherapy was used in 15, and external alone in 45. Two patients with Stage IVA received brachytherapy alone, 10 received a combination of external and brachytherapy, and 6 received external irradiation alone. Total doses ranged from 10 to 154 Gy (mean 74.7 Gy, median 70.0 Gy), but only 18 (6%) received less than 55 Gy. At a median follow-up of 13 years, the 5-, 10-, 15-, 20-, and 25-year survival rates were 60%, 49%, 38%, 29%, and 23%, respectively. Beyond 5 years the survival rates relative to those for age-matched females in the general population were between 50 and 65%. Actuarial local recurrence rates were 23%, 26%, and 26% at 5, 10, and 15 years. Actuarial pelvic relapse rates were 26%, 30%, and 31% at 5, 10, and 15 years, and metastatic rates at those times were 15%, 18%, and 18%. Adenocarcinoma (nonclear cell) was a significantly worse disease than squamous cell carcinoma. The major determinants of local control for squamous carcinoma were tumor bulk (specified by size in centimeters, or by FIGO stage), tumor site (upper lesions faring better than others), and tumor circumferential location (lesions involving the posterior wall faring worse). Tumor bulk was an important determinant of metastatic relapse, but failure to achieve local control was also an independently significant determinant of metastases. Salvage after first relapse was uncommon and the survival rate at 5 years after relapse was only 12%. Serious complications occurred in 39 patients with an actuarial incidence of 19% at 20 years. Conclusion: Vaginal carcinoma poses a formidable therapeutic challenge. The disease is heterogeneous with respect to its prognostic factors. Nonclear cell adenocarcinoma has an extremely poor prognosis and should be distinguished from squamous carcinoma. Both external beam and brachytherapy play crucial roles in management and most patients with disease beyond in situ should receive a significant component of external irradiation prior to brachytherapy

  1. Histological, hormonal and biomolecular analysis of the pathogenesis of ovine Prolapsus vaginae ante partum.

    Science.gov (United States)

    Ennen, S; Kloss, S; Scheiner-Bobis, G; Failing, K; Wehrend, A

    2011-01-15

    The objectives of the present study were to evaluate the hormonal profiles, histology of the vagina and biomolecular analysis of connective tissue of ewes with and without vaginal prolapse. Blood samples from the jugular vein and biopsies of the vaginal tissue were taken from five late term pregnant, unaffected animals, four sheep during parturition and six ewes suffering from vaginal prolapse ante partum. The blood samples were submitted for determining the concentration of the steroid hormones progesterone by automatic luminescence immunoassay and estradiol-17? by the sequence test. Investigations in the mRNA-expression including the estimation of the transcript levels of the ?(2)-chain of collagen I, the collagenolytic metalloproteinase 1 (MMP 1), the tissue inhibitor of MMP 1 (TIMP 1) and the estrogen receptor ? were carried out by using semiquantitative reverse transcription-PCR. Additionally, the histology of the vaginal wall of ewes with and without vaginal prolapse and animals intra partum was assessed. Because of a right-skewed distribution, data were logarithmised and described using the geometric mean (xg) and the dispersion factor (DF). The average progesterone concentration of affected ewes (xg = 19.35 ng/ml, DF 1.33) was above those of control animals ante (xg = 10.44 ng/ml, DF 1.58) and intra partum (xg = 9.24 ng/ml, DF 1.92). Compared to the pregnant control group (xg = 20.13 pg/ml, DF 1.49) the plasma levels of 17?-estradiol in animals suffering from ante partum vaginal prolapse (xg = 27.81 pg/ml, DF 1.56) appeared to be slightly increased, but the difference was without statistical significance. The analysis of mRNA expression revealed a difference in the ante partum collagen metabolism in affected sheep. In prolapsed tissue the ?2-chain of collagen I showed a decreased expression level in relation to the control animals in late-term pregnancy (P evidence for an inflammation of the prolapsed vaginal tissue since infiltration of leucocytes was present in all samples equally. The thickest vaginal epithelium due to hyperplasia of the epithelial cells was observed in sheep suffering from ante partum vaginal prolapse (xg = 83.95 ?m, DF 1.21). This difference was statistically significant between the ante (xg = 31.12 ?m, DF 1.22) and intra partum groups (xg = 33.27 ?m, DF 1.24). Peripheral concentrations of progesterone and estradiol-17? seem to have no influence on the occurrence of vaginal prolapse in ewes. Regarding histology of the vaginal wall in combination with the expression of local estrogen receptors, it was determined that there is neither a pronounced oedema nor an overexpression of the estrogen receptor ? in affected animals, which means that no local estrogenic effect provokes the prolapse of vaginal tissue. The biomolecular analysis led to the new result, that ewes suffering from vaginal prolapse show alterations in the antepartal metabolism of vaginal connective tissue. PMID:20875672

  2. Genital panics: constructing the vagina in women's qualitative narratives about pubic hair, menstrual sex, and vaginal self-image.

    Science.gov (United States)

    Fahs, Breanne

    2014-06-01

    An emerging body of research targets women's relationship to their genitals, particularly as pubic hair removal and the promotion of female genital surgeries increase in popularity and visibility. This study asked women to discuss their subjective feelings about three related but distinct genital attitudes: pubic hair grooming, sex during menstruation, and genital/vaginal self-image. Specifically, this study applied thematic analysis to qualitative interviews with a community sample of 20 women (mean age=34, SD=13.35) from diverse ages, races, and sexual identity backgrounds to illuminate seven themes in women's narratives about their vaginas: (1) "dirty" or "gross"; (2) needing maintenance; (3) unknown or frustrating; (4) unnatural; (5) comparative; (6) ambivalent; (7) affirmative. Overwhelmingly, women used strong emotional language when discussing their genitals, often evoking descriptions of anxiety, excess, and need for control. Fusions between sexuality and body image, and connections between "genital panics" and internalized racism, sexism, and homophobia, also appeared. PMID:24958655

  3. Nonoxynol-9 berberine plural gel has little effect on expression of SLPI, SP-D and lactoferrin in mice’s vagina

    Directory of Open Access Journals (Sweden)

    Huang Guangying

    2013-01-01

    Full Text Available Background: The most frequently used spermicide Nonoxynol-9 (N-9 in the clinic alters the vaginal flora, which will result in an increased risk of opportunistic infection. So development of a novel spermicidal and microbicidal drug appears to be inevitable. Vaginal local immune is an important part of vaginal flora. Secretory leukocyte protease inhibitor (SLPI, surfactant proteins D (SP-D, and lactoferrin (LF are anti-microbial molecules with important roles in immune system of female vaginas. Objective: To observe effect of a vaginal spermicide nonoxynol-9 (N-9 berberine plural gel on the expression of SLPI SP-D and LF in mice’s vaginas. Materials and Methods: Female BABL/C mice were randomly divided into following 5 groups: normal control group, blank gel group, berberine gel group, 12% N-9 gel group and N-9 berberine plural gel group. Estradiol benzoate at physiological dose was done by hypodermic injection to every group’s mice. After 72h, drug gels were separately injected into the mice’s vaginas, while immunohistochemistry and Western blot were taken to detect the expression of the 3 indexes in mice’s vaginas respectively after 24h and 72h of gel injection. Results: The differences in the three indexes between normal control group and blank gel group were not significant statistically (p>0.05. The expression of the three indexes in 12% N-9 gel group was decreased compared to that in blank gel group (p0.05. Also, the three index's level of 24h and 72h in sub observation groups after treatment were without statistical significance (p>0.05. Conclusion: Application of N-9 berberine plural gel had little impact on antimicrobial peptides in normal mice’s vaginas.

  4. Effect of semen collection method (artificial vagina vs. electroejaculation), extender and centrifugation on post-thaw sperm quality of Blanca-Celtibérica buck ejaculates.

    Science.gov (United States)

    Jiménez-Rabadán, P; Ramón, M; García-Álvarez, O; Maroto-Morales, A; del Olmo, E; Pérez-Guzmán, M D; Bisbal, A; Fernández-Santos, M R; Garde, J J; Soler, A J

    2012-05-01

    The aim of this study was to evaluate the effect of semen collection method (artificial vagina compared to electroejaculation), season in which the semen was collected (breeding season compared to non-breeding season), freezing extender (Biladyl(®), Andromed(®) and skim milk based extender) and pre-treatment procedure (washing compared to non-washing) on post-thaw semen quality in buck. Ejaculates from seven bucks of the Blanca-Celtibérica breed were collected by artificial vagina and electroejaculation during the breeding (July to December) and non-breeding season (January to June). Samples were split in two aliquots and one of them was washed. Three freezing extenders were evaluated on washing and non-washing sperm samples. Ejaculates collected by artificial vagina had a greater sperm quality after thawing, with greater values (P?0.05) for SM (sperm motility), NAR (acrosome intact), YO-PRO-1-/PI- (intact spermatozoa), and Mitotracker+/YO-PRO-1- (spermatozoa with active mitochondria) and lower % DFI (DNA fragmentation index). Thawed sperm samples which were collected during the breeding season had greater values (P?0.05) for NAR, intact spermatozoa and spermatozoa with active mitochondria, than those semen samples obtained during the non-breeding season. Semen freezing with Biladyl(®) and Andromed(®) resulted in a greater sperm quality (P?0.05) after thawing in relation to milk-based extender. Washing procedure had no effect on sperm parameters assessed at thawing. Results from the present study suggest that the success of semen cryopreservation in Blanca-Celtibérica goat depends on semen collection method and season, as well as on the extender used. Thus, the post-thaw sperm quality will be greater (P?0.05) when samples are collected by artificial vagina during the breeding season and when Biladyl(®) or Andromed(®) are used as freezing extenders. PMID:22572556

  5. Erythrina lysistemon-derived flavonoids account only in part for the plant's specific effects on rat uterus and vagina.

    Science.gov (United States)

    Njamen, Dieudonné; Mvondo, Marie Alfrede; Gueyo, Telesphore Nanbo; Zingue, Stéphane; Fomum, Stephen Tanee; Wandji, Jean

    2014-08-15

    Abstract Background: The stem bark ethyl acetate extract of Erythrina lysistemon was found to induce vaginal proliferation in ovariectomized rats orally treated. Alpinumisoflavone (AIF) and abyssinone V-4'-methyl-ether (AME), isolated as its major constituents, were reported to separately provoke uterine growth and/or vaginal proliferation. The present study aimed at evaluating the effects of the mixture of AIF and AME (51 mg/kg [AIF]+153 mg/kg [AME]) following their relative abundance in the extract, in order to compare these effects to those of E. lysistemon. Methods: The study was performed in ovariectomized rats treated intraperitoneally for 3 days. Estradiol valerate (E2 V) and AME were used for positive controls. Morphological and histological changes of animals' uterus and vagina were used as the hallmark of estrogenicity. Results: E. lysistemon extract induced estrogen-like effects only on the uterus and significantly increased uterine wet weight (p<0.01) and uterine epithelial height (p<0.01). These results suggest a tissue-selective action of E. lysistemon extract depending on the route of administration. The mixture of AIF and AME induced E. lysistemon-like effects only at a dose of 1 mg/kg BW/d (0.25 mg/kg+0.75 mg/kg), although these effects were lower in magnitude (p<0.05) compared to those induced by E. lysistemon extract. Conclusions: Effects induced by the mixture of AIF and AME are analogous to those of E. lysistemon, but the low magnitude of these effects suggests that there are minor metabolites that interact with AIF and AME to provoke the specific effects of E. lysistemon. PMID:25153589

  6. Expression and distribution of the transient receptor potential cationic channel ankyrin 1 (TRPA1) in the human vagina.

    Science.gov (United States)

    Ückert, S; Sonnenberg, J E; Albrecht, K; Kuczyk, M A; Hedlund, P

    2015-01-01

    The transient receptor potential cationic channel type A1 (TRPA1), belonging to a superfamily of cationic membrane channels, has been suggested to act as mechano- and pain sensor and, thus, to play a role in neurotransmission in the human body, including the urogenital tract. While the expression of TRPA1 has been investigated in a variety of tissues, up until today, no study has addressed the expression and distribution in the female genital tract. The present study aimed to investigate the expression and distribution of TRPA1 protein in human vaginal tissue. Reverse transcriptase PCR (RT-PCR) was applied in order to identify messenger ribonuleic acid specifically encoding for TRPA/A1. The distribution of TRPA1 in relation to the neuronal nitric oxide synthase (nNOS) and the signaling peptide calcitonin gene-related peptide (CGRP) was examined by means of immunohistochemical methods (double-antibody technique, laser fluorescence microscopy). RT-PCR analysis revealed the expression of mRNA encoding sequences specific for TRPA in the vaginal wall and epithelium. Immunostaining related to TRPA1 was observed in the basal epithelium and in slender varicose nerve fibers transversing the subepithelial and stromal space of the vaginal sections. In addition, these fibers presented immunoreactivity specific for nNOS or CGRP. The smooth musculature of the vaginal wall and small vessels interspersing the tissue did not present signals related to TRPA1. The findings indicate that TRPA1 might be involved in afferent neurotransmission in the vagina and work synergistically together with the nitric oxide/cyclic guanosine monophosphate pathway. PMID:25056810

  7. Il Linguaggio della Vagina

    OpenAIRE

    Marco Menicocci

    2011-01-01

    La cultura delle masse è oggi una cultura prevalentemente visuale. Tra i segni visuali da tempo in crescita è quello, caratteristico, della depilazione pubica femminile. Originata all'interno della cultura porno come segno di passività, questa pratica si è incontrata con i simboli della pulizia, dell'igiene, del rispetto, trasformando così il proprio significato in quello di autonomia e libertà. Così le donne possono depilarsi per scopi erotici minimizzando però la valenza sessuale de...

  8. Il Linguaggio della Vagina

    Directory of Open Access Journals (Sweden)

    Marco Menicocci

    2011-12-01

    Full Text Available La cultura delle masse è oggi una cultura prevalentemente visuale. Tra i segni visuali da tempo in crescita è quello, caratteristico, della depilazione pubica femminile. Originata all'interno della cultura porno come segno di passività, questa pratica si è incontrata con i simboli della pulizia, dell'igiene, del rispetto, trasformando così il proprio significato in quello di autonomia e libertà. Così le donne possono depilarsi per scopi erotici minimizzando però la valenza sessuale del gesto tramite la tendenza alla super-igiene.

  9. Primary intestinal-type glandular lesions of the vagina: clinical, pathologic, and immunohistochemical features of 14 cases ranging from benign polyp to adenoma to adenocarcinoma.

    Science.gov (United States)

    Staats, Paul N; McCluggage, W Glenn; Clement, Philip B; Young, Robert H

    2014-05-01

    Primary intestinal-type glandular lesions of the vagina are rare. We report a series of 14 lesions, including 1 intestinal-type polyp without neoplastic features, 3 adenomas (2 with high-grade dysplasia), and 10 adenocarcinomas. Patients ranged in age from 20 to 86 years (mean 60 y) and presented with vaginal bleeding or a mass. No history of diethylstilbestrol exposure, adenosis, or endometriosis was elicited in any patient. The lesions were mostly polypoid, small (0.8 to 2.0 cm), and located in the posterior (6 cases) and lower (7 cases) vagina. One carcinoma metastasized to a para-aortic lymph node; the others were confined to the vagina. The neoplasms exhibited histologic features identical to those seen in primary large intestinal tumors, including variable numbers of goblet cells and in 1 case neuroendocrine cells. Five of the adenocarcinomas contained areas consistent with a precursor adenoma. In 3 cases, a benign urothelium-lined duct was adjacent to the lesion, and in 2 patients benign intestinal-type epithelium was present; no other potential benign precursor lesions were seen. Immunohistochemical analysis was performed on 6 cases; the tumors were positive for CDX-2 (6/6), CK20 (5/6), CEA (5/5), CK7 (4/6), and CA-125 (2/4) and were negative for ER (0/6) and p16 (0/2). Clinical outcome data were available in 3 patients with adenocarcinomas; 1 died of disease in <1 year, and 2 were alive with no evidence of disease at 2 and 7 years. The pertinent literature is reviewed, and the potential origin and differential diagnosis of these lesions are discussed. PMID:24722061

  10. Histopathologic Changes in the Uterus, Cervix and Vagina of Immature CD-1 Mice Exposed to Low Doses of Perfluorooctanoic Acid (PFOA) in a Uterotrophic Assay

    OpenAIRE

    Dixon, Darlene; Reed, Casey E.; Moore, Alicia B.; Gibbs-flournoy, Eugene A.; Hines, Erin P.; Wallace, Elizabeth A.; Stanko, Jason P.; Lu, Yi; Jefferson, Wendy N.; Newbold, Retha R.; Fenton, Suzanne E.

    2011-01-01

    The estrogenic and antiestrogenic potential of perfluorooctanoic acid (PFOA) was assessed using an immature mouse uterotrophic assay and by histologic evaluation of the uterus, cervix and vagina following treatment. Female offspring of CD-1 dams were weaned at 18 days old and assigned to groups of equal weight, and received 0, 0.01, 0.1, or 1 mg PFOA/kg BW/d by gavage with or without 17-? estradiol (E2, 500 ?g/kg/d) from PND18-20 (n=8/treatment/block). At 24 hr after the third dose (PND 21)...

  11. Histologia e morfometria das glândulas das junções infundíbulo-magno e útero-vagina de codorna doméstica Histology and morphometry of the infundibulum-magnum and uterus-vaginal junctions of spotted quails

    Directory of Open Access Journals (Sweden)

    Carime Moraes

    2009-04-01

    Full Text Available A análise comparativa das glândulas armazenadoras de espermatozóides das junções infundíbulo-magno e útero-vagina do oviduto da codorna Nothura maculosa foi realizada durante a fase reprodutiva. As aves foram eutanasiadas por inalação com éter etílico, após a pesagem. Após a laparotomia e o deslocamento cranial do esterno, foram coletadas amostras de dois centímetros da junção infundíbulo-magno e útero-vagina. Os fragmentos foram fixados em solução de Bouin por 24 horas e, posteriormente, banhos sucessivos de álcool 70% foram aplicados sobre as amostras. Em seguida, as amostras foram desidratadas em uma série de concentração crescente de alcoóis (80, 90, 95 e 3x100%, diafanizadas em xilol e incluídas em parafina. Cortes histológicos de sete micrômetros de espessura foram obtidos e corados pela técnica da Hematoxilina-eosina (HE, que foram analisados e fotomicrografados em um fotomicroscópio Olympus BX-50. Para a análise morfométrica, foram capturadas imagens das glândulas armazenadoras de espermatozóides da junção infundíbulo-magno e útero-vagina mediante o programa computacional "Image Pro Plus 4.1" da Cibernetics do Brasil, tornando-se possível a quantificação das mesmas. A mucosa da junção infundíbulo-magno apresentou pregas estreitas no infundíbulo e largas no magno, enquanto na junção útero-vagina mostrou-se amplamente pregueada na vagina e mais lisa na porção uterina. O número médio de glândulas armazenadoras de espermatozóides na junção infundíbulo-magno foi maior (11,7 glândulas (PThe comparative analysis of sperm-host glands of infundibulum-magnum and uterus-vagina junctions of Nothura maculosa quail oviduct was done during the reproductive phase. The birds were euthanized with ethyl ether after weight data were taken. After abdominal laparotomy and cranial displacement of the breastbone, two centimeters samples of infundibulum-magnum and uterus-vagina junctions were collected. The samples were fixed in Bouin's solution for twenty four hours and later, successive baths of alcohol 70% were applied on samples and soon afterwards dehydrated in a series of grow concentration alcohols (80, 90, 95 and 3x100%, diaphanized in xylol and included on paraffin. Histological sections with seven micrometers thickness were obtained and stained on Haematoxylin-Eosin (HE technique, then they were analyzed and photomicrographed in a photomicroscope Olympus BX-50. For the morphometry analysis, infundibulum-magnum junctions and uterus-vagina sperm host gland images were captured through a computacional program Image Pro Plus 4.1", Cibernetics Brazil, making it possible to quantify them. The mucosa of the infundibulum-magnum junction presented very narrow folds in the infundibulum and too large in the magnum, while in the uterus-vagina junction was observed widely folds mucous in the vagina and smoother in the uterine portion. The average of sperm host gland in the infundibulum-magnum junction was higher (11.7 glands (P<0.01 compared to the uterus-vagina junction (7.5 glands. It is supposed that the abundance number of sperm host glands in infundibulum-magnum junction allows faster access of the oocyte, after the ovulation of the host spermatozoid ensuring the fertilization.

  12. [A case of neoadjuvant chemotherapy for locally advanced rectal cancer, which had a invasion into the vagina followed by curative resection].

    Science.gov (United States)

    Kimura, Kei; Kagawa, Yoshinori; Kato, Takeshi; Ishida, Tomo; Morimoto, Yoshihiro; Matusita, Katsunori; Kusama, Hiroki; Hashimoto, Tadayoshi; Katura, Yoshiteru; Nitta, Kanae; Takeno, Atushi; Nakahira, Shin; Okishiro, Masatsugu; Sakisaka, Hideki; Taniguchi, Hirokazu; Egawa, Chiyomi; Takeda, Yutaka; Tamura, Shigeyuki

    2014-11-01

    A-64-years-old woman with locally advanced rectal cancer, which had invaded the vagina, was referred to our hospital. She was administered neoadjuvant chemotherapy to reduce the tumor size. After 4 courses of chemotherapy consisting of folinic acid, fluorouracil, and oxaliplatin (mFOLFOX6), an enhanced computed tomography (CT) scan and magnetic resonance imaging (MRI) indicated marked tumor shrinkage. We performed a laparoscopically assisted low anterior resection, which included total mesorectal resection, resection of the vaginal posterior wall, and right lateral lymph node resection. The chemotherapy prevented us from having to create a permanent colostomy. The efficacy of the neoadjuvant chemotherapy was Grade 1b. We experienced a case of neoadjuvant chemotherapy followed by curative resection. PMID:25731314

  13. Effects of depomedroxyprogesterone acetate on the development and maintenance of Candida albicans in the vagina of oophorectomized Wistar rats (Rattus norvegicus)

    Scientific Electronic Library Online (English)

    Agenor, Storti-Filho; Edilson, Damke; Márcia Aparecida, Carrara; Marcia Regina, Batista; Lucélia, Donatti; Cinthia Gandolfi, Boer; Terezinha Inez Estivalet, Svizdinski; Márcia Edilaine Lopes, Consolaro.

    2011-03-01

    Full Text Available SciELO Brazil | Language: English Abstract in portuguese O objetivo do presente estudo foi determinar os efeitos do acetato de depomedroxyprogesterona (ADMP) no desenvolvimento e manutenção de Candida albicans na vagina de ratas Wistar ooferectomizadas. Os animais foram divididos em grupos controle negativos (GCN), que receberam injeções de salina estéril [...] ; grupos controle positivos (GCP), que receberam injeções de valerato de estradiol; e grupos progesterona (GP), nos quais foram feitas injeções de Depo-Provera®. Após uma semana da aplicação hormonal, foi induzida a infecção vaginal por C. albicans em todos os grupos, detectada por cultura para leveduras vaginais e esfregaço de Papanicolaou. Foram feitas ainda imagens por microscopia eletrônica de varredura e transmissão para confirmar a infecção pela levedura no GP. Foram observados diferentes níveis de progesterona em GP, entre os valores basais e após a indução hormonal (P Abstract in english The objective of this study was to determine the effect of medroxyprogesterone acetate (DMPA) on the development and maintenance of Candida albicans in the vagina of oophorectomized Wistar rats. The animals were divided into negative control groups (NCG), which received injections of sterile saline; [...] positive control groups (PCG), which were given injections of estradiol valerate; and progesterone groups (PG), which were given injections of Depo-Provera®. After one week of hormonal induction, vaginal infection by C. albicans was induced in all the groups and detected by vaginal yeast culture and Papanicolaou smear. In addition, scanning and transmission electron microscopy images were obtained to confirm the vaginal infection by yeast in PG. A difference in progesterone levels in PG was observed between the basal level and after hormonal induction (P

  14. Radiation therapy of cancer of the cervix, corpus uteri and vagina at the 1st University Clinic of Gynaecology in Vienna from 1950 to 1979

    International Nuclear Information System (INIS)

    On the occasion of the 30th anniversary of the department of radiotherapy of th 1st University-Clinic of Gynaecology and Obstetrics in Vienna, the results obtained in the treatment of gynaecologic malignancy are presented. During this period, more than 10 000 malignant tumors of the female genital tract were treated, including 3605 cases of cancer of the cervix, 1412 endometrial carcinomas and 397 cases of cancer of the vagina. The principal method of irradiation was local application of radium. Dosage was established empirically after measurements on a model. In addition conventional percutaneous roentgen therapy was used until 1972, when telecobalt irradiation equipment was put into use. Five-year survival rates for cervical, endometrial and vaginal cancer are presented for the years from 1950 through 1972. These results are attributed primarily to intracavitary radium application. Of 2687 cases with cervical cancer 1222 (45.5%) were alive after five years, in stage III cervical cancer 535 out of 1321 (40.5%). The latest international tables published in the Annual Report give a five-year survival rate of 31.7% for stage-III cancer of the cervix. Of 994 cases of endometrial cancer 473 were alive after five years (49.8%), while the Annual Report gives a five-year survival rate of 39.0% for primary irradiation in endometrial cancer. For cancer of the vagina, our five-year survival rate was 42.8% (127 patients out of a total of 297), while the Annual Report gives 37.3% 297), while the Annual Report gives 37.3%. This demonstrates, that the results obtained at the department of radiotherapy of the 1st University Clinic of Gynaecology and Obstetrics in Vienna are better than the international average. Apart from the different methods of treatment the importance of primary radiation therapy in gynaecologic oncology is pointed out, and the side effects and complications are discussed. (orig.)

  15. Histologia e morfometria das glândulas das junções infundíbulo-magno e útero-vagina de codorna doméstica / Histology and morphometry of the infundibulum-magnum and uterus-vaginal junctions of spotted quails

    Scientific Electronic Library Online (English)

    Carime, Moraes; Silvana Martinez, Baraldi-Artoni; Maria Rita, Pacheco; Daniela, Oliveira; Lizandra, Amoroso; Alex Luís, Sagula.

    2009-04-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese A análise comparativa das glândulas armazenadoras de espermatozóides das junções infundíbulo-magno e útero-vagina do oviduto da codorna Nothura maculosa foi realizada durante a fase reprodutiva. As aves foram eutanasiadas por inalação com éter etílico, após a pesagem. Após a laparotomia e o deslocam [...] ento cranial do esterno, foram coletadas amostras de dois centímetros da junção infundíbulo-magno e útero-vagina. Os fragmentos foram fixados em solução de Bouin por 24 horas e, posteriormente, banhos sucessivos de álcool 70% foram aplicados sobre as amostras. Em seguida, as amostras foram desidratadas em uma série de concentração crescente de alcoóis (80, 90, 95 e 3x100%), diafanizadas em xilol e incluídas em parafina. Cortes histológicos de sete micrômetros de espessura foram obtidos e corados pela técnica da Hematoxilina-eosina (HE), que foram analisados e fotomicrografados em um fotomicroscópio Olympus BX-50. Para a análise morfométrica, foram capturadas imagens das glândulas armazenadoras de espermatozóides da junção infundíbulo-magno e útero-vagina mediante o programa computacional "Image Pro Plus 4.1" da Cibernetics do Brasil, tornando-se possível a quantificação das mesmas. A mucosa da junção infundíbulo-magno apresentou pregas estreitas no infundíbulo e largas no magno, enquanto na junção útero-vagina mostrou-se amplamente pregueada na vagina e mais lisa na porção uterina. O número médio de glândulas armazenadoras de espermatozóides na junção infundíbulo-magno foi maior (11,7 glândulas) (P Abstract in english The comparative analysis of sperm-host glands of infundibulum-magnum and uterus-vagina junctions of Nothura maculosa quail oviduct was done during the reproductive phase. The birds were euthanized with ethyl ether after weight data were taken. After abdominal laparotomy and cranial displacement of t [...] he breastbone, two centimeters samples of infundibulum-magnum and uterus-vagina junctions were collected. The samples were fixed in Bouin's solution for twenty four hours and later, successive baths of alcohol 70% were applied on samples and soon afterwards dehydrated in a series of grow concentration alcohols (80, 90, 95 and 3x100%), diaphanized in xylol and included on paraffin. Histological sections with seven micrometers thickness were obtained and stained on Haematoxylin-Eosin (HE) technique, then they were analyzed and photomicrographed in a photomicroscope Olympus BX-50. For the morphometry analysis, infundibulum-magnum junctions and uterus-vagina sperm host gland images were captured through a computacional program Image Pro Plus 4.1", Cibernetics Brazil, making it possible to quantify them. The mucosa of the infundibulum-magnum junction presented very narrow folds in the infundibulum and too large in the magnum, while in the uterus-vagina junction was observed widely folds mucous in the vagina and smoother in the uterine portion. The average of sperm host gland in the infundibulum-magnum junction was higher (11.7 glands) (P

  16. Histometric Parameters of Uterus and Vagina in Breeder Female Rabbits on the Day After Weaning According to the Ordinal Number of Parturitions / Parámetros Histométricos en Útero y Vagina de Conejas Reproductoras en el día Posterior al Destete Según el Número Ordinal de Partos

    Scientific Electronic Library Online (English)

    José Alfonso, Banda-Herrera; Jesús, Aragón Hernández; Reyes, López Ordaz; Jorge, Hernández Espinosa; Mario, Pérez-Martínez.

    2014-06-01

    Full Text Available El objetivo del presente estudio fue determinar en conejas Nueva Zelanda el efecto del número ordinal de partos sobre algunos parámetros histológicos, en el día posterior al destete. A partir de hembras de primero, segundo y tercer parto se obtuvieron fragmentos de tejido uterino y vaginal los que s [...] e procesaron mediante la técnica de inclusión en parafina para efectuar cortes histológicos. En ocho campos microscópicos capturados con una cámara conectada a un microscopio óptico se midió la altura del epitelio luminal y glandular del endometrio; el grosor del epitelio de la vagina y del miometrio. A partir de los resultados obtenidos se concluye que existen diferencias significativas (p Abstract in english The objective of this study was to establish in New Zealand female rabbits, the effect of ordinal number of parturitions on some histological parameters on the day after weaning. Tissue fragments of uterus and vagina were obtained from females of first, second and third parturitions and were process [...] ed imbedding them in paraffin in order to do histological cuts. In eight microscope fields captured by a camera connected to an optic microscope, the lumen and glandular endometrial epithelium height, as well as the thickness of vaginal and myometrium epithelium thickness were measured. From the results that were obtained it was concluded that there are significant differences (p

  17. Effects of depomedroxyprogesterone acetate on the development and maintenance of Candida albicans in the vagina of oophorectomized Wistar rats (Rattus norvegicus

    Directory of Open Access Journals (Sweden)

    Agenor Storti-Filho

    2011-03-01

    Full Text Available The objective of this study was to determine the effect of medroxyprogesterone acetate (DMPA on the development and maintenance of Candida albicans in the vagina of oophorectomized Wistar rats. The animals were divided into negative control groups (NCG, which received injections of sterile saline; positive control groups (PCG, which were given injections of estradiol valerate; and progesterone groups (PG, which were given injections of Depo-Provera®. After one week of hormonal induction, vaginal infection by C. albicans was induced in all the groups and detected by vaginal yeast culture and Papanicolaou smear. In addition, scanning and transmission electron microscopy images were obtained to confirm the vaginal infection by yeast in PG. A difference in progesterone levels in PG was observed between the basal level and after hormonal induction (PO objetivo do presente estudo foi determinar os efeitos do acetato de depomedroxyprogesterona (ADMP no desenvolvimento e manutenção de Candida albicans na vagina de ratas Wistar ooferectomizadas. Os animais foram divididos em grupos controle negativos (GCN, que receberam injeções de salina estéril; grupos controle positivos (GCP, que receberam injeções de valerato de estradiol; e grupos progesterona (GP, nos quais foram feitas injeções de Depo-Provera®. Após uma semana da aplicação hormonal, foi induzida a infecção vaginal por C. albicans em todos os grupos, detectada por cultura para leveduras vaginais e esfregaço de Papanicolaou. Foram feitas ainda imagens por microscopia eletrônica de varredura e transmissão para confirmar a infecção pela levedura no GP. Foram observados diferentes níveis de progesterona em GP, entre os valores basais e após a indução hormonal (P<0,0001. Neste grupo, 100,0% das ratas contraíram a infecção vaginal na primeira semana, mas não a mantiveram até a terceira semana. A forma farmacêutica de ADMP foi efetiva em induzir as fases de metaestro e diestro do ciclo estral das ratas, da mesma forma que usando progesterona pura. Em contraste com o que ocorre no tratamento com estrógeno, a progesterona não pôde manter a infecção vaginal experimental por C. albicans por um período significativo de tempo.

  18. Effect of semen collection by transrectal massage of accessory sexual glands or artificial vagina on the outcome of breeding soundness examinations of Italian yearling beef bulls.

    Science.gov (United States)

    Sylla, Lakamy; Palombi, Claudio; Stradaioli, Giuseppe; Vagniluca, Antonio; Monaci, Maurizio

    2015-03-15

    Although semen quality is one of the major traits that influence breeding soundness examination outcomes in bulls, field conditions occasionally do not allow for the collection of semen samples by means of an artificial vagina. The aims of the present study were to report the results of a large number of semen collections that were performed via the transrectal massage (TRM) of the accessory sexual glands of Italian yearling beef bulls and compare this semen collection method to the artificial vagina (AV) method in term of breeding soundness examination outcomes; furthermore, we determined whether the breed affected the semen characteristics. In the TRM group (n = 475), the semen samples were collected via TRM of the accessory sexual glands, and in the AV group (n = 502), the AV method was used. In the TRM group, semen samples were obtained from 81.3% of the bulls and penile protrusion was observed in 87.6% of the animals during semen collection. The sperm concentrations (920.5 ± 439.0 vs. 281.0 ± 259.8 × 10(6)/mL) and the percentages of total abnormal spermatozoa (22.8 ± 15.0 vs. 18.8 ± 12.9) were significantly higher in the AV group than those in the TRM group. The percentage of bulls that did not meet the minimum requirement for normal cells (?70%) was 6.2% higher in the AV group than that in the TRM group (P percentage of motile sperm and a higher percentage of abnormal spermatozoa when compared with the other two breeds. The major drawbacks of the TRM technique were the inability to conduct complete evaluation of the libido and mating ability of the yearling bulls, a significant reduction of the number of spermatozoa collected, and an increase in the variability of the semen characteristics due to breed. In conclusion, despite the drawbacks, TRM guarantees that semen evaluation can be conducted in cases in which the semen samples cannot be collected with the AV method. PMID:25488791

  19. HUBUNGAN AKTIVITAS SEKSUAL PADA USIA DINI, PROMISKUITAS DAN BILAS VAGINA DENGAN KEJADIAN KANKER LEHER RAHIM PADA PASIEN ONKOLOGY DI RSUD Dr.MOEWARDI SURAKARTA

    Directory of Open Access Journals (Sweden)

    . Ridhaningsih

    2013-04-01

    Full Text Available Background: Cervical cancer ranks the top cause of cancer deaths in developing countries. At Dr. Moewardi Hospital Surakarta cervical cancer was found in most cancers. Risk factors associated with health and cleanliness of the female reproductive tract can increase the incidence of cervical cancer. Purpose this study aims to determine factors associated with female reproductive health tract and the occurrence of cervical cancer. Method: The study was a quantitative analytical research used cross sectional design. Data used primary data from interviews and secondary data from medical records. Bivariate analysis using chi square test used to prove the hypothesis. Results: Statistical analysis by chi square test for sex at an early age got p value=0,382 and the prevalence ratio= 1,375, for promiscuity with incidence cervical cancer got p value=0,481 and prevalence ratio=1,314, for vaginal douching with incidence cervical cancer got p value=0,121 and prevalence ratio=0,571. Conclusion: There was no significant correlation between sex on early age with incidence of cervical cancer, there was no significant correlation between promiscuity with incidence of cervical cancer, there was no significant correlation between vaginal douching with incidence of cervical cancer at Dr. Moewardi Hospital Surakarta on Mey until Juny 2010. Key words: sex at an early age, promiscuity, rinse the vagina, cervix cancer

  20. Lymphoepithelioma-like carcinoma of the vagina: a case report with special reference to the immunophenotype of the tumor cells and tumor-infiltrating lymphoreticular cells.

    Science.gov (United States)

    Dietl, J; Horny, H P; Kaiserling, E

    1994-04-01

    Lymphoepithelial carcinoma (Schmincke's tumor) is a relatively common malignancy in the upper respiratory tract (nasopharynx), but it rarely occurs at other sites. We describe here the first case of a vaginal neoplasm that closely resembled lymphoepithelial carcinoma in its histological features and immunophenotype. The tumor was detected in an 81-year-old woman who presented with recurrent vaginal bleeding. On colposcopy, an ulcerated polypoid tumor mass was seen in the posterior wall of the middle portion of the vagina. Histologic examination revealed an undifferentiated spindle-cell carcinoma (KL1+, chromogranin A-, vimentin-) with abundant lymphocytes (mostly UCHL1+ T cells), plasma cells, and macrophages (CD68+) in and around the tumor cell nests. A minority of the tumor cells exhibited overexpression of p53 protein and a quarter of the tumor cells reacted with the antibody MIB1, that is, were in a proliferate state. The tumor cells did not react with the monoclonal antibody DAKO-EBV, which detects a latent membrane protein (LMP-1) encoded by the Epstein-Barr virus. The tumor underwent regression after radiotherapy. No signs of recurrence or dissemination of the carcinoma have been detected clinically during the 6 months since treatment. PMID:8005741

  1. Histopathologic Changes in the Uterus, Cervix and Vagina of Immature CD-1 Mice Exposed to Low Doses of Perfluorooctanoic Acid (PFOA) in a Uterotrophic Assay

    Science.gov (United States)

    Dixon, Darlene; Reed, Casey E.; Moore, Alicia B.; Gibbs-Flournoy, Eugene A.; Hines, Erin P.; Wallace, Elizabeth A.; Stanko, Jason P.; Lu, Yi; Jefferson, Wendy N.; Newbold, Retha R.; Fenton, Suzanne E.

    2011-01-01

    The estrogenic and antiestrogenic potential of perfluorooctanoic acid (PFOA) was assessed using an immature mouse uterotrophic assay and by histologic evaluation of the uterus, cervix and vagina following treatment. Female offspring of CD-1 dams were weaned at 18 days old and assigned to groups of equal weight, and received 0, 0.01, 0.1, or 1 mg PFOA/kg BW/d by gavage with or without 17-? estradiol (E2, 500 ?g/kg/d) from PND18-20 (n=8/treatment/block). At 24 hr after the third dose (PND 21), uteri were removed and weighed. Absolute and relative uterine weights were significantly increased in the 0.01 mg/kg PFOA only group. Characteristic estrogenic changes were present in all E2-treated mice; however, they were minimally visible in the 0.01 PFOA only mice. These data suggest that at a low dose PFOA produces minimal histopathologic changes in the reproductive tract of immature female mice, and does not antagonize the cellular effects of E2. PMID:22146484

  2. Citologia Hormonal do Trato Urinário Baixo e da Vagina de Mulheres na Pós-menopausa, antes e durante Estrogenioterapia Oral e Transdérmica / Urinary and Vaginal Cytology of Postmenopausal Women with Oral and Transdermal Estrogen Replacement

    Scientific Electronic Library Online (English)

    Áurea Belas, Lustosa; Manoel João Batista Castello, Girão; Marair Gracio Ferreira, Sartori; Edmund Chada, Baracat; Geraldo Rodrigues de, Lima.

    2002-10-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Objetivo: avaliar a ação dos estrogênios por via oral ou transdérmica nas células do trato urinário baixo e da vagina, em mulheres menopausadas. Métodos: foram incluídas 25 mulheres na pós-menopausa, nas quais se estudaram os efeitos citológicos da terapia de reposição hormonal estrogênica, por via [...] oral e por via transdérmica, sobre as células da vagina e do sedimento urinário. As pacientes foram distribuídas aleatoriamente em 2 grupos: Grupo I, constituído por 14 mulheres que receberam 0,625 mg de estrogênio conjugado eqüino associado a 5 mg de acetato de medroxiprogesterona, por via oral, diariamente sem intervalo por três meses, e Grupo II, formado por 11 mulheres que fizeram uso de 17-beta-estradiol matricial na dose de 50 mig, por via transdérmica, semanalmente, associado a 5 mg de acetato de medroxiprogesterona diariamente por três meses. As amostras urinárias foram obtidas do jato inicial da primeira urina da manhã, após asseio dos genitais, em frascos estéreis fornecidos pelo laboratório. A urina foi centrifugada e o esfregaço realizado a partir do sedimento urinário. Os esfregaços da vagina e do sedimento urinário foram imediatamente fixados em álcool absoluto e corados pelo método de Shorr. Resultados: observou-se que nas pacientes que utilizaram a via oral, houve maturação das células da vagina (o índice se elevou de 45,4 a 65,5 com dois meses de tratamento, permanecendo praticamente constante (62,0) a seguir. Quanto às células urinárias, não houve variação do valor de maturação (56,4 antes da medicação e 60,4 no final do período). Ao examinarmos tanto as células da urina quanto da vagina de pacientes que utilizaram a via transdérmica, notou-se que houve resposta satisfatória. Conclusão: com estes resultados podemos sugerir que os estrogênios, quando administrados por via transdérmica, estão associados à resposta satisfatória quanto ao trofismo tanto na vagina quanto na uretra. No entanto, quando se utiliza a via oral, nem sempre este resultado pode ser observado. Abstract in english Objective: to study the effects of oral or transdermal estrogen replacement on the lower urinary tract and vagina in postmenopausal women. Methods: we studied 25 postmenopausal women evaluating the oral or transdermic estrogen replacement effects on the vaginal cells and urinary sediment during 3 mo [...] nths. The patients were randomly distributed into 2 groups: Group I, n = 14, treated orally with 0.625 mg equine conjugated estrogen plus 5 mg medroxyprogesterone acetate, daily for 3 months; Group II, n = 11, treated transdermally with 50 mug 17-ß-estradiol, once a week, plus 5 mg medroxyprogesterone. Daily, for 3 months, urinary samples were collected from the first miction in the morning after urogenital antisepsis into sterile tubes. The sample was centrifuged and the sediment was smeared. Vaginal and urinary smears were then fixed in absoluted alcohol and stained by the method of Shorr. Results: the patients who used the oral route presented maturation of the vaginal cells (from 45.4 to 65.5% after 2 months of treatment, maintaing 62% afterwards) but this did not occur with urinary cells (56.4 before treatment versus 60.4% at the end of the period). The transdermal route promoted maturation of vaginal and urinary cells. Conclusion: we have concluded that transdermal estrogens have satisfactory effects both on vaginal and urethral sites. However, with the oral route we did not find the expected results in the urinary tract in all cases.

  3. Detection of hydrogen peroxide-producing Lactobacillus species in the vagina: a comparison of culture and quantitative PCR among HIV-1 seropositive women

    Directory of Open Access Journals (Sweden)

    Balkus Jennifer E

    2012-08-01

    Full Text Available Abstract Background The presence of hydrogen peroxide (H2O2 producing Lactobacillus in the vagina may play a role in controlling genital HIV-1 shedding. Sensitive molecular methods improve our ability to characterize the vaginal microbiota; however, they cannot characterize phenotype. We assessed the concordance of H2O2-producing Lactobacillus detected by culture with quantitative PCR (qPCR detection of Lactobacillus species commonly assumed to be H2O2-producers. Methods Samples were collected as part of a prospective cohort study of HIV-1 seropositive US women. Cervicovaginal lavage specimens were tested for L. crispatus and L. jensenii using 16S rRNA gene qPCR assays. Vaginal swabs were cultured for Lactobacillus and tested for H2O2-production. We calculated a kappa statistic to assess concordance between culture and qPCR. Results Culture and qPCR results were available for 376 visits from 57 women. Lactobacilli were detected by culture at 308 (82% visits, of which 233 of 308 (76% produced H2O2. L. crispatus and/or L. jensenii were detected at 215 (57% visits. Concordance between detection of L. crispatus and/or L. jensenii by qPCR and H2O2-producing Lactobacillus by culture was 75% (kappa = 0.45. Conclusions Among HIV-1 seropositive women, there was a moderate level of concordance between H2O2-producing Lactobacillus detected by culture and the presence of L. crispatus and/or L. jensenii by qPCR. However, one-quarter of samples with growth of H2O2-producing lactobacilli did not have L. crispatus or L. jensenii detected by qPCR. This discordance may be due to the presence of other H2O2-producing Lactobacillus species.

  4. Prevalência de cândida na flora vaginal de mulheres atendidas num serviço de planejamento familiar / Prevalence of candida in the vagina of women attended at a family planning service

    Scientific Electronic Library Online (English)

    Antônio, Aleixo Neto; Júnia Soares, Hamdan; Ressalla Castro, Souza.

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese RESUMO Objetivo: avaliar a prevalência de Candida sp. e a distribuição de suas espécies na flora vaginal de mulheres numa clínica de planejamento familiar. Método: estudo transversal no qual se avaliaram prospectivamente 72 mulheres não-grávidas, com ou sem queixas específicas, sendo coletadas amost [...] ras de secreção vaginal para cultura de leveduras, efetuada a medição do pH vaginal e anotados dados de achados do exame ginecológico. Resultados: leveduras pertencentes ao gênero Candida foram encontradas em 18 casos (25%). A C. albicans foi a espécie mais prevalente (77,8%) e conseqüentemente 22,2% foram não-albicans. Entre as não-albicans a espécie mais prevalente foi a C. glabrata (16,7%) seguida pela C. parapsilosis (5,6%). Prurido e ardor foram os únicos sintomas relacionados significativamente com a presença de cândida. Foi observado que a C. glabrata, ao contrário da C. albicans, não causa corrimento clinicamente verificável ao exame ginecológico. Não foram verificadas associações de alguns fatores predisponentes (idade, escolaridade e uso de contraceptivos) com a presença ou não de cândida. Conclusões: nossos resultados sugerem: a) uma alta prevalência de Candida sp. entre as mulheres (25%); b) que as espécies não-albicans desempenham um papel importante no meio vaginal; c) que prurido e ardor são os sintomas mais comuns na presença de cândida e d) que a C. glabrata não costuma causar corrimento vaginal ao exame ginecológico. Finalmente, é importante observar que nossos resultados são consistentes com o que a literatura internacional tem mostrado nos últimos anos. Abstract in english SUMMARY Purpose: to estimate the prevalence of Candida sp. and the distribution of its species in the vagina of women attended at a family planning Service. Methods: a cross-sectional study evaluating prospectively 72 nonpregnant women, with or without specific complaints. Samples were checked for t [...] he presence of yeast and vaginal pH. Data obtained by gynecologic examination were also recorded. Results: yeast belonging to the genus Candida was isolated from 18 (25%) patients. The most prevalent species was C. albicans (77,8%) and therefore, 22.2% were non-albicans species. The most prevalent among the non-albicans species was C. glabrata (16.7%) followed by C. parapsilosis (5.6%). The symptoms most directly associated with Candida were itching and burning. Different from the symptoms directly associated with C. albicans infection, we observed that C. glabrata does not cause vaginal discharge. There was no positive association between predisponent factors such as age, education and contraceptive method used and the presence or absence of Candida. Conclusions: our results suggest: (i) that there is a high prevalence of Candida species among women; (ii) that non-albicans species play an important role in the vaginal medium; (iii) that itching and burning are the most common symptoms in women with Candida, and (iv) C. glabrata usually does not cause vaginal discharge. Finally, it is important to emphasize that our results are consistent with the present worldwide findings.

  5. Prevalência de cândida na flora vaginal de mulheres atendidas num serviço de planejamento familiar Prevalence of candida in the vagina of women attended at a family planning service

    Directory of Open Access Journals (Sweden)

    Antônio Aleixo Neto

    1999-01-01

    Full Text Available RESUMO Objetivo: avaliar a prevalência de Candida sp. e a distribuição de suas espécies na flora vaginal de mulheres numa clínica de planejamento familiar. Método: estudo transversal no qual se avaliaram prospectivamente 72 mulheres não-grávidas, com ou sem queixas específicas, sendo coletadas amostras de secreção vaginal para cultura de leveduras, efetuada a medição do pH vaginal e anotados dados de achados do exame ginecológico. Resultados: leveduras pertencentes ao gênero Candida foram encontradas em 18 casos (25%. A C. albicans foi a espécie mais prevalente (77,8% e conseqüentemente 22,2% foram não-albicans. Entre as não-albicans a espécie mais prevalente foi a C. glabrata (16,7% seguida pela C. parapsilosis (5,6%. Prurido e ardor foram os únicos sintomas relacionados significativamente com a presença de cândida. Foi observado que a C. glabrata, ao contrário da C. albicans, não causa corrimento clinicamente verificável ao exame ginecológico. Não foram verificadas associações de alguns fatores predisponentes (idade, escolaridade e uso de contraceptivos com a presença ou não de cândida. Conclusões: nossos resultados sugerem: a uma alta prevalência de Candida sp. entre as mulheres (25%; b que as espécies não-albicans desempenham um papel importante no meio vaginal; c que prurido e ardor são os sintomas mais comuns na presença de cândida e d que a C. glabrata não costuma causar corrimento vaginal ao exame ginecológico. Finalmente, é importante observar que nossos resultados são consistentes com o que a literatura internacional tem mostrado nos últimos anos.SUMMARY Purpose: to estimate the prevalence of Candida sp. and the distribution of its species in the vagina of women attended at a family planning Service. Methods: a cross-sectional study evaluating prospectively 72 nonpregnant women, with or without specific complaints. Samples were checked for the presence of yeast and vaginal pH. Data obtained by gynecologic examination were also recorded. Results: yeast belonging to the genus Candida was isolated from 18 (25% patients. The most prevalent species was C. albicans (77,8% and therefore, 22.2% were non-albicans species. The most prevalent among the non-albicans species was C. glabrata (16.7% followed by C. parapsilosis (5.6%. The symptoms most directly associated with Candida were itching and burning. Different from the symptoms directly associated with C. albicans infection, we observed that C. glabrata does not cause vaginal discharge. There was no positive association between predisponent factors such as age, education and contraceptive method used and the presence or absence of Candida. Conclusions: our results suggest: (i that there is a high prevalence of Candida species among women; (ii that non-albicans species play an important role in the vaginal medium; (iii that itching and burning are the most common symptoms in women with Candida, and (iv C. glabrata usually does not cause vaginal discharge. Finally, it is important to emphasize that our results are consistent with the present worldwide findings.

  6. Citología y Análisis Morfométrico de las Células del Epitelio Vaginal Durante el Ciclo Estral en Ovejas de Pelo (Ovis aries) / Citology and Morphometric Analysis of Epithelial Cells from the Vagina of Hair Sheep Ewes (Ovis aries) During their Estrous Cycle

    Scientific Electronic Library Online (English)

    Neftali, Clemente Ovando; Agustín, Orihuela Trujillo; Fernando Iván, Flores Pérez; Virginio, Aguirre Flores.

    2013-09-01

    Full Text Available SciELO Chile | Language: Spanish Abstract in spanish La citología vaginal puede usarse para caracterizar estados del ciclo reproductivo de la hembra. Sin embargo, no ha sido validada en ovinos de pelo, y ofrece resultados inexactos debido a interpretaciones subjetivas. El objetivo del presente trabajo es tipificar las características morfológicas y mo [...] rfométricas de las células epiteliales de la vagina durante el ciclo estral en ovinos de pelo. Cinco borregas Santa Cruz se sincronizaron con esponjas intravaginales. Desde el día del 1er celo posterior al retiro de la esponja y hasta el siguiente celo, se obtuvieron muestras diarias del epitelio vaginal de cada oveja, y se cuantificó el número de células parabasales, intermedias y superficiales, y se midió la longitud, perímetro y área de citoplasma y núcleo de cada una. Los resultados muestran que las células superficiales incrementan (P Abstract in english Vaginal cytology can be used to characterize stages of the reproductive cycle of the female. However, it has not been validated in hair sheep, and generates inaccurate results due to subjective interpretations. Thus, the purpose of the present work is to typify morphologic and morphometric character [...] istics of the epithelial cells from the vagina during the estrous cycle of hair sheep. Five Saint Croix ewes were synchronized with intravaginal sponges. Day zero of the cycle was considered the day of first estrus after sponge withdrawal. From this day until next estrus, samples from the vaginal epithelium were obtained daily from each ewe. The number of basal, intermediate and superficial cells was quantified, and length, perimeter, and area from cytoplasm and nucleus were obtained. The results show that the number of superficial cells increase (P

  7. MRI of the uterus, uterine cervix, and vagina: diagnostic performance of dynamic contrast-enhanced fast multiplanar gradient-echo imaging in comparison with fast spin-echo T2-weighted pulse imaging

    International Nuclear Information System (INIS)

    The aim of this study was to compare the diagnostic performance of contrast-enhanced fast multiplanar gradient-echo (GRE) and T2-weighted fast spin-echo (FSE) image sets in the assessment of uterus, cervix, and vagina. Fast (up to 20 contiguous sections in 23 s) multiplanar GRE and FSE images of 45 patients referred for imaging of the female pelvis were evaluated retrospectively with regard to overall image quality and the ability to detect normal anatomic structures, as well as lesion conspicuity. Results were compared with histologic findings (n = 29) or clinical follow-up. Furthermore, a quantitative assessment of contrast-to-noise ratios among normal uterine and cervical structures as well as uterine lesions was performed for both sequences. On GRE images, uterine and cervical differentiation was best seen on the image sets acquired 15 and 60 s following contrast enhancement and results were significantly better compared with delayed images (p 2 test, the difference in diagnostic performance between FSE and GRE revealed no significant deen FSE and GRE revealed no significant difference, whereas the combination of both techniques performed better than FSE imaging alone (p < 0.05). The presented data suggest that dynamic contrast-enhanced GRE imaging should be part of an MR examination of the female pelvis. Combined GRE and FSE imaging provide an excellent sensitivity in the assessment of uterine and vaginal pathologies. (orig.) (orig.)

  8. Congenital malformations of uterus and vagina

    International Nuclear Information System (INIS)

    The radiographic findings according to the classification of Buttram and Gibbons are described for HSG, ultrasound and MRI. The advantages and limitations of each method are discussed, and finally an algorithm for imaging is recommended. (orig.)

  9. Congenital malformations of uterus and vagina

    Energy Technology Data Exchange (ETDEWEB)

    Forstner, R. (University of California, San Francisco, CA (United States). Dept. of Radiology Landeskrankenanstalten Salzburg (Austria). Zentralroentgeninstitut); Hricak, H. (University of California, San Francisco, CA (United States). Dept. of Radiology)

    1994-07-01

    The radiographic findings according to the classification of Buttram and Gibbons are described for HSG, ultrasound and MRI. The advantages and limitations of each method are discussed, and finally an algorithm for imaging is recommended. (orig.)

  10. Presencia de malla de prolene en vagina / The presence of a Prolene mesh in the vagina

    Scientific Electronic Library Online (English)

    Anna, Bujons; Carlos, Errando; Manel, Prados; Carlos, Báez; Pedro, Arañó; Humberto, Villavicencio.

    2006-08-01

    Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Objetivo: Describir un caso clínico de una paciente en la que tras la colocación de malla de Prolene® como refuerzo en la corrección de cistocele recidivado, presenta complicaciones. Método/resultado: Paciente mujer de 75 años de edad con antecedentes de corrección de cistocele con malla de prolene [...] presenta incontinencia de orina y erosión vaginal por la propia malla. Conclusiones: El uso de malla para la corrección de cistocele tiene la ventaja de aportar mayor soporte a la colporrafia y evitar la recidiva del cistocele, aunque puede presentar complicaciones como en nuestro caso clínico de migración de la malla, aparición de fístula, infección o intolerancia. Abstract in english Objective: To describe the clinical case of a patient presenting complications after the implantation of a Prolene mesh as reinforcement for the correction of a recurrent cystocele. Methods/results: Seventy-five-years-old female patient with history of previous cystocele repair with Prolene mesh pre [...] senting urinary incontinence and vaginal erosion of the mesh. Conclusions: The use of mesh for the repair of cystoceles has the advantage of providing greater support to the colporrhaphy and avoiding recurrences. Nevertheless, it may present complications as in our reported case with mesh migration, fistula, infection, or intolerance.

  11. Malla de polipropileno multifilamento con autofijación de silicona exteriorizada a vagina / Multifilament polypropylene mesh with exteriorization of the silicone anchorage to the vagina

    Scientific Electronic Library Online (English)

    Vicente, Solà Dalenz; Jack, Pardo Schanz; Paolo, Ricci Arriola; Enrique, Guiloff Fische.

    1099-11-01

    Full Text Available Objetivo: Describir un caso de falla de en una cirugía de cinta suburetral para corrección de la incontinencia de orina de esfuerzo con sistema Safyre VS (vaginal-suprapubic approach) multifilamento, a los 34 meses de buena evolución. Método: Descripción del caso y su resolución. Resultado: Se prese [...] ntó con descenso del sistema de sujeción lateral y erosión de la mucosa vaginal con exposición de la cinta e infección. Se retiró con gran facilidad el sistema de anclaje de silicona que se encontraba suelto y se colocó una nueva cinta suburetral con sistema TVT-O, recuperando la continencia antes lograda. Conclusiones: La malla sintéticas de los sistemas de corrección con cinta suburetral para la incontinencia de orina de esfuerzo, deben ser de polipropileno, macroporo y monofilamento. Estas características permiten una mejor biointegración, reduciendo teóricamente el número de complicaciones (erosión de pared vaginal, exposición y sobreinfección). Respecto a la falla del sistema de sujeción de silicona, ya que no se han informado otros casos en los estudios de seguimiento entre 12 y 36 meses (media 14 y 18 meses), sólo los estudios que contemplen seguimientos a largo plazo permitirán decir si se trata de un caso aislado o aparecerán otros. Abstract in english Objectives: To describe the failure of one case of suburethral tape for the correction of the stress urinary incontinence with the multifilament Sapphire VS (vaginal-suprapubic approach) system after 34 months of good outcome. Methods: Description of the case and its resolution. Results: The patient [...] presented with a descent of the lateral fixation and erosion of the vaginal mucosa with exposure of the mesh and infection. The silicone fixation system, which was loose, was retrieved very easily and a new suburethral mesh with the system TVT-O was inserted; the patient recovered continence as before. Conclusions: Synthetic mesh in the suburethral tape systems for stress urinary incontinence correction should be polypropylene, macropore and monofilament. These characteristics enable better bio integration, theoretically reducing the number of complications (vaginal wall erosion, exposition and over infection). In relation with the failure of the silicone fixation system, no other casers have been reported in follow-up studies between 12 and 36 months (mean follow-up 14 and 18 months), so hat studies with long-term follow-up will be able to determine if this is an isolated case or there will be others.

  12. The Microbiota of the Vagina and Its Influence on Women’s Health and Disease

    OpenAIRE

    Martin, David H.

    2012-01-01

    Explorations of the vaginal microbiota (VMB) began over 150 years ago. Using light microscopy and bacterial cultures the concept of normal versus abnormal microbiotain women began to emerge. The latter became known by the term “bacterial vaginosis” or BV. BV microbiota is dominated by Gardnerella vaginalis and includes a number of anaerobic organisms. In contrast normal flora is dominated various Lactobacilli. BV microbiota is associated with vaginal discharge, poor pregnancy outcomes, pe...

  13. In vitro probiotic properties of Lactobacillus fermentum SK5 isolated from vagina of a healthy woman.

    Science.gov (United States)

    Kaewnopparat, Sanae; Dangmanee, Nattakan; Kaewnopparat, Nattha; Srichana, Teerapol; Chulasiri, Malyn; Settharaksa, Sukanya

    2013-08-01

    A lactobacillus strain isolated from a vaginal tract of a healthy woman was examined in vitro for its probiotic potential. This strain, identified as Lactobacillus fermentum SK5, was able to survive at pH 3-4 and 0.1-0.2% bile, and unaffected by pepsin (3 g l(-1)) and pancreatin (1 g l(-1)), but was susceptible to all tested antibiotics except metronidazole. L. fermentum SK5 had an antimicrobial potential against gastrointestinal pathogenic Escherichia coli and vaginal pathogenic Gardnerella vaginalis. The effective substance was suspected to be a bacteriocin-like compound with a molecular weight of more than 10 kDa, but hydrogen peroxide was also detected. Further studies revealed that L. fermentum SK5 had good autoaggregation characteristic and a high surface hydrophobicity that enhanced its adhesion ability to epithelial cells and for biofilm formation. This lactobacillus showed coaggregation with E. coli and G. vaginalis to affect their adhesion and colonization. The adhesion of L. fermentum SK5 to HeLa, HT-29 and Caco-2 cells and its inhibition of E. coli and G. vaginalis adherence to these cells were demonstrated. These incidences provided evidence of the possible colonization of L. fermentum SK5 that would prevent binding and growth of E. coli and G. vaginalis onto intestinal and vaginal epithelial cells. On the basis of the ability of L. fermentum SK5 to inhibit pathogenic microorganisms through coaggregation and antimicrobial substances, it is likely that this lactobacillus strain could be a potential probiotic candidate for beneficial use in protecting against gastrointestinal and vaginal microbial infections. PMID:23624069

  14. Minimal criteria for the identification of Gardnerella vaginalis isolated from the vagina.

    OpenAIRE

    Jolly, J. L.

    1983-01-01

    Vaginal swabs were examined for the presence of Gardnerella vaginalis. Of 294 isolates with appropriate colonial and cellular morphology subjected to an identification procedure, 203 (69%) were identified as G vaginalis. The 91 isolates not identified as G vaginalis were differentiated by their inability to ferment starch, cause diffuse beta haemolysis on human blood agar or hydrolyse hippurate. Other tests, often used in the identification of G vaginalis, were found to be insufficiently spec...

  15. Foreign Body in Vagina: An Uncommon Cause of Vaginitis in Children

    OpenAIRE

    Chinawa, Jm; Obu, Ha; Uwaezuoke, Sn

    2013-01-01

    Vaginal discharge in children may result from a variety of causes. A long-standing intra-vaginal foreign body can pose both diagnostic and therapeutic challenges in children. Treatment failure may occur because of alteration of the normal vaginal flora. A 6-year-old girl, who lived with her parents, presented with a foul-smelling, blood-stained vaginal discharge as well as dysuria for 2 years. There was no history of sexual abuse. Initial evaluation that excluded gynecologic examination revea...

  16. Unusual foreign body insertion in rectum and vagina in schizophrenic patient

    Directory of Open Access Journals (Sweden)

    Raheel Mushtaq

    2014-02-01

    Full Text Available Insertion of foreign body in to the body is rare in medical literature. Here we report a case of 21 year old female who presented to emergency with acute abdomen and on detailed evaluation turned out to be schizophrenia. Our patient had history of insertion of ball pen in rectum following command hallucination. The foreign body was later removed through laparotomy. The cause of insertion of foreign body are multiple from command hallucination, suicidal attempt, erotism to somatic delusions. Thus the clinician should always be vigilant while dealing with psychiatric patients as sometimes impacted foreign body can present as acute emergency. [Int J Res Med Sci 2014; 2(1.000: 367-369

  17. Primary invasive cancer of the vagina: outcome and complications of therapy

    International Nuclear Information System (INIS)

    The aim of the present study was to review the characteristics of cases of vaginal cancer, results of treatment and complications occurring at Westmead Hospital over the period 1979-96. International Federation of Gynaecology and Obstetrics (FIGO) staging and Eastern Cooperative Oncology Group (ECOG) status had been recorded prospectively, while other information was obtained retrospectively, including complications using the Franco-Italian Glossary. There were 37 eligible patients, 34 of whom were treated radically. Five-year survival for stage I was 90%, for stage 11 it was 50%, and for stage III it was 40%. There was only one stage-V patient. The majority of patients who relapsed did so locally (63%). Using the Franco-Italian Glossary 10.8% of patients had, at worst, G0 toxicity, 21.6% had G1 toxicity, 29.7% had G2 toxicity, 37.8% had G3 toxicity, and no patients had G4 toxicity. Seven patients (18.9%) had a laparotomy for a complication of therapy. Excluding the three palliative patients and controlling for disease stage, it was found that there was a trend to improved survival in patients who had brachytherapy and those who suffered worse complications. While results for treatment of early stage vaginal cancer appear good, new techniques, particularly those that improve local control, are required for higher stage disease. Copyright (1999) Blackwell Science Pty Ltd

  18. Primary non-clear-cell adenocarcinoma of the vagina in a diethylstilbestrol exposed woman.

    Science.gov (United States)

    Patel, Samit A; Sunde, Jan

    2014-04-01

    A 54-year-old woman with a history of in-utero diethylstilbestrol (DES) exposure, who had a prior hysterectomy for symptomatic leiomyomata and dysmenorrhea, presented for vaginal bleeding. Vaginal biopsies showed a non-clear-cell adenocarcinoma, and the patient was subsequently treated with radiation therapy. We present a case of primary vaginal non-clear-cell adenocarcinoma in a patient with in-utero DES exposure. Continued monitoring of older DES-exposed women for vaginal lesions is warranted because of reported cases of non-clear-cell adenocarcinoma and persistent risk of clear cell adenocarcinoma. PMID:24690973

  19. Radiotherapy for carcinoma of the vagina. Immunocytochemical and cytofluorometric analysis of prognostic factors

    International Nuclear Information System (INIS)

    Background and purpose: The aim of this study was to assess the potential prognostic factors in patients with primary invasive vaginal carcinoma (PIVC) treated with radical irradiation. Patients and methods: The analysis was performed on 77 patients with PIVC treated between 1985 and 2005 in the Maria Sklodowska-Curie Memorial Institute of Oncology, Cancer Center in Krakow. A total of 36 patients (46.8 %) survived 5 years with no evidence of disease (NED). The following groups of factors were assessed for potential prognostic value: population-based (age), clinical (Karnofsky Performance Score [KPS], hemoglobin level, primary location of the vaginal lesion, macroscopic type, length of the involved vaginal wall, FIGO stage), microscopic (microscopic type, grade, mitotic index, presence of atypical mitoses, lymphatic vessels invasion, lymphocytes/plasmocytes infiltration, focal necrosis, VAIN-3), immunohistochemical (protein p53 expression, MIB-1 index), cytofluorometric (ploidity, index DI, S-phase fraction, proliferation index SG2M) factors. Results: Significantly better 5-year NED was observed in patients: < 60 years, KPS ? 80, FIGO stage I and II, grade G1-2, MIB-1 index < 70, S-phase fraction < 10, and proliferation index < 25. Independent factors for better prognosis in the multivariate Cox analysis were age < 60 years, FIGO stage I or II, and MIB-1 index < 70. Conclusion: Independent prognostic factors in the radically irradiated PIVC patients were as follows: radiated PIVC patients were as follows: age, FIGO stage, MIB-1 index. (orig.)

  20. Female penis, male vagina, and their correlated evolution in a cave insect.

    Science.gov (United States)

    Yoshizawa, Kazunori; Ferreira, Rodrigo L; Kamimura, Yoshitaka; Lienhard, Charles

    2014-05-01

    Sex-specific elaborations are common in animals and have attracted the attention of many biologists, including Darwin [1]. It is accepted that sexual selection promotes the evolution of sex-specific elaborations. Due to the faster replenishment rate of gametes, males generally have higher potential reproductive and optimal mating rates than females. Therefore, sexual selection acts strongly on males [2], leading to the rapid evolution and diversification of male genitalia [3]. Male genitalia are sometimes used as devices for coercive holding of females as a result of sexual conflict over mating [4, 5]. In contrast, female genitalia are usually simple. Here we report the reversal of intromittent organs in the insect genus Neotrogla (Psocodea: Prionoglarididae) from Brazilian caves. Females have a highly elaborate, penis-like structure, the gynosome, while males lack an intromittent organ. The gynosome has species-specific elaborations, such as numerous spines that fit species-specific pouches in the simple male genital chamber. During prolonged copulation (~40-70 hr), a large and potentially nutritious ejaculate is transferred from the male via the gynosome. The correlated genital evolution in Neotrogla is probably driven by reversed sexual selection with females competing for seminal gifts. Nothing similar is known among sex-role reversed animals. PMID:24746797

  1. Poorly differentiated synovial sarcoma of the vagina: a case report and a clinical literature review

    OpenAIRE

    Minig, L.; Farnetano, G.; Peiretti, M.; Roviglione, G.; Zanagnolo, V.; Pelosi, G.; Landoni, F.

    2008-01-01

    Synovial sarcomas (SS) account for 5–10% of soft-tissue sarcomas and typically arise in the para-articular regions of adolescents and young adults. Nonetheless, SS can occasionally occur in other regions of the body. Here, we present a first clinical literature report of a patient with an SS arising from the vaginal wall. A 40-year-old patient who presented a necrotic polypoid lesion, measuring 50 mm and extending from the external urethral meatus to the middle part of the anterior vaginal ...

  2. Radiotherapy for carcinoma of the vagina. Immunocytochemical and cytofluorometric analysis of prognostic factors

    Energy Technology Data Exchange (ETDEWEB)

    Blecharz, P. [Maria Sklodowska-Curie Memorial Institute, Krakow (Poland). Dept. of Gynecological Oncology; Reinfuss, M.; Jakubowicz, J. [Maria Sklodowska-Curie Memorial Institute, Krakow (Poland). Dept. of Radiation Oncology; Rys, J. [Maria Sklodowska-Curie Memorial Institute, Krakow (Poland). Dept. of Tumor Pathology Oncology; Skotnicki, P.; Wysocki, W. [Maria Sklodowska-Curie Memorial Institute, Krakow (Poland). Dept. of Oncological Surgery

    2013-05-15

    Background and purpose: The aim of this study was to assess the potential prognostic factors in patients with primary invasive vaginal carcinoma (PIVC) treated with radical irradiation. Patients and methods: The analysis was performed on 77 patients with PIVC treated between 1985 and 2005 in the Maria Sklodowska-Curie Memorial Institute of Oncology, Cancer Center in Krakow. A total of 36 patients (46.8 %) survived 5 years with no evidence of disease (NED). The following groups of factors were assessed for potential prognostic value: population-based (age), clinical (Karnofsky Performance Score [KPS], hemoglobin level, primary location of the vaginal lesion, macroscopic type, length of the involved vaginal wall, FIGO stage), microscopic (microscopic type, grade, mitotic index, presence of atypical mitoses, lymphatic vessels invasion, lymphocytes/plasmocytes infiltration, focal necrosis, VAIN-3), immunohistochemical (protein p53 expression, MIB-1 index), cytofluorometric (ploidity, index DI, S-phase fraction, proliferation index SG2M) factors. Results: Significantly better 5-year NED was observed in patients: < 60 years, KPS {<=} 80, FIGO stage I and II, grade G1-2, MIB-1 index < 70, S-phase fraction < 10, and proliferation index < 25. Independent factors for better prognosis in the multivariate Cox analysis were age < 60 years, FIGO stage I or II, and MIB-1 index < 70. Conclusion: Independent prognostic factors in the radically irradiated PIVC patients were as follows: age, FIGO stage, MIB-1 index. (orig.)

  3. Cistectomía radical laparoscópica con extracción de pieza por vagina: Caso clínico / Laparoscopic radical cystectomy with vaginal specimen extraction: Case report

    Scientific Electronic Library Online (English)

    Gonzalo, Vitagliano; Nicolas, Villasante; Juan, Paterlini; Carlos, Ameri; Osvaldo, Mazza.

    2009-05-01

    Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Objetivo: Presentar la utilidad de una técnica minimamente invasiva como herramienta terapéutica en el tratamiento de un paciente de edad avanzada portador de cáncer de vejiga musculoinvasor. Método: Paciente femenina de 78 años con cáncer de vejiga avanzado que debuta con hematuria. Se realiza cist [...] ectomía radical con linfadenectomía pelviana por vía laparoscópica con extracción de pieza quirúrgica por vía vaginal. Resultados: El tiempo operatorio fue de 240 minutos con un sangrado de 200 ml y una estadía hospitalaria de 8 días. La paciente evolucionó favorablemente y tras un seguimiento de 6 meses se encuentra sin evidencia de recidiva tumoral. Conclusión: El bajo impacto quirúrgico permite que este abordaje pueda ser utilizado en casos seleccionados para evitar la severa morbilidad indefectiblemente asociada a la progresión local del cáncer de vejiga avanzado. Abstract in english Objective: To report a case of laparoscopic radical cystectomy and pelvic lymphadenectomy with vaginal extraction of the surgical specimen in an elderly patient with muscle invasive bladder tumor. Method: A 78 year old patient with history of hematuria was diagnosed of muscle invasive bladder cancer [...] . Lapa-roscopic radical cystectomy and pelvic lymphadenectomy with vaginal extraction of the surgical specimen was performed without incident. Results: Operative time was 240 minutes, surgical bleeding was 200 ml and hospital stay 8 days. The patient evolved uneventfully and remains disease free after 9 months of follow-up. Conclusion: Laparoscopic radical cystectomy provides adequate oncologic results with decreased morbidity, making this surgery an attractive alternative for the management of patients in a delicate condition.

  4. Sodium Tetradecyl Sulphate Direct Intralesional Sclerotherapy of Venous Malformations of the Vulva and Vagina: Report of Five Cases

    International Nuclear Information System (INIS)

    We report five cases of female patients affected by symptomatic focal external genital venous malformations treated with percutaneous direct intralesional injection of sodium tetradecyl sulphate (STS). All patients were referred because of discomfort and pain when sexual intercourse was attempted. Direct sclerotherapy with 3% STS was performed on a day-hospital basis with the patient under local anesthesia. Complete resolution of the symptoms was achieved in all cases. No major adverse effects were reported. Direct intralesional sclerotherapy with STS may be considered a safe and effective method for the treatment of female external genital malformation without the necessity of general anesthesia for pain control.

  5. Comparative study vagina mould/ fletcher applicator in MRI guided pulsed rate brachytherapy in patients reached by an uterine cervix carcinoma

    International Nuclear Information System (INIS)

    This study began in february 2009 and included until today ten patients. twenty patients are planned. The analysis of preliminary results show a much higher tolerance for the vaginal cast device. The dosimetry data were the object of a preliminary study that seems demonstrate an equivalence of the both modalities, with differences concerning the doses to critical organs; The definitive result swill be presented with the data including the twenty planned patients. (N.C.)

  6. Uterine prolapse

    Science.gov (United States)

    ... VAGINAL PESSARY Your doctor may recommend placing a rubber or plastic donut-shaped device, into the vagina. ... smelling discharge from the vagina Irritation of the lining of the vagina Ulcers in the vagina Problems ...

  7. Protection against Genital Herpes Infection in Mice Immunized under Different Hormonal Conditions Correlates with Induction of Vagina-Associated Lymphoid Tissue

    OpenAIRE

    Gillgrass, Amy E.; Tang, Vera A.; Towarnicki, Kate M.; Rosenthal, Kenneth L.; Kaushic, Charu

    2005-01-01

    The present study was undertaken to examine the effect of the hormonal environment on immunization with an attenuated strain of herpes simplex virus type 2 (HSV-2 TK?) and subsequent protection against challenge. Ovariectomized mice were administered saline (S; control), estradiol (E2), progesterone (P4), or a combination of estradiol and progesterone (E+P) and immunized intravaginally (IVAG) with HSV-2 TK?. Three weeks later, the immunized mice were challenged IVAG with wild-type HSV-2. ...

  8. Activated Vitamin D3 and Pro-activated Vitamin D3 Attenuate Induction of Permanent Changes Caused by Neonatal Estrogen Exposure in the Mouse Vagina

    OpenAIRE

    Matsuda, Manabu; Kurosaki, Keiko; Okamura, Naomichi

    2014-01-01

    Exposure of mice to a high dose of estrogens including diethylstilbestrol (DES) during the neonatal period modifies the developmental plan of the genital tract, which leads to various permanent changes in physiology, morphology and gene expression. These changes include development of an abnormal vaginal epithelium lined with hyperplastic mucinous cells accompanied by Tff1 gene expression in mice. Here, the influence of vitamin D on the direct effect of estrogen on the developing ...

  9. ALKALINE PHOSPHATASE REACTIVITY IN THE VAGINA AND UTEROVAGINAL JUNCTION SPERM-STORAGE TUBULES OF TURKEYS IN EGG PRODUCTION: IMPLICATIONS FOR SPERM STORAGE

    Science.gov (United States)

    Currently there remains contradictory information on the localization and possible role of alkaline phosphatase (AP) in the chicken and Japanese quail oviducts. Using turkeys with a hard-shelled egg in their uteri, vaginal and uterovaginal junction mucosae were stretched and fixed as whole mounts ...

  10. Species identification of members of the Streptococcus milleri group isolated from the vagina by ID 32 Strep system and differential phenotypic characteristics.

    OpenAIRE

    Ahmet, Z.; Warren, M.; Houang, E. T.

    1995-01-01

    The importance of bacterial vaginosis as a risk factor in obstetric and gynecological infections has recently been recognized. The bacterial vaginosis group of organisms includes members of the Streptococcus milleri group, the identification of which has caused much confusion. We prospectively surveyed the rates of carriage of S. milleri group organisms in 397 high vaginal swabs received in our laboratory. For the identification of 99 clinical isolates and 23 control strains, we compared the ...

  11. Eficacia en términos de respuesta clínica según criterios RECIST del tratamiento de primera línea con capecitabina en monoterapia en una paciente con carcinoma epidermoide de vagina y metástasis pulmonares / Efficacy of the first-line treatment with capecitabin monotherapy of patients with vagina epidermoid carcinoma and lung metastases, in terms of clinical response according to the RECIST criteria

    Scientific Electronic Library Online (English)

    D., Gutiérrez Abad; A., Casado Herráez; E., Filipovich Vegas; G., Hernández Muro.

    2006-12-01

    Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Los datos en la literatura acerca del tratamiento de quimioterapia en carcinoma escamoso metastásico vaginal son escasos y a menudo incompletos, debido a la escasa incidencia de este tipo de tumores. Además, algunos pacientes valorados en la práctica clínica, habitualmente no son buenos candidatos p [...] ara tratamientos estándar o ensayos clínicos. En estos casos los nuevos tratamientos pueden ser una buena opción, cuando los pacientes no cumplen los criterios de selección para los ensayos clínicos. Se presenta un caso clínico de una paciente con un carcinoma vaginal y metástasis pulmonares que obtuvo una respuesta parcial (según criterios RECIST) tras tres ciclos de capecitabina en monoterapia. Abstract in english Literature data about chemotherapy of vaginal metastatic squamous cell carcinoma are limited because of the rare incidence of this kind of tumours. In addition, some patients evaluated in clinical practice, usually are not good candidates for standard treatments or clinical trials. This situation ma [...] kes new treatments a good choice, unless patients meet the selection criteria to be included in a clinical trial. We present a case of lung metastatic vaginal carcinoma with partial response (RECIST criteria) after three cycles of capecitabine monotherapy.

  12. First two cases of primary carcinoma of the vagina successfully treated with concurrent weekly carboplatin plus paclitaxel, external beam radiotherapy and high-dose-rate interstitial brachytherapy: a case report and published work review.

    Science.gov (United States)

    Mabuchi, Seiji; Kawano, Mahiru; Isohashi, Fumiaki; Kuroda, Hiromasa; Sasano, Tomoyuki; Kimura, Tadashi

    2015-01-01

    Vaginal carcinoma is rare, accounting for only 2% of all gynecological malignancies. Due to a lack of prospective randomized studies, the role of concurrent chemoradiotherapy in the treatment of primary vaginal carcinoma remains unclear. We report the first two cases of primary vaginal carcinoma successfully treated with a regimen involving concurrent weekly carboplatin plus paclitaxel, external beam radiotherapy and high-dose-rate interstitial brachytherapy. These cases strongly indicate that definitive chemoradiation involving carboplatin plus paclitaxel may be a reasonable treatment for primary vaginal carcinoma. PMID:25227150

  13. Cervical polyps

    Science.gov (United States)

    ... vagina, including bleeding after sex or between periods Abnormal discharge from the vagina Abnormally heavy periods Call your doctor or nurse to schedule regular gynecological exams. Ask how often you should receive a Pap smear .

  14. Endometrial polyps

    Science.gov (United States)

    ... that is not regular or predictable Long or heavy menstrual bleeding Bleeding between periods Bleeding from the vagina after ... that is not regular or predictable Long or heavy menstrual bleeding Bleeding between periods Bleeding from the vagina after ...

  15. Condom

    Science.gov (United States)

    ... this happens, sperm could enter the vagina. Female Condom The female condom is inserted into the vagina ... to slip during intercourse, making them ineffective. Continue Condom Precautions Once a condom is used, it cannot ...

  16. Treatment Option Overview (Urethral Cancer)

    Science.gov (United States)

    ... remove the urethra, the bladder, and the vagina . Plastic surgery may be done to rebuild the vagina. Partial ... penis surrounding the urethra where cancer has spread. Plastic surgery may be done to rebuild the penis. Radical ...

  17. Treatment Options for Urethral Cancer

    Science.gov (United States)

    ... remove the urethra, the bladder, and the vagina . Plastic surgery may be done to rebuild the vagina. Partial ... penis surrounding the urethra where cancer has spread. Plastic surgery may be done to rebuild the penis. Radical ...

  18. What Are the Risk Factors for Anal Cancer?

    Science.gov (United States)

    ... strongly linked to cancer. They can also cause cancers of the cervix, vagina, and vulva in women, as well as ... Having certain other cancers Women who have had cancer of the cervix, vagina, or vulva are at increased risk of ...

  19. Stages of Uterine Sarcoma

    Science.gov (United States)

    ... exam : A procedure used to examine the vagina , uterus, fallopian tubes , and bladder . An ultrasound transducer (probe) is inserted into the vagina and used to bounce high-energy sound waves ( ultrasound ) off internal tissues or organs and ...

  20. General Information about Vaginal Cancer

    Science.gov (United States)

    ... a microscope to find out if they are abnormal. This procedure is also called a Pap smear. Pap test. A speculum is inserted into the vagina to widen it. Then, a brush is inserted into the vagina to collect cells from ... vagina and cervix for abnormal areas. Tissue samples may be taken using a ...

  1. Unusual Cancers of the Reproductive and Urinary Systems

    Science.gov (United States)

    ... Cervical cancer is a disease in which malignant ( cancer ) cells form in the cervix . The cervix is the lower, narrow end of ... the uterus to the vagina (birth canal). Vaginal cancer forms in the vagina. The vagina is the canal leading from the cervix to the outside of the body. At birth, ...

  2. Colpopéxia transcoccígea con malla de polipropileno con orificios facilitadores de la integración en la corrección del prolapso de la pared posterior de la vagina: resultados anatómicos y funcionales / Transcoccigeal colpopexy with polyprolylene mesh with helper orifices for the treatment of posterior vaginal wall prolapse: anatomical and functional results

    Scientific Electronic Library Online (English)

    Vitor, Pagotto; Paulo, Palma; Cassio, Riccetto; Miguel, Bigozzi.

    2009-04-01

    Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Objetivo: La creación de neoligamentos útero- sacros, según lo descripto por Petros, con el uso de malla sintética de polipropileno permite la corrección anatómica del prolapso posterior en los tres niveles propuestos por DeLancey. El objetivo de este estudio es evaluar los resultados anatómicos y f [...] uncionales de este método en la corrección del POP posterior. Pacientes y método: Desde diciembre del 2004 a marzo del 2007, 34 mujeres con edad media de 63 años fueron sometidas al procedimiento, siendo rectoceles grado III o mayores. El seguimento mínimo fué de 13 meses. Los puntos de fijación fueron el músculo íleococcígeo y el ligamento sacroespinoso. Técnica: Luego de la incisión de la mucosa de la pared vaginal posterior, la fosa ísquio-rectal es disecada. Dos pequeñas incisiones son hechas 3 cm lateral y 3 cm inferior al ano. La aguja se inserta verticalmente en dirección a la espina isquiática, guiado por el dedo indicador del cirujano hasta el ligamento sacroespinoso, 2 cm medialmente, evitando a lesión del canal de Alcock. Los brazos de la malla son conectados a la punta de la aguja, traccionando posteriormente de las agujas. No se realiza la correción sitio específica. El exceso de malla es recortado y esta se fija próxima al cuerpo perineal, quedando de esa forma extendida sobre la pared vaginal posterior. La mucosa vaginal se cierra en forma habitual. Resultados: Con el 94,7% de cura y recurrencia del 5,3%, no hubo lesión nerviosa, visceral o vascular. Cinco (14,7%) pacientes tuvieron exposición de la malla de menos de 1 cm² y fueron tratadas conservadoramente sin impacto en los resultados. Dos de las 17 sexualmente activas (11,8%) presentaron dispareunia transitoria, siendo prolongada en 1 solo caso (5,9%) Conclusión: Este procedimiento mínimamente invasivo es una alternativa atractiva para la reconstrucción anatómica y funcional de los defectos posteriores y apicales. Abstract in english Objective: The creation of neo utero-sacral neoligaments, decribed by Petros, evolved into a new procedure allowing for the anatomical reconstruction of the three levels proposed by DeLancey. The aim of this study is evaluate the anatomical and functional outcomes of this minimally invasive procedur [...] e. Patients and method: From December 2004 to March 2007, a total of 34 patients with posterior defect grade III or higher underwent this procedure. The minimum follow up was 13 months Mean age was 63 years. The site of fixation was the Sacrospinous ligament. Surgical technique: The ischiorectal fossa is dissected. Next two small skin incisions are made 3 cm lateral and inferior to the center of the anus. A proper needle is introduced, vertically towards the sacrospinal ligament at the level of the ischial spine, guided by the surgeon index finger, 2 cm medially avoiding the Alcok canal. The armpit of the mesh is connected to the tip of the needle and brought to the perineal region. No site specific correction is made. Results: The cure rate was 94,7% and recurrence rate was 5,3%. No visceral, nerurovascular injuries were observed. The mesh exposure rate (less than 1 cm²) was (14.7%) and all patients were treated conservatively with no impact on the outcome. There were transient dyspareunia in 2 (11.8%) of the 17 sexually active patient and persistent in 1 case (5.9%). Conclusions: This procedure is an attractive minimally invasive alternative for the anatomical and functional reconstruction of the posterior and apical defects.

  3. Comparative study vagina mould/ fletcher applicator in MRI guided pulsed rate brachytherapy in patients reached by an uterine cervix carcinoma; Etude comparative moule vaginal/applicateur de fletcher en curietherapie de debit pulse guide par IRM chez les patientes atteintes d'un cancer du col uterin

    Energy Technology Data Exchange (ETDEWEB)

    Francois, G.; Dumas, I.; Mazeron, R.; Verezesan, O.; Monnier, L.; Vieillot, S.; Gensse, M.C.; Haie-Meder, C. [Institut Gustave-Roussy, 94 - Villejuif (France)

    2009-10-15

    This study began in february 2009 and included until today ten patients. twenty patients are planned. The analysis of preliminary results show a much higher tolerance for the vaginal cast device. The dosimetry data were the object of a preliminary study that seems demonstrate an equivalence of the both modalities, with differences concerning the doses to critical organs; The definitive result swill be presented with the data including the twenty planned patients. (N.C.)

  4. Labial flap vaginoplasty with sacrospinous fixation

    OpenAIRE

    Chandrashekar Murthy; Kiran Ashok; Susheel Kumar Kalal

    2010-01-01

    We present a case of congenital absence of Vagina which was treated by reconstruction of the vagina using vascular labial flaps. Furthermore, we anchored the neo-vagina to the Sacro-spinous ligament on either side. The aim of the attachment to the sacro-spinous ligament is to provide a durable apical support and to give an immediate, good vaginal length. Various techniques have been described for the construction of Neo-vagina. Except for sigmoid vaginoplasty, most other procedures are associ...

  5. Robotic-Assisted Hysterectomy

    Medline Plus

    Full Text Available ... Dr. Brown is better able to visualize the area where she needs to make her incision. And here's the incision in the vagina. Pretty soon what you'll see is you'll see a blue ring. There it is. And that blue ring is placed again through the vagina adjacent to the cervix, and it's what marks our ...

  6. Surgical Tutorial of a Robotic-Assisted Anterior Pelvic Exenteration

    Medline Plus

    Full Text Available ... United States to have recurrence of her cervical cancer in the anterior portion of the cervix and the anterior vagina and it invading into ... involving the posterior bladder, the vagina and the cervix completely ... negative for cancer. She was surgically cured with this procedure that ...

  7. Neuromusculature of the ovijector of ascaris suum (Ascaroidea, nematoda): an ultrastructural and immunocytochemical study.

    Science.gov (United States)

    Fellowes, R A; Dougan, P M; Maule, A G; Marks, N J; Halton, D W

    1999-12-27

    This study used electron microscopy and confocal scanning laser microscopy interfaced with cytochemistry to study neuromuscular interrelationships in the ovijector of Ascaris suum. An extensive nerve plexus with both FaRPergic and non-FaRPergic components extends over the outer surface of the ovijector. The non-FaRPergic component is derived from nerve branches of the ventral nerve cord, whereas the FaRPergic component emanates from two large FMRFamide-immunoreactive neurons. In the vagina vera, most myofibrils are circular in orientation and a number of them divide and run for short distances in longitudinal and diagonal directions, their myofilaments are also orientated in a variety of directions. Parallel nerve fibres run in tracts along the length of the vagina vera with branches that penetrate the muscle layers. The vagina uteri possesses a thicker hypodermis than that of the vagina vera. It appears rich in secretory and phagocytic vesicles and the luminal side is invested with an electron-dense substance. The musculature of the vagina uteri is less well developed than that of the vagina vera, being restricted to circular myofibrils, with an apparent diagonal arrangement of myofilaments. Also, the innervation is less extensive in the vagina uteri with many fibres returning to the vagina vera to rejoin the nerve net and others continuing into the uteri. PMID:10570459

  8. Wnt family genes and their modulation in the ovary-independent and persistent vaginal epithelial cell proliferation and keratinization induced by neonatal diethylstilbestrol exposure in mice

    International Nuclear Information System (INIS)

    Proliferation and differentiation of cells in female reproductive organs, the oviduct, uterus and vagina, are regulated by endogenous estrogen. In utero exposure to a synthetic estrogen, diethylstilbestrol (DES), induces vaginal clear-cell adenocarcinoma in humans. In mice, perinatal exposure to DES results in abnormalities such as polyovular follicles, uterine circular muscle disorganization and persistent vaginal epithelial cell proliferation. We reported the persistent gene expression change such as interleukin-1 (IL-1) related genes, insulin-like growth factor-I (IGF-I) and its downstream signaling in the mouse vagina exposed neonatally to DES. In this study, we found persistent up-regulation of Wnt4 and persistent down-regulation of Wnt11 in the vagina of mice exposed neonatally to DES and estrogen receptor ? specific ligand. Also Wnt4 expression in vagina is correlated to the stratification of epithelial cells with the superficial keratinization of vagina, but not epithelial cell stratification only.

  9. Progesterone receptors in the female lower urinary tract

    Energy Technology Data Exchange (ETDEWEB)

    Batra, S.C.; Iosif, C.S.

    1987-11-01

    When female estrogenized rabbits were injected i.v. with /sup 3/H-progesterone, the tritium concentration determined after one hour was about two to three times higher in urethra, urinary bladder and vagina than in the heart. High affinity progesterone receptors (KD = 1-2 nM) could be demonstrated in both cytoplasmic and nuclear fractions prepared from estrogenized rabbit urethra, bladder and vagina. The cytosolic receptor concentration in both urethra and bladder was about half of that in the vagina. The concentration of nuclear receptors in urethra was not significantly different from that in the vagina, but in the bladder the concentration was only about one fourth of that in the vagina or urethra. The mean KD of cytosolic receptors from bladder was significantly higher than the corresponding values in urethra and vagina. Progesterone binding sites in the bladder had a broader hormonal specificity than those in the urethra or vagina. The present demonstration of specific progesterone receptors in the female urethra might provide a possible link between estrogen progesterone interaction and the appearance of urinary incontinence during pregnancy in women.

  10. Progesterone receptors in the female lower urinary tract

    International Nuclear Information System (INIS)

    When female estrogenized rabbits were injected i.v. with 3H-progesterone, the tritium concentration determined after one hour was about two to three times higher in urethra, urinary bladder and vagina than in the heart. High affinity progesterone receptors (KD = 1-2 nM) could be demonstrated in both cytoplasmic and nuclear fractions prepared from estrogenized rabbit urethra, bladder and vagina. The cytosolic receptor concentration in both urethra and bladder was about half of that in the vagina. The concentration of nuclear receptors in urethra was not significantly different from that in the vagina, but in the bladder the concentration was only about one fourth of that in the vagina or urethra. The mean KD of cytosolic receptors from bladder was significantly higher than the corresponding values in urethra and vagina. Progesterone binding sites in the bladder had a broader hormonal specificity than those in the urethra or vagina. The present demonstration of specific progesterone receptors in the female urethra might provide a possible link between estrogen progesterone interaction and the appearance of urinary incontinence during pregnancy in women

  11. A Case of Transverse Vaginal Septum Diagnosed During Labor

    Directory of Open Access Journals (Sweden)

    Üstün, Y.

    2005-01-01

    Full Text Available Transverse vaginal septum is the result of faulty canalization of the embryonic vagina. We described a case of transverse vaginal septum with a small central aperture diagnosed during labor. An 18-years-old girl at 28 weeks of gestation presented to our obstetric department complaining of symptoms of preterm delivery. Pelvic and vaginal ultrasonography, with gynecologic examination established a diagnosis of transverse vaginal septum in mid-vagina. An incision in the vaginal septum allowed us to see the head of the fetus in the vagina. The diagnosis of transverse vaginal septum was confirmed during labor and excision of the septum prevented the uterine rupture.

  12. Vaginoplasty with a Pudendal-Thigh Flap in Intersexuals

    OpenAIRE

    Nakatsuka, Mikiya; Kimata, Yoshihiro; Hasegawa, Kenjiro; Yamashita, Shuji; Sugiyama, Narushi; Namba, Yuzaburo

    2008-01-01

    We treated 2 different types of intersexual patients who underwent a vaginoplasty with the pudendal-thigh flap. One was a female with testicular feminization syndrome for whom we reconstructed the total vagina with a pudendal-thigh flap, and the other was a female with an adrenogenital syndrome for whom we enlarged the introitus of the vagina with the same approach. There were no complications such as a flap necrosis. In addition, there was no stricture of the neo-vagina and no urinary problem.

  13. Vaginoplasty with a Pudendal-Thigh Flap in Intersexuals

    Directory of Open Access Journals (Sweden)

    Nakatsuka,Mikiya

    2008-12-01

    Full Text Available We treated 2 different types of intersexual patients who underwent a vaginoplasty with the pudendal-thigh flap. One was a female with testicular feminization syndrome for whom we reconstructed the total vagina with a pudendal-thigh flap, and the other was a female with an adrenogenital syndrome for whom we enlarged the introitus of the vagina with the same approach. There were no complications such as a flap necrosis. In addition, there was no stricture of the neo-vagina and no urinary problem.

  14. Healthy Sexuality

    Medline Plus

    Full Text Available ... to sexual stimulation. During sexual arousal, blood flow increases to a woman’s genitals. Her vagina is lubricated ... become erect, her blood pressure and heart rate increase, and a “sex flush” from the stomach to ...

  15. Dyspareunia: Painful Sex for Women

    Science.gov (United States)

    ... part of the genitals can cause pain during sex. Some conditions affect the skin around the vagina. ... types of birth control) does not fit correctly, sex may also be painful. Vaginismus (say: "vag-in- ...

  16. Robotic-Assisted Hysterectomy for Endometrial Cancer

    Medline Plus

    Full Text Available ... the Koh ring. This Koh ring diffuses the heat so there is no worry about cautery damage to the vagina. There isn’t significant heat within the vaginal tissues, so again, this is ...

  17. Sexual Problems

    Medline Plus

    Full Text Available ... may be due to many factors, including physical, psychological, medical conditions, or medications. Men with male orgasmic ... into the vagina or as deep pain. Both psychological and physical factors can contribute to the condition. ...

  18. Robot-Assisted Gynecologic Surgery

    Medline Plus

    Full Text Available ... that uterus. That’s going t o leave another hole into the pelvis via the vagina, right? And ... steroidal, anti-inflammatory drugs. They take oral pain medicines as they need it. The evening of surgery, ...

  19. Robotic-Assisted Hysterectomy

    Medline Plus

    Full Text Available ... beginning of the surgeon's learning curve. Ultimately the goal is to have this be if it's something ... ll be able to get that safely. My goal is to not enter the vagina here, it's ...

  20. Robotic-Assisted Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

    Medline Plus

    Full Text Available ... that is, leaving the cervix there. That of course assumes that the Pap smear history is completely ... still in place that had detached from the top of the vagina. This mesh was still attached ...

  1. Laparoscopic Supracervical Hysterectomy

    Medline Plus

    Full Text Available ... we did a hysterectomy. But with the current methods of detecting precancerous changes on the cervix, we ... followed because the top third of the vagina develops from the same tissue embryologically as the cervix ...

  2. Vaginitis - self-care

    Science.gov (United States)

    ... be caused by: Yeast , bacteria, viruses, and parasites Bubble baths, soaps, vaginal contraceptives, feminine sprays, and perfumes ... the lower genital tract: vulva, vagina, cervix, toxic shock syndrome,endometritis, and salpingitis. In: Lentz GM, Lobo ...

  3. Robotic-Assisted Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

    Medline Plus

    Full Text Available ... POP-Q, each of the points represents a particular part in the vagina. We usually break it ... know, there's a lot of suturing in this particular procedure that may -- this may be a good ...

  4. Primary menouria due to a congenital vesico-vaginal fistula with distal vaginal agenesis: a rarity.

    Science.gov (United States)

    Singh, Vishwajeet; Sinha, Rahul Janak; Mehrotra, Seema

    2011-08-01

    We present the case of a female aged 16 years, suffering from cyclical menouria for the last 3 years. Clinical examination revealed the absence of a vagina. Cystoscopy performed while the patient was having menouria revealed an orifice (10 × 8 mm) in the supratrigonal region; blood clots were entering the urinary bladder through this orifice. Magnetic resonance imaging of the pelvis depicted a fluid-filled longitudinal tract distal to the uterus (which was the upper vagina), between the cervix and the bladder. Diagnostic laparoscopy confirmed the presence of a uterus, both ovaries, and the tubal structures. Exploratory laparotomy, correction of the fistulous tract, and sigmoid vaginoplasty were performed. The distal part of the fistulous tract (urinary bladder end) was anastomosed to the proximal end of the sigmoid neo-vagina. The patient is doing well as per her last follow-up at 6 months. She has started menstruating per neo-vagina. PMID:21267710

  5. Robotic-Assisted Hysterectomy

    Medline Plus

    Full Text Available ... the colon, or the sigmoid colon, in the surgical field. And the reason you're seeing that is because with the incision in the vagina, the carbon dioxide, which is usually distending the patient's abdomen, is ...

  6. Aging changes in the kidneys and bladder

    Science.gov (United States)

    ... bladder muscles weaken. Blockage of the urethra: In women this can be due to weakened muscles that cause the bladder or vagina to fall out of position (prolapse). In men the urethra can become blocked ...

  7. Laparoscopic Supracervical Hysterectomy

    Medline Plus

    Full Text Available ... The cervix is the little organ at the end of the uterus which attaches to the vagina ... insert in the umbilicus and that's where we end up inside the patient's abdomen, which is…I ...

  8. Robotic-Assisted Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

    Medline Plus

    Full Text Available ... resupporting the vagina to the sacrum using a polypropylene mesh. Dr. Jennifer Wu, Assistant Professor of Obstetrics and ... So what we're using is just a polypropylene mesh, it's not a device, but it is going ...

  9. Healthy Sexuality

    Medline Plus

    Full Text Available ... or her sexuality. Let’s talk about how a woman’s body responds to sexual stimulation. During sexual arousal, blood flow increases to a woman’s genitals. Her vagina is lubricated by secretions from ...

  10. Robotic-Assisted Hysterectomy for Endometrial Cancer

    Medline Plus

    Full Text Available ... vagina we’re using just a traditional suture material. There’s no special type of suture or needle ... doing the leftsided periaortic lymph nodes. And those structures were spared. When -- if we have time to ...

  11. Microflora of urogenital tract in pregnancy with asymptomatic bacterium

    International Nuclear Information System (INIS)

    The article contains results of research interrelationship from colonization of vagina and urinary tract diseases. E.coli one of the main factors in development asymptomatic bacterium. Presented high effects of penicillin medicaments and nitrofurans in treatment of asymptomatic bacterium

  12. Surgical Tutorial of a Robotic-Assisted Anterior Pelvic Exenteration

    Medline Plus

    Full Text Available ... for locally invasive cervical cancer. She did very well, had no evidence of her cancer, as I ... the vagina, the cervix and surrounding tissues as well last the uterus and both tubes and ovaries. ...

  13. Postpartum Period: Vaginal Bleeding

    Medline Plus

    Full Text Available ... it’s safe to keep breastfeeding. What is postpartum bleeding? Postpartum bleeding is bleeding from the vagina after giving birth. It’s normal. However, heavy bleeding (hemorrhaging) can be a sign of other health ...

  14. Hysteroscopy

    Science.gov (United States)

    ... used to open the walls of the vagina. Sterilization: A permanent method of birth control. Uterus: A muscular organ located in the female pelvis that contains and nourishes the developing fetus ...

  15. Robotic-Assisted Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

    Medline Plus

    Full Text Available ... the vagina to the sacrum using a polypropylene mesh. Dr. Jennifer Wu, Assistant Professor of Obstetrics and ... was very clear that she had not had mesh. However, when we got in we found that ...

  16. Robotic-Assisted Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

    Medline Plus

    Full Text Available ... up the space anteriorly to the vagina to reflect the bladder distally. In addition, we also opened ... in just a second I'm going to reflect -- as I told you, her bladder was really ...

  17. Genetics Home Reference: Caudal regression syndrome

    Science.gov (United States)

    ... an abnormal connection between the rectum and vagina (rectovaginal fistula). In severe cases, both males and females have ... more common in infants born to mothers with diabetes; it affects 1 in 350 of these newborns. ...

  18. Vaginal Pessary

    Science.gov (United States)

    ... your vagina). A pessary can also help many women who have stress urinary incontinence (the leaking of urine when you cough, strain or exercise). Pregnant women who have incontinence can also use a vaginal ...

  19. Robotic-Assisted Hysterectomy for Endometrial Cancer

    Medline Plus

    Full Text Available ... GEHRIG, MD: We have a question regarding nerve damage and how do we avoid that with this ... heat so there is no worry about cautery damage to the vagina. There isn’t significant heat ...

  20. Robotic-Assisted Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

    Medline Plus

    Full Text Available ... resupporting the vagina to the sacrum using a polypropylene mesh. Dr. Jennifer Wu, Assistant Professor of Obstetrics ... mesh, I would use, personally, a wide-weave polypropylene. I wouldn't use Gore-tex mesh. It's ...

  1. Routine Vaginal Delivery

    Science.gov (United States)

    ... Routine Vaginal Delivery Ages & Stages Listen Routine Vaginal Delivery Article Body In the days and weeks leading ... appearance through the vagina. In a routine vaginal delivery, your first view of your child may be ...

  2. Healthy Sexuality

    Medline Plus

    Full Text Available ... responds to sexual stimulation. During sexual arousal, blood flow increases to a woman’s genitals. Her vagina is ... are drawn up toward the abdomen. Meanwhile, seminal fluid collects in the prostatic urethra and the bulbourethral ...

  3. Surgical Tutorial of a Robotic-Assisted Anterior Pelvic Exenteration

    Medline Plus

    Full Text Available ... In this procedure, I remember us gathering about 42 lymph nodes in total. Yes. And urologists who ... the vagina and the cervix completely removed, all 42 lymph nodes were negative for cancer. She was ...

  4. Development of vesicovaginal fistula caused by vaginal adenosis: A case report

    Directory of Open Access Journals (Sweden)

    Ryoichi Tanaka

    2013-06-01

    Full Text Available Introduction: Vaginal adenosis is one of the rare diseases of the vagina, and almost all patients are asymptomatic. We report a case of spontaneous vaginal adenosis, which caused vesicovaginal fistula. Case Presentation: Our patient was a 25-year-old Japanese woman. She was admitted to our hospital, and her chief complaint was continuous urine flow from the vagina. We found a tumor with a vesicovaginal fistula in her vagina. Subsequent cytological analysis of vaginal smears showed a normal vaginal mucosa. The patient underwent tumor resection and a fistula patch. Pathological diagnosis was adenosis of the vagina, even though the patient had no known history of intrauterine diethylstilbestrol exposure or Müllerian developmental abnormalities. Conclusion: The clinical course of our case was a malignant tumor, which invasively bored a hole in the vaginal wall forming a vesicovaginal fistula, even though it was a benign lesion. Therefore, overzealous treatment should be avoided in this case.

  5. Vaginal yeast infection

    Science.gov (United States)

    Yeast infection - vagina; Vaginal candidiasis; Monilial vaginitis ... Most women have a vaginal yeast infection at some time. Candida albicans is a common type of fungus. It is often found in small amounts in the ...

  6. Laparo-Endoscopic Single-Site (LESS) Procedure

    Medline Plus

    Full Text Available ... Albrink's doing is he's touching it against the stomach and he's touching it against the liver in ... to go through the vagina or through the stomach, it just doesn't make sense at this ...

  7. Robot-Assisted Hysterectomy

    Medline Plus

    Full Text Available ... helps maintain pnemoperitoneum in the vagina as we make a pulpotomy incision. So this is basically the ... there has been a movement to try to make this procedure less invasive. And that started with ...

  8. Robotic-Assisted Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

    Medline Plus

    Full Text Available ... vagina as well as in the rectum to identify the space in between the two so we ... to use 5 mm traditional laparoscopic instruments. We identify the key anatomic structures -- in this case, the ...

  9. Robot-Assisted Hysterectomy

    Medline Plus

    Full Text Available ... I didn’t go far enough – oh, I did go far enough over, good. So again, we’ ... vagina. They’re essentially still attached because we did this in an interfacial fashion. What I’m ...

  10. Sexual Problems

    Medline Plus

    Full Text Available ... occur with entry into the vagina or as deep pain. Both psychological and physical factors can contribute ... sexual dysfunction. The Eros is a small pump-like vacuum that fits over the clitoris and uses ...

  11. Vaginal atresia with transverse septum in a cat

    International Nuclear Information System (INIS)

    A six and half-year-old nulliparous mixed breed cat which had the complaints of vomiting, abdominal distention and depression was presented to the Veterinary Teaching Hospital of Osaka Prefecture University. She was suspected of pyometra by clinical signs and tests. By laparotomy, it was clarified that both uterine horns and vagina showed distension by the accumulation of secretions, and the vagina ended blindly leaving a tough connective tissue at the border between cranial and caudal part of the vagina. Postoperative contrast-radiograph of the remaining vagina proved it had no persistence of the hymen. From these findings, the condition was diagnosed as a feline atresia vaginalis with the transverse vaginal septum which is caused by the embryonic failure of canalization of the paramesonephric duct between the end of the Mullerian duct and the urogenital sinus

  12. Intraperitoneal leech: A rare complication of leech bite

    OpenAIRE

    Saha, Manoj; Nagi, Sedengulie

    2011-01-01

    An intraperitoneal leech, which entered through vagina and uterus in a 2-year-old girl is reported. The child presented with intraperitoneal hemorrhage and shock. A leech inside the peritoneal cavity has never been reported in the literature.

  13. Pelvic Organ Prolapse

    Medline Plus

    Full Text Available ... vagina to provide support for prolapsed organs. Three types of pessaries are shown in the ... ©2010-2012 Tim Peters and Company, Inc. All Rights Reserved. Developed in consultation with ...

  14. Laparoscopic Supracervical Hysterectomy

    Medline Plus

    Full Text Available ... the thermal spread on this instrument is a third of what several of our earlier instruments were. ... you should still be followed because the top third of the vagina develops from the same tissue ...

  15. Laparo-Endoscopic Single-Site (LESS) Procedure

    Medline Plus

    Full Text Available ... with less operative time, less pain, great cosmetic results, and they don't have to receive the ... through the umbilicus; and we have such great results that having to go through the vagina or ...

  16. Surgical Tutorial of a Robotic-Assisted Anterior Pelvic Exenteration

    Medline Plus

    Full Text Available ... to you by Intuitive Surgical. During the program, it’s easy for you to learn about the procedure. ... of the cervix and the anterior vagina and it invading into the posterior bladder. To make matters ...

  17. Sexual Problems

    Medline Plus

    Full Text Available ... sexual sensations in her clitoris or vagina. Male erectile disorder, or ED, is the inability of a ... phosphodiesterase inhibitors, which are drugs often used for erectile dysfunction, and other medications. For women estrogen can ...

  18. Large Vesico-Vaginal Fistula Caused by a Foreign Body

    OpenAIRE

    Massinde, An; Kihunrwa, A.

    2013-01-01

    Foreign body is a rare cause of vesico-vaginal fistula most often reported in developed countries. In developing countries obstructed labor is the commonest cause of fistula. A nulliparous 19-year-old female presented with a 3-week history of a foreign body in the vagina causing urinary incontinence and offensive vaginal discharge. Her guardian allegedly inserted the foreign body after she refused a pre-arranged marriage. A plastic container was removed from the vagina under general anesthesi...

  19. A novel image-guided balloon vaginoplasty method to treat obstructive vaginal anomalies.

    Science.gov (United States)

    Kansagra, Akash P; Miller, Christine B; Roberts, Anne C

    2011-05-01

    Obstructive anomalies of the vagina that impair uterovaginal outflow and lead to hematocolpos have conventionally been corrected with surgery, but emerging nonsurgical therapies may offer an attractive alternative. The present report describes a method of serial balloon dilation over a transvaginally inserted guide wire to create a durable outflow tract from the uterus to the lower vagina. This technique was successfully used to treat one case each of vaginal atresia and transverse vaginal septum without the immediate need for surgery. PMID:21514521

  20. Important differences in nitric oxide synthase activity and predominant isoform in reproductive tissues from human and rat

    OpenAIRE

    Al-Hijji J; Iosif C; Batra S; Larsson I

    2003-01-01

    Abstract For the extrapolation of data obtained from experimental animals to the human situation, it is important to know the similarities and differences between human and animal species. Some important characteristics of nitric oxide synthase (NOS) in myometrium and vagina from human and rat were compared. NOS-activity was measured by the formation of 14C-citrulline from 14C-arginine and the expression of NOS isoforms was examined by Western blotting. NOS activity in human uterus and vagina...

  1. Changes in the expression of interleukin-1beta and lipopolysaccharide-induced TNF factor in the oviduct of laying hens in response to artificial insemination.

    Science.gov (United States)

    Das, Shubash Chandra; Isobe, Naoki; Yoshimura, Yukinori

    2009-03-01

    The aim of this study was to determine the physiological significance of interleukin-1beta (IL1B) and lipopolysaccharide-induced TNF factor (LITAF) in the fate of sperm in the oviduct of laying hens after artificial insemination (AI). Laying hens were inseminated with fresh semen, PBS or seminal plasma and tissues from different oviductal segments were collected to observe the general histology, changes in the mRNA expression of IL1B and LITAF and the localization of positive cells expressing immunoreactive IL1B (irIL1B). Semi-quantitative RT-PCR was used to observe the changes in mRNA expression of these molecules in the infundibulum, uterus, utero-vaginal junction (UVJ), and vagina after insemination. Intact sperm in the lumen and between the primary or secondary folds of the vagina were found until 6 h after insemination but were degraded at 12 h. The mRNA expression of IL1B and LITAF was significantly increased in the vagina until 6 h after AI but remained unchanged in the other oviductal segments. In the tissue of the vagina and UVJ, irIL1B was localized in the mucosal stroma. The number of irIL1B-positive cells was increased in the vagina but almost unchanged in UVJ after insemination with semen. Significant changes were not observed in the mRNA expression and irIL1B-positive cells in the vagina after PBS or seminal plasma insemination. The increase of IL1B and LITAF in the vagina may lead to sperm degradation and elimination by cilia of surface epithelium, whereas their lower levels in UVJ may permit sperm to survive in sperm storage tubules. PMID:18539728

  2. Effects of different TLR ligands on the expression of proinflammatory cytokines and avian ?-defensins in the uterine and vaginal tissues of laying hens.

    Science.gov (United States)

    Abdel-Mageed, Ahmad M; Isobe, Naoki; Yoshimura, Yukinori

    2014-12-15

    The immune response in the lower part of the hen oviduct is of crucial importance to protect the oviductal tissues from infection by microorganisms colonizing the cloaca. The aim of this study was to examine whether different TLRs can recognize their ligands to induce expression of proinflammatory cytokines and avian ?-defensins (AvBDs) in the uterus and vagina of laying hens. The mucosal tissues of the uterus and vagina were collected, cultured in TCM-199 medium and stimulated with or without different ligands of TLRs, namely Pam3CSK4 (TLR2), poly I:C (TLR3), flagellin (TLR5), R848 (TLR7), and CpG-ODN (TLR21) and incubated for 3h. The expression of IL1B in the uterus and vagina was upregulated by all TLR ligands tested. The expression of IL6 in the uterus and vagina was upregulated by poly I:C and CpG-ODN, and it was also upregulated by Pam3CSK4 in the uterus and by R848 in the vagina. The expression of AvBD10 was upregulated by poly I:C in the uterus and by flagellin in the vagina. On the other hand, the AvBD10 expression was downregulated by CpG-ODN in the uterus and by R848 in the vagina, whereas its expression was not affected by Pam3CSK4 in both tissues. The expression of AvBD12 in the uterus and vagina was not affected by any TLR ligands except for CpG-ODN, which downregulated its expression in the vagina. These results suggest that TLR2, 3, 5, 7, and 21 in the uterine and vaginal tissues are functionally active in inducing proinflammatory cytokines in response to their specific ligands, although the effect on the expression of AvBDs is limited. Proinflammatory cytokines induced by interaction of TLRs with their ligands may play roles in the defense against infectious microorganisms. PMID:25467889

  3. Vaginal position and length in the bitch: relationship to spaying and urinary incontinence

    International Nuclear Information System (INIS)

    A study was undertaken to determine if the vagina might be a suitable site for the measurement of intra-abdominal pressure during cystometry in the bitch, The position of the cranial vagina and vaginal length were measured radiographically and the effects of spaying and urinary Incontinence on these variables were evaluated in 30 continent and 30 incontinent bitches. The study used retrograde vaginourethrograms which had been obtained from animals used in a previous study, The cranial vagina was intra-abdominal on 36 of the vaginourethrograms, being least commonly intra-abdominal in incontinent bitches (11/30), Vaginal position was related linearly to vaginal length and continence status (P<0.01), while its length was related to bodyweight(P<0.01). Allowing for bodyweight, neutered animals had significantly shorter vaginas than entire bitches (P<0.01). Measurement of intra-abdominal pressure with concomitant measurement of intravesical pressure is essential if accurate assessment of detrusor pressure is to be determined during cystometry, The vagina is unlikely to be a useful location from which to measure intra-abdominal pressure since any pressure-measuring catheter inserted into it may fall outside the abdominal pressure zone. This is particularly true of neutered and/or incontinent bitches, the groups in which urodynamic investigations of urinary incontinence are most frequently indicated

  4. Classical neurotransmitters in the ovijector of Ascaris suum: localization and modulation of muscle activity.

    Science.gov (United States)

    Fellowes, R A; Maule, A G; Martin, R J; Geary, T G; Thompson, D P; Kimber, M J; Marks, N J; Halton, D W

    2000-09-01

    Ascaris suum possesses a well-developed nervous system which is regulated by a number of classical neurotransmitters including acetylcholine (ACh), gamma-aminobutyric acid (GABA), glutamate and serotonin. The vagina vera, the distal part of the ovijector, displays intrinsic, rhythmic activity which has been shown to be modulated by FMRFamide-related peptides (FaRPs) in vitro. Confocal scanning laser microscopy coupled with immunocytochemistry, and histochemical studies, revealed that the nerve plexus of the ovijector contains GABAergic and glutamatergic innervation. Although no distinctive cholinergic or serotoninergic innervation was apparent, cholinesterase activity was localized to discrete areas of the musculature of the vagina vera. The effects of classical transmitters on the activity of the vagina vera in vitro were examined. ACh was excitatory, stimulating a brief but powerful contraction of the vagina vera with a threshold for activity of 1 microM. Both GABA and glutamate were inhibitory, causing a cessation of contractile activity at high concentrations (> 10 microM). Although less potent than glutamate, GABA had more profound effects and induced longer-lasting paralysis of the tissue. The threshold concentrations for activity were 5 microM for glutamate and 10 microM for GABA. Serotonin had no consistent effect on the vagina vera. This study demonstrates that classical transmitters modulate the activity of the ovijector of A. suum. PMID:11085252

  5. Influence of Calotropis procera roots on biochemistry of reproductive organs of ovariectomized rats

    Directory of Open Access Journals (Sweden)

    Ahirwar D

    2007-01-01

    Full Text Available Biochemical alterations have been observed in the uterus, cervix and vagina of ovariectomized rats treated with alcoholic extract of Calotropis procera roots administered in the presence and absence of ethynilestradiol. Ovariectomy resulted in the decrease of glycogen and protein content as well as activity of acid and alkaline phosphatase in the uterus, cervix and vagina. Administration of the alcoholic extract of Calotropis procera increases glycogen and protein content and activity of acid and alkaline phosphatase in uterus and cervix with increasing weights, whereas, the glycogen contents decreased significantly in vagina. Combined treatments of the alcoholic extract with ethynilestradiol act synergistically confirm the estrogenic action of alcoholic extract of Calotropis procera roots in adult ovariectomized rats.

  6. MRSA infection of buttocks, vulva, and genital tract in women.

    Science.gov (United States)

    Reichman, Orna; Sobel, Jack D

    2009-11-01

    Staphylococcus aureus, although a common commensal bacterium, is a frequent cause of skin and soft tissue infections as well as life-threatening blood stream infections. Resistance to methicillin, which previously was associated with only hospitalized patients, has become a common community-based phenomenon. Less well known is S. aureus vaginal colonization and heterosexual transmission, mainly by skin-mucosa contact. Recognizing the vagina as a reservoir is important and should not be ignored, particularly in women presenting with recurrent genital and buttock boils or if their sexual partner has such infections. Vaginal cultures should be obtained from such women; if the vagina is found to be colonized, eradication of S. aureus from the vagina should be attempted to reduce infection recurrence. PMID:19857386

  7. Validation of thermal techniques for measurement of pelvic organ blood flows in the nonpregnant sheep: comparison with transit-time ultrasonic and microsphere measurements of blood flow

    International Nuclear Information System (INIS)

    Data obtained from a thermal system capable of measuring changes in organ temperature as well as tissue thermal clearance in the uterus and vagina have been compared with blood flow measured continuously with a transit-time ultrasound volume-flow sensor placed around the common internal iliac artery and intermittently with radioactive microspheres in the chronically instrumented nonpregnant sheep. Temperature changes in both the uterus and the vagina correlated well with blood flow changes measured by both techniques after intravenous administration of estradiol or norepinephrine. Thermal clearance did not correlate well with blood flow in the vagina or uterus. These methods may have value in the investigation of blood flow patterns in various clinical situations such as the pelvic pain syndrome and early pregnancy

  8. Anatomia e histologia do conduto genital feminino de Pomacea canaliculata (Lamarck, 1822 (Mollusca, Gastropoda, Pilidae

    Directory of Open Access Journals (Sweden)

    Eliana de Fátima Marques de Mesquita

    1990-01-01

    Full Text Available In this paper the authors give an anatomical and histological analysis of the genital duct in mature and immature females of Pomacea canaliculata (Lamarck, 1822. Anatomically, the vagina has an equal dimension in its extension, varying in form and volume, according to the maturation period. In the immaturity, it has a smaller diameter and volume. In the maturity, the vagina increases in volume, having the aspect of a tumescent organ, and in certain specimens shows an albuminous pink thread in its lumen. Histologically, the calcigenic activity of the gland is evidentiated by the presence of an amorphous and basophilic mass, without nuclear material. This material has a fragmented aspect in the vagina lumen that reacts positively in van Kossa's coloured preparations for calcareous salts.

  9. Posterior vaginal wall cyst of Mullerian origin: a case report

    Directory of Open Access Journals (Sweden)

    Sunita Samal

    2015-02-01

    Full Text Available Cystic lesions of vagina are relatively uncommon and an incidental finding during routine gynaecological examination. Mullerian cysts are congenital cysts of vagina, usually reported during childbearing age group. These cysts mostly arise at the level of cervix and extend anteriorly in relation to bladder, but very rarely they may also extend posteriorly. This is a rare case of posterior vaginal wall cyst of Mullerian origin. A 36-year-old multi para (P2L2 both SVD, presented with a mass descending through vagina since 2-3 months. Pelvic examination revealed a 5x5 cm cystic mass arising from the posterior vaginal wall. Complete excision of the cyst was done. The cyst was filled with chocolate coloured material and histopathology confirmed a Mullerian cyst. [Int J Reprod Contracept Obstet Gynecol 2015; 4(1.000: 245-246

  10. Colovaginal anastomosis: an unusual complication of stapler use in restorative procedure after Hartmann operation

    Directory of Open Access Journals (Sweden)

    Liao Guoqing

    2005-11-01

    Full Text Available Abstract Background Rectovaginal fistula is uncommon after lower anterior resection for rectal cancer. The most leading cause of this complication is involvement of the posterior wall of the vagina into the staple line when firing the circular stapler. Case presentation A 50-year-old women underwent resection for obstructed carcinoma of the sigmoid colon with Hartmann procedure. Four months later she underwent restorative surgery with circular stapler. Following which she developed rectovaginal fistula. A transvaginal repair was performed but stool passing from vagina not per rectum. Laporotomy revealed colovaginal anastomosis, which was corrected accordingly. Patient had an uneventful recovery. Conclusion Inadvertent formation of colovaginal anastomosis associated with a rectovaginal fistula is a rare complication caused by the operator's error. The present case again highlights the importance of ensuring that the posterior wall of vagina is away from the staple line.

  11. Angiomyofibroblastoma of the vulva: a clinicopathological and immunohistochemical analysis of a rare benign mesenchymal tumor.

    Science.gov (United States)

    Kairi-Vassilatou, E; Dastamani, C; Vouza, E; Mavrigiannaki, P; Hasiakos, D; Kondi-Pafiti, A

    2011-01-01

    Angiomyofibroblastoma is a rare benign distinctive mesenchymal tumor that occurs in the genital pelviperineal region, commonly the vulva and vagina. We report a case of angiomyofibroblastoma in a 42-year-old woman, presenting as a "cystic mass" located subcutaneously in the right labial area of the vulva. Recognition of this entity is based on specific histological and immunopathological features, and the correct treatment is important because of the aggressive behavior of other related mesenchymal tumors of the vulva and vagina, such as angiomyxoma and cellular angiofibroma. PMID:21797135

  12. Scientific Rationale and Algorithmization of Sochi Resort Natural and Preformed Physical Therapeutic Factors in the Course of Combined Treatment of Patients with Chronic Vulvovaginitis

    Directory of Open Access Journals (Sweden)

    Kirill V. Gordon

    2012-11-01

    Full Text Available Chronic vulvovaginitis is the most wide-spread gynecological pathology among women of childbearing age. The chief causations of nonspecific vulvovaginitis are reduction in oestrogen, disturbances in vaginal acidity, intestine dysbacteriosis, local and general immune disturbances. The growth of vagina opportunistic pathogenic flora is closely connected with the increase of bacterial slimes on vagina mucus. Sulphur balneotherapy in the form of general baths and vaginal irrigations, mechanical physiotherapy promotes disruption of bacterial slimes, oestrogen elevation, immune reconstruction and vaginal biocenosis, which has positive effect on patients’ fertility level, frequency of obstetrical and perinatal pathologies.

  13. Biomphalaria occidentalis sp.n. from South America (Mollusca basommatophora pulmonata)

    OpenAIRE

    Lobato Paraense, W.

    1981-01-01

    A new species of South American planorbid snail, Biomphalaria occidentalis, is described. It is indistinguishable from B. tenagophila (Orbigny, 1835), by the characteristics of the shell and of most organs of the genital system. In B. tenagophila there is a pouch on the ventral wall of the vagina (Fig. 4A, vp), absent in B. occidentalis (Fig. 3A), and on the ventral wall of the vagina (Fig. 4A, vp), absent in B. occidentalis (Fig. 3A), and the prepuce is much wider than the penial sheath, its...

  14. Vaginally inserted herbs causing vesico-vaginal fistula and vaginal stenosis.

    Science.gov (United States)

    Adaji, S E; Bature, S B; Shittu, O S

    2013-06-01

    A 32-year-old woman developed a vesico-vaginal fistula and vaginal stenosis following insertion of herbs into her vagina by a traditional doctor to "melt" her uterine myomata. She underwent successful trans-abdominal repair of her fistula and passive dilatation of her vagina was recommended for the vaginal stenosis. The emerging importance of traditional treatments as a cause of vesico-vaginal fistula is highlighted. The role of quality improvement through research and strict regulation to maximise the benefits of traditional treatment and minimise complications is also emphasised. PMID:22797463

  15. Oral probiotics can resolve urogenital infections.

    Science.gov (United States)

    Reid, G; Bruce, A W; Fraser, N; Heinemann, C; Owen, J; Henning, B

    2001-02-01

    We report the first clinical evidence that probiotic lactobacilli can be delivered to the vagina following oral intake. In 10 women with a history of recurrent yeast vaginitis, bacterial vaginosis (BV) and urinary tract infections, strains Lactobacillus rhamnosus GR-1 and Lactobacillus fermentum RC-14 suspended in skim milk and given twice daily for 14 days, were recovered from the vagina and identified by morphology and molecular typing within 1 week of commencement of therapy. In six cases of asymptomatic BV or intermediate BV (based upon Nugent scoring) was resolved within 1 week of therapy. PMID:11172991

  16. Acesso sagital transretal anterior (ASTRA) para vaginoplastia após complicação de anoretoplastia sagital posterior / Anterior sagittal transrectal approach (ASTRA) for vaginoplasty after complications of posterior sagittal anorectoplasty

    Scientific Electronic Library Online (English)

    Lisieux Eyer de, Jesus; Laura, Helman; Samuel, Dekermacher; Raquel L., Bernardo; Cruz Delia M., Martinez.

    2013-06-01

    Full Text Available SciELO Brazil | Languages: English, Portuguese Abstract in portuguese A exposição transperineal de altas vaginas é limitada. Essas limitações podem ser contornadas usando ASTRA (anterior sagital transrectal approach). Relatamos o uso desta estratégia cirúrgica para o tratamento de um caso de atresia vaginal adquirida, após anorretoplastia posterior, em caso de malform [...] ação anorretal. Abstract in english Transperineal exposure of the high portion of the vagina is limited. These limitations can be circumvented using ASTRA (anterior sagittal transrectal approach). We report the use of this surgical strategy for the treatment of a case of acquired vaginal atresia after posterior anorectoplasty due to a [...] norectal malformation.

  17. Síndrome de Morris Morris Syndrome

    Directory of Open Access Journals (Sweden)

    Julio Aurelio Borrego López

    2012-09-01

    Full Text Available Introducción: el síndrome de resistencia completa a los andrógenos, feminización testicular o síndrome de Morris, puede presentarse en uno de cada 20 000 a 64 000 recién nacidos varones. Objetivo: presentar un caso con genotipo masculino y fenotipo femenino dado por desarrollo mamario, con genitales externos femeninos con hipoplasia de los labios mayores y menores y la vagina muy corta que termina en un fondo de saco ciego. Métodos: se valora en la consulta a una paciente adolescente de 19 años de edad con amenorrea primaria y contacto sexual insatisfactorio (imposibilidad de penetración. Resultados: se comprueba al examen vagina rudimentaria de unos dos centímetros y escaso desarrollo de genitales externos. En los exámenes complementarios se comprueban cifras de testosterona y LH aumentadas, así como el estradiol disminuido y un cariotipo 46 XY por lo que se sospecha síndrome de Morris y se planifica intervención quirúrgica combinada en un tiempo (vaginal y abdominal donde se realiza anexectomía total derecha por video laparoscopia y reconstrucción de vagina por técnica de Williams. Posoperatorio satisfactorio y seguimiento ulterior por consulta donde se comprueba vagina funcional y estabilidad emocional de la paciente. Conclusiones: el estudio anatomo-patológico comprueba la existencia de ovario y testículo en la muestra quirúrgica lo que confirma el diagnóstico de síndrome de Morris o de resistencia completa a los andrógenos.Introduction:the syndrome of complete androgen resistance, testicular feminization or Morris syndrome may occur in one in 20 000 to 64 000 of male newborns. Objective: to present a case with male genotype and female phenotype given by breast development, female external genitalia with hypoplasia of the labia and very short vagina ending in a blind pouch Methods: a 19 year- old female patient is assisted in consultation due primary amenorrhea and unsatisfactory sexual contact (impossibility of penetration. Results: at examination, we found a rudimentary vagina of about two inches and underdeveloped external genitalia. The exams confirmed increased LH and testosterone levels and decreased estradiol. It is also found a 46 XY karyotype, so Morris syndrome is suspected. Combined surgery is planned for the vagina and abdomen. Total videolaparoscopy right adnexectomy and vaginal reconstruction by technique of Williams are performed. We had satisfactory postoperative and subsequent follow-up consultation where functional vagina and emotional stability of the patient were checked. Conclusions: the pathological study verifies the existence of ovary and testis in the surgical specimen confirming the diagnosis of Morris syndrome or complete androgen resistance.

  18. Síndrome de Morris / Morris Syndrome

    Scientific Electronic Library Online (English)

    Julio Aurelio, Borrego López; Joel Alejandro, Varona Sánchez; Georgina, Areces Delgado; Luis Ernesto, Formoso Martín.

    2012-09-01

    Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish Introducción: el síndrome de resistencia completa a los andrógenos, feminización testicular o síndrome de Morris, puede presentarse en uno de cada 20 000 a 64 000 recién nacidos varones. Objetivo: presentar un caso con genotipo masculino y fenotipo femenino dado por desarrollo mamario, con genitales [...] externos femeninos con hipoplasia de los labios mayores y menores y la vagina muy corta que termina en un fondo de saco ciego. Métodos: se valora en la consulta a una paciente adolescente de 19 años de edad con amenorrea primaria y contacto sexual insatisfactorio (imposibilidad de penetración). Resultados: se comprueba al examen vagina rudimentaria de unos dos centímetros y escaso desarrollo de genitales externos. En los exámenes complementarios se comprueban cifras de testosterona y LH aumentadas, así como el estradiol disminuido y un cariotipo 46 XY por lo que se sospecha síndrome de Morris y se planifica intervención quirúrgica combinada en un tiempo (vaginal y abdominal) donde se realiza anexectomía total derecha por video laparoscopia y reconstrucción de vagina por técnica de Williams. Posoperatorio satisfactorio y seguimiento ulterior por consulta donde se comprueba vagina funcional y estabilidad emocional de la paciente. Conclusiones: el estudio anatomo-patológico comprueba la existencia de ovario y testículo en la muestra quirúrgica lo que confirma el diagnóstico de síndrome de Morris o de resistencia completa a los andrógenos. Abstract in english Introduction:the syndrome of complete androgen resistance, testicular feminization or Morris syndrome may occur in one in 20 000 to 64 000 of male newborns. Objective: to present a case with male genotype and female phenotype given by breast development, female external genitalia with hypoplasia of [...] the labia and very short vagina ending in a blind pouch Methods: a 19 year- old female patient is assisted in consultation due primary amenorrhea and unsatisfactory sexual contact (impossibility of penetration). Results: at examination, we found a rudimentary vagina of about two inches and underdeveloped external genitalia. The exams confirmed increased LH and testosterone levels and decreased estradiol. It is also found a 46 XY karyotype, so Morris syndrome is suspected. Combined surgery is planned for the vagina and abdomen. Total videolaparoscopy right adnexectomy and vaginal reconstruction by technique of Williams are performed. We had satisfactory postoperative and subsequent follow-up consultation where functional vagina and emotional stability of the patient were checked. Conclusions: the pathological study verifies the existence of ovary and testis in the surgical specimen confirming the diagnosis of Morris syndrome or complete androgen resistance.

  19. Clear Cell Carcinoma Presented as a Large Polypoid Mass Expanding the Vaginal Fornix: Report of Two Cases

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ji Young; Cho, Jae Ho [Dept. of Radiology, College of Medicine, Yeungnam University, Daegu (Korea, Republic of)

    2012-11-15

    Primary clear cell carcinoma of the vagina or uterine cervix is a very rare tumor. We report radiologic findings of two cases of clear cell carcinoma, arising in the vagina and uterine cervix in a 16-year-old and a 26-year-old female. These were presented as a large polypoid mass with a stalk and expanding the vaginal fornix. One case with ultrasonography showed relatively homogeneous echoic solid mass; the other case with a CT showed heterogeneously and strongly enhancing mass. All of the two cases showed non-specific signal intensity with heterogeneous and strong enhancement on MRI.

  20. Interstitial therapy

    International Nuclear Information System (INIS)

    The use of various implant techniques is reviewed for primary radical treatment, implant boost of external beam treatment, perioperative implantation and salvage therapy. Radionuclides discussed are Radium 226, Cesium 137, Gold 198, Iodine 125, Iridium 192, Californium 252. Sites discussed are the tongue, lips, floor of the mouth, cheek, skin, anal canal and rectum, penis, breast, vagina, urethra, bladder and prostate. (U.K.)

  1. In vitro fertilization (IVF)

    Science.gov (United States)

    ... will return to the clinic so that a pregnancy test can be done. Call your health care provider right away if you had IVF and have: A fever over 100.5 F (38 C) Pelvic pain Heavy bleeding from the vagina Blood in the urine

  2. Pregnancies from imipramine and xylazine-induced ex copula ejaculation in a disabled stallion.

    OpenAIRE

    Card, C. E.; Manning, S. T.; Bowman, P.; Leibel, T.

    1997-01-01

    Breeding or semen collection was attempted using: natural cover, manual stimulation, artificial vagina, pharmacologic induction of ejaculation, and electroejaculation. Sperm cells were recovered from the ductus deferens and epididymides post mortem. Only semen collected ex copula by imipramine and xylazine treatment resulted in conceptions (4/5). This is the first report of pregnancies in horses from ex copula semen collection.

  3. Perfuração vaginal como complicação de derivação ventrículo-peritoneal apresentação de um caso Vaginal perforation following ventriculoperitoneal shunt: case report

    OpenAIRE

    Geraldo Pianetti Filho; Guilherme Cabral; Luiz Fernando Fonseca; José Aloysio da Costa Val Filho

    1991-01-01

    É descrito um caso de saída, pela vagina, do catéter de derivação ventrículo-peritoneal. A possível causa e as consequências são discutidas.Report of a case with vaginal perforation by the catheter following a ventri-culoperitoneal shunt. The possible causative factor and results observed are discussed.

  4. Perfuração vaginal como complicação de derivação ventrículo-peritoneal apresentação de um caso / Vaginal perforation following ventriculoperitoneal shunt: case report

    Scientific Electronic Library Online (English)

    Geraldo, Pianetti Filho; Guilherme, Cabral; Luiz Fernando, Fonseca; José Aloysio da Costa, Val Filho.

    1991-09-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese É descrito um caso de saída, pela vagina, do catéter de derivação ventrículo-peritoneal. A possível causa e as consequências são discutidas. [...] Abstract in english Report of a case with vaginal perforation by the catheter following a ventri-culoperitoneal shunt. The possible causative factor and results observed are discussed. [...

  5. CUERPO EXTRAÑO INTRAVAGINAL SECUNDARIO A MIGRACIÓN DE AGUJA DE OSTEOSÍNTESIS DE CADERA

    Scientific Electronic Library Online (English)

    Ernesto, Perucca P; Marcelo, Reyes S; María José, Diez C; Marcela, Veloz T.

    Full Text Available SciELO Chile | Language: Spanish Abstract in spanish Se presenta caso clínico de migración de aguja de fijación de artroplastia de cadera a vagina en mujer embarazada [...] Abstract in english We report a case of an intravaginal foreign body due to migration of needle hip fixation from hip arthroplasty in a pregnant woman [...

  6. Fístula vesicovaginal continente / Continent vesicovaginal fistula

    Scientific Electronic Library Online (English)

    Luís Gustavo Morato de, Toledo; Victor Espinheira, Santos; Paulo Eduardo Gourlat, Maron; Bruno César, Vedovato; Moacyr, Fucs; Marjo Deninson Cardenuto, Perez.

    2013-03-01

    Full Text Available SciELO Brazil | Languages: English, Portuguese Abstract in portuguese A fístula vesicovaginal é uma comunicação anormal entre a bexiga e a vagina, sendo o tipo mais comum de fístula do trato urinário. A causa mais frequente no Brasil é a iatrogênica, secundária à histerectomia. Classicamente, as mulheres nessa condição, apresentam perda urinária contínua pela vagina e [...] ausência de micção, com forte impacto negativo na qualidade de vida. Apresentamos um caso de fístula vesicovaginal totalmente continente, com seguimento de 11 anos, sem complicações. Abstract in english Vesicovaginal fistula is an abnormal communication between the bladder and vagina and represents the most frequent type of fistula in the urinary tract. The most common cause in Brazil is iatrogenic fistula, secondary to histerectomia. Classically these women present continuous urinary leakage from [...] the vagina and absence of micturition, with strong negative impact on their quality of life. We present a case of totally continent vesicovaginal fistula, with a follow-up of 11 years with no complications.

  7. CUERPO EXTRAÑO INTRAVAGINAL SECUNDARIO A MIGRACIÓN DE AGUJA DE OSTEOSÍNTESIS DE CADERA

    Directory of Open Access Journals (Sweden)

    Ernesto Perucca P

    2007-01-01

    Full Text Available Se presenta caso clínico de migración de aguja de fijación de artroplastia de cadera a vagina en mujer embarazadaWe report a case of an intravaginal foreign body due to migration of needle hip fixation from hip arthroplasty in a pregnant woman

  8. Robot-Assisted Gynecologic Surgery

    Medline Plus

    Full Text Available ... utility of using this particular device in the deep pelvis. There’s a, basically, a cup down there. ... that uterus. That’s going t o leave another hole into the pelvis via the vagina, right? And ...

  9. Antimicrobial factors in the cervical mucus plug

    DEFF Research Database (Denmark)

    Hein, Merete; Valore, Erika V

    2002-01-01

    The cervical mucus plug is positioned between the microbe-rich vagina and the normally sterile uterine cavity, which suggests a host defense function, but few relevant data are available. We analyzed the composition and antimicrobial activity of cervical mucus plugs.

  10. 21 CFR 884.1185 - Endometrial washer.

    Science.gov (United States)

    2010-04-01

    ...with negative pressure. This device is used to study endometrial...The special controls for this device are: (1) FDA's: ...Biological Evaluation of Medical Devices—Part I: Evaluation and Testing...within the vagina, and (ii) Intrauterine pressure should not...

  11. Pelvic Support Problems

    Science.gov (United States)

    ... function of the vagina. Symptoms such as back pain, pelvic pressure, and painful sex may not be relieved by surgery to repair the prolapse. However, the chances of getting some degree of relief are quite good. Prolapse can recur after surgery. ...

  12. Childhood lichen sclerosus is a rare but important diagnosis

    DEFF Research Database (Denmark)

    Jensen, Lise Soldbro; Bygum, Anette

    2012-01-01

    Lichen sclerosus (LS) is a chronic skin disorder with a predilection for the anogenital area. The disease is mostly seen in prepubertal and postmenopausal females. The lesions present as sharply demarcated white plaques encircling the vagina and anus. The atrophic form can lead to scarring of the affected area.

  13. Oxytocin determination by radioimmunoassay in cattle. 2

    International Nuclear Information System (INIS)

    Oxytocin concentration in jugular vein blood was measured radioimmunologically with a detection limit of 3 pg/ml plasma in male and female cattle. Five bulls were tested; during mating a cow in oestrus with intromission and ejaculation, during mounting a dummy or another bull with ejaculation into an artificial vagina or during false mounts. No increase in oxytocin concentrations could be observed, but stimulation with an electro-ejaculator caused an increase ranging from 5-84 pg/ml after a latent period of 3-5 min. A similar response was observed in two cows following the same procedure. The contact with a bull, false mount or mating with intromission and ejaculation was not followed by a measurable oxytocin release in 5 test cows. The following stimulation techniques, massage of vulva and clitoris, massage of cervix and uterus per rectum, artificial insemination, introduction of a speculum into the vagina or insufflation of air into the vagina were performed with 5 cows and 5 heifers. Insufflation of air into the vagina was the most effective stimulus, eleciting an oxytocin release up to 588 pg/ml. All 5 heiers responded positively, as well as 4 cows in oestrus. The other manipulations cuased an oxytocin response mainly in heifers (whether in oestrus or dioestrus), whereas only one cow in oestrus responded with an oxytocin release. In general, oxytocin concentrations increase about 30-90 s after the start of the stimulus. (author)uthor)

  14. Oxytocin determination by radioimmunoassay in cattle. 2. Effect of mating and stimulation of the genital tract in bulls, cows and heifers

    Energy Technology Data Exchange (ETDEWEB)

    Schams, D.; Baumann, G. (Institut fuer Physiologie der Sueddeutschen Versuchs- und Forschungsanstalt fuer Milchwirtschaft der TU Muenchen); Leidl, W. (Gynaekologische und Ambulatorische Tierklinik der Universitaet Muenchen, Germany)

    1982-01-01

    Oxytocin concentration in jugular vein blood was measured radioimmunologically with a detection limit of 3 pg/ml plasma in male and female cattle. Five bulls were tested; during mating a cow in oestrus with intromission and ejaculation, during mounting a dummy or another bull with ejaculation into an artificial vagina or during false mounts. No increase in oxytocin concentrations could be observed, but stimulation with an electro-ejaculator caused an increase ranging from 5-84 pg/ml after a latent period of 3-5 min. A similar response was observed in two cows following the same procedure. The contact with a bull, false mount or mating with intromission and ejaculation was not followed by a measurable oxytocin release in 5 test cows. The following stimulation techniques, massage of vulva and clitoris, massage of cervix and uterus per rectum, artificial insemination, introduction of a speculum into the vagina or insufflation of air into the vagina were performed with 5 cows and 5 heifers. Insufflation of air into the vagina was the most effective stimulus, eleciting an oxytocin release up to 588 pg/ml. All 5 heiers responded positively, as well as 4 cows in oestrus. The other manipulations cuased an oxytocin response mainly in heifers (whether in oestrus or dioestrus), whereas only one cow in oestrus responded with an oxytocin release. In general, oxytocin concentrations increase about 30-90 s after the start of the stimulus.

  15. Virulence Factors of Escherichia coli Isolated From Female Reproductive Tract Infections and Neonatal Sepsis

    OpenAIRE

    Hull, Richard A.; Hammill, Hunter A.; Cook, Susan W.

    2001-01-01

    Objective: The presence of enterobacteria such as Escherichia coli in the vagina of normal women is not synonymous with infection. However, vaginal E. coli may also cause symptomatic infections. We examined bacterial virulenceproperties that may promote symptomatic female reproductive tract infections (RTI) and neonatal sepsis.

  16. Withdrawal

    Science.gov (United States)

    ... Birth Control > Withdrawal Print A A A Text Size What's in this article? What Is It? How Does It Work? How Well Does It Work? Protection Against STDs Who Uses It? What Is It? Withdrawal is when a guy removes his penis from the vagina before he ejaculates (also called ...

  17. Accessory Reproductive Organs Dimension of Two Species of Giant African Land Snails Archachatina marginata and Achatina achatina at Three Liveweight Ranges

    Directory of Open Access Journals (Sweden)

    J. A. Abiona

    2012-02-01

    Full Text Available A comparative study of the reproductive tract of two species of Giant African Land Snails, Archachatina marginata and Achatina achatina was carried out. Three groups of snails weighing 80-100,101-150 and 151-250 g were used in a 2x3 factorial design, with 5 replicates, involving a total of 30 snails. Dimensions and weights of retractor penile muscle, vas deferens, penis, vagina, oviduct, spermotheca, common duct, albumen gland and little hermaphrodite duct were taken. Results showed that Archachatina marginata had longer, wider and heavier accessory sex organs compared to Achatina achatina except for vas deferens width, vagina length, vagina width, and vagina weight, which were otherwise. Dimensions and weights of the accessory organs increased consistently with liveweight, except for retractor penile muscle width, which had attained maximum size by a body weight of 101-150 g. It can be concluded that Archachatina marginata had better reproductive tract dimension compared to their counterpart (Achatina achatina. It is however recommended that liveweight group 151-250 g be considered as group of choice when considering anatomical display of reproductive parts for demonstrative purpose and testing of manipulating tools for reproductive strategies in both species.

  18. DUCHAS VAGINALES Y OTROS RIESGOS DE VAGINOSIS BACTERIANA

    OpenAIRE

    Cha?vez, Natividad; Molina, Helfer; Sa?nchez, Jorge; Gelaye, Bizu; Sa?nchez, Sixto E.

    2009-01-01

    Vaginosis bacteriana (VB) es una infección caracterizada por el cambio en la microflora de la vagina, asociándose a resultados adversos del embarazo y a la adquisición de infecciones de transmisión sexual (ITS), incluyendo el VIH. En este estudio se buscó la asociación entre el uso de duchas vaginales y otros factores de riesgos con VB.

  19. Urogenital tumors

    Energy Technology Data Exchange (ETDEWEB)

    Weller, R.E.

    1994-03-01

    An overview is provided for veterinary care of urogenital tumors in companion animals, especially the dog. Neoplasms discussed include tumors of the kidney, urinary bladder, prostate, testis, ovary, vagina, vulva and the canine transmissible venereal tumor. Topics addressed include description, diagnosis and treatment.

  20. Vesico-vaginal fistula repair as a day case: is it a worthy venture?

    Science.gov (United States)

    Ojengbede, O A; Morhason-Bello, I O

    2013-10-01

    Two vesico-vaginal fistula patients who were successfully managed with outpatient care as an alternative approach, to ensure early access to care and integration into their family. The two patients had simple uncomplicated mid-vagina fistulae surgically repaired with local infiltrative anaesthesia. We suggest some selection criteria and clinical guidelines that can facilitate successful treatment by this choice of care. PMID:23695384

  1. Candidíase vulvovaginal: fatores predisponentes do hospedeiro e virulência das leveduras Vulvovaginal candidiasis: susceptibility factors of the host and virulence of the yeasts

    OpenAIRE

    Cassiana Aparecida Álvares; Terezinha Inez Estivalet Svidzinski; Márcia Edilaine Lopes Consolaro

    2007-01-01

    INTRODUÇÃO: Leveduras do gênero Candida são patógenos oportunistas freqüentemente isolados das superfícies mucosas de indivíduos normais, mas podem levar ao desenvolvimento de infecções denominadas candidíases, que variam desde lesões superficiais até infecções disseminadas. OBJETIVOS: Ampliar os conhecimentos sobre candidíase vulvovaginal (CVV: infecção de vulva e vagina, causada por leveduras comensais que habitam a mucosa vaginal) e candidíase vulvovaginal recorrente (CV...

  2. Syndrome in question

    Scientific Electronic Library Online (English)

    Yinhua, Wu; Jianjun, Qiao; Hong, Fang.

    2014-09-01

    Full Text Available Vulvovaginal-gingival syndrome is characterized by erosions and desquamation of the vulva, vagina, and gingiva. We reported a case of a 32-year-old woman presenting with an 8-year history of damage to the vulval and perianal anatomy and limitation of mouth opening. The patient's symptoms were reliev [...] ed after treatment with topical tacrolimus cream.

  3. Urinary incontinence surgery - female - discharge

    Science.gov (United States)

    You may be tired and need more rest for about 4 weeks. You may have pain or discomfort in your vaginal area or leg for a few months. Light bleeding or discharge from the vagina is normal. You may go home with a catheter (tube) to drain urine ...

  4. Successful pregnancy outcome in an untreated case of concomitant transverse complete vaginal septum with unicornuate uterus.

    Science.gov (United States)

    Kumar, Naina; Tayade, Surekha

    2014-01-01

    Transverse vaginal septum is a result of faulty canalization of embryonic vagina. Septum may be complete but usually has laterally placed tiny hole giving an impression of vaginal vault without cervix. We described a case of untreated transverse vaginal septum with small central aperture diagnosed during labor and unicornuate uterus diagnosed intraoperatively, with successful pregnancy outcome. PMID:25624665

  5. Covered exstrophy with anorectal malformation and vaginal duplication

    Directory of Open Access Journals (Sweden)

    Bawa Monika

    2011-01-01

    Full Text Available Covered exstrophy is a rare variant of the exstrophy-epispadias complex. We report a female newborn with covered exstrophy, absent anal opening and duplication of the introitus and the lower vagina. This rare, previously unreported, combination of anomalies highlights the complexity of the embryological events in the caudal area during separation of the hindgut and allantois.

  6. Robotic-Assisted Hysterectomy

    Medline Plus

    Full Text Available ... And Brenda's going to do that by applying traction on the manipulator and just gentle twisting motion to deliver the uterus. If you take down the balloon, Brenda, you may have better luck. It looks kind of big for her vagina. Sorry, Dr. Tulikangas. 00:37:54 PAUL K. TULIKANGAS, MD, ...

  7. 76 FR 70462 - Advisory Committee for Reproductive Health Drugs; Notice of Meeting

    Science.gov (United States)

    2011-11-14

    ...indication of ``reduction of risk of preterm birth in women with short uterine cervical...factors in the mid-trimester of pregnancy.'' The uterine cervix is the...womb) leading into the vagina (or birth canal). The benefit/risk...

  8. Medroxyprogesterone Injection

    Science.gov (United States)

    ... difficulty falling asleep or staying asleep hot flashes breast pain, swelling, or tenderness stomach cramps or bloating leg cramps back or joint pain acne loss of hair on scalp swelling, redness, irritation, burning, or itching of the vagina white vaginal discharge changes in ...

  9. Anatomical modifications, viviparous reproduction and hydraulic expulsion of larvae by Cephenemyia nasopharyngeal bot flies of deer.

    Science.gov (United States)

    Anderson, J R

    2013-12-01

    Several specialized adaptations of the reproductive and respiratory systems associated with the retention and expulsion of larvae in ovoviviparous Cephenemyia species (Diptera: Oestridae) are described and illustrated. In these flies the anterior section of the common oviduct is modified into a large sac-like uterus that contains larvae, and the posterior section is modified into a larvipositor with a central tubular vagina. During larviposition, contraction of abdominal muscles forces haemolymph into a perivaginal sinus, causing a hydraulically driven exsertion of the larvipositor. A group of larvae and uterine fluid sealed off within the lumen of the vagina are then expelled from the vulva via hydraulic pressure as the stretched vagina is compressed. A one-way, non-return valve between the uterus and vagina prevents a reflux of larvae upward into the uterus during larviposition. All mutually dependent actions associated with larviposition occur almost simultaneously. All species have evolved a similar mechanism of expelling their larvae, but the shape of the non-return valve is different in each species studied. PMID:23489106

  10. Robot-Assisted Gynecologic Surgery

    Medline Plus

    Full Text Available ... the Bovie, is what he is referencing? It’s true there’s a little bit of smoke generated from ... opening between the cervix and the vagina to complete the hysterectomy. That opening is called the colpotomy, ...

  11. Laparoscopic Supracervical Hysterectomy

    Medline Plus

    Full Text Available ... abdomen, which is…I would think, probably the picture you hopefully have right now. 00:06:54 ... going to be work…I'm going to work on ... if you leave the cervix in place, you support the top of the vagina better. ...

  12. Uterine didelphys with cervical incompetence

    Directory of Open Access Journals (Sweden)

    Aher Gautam S, Gavali Urmila G, Kulkarni Meghana

    2013-04-01

    Full Text Available Uterine didelphys represents a uterine malformation where the uterus is present as a paired organ. There is presence of double uterine bodies with two separate cervices, and often a double or septate vagina as well. We report a case of single pregnancy in the right sided uterine body of a didelphic uterus with cervical incompetence.

  13. Multikulturní dialog v Monologu o vaginach.

    Czech Academy of Sciences Publication Activity Database

    Uhde, Zuzana

    2005-01-01

    Ro?. 6, ?. 1 (2005), s. 39-40. ISSN 1213-0028 R&D Projects: GA AV ?R(CZ) 1QS700280503 Institutional research plan: CEZ:AV0Z70280505 Keywords : Vagina Monologues * gender justice * multiculturalism Subject RIV: AO - Sociology, Demography www.genderonline.cz

  14. Reducing Your Risk of Cancer

    Science.gov (United States)

    ... the FAQ Ovarian Cancer) • Uterus (see the FAQ Cancer of the Uterus) • Cervix (see the FAQ Cervical Cancer) • Vulva and vagina ( ... for some forms of cancer, including breast cancer, cancer of the cervix, and colorectal cancer. These tests should be a ...

  15. Cervical Cancer Stage IIIB

    Science.gov (United States)

    ... IIIB Description: Stage IIIB cervical cancer; drawing shows cancer in the cervix, the vagina, and the pelvic wall, blocking the ureter on the right. The uterus and kidneys are also shown. Cancer has spread to the pelvic wall; and/or ...

  16. Cervical Cancer Stage IA

    Science.gov (United States)

    ... of the cervix and vagina. An inset shows cancer in the cervix that is up to 5 mm deep, but ... microscope is found in the tissues of the cervix. In stage IA1, the cancer is not more than 3 millimeters deep and ...

  17. Can Vaginal Cancer Be Prevented?

    Science.gov (United States)

    ... symptoms or a history of pre-cancer or cancer of the cervix , vagina, or vulva . See our document called Cervical ... women with VAIN may also have a pre-cancer of the cervix (known as cervical intraepithelial neoplasia or CIN ). If ...

  18. Robotic-Assisted Hysterectomy

    Medline Plus

    Full Text Available ... undergoing hysterectomy either for benign fibroids or for cancers in the cervix. What you see here is you see her ... ovaries and tubes and fallopian tubes as a cancer prevention surgery. But ... the vagina and the cervix. Another question we received by email is, "How ...

  19. Intraperitoneal leech: A rare complication of leech bite.

    Science.gov (United States)

    Saha, Manoj; Nagi, Sedengulie

    2011-10-01

    An intraperitoneal leech, which entered through vagina and uterus in a 2-year-old girl is reported. The child presented with intraperitoneal hemorrhage and shock. A leech inside the peritoneal cavity has never been reported in the literature. PMID:22121316

  20. Cesarean Birth

    Science.gov (United States)

    ... heating pad may be helpful. There are many different ways to control pain. Talk to your health care provider about your ... not place anything in your vagina or have sex. Allow time to heal before doing ... Glossary Breech Presentation: A situation in ...

  1. 21 CFR 884.3900 - Vaginal stent.

    Science.gov (United States)

    2010-04-01

    ...2010-04-01 2010-04-01 false Vaginal stent. 884.3900 Section 884.3900 Food and...Prosthetic Devices § 884.3900 Vaginal stent. (a) Identification. A vaginal stent is a device used to enlarge the vagina...

  2. Efecto del método de obtención de semen de ovino sobre la calidad espermática (Effect of the method of obtaining of ovine semen on the spermatic quality

    Directory of Open Access Journals (Sweden)

    Córdova-Izquierdo, Alejandro1*; ; ; y

    2006-08-01

    Full Text Available La colecta del semen del ganado ovino, ayuda a identificar problemas relacionados con el desempeño reproductivo de estos animales. Se han utilizado diferentes pruebas laboratoriales, para valorar la calidad seminal de los ovinos y poder realizar predicciones indirectas del potencial reproductivo de los machos reproductores; no obstante, su naturaleza subjetiva, no asegura el poder de fecundación de los machos. El objetivo de este trabajo fue valorar el efecto del método de obtención del semen de ovinos sobre la calidad espermática. Se empelaron 10 machos ovinos de la raza Suffolk de una Unidad de Producción Ovina, ubicada en el Estado de México, México. Para la recolección seminal se utilizó vagina artificial y directamente de la vagina, después de la monta natural. El semen fue valorado macro y microscópicamente. Los resultados promedios fueron, para vagina artificial: volumen 1.11 ml, pH 6.62, motilidad 64.5 %, concentración de espermatozoides/ml 206.4 x106, vivos 68.5 %, Muertos 31.87% y anormalidades 23.96%; directamente de la vagina: volumen 0.57 ml, pH 6.75, motilidad 60.4%, concentración de espermatozoides/ml 176.02 x 106, vivos 62.62 %, muertos 37.27% y anormalidades 11.12%. Los resultados indican que los resultados obtenidos con vagina artificial fueron los mejores. The collection of the semen of the livestock ovine, helps to identify problems related with the reproductive acting of these animals. They have been used different you prove laboratories, to value the seminal quality of the ovines and power to carry out indirect predictions of the reproductive potential of the reproductive males; nevertheless, its subjective nature, doesn't assure the power of fecundation of the males. The objective of this work was to value the effect of the method of obtaining of the ovines semen on the spermatic quality. You empelaron 10 male ovines of the race Suffolk of a Unit of Production Ovine, located in the State of Mexico, Mexico. For the seminal gathering artificial vagina was used and directly of the vagina, after it mounts it natural. The semen was valued macro and microscopically. The results averages were, for artificial vagina: volume 1.11 ml, pH 6.62, motility 64.5%, concentration of sperms/ml 206.4 x106, alive 68.5%, Dead 31.87% and abnormalities 23.96%; directly of the vagina: volume 0.57 ml, pH 6.75, motility 60.4%, sperms/ml concentration 176.02 x 106, alive 62.62%, dead 37.27% and abnormalities 11.12%. The results indicate that the results obtained with artificial vagina were the best.

  3. Morfologia e histologia do oviduto de marrecas Ana boschas / Morphology and histology of Ana Boschasfemale ducks oviduct

    Scientific Electronic Library Online (English)

    C., Moraes; S.M., Baraldi-Artoni; M.R., Pacheco; M., Nishizawa; L.S.O., Nakaghi.

    2010-04-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Avaliaram-se o comprimento do infundíbulo, do magno, do istmo, do útero e da vagina e o número de pregas do magno e do istmo do oviduto de 20 marrecas Ana boschas na fase reprodutiva. O infundíbulo apresenta mucosa com pregas longitudinais e baixas, revestidas por epitélio pseudoestratificado cilínd [...] rico ciliado, com células caliciformes. O magno, compartimento mais longo do oviduto, 25,38cm±3,20, encontra-se constituído por uma camada mucosa com pregas altas e espessas revestidas por células cilíndricas ciliadas e abundantes células caliciformes. O istmo é formado por uma mucosa com pregas estreitas e curtas e numerosas glândulas tubulares que se estendem para o interior da lâmina própria. O útero, região curta do oviduto, 5,25cm±1,26, apresenta parede com pregas e cristas baixas e numerosas glândulas tubulares enoveladas, dirigidas para o interior da lâmina própria. A vagina, um estreito tubo muscular, está constituído por oito anéis circulares, em média, e uma camada muscular altamente desenvolvida e espessa. A morfologia do oviduto da marreca apresenta características morfológicas e histológicas distintas dos galiniformes, observando-se que a vagina e a porção cranial do infundíbulo apresentam pregas e células caliciformes, respectivamente, sendo estas últimas estruturas ausentes nos galiniformes. Abstract in english The length of infundibulum, magnum, isthmus, uterus, vagina, and the number of oviduct, magnum, and isthmus folds were evaluated in 20 Ana boschas female ducks in the reproductive phase. The infundibulum presented mucous membrane with longitudinal and short folds, covered by ciliated columnar pseudo [...] stratified epithelium, with goblet cells. Magnum, the longest oviduct compartment, 25.38cm±3.20, is constituted by mucous membrane with high and thick folds that are covered by ciliated columnar cells and many goblet cells. Isthmus is formed by mucous membrane with narrow and short folds, and many tubular glands that extend inside lamina propria. Uterus, an oviduct short region, 5.25cm±1.26, presented surface with short folds and crests, and numerous reeled tubular glands, that are directed inside lamina propria. Vagina, a strait muscular tube, is constituted by, approximately, eight circular rings, and a very developed and thick muscular layer. The oviduct morphology of female ducks presented different morphological and histological characteristics from Galliformes, because vagina and infundibulum cranial portion present folds and goblet cells, respectively, and the last cited structures are absent in Galliformes.

  4. The effect of semen collection method and level of egg yolk on capability of dilution and storage of buck semen

    Directory of Open Access Journals (Sweden)

    N.N. Dhaher

    2013-12-01

    Full Text Available The study was conducted to evaluate the effect of semen collection method for reduction of the deleterious interaction between the enzymes of bulbourethral gland and egg yolk during the dilution and storage of buck semen by three different level of egg yolk. Ten bucks were used in this study; the bucks were divided into two groups (five bucks in each group. Semen samples were collected once a week for four weeks from the bucks in first group using an artificial vagina, and from the animals in second group using an electroejaculator. The collected semen samples were diluted with sodium citrate extender with three different level of egg yolk (5, 10 and 20%. Extend semen samples were stored at 5 °C for three days. Computer assisted sperm analysis and Sperm Class Analyzer® were used for evaluation of the buck semen samples. Sperm motility parameters were evaluated which includes; percentage of motile sperm, percentage of progressive motile sperm, the value of the linear velocity (VSL, the value of the average velocity (VAP, the value of the curvilinear velocity (VCL, and the amplitude of lateral movement of the head (ALH. Results showed that all sperm motility parameters under the different level of egg yolk in semen samples that collected by artificial vagina were significantly higher than those which collected by electroejaculator. The percentage of motile sperm and progressive motile sperm of samples that collected by artificial vagina were higher at 10% of egg yolk, while these motility parameters were higher at 5% of egg yolk for semen samples that collected by electroejaculator. The differences between the two methods of semen collection in VCL and ALH were clear and the values were higher in samples that collected using the artificial vagina. The values of VSL, VAP and VCL of semen samples that collected by artificial vagina were higher at the second day than first day of semen storage under 10% of egg yolk. In conclusion, there are effects of the semen collection method on ability of dilution and storage of buck semen, and using of artificial vagina and 10% of egg yolk is recommended for buck semen dilution and storage.

  5. Ovarian abscess with spontaneous vaginal drainage

    Scientific Electronic Library Online (English)

    Gustavo A. de, Souza.

    1596-15-01

    Full Text Available SciELO Brazil | Language: English Abstract in portuguese Descreve-se caso raro de abscesso ovariano, como complicação de histerectomia abdominal, e que drenou espontaneamente pela vagina. O tratamento realizado foi ooforectomia. Discute-se as várias formas de abscesso primário do ovário sendo que a pós operatória parece ser a mais comum. É necessário uma [...] manipulação adequada da gônada em cirurgias pélvicas para se evitar a contaminação do estroma, o que propicia a formação do abscesso ovariano. Abstract in english The occurrence of a rare ovarian abscess, spontaneously drained through the vagina after an abdominal hysterectomy is described.The treatment was an oophorectomy.The various forms of primary ovarian abscess are discussed in connection with these observations. This case illustrates the need for adequ [...] ate manipulation of the gonad during pelvic surgery in order to avoid parenchymal contamination and the subsequent formation of such abscesses.

  6. Reconstructive surgical management of cryptomenorrhoea because of complete vaginal agenesis

    Directory of Open Access Journals (Sweden)

    Krishna Dahiya

    2011-12-01

    Full Text Available Background: The Vagina is a composite structure formed partly from the mullerian duct and partly from urogential sinus. Most of the patients with mullerian agenesis have small rudimentary uterus without any endometrial cavity, 7% - 8% may have functioning uterus. Case: A 15 years old girl admitted with primary amenorrhea, cyclical abdominal pain, hematometra and complete vaginal agenesis. Surgical correction is the mainstay of treatment in patients with functioning uterus and absent vagina. Vaginoplasty was done to reconstruct a neovagina using amnion graft and establish uterovaginal continuity. In this case we have used only perineal approach to dissect the neovagina and identify the cervix with formation of a patent drainage tract and adequate vaginal length of 9 cm. Conclusion: In rare cases of obstructed functioning uterus by complete vaginal agenesis, vaginoplasty effectively restores anatomy and function by an overall minimal operative morbidity. Human amnion provides excellent results in neovaginal reconstruction.

  7. Large vesico-vaginal fistula caused by a foreign body.

    Science.gov (United States)

    Massinde, An; Kihunrwa, A

    2013-07-01

    Foreign body is a rare cause of vesico-vaginal fistula most often reported in developed countries. In developing countries obstructed labor is the commonest cause of fistula. A nulliparous 19-year-old female presented with a 3-week history of a foreign body in the vagina causing urinary incontinence and offensive vaginal discharge. Her guardian allegedly inserted the foreign body after she refused a pre-arranged marriage. A plastic container was removed from the vagina under general anesthesia. A large vesico-vaginal fistula was discovered, which was successfully surgically repaired. We recommend urgent removal of the foreign body, preferably under general anesthesia. However, if the history or physical examination reveals prolonged exposure, repair of the fistula should be delayed to allow for adequate debridement in order to prevent any life-threatening complications. PMID:24116334

  8. Amputação abdômino-perineal mais colostomia para-vaginal no tratamento do câncer reto-anal Abdomino-perineal amputation plus para-vaginal colostomy in the treatment of reto-anal cancer

    Directory of Open Access Journals (Sweden)

    Alcino Lázaro da Silva

    2009-12-01

    Full Text Available O apresenta uma proposta e as tentativas iniciais para evitar a colostomia abdominal quando esta tem que ser definitiva. Na mulher foi possível a sua execução, desde que se aproveitou o tono da musculatura esfincteral vulvovaginal quando ela pode ser preservada na amputação de reto-ânus. O colo, preparado com as válvulas, desce posteriormente à vagina, por dentro do conjunto esfincteral vulvovaginal. As observações iniciais mostram que esta tentativa poderia ser incrementada para melhores estudos de continência.The Author presents a proposal and lhe initial attempties to avoid the abdominal colostomy when it has to be definitive. In the woman was possible its execution, since it took advantage from the vulvovaginal esfincteral muscle nohen it can be preserved ot the anus-rectum amputation. The colon, prepared wit the valves, descend posteriorily from the vagina, inside the vulvo-vaginal esfincteral group. The initial observations shows that this attempt could be better developed for cotinency etudies.

  9. Natural orifice transluminal endoscopic surgery: The transvaginal route moving forward from cholecystectomy

    Directory of Open Access Journals (Sweden)

    Eduardo M Targarona

    2010-06-01

    Full Text Available The advent of minimally invasive surgery and the advances in endoluminal flexible endoscopy have converged to generate a new concept in digestive surgery, whose acronym natural orifice transluminal endoscopic surgery (NOTES, has become a familiar term in the surgical community. NOTES has been performed through the mouth, the bladder, the rectum and the vagina. Of these four approaches, the vagina has gained most popularity for several reasons. It is not only readily accessible and easy to decontaminate but it also provides safe entry and simple closure. The transvaginal approach has been described in the experimental and the clinical setting as an option for cholecystectomy, nephrectomy, splenectomy, segmental gastrectomy, retroperitoneal exploration and bariatric surgery. However, larger series are needed to delineate the exact risks of this approach, and to transcend cultural barriers that impede its wider introduction. Prospective randomized trials will shed light on the definitive role of the vaginal approach in minimal invasive surgery of the future.

  10. Preservação do sistema genital de cabras para a avaliação em microscopia de luz

    Directory of Open Access Journals (Sweden)

    Salmito-Vanderley C.S.B.

    2002-01-01

    Full Text Available The preservation of the goat genital organs with a fixed solution of paraformaldehyde 10% and a saturated solution of Bouin during 4, 8, 12 and 24 hours of fixation, included in paraffin and stained with hematoxylin-eosin was evaluated. The Bouin solution with four hours of fixation showed to be the best protocol of fixation for the ovary, oviduct, uterus and vagina, resulting in little tissue retraction and better cellular integration when compared to the other fixing times (8, 12 and 24 hours. The fixation with paraformaldehyde showed significant alteration in the tissue architecture of the oviduct and vagina. Althouh paraformaldehyde is not the most adequate solution for the goat genital system preservation, its use can be considered in the absence of Bouin solution.

  11. Delayed vaginal and urethral mesh exposure: 10 years after TVT surgery.

    Science.gov (United States)

    Khanuengkitkong, Siwatchaya; Lo, Tsia-Shu; Dass, Anil Krishna

    2013-03-01

    Delayed mesh exposure after tension-free vaginal tape (TVT) procedure is rare. We report a case of mesh exposure into the vagina and urethra that developed 10 years after TVT surgery. A 58-year-old postmenopausal woman presented with mixed urinary incontinence. She was investigated, and her stress urinary incontinence was cured with a TVT procedure 10 years ago. She was then scheduled follow-up annually. Two years postsurgery, a granulation tissue was observed and excised at the vaginal incision site. Vaginal examination 10 years postsurgery showed vaginal mesh erosion 0.5 cm from urethral meatus. Cystoscopy revealed concomitant urethral erosion at the posterior urethral wall. Mesh excision was performed, and urethra and vagina were repaired in layers. Postoperative recovery was uneventful. This finding shows that, although rare, complications can occur even after 10 years of TVT surgery. PMID:22736034

  12. Sawadalepis prima n. g., n. sp. (Cestoda: Cyclophyllidea) from the Schreiber's bent-winged bat Miniopterus schreibersii Kuhl (Chiroptera: Vespertilionidae) from China.

    Science.gov (United States)

    Makarikova, Tatiana A; Makarikov, Arseny A

    2013-09-01

    Sawadalepis n. g. is erected for Sawadalepis prima n. sp. in Schreiber's bent-winged bat Miniopterus schreibersii Kuhl (Chiroptera: Vespertilionidae) from southern China. Diagnostic features of the currently monotypic genus include attributes of the osmoregulatory system and female genital organs. The dorsal osmoregulatory canals are shifted bilaterally towards the margins of proglottides in relation to the ventral canals. The genital pores are unilateral and sinistral. Among female attributes, the copulatory part of the vagina is covered externally by a dense layer of intensely stained cells; the conductive part of the vagina is clearly distinguishable from the seminal receptacle; the uterus has ventral and dorsal diverticula, extending bilaterally beyond the longitudinal osmoregulatory canals; and the eggs are spherical with thick outer coat. PMID:23949650

  13. FORMULATION, EVALUATION AND MICROBIAL ASSAY OF TINIDAZOLE VAGINAL SUPPOSITORY CONTAINING LACTIC ACID BACILLUS SPORES

    Directory of Open Access Journals (Sweden)

    SC Shivhare*, AR Umarkar and PA Salunke

    2014-07-01

    Full Text Available Human vagina represents a dynamic ecosystem dominated by certain species of Lactobacillus. This microorganism restricts the growth of pathogens by using properties of steric exclusion and inhibitory substance production. Serious complications including bacterial vaginosis and vaginal cancer are often determined in women with reduced numbers of lactobacilli. Local application of Lactobacillus is consequently promising to keep the vagina colonized by this strain, which consequently reduces the infections. The first objective of this research was to develop a local application pharmaceutical formulation of a vaginal suppository containing lyophilized culture of Lactobacillus with anti-microbial agent tinidazole. The second objective was to establish its in vivo performance by developing in vitro methods of evaluation as well as antimicrobial activity of tinidazole alone with Lactic acid Bacillus Spores in vaginosis.

  14. Mayer-Rokitansky-Kuster-Hauser Syndrome with hyperprolactinemia

    International Nuclear Information System (INIS)

    Mayer-Rokitansky-Kuster-Hauser Syndrome in association with hyperprolactinemia is very rare. An 18-year-old Saudi single, virgin female was accompanied by her mother seeking medical advice regarding absent menses. She had normal breasts, normal axillary and pubic hair, normal vulva, urethra and labial folds, however, the vagina was blind, approximately 2 cm length. Pelvic magnetic resonance imaging showed normal appearing ovaries, a small uterus and small cervix and vagina. Investigations showed initial high serum prolactin of 1,517mIU/L. Cranial MRI was normal. The patient was diagnosed as mullerian hypoplasia class I American Fertility Society. After an extensive literature search, we present a unique case of concomitant occurrence of MRKH, in the form of mullerian hypoplasia and hyperprolactinemia. (author)

  15. Analysis of complications for the treatment of uterine fibroids with bilateral uterine artery superselective embolization

    International Nuclear Information System (INIS)

    Objective: To discuss the complications of the bilateral uterine artery superselective embolization for uterine fibroids. Methods: Forty one cases (mean 42 years old) with uterine fibroids were approached by right femoral artery puncture; including thirty six cases of single hysteromyoma (33 cases with diameter 10 cm). and 5 cases of multi hysteromyoma. Bilateral uterine artery super selective 5F catheterization embolization were done along uterine descending artery (neck of uterus to vagina) with PVA particles. Results: Embolization succeeded with 100% and effective ratio was 90.3%. Sixteen of these cases showed post embolization syndrome, with something outflowed from vagina and 10 cases showed changes of emmenia but with no serious complications in all 41 cases. Conclusion: Using bilateral uterine artery superselective embolization for uterine fibroids with PVA grains can decrease the incidence of complications. (authors)

  16. Passage of Decidual Cast Following Poor Compliance with Oral Contraceptive Pill.

    Science.gov (United States)

    Malik, Mokerrum F; Adekola, Henry; Porter, William; Poulik, Janet M

    2014-10-29

    Background: Decidual cast describes the spontaneous sloughing of endometrium as an entire piece while retaining the shape of the endometrial cavity. It may be associated with increased serum progesterone levels and must be considered as a differential diagnosis in a patient who passes tissue per vagina while on progesterone containing hormonal contraception. Case: A 13-year-old adolescent with a history of menorrhagia since menarche, presented to the pediatric emergency room with worsening abdominal pain and heavy vaginal bleeding stopping her oral contraceptive pill 10 days prior to presentation. Her symptoms resolved spontaneously following passage of tissue per vagina which was later by histopathology to be a decidual cast. Conclusion: Decidual cast is a rare pathological entity that may be a side effect of progesterone-containing hormonal contraceptives, requiring patient education before use. PMID:25353701

  17. Isolated fetal ascites secondary to persistent urogenital sinus.

    Science.gov (United States)

    Camanni, D; Zaccara, A; Capitanucci, M L; Mosiello, G; Capolupo, I; Iacobelli, B D; De Gennaro, M

    2009-01-01

    Objective. To present a case of isolated ascites secondary due to urogenital abnormalities (urogenital sinus) without any other prenatal ultrasound marker. Method. A 36-year-old woman with prenatal isolated ascites delivered a female baby, weighing 2.285 g; ascites was drained at birth and the baby underwent several episodes of urinary retention prior to undergoing X-ray investigations. Results. A voiding cystourethrogram revealed a short urogenital sinus: a vesicostomy was performed. A vaginoscopy revealed double vagina with a large posterior vagina. A posterior sagittal anorectal pull-through with genitoplasty was performed at 2 years old with 1-year follow-up. Conclusions. Though rare, a urogenital abnormality is to be suspected in fetal ascites cases with negative viral tests and no cardiac anomalies. The most common ultrasound marker of such abnormalities (fluid filled cavity) may be missing because of complete drainage of urine through the tubes into peritoneum. PMID:19936120

  18. A new species of Dipetalonema (Filarioidea: Onchocercidae) from Ateles chamek from the Beni of Bolivia.

    Science.gov (United States)

    Notarnicola, Juliana; Agustín Jiménez, F; Gardner, Scott L

    2007-06-01

    We describe a new species of Dipetalonema occurring in the body cavity of Ateles chamek (Humboldt, 1812) from north-central Bolivia. Morphologic characters serving to separate Dipetalonema yatesi n. sp. from known forms include a vagina vera with a simple tube and thin walls and a left spicule, which possesses a handle shorter than the lamina (ratio 2.7); the latter displays an anterior membranous alae similar in length to the terminal flagellum, a distal extremity of the left spicule within a simple hook and a membrane, phasmids at the basis of the lappets, and heterogeneous muscles occupying the whole cavity. Dipetalonema yatesi n. sp. can be separated from Dipetalonema robini, Dipetalonema gracile, and Dipetalonema graciliformis, between other characters, in having a simple vagina vera instead of a sinuous one, and from Dipetalonema caudispina and Dipetalonema freitasi in having the lamina of the left spicule divided in a membranous alae and a terminal flagellum. PMID:17626361

  19. Radiation tolerance of the vaginal mucosa

    International Nuclear Information System (INIS)

    Sixteen patients with cancer of the vagina that were controlled locally for a minimum of eighteen months after teletherpay (T) or brachytherapy (B) or both (T and B), were analyzed for radiation tolerance of the vaginal mucosa. The site of vaginal necrosis did not always coincide with the site of the tumor. The posterior wall appeared more vulnerable than the anterior or lateral walls. For the distal vaginal mucosa, necrosis requiring surgical intervention occurred following combined T and B, if summated rad exceeded9800. The upper vagina tolerated higher dosages. No patient surgery for upper vaginal necrosis even though summated (T and B) dosage up to 14,000 rad was applied. Placing radioactive needles on the surface of the vaginal cylinder with or without interstitial perincal needles should be avoided. Further accumulation of data is needed to define these vaginal mucosa tolerance limits more closely

  20. Preservação do sistema genital de cabras para a avaliação em microscopia de luz / Preservation of goat genital system for microscopic evaluation purpose

    Scientific Electronic Library Online (English)

    C.S.B., Salmito-Vanderley; M.M., Neves; C.V., Santana; A.P., Marques Jr.; A.C., Vasconcelos; J.E.S., Nunes.

    2002-02-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese [...] Abstract in english The preservation of the goat genital organs with a fixed solution of paraformaldehyde 10% and a saturated solution of Bouin during 4, 8, 12 and 24 hours of fixation, included in paraffin and stained with hematoxylin-eosin was evaluated. The Bouin solution with four hours of fixation showed to be the [...] best protocol of fixation for the ovary, oviduct, uterus and vagina, resulting in little tissue retraction and better cellular integration when compared to the other fixing times (8, 12 and 24 hours). The fixation with paraformaldehyde showed significant alteration in the tissue architecture of the oviduct and vagina. Althouh paraformaldehyde is not the most adequate solution for the goat genital system preservation, its use can be considered in the absence of Bouin solution.

  1. Effect of post-insemination progesterone supplementation on pregnancy rate in dairy cows

    OpenAIRE

    Arndt, Wendy J.; Holle, Andrew J.; Bauer, Marc L.; Kirsch, James D.; Schimek, Daniel E.; Odde, Kenneth G.; Vonnahme, Kimberly A.

    2009-01-01

    Progesterone plays an important role in maintenance of pregnancy. It is hypothesized that insufficient progesterone early in pregnancy may result in embryonic loss, and that supplemental progesterone would decrease pregnancy loss in dairy cows. In Experiment 1, 84 cows and 16 heifers from a single dairy operation were selected randomly. Within each age category, controlled internal drug release (CIDR) devices were inserted into the vagina of every other female on Day 4 post-insemination and r...

  2. Diseño, construcción y uso de aplicador vaginal intracavitario multicanal periférico para braquiterapia Design, construction, and use of peripheral multichannel intracavitary vaginal applicator for brachytherapy

    Directory of Open Access Journals (Sweden)

    Manuel Vega Hernández

    2006-12-01

    Full Text Available La braquiterapia vaginal intracavitaria es frecuentemente administrada con aplicadores cilíndricos de un solo canal con fuentes HDR. El cilindro multicanal (8 canales vaginal intracavitario permite el tratamiento preferencial de una parte de la mucosa vaginal, se se desarrolla para perfeccionar y ampliar la capacidad de la braquiterapia intracavitaria. El aplicador permite activar los canales que se entienden útiles, con longitudes variables, para irradiar volúmenes blancos de la vagina, evitando sobreirradiar las regiones sanas. Se obtiene un gradiente de dosis en la superficie del aplicador vaginal multicanal periférico favorable al tratamiento de lesiones superficiales de la mucosa vaginal, con lo que se disminuye las dosis de recto en el orden del 12 %. Se realizó este estudio con el objetivo de demostrar la utilidad del uso de aplicadores multicanales en vagina y recto, se expresaron los resultados de la construcción de aplicadores y sus característicasThe intracavitary vaginal brachytherapy is often administered using single-channel cylindrical applicators with HDR sources. The intracavitary vaginal multichannel cylinder (8 channels allows the preferential treatment of a part of the vaginal mucosa, and it is developed to improve and to widen the intracavitary brachytherapy capacity. The applicator makes possible to activate channels considered useful, with variable lengths, to irradiate the target volumes of the vagina, avoiding the overirradiation of the healthy regions. A dose gradient is achieved in the surface of the peripheral multichannel vaginal applicator favouring the treatment of the superficial injuries of the vaginal mucosa, dropping the dose of the rectum by 12 %. This study was undertaken to demonstrate the usefulness of the multichannel applicators in the vagina and rectum. The results of the construction of applicators and their characteristics were explained

  3. Diseño, construcción y uso de aplicador vaginal intracavitario multicanal periférico para braquiterapia / Design, construction, and use of peripheral multichannel intracavitary vaginal applicator for brachytherapy

    Scientific Electronic Library Online (English)

    Manuel, Vega Hernández; Rodolfo, Alfonso Laguardia.

    2006-12-01

    Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish La braquiterapia vaginal intracavitaria es frecuentemente administrada con aplicadores cilíndricos de un solo canal con fuentes HDR. El cilindro multicanal (8 canales) vaginal intracavitario permite el tratamiento preferencial de una parte de la mucosa vaginal, se se desarrolla para perfeccionar y a [...] mpliar la capacidad de la braquiterapia intracavitaria. El aplicador permite activar los canales que se entienden útiles, con longitudes variables, para irradiar volúmenes blancos de la vagina, evitando sobreirradiar las regiones sanas. Se obtiene un gradiente de dosis en la superficie del aplicador vaginal multicanal periférico favorable al tratamiento de lesiones superficiales de la mucosa vaginal, con lo que se disminuye las dosis de recto en el orden del 12 %. Se realizó este estudio con el objetivo de demostrar la utilidad del uso de aplicadores multicanales en vagina y recto, se expresaron los resultados de la construcción de aplicadores y sus características Abstract in english The intracavitary vaginal brachytherapy is often administered using single-channel cylindrical applicators with HDR sources. The intracavitary vaginal multichannel cylinder (8 channels) allows the preferential treatment of a part of the vaginal mucosa, and it is developed to improve and to widen the [...] intracavitary brachytherapy capacity. The applicator makes possible to activate channels considered useful, with variable lengths, to irradiate the target volumes of the vagina, avoiding the overirradiation of the healthy regions. A dose gradient is achieved in the surface of the peripheral multichannel vaginal applicator favouring the treatment of the superficial injuries of the vaginal mucosa, dropping the dose of the rectum by 12 %. This study was undertaken to demonstrate the usefulness of the multichannel applicators in the vagina and rectum. The results of the construction of applicators and their characteristics were explained

  4. Role of the Vaginal Microbiological Ecosystem and Cytokine Profile in the Promotion of Cervical Dysplasia: A Case–Control Study

    OpenAIRE

    Sebastian Faro; Jose Simoes; Alla Aroutcheva; Ira Heimler; Jennifer Friedman; Kian Behbakht

    2002-01-01

    OBJECTIVE: To identify alterations in the cytokine profile and microbial ecosystem of the vagina in association with cervical dysplasia. METHODS: Demographics, lifestyle variables and Papanicolau (Pap) smear results of subjects presenting to the same site for gynecologic complaints, obstetric visits or colposcopy were prospectively recorded. Vaginal smear for Gram stain, aerobic and anaerobic culture, pH, and wet mount and KOH examination for Trichomonas vaginalis, Gardnerella vaginalis and y...

  5. Complex Genital Malformation in a Female with Congenital Adrenal Hyperplasia: Evaluation with Magnetic Resonance Imaging

    Energy Technology Data Exchange (ETDEWEB)

    Klessen, C.; Asbach, P.; Hein, P. A.; Beyersdorff, D.; Hamm, B.; Taupitz, M. [Humboldt-Univ. of Berlin, Campus Charite Mitte (Germany). Dept. of Radiology

    2005-12-01

    This is a case of complex genital malformation in a young patient with congenital adrenal hyperplasia. The magnetic resonance imaging (MRI) findings included ostium of the vagina into the urethra (common urogenital opening), prostate-like tissue surrounding the urethra, and hyperplasia of the left adrenal gland. The report provides information on the clinical findings, the MRI examination, including the applied sequences and the MR findings, and gives an overview of the disease pattern and its frequency of occurrence.

  6. Carcinoma de células escamosas em língua pós-transplante de medula óssea por Anemia de Fanconi Squamous cell carcinoma of the tongue due to Fanconi's Anemia after bone marrow transplantation

    OpenAIRE

    Ricardo Pasquini; Neto, Jose? Z.; Medeiros, Carlos R.; Bitencourt, Marco A.; Bonfim, Carmem M. S.; Moreira, Vaneuza A.; Setu?bal, Daniela C.; Flowers, Mary E. D.; Elcio Kupka; Arau?jo, Marcos V.

    2003-01-01

    Anemia Fanconi (AF) é uma síndrome autossômica recessiva, caracterizada por pancitopenia progressiva com hipoplasia de MO, em associação com várias anormalidades constitucionais, tendo como único recurso terapêutico com possibilidade potencial de cura o transplante de medula óssea, e sendo tais pacientes propensos ao desenvolvimento de malignidades hematológicas e carcinoma de células escamosas (CEC) em diversos locais: reto, vagina, cérvice, esôfago, cavidade bucal, faringe ou p...

  7. Carcinoma de células escamosas em língua pós-transplante de medula óssea por Anemia de Fanconi

    OpenAIRE

    Pasquini Ricardo; Neto José Z.; Medeiros Carlos R. de; Bitencourt Marco A.; Bonfim Carmem M. S.; Moreira Vaneuza A.; Setúbal Daniela C.; Flowers Mary E. D.; Kupka Elcio; Araújo Marcos V.

    2003-01-01

    Anemia Fanconi (AF) é uma síndrome autossômica recessiva, caracterizada por pancitopenia progressiva com hipoplasia de MO, em associação com várias anormalidades constitucionais, tendo como único recurso terapêutico com possibilidade potencial de cura o transplante de medula óssea, e sendo tais pacientes propensos ao desenvolvimento de malignidades hematológicas e carcinoma de células escamosas (CEC) em diversos locais: reto, vagina, cérvice, esôfago, cavidade bucal, faringe ou p...

  8. Surgical aspects of international drug smuggling

    OpenAIRE

    Lancashire, M. J. R.; Legg, P. K.; Lowe, M.; Davidson, Susanna M.; Ellis, B. W.

    1988-01-01

    The internal concealment of cocaine and other drugs in packets by “body packers”—those who swallow packets of drugs or hide them in their vagina or rectum—to avoid detection by customs officials has been increasing in both the United States and Europe. The types of package and how they are concealed are changing as the traffickers become more sophisticated in their methods. The latest parcels are less likely to burst, but obstruction of the bowel may occur.

  9. Reproductive performance of totally confined sheep bred with semen extended in a lactose-egg yolk-glycerol buffer and stored at 5 degrees C.

    OpenAIRE

    Hackett, A. J.; Wolynetz, M. S.

    1982-01-01

    Two experiments were carried out in January and May 1975 to study reproductive performance (fertility, prolificacy and fecundity) of totally confined sheep synchronized for estrus. The main objective of the first experiment was to compare reproductive performance of ewes bred naturally to those bred by artificial insemination. Semen for artificial insemination was collected by either artificial vagina or electroejaculation and stored for up to 36 hours at 5 degrees C. A second objective was t...

  10. Tumor de la vulva, vulvectomía radical / Vulvar tumor, total vulvectomy

    Scientific Electronic Library Online (English)

    Asbel Alfredo, Vicente de la Cruz; Maribel Lissette, Vicente Medina; Ada Hilda, de la Concepción de la Peña.

    2011-09-01

    Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish Los tumores de la vulva no son una rareza entre los cánceres que afectan a las féminas, pero tampoco son de los más frecuentes. Se presenta el caso de una mujer de 59 años, que en el año 2000 se le diagnostica carcinoma epidermoide del clítoris, en 2004 se vuelve a intervenir por recidiva tumoral, y [...] en 2009 acude a nuestra consulta nuevamente y es cuando se decide realizarle vulvectomía y resección de vagina y todo el sistema ginecológico. Concluyó la intervención con una talla vesical extraperitoneal. El tumor se extiende hasta la porción inicial de la vagina y uretra. Se trata de un tumor maligno, bien diferenciado, que se ha comportado en una forma no habitual, con recidivas locales, cuando en apariencia el tumor había sido resecado en toda su extensión, y en esta última oportunidad, a pesar de ser un estadio avanzado, no hemos encontrado metástasis ni multicentricidad del tumor. La evolución posoperatoria fue sin complicaciones y se dio de alta al quinto día. Abstract in english The vulvar tumors are not uncommon among the different types of cancer involving females, but neither are the more frequent ones. This is the case of a female aged 59 that in 2000 is diagnosed with epidermoid carcinoma of clitoris, in 2004 is re-operated on by tumor relapse, and in 2009 she came aga [...] in to our consultation and a vulvectomy, vagina resection and all gynecological system are carried out. Intervention concluded with an extraperitoneal vesical cutting. The tumor extends up to the initial portion of vagina and urethra. It is a malignant and well-differentiated tumor behaved in non habitual way with local relapses, when apparently the tumor was resected in all its extent, and in this last change, despite and advanced stage, there were neither tumor metastases nor multi-centralization. The postoperative course was free of complications receiving the discharge at fifth day.

  11. Eversión vesical completa a través de una fístula vesicovaginal

    OpenAIRE

    Jhoan Aragón Charry; Eduardo Reyna Villasmil; Joel Santos Bolívar

    2013-01-01

    La eversión vesical completa es rara. Se presenta el caso de una eversión de vejiga urinaria a través de una fístula vesicovaginal acompañada de prolapso útero-vaginal concurrente. Se trata de paciente de 70 años que presentó una tumoración compatible con un prolapso vaginal grado IV y una tumoración edematosa, pegajosa y piriforme por delante del prolapso compatible con la vejiga con un orificio en la pared anterior de la vagina a través del cual la mucosa de la vejiga estaba eve...

  12. Hidrocolpos e hidrometrocolpos neoanatal: a propósito de un caso clínico / Neonatal hydrocolpos and hydrometrocolpos: a clinical case

    Scientific Electronic Library Online (English)

    CAROLINA, GARFIAS VON F; ANTONIO, BARRERA N; RICARDO, ZUBIETA A; FRANCISCA, UGARTE P.

    2011-04-01

    Full Text Available SciELO Chile | Language: Spanish Abstract in spanish El Hidrocolpos e Hidrometrocolpos es una condición caracterizada por dilatación quística de la vagina y/o del útero, con acumulación de líquido como resultado de obstrucciones vaginales congénitas. Puede ser de tipo secretorio o urinario, este último ocurre cuando existe comunicación vagino-vesical, [...] como en el seno urogenital o anomalía tipo cloaca. Otras causas son septo vaginal, himen imperforado, malformación tipo cloaca y senourogenital. Caso: Recién nacida de 10 días, 46 XX, con virilización de genitales grado IV de Prader, cuyo estudio confirmó una Hiperplasia Suprarrenal Congénita y cuya ecografía demostró una vagina dilatada con contenido liquido correspondiendo a un hidrocolpos neonatal. Abstract in english Hydrocolpos and hydrometrocolpos is a condition characterized by a cystic dilatation od the vagina and/or uterus with accumulation of fluid as a result of congenital vaginal obstructions. It can be of secretory or urinary types, the last one when a vagino-vesical communication develops such as a sin [...] us or chloaca. Other causes are vaginal septum, imperforated hymen. Clinical Case: Ten day old newborn, 46 XX with genital virilization (Prader IV) confirmed as due to Congenital Adrenal Hyperplasia, sonogram showed dilated vagina with fluid content due to neonatal hydrocolpos. Conclusion: It is important to maintain a high index of suspicion when a female newborn shows urogenital sinus, chloaca, genital virilization or imperforated hymen, as well as a female newborn with an abdominal mass. Diagnostic test of choice is a sonogram. Evaluation must be completed by a multidisciplinary team, including urology, endocrinology and pediatric gynecology for optimal patient management.

  13. Hidrocolpos e hidrometrocolpos neoanatal: a propósito de un caso clínico Neonatal hydrocolpos and hydrometrocolpos: a clinical case

    Directory of Open Access Journals (Sweden)

    CAROLINA GARFIAS VON F

    2011-04-01

    Full Text Available El Hidrocolpos e Hidrometrocolpos es una condición caracterizada por dilatación quística de la vagina y/o del útero, con acumulación de líquido como resultado de obstrucciones vaginales congénitas. Puede ser de tipo secretorio o urinario, este último ocurre cuando existe comunicación vagino-vesical, como en el seno urogenital o anomalía tipo cloaca. Otras causas son septo vaginal, himen imperforado, malformación tipo cloaca y senourogenital. Caso: Recién nacida de 10 días, 46 XX, con virilización de genitales grado IV de Prader, cuyo estudio confirmó una Hiperplasia Suprarrenal Congénita y cuya ecografía demostró una vagina dilatada con contenido liquido correspondiendo a un hidrocolpos neonatal.Hydrocolpos and hydrometrocolpos is a condition characterized by a cystic dilatation od the vagina and/or uterus with accumulation of fluid as a result of congenital vaginal obstructions. It can be of secretory or urinary types, the last one when a vagino-vesical communication develops such as a sinus or chloaca. Other causes are vaginal septum, imperforated hymen. Clinical Case: Ten day old newborn, 46 XX with genital virilization (Prader IV confirmed as due to Congenital Adrenal Hyperplasia, sonogram showed dilated vagina with fluid content due to neonatal hydrocolpos. Conclusion: It is important to maintain a high index of suspicion when a female newborn shows urogenital sinus, chloaca, genital virilization or imperforated hymen, as well as a female newborn with an abdominal mass. Diagnostic test of choice is a sonogram. Evaluation must be completed by a multidisciplinary team, including urology, endocrinology and pediatric gynecology for optimal patient management.

  14. Tumor de la vulva, vulvectomía radical Vulvar tumor, total vulvectomy

    Directory of Open Access Journals (Sweden)

    Asbel Alfredo Vicente de la Cruz

    2011-09-01

    Full Text Available Los tumores de la vulva no son una rareza entre los cánceres que afectan a las féminas, pero tampoco son de los más frecuentes. Se presenta el caso de una mujer de 59 años, que en el año 2000 se le diagnostica carcinoma epidermoide del clítoris, en 2004 se vuelve a intervenir por recidiva tumoral, y en 2009 acude a nuestra consulta nuevamente y es cuando se decide realizarle vulvectomía y resección de vagina y todo el sistema ginecológico. Concluyó la intervención con una talla vesical extraperitoneal. El tumor se extiende hasta la porción inicial de la vagina y uretra. Se trata de un tumor maligno, bien diferenciado, que se ha comportado en una forma no habitual, con recidivas locales, cuando en apariencia el tumor había sido resecado en toda su extensión, y en esta última oportunidad, a pesar de ser un estadio avanzado, no hemos encontrado metástasis ni multicentricidad del tumor. La evolución posoperatoria fue sin complicaciones y se dio de alta al quinto día.The vulvar tumors are not uncommon among the different types of cancer involving females, but neither are the more frequent ones. This is the case of a female aged 59 that in 2000 is diagnosed with epidermoid carcinoma of clitoris, in 2004 is re-operated on by tumor relapse, and in 2009 she came again to our consultation and a vulvectomy, vagina resection and all gynecological system are carried out. Intervention concluded with an extraperitoneal vesical cutting. The tumor extends up to the initial portion of vagina and urethra. It is a malignant and well-differentiated tumor behaved in non habitual way with local relapses, when apparently the tumor was resected in all its extent, and in this last change, despite and advanced stage, there were neither tumor metastases nor multi-centralization. The postoperative course was free of complications receiving the discharge at fifth day.

  15. Term delivery choriocarcinoma patient with brain and lung metastases successfully treated by etoposide, methotrexate, actomycin D, cyclophosphamide and vincristine (EMA-CO) chemotherapy.

    OpenAIRE

    Hiramatsu, Yuji; Masuyama, Hisashi; Ishida, Makoto; Murakami, Kazuharu; Sakurai, Masaru

    2005-01-01

    It is well known that antecedent term delivery and metastasis to sites other than the lungs and vagina are high risk factors for patients with gestational trophoblastic neoplasia. Here we report on a patient with choriocarcinoma who presented with brain and lung metastases after term delivery and was treated by EMA-CO chemotherapy. A 31-year-old woman delivered a healthy infant at term. Frequent episodes of hemoptysis occurred beginning 3 weeks after the delivery. On admission to our...

  16. 148?HPV, HIV, and Cancer: A Global Challenge

    OpenAIRE

    Franceschi, Silvia

    2014-01-01

    The seminal discovery that human papillomavirus (HPV) infection causes cervical cancer provides an opportunity for prevention by vaccination and new screening approaches. Approximately 600,000 new cancer cases per year are attributable to HPV worldwide of which about half million in less developed countries (de Martel et al, Lancet Oncology, 2012). These cancers include all cervical cancers, the vast majority of anal cancers and approximately half of cancers of the vulva, vagina, and penis. I...

  17. Economic Burden of Human Papillomavirus-Related Diseases in Italy

    OpenAIRE

    Baio, G.; Capone, A.; Marcellusi, A.; Mennini, F. S.; Favato, G.

    2012-01-01

    Human papilloma virus (HPV) genotypes 6, 11, 16, and 18 impose a substantial burden of direct costs on the Italian National Health Service that has never been quantified fully. The main objective of the present study was to address this gap: (1) by estimating the total direct medical costs associated with nine major HPV-related diseases, namely invasive cervical cancer, cervical dysplasia, cancer of the vulva, vagina, anus, penis, and head and neck, anogenital warts, and recurrent respiratory...

  18. PRESERVATION OF GARUT RAMS SPERMATOZOON AS A SOURCE OF MALE GERM PLASM

    OpenAIRE

    MUHAMMAD RIZAL; ARIEF BOEDIONO; HERDIS

    2004-01-01

    This study was conducted to examine the quality of ejaculated sperm by Garut rams to be used for artificial insemination (AI) and viability of sperm that were collected from preserved cauda epididymis (4°C up to 12 days) for assisted reproductive technology. The semen was collected by artificial vagina, with the sperm motility, live sperm, acrosomal intact, and intact plasma membrane observed. Sperm motility was 75%, while for the live sperm, intact plasma membrane and sperm abnormality wer...

  19. A new species of Anoplodiscus (Monogenea: Anoplodiscidae parasitic on Pagrus pagrus (Osteichthyes: Sparidae from the coastal zone of the State of Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Paraguassú Aline R

    2002-01-01

    Full Text Available A new species of Anoplodiscus (Monogenea, Anoplodiscidae, parasitic on gills of the red porgy, Pagrus pagrus, from the coastal zone of the State of Rio de Janeiro, Brazil, is described and illustrated. The new species can be differentiated from the other species of this genus by the shape of the accessory piece of the copulatory complex, and the length of the vagina. This is the first record of a species of Anoplodiscus in the Neotropical region.

  20. Perineal Distensibility Using Epi-no in Twin Pregnancies: Comparative Study with Singleton Pregnancies

    OpenAIRE

    Juliana Sayuri Kubotani; Antonio Fernandes Moron; Xfa Nior, Edward Araujo J.; Miriam Raquel Diniz Zanetti; Vanessa Cardoso Marques Soares; Xfa Nior, Julio Elito J.

    2014-01-01

    The aims of this study were to compare perineal distensibility between women with twin and singleton pregnancies and to correlate these women's perineal distensibility with anthropometric data. This prospective cross-sectional case-control study was conducted among nulliparous women, of whom 20 were pregnant with twins and 23 with a single fetus. Perineal distensibility was evaluated in the third trimester by means of Epi-no, which was introduced into the vagina and inflated up to the maximum...

  1. The degree of serum estradiol decline in early and midluteal phase had no adverse effect on IVF/ICSI outcome

    OpenAIRE

    Narvekar Sachin; Gupta Neelima; Shetty Nivedita; Kottur Anu; Srinivas M; Rao Kamini

    2010-01-01

    Background: Estradiol levels fall rapidly in the luteal phase of ART cycles. So far, the effect of this estradiol decline on pregnancy outcome has remained controversial. Aim: To study the effect of early and midluteal estradiol decline on pregnancy and miscarriage rate. We also sought to determine whether estradiol fall was related to increased risk of bleeding per vagina in the first trimester among pregnancies which crossed 12 weeks. Setting: Tertiary Assisted conception center. Desig...

  2. Robotic repair of vesicovaginal fistulae with the transperitoneal-transvaginal approach: A case series

    Scientific Electronic Library Online (English)

    Luciano A. Nunez, Bragayrac; Raed A., Azhar; Golena, Fernandez; Marino, Cabrera; Eric, Saenz; Victor, Machuca; Robert de, Andrade; Oswaldo, Carmona; Rene, Sotelo.

    2014-12-01

    Full Text Available SciELO Brazil | Language: English Abstract in english Objective To describe a novel technique of repairing the VVF using the transperitoneal-transvaginal approach. Materials and Methods From June 2011 to October 2013, four patients with symptoms of urine leakage in the vagina underwent robotic repair of VVF [...] with the transperitoneal-transvaginal approach. Cystoscopy revealed the fistula opening on the bladder. A ureteral stent was placed through the fistulous tract. After trocar placement, the omental flap was prepared and mobilized robotically. The vagina was identified and incised. The fistulous tract was excised. Cystorrhaphy was performed in two layers in an interrupted fashion. The vaginal opening was closed with running stitches. The omentum was interposed and anchored between the bladder and vagina. Finally, the ureteral catheters were removed in case they have been placed, and an 18 Fr urethral catheter was removed on the 14th postoperative day. Results The mean age was 46 years (range: 41 to 52 years). The mean fistula diameter was 1.5 cm (range 0.3 to 2 cm). The mean operative time was 117.5 min (range: 100 to 150 min). The estimated blood loss was 100 mL (range: 50 to 150 mL). The mean hospital stay was 1.75 days (range: 1 to 3 days). The mean Foley catheter duration was 15.75 days (range: 10 to 25 days). There was no evidence of recurrence in any of the cases. Conclusions The robot-assisted laparoscopic transperitoneal transvaginal approach for VVF is a feasible procedure when the fistula tract is identified by first intentionally opening the vagina, thereby minimizing the bladder incision and with low morbidity.

  3. Differentiation of Lactobacillus Species by Molecular Typing

    OpenAIRE

    Zhong, Wei; Millsap, Kevin; Bialkowska-hobrzanska, Hanna; Reid, Gregor

    1998-01-01

    A total of 64 type, reference, clinical, health food, and stock isolates of microaerophilic Lactobacillus species were examined by restriction fragment length polymorphisms. Of particular interest were members of six of the eight species most commonly recovered from the vaginas of healthy premenopausal women, namely, Lactobacillus jensenii, L. casei, L. rhamnosus, L. acidophilus, L. plantarum, and L. fermentum. Six main groupings were identified on the basis of ribotyping. This technique was ...

  4. Immunoreactivities to protein gene product 9.5, neurofilament protein and neuron specific enolase in nerves in the oviduct of the sexually immature ostrich, Struthio camelus

    OpenAIRE

    M-c, Madekurozwa

    2010-01-01

    The present study investigated the distribution of nerves in the oviduct of the sexually immature ostrich. The presence of protein gene product 9.5, neurofilament protein and neuron specific enolase nerve fibres were demonstrated in the infundibulum, magnum, isthmus, shell gland and vagina. Nerve fibres containing protein gene product 9.5, neuron specific enolase and neurofilament protein were particularly numerous in the tunica muscularis and...

  5. La découverte de l'amour par Hidi Xinu. Récit caxinaua

    Directory of Open Access Journals (Sweden)

    1999-01-01

    Full Text Available La littérature concernant la cosmologie caxinaua est assez connue, on propose néanmoins un récit jubilatoire qui raconte la découverte de l?amour par le personnage Xidi Xinu. Ce récit évoque le désespoir des Caxinaua qui prenaient le ?vagin? pour une méchante plaie. Malgré la connaissance de leur pharmacopée, ils n?arrivaient pas à la guérir. Cependant, un jour, l?un des Caxinaua, Hidi Xinu, a vu un couple de singes copuler et a compris la fonction du vagin : le réceptacle de l?amour, cutati. EL DESCUBRIMIENTO DEL AMOR POR HIDI SHINU. UNA NARRACIÓN CASHINAHUA. Aunque la literatura sobre la cosmología cashinahua es bastante conocida, proponemos aquí una alegre narración que cuenta el descubrimiento del amor por parte del personage Hidi Shinu. Esta narración evoca el desespero de los Cashinahua, quienes tomaban la vagina por una mala herida. A pesar de sus conocimientos farmacológicos, no lograban sanarla. Sin embargo, un día, uno de los Cashinahua vio copular a una pareja de micos y comprendió la función de la vagina: el receptáculo del amor, chutati. THE DISCOVERY OF LOVE BY HIDI SHINU. A CASHINAHUA TALE. The literature of the Cashinahua mythology is quite well known, thus I present an amusing tale about the discovery of love by the character Hidi Xinu. This tale reminds us of the despair of the Cashinahua who thought the vagina to be a very severe flesh wound. Regardless of their knowledge of pharmacopoeia, they could not heal her. However, one day, Hidi Xinu saw a couple of monkeys copulate and only then did he understand the function of the vagina: the chamber of love, chutati.

  6. Fetal dystocia due to dorso-pubic position and postural defects in a Jenny: A case report

    OpenAIRE

    Chauhan, P. M.; Sindhi, S. H.; Thakor, K. B.

    2013-01-01

    Dystocia in Jenny is a very rare and occur occasionally, about 1 to 4 % of foaling. A present case of fetal dystocia in seven year old jenny has been reported due to dorso-pubic position and malpostures (includes left shoulder flexion and flexed neck). Fetus was corrected in normal position and posture through application of mutational operation and removeed dead male fetus through vagina after applying the proper traction. Then, she was treated with fluid therapy, antibiotic, analgesic, teta...

  7. Management of shoulder dystocia: trends in incidence and maternal and neonatal morbidity.

    OpenAIRE

    Mackenzie, Iz; Shah, M.; Lean, K.; Dutton, S.; Newdick, H.; Tucker, DE

    2007-01-01

    OBJECTIVE: To investigate trends in the incidence of shoulder dystocia, methods used to overcome the obstruction, and rates of maternal and neonatal morbidity. METHODS: Cases of shoulder dystocia and of neonatal brachial plexus injury occurring from 1991 to 2005 in our unit were identified. The obstetric notes of cases were examined, and the management of the shoulder dystocia was recorded. Demographic data, labor management with outcome, and neonatal outcome were also recorded for all vagina...

  8. Histotopographic study of the rectovaginal septum.

    Science.gov (United States)

    Stecco, Carla; Macchi, Veronica; Porzionato, Andrea; Tiengo, Cesare; Parenti, Anna; Gardi, Mario; Artibani, Walter; De Caro, Raffaele

    2005-01-01

    The rectovaginal septum (RVS) is described as a strong connective tissue between the rectum and the vagina. The aim of the present study was to investigate the topography and histological structure of the RVS in 20 cadavers (age range: 54-72 years). After in situ formalin fixation, the pelvic viscera and the surrounding connective tissue were removed, together with the pelvic floor. In 8 cases, the topographical relationships of the septum with the vagina and rectum were studied during dissection. In 8 other cases, serial macrosections of the bladder base, vagina, lower rectum and pelvic floor complex were stained with hematoxylin-eosin, azan-Mallory and Weigert Van Gieson. RVS thickness was evaluated on transverse sections collected at the cranial and caudal levels of the middle third of the vagina (level II) and inferior third (level III). In the other 4 cases, specimens were cut with a slicer in 2-3 mm thick axial slices and plastinated using the von Hagens E12 technique. The RVS is located in an oblique coronal plane, close to the posterior vaginal wall, and is formed of a network of collagen, elastic fibres, smooth muscle cells with nerve fibres, emerging from the autonomic inferior hypogastric plexus, and variable numbers of small vessels. The RVS was thicker at cranial levels II and III, with respect to caudal level II, both in the midline (1.75 and 1.70 vs 0.2 mm, p0.05). The RVS resembles an hourglass, with a flattened central portion in the frontal plane. Given its position in the centre of the pelvis, the RVS plays a connecting role between the perineal body and the overlying portions of the endopelvic fascia, and may also play an active role in modulating the tone of the musculature of the pelvic walls during variations in endorectal pressure. PMID:16536055

  9. Anatomy and histology of apical support: a literature review concerning cardinal and uterosacral ligaments

    OpenAIRE

    Ramanah, Rajeev; Berger, Mitchell B.; Parratte, Bernard M.; Delancey, John O. L.

    2012-01-01

    The objective of this work was to collect and summarize relevant literature on the anatomy, histology, and imaging of apical support of the upper vagina and the uterus provided by the cardinal (CL) and uterosacral (USL) ligaments. A literature search in English, French, and German languages was carried out with the keywords apical support, cardinal ligament, transverse cervical ligament, Mackenrodt ligament, parametrium, paracervix, retinaculum uteri, web, uterosacral ligament, and sacrouteri...

  10. Transient receptor potential channels in sensory neurons are targets of the antimycotic agent clotrimazole

    OpenAIRE

    Meseguer, Vi?ctor M.; Karashima, Yuji; Talavera, Karel; D Hoedt, Dieter; Donovan-rodriguez, Tansy; Viana, Fe?lix; Nilius, Bernd; Voets, Thomas

    2008-01-01

    Clotrimazole (CLT) is a widely used drug for the topical treatment of yeast infections of skin, vagina, and mouth. Common side effects of topical CLT application include irritation and burning pain of the skin and mucous membranes. Here, we provide evidence that transient receptor potential (TRP) channels in primary sensory neurons underlie these unwanted effects of CLT. We found that clinically relevant CLT concentrations activate heterologously expressed TRPV1 and TRPA1, two TRP channels th...

  11. Bilateral synovial chondromatosis of the first metatarsophalangeal joint: a report case

    OpenAIRE

    Stecco, C.; Moro, S.; Taglialavoro, G.; Pennelli, N.

    2011-01-01

    Synovial chondromatosis is a rare pathology of unknown aetiology. It originates from the chondroid metaplasia of the connective tissue of the synovial membrane. Consequently, cartilaginous nodules develop in the affected joints, first calcifying and then ossifying. The bursae mucosae, the vaginae tendinis and the para-articular connective tissue are less frequently affected. The most common locations of this pathology are the knee, the hip, the shoulder, the elbow and the ankle. The small art...

  12. Oral candidiasis: An overview

    OpenAIRE

    Singh, Arun; Verma, Renuka; Murari, Aditi; Agrawal, Ashutosh

    2014-01-01

    Candida is the shortened name used to describe a class of fungi that includes more than 150 species of yeast. In healthy individuals, Candida exists harmlessly in mucus membranes such as your ears, eyes, gastrointestinal tract, mouth, nose, reproductive organs, sinuses, skin, stool and vagina, etc. It is known as your “beneficial flora” and has a useful purpose in the body. When an imbalance in the normal flora occurs, it causes an overgrowth of Candida albicans. The term is Candidiasis o...

  13. Rectal extrusion of the catheter and air ventriculography following bowel perforation in ventriculo-peritoneal shunt

    Energy Technology Data Exchange (ETDEWEB)

    Arico, M.; Podesta, A.F.; Bianchi, E.; Beluffi, G.; Fiori, P.; Chiari, G.; Pezzotta, S.

    1985-01-01

    Ventriculo-peritoneal shunt is frequently carried out in infantile hydrocephalus. The peritoneal shunt has a lower morbidity than ventriculo-atrial shunt and severe complications are uncommon. Abdominal complications include intestinal perforation, shunt migration, inguinal hernia, cerebrospinal fluid pseudocysts and hollow viscus perforation. A few cases of catheter extrusion from the rectum, vagina, umbilicus and urethra have been described. We report a new case of intestinal perforation with rectal extrusion of the catheter associated with a ventriculogram.

  14. Rectal extrusion of the catheter and air ventriculography following bowel perforation in ventriculo-peritoneal shunt

    International Nuclear Information System (INIS)

    Ventriculo-peritoneal shunt is frequently carried out in infantile hydrocephalus. The peritoneal shunt has a lower morbidity than ventriculo-atrial shunt and severe complications are uncommon. Abdominal complications include intestinal perforation, shunt migration, inguinal hernia, cerebrospinal fluid pseudocysts and hollow viscus perforation. A few cases of catheter extrusion from the rectum, vagina, umbilicus and urethra have been described. We report a new case of intestinal perforation with rectal extrusion of the catheter associated with a ventriculogram. (orig.)

  15. Vesico-vaginal fistula in a patient with Meyer-Rokitansky-Kuster-Hauser syndrome.

    Science.gov (United States)

    Okusanya, B O; Garba, K K D

    2010-03-01

    This was a case of Gishiri cut in a patient with Meyer-Rokitansky-Kuster-Hauser syndrome resulting in a vesico-vaginal fistula and urethral loss. This followed an attempt to enlarge and lengthen the vagina to enhance penile penetration. Few cases of MRKH syndrome presenting with complications after an attempt at treatment by traditional birth attendants have been reported. This report is particularly of essence as most urinary fistulae in Nigeria are obstetric fistulae following prolonged obstructed labour. PMID:20348986

  16. Vesico-vaginal fistula and psycho-social well-being of Nigerian women

    OpenAIRE

    Fasakin, Gbola Jonathan

    2008-01-01

    The problem of vesico-vagina fistula still remains a ravaging scourge in resource-poor countries of which Nigeria is visibly prominent. A majority of the cases are attributed to prolonged complicated labour due to inaccessibility of adequate and immediate obstetric health care. Complicated labour arises as a result of narrow pelvis bones of victims due to suffering from poor nutrition. While the above factors are noted as the direct cause to the prevalent of VVF, there are other socio-cultura...

  17. Isolation and identification of pathogenic bacteria from genital tract of the Arabian mares affected with genital tract infection and antimicrobial sensitivity

    OpenAIRE

    Al-abidy, H. F.

    2010-01-01

    This study was conducted for isolation and identification of the pathogenic bacteria presented in the genital tract infectionof the Arabian mares, and shows the anti microbial sensitivity. The study included 75 samples taken from infected maressuffering from genital tract infection diagnosed on the basis of case history and clinical signs which included bloody purulentdischarge ranched from yellow to green in colure, fetid oder with congested and oedematous vagina and from some abortioncases,...

  18. A model of transluminal flow of an anti-HIV microbicide vehicle: Combined elastic squeezing and gravitational sliding

    OpenAIRE

    Szeri, Andrew J.; Park, Su Chan; Verguet, Ste?phane; Weiss, Aaron; Katz, David F.

    2008-01-01

    Elastohydrodynamic lubrication over soft substrates is of importance in a number of biomedical problems: From lubrication of the eye surface by the tear film, to lubrication of joints by synovial fluid, to lubrication between the pleural surfaces that protect the lungs and other organs. Such flows are also important for the drug delivery functions of vehicles for anti-HIV topical microbicides. These are intended to inhibit transmission into vulnerable mucosa, e.g., in the vagina. First genera...

  19. Reproducibility and genital sparing with a vaginal dilator used for female anal cancer patients

    International Nuclear Information System (INIS)

    Purpose: Acute vulvitis, acute urethritis, and permanent sexual dysfunction are common among patients treated with chemoradiation for squamous cell carcinoma of the anal canal. Avoidance of the genitalia may reduce sexual dysfunction. A vaginal dilator may help delineate and displace the vulva and lower vagina away from the primary tumor. The goal of this study was to evaluate the positional reproducibility and vaginal sparing with the use of a vaginal dilator. Materials and methods: Ten female patients treated with IMRT for anal cancer were included in this study. A silicone vaginal dilator measuring 29 mm in diameter and 114 mm in length was inserted into the vagina before simulation and each treatment. The reproducibility of dilator placement was investigated with antero-posterior and lateral images acquired daily. Weekly cone beam CT (CBCT) imaging was used to confirm coverage of the GTV, which was typically posterior and inferior to the dilator apex. Finally, a planning study was performed to compare the vaginal doses for these 10 patients to a comparable group of 10 female patients who were treated for anal cancer with IMRT without vaginal dilators. Results: The absolute values of the location of the dilator apex were 7.0 ± 7.8 mm in the supero-inferior direction, 7.5 ± 5.5 mm in the antero-posterior, and 3.8 ± 3.1 mm in the lateral direction. Coverage of the GTV and CTV was confirmed from CBCT images. The mean dose to the vagina was lower by 5.5 Gy, on averahe vagina was lower by 5.5 Gy, on average, for the vaginal dilator patients, compared to patients treated without vaginal dilators. Conclusion: The vaginal dilator tended to be inserted more inferiorly during treatment than during simulation. For these ten patients, this did not compromise tumor coverage. Combined with IMRT treatment planning, use of a vaginal dilator could allow for maximum sparing of female genitalia for patients undergoing radiation therapy for anal cancer.

  20. Laparoscopic management of non-communicating rudimentary horn in a dysmenorrheic and infertile patient.

    OpenAIRE

    Saleh, Ahmed M.; Sultan, Safiah F.; Al-jawad, Hussain M.; Al-ghazali, Sahar D.; Al-shalahi, Nashmia J.

    2003-01-01

    ABSTRACT A case of laparoscopic excision of non-communicating rudimentary horn. The anatomical features of this case were unique. A 19-year-old nulligravida presented with severe dysmenorrhea and primary infertility. Hysterosalpingogram revealed a left uterine horn that had a solitary patent tube. Magnetic resonance imaging showed a left unicornuate uterus continuous with the cervix and the vagina, and a rudimentary right uterine horn. This confirmed the diagnosis of non-communicating cavi...

  1. [Study of vaginal and intestinal microflora of women in the prenatal period and its correction in dysbacteriosis].

    Science.gov (United States)

    Podgorski?, V S; Liaskovski?, T M; Kovalenko, N K; Oleshchenko, L T

    2006-01-01

    A comparative research of the structure of vaginal and intestinal microflora in norm and at kidney pathologies in women in the prenatal period was carried out. At physiologically normal course of pregnancy microbiocenosis of vagina and intestine does not contain pathogenic and conditional-pathogenic microorganisms. Lactic acid bacteria are fixed within the limits of 10(5)-10(8) CFU/1 ml in the vagina secretion and 10(7)-10(8) CFU/1 g in the intestine content. The spore microorganisms have completely disappeared in vaginal biocenosis of women with pyelonephritis after pharmacotherapy; and colibacterias has disappeared in 62% of women. Quantity of lactic acid bacteria has also decreased. Quantity of E. coli (10(8)- 10(9)) CFU/g, sporous microorganisms (10(3)-10(4)) CFU/g and yeast (10(4)-10(5)) CFU/g has considerably increased in the content of intestine. Lactic acid bacteria in content of the vagina are presented by: Lactobacillus acidophilus, L. plantarum, L. fermentum, L. vaginalis; in content of the intestine--L. plantarum and L. fermentum. All the isolated strains of lactobacilli are resistant to metrogyl and amphotericin, 87%--to cephoxitine, cypropfloxacine. Twenty three of 24 strains of lactic acid bacteria--antagonists of pathogenic microflora have shown adhesion to vaginal epthelium. The degree of adhesive activity depends on the strain and genus specificity of cultures. The highest index of adhesiveness in indicated in Enterococcus faecium (5.82 - 7.62) and Streptococcus salivarius subsp. thermophilus (2.74 - 6.40) strains. The screening of strains has been performed, which suppress growth of gas-producing microflora. The strain of Lactobacillus plantarum 200D proved to be the most active one. A complex of cultures of the lactic bacteria providing normalization of microbial cenosis of the vagina in women in the prenatal period has been selected as based on the data obtained. The biotechnology of production of vaginal suppositories is developed. PMID:16786633

  2. WOMEN FACING HEAVY VAGINAL DISCHARGE (LEUCORRHEA) BY VIRTUE OF UNHEALTHY LIFE STYLE

    OpenAIRE

    Somia Gul; Hina Qamar; Wardha Jawaid; Urooj Bukhari; Yumna Javed

    2013-01-01

    Leucorrhea also spelled leucorrhoea, flow of a whitish, yellowish, or greenish discharge from the vagina of the female that may be normal or that may be a sign of infection. It is mucous discharge which represents desquamation of vaginal epithelial cells because of the effects of estrogen on the vaginal mucosa. It is important to distinguish leucorrhea from pathologic discharge. Leucorrhea usually does not cause irritation but some adolescents worry that it may represent an infection. A total...

  3. Cervical Mucus Properties Stratify Risk for Preterm Birth

    OpenAIRE

    Critchfield, Agatha S.; Yao, Grace; Jaishankar, Aditya; Friedlander, Ronn S.; Lieleg, Oliver; Doyle, Patrick S.; Mckinley, Gareth; House, Michael; Ribbeck, Katharina

    2013-01-01

    Background: Ascending infection from the colonized vagina to the normally sterile intrauterine cavity is a well-documented cause of preterm birth. The primary physical barrier to microbial ascension is the cervical canal, which is filled with a dense and protective mucus plug. Despite its central role in separating the vaginal from the intrauterine tract, the barrier properties of cervical mucus have not been studied in preterm birth. Methods and Findings: To study the protective function of ...

  4. Anatomy of the Spermatophore in Triatomines (Hemiptera, Reduviidae, Triatominae) and Its Applications to the Study of Chagas Disease Vector Biology

    OpenAIRE

    Pereira-lourenc?o, Ariane S.; Santos-mallet, Jacenir R.; Freitas, Simone P. C.

    2013-01-01

    The present study focused on spermatophore structure, transfer, and subsequent destination inside bloodfeeding females of the species Triatoma infestans and Rhodnius neglectus. The morphology of the spermatophore differed between the species studied, such that in T. infestans, the shape was ovaloid, whereas in R. neglectus, the shape resembled a rod. Structures' spine-like cuticulars distributed across the inner surface of the vagina of both species were observed; however, the role of these c...

  5. Description of Bakernema dauniense n. sp. (Nematoda: Criconematidae) from Italy

    OpenAIRE

    Vovlas, Nicola

    1992-01-01

    Bakernema dauniense n. sp., a bisexual species from the rhizosphere of Pinus halepensis Mill. in Italy, is described and illustrated. Primary differentiating characteristics of the female are body annules bearing short, membranous projections 1.4-2.2 ?m long, an anterior vulval lip slightly overlapping the posterior, and a linearly arcuate vagina. The juvenile differs markedly from adults by having annules with a beaded margin, which lack membranous projections. Generic and specific relation...

  6. Ovarian carcinoma producing parathyroid hormone-related protein causing hypercalcemia and metastatic calcification detected on 18F-FDG PET-CT

    OpenAIRE

    Agarwal, Krishan Kant; Karunanithi, Sellam; Jain, Sachin; Kumar, Rakesh

    2013-01-01

    Hypercalcemia is associated with gynecologic malignant diseases, and cases involving various organs such as the uterus, ovaries, vulva, and vagina. This may be due to elevated levels of parathyroid hormone-related peptide (PTHrP). We describe here two cases of ovarian carcinoma simultaneously producing PTHrP that caused hypercalcemia and metastatic calcification detected on 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography-computed tomography (PET-CT).

  7. A Herlyn-Werner-Wunderlich syndrome variant with ipsilateral renal absence and a contralateral duplex collecting system in a 26-year-old female.

    Science.gov (United States)

    Zhou, Yong; Fu, Xiujuan; Qian, Honglang; Lin, Kaiqing; Wang, Jinhua; Zhou, Shuyang; Hu, Xian; Jin, Hangmei

    2014-01-01

    Herlyn-Werner-Wunderlich syndrome (HWWS) is a müllerian duct anomaly typically associated with a uterus didelphys with two cervices and two vaginas, one of which is obstructed. A remarkable case of HWWS with contralateral duplex kidneys and duplication of ureters is described, which, to our knowledge, is a rarely reported variant to date. For this congenital anomaly, a strong suspicion and knowledge of HWWS are essential for a precise diagnosis. PMID:24481003

  8. OHVIRA: Uterus didelphys, blind hemivagina and ipsilateral renal agenesis: Advantage MRI

    OpenAIRE

    Bajaj, Sunil K.; Misra, Ritu; Thukral, Brij B.; Gupta, Rohini

    2012-01-01

    We present here a case of an uncommon complex uterine anomaly – Obstructed HemiVagina with Ipsilateral Renal Agenesis (OHVIRA), also known as Herlyn-Werner-Wunderlich syndrome in a 14-year-old girl along with sonographic (trans-abdominal and trans labial), and MRI findings. The patient underwent surgery wherein imaging findings were confirmed. An MRI has proved to be of great help in correct diagnosis avoiding surgical interventions/ laparoscopy, which were needed in past to diagnose this r...

  9. The Effect of Glycerolisation Time on the Sperm Motility of Local Ram Frozen Semen Diluted in Tris Egg Yolk Extender

    OpenAIRE

    Laswardi Yusuf, T.; Ri, Arifiantini; Mulyadi, Y.

    2006-01-01

    The aims of this experiment was to obtain the effects of different time of glycerolisation on the quality of frozen ram semen diluted in Tris Egg Yolk (TEY). Semen from seven sexually mature local rams were collected using artificial vagina weekly, evaluated macroscopically and microscopically. Good quality semen then diluted with TEY and 6% glycerol added in three different periods. The first step was diluted in room temperature ( treatment 1), the second glycerolisation was at the en...

  10. Influence of addition of different antibiotics in semen diluent on viable bacterial count and spermatozoal viability of Awassi ram semen

    OpenAIRE

    Azawi, O. I.; Ismaeel, M. A.

    2012-01-01

    The objectives of the present study were to determine the effects of six different antibiotics in controlling the growth of semen contaminating bacteria and if these antibiotics have any adverse effect on Awassi ram spermatozoa. Semen samples from six mature Awassi rams were used in this study. A total number of 120 ejaculates were collected from the rams using an artificial vagina once a week. Semen ejaculates were evaluated for volume, sperm concentration, mass motility, individual motility...

  11. The Viability of Local Ram Semen in Tris Buffer With Three Different Egg Yolks

    OpenAIRE

    Wmm, Nalley; Ri, Arifiantini

    2011-01-01

    Egg yolk consisted of lecithin and phospholipids are one of the most commonly used components that will protect spermatozoa against cold shock during cooling and freezing. The aim of this study was to evaluate the effect of different hen egg yolk on Tris extender on the freezability of local ram semen. Semen from six sexually matured local rams was collected weekly using artificial vagina. Collected semen was evaluated macroscopically and microscopically and extended using tris extender con...

  12. Female form of persistent mullerian duct syndrome: Rare entity

    Science.gov (United States)

    Solanki, Shailesh; Gowrishankar; Jadhav, Vinay; Babu, M. Narendra; Ramesh, S.

    2015-01-01

    Persistent Mullerian duct syndrome (PMDS) is a rare form of Disorder of sex development in which Mullerian duct derivatives (fallopian tubes, uterus and the proximal vagina) are present in an otherwise normally differentiated 46 XY male. In the majority of cases, PMDS is a surprise finding either during orchidopexy or during inguinal hernia repair. We report a case of 4 year child with female type (Type III) PMDS. We are discussing the presentation, management and review of the literature. PMID:25657558

  13. Cesarean Section and Right Femur Fracture: A Rare but Possible Complication for Breech Presentation

    OpenAIRE

    Giampiero Capobianco; Giuseppe Virdis; Pietro Lisai; Claudio Cherchi; Ornella Biasetti; Francesco Dessole; Giovanni Battista Meloni

    2013-01-01

    Background. The breech extraction of the fetus through the vagina has a greater risk of hip fracture compared with the extraction by abdominal route. Case. A 2390 g female infant was delivered at 39 weeks by elective cesarean section for breech presentation. The newborn sustained a fracture of the right femur. A simple immobilization of the limb in extension led to a complete healing of the fracture without sequelae. Conclusion. Caesarean delivery reduces the risk of causing a traumatic injur...

  14. Development and evaluation of acid-buffering bioadhesive vaginal tablet for mixed vaginal infections

    OpenAIRE

    Alam, Mohd Aftab; Ahmad, Farhan Jalees; Khan, Zeenat Iqbal; Khar, Roop Krishen; Ali, Mushir

    2007-01-01

    An acid-buffering bioadhesive vaginal tablet was developed for the treatment of genitourinary tract infections. From the bioadhesion experiment and release studies it was found that polycarbophil and sodium carboxymethylcellulose is a good combination for an acid-buffering bioadhesive vaginal tablet. Sodium monocitrate was used as a buffering agent to provide acidic pH (4.4), which is an attribute of a healthy vagina. The effervescent mixture (citric acid and sodium bicarbonate) along with a ...

  15. Applicability of Sigmoid Colon Graft for Vaginal Replacement (Colovaginoplasty) at Young Age

    OpenAIRE

    Baky Fahmy, Mohamed A.; Al Abeissy, Hanaa Abdel Hamid M.; Abdalla, Mohamed M.

    2011-01-01

    Objective: - To evaluate the applicability, feasibility, complications, short and long term results of vaginoplasty by using sigmoid colon graft with stapler assistance for resuming colonic continuity in children with absent vagina. Patients and Methods: - Records of 15 patients 8 of them had Androgen Insensitivity Syndrome, 4 had congenital vaginal atresia, and 3 had Congenital Adrenal Hyperplasia, underwent sigmoid graft vaginal reconstruction with the aid of circular stapler during the per...

  16. Necrotizing fasciitis following transobturator tape procedure: a case report and literature review

    OpenAIRE

    Lee, Kwang Yeom; Sim, Jae Ang; Lee, Sheen Woo; Kim, Tae Beom; Yoon, San Jin; Park, Kyung Seo; Kim, Khae-hawn

    2011-01-01

    A 51-year-old diabetic woman was referred to our unit with a history of increasing pain in her right thigh and gait disturbance, 10 days following surgery for treatment of stress urinary incontinence with a transobturator tape. Examination elicited a tender right thigh associated with swelling and erythema. Inspection of the vagina revealed an exposed mesh through the vaginal erosion. Plain radiographs and magnetic resonance imaging revealed large thigh abscesses suggestive of gas gangrene fr...

  17. A Pilot Study Comparing Anatomic Failure after Sacrocolpopexy with Absorbable or Permanent Sutures for Vaginal Mesh Attachment

    Science.gov (United States)

    Tan-Kim, Jasmine; Menefee, Shawn A; Lippmann, Quinn; Lukacz, Emily S; Luber, Karl M; Nager, Charles W

    2014-01-01

    Objectives: To describe anatomic failure rates for sacrocolpopexy in groups receiving either delayed absorbable or permanent monofilament suture for mesh attachment to the vagina. Methods: We reviewed the medical records of 193 women who underwent sacrocolpopexy with 2 different types of sutures attaching polypropylene mesh to the vagina: delayed absorbable sutures (median follow-up, 43 weeks) and permanent sutures (median follow-up, 106 weeks). Vaginal apical failure was defined as Point C greater than or equal to half of the total vaginal length. Anterior-posterior compartmental failures were defined as Point Ba and/or Point Bp more than 0 cm. Fisher exact and ?2 tests were used to compare failure rates. There were no documented suture erosions in the delayed absorbable monofilament suture group during the review period. Two patients in the permanent suture group were found to have permanent suture in the bladder more than 30 weeks after the index procedure. Results: Failure rates for the 45 subjects in the delayed absorbable group and 148 subjects in the permanent suture group were similar (4.4% vs 3.4%, p = 0.74) and not statistically different in any compartment: apical (0% vs 1.4%, p = 0.43), anterior (4.4% vs 2%, p = 0.38), or posterior (0% vs 1.4%, p = 0.43). Conclusions: Delayed absorbable monofilament suture appears to be a reasonable alternative to permanent suture for mesh attachment to the vagina during sacrocolpopexy. The use of delayed absorbable suture could potentially prevent complications of suture erosion into the bladder or vagina remote from the time of surgery. PMID:25662525

  18. A unique case of late complication of rectum mesh erosion after laparoscopic sacrocolpopexy.

    Science.gov (United States)

    Balzarro, M; Rubilotta, E; Sarti, A; Curti, P; Artibani, W

    2014-01-01

    Sacrocolpopexy, a surgical technique with a low morbidity rate, is a valid procedure for repairing vaginal vault prolapse. To our knowledge, only 1 case of rectum erosion after open sacrocolpopexy has been reported in the literature, and there is no record of any such incident after laparoscopic sacrocolpopexy. We report the first case of mesh erosion involving the rectum instead of the vagina assessed 8 years after laparoscopic sacrocolpopexy. PMID:24334820

  19. Neonatal diethylstilbestrol exposure alters the metabolic profile of uterine epithelial cells

    OpenAIRE

    Yin, Yan; Lin, Congxing; Veith, G. Michael; Chen, Hong; Dhandha, Maulik; Ma, Liang

    2012-01-01

    Developmental exposure to diethylstilbestrol (DES) causes reproductive tract malformations, affects fertility and increases the risk of clear cell carcinoma of the vagina and cervix in humans. Previous studies on a well-established mouse DES model demonstrated that it recapitulates many features of the human syndrome, yet the underlying molecular mechanism is far from clear. Using the neonatal DES mouse model, the present study uses global transcript profiling to systematically explore early ...

  20. Morfologia e morfometria do oviduto de codornas Nothura maculosa Morphology and morphometry of Nothura maculosa quail oviduct

    Directory of Open Access Journals (Sweden)

    Carime Moraes

    2007-02-01

    Full Text Available Este estudo teve por finalidade descrever o oviduto de codornas. Foram utilizadas 20 codornas na fase reprodutiva. Avaliaram-se os comprimentos do infundíbulo, do magno, do istmo, do útero, da vagina e o número de pregas no magno e no istmo. Para o estudo histológico, coletaram-se fragmentos do oviduto, os quais foram fixados em Bouin, destinados à rotina histológica e corados pela técnica de Hematoxilina-Eosina. O infundíbulo apresentou pregas longitudinais e oblíquas, revestidas por epitélio pseudo estratificado cilíndrico ciliado não-secretor, cranialmente, e secretor, caudalmente. O magno é o componente mais longo (15,2cm, com mucosa revestida por epitélio pseudo estratificado cilíndrico ciliado com células caliciformes. O istmo é um segmento curto, com pregas reduzidas, compostas por estruturas histológicas semelhantes ao magno. O útero é uma região de parede pregueada, com glândulas tubulares enoveladas. A vagina é um estreito tubo com musculatura espessa. O oviduto da codorna apresentou sua morfologia semelhante ao dos galiniformes, como a galinha e a perua.This study was aimed at describing the quail oviduct. Twenty quails in the reproductive phase were used. Lengths of the infundibulum, magnum, isthmus, uterus, vagina, and the number of folds of magnum and isthmus were evaluated. For the histological study, fragments of the oviduct were collected, fixed in Bouin, destined to the histological routine and stained by Hematoxilin-Eosine technique. The infundibulum presented longitudinal and oblique folds, covered with ciliated, columnar pseudostratified epithelium, nonglandular cranially, and glandular, caudally. The magnum is the longest component (15.2cm, with mucous membrane covered with ciliated, columnar pseudostratified epithelium with goblet cells. The isthmus is a short segment with reduced folds, composed by histological structures similar to the magnum. The uterus is an area of folded wall, with reeled tubular glands. The vagina is a strait tube with thick musculature. The quail oviduct presented morphology similar to the chicken and the turkey.

  1. A New Mouse Model for Female Genital Schistosomiasis

    OpenAIRE

    Richardson, Monica L.; Fu, Chi-ling; Pennington, Luke F.; Honeycutt, Jared D.; Odegaard, Justin L.; Hsieh, Yi-ju; Hammam, Olfat; Conti, Simon L.; Hsieh, Michael H.

    2014-01-01

    Over 112 million people worldwide are infected with Schistosoma haematobium worms. S. haematobium eggs tend to be deposited in the tissue of pelvic organs such as the urinary bladder, lower ureters, cervix and vagina. Key sequelae include hematuria, dysuria, urinary frequency, and an increased risk of bladder cancer. This form of schistosomiasis can also cause dyspareunia, vaginal bleeding, pruritis, and granulomata that appear as tumors in the female genital tract. Collectively, these signs ...

  2. Combined topical flucytosine and amphotericin B for refractory vaginal Candida glabrata infections

    OpenAIRE

    White, D.; Habib, A.; Vanthuyne, A.; Langford, S.; Symonds, M.

    2001-01-01

    Patients with vaginitis due to highly azole resistant Candida glabrata can be particularly difficult to treat. We describe three cases of longstanding vaginal candidiasis due to C glabrata. These had failed to respond to local and systemic antifungals. Flucytosine (1 g) and amphotericin B (100 mg) formulated in lubricating jelly base in a total 8 g delivered dose, was used per vagina once daily for 14 days with significant improvement, both clinically and microbiologically.

  3. Interstitial radiotherapy for early stage vaginal cancer. A new method of tumor localization.

    Science.gov (United States)

    Finan, M A; Hoffman, M S; Greenberg, H; Roberts, W S; Cavanagh, D; Fiorica, J V

    1993-03-01

    Carcinoma of the vagina is optimally treated primarily with teletherapy, followed by interstitial needle brachytherapy. Following teletherapy, identification of the original tumor site is frequently difficult. We describe a method of marking the tumor with an india ink "tattoo" at initial presentation, followed by placement of a purse-string suture and titanium hemoclips at the time of brachytherapy. A stable marker is created so that the location of the original vaginal tumor can be easily identified on dosimetric films. PMID:7683723

  4. Macroscopic Morphometric Analysis of Genital Organs of Rabbit does with Differing Parturitions at 24 Hours Post-weaning / Análisis Morfométrico Macroscópico de Órganos Genitales de Conejas con Diferentes Partos a las 24 Horas Post-destete

    Scientific Electronic Library Online (English)

    Jesús, Aragón-Hernández; Fernando Iván, Flores-Pérez; Claudia, Hallal-Calleros; Mario, Pérez-Martínez.

    2013-09-01

    Full Text Available El propósito de este estudio fue analizar la morfometría macroscópica de los ovarios, útero y vagina en conejas de primero, segundo y tercer parto a las 24 horas post-destete con el propósito de determinar si existen diferencias entre los partos. El destete de la camada se realizó a los 30 días desp [...] ués del parto y 24 horas después fueron eutanasiadas. De cada animal se removieron los ovarios derecho e izquierdo, cuernos-cuello uterinos derecho e izquierdo y la vagina y se midió la longitud de cada uno de los órganos genitales. Se encontraron diferencias significativas en la longitud del ovario derecho entre el grupo de primer parto con respecto al de segundo y tercer parto (P 0,05 y P 0,01). Además, la longitud media de ovario izquierdo fue significativamente diferente entre el grupo de primero y segundo parto con respecto al de tercer parto (P Abstract in english The purpose of this study was to analyze the macroscopic morphometry of the ovaries, uterus and vagina in rabbit does in the first, second and third parturition at 24 hours post-weaning in order to determine if there are differences between parturitions. Weaning of the litter was performed at 30 day [...] s post-partum and 24 hours later the does were euthanized. Right and left ovaries, uterine horns-cervix and vagina were removed, and the length of each one was measured. Significant differences were found in the average of the right ovary length between the first group with respect to second and third parturition group (P 0.05 and P 0.01). Also, left ovary length was different between the first and second with respect to third parturition group (P

  5. Multiple schwannomas, multiple nevi, and multiple vaginal leiomyomas: a new dominant syndrome.

    Science.gov (United States)

    Gorlin, R J; Koutlas, I G

    1998-06-16

    We report on a family of seven affected with a new syndrome of multiple deep schwannomas, multiple nevi (both intradermal and compound types), and multiple leiomyomas of the vagina. Inheritance is dominant, whether autosomal or X-linked cannot be determined at this time. The nevi, which are congenital, appear to be a marker for the syndrome. Both the schwannomas and leiomyomas do not manifest until adulthood. PMID:9637429

  6. Innate Immunity in the Female Reproductive Tract: Role of Sex Hormones in Regulating Uterine Epithelial Cell Protection Against Pathogens

    OpenAIRE

    Ochiel, Daniel O.; Fahey, John V.; Ghosh, Mimi; Haddad, Severina N.; Wira, Charles R.

    2008-01-01

    The mucosal immune system in the upper female reproductive tract is uniquely prepared to maintain a balance between the presence of commensal bacteria, sexually transmitted bacterial and viral pathogens, allogeneic spermatozoa, and an immunologically distinct fetus. At the center of this dynamic system are the epithelial cells that line the Fallopian tubes, uterus, cervix and vagina. Epithelial cells provide a first line of defense that confers continuous protection, by providing a physical b...

  7. Cervical Cancer – A Review Article

    OpenAIRE

    Gunjan Jadon

    2012-01-01

    Cervical Cancer is malignant Carcinoma type of cancer originate in cervix region. The cervix is the narrow portion of the uterus where it joins with the top of the vagina. Most cervical cancers are squamous cell carcinomas, arising in the squamous (flattened) epithelial cells that line the cervix. Adenocarcinoma, arising in glandular epithelial cells is the second most common type. Very rarely, cancer can arise in other types of cells in the cervix. Cancer refers to a class of diseases in whi...

  8. Vaginal dose point reporting in cervical cancer patients treated with combined 2D/3D external beam radiotherapy and 2D/3D brachytherapy

    International Nuclear Information System (INIS)

    Background and purpose: Traditionally, vaginal dose points have been defined at the vaginal source level, thus not providing dose information for the entire vagina. Since reliable vaginal dose volume/surface histograms are unavailable, a strategy for comprehensive vaginal dose reporting for combined EBRT and BT was established and investigated. Material and methods: An anatomical vaginal reference point was defined at the level of the Posterior–Inferior Border of Symphysis (PIBS), plus two points ±2 cm (mid/introitus vagina). For BT extra points were selected for the upper vagina at 12/3/6/9 o’clock, at the vaginal surface and 5 mm depth. A vaginal reference length (VRL) was defined from ring centre to PIBS. Fifty-nine patients treated for cervical cancer were included in this retrospective feasibility study. Results: The method was applicable to all patients. Total EQD2 doses at PIBS and ±2 cm were 36.7 Gy (3.1–68.2), 49.6 Gy (32.1–89.6) and 4.3 Gy (1.0–46.6). At the vaginal surface at ring level doses were respectively 266.1 Gy (67.6–814.5)/225.9 Gy (61.5–610.5) at 3/9 o’clock, and 85.1 Gy (55.4–140.3)/72.0 Gy (49.1–108.9) at 12/6 o’clock. Mean VRL on MRI was 5.6 cm (2.0–9.4). Conclusions: With this novel system, a comprehensive reporting of vaginal doses is feasible. The present study has demonstrated large dose variations between patients observed in all parts of the vagina, resulting from different contributions from EBRT and BT

  9. Adaptive Plasticity of Vaginal Innervation in Term Pregnant Rats

    OpenAIRE

    Liao, Zhaohui; Smith, Peter G.

    2011-01-01

    Changes in reproductive status place varied functional demands on the vagina. These include receptivity to male intromission and sperm transport in estrus, barrier functions during early pregnancy, and providing a conduit for fetal passage at parturition. Peripheral innervation regulates vaginal function, which in turn may be influenced by circulating reproductive hormones. We assessed vaginal innervation in diestrus and estrus (before and after the estrous cycle surge in estrogen), and in th...

  10. Conception rate, uterine infection and embryo quality after artificial insemination and natural breeding with a stallion carrier of Pseudomonas aeruginosa: a case report

    OpenAIRE

    Tiago Guimarães; Júlio Carvalheira; António Rocha

    2012-01-01

    Abstract Background Pseudomonas aeruginosa may cause venereal disease and infertility in horses. A Pseudomonas aeruginosa - carrier stallion, often unresponsive to artificial vagina collection, was used to naturally breed mares. Semen collected from the same stallion was also used to perform artificial inseminations. Pregnancy rates, embryo quality and incidence of uterine infection were compared between inseminated or naturally-bred mares. Methods P. aeruginosa was isolated from swabbing of ...

  11. Bacterial aetiological agents of intra-amniotic infections and preterm birth in pregnant women

    OpenAIRE

    Mendz, George L.; Kaakoush, Nadeem O.; Quinlivan, Julie A.

    2013-01-01

    Infection-related preterm birth is a leading cause of infant mortality and morbidity; knowledge of bacterial populations invading the amniotic cavity and the routes of invasion is required to make progress in the prevention of preterm birth. Significant advances have been made in understanding bacterial communities in the vagina, but much less studied are intra-uterine bacterial populations during pregnancy. A systematic review of data published on the intra-uterine microbiome was performed; ...

  12. Experimental intrauterine infection of adult BALB/c mice with Cryptosporidium sp.

    OpenAIRE

    Liebler, E. M.; Pohlenz, J. F.; Woodmansee, D. B.

    1986-01-01

    Inoculation of adult, female BALB/c mice with 2 X 10(5) bleach-treated Cryptosporidium sp. oocysts isolated from calf feces resulted in infection of the uterine mucosa in more than 50% of the animals. Cryptosporidium sp. completed the entire life cycle in the uterus, and infectious oocysts were passed into the vagina. Two methods of application were used to establish intrauterine infection. The inoculum was either injected into the uterus after abdominal surgery or intracervically instilled. ...

  13. Assessment of bovine spermatozoa viability using different cooling protocols prior to cryopreservation

    OpenAIRE

    Gonc?alves, Paulo B. D.; Oliveira, Joa?o F. C.; Truzzi, Vitor S.; Severo, Carolina K.; Rogério Ferreira; Siqueira, Lucas C.; Becker, Eduardo G.; Pereira, Gabriel R.

    2010-01-01

    The aim of our study was to evaluate the effect of different cooling rates on the post-thawing quality of bovine spermatozoa. Ejaculated semen from a 24-month-old Jersey bull was collected using an artificial vagina and diluted in a commercial extender to evaluate spermatozoan concentration and motility subjectively before cooling and freezing and after thawing. Straws were allocated to four cooling curves: rapid (RD), semi-rapid (SRD), semi-slow (SSLW) and slow (SLW). The temperature was dec...

  14. Effects of Sperm Chromatin Integrity on Fertilization Rate and Embryo Quality Following Intracytoplasmic Sperm Injection

    OpenAIRE

    Sadeghi, Mohamad Reza; Hodjat, Mahshid; Lakpour, Niknam; Arefi, Soheila; Amirjannati, Naser; Modarresi, Tahereh; Jadda, Hossain Hossaini; Akhondi, Mohammad Mehdi

    2009-01-01

    Sperm chromatin integrity has been being recognized as an important factor in male fertility. During normal fertilization, high quality sperm with intact chromatin are selected through natural selection in journey from vagina to fallopian tube. However, using Assisted Reproductive Techniques, particularly ICSI, the natural selection is bypassed. Therefore sperm with DNA breakage have the opportunity to fertilize the egg which may lead to decreased embryo quality and implantation rate. The aim...

  15. Ultrasonic features of Gartner's duct cyst.

    Science.gov (United States)

    Scheible, F W

    1978-12-01

    Gartner's duct cysts will usually be incidental findings during pelvic sonography. Of developmental origin, they may present anywhere along the lateral aspect of the female genital tract. When the cysts are of parovarian origin, they will mimic other fluid-filled adnexal masses, and no specific diagnosis can be made. When alongside the vagina or cervix, however, their ultrasonographic appearance is probably characteristic. PMID:103932

  16. Isolation of pathogenic strains of Haemophilus somnus from the female bovine reproductive tract.

    OpenAIRE

    Kwiecien, J. M.; Little, P. B.

    1992-01-01

    The prevalence of Haemophilus somnus in the genital tract of slaughtered and live cows in southern Ontario was investigated. The vagina and uterus of slaughtered cows were swabbed separately. Live cows were examined and sampled in two field surveys: Centre A and Centre B. In the former, aspirated mucus secretions and in the latter, specimens obtained by guarded swabbing were examined bacteriologically. Haemophilus somnus was isolated from 28 genital tracts of 461 slaughtered (6.1%), and seven...

  17. Immunoglobulin-binding activity among pathogenic and carrier isolates of Haemophilus somnus.

    OpenAIRE

    Widders, P. R.; Dorrance, L. A.; Yarnall, M.; Corbeil, L. B.

    1989-01-01

    Nonimmune binding of immunoglobulin to whole bacteria was quantitated for North American isolates of Haemophilus somnus recovered from cattle with pneumonia, reproductive failure (abortion), or thromboembolic meningoencephalitis or from the vagina or prepuce of carrier cattle. Quantitative binding activity covered a wide range, with most pathogenic and carrier isolates demonstrating significant immunoglobulin-Fc binding. Isolates for which Fc binding was not detectable were recovered only fro...

  18. DISORDER OF SEX DEVELOPMENT: DESCRIPTION OF 2 CASES OF MALE PSEUDOHERMAPHRODITISM

    Directory of Open Access Journals (Sweden)

    M. Messina

    2009-11-01

    Full Text Available Introduction. "Genetic errors" with malformations and hormonal alterations result in a broad spectrum of disorders of sexual identity difficult to classify for etiopathogenesis and anatomy. Male pseudohermaphroditism (PEM is the result of defects in masculinisation, persistence of mullerian ducts or genital malformations. In these patients, there is always a 46 XY karyotype, male gonads with the external genitalia and phenotype completely or partially female. The authors describe 2 cases of PEM. Patients and Methods. RS and HNA, 9 and 15 years old. Both had 46 XY karyotype and female phenotype with the presence of penile clitoris and small vagina. The urethral meatus was positioned at the base of the penile clitoris and upper vagina and testicles, were located at the proximal portion of the inguinal canal.Patients were subjected to MRI showing absence of uterus and ovaries. The endoscopy described a small vagina dead-end about 4-5 cm long. Complete resection of the vagina, bilateral orchiopexy, correction of perineal hypospadias with urethral tubulization, reconstruction of the scrotum, with the results of penoscrotal hypospadias were performed. Discussion. Sexual differentiation is the process between VII and XII weeks of gestational age leading to formation of male or female fetus from embryo potentially bisexual. Brain Code gender is bipolar: male or female. In the sexual disorders there is a discrepancy between anatomical sex and the brain code. Genital malformation with a direct mechanism (external genitalia and indirect (prenatal pathological imprinting on all the receptors of target organs may exacerbate the brain deterioration of the code resulting in disease patterns difficult to manage according psychological and surgical aspects. Conclusions. Pediatric Surgeon plays a key role in the treatment of genital anomalies. Valutation of pelvic-perineal anatomy is important for the choice of sexual phenotype and related surgical strategy. Early correction of genital abnormality may effectively prevent the child present psychological, behavioral onsequences and problems in family and society.

  19. Placenta accrete treated with uterine arterial embolization (case report)

    International Nuclear Information System (INIS)

    Objective: To investigate the possibility of interventional treatment of placenta accrete. Methods: One patient with placenta accrete was treated with uterine arterial infusion of cef and MTX followed by embolization. Results: Her placenta discharged through vagina at the 27 th day after uterine arterial embolization. No remnant was found in the uterine by Doppler imaging. The patient uneventfully recovered. Conclusions: Interventional therapy with uterine arterial embolization is a new and reliable method for treatment for placenta accrete

  20. TRANSVAGINAL VERSUS TRANSGASTRIC ENDOSCOPIC PERITONEAL APPROACH – A COMPARATIVE EXPERIMENTAL STUDY

    OpenAIRE

    Patrascu, S.; Surlin, V.; Georgescu, E.; Olaru, A.; Georgescu, I.

    2011-01-01

    Background: During the last 30 years the advent of laparoscopy and interventional endoscopy induced the emergence of a new approach - Natural Orifice Translumenal Endoscopic Surgery (N.O.T.E.S.) in which the peritoneal cavity is accessed through stomach, vagina or other natural orifice, as a even lesser minimally invasive surgery. Method: A total of 8 female pigs (20-35 kg), were assigned to either transgastric or transvaginal endoscopic procedures. General anesthesia with orotracheal intuba...

  1. Personal experience of implementation of brachytherapy in gynecologic oncology with use of MultiSourse HDR BEBIG

    International Nuclear Information System (INIS)

    The article presents data on the implementation of brachytherapy on the MultiSourse HDR device, for treatment patients with oncology. 118 patients were analyzed: 46 of them on cervical cancer, uterine cancer, 4 with metastatic lesions of the vagina. Considered early radiation reactions that occur during treatment. Established the decrease of the early radiation reactions and efficacy of the brachytherapy on the MultiSourse HDR BEBIG apparatus

  2. Neotropical Monogenoidea. 24. Rhinoxenus bulbovaginatus n. sp. (Dactylogyridae, Ancyrocephalinae) from the nasal cavity of Salminus maxillosus (Osteichthyes, Characidae) from the Rio Paraná, Paraná, Brazil

    OpenAIRE

    Boeger, Walter A.; Domingues, Marcus V.; Pavanelli, Gilberto C.

    1995-01-01

    Rhinoxenus bulbovaginatus n. sp. is described from the nose of Salminus maxillosus (Characidae) collected in the basin of the rio Paraná, near the city of Porto Rico, state of Paraná, Brazil. The new species can be differentiated from the other three species in the genus by the morphology of the copulatory complex, vagina, and ventral anchor. The sister group relationship of the known species of Rhinoxenus was determined using techniques of Phylogenetic Systematics (Cladism). The resulting ...

  3. Dystopic dysplastic kidney with ectopic ureter: improved localization by fusion of MR urography and {sup 99m}Tc-DMSA SPECT datasets

    Energy Technology Data Exchange (ETDEWEB)

    Kreissl, Michael C.; Lorenz, Reinhard [University Clinic Wuerzburg, Clinic and Polyclinic of Nuclear Medicine, Wuerzburg (Germany); Ohnheiser, Gerd [University Clinic Wuerzburg, Zentrum Operative Medizin, Clinic and Polyclinic of Urology, Wuerzburg (Germany); Darge, Kassa [University Clinic Wuerzburg, Department of Paediatric Radiology, Institute of Radiodiagnosis, Wuerzburg (Germany)

    2008-02-15

    We report a 12-year-old girl with a long history of constant urinary dribbling and apparently only a left kidney. Using a multimodality approach involving the fusion of MR urography and {sup 99m}Tc-dimercaptosuccinic acid (DMSA) SPECT datasets, it was finally possible to exactly localize the very small dystopic, dysplastic right kidney and its ectopic ureter draining into the vagina. (orig.)

  4. Dystopic dysplastic kidney with ectopic ureter: improved localization by fusion of MR urography and 99mTc-DMSA SPECT datasets

    International Nuclear Information System (INIS)

    We report a 12-year-old girl with a long history of constant urinary dribbling and apparently only a left kidney. Using a multimodality approach involving the fusion of MR urography and 99mTc-dimercaptosuccinic acid (DMSA) SPECT datasets, it was finally possible to exactly localize the very small dystopic, dysplastic right kidney and its ectopic ureter draining into the vagina. (orig.)

  5. Dystopic dysplastic kidney with ectopic ureter: improved localization by fusion of MR urography and (99m)Tc-DMSA SPECT datasets.

    Science.gov (United States)

    Kreissl, Michael C; Lorenz, Reinhard; Ohnheiser, Gerd; Darge, Kassa

    2008-02-01

    We report a 12-year-old girl with a long history of constant urinary dribbling and apparently only a left kidney. Using a multimodality approach involving the fusion of MR urography and (99m)Tc-dimercaptosuccinic acid (DMSA) SPECT datasets, it was finally possible to exactly localize the very small dystopic, dysplastic right kidney and its ectopic ureter draining into the vagina. PMID:18026947

  6. An Intervention to Decrease Intravaginal Practices in HIV-Infected Women in Zambia: A Pilot Study

    OpenAIRE

    Alcaide, Maria L.; Mumbi, Miriam; Chitalu, Ndashi; Jones, Deborah L.

    2013-01-01

    Intravaginal practices (IVP) are those in which women introduce products inside the vagina for hygienic, health, or sexuality reasons. IVP are associated with bacterial vaginosis (BV) and potentially implicated in HIV transmission. This report presents the results of a pilot study of a behavioral intervention to decrease IVP in HIV-infected women in Zambia. At baseline, all of the enrolled women (n = 40) engaged in IVP and rates of BV were high. Women receiving the intervention reported a dec...

  7. Bowel endometriosis: Colorectal surgeon’s perspective in a multidisciplinary surgical team

    OpenAIRE

    Wolthuis, Albert M.; Meuleman, Christel; Tomassetti, Carla; D’hooghe, Thomas; Buck Overstraeten, Anthony; D’hoore, Andre?

    2014-01-01

    Endometriosis is a gynecological condition that presents as endometrial-like tissue outside the uterus and induces a chronic inflammatory reaction. Up to 15% of women in their reproductive period are affected by this condition. Deep endometriosis is defined as endometriosis located more than 5 mm beneath the peritoneal surface. This type of endometriosis is mostly found on the uterosacral ligaments, inside the rectovaginal septum or vagina, in the rectosigmoid area, ovarian fossa, pelvic peri...

  8. Complex Genital Malformation in a Female with Congenital Adrenal Hyperplasia: Evaluation with Magnetic Resonance Imaging

    International Nuclear Information System (INIS)

    This is a case of complex genital malformation in a young patient with congenital adrenal hyperplasia. The magnetic resonance imaging (MRI) findings included ostium of the vagina into the urethra (common urogenital opening), prostate-like tissue surrounding the urethra, and hyperplasia of the left adrenal gland. The report provides information on the clinical findings, the MRI examination, including the applied sequences and the MR findings, and gives an overview of the disease pattern and its frequency of occurrence

  9. Uterus didelphys with partial vaginal septum and distal vaginal agenesis: an unusual anomaly

    International Nuclear Information System (INIS)

    Complex malformations of female genital tract are not so common. Their correct identification is of paramount importance for appropriate management. A thorough knowledge of embryology, pre-operative imaging with MRI and examination under anaesthesia is essential to identify accurately the constellation of anomalies and to plan appropriate management. This case reports the coexistence of Mullerian abnormality with vaginal agenesis in an 18 years old girl which was managed by dissecting the lower half of vagina and pull-through vaginoplasty. (author)

  10. Recurrent microdeletion at 17q12 as a cause of Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome: two case reports

    OpenAIRE

    Novelli Antonio; Fedele Luigi; Divizia Maria; Barbano Giancarlo; Frontino Giada; Baban Anwar; Carella Massimo; Gervasini Cristina; Gimelli Stefania; Bernardini Laura; Béna Frédérique; Lalatta Faustina; Miozzo Monica; Dallapiccola Bruno

    2009-01-01

    Abstract Background Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH) consists of congenital aplasia of the uterus and the upper part of vagina due to anomalous development of Müllerian ducts, either isolated or associated with other congenital malformations, including renal, skeletal, hearing and heart defects. This disorder has an incidence of approximately 1 in 4500 newborn girls and the aetiology is poorly understood. Methods and Results we report on two patients affected by MRKH syndrome i...

  11. Bilateral abscessed orchiepididymitis associated with sepsis caused by Veillonella parvula and Clostridium perfringens: case report and review of the literature.

    OpenAIRE

    Arrosagaray, P. M.; Salas, C.; Morales, M.; Correas, M.; Barros, J. M.; Cordon, M. L.

    1987-01-01

    Veillonella species is a gram-negative coccus which is part of the anaerobic normal flora in the oral cavity, small intestine, upper respiratory tract, vagina, and urinary tract. The role that this organism plays in infection is not well known, and it is generally associated with other bacteria. We present a case of bilateral abscessed orchiepididymitis associated with septicemia due to Veillonella parvula and, later, to Clostridium perfringens, with the development of severe renal insufficie...

  12. Identification and H2O2 Production of Vaginal Lactobacilli from Pregnant Women at High Risk of Preterm Birth and Relation with Outcome

    OpenAIRE

    Wilks, Mark; Wiggins, Rebecca; Whiley, Angela; Hennessy, Enid; Warwick, Simon; Porter, Helen; Corfield, Anthony; Millar, Michael

    2004-01-01

    Lactobacilli, principally the strains that are hydrogen peroxide (H2O2) producing, may have a protective effect against vaginal colonization by pathogenic species such as those that cause bacterial vaginosis. Previous reports have also suggested that H2O2-producing lactobacilli in the vagina may protect pregnant women against ascending infection of the chorioamniotic membranes and uterine cavity. We report the identification and H2O2 production of lactobacilli isolated from vaginal swabs coll...

  13. Electroejaculation increases low molecular weight proteins in seminal plasma modifying sperm quality in Corriedale rams.

    Science.gov (United States)

    Ledesma, A; Manes, J; Cesari, A; Alberio, R; Hozbor, F

    2014-04-01

    This study was conducted to evaluate the effect of seminal collection method (artificial vagina or electroejaculation) on the protein composition of seminal plasma and sperm quality parameters in Corriedale rams. To address this question, we assessed the effect of seminal collection method on motility, plasma membrane integrity and functionality, mitochondrial functionality and the decondensation state of nuclear chromatin in sperm cells. Volume, pH, osmolarity, protein concentration, total protein content and protein profile using sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and 2-D polyacrylamide electrophoresis of seminal plasma collected with artificial vagina and electroejaculation were also analysed. The main findings from this study were that ejaculates obtained with electroejaculation had (i) a higher number of spermatozoa with intact plasma membrane and functional mitochondria and (ii) a higher proportion of seminal plasma, total protein content and relative abundance of low molecular weight proteins than ejaculates obtained with artificial vagina. Five of these proteins were identified by mass spectrometry: binder of sperm 5 precursor; RSVP14; RSVP22; epididymal secretory protein E1 and clusterin. One protein spot with molecular weight of approximately 31 kDa and isoelectric point of 4.8 was only found in the seminal plasma from electroejaculation. PMID:24494601

  14. New species of Demidospermus (Monogenea: Dactylogyridae) of pimelodid catfish (Siluriformes) from Peruvian Amazonia and the reassignment of Urocleidoides lebedevi Kritsky and Thatcher, 1976.

    Science.gov (United States)

    Mendoza-Palmero, Carlos A; Scholz, Tomáš

    2011-08-01

    Three new species of Demidospermus Suriano, 1983 were found in mixed infections on the gills of 4 pimelodid catfish collected in the Amazon River basin around Iquitos, Peru, namely, Demidospermus peruvianus n. sp. from Pimelodus ornatus Kner, Pimelodus blochii Valenciennes, Pimelodus sp. (type host), and an unidentified pimelodid. Demidospermus peruvianus n. sp. (type host, Pimelodus sp.) is characterized by the presence of the male copulatory organ with 2 lateral, thickened projections, and the vagina with a loop at its middle. Demidospermus curvovaginatus n. sp. from P. ornatus , Pimelodus sp. (type host), and Pimelodidae gen. sp. differs from its congeners by the presence of a funnel-shaped vagina directed posteriorly and a male copulatory organ with a small lateral projection at its base. Demidospermus striatus n. sp. from P. blochii and Pimelodus sp. (type host) is distinguished by a cup-shaped vagina with conspicuous ridges at the perimeter of the aperture with a short tube directed anteriorly. In addition, Urocleidoides lebedevi Kritsky and Thatcher, 1976 , a parasite originally described from the gills of Pimelodus grosskopfii (type host) from Colombia, is transferred to Demidospermus , based on morphological characters that we observed in type specimens. PMID:21506840

  15. Transcervical artificial insemination in dogs and cats: review of the technique and practical aspects.

    Science.gov (United States)

    Romagnoli, S; Lopate, C

    2014-10-01

    The technique of transcervical catheterization for artificial insemination has gained practical importance over the last 3 and 1 decades in bitches and queens, respectively. The vagina of both species has a thickening of the dorsal aspect called dorsal medial fold, which restricts the lumen of the paracervix, making catheterization of the cervix difficult both with manual and endoscopic techniques. Manual catheters have been used initially in the bitch and are now gradually being replaced by rigid endoscopy through the adaptation of human cystoscopes and ureteroscopes. Cystoscopes provide excellent imaging of the vagina, but cervical catheterization is more difficult due to the oblique 30° viewing angle of its telescope and may not be long enough to catheterize large size bitches. Ureteroscopes allow an acceptable view of the vaginal mucosa and offer advantages such as the possibility to catheterize the cervix of bitches of all body sizes, manipulate the cervical tubercle when the external cervical os is not visible, offer a better visualization of the cervix using the shunt (a large Foley catheter which allows insufflation and distention of the vagina). Feline cervical catheterization has been achieved with three different types of catheters; the last one, developed following careful anatomical studies of how the feline vaginal lumen changes during estrus, allows cervical catheterization thanks to digital manipulation of the cervix through the rectum. PMID:25277433

  16. Morphology and morphometry of the reproductive system of female Saguinus midas (Linnaeus, 1758).

    Science.gov (United States)

    Monteiro, Nathaly Cristine Da Silva; De Lima, Ana Rita; De Carvalho, Ana Flávia; De Carvalho Garcia, Rafael; Therrier, Joanne; Souza, Ana Carla Barros; Pereira, Luiza Correia; Branco, Erika

    2012-06-01

    In this article, the reproductive system's morphology of three young animals of the species Saguinus midas, from the bauxite mine in Paragominas, is described. The specimens were fixed and preserved in a solution of 10% aqueous formaldehyde, followed by dissection, measurement of the genital organs (uterus, vagina, ovaries, and uterine tubes), and histological processing. The vulva is delimited by the labia, with a clitoris. It is lined by keratinized stratified squamous epithelium with sebaceous glands of holocrine secretion. The vagina is an elongated tube with an average length of 26 mm and diameter of 1 mm, presenting a non-keratinized squamous epithelium, disposed between the vestibule of the vagina and cervix, the latter being relatively short. The uterus is simple, has globular shape and is located in the caudal portion of the abdominal cavity, with an average length of 14 mm and average width of 7 mm. It is formed by vascular and serous layers of muscles, and undergoes a bifurcation to form two structures on the bottom of blind sac. The uterine tubes are long and convoluted with an average length of 35 mm (right) and 36 mm (left), consisting of loose connective tissue and muscle layer lined by simple ciliated columnar epithelium. The ovaries are large and ellipsoid with smooth surface. Histologically, one animal showed ovulation fosse. PMID:22131285

  17. Excretory urography and ultrasonography in the diagnosis of bilateral ectopic ureters in a foal

    International Nuclear Information System (INIS)

    A 7-week-old Appaloosa filly was admitted for persistent urinary incontinence since birth. Vaginal speculum examination revealed urine flowing from an opening in the right vaginal wall. Cytoscopy demonstrated that the ureters did not terminate at the bladder. The endoscope passed easily from the vagina directly into a dilated right ureter. An excretory urogram confirmed the vaginal termination of at least one ureter, based upon extensive filling of the vagina with contrast media in the absence of bladder filling. Bilateral hydroureter and dilated renal pelves were demonstrated both by excretory urography and by urtrasonography. Euthanasia was required by the owner in lieu of attempted surgical correction. At necroscopy, it was confirmed that the right ureter entered the vagina and the left ureter terminated at the urethra. The diagnosis of bilateral ectopic ureter in this foal was suggested by this history and clinical signs, supported by endoscopy and ultrasonography, and confirmed by excretory urography and necropsy. This case establishes the value of diagnostic imaging techniques in the antemortem diagnosis of ectopic ureter

  18. Populations of Salmonella enteritidis in the Tissues of Reproductive Organs in Laying Hens After Oral Challenge: A Real-Time PCR Study

    Directory of Open Access Journals (Sweden)

    Shu-Xuan Deng

    2011-01-01

    Full Text Available The objective of this study was to determine the populations of Salmonella enteritidis (S. enteritidis in reproductive organs of laying hens after oral challenge. Researchers conducted serovar-specific Real-time PCR for S. enteritidis to detect the genomic DNA of S. enteritidis from laying hens at different time points. To validate these results, the Indirect Fluorescent Antibody (IFA technique was employed too. The results showed that S. enteritidis was consistently detected in all the samples. Vagina and uterus were positive at 20 h PI and the last organ to show a positive result was the largest and third largest preovulatory follicle at 32 h PI. The copy numbers of S. enteritidis DNA in each tissue reached a peak at 36-60 h PI with the vagina and uterus containing higher concentrations than other tissues. However, the number of bacteria started decreasing by 3-4 days and by 6 days, the concentration of S. enteritidis DNA was below the detection limits of the PCR assay except the vagina. In conclusion, the results provided insights into the S. enteritidis populations in the reproductive organs. This study will help in understanding the pathogenesis of S. enteritidis infection in vivo.

  19. Two new species of Pseudorhabdosynochus Yamaguti, 1958 (Monogenea: Diplectanidae) from the deep-sea grouper Epinephelus morrhua (Val.) (Perciformes: Serranidae) off New Caledonia.

    Science.gov (United States)

    Justine, Jean-Lou

    2008-10-01

    Three species of monogeneans were collected from Epinephelus morrhua, a deep-sea grouper from the external slope of the coral reef, off New Caledonia, South Pacific, and are the first parasites recorded from this fish species. Pseudorhabdosynochus morrhua n. sp. is characterised by: a sclerotised vagina with small sclerotised chambers and a short secondary canal; squamodiscs with central rows of rodlets which form closed ovals; and a scaly tegument. P. variabilis n. sp. has: a male quadriloculate organ with a characteristic structure; a sclerotised vagina in which the primary canal, secondary canal and accessory structure are very long and the different parts have various arrangements in different specimens; its squamodiscs have central rows of rodlets which form closed circles; and a smooth tegument. A prominent vaginal structure, comparable to that of P. variabilis, has been found only in P. dolicocolpos Neifar & Euzet, 2007, but the species can be distinguished by details of the vagina and other structures. A species of Haliotrema Johnson & Tiegs, 1922 (Ancyrocephalidae) is reported but not described. Specimens of each of the three species were present in similar numbers. PMID:18716902

  20. Establishment of a sensitive system for analysis of human vaginal microbiota on the basis of rRNA-targeted reverse transcription-quantitative PCR.

    Science.gov (United States)

    Kurakawa, Takashi; Ogata, Kiyohito; Tsuji, Hirokazu; Kado, Yukiko; Takahashi, Takuya; Kida, Yumi; Ito, Masahiro; Okada, Nobuhiko; Nomoto, Koji

    2015-04-01

    Ten specific primer sets, for Lactobacillus gasseri, Lactobacillus crispatus, Atopobium vaginae, Gardnerella vaginalis, Mobiluncus curtisii, Chlamydia trachomatis/muridarum, Bifidobacterium longum subsp. longum, Bifidobacterium longum subsp. infantis, Bifidobacterium adolescentis, and Bifidobacterium angulatum, were developed for quantitative analysis of vaginal microbiota. rRNA-targeted reverse transcription-quantitative PCR (RT-qPCR) analysis of the vaginal samples from 12 healthy Japanese volunteers using the new primer sets together with 25 existing primer sets revealed the diversity of their vaginal microbiota: Lactobacilli such as L. crispatus, L. gasseri, Lactobacillus jensenii, Lactobacillus iners, and Lactobacillus vaginalis, as the major populations at 10(7)cells/ml vaginal fluid, were followed by facultative anaerobes such as Streptococcus and strict anaerobes at lower population levels of 10(4)cells/ml or less. Certain bacterial vaginosis (BV)-related bacteria, such as G. vaginalis, A. vaginae, M. curtisii, and Prevotella, were also detected in some subjects. Especially in one subject, both G. vaginalis and A. vaginae were detected at high population levels of 10(8.8) and 10(8.9)cells/ml vaginal fluid, suggesting that she is an asymptomatic BV patient. These results suggest that the RT-qPCR system is effective for accurate analysis of major vaginal commensals and diagnosis of several vaginal infections. PMID:25661498

  1. Transvaginal perineal body repair for low rectocele.

    Science.gov (United States)

    Petros, P; Inoue, H

    2013-08-01

    We describe our technique of low rectocele repair which is based on the approximation and lifting of the laterally displaced perineal bodies (PBs) using the Tissue Fixation System, a 7-mm-wide tensioned macropore polypropylene sling. In low rectocele, the PB between the rectum and vagina is thinned and laterally displaced but still attached to the deep transverse perineal (DTP) muscle. Our technique is described with the aid of a video. The vagina and rectum are dissected off the laterally displaced PBs. The DTP attachment of each PB to the descending ramus is identified per rectum. A tunnel is created in the DTP on both sides to insert the polypropylene mesh attached to an anchor. The loop of tape between the anchors is shortened via the one-way system at the base of the anchor to elevate the inferolaterally displaced PBs to a more medial position. This is infiltrated by collagen over time, creating a "neo-central tendon." The musculofascial layer of the rectum, the vagina, and superficial layers of the PBs are approximated. Our cure rate for low rectocele repair was in excess of 90 %, even with an early version of this procedure. Our method differs from rectocele repair with large mesh in that it precisely mimics the damaged structure and uses only very short thin strips of tape to approximate and reinforce PBs weakened by birth injury and age. PMID:23417773

  2. La Estimulación Vibratoria del Pene (EVP, Alternativa Novedosa y no Invasiva para la Obtención de Semen en Primates y otras Especies Animales

    Directory of Open Access Journals (Sweden)

    Robin Poches-Franco

    2010-10-01

    Full Text Available A nivel mundial en diversas especies animales domésticas y silvestres, se lleva a cabo la colecta y evaluación de las características seminales con distintos objetivos, como son el conocimiento preliminar de la biología reproductiva (andrología, criopreservación de gametos, inseminación artificial entre otros. Para obtener semen se dispone de diversas técnicas; entre estos están; la electroeyaculación por sonda bipolar rectal o por estimulación directa del pene, la masturbación, la automasturbación, la punción epidídimal, el lavado vaginal post-eyaculación, vagina artificial y la Estimulación Vibratoria del Pene (EVP. Esta ultima (EVP una de las más novedosas y no invasivas que últimamente ha ganado terreno con el FertiCare® personal vibrator, ya que no representa mayores consecuencias a los animales muestreados, su adquisición no es costosa comparada con los electroeyaculadores, apenas mide 20cm de largo y pesa 285gr, y como mayor ventaja en cuanto a viabilidad y concentración de espermatozoides, la cual es mayor en aquellos métodos no invasivos como la masturbación, la vagina artificial y la estimulación vibratoria del pene, claro que esta ultima tiene una gran ventaja y es el control para evitar la contaminación por bacterias o aditivos (talcos o resinas de látex en vaginas artificiales del semen, por consiguiente la calidad de la muestra seminal obtenida es mucho mayor.

  3. Recurrent microdeletion at 17q12 as a cause of Mayer-Rokitansky-Kuster-Hauser (MRKH syndrome: two case reports

    Directory of Open Access Journals (Sweden)

    Novelli Antonio

    2009-11-01

    Full Text Available Abstract Background Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH consists of congenital aplasia of the uterus and the upper part of vagina due to anomalous development of Müllerian ducts, either isolated or associated with other congenital malformations, including renal, skeletal, hearing and heart defects. This disorder has an incidence of approximately 1 in 4500 newborn girls and the aetiology is poorly understood. Methods and Results we report on two patients affected by MRKH syndrome in which array-CGH analysis disclosed an identical deletion spanning 1.5 Mb of genomic DNA at chromosome 17q12. One patient was affected by complete absence of uterus and vagina, with bilaterally normal ovaries, while the other displayed agenesis of the upper part of vagina, right unicornuate uterus, non cavitating rudimentary left horn and bilaterally multicystic kidneys. The deletion encompassed two candidate genes, TCF2 and LHX1. Mutational screening of these genes in a selected group of 20 MRKH females without 17q12 deletion was negative. Conclusion Deletion 17q12 is a rare albeit recurrent anomaly mediated by segmental duplications, previously reported in subjects with developmental kidney abnormalities and diabetes. The present two patients expand the clinical spectrum associated with this imbalance and suggest that this region is a candidate locus for a subset of MRKH syndrome individuals, with or without renal defects.

  4. Our experience of the use of Martius method to eliminate the vesicovaginal fistula

    Directory of Open Access Journals (Sweden)

    Stanojevi? Dušan

    2004-01-01

    Full Text Available Sometimes after delivery, gynecological or other surgeries, radiological therapy, or destructions of vesico-vaginal septum due to the tumor or trauma, the unnatural communication between the bladder and vagina occurs. Those are fistulas that occur after the delivery (tocogenic caused by the prolonged delivery or some obstetrics operations 1,2. Some fistulas are high, coming from the fundus of the bladder, medium, if they come just behind the trigonum of the bladder, and low, if they are in the level of trigonum and the neck of the bladder3. The purpose of this paper is to show the operative technique of elimination of medium and low vesicovaginal fistula and the results of the treatment. Material and method The elimination of the vesicovaginal fistula by original Martius technique is done through vagina4. The catheter is inserted through the fistula(figure 1. Than the mucosis of the vagina is cut around the fistula and the vaginal wall is separated from the bladder. The catheter is pulled out and the fistula on the bladder is sown with resorptive stitches. Than the labia maiora nearer to the fistula is cut along from Mons Veneris to the middle and the lipoid tissue is taken with vascular pedicle Than the catheter is inserted in the bladder that should stay there for four weeks. This is the method we used to make surgery in twenty patients with vesicovaginal fistula. The first one had the fistula as the result of the Caesarean section. She was operated twice through the bladder without success. The second patient was a fourteen years old girl that cut herself on the glass and damaged anal sfincter, rectum, vagina and the bladder. The fistula appeared later in the level of trigonum of the bladder. The other eighteen patients got fistula after hysterectomy. All patients were treated as described above and fistulas disappeared. The first patient had another baby a year after the operation by Caesarean section. The other patients have regular miction (figure 4 and 5. Discussion and the conclusion Vesicovaginal fistula are serous complications, for the patients and for the doctors. The only treatment of the vesicovaginal fistula is surgical5,6,7. If any damage of the bladder occurs during any operation it should be treated immediately, otherwise the fistula will appear. The treatment depends of the localization of the fistula. Low fistulas and some medium and urethrovaginal fistulas should be approached through vagina and according to our experience Martius,s method is very efficient. The only important thing is when the fistula is detected to wait at least for two or three months for the fistula to "consolidate" and also to cure the infection.

  5. Prevención del prolapso genital en histerectomía abdominal utilizando los ligamentos redondos: Experiencia personal

    Directory of Open Access Journals (Sweden)

    Farith Atías

    2010-06-01

    Full Text Available Objetivo: Prevenir el prolapso de la cúpula vaginal, empleando una técnica peroperatoria que consiste en fijar la cúpula vaginal a los ligamentos redondos, en el momento de realizar la intervención. Métodos: Realizada la histerectomía, se procedió al cierre de la cúpula vaginal con puntos separados en número de 6 a 8 con material no absorbible, dependiendo de la amplitud de la vagina. Los cabos distales son utilizados para anudar horizontalmente los ligamentos redondos. La fijación de las dos paredes del extremo superior de la vagina, garantiza mayor estabilidad de la vagina y menor posibilidad de producir el prolapso de la cúpula y/o de las paredes anterior y posterior de la vagina. Ambiente: Servicio de Ginecología, Hospital Universitario de Caracas Resultados: Las 124 pacientes histerectomizadas y controladas anualmente en un lapso entre 2 y 27 años, con un promedio de 7 años, ninguna de ellas presentó prolapso de cúpula vaginal. Las histerectomías se realizaron en el ejercicio privado. En centros asistenciales públicos, es muy difícil hacer seguimiento y evaluar las pacientes, por razones múltiples. Conclusiones: La histerectomía ocupa el primer lugar de las intervenciones ginecológicas, esto obliga a realizar la suspensión y fijación de la cúpula vaginal y simultáneamente corregir la patología asociada del aparato genital. El procedimiento que hemos empleado tuvo resultados muy favorables. La calidad de vida de las mujeres intervenidas quirúrgicamente no se desmejoró, como suele suceder cuando se produce el prolapso de la cúpula vaginal.Objective: To prevent vaginal vault prolapse, using a preoperative technique to fix the vaginal vault to the round ligaments in total abdominal hysterectomy, and identify associated pathology in the genital area. Methods: After hysterectomy, we proceed to the closure of the vaginal vault with interrupted sutures with non-absorbable material, in number of 6-8, depending of the amplitude of the vagina, the distal ends are used to tie horizontally bilateral round ligaments. The setting of the two upper walls of the vagina, ensures greater stability of the vagina and lower possibility of occurrence of prolapse of the dome and/or the anterior and posterior vaginal walls. Setting: Servicio de Ginecologia, Hospital Universitario de Caracas Results: The 124 patients undergoing hysterectomy, checked annually over a period of time between 2 and 27 years, with an average of 7 years, neither had vaginal prolapse. Conclusion: Histerectomy is the firstone gynecological operation. It requires making the suspension and fixation of the vaginal vault and simultaneously correct the genital tract associated pathology. The procedure we used had very favorable results. We can not compare our results with other techniques, do to scarse national an international references. The quality of life of women surgically intervened did not deteriorated, as usually happens when there is prolapse of the vaginal vault.

  6. Prevención del prolapso genital en histerectomía abdominal utilizando los ligamentos redondos: Experiencia personal

    Scientific Electronic Library Online (English)

    Farith, Atías.

    2010-06-01

    Full Text Available SciELO Venezuela | Language: Spanish Abstract in spanish Objetivo: Prevenir el prolapso de la cúpula vaginal, empleando una técnica peroperatoria que consiste en fijar la cúpula vaginal a los ligamentos redondos, en el momento de realizar la intervención. Métodos: Realizada la histerectomía, se procedió al cierre de la cúpula vaginal con puntos separados [...] en número de 6 a 8 con material no absorbible, dependiendo de la amplitud de la vagina. Los cabos distales son utilizados para anudar horizontalmente los ligamentos redondos. La fijación de las dos paredes del extremo superior de la vagina, garantiza mayor estabilidad de la vagina y menor posibilidad de producir el prolapso de la cúpula y/o de las paredes anterior y posterior de la vagina. Ambiente: Servicio de Ginecología, Hospital Universitario de Caracas Resultados: Las 124 pacientes histerectomizadas y controladas anualmente en un lapso entre 2 y 27 años, con un promedio de 7 años, ninguna de ellas presentó prolapso de cúpula vaginal. Las histerectomías se realizaron en el ejercicio privado. En centros asistenciales públicos, es muy difícil hacer seguimiento y evaluar las pacientes, por razones múltiples. Conclusiones: La histerectomía ocupa el primer lugar de las intervenciones ginecológicas, esto obliga a realizar la suspensión y fijación de la cúpula vaginal y simultáneamente corregir la patología asociada del aparato genital. El procedimiento que hemos empleado tuvo resultados muy favorables. La calidad de vida de las mujeres intervenidas quirúrgicamente no se desmejoró, como suele suceder cuando se produce el prolapso de la cúpula vaginal. Abstract in english Objective: To prevent vaginal vault prolapse, using a preoperative technique to fix the vaginal vault to the round ligaments in total abdominal hysterectomy, and identify associated pathology in the genital area. Methods: After hysterectomy, we proceed to the closure of the vaginal vault with interr [...] upted sutures with non-absorbable material, in number of 6-8, depending of the amplitude of the vagina, the distal ends are used to tie horizontally bilateral round ligaments. The setting of the two upper walls of the vagina, ensures greater stability of the vagina and lower possibility of occurrence of prolapse of the dome and/or the anterior and posterior vaginal walls. Setting: Servicio de Ginecologia, Hospital Universitario de Caracas Results: The 124 patients undergoing hysterectomy, checked annually over a period of time between 2 and 27 years, with an average of 7 years, neither had vaginal prolapse. Conclusion: Histerectomy is the firstone gynecological operation. It requires making the suspension and fixation of the vaginal vault and simultaneously correct the genital tract associated pathology. The procedure we used had very favorable results. We can not compare our results with other techniques, do to scarse national an international references. The quality of life of women surgically intervened did not deteriorated, as usually happens when there is prolapse of the vaginal vault.

  7. MORPHOLOGICAL AND HISTOCHEMICAL ASPECTS OF THE LUMINAL OVIDUCTAL EPITHELIUM OF THE LAYING AND NONLAYING MUSCOVY DUCK (Cairina moschata, LINNEAUS, 1758) / ASPECTOS MORFOLOGICOS E HISTOQUIMICOS DEL EPITELIO LUMINAL DEL OVIDUCTO DE LA PATA SILVESTRE (Cairina moschata, LINNAEUS, 1785) DURANTE LOS PERIODOS DE POSTURA Y NO POSTURA

    Scientific Electronic Library Online (English)

    Joaquim, Evêncio-Neto; Liriane Baratella, Evêncio; Walter Kenji, Fukumoto; Manuel de Jesus, Simões.

    Full Text Available SciELO Chile | Language: English Abstract in spanish Fueron estudiadas la morfología y la histoquímica del epitelio luminal del oviducto de la pata silvestre (Cairina moschata, Linnaeus, 1785)durante los períodos de postura y no postura. Se utilizaron 6 ejemplares, 3 en postura y 3 en no-postura. Los resultados mostraron que el oviducto está desarroll [...] ado en el lado izquierdo y atrofiado en el lado derecho y que está constituido por seis regiones: fimbrias, infundíbulo, magno, itsmo, glándula de la cáscara y vagina. El oviducto es más evidente y desarrollado en la fase de postura. El epitelio de revestimiento es simple cilíndrico ciliado, excepto en la región de la vagina donde se presentó pseudoestratificado cilíndrico ciliado. En todas las porciones del oviducto se observaron células ciliadas y no ciliadas. En la fase de postura predominaban las células no ciliadas y en la fase de no postura, las ciliadas. En la región de las fimbrias y en la glándula de la cáscara se observa equilibrio entre los dos tipos celulares. Por histoquímica se comprobó que el epitelio superficial muestra reactividad positiva al PAS en infundíbulo, magno e itsmo (excepto en la fase de postura) y vagina. En fimbrias y cáscara no fueron observadas células mucosasen ninguna de las dos fases Abstract in english The authors have used three laying and three non-laying muscovy ducks (Cairina moschata, Linneaus, 1758), in order to study morphological and histochemical aspects of the luminal oviductal epithelium. The results showed that the oviduct of the muscovy duck is well-developed at the left side, atrophi [...] ed at the right side and consists of six different regions: fimbria, infundibulum, magnum, isthmus, shell-gland and vagina. The oviduct is more evident and developed in the laying phase of the reproductive period. The lining epithelium is of single cylindric ciliated type, with the exception of the region of the vagina, where it is of pseudo-stratified cylindric ciliated type. In all portions of the oviduct it was observed that the epithelium presents ciliated and non-ciliated cells. It was verified a predominance of non-ciliated cells in the laying period and of ciliated cells in the nonlaying period, with the exception of the regions of the fimbriae and shell-gland, where an equilibrium of these two cell-types is observed. With regard to the detection of mucous substances, it was noted that the surface oviductal epithelium showed positive reactivity to PAS in the infundibulum, magnum and isthmus, and to A.B. pH 2.5 and 0.5 in the infundibulum, magnum, isthmus (with the exception of the laying period) and vagina. It was not observed the presence of mucous cells in the fimbriae and shell-gland in both phases of the reproductive period

  8. Patología vaginal: utilidad de la citología y la colposcopia como métodos diagnósticos

    Scientific Electronic Library Online (English)

    Yanyn Betzabe, Uzcátegui; María Carolina, Tovar; Coromoto Jacqueline, Lorenzo; Mireya, González.

    2012-09-01

    Full Text Available SciELO Venezuela | Language: Spanish Abstract in spanish Objetivo: Evaluar la citología y la colposcopia como métodos diagnósticos de patología vaginal. Métodos: Estudio prospectivo y descriptivo que incluyó 100 pacientes. Se realizó citología, colposcopia y biopsia dirigida o del tercio superior de vagina, cuando no había lesiones. Resultados: La edad me [...] dia de las pacientes fue 37,7 años. Hubo patología vaginal en 81 pacientes: 19 (23,4.%) neoplasias intraepiteliales vaginales I y 62 (76,5 %) lesiones no neoplásicas, entre ellas 47 (75,8.%) con infección por virus de papiloma humano y 15 (24,2 %) con otras lesiones. Entre las 37 pacientes con cambios colposcópicos, 56,8 % tenían epitelio acetoblanco fino, 45,9 % de los cambios estaban en el tercio superior. Hubo 5 casos de lesiones multifocales. Dos citologías presentaron cambios por virus de papiloma humano. En 66 pacientes hubo cambios histológicos compatibles con infección por este virus, 19 con neoplasia. La sensibilidad y especificidad de la citología para lesiones neoplásicas intraepiteliales fue 0 % y 100 %, de la colposcopia 47 % y 78 % y de ambos 75 % y 16 %, respectivamente. Los factores de riesgo significativos para infección por virus de papiloma humano y neoplasia intraepitelial fueron: edad, patología cervical y vulvar previa, uso de anticonceptivos orales y tabaquismo. Existe asociación significativa entre patología cervical o vulvar y el diagnóstico de infección por virus de papiloma humano en vagina. Conclusiones: La citología no debe ser usada aisladamente como método de pesquisa de lesiones neoplásicas de la vagina; se recomienda asociarla a la colposcopia vaginal. Abstract in english Objective: To evaluate the colposcopy and cytology as vaginal pathology diagnostic methods. Methods: prospective and descriptive study involving 100 patients. Cytology, colposcopy and directed biopsy, or in the upper vagina third when there was no injuries, was conducted. Results: The average age of [...] the patients was 37.7 years. There was vaginal pathology in 81 patients: 19 (23.4 %) vaginal intraepithelial neoplasia I and 62 (76.5 %) injuries non neoplastic, including 47 (75.8.%) with infection by human papillomavirus and 15 (24.2 %) with other injuries. Among the 37 patients with colposcopy changes, 56.8 % had fine acetoblanco epithelium, 45.9 % of the changes were in the upper third. There were 5 cases of multifocal lesions. Two PAP submitted changes for human papillomavirus. In 66 patients there were histological changes consistent with infection by this virus, 19 with neoplasia. The sensitivity and specificity of cytology for intraepithelial neoplastic lesions was 0 % and 100 %, for the colposcopy 47 per cent and 78 per cent, and for both methods, 75 % and 16 %, respectively. Significant risk factors for infection of human papillomavirus and intraepithelial neoplasia were: age, prior cervical and vulvar disease, use of oral contraceptives and smoking. There is significant association between cervical or vulvar pathology and the diagnosis of infection of human papillomavirus in vagina. Conclusions: Cytology should not be used alone as a method of investigation of neoplastic lesions of the vagina; It is recommended to associate it with the vaginal colposcopy.

  9. Evaluación de la toxicidad vaginal de Croton lechleri en conejas / Assessment of Croton lechleri vaginal toxicity in rabbits

    Scientific Electronic Library Online (English)

    Salomón, Ayala; Juan, Rojas; David, Díaz; José, Juárez; Carlos, Delgado.

    2010-04-01

    Full Text Available SciELO Peru | Language: Spanish Abstract in spanish Objetivo: Evaluar la toxicidad vaginal de una preparación en gel de Croton lechleri en conejas. Diseño: Estudio experimental. Institución: Centro de Investigación de Bioquímica y Nutrición Alberto Guzmán Barrón, Instituto de Investigaciones Clínicas, Instituto de Patología de la Facultad de Medicina [...] , y Facultad de Farmacia, Universidad Nacional Mayor de San Marcos, Lima, Perú. Material biológico: Resina de Croton lechleri y conejos hembras, blancos, Nueva Zelanda. Métodos: Los animales fueron distribuidos en tres grupos (n=5): I. Control, vehículo; II, C. lechleri 1%; y III, C. lechleri 5%; los conejos recibieron estas muestras en un volumen de 1 mL por vía intravaginal, una vez/día, durante 10 días consecutivos. Se observó el estado clínico general, así como la apariencia física de la vagina y el perineo por signos de flujo, eritema y edema. Al final del experimento se realizó la exéresis quirúrgica de la vagina de cada coneja y se evaluó macroscópicamente, buscando signos de irritación, sangrado o daño de la mucosa. Luego, se fijó en formol tamponado al 10% y posteriormente se tomó tres muestras representativas de las regiones cérvico-vaginal, media-vaginal, y urovaginal, para el estudio histopatológico. Principales medidas de resultados: Irritación vaginal. Resultados: El examen macroscópico de la vagina en el grupo control mostró aspecto congestivo leve en forma difusa, en todos los casos, y de aspecto similar en las muestras del grupo Croton lechleri al 1%. En la formulación al 5%, en dos casos se observó congestión petequial parcial leve. El estudio histopatológico reveló un puntaje promedio de irritación vaginal de 3,4 a 6 y 3,6 a 8 para las preparaciones al 1% y 5%, respectivamente. Conclusión: En nuestras condiciones experimentales, las preparaciones de gel de C. lechleri evaluadas fueron no irritantes para la mucosa vaginal y resultaron aceptables. Abstract in english Objective: To determine a Croton lechleri vaginal gel preparation toxicity in rabbits. Design: Experimental study. Setting: Alberto Guzman Barron Biochemistry and Nutrition Research Center, Clinical Research Institute, Institute of Pathology, Faculty of Medicine and Pharmacy Faculty, Universidad Nac [...] ional Mayor de San Marcos, Lima, Peru. Biological material: Croton lechleri resin and female white New Zealand rabbits. Methods: The animals were divided into three groups (n=5): I. Control, vehicle; II, C. lechleri 1%, and III, C. lechleri 5%; they received samples of 1 mL volume intravaginally 1 time/day for 10 consecutive days. The general clinical condition and physical appearance of the vagina and the perineum for signs of flow, erythema and edema were observed. At the end of the experiment surgical resection of the vagina of each rabbit was performed and signs of irritation, bleeding or mucosal damage were determined macroscopically. Specimens were placed in 10% buffered formalin and cervico-vaginal, mid-vaginal, and uro-vaginal samples underwent histopathology study. Main outcome measures: Vaginal irritation. Results: Gross examination of the vagina in both the control and the Croton lechleri 1% groups showed mild diffuse congestion. Two cases of Croton lechleri 5% formulation showed mild petechial congestion. Histopathology study revealed a vaginal irritation average score of respectively 3.4 to 6, and 3.6 to 8 for the 1% and 5% preparations. Conclusions: In our experimental conditions, gel preparations of C. lechleri evaluated were acceptable and not irritating to the vaginal mucosa.

  10. Inverse planning and class solutions for brachytherapy treatment planning

    International Nuclear Information System (INIS)

    Brachytherapy or interventional radiooncology is a method of radiation therapy. It is a method, where a small encapsulated radioactive source is placed near to / in the tumour and therefore delivers high doses directly to the target volume. Organs at risk (OARs) are spared due to the inverse square dose fall-off. In the past years there was a slight stagnation in the development of techniques for brachytherapy treatment. While external beam radiotherapy became more and more sophisticated, in brachytherapy traditional methods have been still used. Recently, 3D imaging was considered also as the modality for brachytherapy and more precise brachytherapy could expand. Nowadays, an image guided brachytherapy is state-of-art in many centres. Integration of imaging methods lead to the dose distribution individually tailored for each patient. Treatment plan optimization is mostly performed manually as an adaptation of a standard loading pattern. Recently, inverse planning approaches have been introduced into brachytherapy. The aim of this doctoral thesis was to analyze inverse planning and to develop concepts how to integrate inverse planning into cervical cancer brachytherapy. First part of the thesis analyzes the Hybrid Inverse treatment Planning and Optimization (HIPO) algorithm and proposes a workflow how to safely work with this algorithm. The problem of inverse planning generally is that only the dose and volume parameters are taken into account and spatial dose distribaken into account and spatial dose distribution is neglected. This fact can lead to unwanted high dose regions in a normal tissue. A unique implementation of HIPO into the treatment planning system using additional features enabled to create treatment plans similar to the plans resulting from manual optimization and to shape the high dose regions inside the CTV. In the second part the HIPO algorithm is compared to the Inverse Planning Simulated Annealing (IPSA) algorithm. IPSA is implemented into the commercial treatment planning system. It has no additional features how to control spatial distribution of high dose regions. It is possible to create a dosimetrically acceptable treatment plans with IPSA. Nevertheless, the size of high dose regions is not acceptable. In comparison to manual treatment planning as well as to HIPO optimization, IPSA lead to the conflicting results concerning high dose regions. To be able to use IPSA for inverse treatment planning in cervical cancer brachytherapy additional tools have to be developed. The last part of the thesis is engaged with vaginal wall dosimetry. Dose volume constraints for target volume as well as for organs OARs are an input for inverse planning optimization calculation. A dose tolerance of each OAR has to be known to be able to create appropriate constraints. Until now only bladder, rectum and sigmoid were considered as OARs. The dose limits for vagina don't exist yet because of several uncertainties during assessing of dose to the vagina and vaginal morbidity. To overcome contouring uncertainties a simplified vagina contour was proposed and tested. The analysis showed that this contour is able to detect differences between different applicators as well as between different treatment plans. A prospective study comparing dosimetric results of this model and side effects in the vagina has to be done to prove whether this contour is working or not. In conclusion, this thesis proved that inverse planning can be used for cervical cancer brachytherapy. An appropriate implementation of the inverse planning algorithm has to be considered to avoid high dose regions. Prior including of a dose volume constrains of vagina as another input parameter for the inverse planning calculation vaginal dose reporting has to be solved. The feasibility of the proposed simplified vagina contour for dose reporting has to be proven with a prospective study. (author)

  11. Dor abdominal e retenção urinária aguda em adolescente apresentação clínica de hematocolpos e revisão da literatura / Adolescent with abdominal pain and acute urinary retention: clinical presentation of hematocolpos and review of the literature

    Scientific Electronic Library Online (English)

    Helena, Sousa; Helena, Fonseca; Lurdes, Sampaio.

    2010-09-01

    Full Text Available SciELO Portugal | Language: Portuguese Abstract in portuguese Introdução: O hematocolpos é uma patologia rara resultante da acumulação vaginal de sangue menstrual nas jovens com hímen imperfurado. Caso clínico: Adolescente de 13 anos e 11 meses, sexo feminino, previamente saudável, que recorreu ao serviço de urgência por dor abdominal e lombar, tenesmo e reten [...] ção urinária aguda. Ausência de menarca. Ao exame objectivo: estádio pubertário IV de Tanner, distensão abdominal e massa pélvica. O exame ginecológico revelou membrana himeneal azulada e proeminente. A ecogra?a pélvica evidenciou globo vesical muito exuberante, acumulação de ?uido ecogénico na vagina e hímen imperfurado. A himenectomia de urgência, efectuada poucas horas depois, decorreu sem intercorrências. Clinicamente bem na reavaliação um mês pós-operatório. Conclusão: Numa adolescente com amenorreia primária e dor abdominal ou retenção urinária aguda, o hematocolpos é um diagnóstico a colocar. A avaliação do estádio pubertário e história menstrual deve ser incluída nas consultas de rotina. Abstract in english Introduction: Hematocolpos in adolescents with imperforate hymen resulting from vaginal blood accumulation is a quite rare pathology. Case report: A previously healthy almost 14-year-old girl, was admitted to the emergency department with lower abdominal pain and acute urinary retention. No previous [...] menstruation. Objective examination with pubertal Tanner stage IV, abdominal distension and pelvic mass. Gynecological examination revealed a blue imperforate hymen bulging from the vagina introitus outwards. Ultrasonography showed exuberant vesical globe and echogenic ?uid accumulation in the vagina. Cruciate hymenotomy was un­eventful. Asymptomatic in the follow-up, one month later. Conclusion: The diagnosis of imperforate hymen and hematocolpos is probable in an adolescent girl with primary amenorrhea, abdominal pain or acute urinary retention. Evaluation of the pubertal stage and menses should be included in routine practice.

  12. pH ?rodowiska pochwy i mikroskopia fazowo-kontrastowa rozmazów cytologicznych u kobiet po menopauzie

    Directory of Open Access Journals (Sweden)

    Marta B?aszczak

    2011-06-01

    Full Text Available Taking into account the fact that so far the boundary value of the maturation index (MI, above which hypoestrogenism in the organism can be found with absolute certainty, has not been unambiguously determined and that such a boundary has also not been determined for the pH of the vaginal environment, it was decided to find out how the values of the mentioned indices behave in women at different periods after the menopause. We also decided to determine how the Lactobacillus vaginalis bacteria behave at different periods after the menopause. The investigation was conducted in 114 women in total. The vaginal pH was assessed using colorimetric indicator strips (Merck, Germany. After collecting the vaginal smears both the maturation indices of the epithelial cells and the behaviour of Lactobacillus bacteria were appraised under the phase-contrast microscope, and the number of bacteria was determined using a Nugent scale. The analyses of the results of our research permit the following conclusions: 1. The inspection of vaginal smears using phase-contrast microscopy is a fast and precise way of quantitative assessment of the behaviour of different kinds of stratified squamous epithelium of the vagina and the degree of colonization of the vagina with the acid-forming bacteria Lactobacillus vaginalis. 2. The finding that more than 15% of cells originated from the basal layer and no more than 7% from the surface of the stratified epithelium in the vaginal smears and that the values of acidity of the vaginal environment are above pH 5 is characteristic for women more than five years after the onset of the menopause.3. In the course of aging of the women as the years go by, starting from 5 years after menopause, the normal forms of Lactobacillus vaginalis tended to disappear and only the polymorphic and involution forms lived in the vagina, and a complete lack of them was revealed in the senior women (more than 25 years after the menopause.

  13. Fascial structures and autonomic nerves in the female pelvis: a study using macroscopic slices and their corresponding histology.

    Science.gov (United States)

    Tamakawa, Mitsuharu; Murakami, Gen; Takashima, Ken; Kato, Tomoyasu; Hareyama, Masato

    2003-12-01

    We investigated the topographical anatomy of the pelvic fasciae and autonomic nerves using macroscopic slices of five decalcified female pelves. The lateral aspect of the supravaginal cervix uteri and superior-most vagina issued abundant thick fiber bundles. These visceral fibrous tissues extended dorsolaterally, joined another fibrous tissue from the rectum (the actual lateral ligament of the rectum) and attached to the parietal fibrous tissues at and around the sciatic foramina (i.e. the sacrospinous ligament, thick fasciae of the coccygeus and piriformis and dorsal end of the covering fascia of the levator ani). The inferior or ventral vagina also issued thick fiber bundles communicating with the levator ani fascia. This connection between the vagina and levator fascia, when stretched, seemed to provide a macroscopic morphology called the arcus tendineus fasciae pelvis. The overall morphology of the visceroparietal fascial bridge exhibited a bilateral wing-like shape. The fascial bridge complex was adjacent but dorso-inferior to the internal iliac vascular sheath and located slightly ventral to the pelvic splanchnic nerve. However, the pelvic plexus and its peripheral branches were embedded in the fascial complex. The hypogastric nerve ran along and beneath the uterosacral peritoneal fold, which did not contain thick fibrous tissue. During surgery, in combination with the superficially located vascular sheath, the morphology of the visceroparietal fascial bridge and associated nerves seemed to be artificially changed and developed into the so-called cardinal, uterosacral, uterovesical and/or rectal lateral ligaments. The classical and original concepts of these pelvic fascial structures may need to be altered to adjust to these surgical observations. PMID:14686478

  14. Differences in abilities to colonize reproductive organs and to contaminate eggs in intravaginally inoculated hens and in vitro adherences to vaginal explants between Salmonella enteritidis and other Salmonella serovars.

    Science.gov (United States)

    Okamura, M; Miyamoto, T; Kamijima, Y; Tani, H; Sasai, K; Baba, E

    2001-01-01

    In Experiment 1, mature laying hens were inoculated intravaginally with 10(6) colony-forming units of Salmonella enterica serovar enteritidis (S. enteritidis), Salmonella typhimurium, Salmonella infantis, Salmonella hadar, Salmonella heidelberg, or Salmonella montevideo to compare their abilities to colonize the reproductive organs of chickens and to contaminate eggs. Salmonella enteritidis was more frequently recovered (from 11 of 40 eggs, 27.5%) than the other serovars, and especially the inner shell was contaminated with these organisms in 10 of 40 eggs (25.0%). The contamination rates and the viable counts in cloaca were significantly (P serovars at 4 days postinoculation (PI). In the vagina, the positive rates were 90%-100% in hens inoculated with S. enteritidis, and the viable counts of the organisms in this portion were significantly (P serovars at 2, 4, and 7 days PI. The ceca were colonized similarly by each serovar at 7 days PI. The spleen and ovary were infected with S. enteritidis in three and one hen, respectively. No Salmonella was recovered from liver and peripheral blood in any hen. Salmonella enteritidis was recovered from other oviductal portions than the vagina (10%-20%), whereas no forming egg was contaminated in the oviduct. In Experiment 2, the in vitro adherence of these six serovars to the vaginal epithelium was compared with vaginal explants. The mean number of S. enteritidis attaching to the secondary villi in the vaginal lumen was significantly (P serovars. These results suggest that S. enteritidis has a specific advantage over the other Salmonella serovars by its capacity to colonize the vaginal tissues of hens, and this higher affinity of S. enteritidis to the vagina may play a significant role in the production of many S. enteritidis-contaminated eggs. PMID:11785900

  15. Morfologia macroscópica do aparelho reprodutor feminino de Leontopithecus cativos (Lesson, 1840) Primates-Callitrichidae / Gross morphology of the female genital tract of captive Leontopithecus (Lesson, 1840) Primates-Callitrichidae

    Scientific Electronic Library Online (English)

    L., Pissinatti; R., Tortelly; M., Porto; C.H.F., Burity; A., Pissinatti.

    1472-14-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Descreveu-se o sistema reprodutor feminino em três espécies de mico-leão Leontopithecus (Lesson 1840), cativos: L. rosalia, L. chrysopygus e L. chrysomelas. A vulva está delimitada pelos lábios vulvares menores e com clitóris conspícuo. A superfície do períneo urogenital apresenta elevações papilare [...] s mais concentradas nos lábios vulvares, conferindo-lhe aspecto rugoso. O vestíbulo vaginal constitui um tubo muscular de parede espessa que se estende da rima da vulva até o óstio da vagina. A vagina é um tubo muscular alongado e achatado dorsoventralmente, que comunica o vestíbulo vaginal ao colo uterino. O útero piriforme está localizado na porção caudal da cavidade abdominal. Craniolateralmente abrem-se tubas uterinas convolutas e ovários grosseiramente fusiformes de superfície lisa. Abstract in english It is described the female genital tract of three species of lion tamarin: Leontopithecus rosalia, L. chrysopygus, and L. chrysomelas. Fifteen animals were selected from the Museum of the Center of Primatology of Rio de Janeiro - CPRJ/FEEMA. The vulva is delimited by the labia and has a conspicuous [...] clitoris. The surface of the urogenital perineum has papillary elevations more concentrated in the labia, which results in a rough aspect. The vestibule is a thick-walled muscular tube, extending from the pudendal cleft to the vaginal orifice. The vagina is an elongated and flat muscular tube, which communicates dorsoventrally the vestibulum and the cervix of uterus. The pyriform uterus is located in the caudal portion of the abdominal cavity. Craniolaterally, the convolute uterine tubes open, enveloping the ovaries, which are roughly fusiform with a smooth surface.

  16. Prolapsos urogenitales: Revisión de conceptos / Urogenitals prolaps: revision of concepts

    Scientific Electronic Library Online (English)

    P., Palma; C., Riccetto; M., Hernández; J.M., Olivares.

    2008-06-01

    Full Text Available SciELO Spain | Language: Spanish Abstract in spanish El prolapso genital es la exteriorización de los órganos pélvicos por la vagina, siendo una patología que afecta la calidad de vida de toda mujer, provocando, per sé, muy rara vez morbilidad o mortalidad. El prolapso genital se diagnostica en el 50% de las mujeres multíparas y del 10 al 20% requiere [...] tratamiento por su sintomatología. Se calcula que una mujer, a lo largo de su vida, tiene 11% de riesgo de necesitar cirugía de corrección de prolapso de los órganos pélvicos o por incontinencia urinaria. Los prolapsos pueden ser de la pared anterior de la vagina (cistocele), de la cúpula vaginal, del útero (histerocele) o de su pared posterior (rectocele o enterocele). De acuerdo al estado general de la paciente y al trofismo de sus tejidos, se puede optar por cirugías obliterativas o reconstructivas, respectivamente. Teniendo en cuenta que para las cirugías reconstructivas se debe realizar, un adecuado diagnóstico, con el fin de poder corregir el defecto, ya sea en su pared anterior, posterior o cúpula, utilizando puntos de sutura, mallas biológicas o sintéticas. Abstract in english The prolapse is the exteriorization of the pelvic organs through the vagina, this condition may affect the quality of life. The prolapse was diagnosed in 50% of multiparous women It is estimated that a woman throughout her life, has 11% risk of needing surgery for correction of pelvic organ prolapse [...] or urinary incontinence. The prolapse may occur at the anterior vaginal wall (cystocele) at the vaginal, uterus (histerocele) or at the posterior wall (or rectocele enterocele). For the unfit patient obliteratives procedures may be indicated and recontructives for pacients wih good performance status. It is important for reconstructive surgery a correct diagnosis, for the specific defect repair. When indicated, meshes can be used to add strength to the poor quality tissues.

  17. Nasal and vaginal colonization of methicillin-resistant Staphylococcus aureus in pregnant women in Cartagena, Colombia

    Directory of Open Access Journals (Sweden)

    Oscar Correa

    2012-02-01

    Full Text Available Introduction: The host niche for Staphylococcus aureus (SA are the anterior nares; however, vaginal colonizationrates between 14% and 17.1% in pregnant women have been recently reported, raising interest about the potentialrisk in postpartum women and in neonates from colonized mothers.Objectives: To determine the prevalence of nasal and vaginal colonization of SA and the antibiotic susceptibilityof the isolates in pregnant women attending a maternity hospital in Cartagena, Colombia.Methods: Nasal and vaginal swabs were obtained from participants and subjected to microbiological and molecular assays. A post discharge follow-up was performed for up to four weeks.Results: From 100 pregnant women enrolled in the study, 34 were colonized with SA; 29 only in the nares, three only in the vagina, and two at both sites. Colonization of pregnant women with SA was more common in the nares than in the vagina or at both sites [29/34 (85.3% vs 3/34 (8.8% and 2/34 (5.9%; p<0.05]. We obtained 36 SA isolates,nine (25% of which were methicillin-resistant Staphylococcus aureus (MRSA, one was from the vagina; thus, the overall MRSA colonization rate among pregnant women was 9%. Molecular analysis showed that Panton-Valentine leukocidin (PVL genes were carried by the vaginal MRSA, seven of the nasal MRSA, and two of the MethicillinsensitiveStaphylococcus aureus (MSSA isolates. Two MRSA isolates carried SCCmec type I and seven carried SCCmec type IV.Conclusions: Nasal colonization rate for SA in the study population was similar to previous reports. However, the frequency of nasal colonization of MRSA was higher while vaginal colonization of SA was lower than previously reported in other studies for similar populations. The MRSA isolates obtained showed a community profile.

  18. Traumatismo encefalocraneano fetal por vía penetrante transvaginal / Transvaginal penetrating fetal head injury

    Scientific Electronic Library Online (English)

    Luis Rafael, Moscote Salazar; Gabriel, Alcalá-Cerra; Sandra Milena, Castellar Leones; Juan José, Gutiérrez Paternina.

    2012-10-01

    Full Text Available SciELO Argentina | Language: Spanish Abstract in spanish Los traumatismos encefalocraneanos in útero son extremadamente raros y suelen ser consecuencia de lesiones penetrantes a través de la pared torácica o abdominal, que alcanzan la cavidad uterina. Los originados a través de la vagina se han comunicado excepcionalmente. Se presenta el caso de un feto q [...] ue padeció traumatismo encefalocraneano penetrante, con fractura de la bóveda craneal y hemorragia intraventricular tras la introducción violenta de un objeto contundente a través de la vagina por parte de su madre. La ruptura traumática de las membranas ovulares desencadenó el trabajo de parto pretérmino. Tras el nacimiento, se realizó tratamiento quirúrgico de la fractura deprimida y desbridamiento de la herida; sin embargo, el paciente falleció cuatro semanas más tarde a causa de sepsis neonatal. El tratamiento de estos casos no solo deber ser dirigido a la corrección de las lesiones traumáticas primarias sino también a la prevención de las complicaciones infecciosas. Abstract in english In utero head traumas are extremely rare and are usually caused by penetrating injuries in the thoracic or abdominal wall that affect the uterine cavity. Transvaginal fetal head injuries have been reported in exceptional cases. This is a case-report of a fetus affected by penetrating head trauma wit [...] h skull fracture and intra-ventricular hemorrhage after his mother's self-insertion of a blunt object, violently through the vagina. Trauma disrupted the integrity of intrauterine membranes and precipitated preterm labor. After birth, there was a debridement of the scalp and surgical management of the fracture was performed; nevertheless, the patient died four weeks later, due to neonatal sepsis. Management of these wounds must not only be focused on repairing the primary wound, but on preventing the infectious complications.

  19. High Dose-Rate Intracavitary Brachytherapy for Cervical Carcinomas With Lower Vaginal Infiltration

    International Nuclear Information System (INIS)

    Purpose: This report presents the clinical applications of an automated treatment-planning program of high-dose-rate intracavitary brachytherapy (HDR-ICBT) for advanced uterine cervical cancer infiltrating the parametrium and the lower vagina. Methods and Materials: We adopted HDR-ICBT under optimized dose distribution for 22 cervical cancer patients with tumor infiltration of the lower half of the vagina. All patients had squamous cell carcinoma with International Federation of Gynecology and Obstetrics clinical stages IIB-IVA. After whole pelvic external beam irradiation with a median dose of 30.6 Gy, a conventional ICBT was applied as 'pear-shaped' isodose curve. Then 3-4 more sessions per week of this new method of ICBT were performed. With a simple determination of the treatment volume, the cervix-parametrium, and the lower vagina were covered automatically and simultaneously by this program, that was designated as 'utero-vaginal brachytherapy'. The mean follow-up period was 87.4 months (range, 51.8-147.9 months). Results: Isodose curve for this program was 'galaxy-shaped'. Five-year local-progression-free survival and overall survival rates were 90.7% and 81.8%, respectively. Among those patients with late complications higher than Grade 2 Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer morbidity score, only one (4.5%) developed severe proctitis. Conclusions: Because of the favorable treatment outcomes, this treatment-orable treatment outcomes, this treatment-planning program with a simplified target-volume based dosimetry was proposed for cervical cancer with lower vaginal infiltration

  20. Defining postpartum uterine disease in cattle.

    Science.gov (United States)

    Sheldon, I Martin; Lewis, Gregory S; LeBlanc, Stephen; Gilbert, Robert O

    2006-05-01

    Uterine function is often compromised in cattle by bacterial contamination of the uterine lumen after parturition, and pathogenic bacteria often persist, causing uterine disease, a key cause of infertility in cattle. However, the definition or characterization of uterine disease frequently lacks precision or varies among research groups. The aim of the present paper was to provide clear clinical definitions of uterine disease that researchers could adopt. Puerperal metritis should be defined as an animal with an abnormally enlarged uterus and a fetid watery red-brown uterine discharge, associated with signs of systemic illness (decreased milk yield, dullness or other signs of toxemia) and fever > 39.5 degrees C, within 21 days after parturition. Animals that are not systemically ill, but have an abnormally enlarged uterus and a purulent uterine discharge detectable in the vagina, within 21 days post partum, may be classified as having clinical metritis. Clinical endometritis is characterised by the presence of purulent (> 50% pus) uterine discharge detectable in the vagina 21 days or more after parturition, or mucuopurulent (approximately 50% pus, 50% mucus) discharge detectable in the vagina after 26 days post partum. In the absence of clinical endometritis, a cow with subclinical endometritis is defined by > 18% neutrophils in uterine cytology samples collected 21-33 days post partum, or > 10% neutrophils at 34-47 days. Pyometra is defined as the accumulation of purulent material within the uterine lumen in the presence of a persistent corpus luteum and a closed cervix. In conclusion, we have suggested definitions for common postpartum uterine diseases, which can be readily adopted by researchers and veterinarians. PMID:16226305

  1. Actualización sobre vaginosis bacteriana / Update on bacterial vaginosis

    Scientific Electronic Library Online (English)

    Wilmer, Martínez Martínez.

    2013-12-01

    Full Text Available La vaginosis bacteriana es una enfermedad polibacteriana que afecta a muchas mujeres en todo el mundo. La mayor prevalencia se observa en países subdesarrollados y en poblaciones con factores de riesgo como la promiscuidad. La enfermedad se produce cuando los lactobacilos, presentes en la microbiota [...] normal de la vagina de mujeres sanas son reemplazados o superados en número por bacterias Gram negativas o Gram variables, anaerobias estrictas o facultativas presentes en pequeñas cantidades en la vagina sana y en el tracto gastrointestinal. La enfermedad puede cursar de forma asintomática o con leucorrea y ardor vulvar, en algunas pacientes puede ocasionar complicaciones obstétricas y ginecológicas importantes. El diagnóstico de la vaginosis bacteriana ha sido un tema controversial. Aunque existen algunos métodos diagnósticos clínicos y microbiológicos, todavía no se cuenta con un método potente para el diagnóstico eficaz de la vaginosis bacteriana. Abstract in english Bacterial vaginosis is a polybacterial disease affecting many women all over the world. The highest prevalence occurs in underdeveloped countries and in population with risky factors such as promiscuity. The disease takes place when lactobacilli from vaginal microbiota are replaced or outweighed in [...] number by Gram negative or Gram variable, strict or facultative anaerobes bacteria that can be found in the gastrointestinal tract and in few concentrations in healthy vagina. The disease may be asymptomatic or presents with leucorrhea and vulvar burning, and in some patients it can cause major obstetric and gynecological complications. The diagnosis of bacterial vaginosis has been a controversial issue. Although some clinical and microbiological diagnostic methods exist, a powerful method for the effective diagnosis of bacterial vaginosis does not exist yet.

  2. Morfologia macroscópica do aparelho reprodutor feminino de Leontopithecus cativos (Lesson, 1840 Primates-Callitrichidae Gross morphology of the female genital tract of captive Leontopithecus (Lesson, 1840 Primates-Callitrichidae

    Directory of Open Access Journals (Sweden)

    L. Pissinatti

    2008-12-01

    Full Text Available Descreveu-se o sistema reprodutor feminino em três espécies de mico-leão Leontopithecus (Lesson 1840, cativos: L. rosalia, L. chrysopygus e L. chrysomelas. A vulva está delimitada pelos lábios vulvares menores e com clitóris conspícuo. A superfície do períneo urogenital apresenta elevações papilares mais concentradas nos lábios vulvares, conferindo-lhe aspecto rugoso. O vestíbulo vaginal constitui um tubo muscular de parede espessa que se estende da rima da vulva até o óstio da vagina. A vagina é um tubo muscular alongado e achatado dorsoventralmente, que comunica o vestíbulo vaginal ao colo uterino. O útero piriforme está localizado na porção caudal da cavidade abdominal. Craniolateralmente abrem-se tubas uterinas convolutas e ovários grosseiramente fusiformes de superfície lisa.It is described the female genital tract of three species of lion tamarin: Leontopithecus rosalia, L. chrysopygus, and L. chrysomelas. Fifteen animals were selected from the Museum of the Center of Primatology of Rio de Janeiro - CPRJ/FEEMA. The vulva is delimited by the labia and has a conspicuous clitoris. The surface of the urogenital perineum has papillary elevations more concentrated in the labia, which results in a rough aspect. The vestibule is a thick-walled muscular tube, extending from the pudendal cleft to the vaginal orifice. The vagina is an elongated and flat muscular tube, which communicates dorsoventrally the vestibulum and the cervix of uterus. The pyriform uterus is located in the caudal portion of the abdominal cavity. Craniolaterally, the convolute uterine tubes open, enveloping the ovaries, which are roughly fusiform with a smooth surface.

  3. Vicisitudes de un sencillo inventor / Vicissitudes of a humble inventor

    Scientific Electronic Library Online (English)

    Francisco, García López.

    1009-10-01

    Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Procedimiento mecanizado para el tratamiento de la Incontinencia Urinaria de Esfuerzo en la mujer. Fijación retropúbica de la vagina con una grapa disparada con grapadora diseñada con la forma apropiada, que utiliza la sínfisis del pubis como lugar de anclaje. Se pretende demostrar la razón fisiopat [...] ológica para devolver la continencia, por medio del anclaje de la uretra. En nuestras condiciones elementales de investigación y desarrollo no se pudo llegar a diseñar el procedimiento idóneo, aunque se presentó la idea mecanizada a Empresas de ámbito internacional. Se relata resumidamente el desarrollo del instrumento hasta conseguir hacerlo operativo, filmándose una intervención que se presentó al Congreso Hispanoamericano que se realizó en Madrid en 1992. El instrumento se patentó en la Oficina Española de Patentes y Marcas en julio de 1992 con categoría de Patente de Invención, al no existir antecedentes de procedimientos mecanizados para la fijación de la uretra a través de la vagina. Abstract in english Mechanized procedure for the treatment of female stress urinary incontinence. Retropubic fixation of the vagina with a stapler specifically designed, using the pubis’ symphysis as the site for anchoring. We intend to demonstrate the physiopathologic rationale to achieve continence by anchoring the u [...] rethra. In our elementary conditions for research and development we could not design the suitable procedure, although the idea was presented to international companies. We summarize the development of the instrument until it was operative, filming one operation which was presented to the Hispanic-American Congress in Madrid 1992. The instrument was patented in the Spanish Office of Patents and Trademarks in July 1992 with the category of invention patent because there were no previous mechanized procedures for vaginal fixation.

  4. Antimicrobial Potentials of Lactic Acid Bacteria Isolated From a Nigerian Menstruating Woman

    Directory of Open Access Journals (Sweden)

    Funmilola Abidemi Ayeni

    2013-06-01

    Full Text Available ABSTRACT Background: Racial differences affect the composition of lactic acid bacteria (LAB in women’s vagina. However, the bacteria present in women’s vagina exert protective effect against invading uropathogens through production of several inhibitory compounds. The LAB composition of the vagina of a menstruating Nigerian woman was examined to detect any difference between the subject’s vaginal LAB flora and reported cases of women from western world and to investigate the antimicrobial activities of these lactic acid bacteria against potential uropathogens and enteropathogens with analysis of possible compounds that may be responsible for inhibition. Methods: Informed consent was obtained from the subject. LAB were identified by partially sequencing the 16S rRNA gene. The organic acids were detected through High Performance Liquid Chromatography (HPLC while the volatile compounds were detected by gas chromatography. The hydrogen peroxide production was assayed through enzymatic reactions. Results: Enterococcus faecalis FAA025 and Streptococcus equines FAA026 were the only bacterial strains isolated. The two LAB strains inhibited the growth of all tested uropathogens and enteropathogens to remarkable degree. Both strains produced high quantities of lactic acid while high quantities of hydrogen peroxide, acetic acid and ethanol were only observed in Streptococcus equines FAA026. Conclusions: The results of this study suggest that in spite of absence of lactobacilli during menstruation in the subject, other LAB present (Enterococcus faecalis FAA025 and Streptococcus equines FAA026 can exert protective effects against invading uropathogens. Also, the LAB composition of the Nigerian woman is similar to her counterparts in the West. [TAF Prev Med Bull 2013; 12(3.000: 283-290

  5. A review of female genital schistosomiasis

    DEFF Research Database (Denmark)

    Kjetland, Eyrun F; Leutscher, Peter D C

    2012-01-01

    In a review of the studies on genital schistosomiasis, the cervix, the Fallopian tubes, and the vagina are the most common gynaecological sites to harbour Schistosoma haematobium. Lesions are caused by host responses to dead or viable schistosomiasis eggs and may render women with genital schistosomiasis susceptible to HIV. The typical genital changes, such as sandy patches and pathological blood vessels may make women susceptible to super-infection, cause contact bleeding, decreased fertility, abortions, discharge and bleeding. Further research is needed to find simple, low-tech diagnostic methods, treatment for chronic lesions, and to explore the preventive effects of mass drug administration on symptoms, sandy patches, HPV and the HIV epidemic.

  6. Localization of placenta in scanning by /sup 113m/In radiopharmaceuticals

    Energy Technology Data Exchange (ETDEWEB)

    Cho, O.K.; Oh, K.K.; Park, C.Y.; Choi, B.S.; Ha, C.H.; Chung, S.O.; Kwak, H.M.

    1975-01-01

    Placenta previa is a common grave complication of late pregnancy, usually manifestated clinically by painless antenatal vaginal bleeding. Digital and rectal examinations are dangerous, due to the possibility that profuse hemorrhage from the vagina may result. Various radiological examinations have been performed in placenta previa for diagnosis and localization. However radioisotopic methods are superior due to safety, simplicity and a lower radiation dose, both fetal and maternal, compared to plain radiography. Among radiopharmaceuticals, In/sup 113m/ (transferrin for blood pool scan) is useful, giving more satisfactory results without any complications or untoward reactions.

  7. Diagnostic accuracy of the ultrasonography in complicated pregnancy

    International Nuclear Information System (INIS)

    Ultrasonography is an invaluable diagnostic method in Obstetrics. It provides safe, speedy and repeatable way to obtain image of normal and abnormal pregnancy. The ultrasonograms of 167 patients with suspicion of complicated pregnancy were analyzed. The results were as follows. 1. 86 patients showed normal ultrasonogram(50.9%). 100% in intrauterine fetal death and gross fetal anomaly, 100% in abnormal fetal position and number, 95% in pregnancy with pelvic mass, 83% in ectopic pregnancy, 81% in abortion, 78% in molar pregnancy, 74% in plancenta previa. 3. Ultrasonic diagnosis of abrupto placenta was difficult. 4. Diagnostic accuracy was 80% in bicornuate uterus and double vagina

  8. Maturation of tergal gland alkene profiles in European honey bee queens,Apis mellifera L.

    Science.gov (United States)

    Smith, R K; Spivak, M; Taylor, O R; Bennett, C; Smith, M L

    1993-01-01

    In a series of husbandry and stop-time chemical experiments with honey bee queens, the production of tergal gland alkenes was found to be stimulated by natural mating and not by instrumental insemination. Carbon dioxide, physical manipulation of the sting chamber and vagina, presence of sperm in the spermatheca, egg production, and chemicals transferred via drone semen are demonstrated to not initiate the synthesis of the tergal gland alkenes. The compounds probably do not function as sex pheromones. However, the circumstances and timing of the initiation of production of the tergal gland alkenes strongly suggests a communication role for the compounds within the hive. PMID:24248518

  9. Evisceración intestinal transvaginal después de histerectomía Transvaginal intestinal evisceration after hysterectomy

    Directory of Open Access Journals (Sweden)

    José Luis Lobato Miguelez

    2010-12-01

    Full Text Available La evisceración intestinal a través de la vagina después de una histerectomía es una complicación rara. Se presenta el caso de mujer posmenopáusica que presentó una evisceración transvaginal del intestino delgado después de que se le realizara una histerectomía abdominal. Se revisa la epidemiología, causas, diagnóstico y tratamiento.Transvaginal intestinal evisceration after hysterectomy is a uncommon complication. This is the case of a postmenopausal women presenting with transvaginal evisceration of the small intestine after a abdominal hysterectomy. Epidemiology, causes, diagnosis and treatment are analyzed.

  10. Evisceración intestinal transvaginal después de histerectomía / Transvaginal intestinal evisceration after hysterectomy

    Scientific Electronic Library Online (English)

    José Luis, Lobato Miguelez; Amparo, Villasante Moran; Carlos, Pérez Sanjose; María, Marques Melon; Miguel, López Valverde.

    2010-12-01

    Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish La evisceración intestinal a través de la vagina después de una histerectomía es una complicación rara. Se presenta el caso de mujer posmenopáusica que presentó una evisceración transvaginal del intestino delgado después de que se le realizara una histerectomía abdominal. Se revisa la epidemiología, [...] causas, diagnóstico y tratamiento. Abstract in english Transvaginal intestinal evisceration after hysterectomy is a uncommon complication. This is the case of a postmenopausal women presenting with transvaginal evisceration of the small intestine after a abdominal hysterectomy. Epidemiology, causes, diagnosis and treatment are analyzed. [...

  11. Heminefrectomía NOTES-híbrido transvaginal por duplicidad del sistema colector renal en el paciente adulto / Hybrid-NOTES transvaginal hemi-nephrectomy for duplicated renal collecting system in the adult patient

    Scientific Electronic Library Online (English)

    R., Sotelo; C., Giedelman; O., Carmona; R. de, Andrade; D., Ramírez.

    2011-06-01

    Full Text Available Introducción: La duplicación del uréter y la pelvis renal es la anomalía más común del tracto urinario superior. La heminefrectomía polar superior es el tratamiento de elección cuando la anomalía se asocia con ectopia ureteral o ureterocele en un sistema no funcionante o infección crónica del riñón. [...] Material y método: Se describe la heminefrectomía del polo renal superior por NOTES-híbrido en una mujer de 24 años de edad con infecciones urinarias recurrentes en un sistema superior con escasa función. El procedimiento se realizó con un trócar bariátrico a través de la vagina, y un trócar multicanal (Triport, Olympus Surgical) a través del ombligo. Se utiliza bisturí ultrasónico para la heminefrectomía. El espécimen se retira por la vagina. Resultados: El tiempo operatorio fue 150 minutos y el sangrado 50 cc. Después de una semana la paciente desarrolló un urinoma en el lecho quirúrgico, que precisó exploración por vía laparoscópica. El lecho de la heminefrectomía fue fulgurado y se colocó un drenaje. La paciente se recuperó sin eventualidad tras la reintervención. Conclusiones: Se describe la técnica de heminefrectomía transvaginal con técnica NOTES-híbrido. Este abordaje requiere mayor desarrollo, tanto de la instrumentación como de la técnica. La combinación de los abordajes umbilical y transvaginal restablece la triangulación y facilita la disección, pero se requiere más experiencia para determinar su seguridad, eficacia y reproducibilidad. Abstract in english Introduction: Duplication of the ureter and renal pelvis is the most common anomaly of the upper urinary tract. Upper pole heminephrectomy is a treatment option when duplication anomalies are associated with ureteral ectopia or ureterocele with an associated nonfunctioning or infected upper pole moi [...] ety. Material and method: We describe a NOTES hybrid transvaginal upper pole heminephrectomy in a 24 year old with recurrent infections in a poorly functioning right upper pole moiety. The procedure was performed with a bariatric trocar in the vagina, and a multichannel single-port device (Triport, Olympus Surgical) in the umbilicus. An ultrasonic scalpel was used for the heminephrectomy. The specimen was retrieved through the vagina. Results: Operative time was 150 minutes and blood loss 50 cc. One week later the patient developed urinoma at the surgical site and was re-explored laparoscopically. The cut edge of the heminephrectomy defect was fulgurated and a drain placed. The patient recovered uneventfully following re-exploration. Conclusions: We describe the technique for transvaginal Hybrid-NOTES heminephrectomy. This approach requires further development with respect to instrumentation, and surgical expertise. The combined umbilical and vaginal approached restored triangulation and facilitates dissection, but more experience is required to determine safety, efficacy and reproducibility.

  12. Chronic partial urethral obstruction in female rats: description of an experimental model and initial results / Obstrução parcial uretral crônica em ratos: descrição de um modelo experimental e resultados iniciais

    Scientific Electronic Library Online (English)

    Silvio, Tucci Jr; Carlos Augusto Ferreira, Molina; Marcelo Ferreira, Cassini; Murilo Ferreira de, Andrade; Gilson José de, Lima; Antonio Carlos Pereira, Martins.

    Full Text Available SciELO Brazil | Language: English Abstract in portuguese OBJETIVO: Desenvolver modelo experimental de obstrução urinária infravesical em ratas. MÉTODOS: Após laparotomia caudal mediana, as uretras de 14 ratas foram delicadamente separadas da vagina e frouxamente envoltas com fita de celofane medindo 0.4 x 1.0 cm. Os animais foram avaliados 4 (n=7) e 8 (n= [...] 7) semanas depois. Cinco animais adicionais (controle) foram submetidos apenas à separação da uretra e da vagina e monitoradas por 12 semanas. RESULTADOS: Após quatro semanas, três ratas apresentaram dilatação vesical associada a discreta ectasia ureteral em 2 animais, com o terceiro apresentando discreta hidronefrose em um rim. Após oito semanas, cinco ratas (71.4%) apresentaram distensão vesical com ureterohidronefrose bilateral. Não ocorreram alterações significativas (p>0.05) nos valores de uréia ou creatinina em qualquer grupo, comparado com valores pré-operatórios. CONCLUSÃO: Apresentamos aqui um método barato e simples para a indução lenta de obstrução uretral em ratas adultas, com desenvolvimento progressivo de hipertrofia vesical e ureterohidronefrose, podendo ser utilizado como modelo experimental para estudo de diferentes aspectos da nefropatia obstrutiva. Abstract in english PURPOSE: To develop an experimental model of infravesical urinary obstruction in female rats. METHODS: After median caudal laparotomy, the urethra of 14 female rats was delicately separated from the vagina and loosely wrapped with cellophane tape measuring 0.4 x 1.0 cm. The animals were evaluated 4 [...] (n=7) and 8 (n=7) weeks later. Five additional control animals were only subjected to separation of the urethra and vagina and monitored for 12 weeks. RESULTS: After four weeks, three rats presented vesical dilation associated with discrete ureteral ectasis in 2 animals, with the third presenting discrete hydronephrosis in one kidney. After eight weeks, five rats (71.4%) presented vesical distension with bilateral ureterohydronephrosis. No significant changes (p>0.05) in serum urea or creatinine occurred in any group compared to preoperative values. CONCLUSION: We present here an inexpensive and simple method for the slow induction of urethral obstruction in adult female rats, with the development of progressive vesical hypertrophy and ureterohydronephrosis, which may be used as an experimental model for the study of different aspects of obstructive nephropathy.

  13. Human Papillomavirus Community in Healthy Persons, Defined by Metagenomics Analysis of Human Microbiome Project Shotgun Sequencing Data Sets

    OpenAIRE

    Ma, Yingfei; Madupu, Ramana; Karaoz, Ulas; Nossa, Carlos W.; Yang, Liying; Yooseph, Shibu; Yachimski, Patrick S.; Brodie, Eoin L.; Nelson, Karen E.; Pei, Zhiheng

    2014-01-01

    Human papillomavirus (HPV) causes a number of neoplastic diseases in humans. Here, we show a complex normal HPV community in a cohort of 103 healthy human subjects, by metagenomics analysis of the shotgun sequencing data generated from the NIH Human Microbiome Project. The overall HPV prevalence was 68.9% and was highest in the skin (61.3%), followed by the vagina (41.5%), mouth (30%), and gut (17.3%). Of the 109 HPV types as well as additional unclassified types detected, most were undetecta...

  14. A new species of Anoplodiscus (Monogenea: Anoplodiscidae) parasitic on Pagrus pagrus (Osteichthyes: Sparidae) from the coastal zone of the State of Rio de Janeiro, Brazil

    Scientific Electronic Library Online (English)

    Aline R, Paraguassú; José L, Luque; Dimitri R, Alves.

    1197-11-01

    Full Text Available SciELO Brazil | Language: English Abstract in english A new species of Anoplodiscus (Monogenea, Anoplodiscidae), parasitic on gills of the red porgy, Pagrus pagrus, from the coastal zone of the State of Rio de Janeiro, Brazil, is described and illustrated. The new species can be differentiated from the other species of this genus by the shape of the ac [...] cessory piece of the copulatory complex, and the length of the vagina. This is the first record of a species of Anoplodiscus in the Neotropical region.

  15. Differential Vaginal Expression of Interleukin-1 System Cytokines in the Presence of Mycoplasma hominis and Ureaplasma urealyticum in Pregnant Women

    Directory of Open Access Journals (Sweden)

    Steven S. Witkin

    2004-01-01

    Full Text Available Objective: The genital mycoplasmas, Ureaplasma urealyticum and Mycoplasma hominis, are commonly identified in the vagina of healthy pregnant women. However, these microorganisms are the most common isolates from the amniotic fluids of women in preterm labor. The mechanisms responsible for vaginal colonization and ascent to the uterus remain undetermined. We evaluated the association between U. urealyticum and M. hominis vaginal colonization and the presence of pro-inflammatory and anti-inflammatory interleukin-1 system components in asymptomatic pregnant women of different ethnicities.

  16. Vaginal paraurethral leiomyoma

    Directory of Open Access Journals (Sweden)

    Smita Anand Bijwe

    2014-06-01

    Full Text Available Leiomyomas of the vagina are uncommon soft tissue tumors. Only a few cases are reported in medical literature. It is usually seen between 20-80 years of age. We report a case of 30-year-old woman with paraurethral leiomyoma. Leiomyomas in this location should be differentiated from urethral diverticula and vaginal cysts. Complete surgical excision should be the choice of treatment. Excision usually has good prognosis and rarely recurs. [Int J Reprod Contracept Obstet Gynecol 2014; 3(3.000: 860-863

  17. Vaginal Impact of the Oral Administration of Total Freeze-Dried Culture of LCR 35 in Healthy Women

    OpenAIRE

    Bohbot, J. M.; Cardot, J. M.

    2012-01-01

    The use of probiotics in the prevention or treatment of some vaginal infections has been the subject of numerous studies. To assess the presence of Lactobacillus casei rhamnosus (LCR35) in the vagina after an oral administration, an open randomised pilot study was conducted on 20 healthy women of child-bearing age. Materials and Methods. 2 groups of 10 women were given a 28-day oral course, that is, at least 108?CFU/day (group 1) or 2 × 108?CFU/day (group 2) of LCR35. Nugent score and va...

  18. The story of the condom

    OpenAIRE

    Khan, Fahd; Mukhtar, Saheel; Dickinson, Ian K.; Sriprasad, Seshadri

    2013-01-01

    Condoms have been a subject of curiosity throughout history. The idea of safer sex has been explored in ancient and modern history, and has been used to prevent venereal diseases. We conducted a historical and medical review of condoms using primary and secondary sources as well as using the RSM library and the internet. These resources show that the first use of a condom was that of King Minos of Crete. Pasiphae, his wife, employed a goat's bladder in the vagina so that King Minos would not ...

  19. Maternal dystocia in cows and buffaloes: A Review

    OpenAIRE

    Govind Narayan Purohit; Yogesh Barolia; Chandra Shekhar; Pramod Kumar

    2011-01-01

    The maternal causes of dystocia in cattle and buffaloes are analyzed. Uterine torsion appears to be the most frequent maternal cause of dys-tocia in buffaloes whereas improper cervical dilation appears to be more frequent maternal cause of dystocia in cattle. Failure of uterine expulsive forces (Uterine Inertia) and neo-plasm’s of vagina, vulva and uterus are com-monly seen in cows and buffaloes. The various maternal causes of dystocia in cattle and buf-faloes and their management are descr...

  20. Maternal dystocia in cows and buffaloes: A Review

    Directory of Open Access Journals (Sweden)

    Govind Narayan Purohit

    2011-07-01

    Full Text Available The maternal causes of dystocia in cattle and buffaloes are analyzed. Uterine torsion appears to be the most frequent maternal cause of dys-tocia in buffaloes whereas improper cervical dilation appears to be more frequent maternal cause of dystocia in cattle. Failure of uterine expulsive forces (Uterine Inertia and neo-plasm’s of vagina, vulva and uterus are com-monly seen in cows and buffaloes. The various maternal causes of dystocia in cattle and buf-faloes and their management are described.

  1. Sciadicleithrum juruparii n. sp. (Monogenea: Ancyrocephalidae) from the gills of Satanoperca jurupari (Heckel) (Osteichthyes: Cichlidae) in the Guamá River, Amazon Delta, Brazil.

    Science.gov (United States)

    de Melo, Marly de Fátima Carvalho; dos Santos, Jeannie Nascimento; Santos, Cláudia Portes

    2012-06-01

    Sciadicleithrum juruparii n. sp. is described from the gills of the Neotropical cichlid fish Satanoperca jurupari (Heckel) caught in the Guamá River, in the delta of the Amazon River, at Belém, Pará State, Brazil. Diagnostic characters of the new species are a basally articulated male copulatory organ with clockwise coils and an accessory piece; a ventral bar with a median process; similar hooklets; vagina in the form of a sclerotised tube; and a sinistral vaginal aperture with a sclerotised papilla lying in a small surface depression. It is the only species of Sciadicleithrum Kritsky, Thatcher & Boeger, 1989 with a medial projection on the ventral bar. PMID:22581249

  2. Association of Vitamin E with Rapid Thawing on Goat Semen

    OpenAIRE

    Jurandy Mauro Penitente-Filho; Fabrício Albani Oliveira; Carolina Rodriguez Jimenez; Erly Carrascal; Xe Sar Oliveira Dias, J. Xfa Lio C.; Gisele Dias Oliveira; Renata Gomes Silveira; Camila Oliveira Silveira; Ciro Alexandre Alves Torres

    2014-01-01

    The aim of this study was to evaluate the effects of vitamin E associated with rapid thawing on cryopreserved goat semen. Two bucks were used and eight ejaculates per animal were collected using artificial vagina. Semen was diluted with the following treatments: BIOXCELL (control), BIOXCELL + Equex (sodium lauryl sulphate) and BIOXCELL + vitamin E 100??M. Semen was packaged into 0.25?mL straws and cooled at 5°C for 1 hour. Freezing was performed in liquid nitrogen vapor (?155°C) duri...

  3. Mucormycosis of Pouch of Douglas in a Diabetic Woman

    Science.gov (United States)

    Mondal, Palash K; Mondal, Santosh K; Mondal, Tanmoy K; Saha, Puranjay

    2012-01-01

    Mucormycosis is a severe fungal infection which is rare in clinical practice. This infection is usually acquired by inhalation; other portals of entry are ingestion and traumatic implantation, especially in immuno-compromised patients. Here, we present a case of mucormycosis in a 44-year-old diabetic woman. The patient had collection of fluid in the Pouch of Douglas (POD) and history of bleeding per vagina. Hysterectomy was done which showed a blackish serosal surface of the posterior uterus. Subsequent investigations revealed mycormycosis caused by Rhizopus oryzae (R. arrhizus) affecting the POD. Patient was treated with liposomal amphotericin B and is now keeping well. PMID:23055648

  4. Strain differences in vaginal responses to the xenoestrogen bisphenol A.

    OpenAIRE

    Long, X.; Steinmetz, R.; Ben-jonathan, N.; Caperell-grant, A.; Young, P. C.; Nephew, K. P.; Bigsby, R. M.

    2000-01-01

    Bisphenol A (BPA) is the monomer component of polycarbonate plastics and epoxy resins; human exposure derives from leachate in foodstuffs packaged in certain plastics or from epoxy-based dental appliances. BPA stimulates prolactin secretion in Fischer 344 (F344) rats but not in Sprague-Dawley (S-D) rats. The present studies were performed to determine if another classic estrogen target tissue, the rat vagina, responds to BPA in a strain-specific manner. In F344 rats BPA increased DNA synthesi...

  5. Monoecocestus thomasi sp. n. (Cestoda: Anoplocephalidae) from the northern flying squirrel, Glaucomys sabrinus (Shaw), in Oregon.

    Science.gov (United States)

    Rausch, R L; Maser, C

    1977-10-01

    Monoecocestus thomasi sp. n. (Cestoda: Anoplocephalidae), from the northern flying squirrel, Glaucomys sabrinus (Shaw), in Oregon, is described and distinguished from its congeners. Monoecocestus thomasi is the sixth species of Monoecocestus to be described from nearctic rodents, and the first from a member of the family Sciuridae. Our comparisons of taxonomic characters of the nominal species of Monoecocestus in North American rodents have shown that M. giganticus Buhler 1970 is a synonym of M. americanus (Stiles 1895), both from the porcupine, Erethizon dorsatum (Linnaeus). Insemination in Monoecocestus ssp. is discussed, with the conclusion that it takes place only by way of the vagina in early immature segments. PMID:915607

  6. Repair of urinary tract fistulas with bulbocavernosus myocutaneous flaps

    Energy Technology Data Exchange (ETDEWEB)

    Hoskins, W.J.; Park, R.C.; Long, R.; Artman, L.E.; McMahon, E.B.

    1984-04-01

    Urinary tract fistulas resulting from severe trauma or pelvic irradiation are often associated with extensive tissue loss, scar formation, and fibrosis. Two cases, one with a urethro-vaginal fistula secondary to trauma and one with a vesico-vaginal fistula secondary to irradiation, are presented. In neither case could the bladder, urethra, or vagina be repaired primarily. Using a bulbocavernosus myocutaneous ''island'' flap, the fistulas were successfully repaired. The anatomy of the graft and the operative procedure are described. This new procedure should be considered in urinary tract fistulas in which there is extensive tissue loss and scarring.

  7. Repair of urinary tract fistulas with bulbocavernosus myocutaneous flaps

    International Nuclear Information System (INIS)

    Urinary tract fistulas resulting from severe trauma or pelvic irradiation are often associated with extensive tissue loss, scar formation, and fibrosis. Two cases, one with a urethro-vaginal fistula secondary to trauma and one with a vesico-vaginal fistula secondary to irradiation, are presented. In neither case could the bladder, urethra, or vagina be repaired primarily. Using a bulbocavernosus myocutaneous ''island'' flap, the fistulas were successfully repaired. The anatomy of the graft and the operative procedure are described. This new procedure should be considered in urinary tract fistulas in which there is extensive tissue loss and scarring

  8. Modified vaginal surgical technique for the management of the lateral vesico-vaginal fistulae.

    Science.gov (United States)

    Goh, Judith; Krause, Hannah

    2008-05-01

    Obstetric fistulae vary significantly in size, location and condition of surrounding tissues. Traditional description of a genito-urinary fistula repair involves a fistula located in the midline of the vaginal wall, with minimal scarring or adhesions of the bladder/urethra to the surrounding vagina or pubic bone. Obstetric fistulae are often associated with significant scarring, situated laterally with adhesions to the pubic bone. This increases the difficulty in mobilising the bladder and in securing the lateral angles of the fistula during surgery. This paper describes a method to improve access to the laterally situated fistulae and thus facilitate surgical closure. PMID:18074070

  9. Radiation exposure of ovaries during hysterosalpingography

    International Nuclear Information System (INIS)

    Radiation exposure to an area approximating the location of the ovaries was measured in 29 patients undergoing hysterosalpingography. A thermoluminescent crystal technique was used for some patients; a pocket dosimeter placed into the upper vagina was used for additional patients. Radiation dosage varied from 75 to 550 millirads. The weight of the patient did not affect the amount of radiation delivered to the gonads. The duration of fluoroscopic time was the major factor increasing dosage. A discussion of hysterosalpingographic technique and suggestions for decreasing gonadal irradiation during hysterosalpingography are included

  10. Whole pelvis megavoltage irradiation with single doses of 1000 rad to palliate advanced gynecologic cancers

    International Nuclear Information System (INIS)

    This study reviews the experiences at M.D. Anderson Hospital of treating advanced gynecologic malignacies for palliation with single doses of 1000 rad per fraction. When feasible, this treatment was repeated twice (for a total of 3 treatments between intervals of 3 to 4 weeks. The patients who received 3 treatments had the best palliation; 2 treatments were more effective than 1. The palliative response was good in cervix, vagina, and vulva, poor in endometrial and ovarian carcinoma. The follow-up was short in some cases, but the acute complications appear minimal

  11. A New Species of Kritskyia (Dactylogyridae, Ancyrocephalinae Parasite of Urinary Bladder of Prochilodus lineatus (Prochilodontidae, Characiformes from the Floodplain of the High Paraná River, Brazil

    Directory of Open Access Journals (Sweden)

    Takemoto Ricardo M

    2002-01-01

    Full Text Available A new species of Kritskyia inhabits the urinary bladder of the "curimba", Prochilodus lineatus in the floodplain of the high Paraná river. The new species resembles others members of Kritskyia in the following features: haptor lacking anchors and with 14 hooks marginal, posterior male copulatory organ non articulated with the accessory piece and vagina a sclerotized tube. However, it differs from the known species mainly by the shape of the copulatory complex. This is the third endoparasitic monogenean species reported from freshwater Neotropical fish.

  12. Scarless hepatectomy: natural orifice specimen extraction after left lateral sectionectomy / Hepatectomia sem cicatriz: extração do espécime por orifício natural depois de seccionectomia lateral esquerda

    Scientific Electronic Library Online (English)

    Univaldo E., SAGAE; Ivan R. B., ORSO; Helin Minoru, MATSUMOTO; Paulo, HERMAN.

    2014-12-01

    Full Text Available RACIONAL: O uso da laparoscopia na cirurgia de fígado está bem estabelecida e considerada o padrão-ouro para pequenas ressecções. As ressecções laparoscópicas têm menor morbidade e melhor resultado estético, mas ainda requerem uma i [...] ncisão para remover a peça cirúrgica. A possibilidade de retirar a amostra através de orifícios naturais e evitar incisão abdominal pode melhorar ainda mais os benefícios oferecidos pelos procedimentos minimamente invasivos. OBJETIVO: Descrever a técnica de extração transvaginal do espécime após seccionectomia hepática laparoscópica esquerda lateral. MÉTODO: A hepatectomia laparoscópica é realizada de forma padrão. Depois de completar a ressecção, a amostra é colocada dentro de um saco plástico de recuperação. Para a realização de extração, uma colpotomia vaginal é realizada, guiado por trocarte de 12 mm introduzido através da vagina. Em seguida, o saco é removido, puxando-o através da incisão estendida na parede posterior da vagina. Após a extração, a incisão da colpotomia é fechada por laparoscopia. RESULTADOS: Esta técnica foi realizada em uma mulher de 74 anos de idade, por lesão de 3 cm entre os segmentos 2 e 3 do fígado Ela teve recuperação rápida e sem complicações. CONCLUSÃO: Esta técnica parece ser viável, segura e evitar as complicações de uma incisão abdominal. Abstract in english BACKGROUND: The use of laparoscopy in liver surgery is well established and considered as the gold standard for small resections. The laparoscopic resections have lower morbidity and better cosmetic results, but still require an inc [...] ision to remove the surgical specimen. The possibility of remove the specimen through natural orifices and avoid an abdominal incision may further improve the benefits offered by minimally invasive procedures. AIM: To describe the technique of transvaginal extraction of the specimen after laparoscopic liver left lateral sectionectomy. METHOD: The laparoscopic liver resection is performed in a standard fashion. After completing the resection, the specimen is placed into a retrieval plastic bag. To perform de extraction, a vaginal colpotomy is performed, guided by a 12 mm trocar introduced through the vagina. Then the extraction bag is removed pulling the bag through the extended incision in the posterior wall of the vagina. After the extraction, the colpotomy incision is closed laparoscopically. RESULTS: This technique was performed in a 74-year-old woman with a 3 cm lesion between liver segments 2 and 3. She had a fast and uneventful recovery. CONCLUSION: This technique appears to be feasible, safe and avoid the complications of an abdominal incision.

  13. Diagnostic accuracy of the ultrasonography in complicated pregnancy

    Energy Technology Data Exchange (ETDEWEB)

    Cha, Kyung Soo; Kim, Kun Sang; Park, Soo Soung [Chungang University College of Medicine, Seoul (Korea, Republic of)

    1983-12-15

    Ultrasonography is an invaluable diagnostic method in Obstetrics. It provides safe, speedy and repeatable way to obtain image of normal and abnormal pregnancy. The ultrasonograms of 167 patients with suspicion of complicated pregnancy were analyzed. The results were as follows. 1. 86 patients showed normal ultrasonogram(50.9%). 100% in intrauterine fetal death and gross fetal anomaly, 100% in abnormal fetal position and number, 95% in pregnancy with pelvic mass, 83% in ectopic pregnancy, 81% in abortion, 78% in molar pregnancy, 74% in plancenta previa. 3. Ultrasonic diagnosis of abrupto placenta was difficult. 4. Diagnostic accuracy was 80% in bicornuate uterus and double vagina

  14. OHVIRA syndrome presenting with acute abdomen: a case report and review of the literature.

    Science.gov (United States)

    Gungor Ugurlucan, Funda; Bastu, Ercan; Gulsen, Gokce; Kurek Eken, Meryem; Akhan, Suleyman Engin

    2014-01-01

    Uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) or Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital urogenital anomaly. A 13-year-old female presented with acute abdominal pain and dysmenorrhea. Ultrasonography and magnetic resonance imaging showed uterus didelphys, hematometrocolpos, obstructed hemivagina, and right renal agenesis. Hemivaginal septal resection and anastomosis between the obstructed hemivagina and the normal vagina was tried, but it was not possible. Unilateral hysterectomy was performed. HWW syndrome may present with acute abdomen and is usually treated with vaginal septum resection and drainage of the hematometrocolpos. PMID:24461469

  15. OHVIRA: Uterus didelphys, blind hemivagina and ipsilateral renal agenesis: Advantage MRI.

    Science.gov (United States)

    Bajaj, Sunil K; Misra, Ritu; Thukral, Brij B; Gupta, Rohini

    2012-01-01

    We present here a case of an uncommon complex uterine anomaly - Obstructed HemiVagina with Ipsilateral Renal Agenesis (OHVIRA), also known as Herlyn-Werner-Wunderlich syndrome in a 14-year-old girl along with sonographic (trans-abdominal and trans labial), and MRI findings. The patient underwent surgery wherein imaging findings were confirmed. An MRI has proved to be of great help in correct diagnosis avoiding surgical interventions/ laparoscopy, which were needed in past to diagnose this rare anomaly. We also discuss the development of this anomaly with the help of a relatively new theory of uro-genital development by Acien and review the literature. PMID:22870020

  16. THE EFFECT OF SEMEN WASHING AND SOYBEAN LECITHIN LEVEL ON MOTILITY AND VIABILITY OF RAM SPERMATOZOA STORED AT 5oC

    OpenAIRE

    Salmin; Ismaya; Kustono; Baliarti, E.

    2012-01-01

    The objectives of this reserarch were to study the effect of semen washing and soybean lecithin level on the motility and viability of ram spermatozoa stored at 5oC. Semen was collected from three mature rams by artificial vagina. Semen was evaluated by macroscopic and microscopic. Semen was divided into ten tubes, the semen of first five tubes was unwashed (W0) and diluted with extender 0%, 1%, 2%, 3% and 4% soybean lecithin (L0, L1, L2, L3 and L4). Semen of another five tubes were washed (W...

  17. Effect of L-(+)-Ergothioneine (EGT) on Freezability of Ram Semen

    OpenAIRE

    Ari, U. C.; Kulaksiz, R.; Ozturkler, Y.; Yildiz, S.; Lehimcioglu, N. C.

    2012-01-01

    The aim of this study was to investigate freezability of ram semen extended with different L-(+)-Ergothioneine (EGT) doses. For this aim, semen from four ram were collected with artificial vagina (44°C) and then pooled. Pooled semen was divided five aliquots and extended with skim milk based extender containing 0 mmol/L (EGT0: Control), 1 mmol/L (EGT1), 2 mmol/L (EGT2), 5 mmol/L (EGT5) and 10 mmol/L (EGT10) EGT, respectively. After equilibration (+5°C/2 h), the extended aliquots of semen in...

  18. Preservação do sistema genital de chinchila (Chinchilla lanigera para avaliação em microscopia de luz Preservation of chinchilla genital system (Chinchilla lanigera for microscopic evaluation

    Directory of Open Access Journals (Sweden)

    M.M. Neves

    2006-12-01

    Full Text Available The preservation of chinchilla genital organs using a fixed solution of paraformaldehyde 10% buffered and a saturated solution of Bouin during 4, 12 and 18 hours of fixation, inclusion in paraffin and staining with hematoxylin-eosin was evaluated. The Bouin solution with 12 hours of fixation was the best protocol of fixation for the ovaries, oviduct, uterus and vagina, resulting in little tissue retraction and better cellular integration when compared to the other fixing times (4 and 18 hours. The fixation with paraformaldehyde showed good results of tissues fixation. Chinchilla genital organs can be preserved with paraformaldehyde 10% buffered and Bouin solution using 12 hours of fixation.

  19. Hysteroscopy and episiotomy in a rescued, cold-stressed Florida manatee (Trichechus manatus latirostris) for diagnosis and treatment of a retained fetal skeleton.

    Science.gov (United States)

    Hall, Natalie H; Walsh, Mike; DeLuca, Catherine; Bukoski, Alex

    2012-09-01

    A rescued female manatee was observed expelling a fetal bone from the vulva. The manatee was anesthetized and diagnosed with uterine retention of a fetal skeleton by ultrasound and hysteroscopy. Episiotomy was performed to gain manual access to the vagina and uterus for removal of the skeleton. Second intention healing of the episiotomy site produced excellent results. Rescued female manatees should receive a thorough reproductive tract evaluation since presence of retained fetal tissues might not be evident in blood or hormone analyses. Retention of a whole or partial dead fetus can be life-threatening to manatees, and retained tissues should be removed as early as possible. PMID:23082540

  20. Duplication of the ureter with extravesical termination

    Energy Technology Data Exchange (ETDEWEB)

    Steidle, B.; Wolf, K.J.

    1984-02-01

    The renal segment supplying an ectopic ureter is nearly always dysplastic. Usually the ureters cross and the ectopic ureter terminates caudally in relation to the ureter from the normal portion of the kidney. Extravesical termination in women leads to urinary incontinence, since it frequently ends in the vagina or the labia. In men, the effects are much less noticeable. The ureters usually terminate in the urethra, the seminal vesicles, the ductus deferens or the epididymis. Duplication of a ureter or mega-ureter with dysplasia of the appropriate part of the kidney can be readily explained embryologically.

  1. Duplication of the ureter with extravesical termination

    International Nuclear Information System (INIS)

    The renal segment supplying an ectopic ureter is nearly always dysplastic. Usually the ureters cross and the ectopic ureter terminates caudally in relation to the ureter from the normal portion of the kidney. Extravesical termination in women leads to urinary incontinence, since it frequently ends in the vagina or the labia. In men, the effects are much less noticeable. The ureters usually terminate in the urethra, the seminal vesicles, the ductus deferens or the epididymis. Duplication of a ureter or mega-ureter with dysplasia of the appropriate part of the kidney can be readily explained embryologically. (orig.)

  2. Biofeedback and physiotherapy versus physiotherapy alone in the treatment of genuine stress urinary incontinence.

    DEFF Research Database (Denmark)

    Glavind, K; NØhr, S B

    1996-01-01

    Biofeedback is a method of pelvic floor rehabilitation using a surface electrode inserted into the vagina and a catheter in the rectum. Forty women with genuine urinary stress incontinence were randomized to compare the efficacy of physiotherapy and physiotherapy in combination with biofeedback. The effect of the treatment was determined by a standardized pad-weighing test. Long-term status was determined using a questionnaire after 2-3 years. Thirty-four women completed the treatment. The study showed a statistically significant better improvement in the biofeedback group. The long-term effect in the biofeedback group seemed better and the patients were more motivated for training afterwards. Udgivelsesdato: 1996-null

  3. 'JEB'--a carboplatin based regimen for malignant germ cell tumours in children.

    OpenAIRE

    Pinkerton, C. R.; Broadbent, V.; Horwich, A.; Levitt, J.; Mcelwain, T. J.; Meller, S. T.; Mott, M.; Oakhill, A.; Pritchard, J.

    1990-01-01

    Between February 1986 and July 1988 a total of 21 children aged 1 to 16 years with malignant germ cell tumours (MGCT), 18 with either metastatic disease or unresectable primary tumour, received the JEB regimen - carboplatin dosage calculated from the EDTA glomerular filtration rate (approximately 600 mg m-2), etoposide 120 mg m-2 daily x 3, and bleomycin 15 mg m-2 weekly. Primary sites were: testis (6), ovary (8), sacrococcyx (4), pineal gland (2) and vagina (1). AFP levels were elevated in 1...

  4. A circumvaginal muscle nomogram: a new diagnostic tool for evaluation of female sexual dysfunction.

    Science.gov (United States)

    Graber, B; Kline-Graber, G; Golden, C J

    1981-04-01

    Female orgasmic capacity was previously shown to vary significantly with the condition of the pubococcygeus muscle as evaluated by an extensive digital examination and readings from a perineometer, a pressure sensitive device inserted into the vagina. Subsequently, a discriminant analysis was applied to 6 types of perineometer readings to determine if an optimal combination of readings could alone serve as an accurate evaluation of muscle condition. Initial strength resting and initial strength contracting predicted "good" versus "bad" muscle with 73.4% accuracy. A nomogram is presented for clinical use. PMID:7193675

  5. Bedside etiology of childhood cancer

    International Nuclear Information System (INIS)

    The following topics are discussed: adenocarcinomas of the vagina in young women exposed prenatally to diethylstilbestrol; neuroblastoma in children exposed prenatally to hydantoin; increased frequency of leukemia in Japanese children surviving the atomic bomb; cancer in adults following administration of 224Ra during childhood; increased risk of lung cancer following environmental exposure of children to asbestos; lung cancer in adults following exposure to lead, copper, zinc, and arsenic; association of chromosomal aberrations with leukemia in children exposed to x radiation and benzene; immunosuppression in lymphoma patients; renal dysplasia in patients with Wilms' tumor; and aggregation of neoplasms in families

  6. Screening and Management of Diethylstilbestrol Exposed Offspring

    OpenAIRE

    Malus, Michael; Ferenczy, Alex

    1984-01-01

    Prenatal diethylstilbestrol (DES) exposure in pregnancy has been associated with adenocarcinoma of the vagina and/or cervix as well as teratogenic abnormalities of the genital tract in both female and male offspring. DES Action groups are alerting the public to the dangers inherent in being a `DES daughter' or a `DES son'. Family physicians must be able to reassure those patients who are not DES offspring, manage those who are, and detect those who didn't know they were. The screening and man...

  7. Quality Of Pe Buck Sperm Stored In Different Packaging

    OpenAIRE

    Pangestu, M.; Ch, Soenarjo; Siswadi, Rachmawati W.; Sugiyatno; Tagama, Taswin R.; Saleh, Dadang M.; Haryati; Sutarmo; Sja, Setyawati

    1999-01-01

    AI for cattle has been develop in Indonesia in contrast, AI for small ruminants (sheep and goat) are less developed. Its due to the lack of facilities, processing and packaging during storage. This research aims to compare the effectivity and efficiency of two different packaging technique (test tube and straw). Test tube and 0.25 ml mini straw were tested . Semen was obtained from adult PE buck (3 yr) after collection by using artificial vagina. The fresh semen was then evaluated and dilute...

  8. Morfologia e morfometria do oviduto de codornas Nothura maculosa / Morphology and morphometry of Nothura maculosa quail oviduct

    Scientific Electronic Library Online (English)

    Carime, Moraes; Silvana Martinez, Baraldi-Artoni; Daniela, Oliveira; Maria Rita, Pacheco; Lizandra, Amoroso; Vanessa Sobue, Franzo.

    2007-02-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Este estudo teve por finalidade descrever o oviduto de codornas. Foram utilizadas 20 codornas na fase reprodutiva. Avaliaram-se os comprimentos do infundíbulo, do magno, do istmo, do útero, da vagina e o número de pregas no magno e no istmo. Para o estudo histológico, coletaram-se fragmentos do ovid [...] uto, os quais foram fixados em Bouin, destinados à rotina histológica e corados pela técnica de Hematoxilina-Eosina. O infundíbulo apresentou pregas longitudinais e oblíquas, revestidas por epitélio pseudo estratificado cilíndrico ciliado não-secretor, cranialmente, e secretor, caudalmente. O magno é o componente mais longo (15,2cm), com mucosa revestida por epitélio pseudo estratificado cilíndrico ciliado com células caliciformes. O istmo é um segmento curto, com pregas reduzidas, compostas por estruturas histológicas semelhantes ao magno. O útero é uma região de parede pregueada, com glândulas tubulares enoveladas. A vagina é um estreito tubo com musculatura espessa. O oviduto da codorna apresentou sua morfologia semelhante ao dos galiniformes, como a galinha e a perua. Abstract in english This study was aimed at describing the quail oviduct. Twenty quails in the reproductive phase were used. Lengths of the infundibulum, magnum, isthmus, uterus, vagina, and the number of folds of magnum and isthmus were evaluated. For the histological study, fragments of the oviduct were collected, fi [...] xed in Bouin, destined to the histological routine and stained by Hematoxilin-Eosine technique. The infundibulum presented longitudinal and oblique folds, covered with ciliated, columnar pseudostratified epithelium, nonglandular cranially, and glandular, caudally. The magnum is the longest component (15.2cm), with mucous membrane covered with ciliated, columnar pseudostratified epithelium with goblet cells. The isthmus is a short segment with reduced folds, composed by histological structures similar to the magnum. The uterus is an area of folded wall, with reeled tubular glands. The vagina is a strait tube with thick musculature. The quail oviduct presented morphology similar to the chicken and the turkey.

  9. Ovotesticular disorder of sex development with mosaic 45,X/46,X,idic(Y) (q11.23) karyotype and streak gonad.

    Science.gov (United States)

    Tran, Christine N; Semins, Michelle J; Epstein, Jonathan I; Gearhart, John P

    2011-11-01

    An infant born at 38-weeks' gestation presented with ambiguous genitalia. Cytogenetic evaluation revealed an uncommon 45,X/46,X,idic(Y) mosaic karyotype. Pelvic ultrasonography, genitogram, and magnetic resonance imaging confirmed a long common urogenital sinus, vagina, cervix, unicornuate uterus, phallus, and bilateral intra-abdominal gonads resembling testes. The parents chose a male sex of rearing, and the infant underwent total abdominal hysterectomy, vaginectomy, bilateral gonadectomy, and first-stage hypospadias repair at 19 months of age. The histopathologic findings were consistent with ovotesticular disorder of sex development with a unique combination of testis and ovary on the left and testis and streak gonad on the right. PMID:21550644

  10. Pyosalpinx as a sequela of labial fusion in a post-menopausal woman: a case report

    OpenAIRE

    Tsianos George I; Papatheodorou Stefania I; Michos George M; Koliopoulos George; Stefos Theodor

    2011-01-01

    Abstract Introduction Complete labia fusion is a rare clinical entity in post-menopausal women. The most common complications of this presentation are infections of the urinary tract and retention of urine in the vagina. We present the case of a post-menopausal woman with adnexal mass and abdominal pain due to fusion of the labia majora. To the best of our knowledge this is the first report in the literature of this complication. Case presentation A 78-year-old Caucasian woman was admitted to...

  11. Virus-Specific Immune Memory at Peripheral Sites of Herpes Simplex Virus Type 2 (HSV-2) Infection in Guinea Pigs

    OpenAIRE

    Xia, Jingya; Veselenak, Ronald L.; Gorder, Summer R.; Bourne, Nigel; Milligan, Gregg N.

    2014-01-01

    Despite its importance in modulating HSV-2 pathogenesis, the nature of tissue-resident immune memory to HSV-2 is not completely understood. We used genital HSV-2 infection of guinea pigs to assess the type and location of HSV-specific memory cells at peripheral sites of HSV-2 infection. HSV-specific antibody-secreting cells were readily detected in the spleen, bone marrow, vagina/cervix, lumbosacral sensory ganglia, and spinal cord of previously-infected animals. Memory B cells were detected ...

  12. Factors influencing survival in endometrial cancer relapsing patients: a Cooperation Task Force (CTF) study.

    OpenAIRE

    Zola, Paolo

    2003-01-01

    The purpose of this study was to identify patterns of relapse and to determine the outcome of salvage treatment and the factors influencing survival of endometrial cancer relapsing patients. One thousand six hundred and six endometrial cancer (stages I to IV) patients treated at five Italian institutions were retrospectively reviewed. Of these, 209 (13%) subjects had recurred; the site of relapse was vagina in 35 cases (16.7%), pelvis in 67 (32.1%), and distant locations in 107 (51.2%). Most ...

  13. Complete Utero Vaginal Prolapse in a Woman with Prolapsed Submucous Fibroid

    Science.gov (United States)

    Aniebue, UU; Nwankwo, TO

    2015-01-01

    Background: Uterine fibroids are benign tumors of the uterus and those located beneath the uterine mucosa may present as prolapsed fibroid in the vagina. Prolapsed submucous fibroid associated with complete uterovaginal prolapse is however uncommon. Case: A case of irreducible complete utero-vaginal and infected sub-mucous fibroid prolapse, in a 45-year-old grandmultiparous woman, is reported. Bed rest and antibiotics failed to relief edema and infection of the vault. Vaginal myomectomy, followed by interval vaginal hysterectomy, and pelvic floor repair a week later resulted in a satisfactory outcome. PMID:25745583

  14. Aggressive approach in a case of cancer cervix with uremia

    Directory of Open Access Journals (Sweden)

    Janaki M

    2010-01-01

    Full Text Available Carcinoma of cervix is the most common cancer in developing countries. Majority of them present in locally advanced stages. A 36-year-old lady presented with bleeding and white discharge per vagina since four months, vomiting and reduced urine output since two weeks. Patient had an exophytic cervical growth. Investigation revealed elevated serum creatinine. Patient received single fraction radiation and underwent percutaneous nephrostomy. At one month follow-up, serum creatinine returned to almost normal level. Patient underwent bilateral ante grade stenting and completed concurrent chemoradiotherapy. In selected subsets of patients, aggressive management offered longer palliation and good quality of life.

  15. Individualisation of radiation treatment in moderately advanced cervical cancer

    International Nuclear Information System (INIS)

    Radiotherapy is the treatment of choice in moderately advanced cervical cancer (Stages IIB, IIIA, IIIB). It can give satisfactory results if treatment is adopted after careful investigations and individualised planning. The policy of the authors is to treat them either with external radiation alone (Shrinking field technique) or combination of external radiation and intracavitary treatment. A variety of manual after-loading applicators were used to suit the size of vagina and uterus and the extent of disease. The experience of individualised treatment planning has been presented. (author)

  16. Sex reassignment surgery for male to female transsexuals: initial experience in Okayama university hospital.

    Directory of Open Access Journals (Sweden)

    Nagai,Atsushi

    2005-10-01

    Full Text Available

    The first case of sex reassignment surgery (SRS in our hospital was performed in January 2001; as of February, 2005, 4 cases of MTF-SRS had been performed. In the 2 most recent cases, we used penile and scrotal skin flaps to avoid complications. The depth and width of the new vagina was made to be adequate for sexual intercourse. Future attention should be focused on devising a surgical technique that will help prevent the complications of partial necrosis of the epidermal skin and wound dehiscence. Although ours is only an initial experience, we describe our surgical technique herein.

  17. Sex reassignment surgery for male to female transsexuals: initial experience in Okayama university hospital.

    OpenAIRE

    Nagai, Atsushi; Tokuyama, Eijirou; Nanba, Yuzaburo; Tsutsui, Tetsuya; Kimata, Yoshihiro; Nakatsuka, Mikiya; Koshima, Isao; Saika, Takashi; Nasu, Yasutomo; Kumon, Hiromi

    2005-01-01

    The first case of sex reassignment surgery (SRS) in our hospital was performed in January 2001; as of February, 2005, 4 cases of MTF-SRS had been performed. In the 2 most recent cases, we used penile and scrotal skin flaps to avoid complications. The depth and width of the new vagina was made to be adequate for sexual intercourse. Future attention should be focused on devising a surgical technique that will help prevent the complications of partial necrosis of the epidermal skin and ...

  18. The Morphology Of Mogheia Kangaraensis N.SP. A New Cestode From The Intestine Of Capra Hircus (GOAT At. Kangara(M.S. India.

    Directory of Open Access Journals (Sweden)

    D.P. PATIL

    2012-09-01

    Full Text Available The Scolex of Mogheia kangaraensis n.sp. is medium, oval, highly muscular. Suckers large, oval, arranged in two pairs, one pair in each half of the scolex, overlapping in each other, in each pair. Mature proglottids are thin, broader than long. Testes 20 in number in each segment 10 in poral half and 10 in aporal half, small to medium, bean shaped in appearance, ootype small, oval, ventrally of the ovary. Vagina is a long tube, posterior to the cirrus pouch. Genital pores medium, oval, marginal, regularly alternate.

  19. Male-like external genitalia with epididymis in a case of 46, XX disorder of sex development due to congenital adrenal hyperplasia

    Directory of Open Access Journals (Sweden)

    Ashutosh Halder

    2008-06-01

    Full Text Available

    • A case of five and half-year-old 46,XX phenotypic male with hyper pigmented empty scrotum, penile urethra, epididymis along with fallopian tubes, uterus and upper vagina as well as ovary is described. Hormonal studies were consistent with the diagnosis of congenital adrenal hyperplasia. The case represents the first documented case of 46,XX disorder of sex development due to virilizing CAH associated with differentiation of Wolffian ducts into epididymis.
    • KEY WORDS: 46,XX, virilization, external genitalia, epididymis, congenital adrenal hyperplasia

  20. Three new species of Monogenea (Platyhelminthes parasites of fish in the Guandu river, southeastern Brazil=Três novas espécies de Monogenea (Platyhelminthes parasitos de peixes do rio Guandu, Sudeste do Brasil

    Directory of Open Access Journals (Sweden)

    José Luis Fernando Luque

    2012-10-01

    Full Text Available Current essay describes three new Monogenean species, namely, Cosmetocleithrum striatuli sp. nov., Jainus leporini sp. nov. and Rhabdosynochus guanduensis sp. nov., parasites on the gills of Trachelyopterus striatulus (Steindachner, 1877, Leporinus copelandii Steindachner, 1875 and Centropomus undecimalis (Bloch, 1792, respectively. Fish were collected from the Guandu river, State of Rio de Janeiro, Brazil between August 2005 and November 2008. Cosmetocleithrum striatuli sp. nov. differs from all other congeneric species by the shape of an accessory piece (more robust and resembling a crustacean claw or chela and by the shape of its ventral and dorsal bars (not V-shaped and with expanded lateral ends directed to the rear. Jainus leporini sp. nov. differs from all other Jainus species by the male copulation organ (MCO, with a 2-ring coil, by the absence of medial projection on ventral bar and by a plate-like sclerotized structure associated to the vagina. Rhabdosynochus guanduensis sp. nov. differs from all other congeneric species by the morphology of the copulation complex and by a shell-shaped vagina.Três novas espécies, Cosmetocleithrum striatuli sp. nov., Jainus leporini sp. nov. e Rhabdosynochus guanduensis sp. nov., parasitando as brânquias de Trachelyopterus striatulus (Steindachner, 1877, Leporinus copelandii Steindachner, 1875 e Centropomus undecimalis (Bloch, 1792, respectivamente, são descritas no presente trabalho. Os peixes foram coletados do rio Guandu, Estado do Rio de Janeiro, Brasil, no período de agosto de 2005 a novembro de 2008. Cosmetocleithrum striatuli sp. nov. difere de todas as outras espécies congenéricas pelo formato da pesca acessória (muito robusta e semelhante a uma quela de crustáceo e pelo formato das barras ventral e dorsal (sem o formato de V e com as extremidades laterais expandidas e direcionadas posteriormente. Jainus leporini sp. nov. difere de todas as outras espécies do gênero pelo órgão copulatório masculino (OCM ter duas voltas de diâmetro do anel, pela ausência de projeção medial na barra ventral e por possuir uma vagina associada a uma estrutura esclerotizada em forma de placa. Rhabdosynochus guanduensis sp. nov. difere de todas as outras espécies congenéricas pela morfologia do complexo copulatório e pela vagina em forma de concha.

  1. Improvement of the Shami goat semen quality by adding bovine serum albumin

    OpenAIRE

    Azawi, O. I.; Salman, O. J.

    2014-01-01

    The present study was aimed to improve the quality of Shami goat semen diluted with Tris diluent by adding bovine serum albumin. In the current study, six male goats were used. Semen was collected using artificial vagina of one ejaculate per week of every male included in this study. This study was performed during the breeding season from 1 \\ 10 \\ 2012 to 1 \\ 12 \\ 2012. In this study, two semen diluents were use first; Tris- fructose- egg yolk 2.5% and second Tris - fructose - 2.5% egg yolk ...

  2. Results after operative correction of virilized female genitalia in children with congenital adrenal hyperplasia (CAH).

    Science.gov (United States)

    Borgwardt, G; Gdanietz, K

    1984-02-01

    Critical deliberations on experiences with surgical procedures for correction of virilized genitalia in girls with CAH. 20 children were operated upon according to Stefan. Since 1977, eight children underwent surgery according to the Bolkenius / Daum modification of Stefan's procedure, two of them with own modifications. Two patients presented with Prader type V. Preservation of sensitive tissue is considered essential as well as an introitus of sufficient width. These demands are met by that method, as is the cosmetic result. Problems arise in case of high junction between urethra and vagina. PMID:6730704

  3. The sexual function following irradiation for carcinoma of the cervix

    International Nuclear Information System (INIS)

    Following irradiation of a carcinoma of the cervix, the vagina is frequently narrowed or sometimes obliterated. This article considers the sexual functioning of women following such treatment. They noticed changes in their emotions and felt alterations in their function as a woman. They were less happy with cohabitation and found it more difficult to experience an orgasm. Their frequency of lovemaking diminished as did the occurrence of sexual dreams. A treatment scheme for helping such women with their sexual problems is outlined. (C.F.)

  4. Animal sexual abuse in a female sheep.

    Science.gov (United States)

    Imbschweiler, I; Kummerfeld, M; Gerhard, M; Pfeiffer, I; Wohlsein, P

    2009-12-01

    A case of animal sexual abuse and sadism in a female sheep is described. The animal suffered severe genital tract injury most likely caused by the insertion and manipulation of a branch of wood and by penile penetration by a human male. Postmortem examination revealed multiple perforations of the vagina with massive haemorrhages. Animal sexual abuse is a complex diagnostic problem in veterinary medicine. Reported cases are often linked to sadism and often lead to the animal's death. Veterinarians should keep in mind animal sexual abuse as a differential diagnosis in cases of anogenital injuries of unknown origin. PMID:18848792

  5. Role of MRI in the evaluation of ambiguous genitalia

    International Nuclear Information System (INIS)

    Diagnostic accuracy of magnetic resonance imaging (MRI) interpretation was assessed prospectively in patients with ambiguous genitalia or intersex problems. MRI depiction of the uterus was possible in 93 %, the vagina in 95 %, the penis in 100 %, the testis in 88 %, and the ovary in 74 % of patients. The strength of MRI lies in the multiplanar capability and tissue characterization by means of T1- and T2-weighted sequences. MRI contributes to accurate morphologic evaluation of muellerian duct structures, the gonads, and the development of the phallus, all of which are essential for appropriate gender assignment and planning of surgical reconstruction. (orig.)

  6. Effect of Different Thawing Rates on Post-Thaw Viability, Kinematic Parameters and Chromatin Structure of Buffalo (Bubalus bubalis) Spermatozoa

    OpenAIRE

    Abdolreza Rastegarnia; Abdolhossein Shahverdi; Tohid Rezaei Topraggaleh; Bita Ebrahimi; Vahid Shafipour

    2013-01-01

    Objective: The aim of the present study was to evaluate three thawing rates on the post thaw motility, viability and chromatin structure of buffalo semen frozen in 0.5-ml straws.Materials and Methods: In this experimental study semen was collected with artificial vagina (42?C) from four buffalo bulls.Split pooled ejaculates (n=4) were extended at 37?C with a Bioxcell® extender. Semen was cooled to 4?C within 2 hours, equilibrated at 4?C for 4 hours, then filled in 0.5 ml French straws, a...

  7. Lower prevalence of breast cancer and cancers of the reproductive system among former college athletes compared to non-athletes.

    OpenAIRE

    Frisch, R. E.; Wyshak, G.; Albright, N. L.; Albright, T. E.; Schiff, I.; Jones, K. P.; Witschi, J.; Shiang, E.; Koff, E.; Marguglio, M.

    1985-01-01

    The prevalence (lifetime occurrence) rate of cancers of the reproductive system (uterus, ovary, cervix and vagina) and breast cancer was determined for 5,398 living alumnae, 2,622 of whom were former college athletes and 2,776 non-athletes, from data on medical and reproductive history, athletic training and diet. The former athletes had a significantly lower risk of cancer of the breast and reproductive system than did the non-athletes. The relative risk (RR), non-athletes/athletes, for canc...

  8. Preservação do sistema genital de cabras para a avaliação em microscopia de luz

    OpenAIRE

    Salmito-Vanderley C.S.B.; Neves M.M.; Santana C.V.; Marques Jr. A.P.; Vasconcelos A.C.; Nunes J.E.S.

    2002-01-01

    The preservation of the goat genital organs with a fixed solution of paraformaldehyde 10% and a saturated solution of Bouin during 4, 8, 12 and 24 hours of fixation, included in paraffin and stained with hematoxylin-eosin was evaluated. The Bouin solution with four hours of fixation showed to be the best protocol of fixation for the ovary, oviduct, uterus and vagina, resulting in little tissue retraction and better cellular integration when compared to the other fixing times (8, 12 and 24 hou...

  9. Endometriose intestinal: uma doença benigna? / Bowel endometriosis: a benign disease?

    Scientific Electronic Library Online (English)

    Marco Antonio, Bassi; Sérgio, Podgaec; João Antonio, Dias Júnior; Carlos Walter, Sobrado; Nicolau, D´Amico Filho; Maurício Simões, Abrão.

    Full Text Available SciELO Brazil | Languages: English, Portuguese Abstract in portuguese A despeito do caráter benigno da endometriose, estima-se que 1% dos casos esteja relacionado com câncer, especialmente quando ambas as condições ocorrem nos ovários. Lesões extra-ovarianas encontradas no septo retovaginal, cólon, bexiga, vagina e peritônio da região pélvica também já foram associada [...] s com neoplasias malignas. Várias características do tecido endometrial ectópico o aproximam do fenótipo neoplásico, e a própria endometriose possui comportamento tipicamente neoplásico com capacidade de invasão do estroma adjacente e associação com lesões à distância. Esta revisão atualiza conhecimentos diagnósticos, clínicos e terapêuticos dos implantes intestinais de tecido endometriótico, bem como sua relação com processos neoplásicos para melhor compreensão de seu caráter benigno ou de seu eventual potencial para malignidade. Abstract in english Endometriosis is generally assumed to be a benign disease, but it is estimated that 1% of cases are associated with cancer, especially when both conditions are present in the ovary. Extra-ovarian lesions in the rectovaginal septum, colon, bladder, vagina and peritoneum were already associated with m [...] align neoplasia. Several characteristics of endometrial tissue are very similar to the neoplasia phenotype. Endometriosis itself typically behaves as a neoplasia process, spreading over adjacent stroma and being associated with distant lesions. This is an update on the diagnostic, clinical, and therapeutic knowledge of, management of bowel implants of endometrial tissue, as well as the relation with neoplastic processes to better understand its benign nature or eventual potential for malignancy.

  10. Adenocarcinoma de Células Claras de Endocérvice em Menina de 7 anos / Clear Cell Adenocarcinoma of the Endocervix in a 7-year-old Child

    Scientific Electronic Library Online (English)

    Marta Francis Benevides, Rehme; Mauro Fernando Kürten, Ihlenfeld; Ana Carolina Silva, Chuery.

    1998-08-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese O adenocarcinoma de células claras de colo e vagina em adolescentes é uma doença rara e na maioria das vezes associada com o uso do dietilestilbestrol (DES) durante a gestação. A queixa mais freqüente é o sangramento vaginal irregular que pode ser incorretamente interpretado como vaginite nas crianç [...] as e como alterações do eixo hipotálamo-hipófise nas adolescentes. Relatamos o caso de adenocarcinoma de células claras de endocérvice em uma menina de 7 anos de idade atendida no Ambulatório de Ginecologia da Infância e Adolescência, e chamamos a atenção para o diagnóstico de câncer genital que, embora raro nesta faixa etária, deve ser cogitado quando deparamos com sangramento genital em crianças. Abstract in english Clear cell adenocarcinoma of the vagina and cervix is a rare disease associated commonly with the use of diethylstilbestrol (DES) during pregnancy. The most commom complaint is irregular vaginal bleeding, which could be confused with vaginitis in children and abnormalities in the hypothalamic-pituit [...] ary axis in adolescents. We report a case of clear cell adenocarcinoma of the endocervix in a 7-year-old child who was attended at the Children and Adolescent Gynecology Sector, and we call attention to the diagnosis of genital cancer which, in spite of its rarity at this age, must be considered in children with genital bleeding.

  11. Rabdomiosarcoma de oído en el niño Rhabdomyosarcoma of the ear in a child

    Directory of Open Access Journals (Sweden)

    Esther Villavicencio Cordobés

    2012-12-01

    Full Text Available Los sarcomas de partes blandas son un grupo heterogéneo de tumores que se denominan así porque se originan en las estructuras que soportan el cuerpo o envuelven los órganos y tejidos. Dentro de los sarcomas de tejidos blandos, se encuentra el rabdomiosarcoma, que es la variedad más frecuente en Pediatría. A pesar de ser tumores raros, representan aproximadamente el 3 % de los tumores malignos pediátricos. Cuando se presentan, se localizan, en su mayoría, en la cabeza y el cuello, la vejiga, las vías biliares y la vagina. La localización en el oído medio es muy infrecuente. El objetivo de nuestro trabajo es presentar el caso de una paciente con esta localización del tumor, su evolución, y realizar una revisión del tema.Soft tissue sarcomas are a heterogeneous group of tumors that are so called because they occur in the structures supporting the body or lining the organs and tissues. Within this group, one may find the rhabdomyosarcoma that is the most frequent type in pediatrics. In spite of being rare tumors, they account for 3 % of pediatric malignant tumors. Most of them are located in the neck and the head, in the bladder, in the biliary ducts and in the vagina. Rhabdomyosarcoma of the middle ear is very uncommon. This paper was aimed at presenting a female patient with this type of tumor, her progression, and also a literature review on this topic.

  12. Liquen plano oral y síndrome vulvovaginal-gingival: A propósito de un caso Lichen planus and vulvovaginal-gingival syndrome: Clinical case

    Directory of Open Access Journals (Sweden)

    A. Alonso Rosado

    2010-10-01

    Full Text Available El liquen plano es una enfermedad mucocutánea crónica común, que afecta habitualmente a la mucosa oral, pero que en ocasiones otras mucosas como la vaginal pueden también afectarse. Sin embargo, la afectación concomitante de las mucosas oral y vaginal, conocida como síndrome vulvovaginal-gingival del liquen plano es una manifestación poco común, caracterizada por erosión y descamación en la vulva, vagina y encías. Debido a la posibilidad de afectación de otras mucosas así como la capacidad para malignizarse que tiene el liquen plano, enfatizamos la importancia que tiene su diagnóstico correcto, así como el seguimiento continuo de los pacientes afectados por liquen oral en la clínica dental. Nos proponemos como objetivo presentar el caso clínico de una paciente de mediana edad que acudió a nuestra consulta a la que se le diagnosticó liquen plano oral y, tras varios años de evolución, presenta síndrome vulvovaginal-gingival de liquen plano oral.Lichen planus is a common mucocutaneous disease that affects at oral mucosa, but sometimes other mucosal surfaces are affected like vulvar mucosa. However, lichen planus with concomitant oral and genital involvement called vulvovaginal-gingival syndrome, is a rare condition characterized by erosions and desquamation of the vulva, vagina and gingival. Cause is probably that oral lichen planus affects any other mucosa, and these lesions have the potential to become malignant, we think that is very important an appropriate diagnosis of these patients. Our aim is to present a clinical case of a female patient with vulvovaginal-gingival syndrome.

  13. Rabdomiosarcoma de oído en el niño / Rhabdomyosarcoma of the ear in a child

    Scientific Electronic Library Online (English)

    Esther, Villavicencio Cordobés; Caridad, Verdecia Cañizares; Magda, Alonso Pírez.

    2012-12-01

    Full Text Available SciELO Cuba | Language: Spanish Abstract in spanish Los sarcomas de partes blandas son un grupo heterogéneo de tumores que se denominan así porque se originan en las estructuras que soportan el cuerpo o envuelven los órganos y tejidos. Dentro de los sarcomas de tejidos blandos, se encuentra el rabdomiosarcoma, que es la variedad más frecuente en Pedi [...] atría. A pesar de ser tumores raros, representan aproximadamente el 3 % de los tumores malignos pediátricos. Cuando se presentan, se localizan, en su mayoría, en la cabeza y el cuello, la vejiga, las vías biliares y la vagina. La localización en el oído medio es muy infrecuente. El objetivo de nuestro trabajo es presentar el caso de una paciente con esta localización del tumor, su evolución, y realizar una revisión del tema. Abstract in english Soft tissue sarcomas are a heterogeneous group of tumors that are so called because they occur in the structures supporting the body or lining the organs and tissues. Within this group, one may find the rhabdomyosarcoma that is the most frequent type in pediatrics. In spite of being rare tumors, the [...] y account for 3 % of pediatric malignant tumors. Most of them are located in the neck and the head, in the bladder, in the biliary ducts and in the vagina. Rhabdomyosarcoma of the middle ear is very uncommon. This paper was aimed at presenting a female patient with this type of tumor, her progression, and also a literature review on this topic.

  14. Eversión vesical completa a través de una fístula vesicovaginal

    Directory of Open Access Journals (Sweden)

    Jhoan Aragón Charry

    2013-05-01

    Full Text Available La eversión vesical completa es rara. Se presenta el caso de una eversión de vejiga urinaria a través de una fístula vesicovaginal acompañada de prolapso útero-vaginal concurrente. Se trata de paciente de 70 años que presentó una tumoración compatible con un prolapso vaginal grado IV y una tumoración edematosa, pegajosa y piriforme por delante del prolapso compatible con la vejiga con un orificio en la pared anterior de la vagina a través del cual la mucosa de la vejiga estaba evertida, procediendo al reposicionamiento y corrección manual de la eversión para luego ser corregida quirúrgicamente. Complete bladder eversion through vesicovaginal fistula Abstract Complete bladder eversion is rare. A case of bladder eversion trough vesicovaginal fistula accompanied with concomitant uterovaginal prolapse is presented. A 70 year-old patients presented a tumor compatible with vaginal prolapse type IV and an edematous, sticky and piriform tumor ahead of prolapse compatible with bladder with an orifice on anterior wall of vagina through bladder mucosa was everted, proceeding to reduction and manual correction of eversion and then was surgical corrected.

  15. Adenocarcinoma de Células Claras de Endocérvice em Menina de 7 anos Clear Cell Adenocarcinoma of the Endocervix in a 7-year-old Child

    Directory of Open Access Journals (Sweden)

    Marta Francis Benevides Rehme

    1998-08-01

    Full Text Available O adenocarcinoma de células claras de colo e vagina em adolescentes é uma doença rara e na maioria das vezes associada com o uso do dietilestilbestrol (DES durante a gestação. A queixa mais freqüente é o sangramento vaginal irregular que pode ser incorretamente interpretado como vaginite nas crianças e como alterações do eixo hipotálamo-hipófise nas adolescentes. Relatamos o caso de adenocarcinoma de células claras de endocérvice em uma menina de 7 anos de idade atendida no Ambulatório de Ginecologia da Infância e Adolescência, e chamamos a atenção para o diagnóstico de câncer genital que, embora raro nesta faixa etária, deve ser cogitado quando deparamos com sangramento genital em crianças.Clear cell adenocarcinoma of the vagina and cervix is a rare disease associated commonly with the use of diethylstilbestrol (DES during pregnancy. The most commom complaint is irregular vaginal bleeding, which could be confused with vaginitis in children and abnormalities in the hypothalamic-pituitary axis in adolescents. We report a case of clear cell adenocarcinoma of the endocervix in a 7-year-old child who was attended at the Children and Adolescent Gynecology Sector, and we call attention to the diagnosis of genital cancer which, in spite of its rarity at this age, must be considered in children with genital bleeding.

  16. HPV in genital cancers (at the exception of cervical cancer) and anal cancers.

    Science.gov (United States)

    de Sanjosé, Silvia; Bruni, Laia; Alemany, Laia

    2014-10-30

    Human papillomavirus (HPV) infection has been firmly established as a central and necessary cause of invasive cervical cancer and it has been etiologically linked to other anogenital (vulva, vagina, anus and penis) and head and neck cancers, particularly oropharyngeal. Although being rare, the incidence of some of these cancers in some countries has increased in the last decades. HPV-related anogenital tumors share many risk factors with cervical cancer. The HPV aetiological contribution differs in each anatomical location reflecting differences in the natural history and viral tissue tropism. The highest prevalence of HPV DNA in cancers other than cervix has been described for anal, followed by vagina, penile and vulvar cancers. HPV16 has been described as the most common type detected in all cancer sites with different contributions being the highest in anal carcinoma (around 80% of HPV DNA positive anal cancers) and the lowest in vaginal cancers with a contribution similar to that found in cervical cancers (around 60%). Current HPV vaccines have already demonstrated their efficacy in preventing anogenital pre-neoplastic lesions caused by vaccine HPV types. HPV-based prevention tools like HPV vaccination and to a lesser extend screening (e.g. for anal cancer) can be useful measures for reducing the burden of these anogenital cancers. PMID:25455637

  17. Knowledge of sexual and reproductive health among adolescents attending school in Kelantan, Malaysia.

    Science.gov (United States)

    Ab Rahman, Azriani; Ab Rahman, Razlina; Ibrahim, Mohd Ismail; Salleh, Halim; Ismail, Shaiful Bahri; Ali, Siti Hawa; Muda, Wan Manan Wan; Ishak, Maizun; Ahmad, Amaluddin

    2011-05-01

    The objectives of this study were to describe the knowledge of sexual and reproductive health among adolescents attending school and to compare the levels of knowledge between males and females and between older and younger groups of adolescents. Across-sectional study was conducted among 1,034 secondary school students using a self administered validated questionnaire. The items with the fewest correct responses included: whether one can get pregnant after a single act of sexual intercourse (30.4%), whether sexual intercourse causes sexually transmitted diseases (STDs) (12.4%) and whether washing the vagina after sexual intercourse prevents pregnancy (17.0%). Their main source of sexual information was friends (64.4%). An independent t-test revealed the mean knowledge score was significantly higher among females than males on items assessing whether the genitalia may be touched freely by family members, females having attained menarche may become pregnant if having sex, whether pregnancy will occur if there is penetration of the penis into the vagina, whether premarital sexual intercourse causes pregnancy and if there is a relationship between abandoned babies and premarital pregnancies. The mean knowledge score assessing whether pregnancy can be prevented using condoms was higher among males than females. The mean knowledge scores were significantly higher among form four and form five students than forms one, two and three students. Lack of knowledge regarding important aspects of sexual and reproductive health warrant the need to strengthen sexual and reproductive health education. PMID:21706952

  18. A non-invasive technique for standing surgical repair of urinary bladder rupture in a post-partum mare: a case report

    Directory of Open Access Journals (Sweden)

    Stephen JO

    2009-11-01

    Full Text Available Abstract An 11-year-old mare presented 36 hours after foaling with a ruptured bladder. Uroperitoneum was diagnosed on ultrasound and from the creatinine concentration of the peritoneal fluid. Bladder endoscopy demonstrated tissue necrosis and a rent in the dorsocranial aspect of the bladder. Following stabilisation, including abdominal drainage and lavage, the mare was taken to standing surgery. Under continuous sedation and epidural anaesthesia, and after surgical preparation, a Balfour retractor was placed in the vagina. Using sterile lubricant and moderate force, it was possible to insert a hand into the bladder. The tear was easily palpable on the dorsal portion of the bladder. Two fingers were inserted through the tear and used to provide traction to evert the bladder completely into the vagina where it could grasped with the surgeons other hand to prevent further trauma. A second surgeon could then visualise the entire tear and repaired this using a single layer of size zero PDS suture in a single continuous pattern. As soon as the bladder was repaired, it was replaced via the urethra. The mare did well after surgery and was discharged after 48 hours, apparently normal. This report is the first describing repair of the bladder without an abdominal incision or incision into the urethral sphincter. This greatly reduces the chance of possible complications such as urine pooling after surgery with the previously described standing technique or bladder trauma due to traction with abdominal surgery.

  19. Evaluation of microbiological diagnostics in urogenital infections in postmenopausal women

    Directory of Open Access Journals (Sweden)

    Blaženka Hunjak,

    2010-02-01

    Full Text Available Objective To establish the percentage of infections in postmenopausal women with urinary symptoms which can be confirmed by microbiological analysis, the most common causative agents and whether the urethra and vagina in patients with cystitis are concurrently colonized by pathogenic microorganisms. Methods Laboratories of the Croatian National Institute of Public Health in Zagreb, in the period of two years, analyzed 245 samples taken from patients with urinary symptoms who had been postmenopausal at least for a year. Urine samples, as well as urethral and vaginal swabs were taken from each patient and tested for causative agents of urogenital infections, genital mycoplasma and Chlamydia trachomatis.Results Cystitis was confirmed by microbiological analysis in 31.4% women, urethritis in 24.8%, and vaginitis in 15.1%. The most common causative agent of urethritis was Ureaplasma urealyticum, while Gardnerella vaginalis was the most common in vaginal infections. E. coli was concurrently isolated in urine, urethral and vaginal samples in 65.1% of patients with E. coli cystitis, while Streptococcus agalactiae was isolated in urethral and vaginal samples in each patient with Streptococcus agalactiae cystitis.Conclusion Mucosal colonization of the urethra and vagina contributes to the incidence of cystitis in postmenopausal women. Microbiological diagnostics is necessary to distinguish between the symptoms of ageing of the urogenital system and infection, with a view to preventing unnecessary antibiotic therapy.

  20. Morphogenesis of a Tunica Mucosa of Oviduct of the Hens Morfogénesis de la Túnica Mucosa del Oviducto de Gallinas

    Directory of Open Access Journals (Sweden)

    R. YU. Khokhlov

    2007-06-01

    Full Text Available The authors have used non-laying and laying hens (Lohmann Brown, in order to study morphological aspects development of tunica mucosa of the oviduct. The results showed that the oviduct of the hen is well-developed at the left side, atrophied at the right side and consists of five different regions: infundibulum, magnum, isthmus, shell-gland and excretory section (vagina. During 1-120 days in oviduct is the most advanced caudal part, where height and width folds of a tunica mucosa is more than in cranial part, that probably, is caused with the future function of these departments. In the period oviposition (150-540 days, the tunica mucosa is most advanced in such departments, as: magnum, isthmus, shell-glandSe utilizaron gallinas no ponedoras y ponedoras (Lohmann Brown, para estudiar aspectos morfológicos del desarrollo de la túnica mucosa del oviducto. Los resultados mostraron que el oviducto de gallina está bien desarrollado en el lado izquierdo, atrofiado en el lado derecho y consiste de cinco diversas regiones: infúndíbulo, magnum, istmo, glándula cascara y sección excretoria (vagina. Durante 1-120 días en el oviducto la parte caudal está más avanzada, donde la altura y ancho de la túnica mucosa es el doble que en la parte cranial, probablemente, causado por la futura función de ese compartimiento. En el periodo de ovoposición (150-540 días, la túnica mucosa esta más avanzada en los compartimientos: magnum, istmo, y glándula cascara

  1. Características do sêmen de carneiros Dorper, Santa Inês e sem padrão racial definido, pré e pós-congelação, nos períodos chuvoso e seco / Characteristics of the semen of Dorper, Santa Ines and undefined breed sheep, pre-and post-freezing, in the rainy and dry period

    Scientific Electronic Library Online (English)

    J.M., Frazão Sobrinho; M.A. Castelo, Branco; A., Sousa Júnior; I.M.R., Nascimento; L.H.C.M., Mota; Y.N.T., Carvalho; S.B., Ferreira; D.N.M., Costa; F.J., Moraes Júnior; J.A.T., Souza.

    2014-08-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese Avaliaram-se as características espermáticas de carneiros Dorper, Santa Inês e sem padrão racial definido, nos períodos chuvoso e seco. Após ser colhido por vagina artificial, o sêmen foi avaliado quanto ao volume, ao turbilhonamento, à motilidade, ao vigor, à morfologia e à concentração, congelado [...] e armazenado em botijão criogênico. Depois de descongelado, foram avaliadas a cinemática espermática, a integridade da membrana plasmática, a integridade do acrossoma e a atividade mitocondrial. Vigor espermático, motilidade total, motilidade progressiva, velocidade em linha reta e defeitos maiores não diferiram entre os períodos chuvoso e seco, porém volume, turbilhonamento, linearidade, retilinearidade e frequência de batimentos de cauda foram mais baixos (P Abstract in english The sperm characteristics of Dorper, Santa Ines and undefined breed ram in the rainy and dry seasons was assessed. After collection with an artificial vagina, the semen was evaluated for volume, turbulence, motility, viability, morphology and concentration, frozen and stored in a cryogenic cylinder. [...] After thawing kinematic sperm, plasma membrane integrity, acrosome integrity and mitochondrial activity were evaluated. Sperm vigor, total motility, progressive motility, straight line speed and larger line defects did not differ between the rainy and dry seasons, however, volume, turbulence, linearity, straightness and frequency of tail beats were lower (P

  2. [Analysis of serotypes distribution of group B streptococci origin from pregnant carriage using multiplex PCR].

    Science.gov (United States)

    Brzychczy-W?och, Monika; Gosiewski, Tomasz; Bodaszewska, Ma?gorzata; Pabian, Wojciech; Bulanda, Ma?gorzata; Heczko, Piotr B

    2009-01-01

    The aim of study was to evaluate the applicability of the PCR multiplex method for the identification of Streptococcus agalactiae (group B streptococci; GBS) serotypes and to indicate the participation of serotypes in the group of pregnant women. 1178 pregnant women at 35-37 weeks of pregnancy were studied between 2007-2009. Vaginal and rectal swabs collected from these women were tested for the presence of GBS. S. agalactiae identification was done basing on the culture method according to the CDC recommendations. For all isolated GBS strains the surface polysaccharides which conditioning serotypes were determined using commercially available serological latex kit and multiplex PCR method with two sets of specific primers. The frequency of GBS carriage among 1176 pregnant women was 30% (353 cases). Simultaneous colonization of the vagina and anus was demonstrated in 80% women, whereas GBS carriage only in the vagina or only in the anus was indicated in 9% and 11% cases, respectively. In pregnant women colonized by GBS serotype III (35%) dominated. The other serotypes were detected with the following frequency: Ia (20%), V (17%), II (15%), Ib (8%) and IV (5%). In the analyzed women population, GBS strains belonging to the VI, VII, VIII serotypes were not found. The results of our study show a great diagnostic usefulness of multiplex PCR method for identification of genes encoding GBS surface polysaccharides that are typical for individual serotypes. PMID:20201318

  3. Anatomy and histology of apical support: a literature review concerning cardinal and uterosacral ligaments.

    Science.gov (United States)

    Ramanah, Rajeev; Berger, Mitchell B; Parratte, Bernard M; DeLancey, John O L

    2012-11-01

    The objective of this work was to collect and summarize relevant literature on the anatomy, histology, and imaging of apical support of the upper vagina and the uterus provided by the cardinal (CL) and uterosacral (USL) ligaments. A literature search in English, French, and German languages was carried out with the keywords apical support, cardinal ligament, transverse cervical ligament, Mackenrodt ligament, parametrium, paracervix, retinaculum uteri, web, uterosacral ligament, and sacrouterine ligament in the PubMed database. Other relevant journal and textbook articles were sought by retrieving references cited in previous PubMed articles. Fifty references were examined in peer-reviewed journals and textbooks. The USL extends from the S2 to the S4 vertebra region to the dorsal margin of the uterine cervix and/or to the upper third of the posterior vaginal wall. It has a superficial and deep component. Autonomous nerve fibers are a major constituent of the deep USL. CL is defined as a perivascular sheath with a proximal insertion around the origin of the internal iliac artery and a distal insertion on the cervix and/or vagina. It is divided into a cranial (vascular) and a caudal (neural) portions. Histologically, it contains mainly vessels, with no distinct band of connective tissue. Both the deep USL and the caudal CL are closely related to the inferior hypogastric plexus. USL and CL are visceral ligaments, with mesentery-like structures containing vessels, nerves, connective tissue, and adipose tissue. PMID:22618209

  4. Large Urethro-Vesico-Vaginal Fistula due to a Vaginal Foreign Body in a 22-Year-Old Woman: Case Report and Literature Review.

    Science.gov (United States)

    D'Elia, Carolina; Curti, Pierpaolo; Cerruto, Maria Angela; Monaco, Carmelo; Artibani, Walter

    2014-08-13

    In the non-industrialized countries of Africa and Asia obstetric fistulas are more frequently caused by prolonged labour, whereas in countries with developed healthcare systems they are generally the result of complications of gynaecological surgery or, rarely, benign pathologies like inflammation or foreign bodies. A 22-year-old woman was brought to the gynaecology clinic because of foul-smelling vaginal discharge. On pelvic examination a ring-like foreign body was impacted between the anterior and posterior vaginal wall. MRI scan confirmed the presence of a cylindrical foreign body in the vagina and the patient revealed that she had 'involuntarily' inserted a plastic bubble bath cap into the vagina. At surgery removal of the cap was difficult and at the end of the manoeuver evidence of a huge urethro-vesico-vaginal fistula occurred. The patient was discharged with bilateral ureteral stents and suprapubic catheter. After 3 months we performed an end-to-end anastomotic urethroplasty to repair the urethral avulsion and restored the bladder/trigonal and vaginal/cervical defects with 3 layers of sutures; 3 months later the patient had no complaints. Complex genital fistulas represent an extremely debilitating morbidity. In our case, a vaginal approach was successful, but the choice between an abdominal or vaginal approach depends on the surgeon's experience and training. © 2014 S. Karger AG, Basel. PMID:25138359

  5. A rare variant of carcinoma of the cervix: neuroendocrine tumour

    Directory of Open Access Journals (Sweden)

    Maya Menon

    2014-08-01

    Full Text Available Neuroendocrine neoplasm that occurs in the uterine cervix is rare. It accounts for 0.5-1% of all malignant tumours of the uterine cervix. A 55 years old female patient complained of postmenopausal bleeding and history of foul smelling discharge per vagina since 1 month. On examination cervix appeared bulky, both lips indurated, bleeds on touch, both parametrium involved but not up to pelvic wall with bulky uterus. Vagina and per rectal mucosa was free. Clinical diagnosis of carcinoma cervix, stage 2B was made. Cervix biopsy with HPE revealed squamous epithelium of cervix showing neoplastic cells arranged in nests and prominent perivascular pattern, small round cells with minimal cytoplasm and hyperchromatic nucleus, abundant mitosis, cells showed rosette pattern and isolated foci of cell debris and necrosis. Diagnosis of neuroendocrine tumour of cervix was considered. Immunohistochemistry for cytokeratin, neuron specific enolase, chromogranin and synaptophysin was positive, confirming the final diagnosis of neuroendocrine carcinoma cervix (High grade of small cell type. Recognition of Neuroendocrine carcinoma cervix is important for appropriate therapy and management since these patients have worse clinical outcomes when compared with conventional squamous /adeno carcinoma of cervix. Immunohistochemistry should be supplemented with ultrastructural studies for confirmation and correct categorisation of carcinoma cervix for appropriate management. [Int J Res Med Sci 2014; 2(4.000: 1702-1705

  6. Pyometra in an inguinal hernia in a bitch.

    Science.gov (United States)

    Gogny, A; Bruyas, J-F; Fiéni, F

    2010-12-01

    Pyometra in an inguinal hernia was diagnosed in a 10-year-old intact cross-bred bitch which had had dysorexia, depression and inguinal distension. The hernia contained caudal portions of the two uterine horns, uterine cervix and cranial part of the vagina. As the organs were enlarged and full of pus, manual attempt to push back the uterine horns and the vagina in the abdominal cavity through the inguinal canal was unsuccessful. Herniated uterine horns were ligated and cut in their median portion, so it became possible to remove the cervix and the caudal portion of the horns through the hernial orifice, and the ovaries and the cranial part of the horns through a peritoneal midline incision. This bitch was not intended for breeding purposes and, given the presence of a huge pyometra associated with an inguinal hernia, an ovario-hysterectomy was recommended. Uterine herniation should be considered as a differential diagnosis of a caudal lateral inguinal mass. When pushing the uterus back in the abdominal cavity is impossible, a surgical procedure should be performed to detect ischemia–reperfusion injury and/or a septic risk. PMID:20088851

  7. El estado del arte en las infecciones producidas por el virus del papiloma humano / State-of-the-art of infections produced by human papillomavirus

    Scientific Electronic Library Online (English)

    Julio César, Reina; Nubia, Muñoz; Gloria Inés, Sánchez.

    2008-06-01

    Full Text Available La infección anogenital por el virus del papiloma humano (VPH) es la infección de transmisión sexual mas frecuente en todo el mundo. En los humanos se han identificado alrededor de 100 genotipos de los cuales unos 40 infectan la región ano-genital. Los 15 genotipos de alto riesgo, son causa necesari [...] a del cáncer cervical y han sido implicados como agentes carcinogénicos de la vulva, vagina, pene, ano y región orofaríngea. Los VPH de bajo riesgo producen las verrugas genitales (condilomas) y la papilomatosis respiratoria recurrente en hombres y mujeres. Se calcula que unas 300 millones de mujeres en el mundo portan la infección por VPH. El advenimiento de las vacunas profilácticas contra el VPH representa una estrategia prometedora en la prevención de las enfermedades relacionadas con este virus. Abstract in english Anogenital human papillomavirus infection is the most frequent sexually transmitted disease. Around one hundred genotypes have been identified in humans, and 40 infect the genitalia and anal regions. Fifteen genotypes, classified as high-risk HPVs, are the necessary cause of cervical cancer and have [...] been involved as carcinogenic agents for cancer of the vulva, vagina, anus, penis, and oropharyngeal cavity. Low-risk HPVs are the causative agents of genital warts, and recurrent respiratory papillomatosis in both men and women. The number of women harboring HPV-DNA worldwide is estimated to be 300 million. The recently introduced prophylactic HPV vaccines represent a hopeful strategy to prevent HPV infection and HPV-related diseases.

  8. Radionuclide hysterosalpingography in patients with sterility

    Energy Technology Data Exchange (ETDEWEB)

    Tada, Akira; Tatsuno, Ikuro; Takanaka, Tsuyoshi; Matsuyama, Tsuyoshi; Kawahara, Ryoichi; Kashiwagi, Shuichi; Nishi, Katsuki

    1988-09-01

    Radionuclide hysterosalpingography (RNHSG) was performed to evaluate patency of the fallopian tube in the 16 sterility patients. First, in 3 out of 16 cases, technetium-99m macro-aggregated albumin (MAA) was deposited on the posterior formices of vagina, as described by Iturralde and Venter. But all of the 3 cases did not demonstrate spontaneous migration of Tc-MAA from the vagina to the uterus and the ovaries. Therefore in the other 13 cases Tc-99m-MAA particles were applied directory onto the internal cervical mucosa through the cervical canal using a syringe with a blunt needle. This method was compared with contrast histerosalpingography (CHSG). In the evaluation of 26 tubes we found that the accuracy of RNHSG for evaluation of the fallopian tube patency was over 92 %. RNHSG could demonstrate functional fallopian tube obstruction in an immobile but anatomically patent tube. RNHSG is paticulary an attractive method for the evaluation of functional and mechanical tube obstruction in sterility patients.

  9. Radionuclide hysterosalpingography in patients with sterility

    International Nuclear Information System (INIS)

    Radionuclide hysterosalpingography (RNHSG) was performed to evaluate patency of the fallopian tube in the 16 sterility patients. First, in 3 out of 16 cases, technetium-99m macro-aggregated albumin (MAA) was deposited on the posterior formices of vagina, as described by Iturralde and Venter. But all of the 3 cases did not demonstrate spontaneous migration of Tc-MAA from the vagina to the uterus and the ovaries. Therefore in the other 13 cases Tc-99m-MAA particles were applied directory onto the internal cervical mucosa through the cervical canal using a syringe with a blunt needle. This method was compared with contrast histerosalpingography (CHSG). In the evaluation of 26 tubes we found that the accuracy of RNHSG for evaluation of the fallopian tube patency was over 92 %. RNHSG could demonstrate functional fallopian tube obstruction in an immobile but anatomically patent tube. RNHSG is paticulary an attractive method for the evaluation of functional and mechanical tube obstruction in sterility patients. (author)

  10. Hysterosalpingo-radionuclide scintigraphy (HERS)

    Energy Technology Data Exchange (ETDEWEB)

    Iturralde, M.; Venter, P.F.

    1981-10-01

    A radionuclide procedure, hysterosalpingo-radionuclide scintigraphy (HERS), was designed to evaluate the migration of a particulate radioactive tracer from the vagina to the peritoneal cavity and ovaries as well as to image and functionally outline the patency of the pathways between these two extremes of the female reproductive system. Technetium-99m human albumin microspheres (99mTc-HAM) were deposited in the posterior fornices of patients who were divided into two specific groups. Group I consisted of patients who were to undergo different elective gynecologic operations, in which besides obtaining sequential images, radioactivity levels were measured in the removed organs and tissues. Group II consisted of patients referred by the Infertility Clinic for evaluation of their reproductive system pathways patency. In this latter group, HERS was compared with contrast hysterosalpingography (HSG) and peritoneoscopy (PCP). The results obtained from measurements of radioactivity levels on the removed surgical specimens and comparison with other conventional gynecologic diagnostic procedures provide accurate evidence of the migration of 99mTc-HAM from the vagina, through the uterus and tubes, to the peritoneal cavity and ovaries, and show that HERS is a simple noninvasive method for functionally imaging and assessing the patency of the female reproductive system pathways.

  11. Herpesvirus entry mediator and nectin-1 mediate herpes simplex virus 1 infection of the murine cornea.

    Science.gov (United States)

    Karaba, Andrew H; Kopp, Sarah J; Longnecker, Richard

    2011-10-01

    Herpes simplex virus 1 (HSV-1) is a ubiquitous human pathogen that enters cells by the receptor-mediated fusion of the viral envelope with a host cell membrane. The envelope glycoprotein gD of HSV must bind to one of its receptors for entry to take place. Recent studies using knockout (KO) mice demonstrated that the gD receptors herpesvirus entry mediator (HVEM) and nectin-1 are the primary entry receptors for HSV-2 in the mouse vagina and brain. Nectin-1 was most crucial for the neuronal spread of HSV-2, particularly in the brain. HVEM was dispensable for infection in these models, but when both HVEM and nectin-1 were absent, infection was completely prevented. We sought to determine the receptor requirements of HSV-1 in an ocular model of infection using knockout mice. Wild-type, HVEM KO, nectin-1 KO, and HVEM/nectin-1 double-KO mice were infected via corneal scarification and monitored for clinical signs of infection and viral replication in various tissues. We report that either HVEM or nectin-1 must be present for HSV-1 infection of the cornea. Additionally, we observed that the infection was attenuated in both HVEM KO and nectin-1 KO mice. This is in contrast to what was reported for studies of HSV-2 in vagina and brain and suggests that receptor requirements for HSV vary depending on the route of inoculation and/or serotype. PMID:21795335

  12. [Methicillin resistance, production of toxic shock syndrome toxin-1 and types of enterotoxin, protease and coagulase at vaginal isolates of Staphylococcus aureus].

    Science.gov (United States)

    Arai, K; Mitsuta, T; Fujita, S; Yokota, S

    1993-10-01

    The vaginal colonization with Staphylococcus aureus, including strains that have methicillin resistance and production of toxic shock syndrome toxin-1 (TSST-1), enterotoxins and protease was studied in 308 women at the time of delivery. Thirty-six of these women were colonized with S. aureus in the vagina. All of the isolates were methicillin sensitive S. aureus (MSSA), except one women who had both methicillin resistant S. aureus (MRSA) and MSSA. The strains, included MRSA, did not elaborate the TSST-1 and produced protease. The distribution of protease pattern (types) observed by MSSA strains on standard methods caseinate agar plates was type A, 1 strain; type B, 15 strains; type C, 6 strains; type D, 14 strains. Sixteen of the 36 strains produced non of the enterotoxins and 20 strains produced enterotoxins and the type distribution was enterotoxin type A, 6 strains; type B, 10 strains; type C, 1 strain; A and B, 1 strain; A, B and C, 2 strains. These results provide the possibility of pathogenic S. aureus colonized in vagina transmit to neonates at the time of delivery. PMID:8254212

  13. Scientific Electronic Library Online (English)

    Ellen K., Silbergeld; Jodi A., Flaws; Ken M., Brown.

    2002-04-01

    Full Text Available SciELO Public Health and Brazil | Language: English Abstract in portuguese A desregulação endócrina é uma hipótese de um modo de ação comum capaz de definir um conjunto de substâncias químicas estruturalmente variadas, tanto naturais quanto sintéticas. O modo de ação comum pode sugerir que produzam ou contribuam para efeitos tóxicos semelhantes, embora tal hipótese tenha s [...] ido difícil de demonstrar. Evidências provenientes da biologia do desenvolvimento sugerem que o desenvolvimento de sistemas sensíveis aos hormônios, tais como o cérebro e o trato genito-urinário, podem ser particularmente sensíveis aos desreguladores endócrinos. Uma vez que tais sistemas são organizados, e depois ativados, por hormônios, o cérebro e a vagina podem representar modelos importantes para estudar a toxicidade dos desreguladores endócrinos e para elucidar os mecanismos pelos quais parecem afetar a função a longo prazo. Abstract in english Endocrine disruption is a hypothesis of common mode of action that may define a set of structurally varied chemicals, both natural and synthetic. Their common mode of action may suggest that they produce or contribute to similar toxic effects, although this has been difficult to demonstrate. Insight [...] s from developmental biology suggest that development of hormone sensitive systems, such as the brain and the genitourinary tract, may be particularly sensitive to EDCs. Because these systems are both organized and later activated by hormones, the brain and vagina may be valuable model systems to study the toxicity of EDCs in females and to elucidate mechanisms whereby early exposures appear to affect long term function.

  14. Organizational and activational effects of estrogenic endocrine disrupting chemicals Efeitos de organização e ativação dos desreguladores estrogênicos

    Directory of Open Access Journals (Sweden)

    Ellen K. Silbergeld

    2002-04-01

    Full Text Available Endocrine disruption is a hypothesis of common mode of action that may define a set of structurally varied chemicals, both natural and synthetic. Their common mode of action may suggest that they produce or contribute to similar toxic effects, although this has been difficult to demonstrate. Insights from developmental biology suggest that development of hormone sensitive systems, such as the brain and the genitourinary tract, may be particularly sensitive to EDCs. Because these systems are both organized and later activated by hormones, the brain and vagina may be valuable model systems to study the toxicity of EDCs in females and to elucidate mechanisms whereby early exposures appear to affect long term function.A desregulação endócrina é uma hipótese de um modo de ação comum capaz de definir um conjunto de substâncias químicas estruturalmente variadas, tanto naturais quanto sintéticas. O modo de ação comum pode sugerir que produzam ou contribuam para efeitos tóxicos semelhantes, embora tal hipótese tenha sido difícil de demonstrar. Evidências provenientes da biologia do desenvolvimento sugerem que o desenvolvimento de sistemas sensíveis aos hormônios, tais como o cérebro e o trato genito-urinário, podem ser particularmente sensíveis aos desreguladores endócrinos. Uma vez que tais sistemas são organizados, e depois ativados, por hormônios, o cérebro e a vagina podem representar modelos importantes para estudar a toxicidade dos desreguladores endócrinos e para elucidar os mecanismos pelos quais parecem afetar a função a longo prazo.

  15. Vaginoplastia: modificación de la técnica de McIndoe usando esponja de gel hemostático / Vaginoplasty: modification to McIndoe techique using hemostatic gel sponge

    Scientific Electronic Library Online (English)

    N., Antoniadis; G., Charles; I., Mejías; R., Pabón.

    2011-03-01

    Full Text Available SciELO Spain | Language: Spanish Abstract in spanish Presentamos el caso de una paciente de 23 años de edad, que consulta por amenorrea primaria. En el examen físico encontramos: fenotipo femenino, genitales externos normales y genitales internos con ausencia de vagina. Los exámenes complementarios, ultrasonido y tomografía abdomino-pélvica, demostrar [...] on útero aplásico. El perfil hormonal (FSH, LH, estradiol, progesterona, testosterona y prolactina) fue normal y el cariotipo, 46 XX. Se diagnosticó clínicamente como Síndrome de Mayer-Rokitansky-Küster-Hauser. Realizamos vaginoplastia utilizando técnica descrita por McIndoe modificada, empleando esponja de gel hemostático para la fijación de los injertos. Abstract in english We report a case of a 23 years old female patient with primary amenorrhea. Physical exam: phenotipically female, normal external genitalia, show internal genitalia without evidence of vagina. Complimentary exams, abdominopelvic ultrasound and tomography: aplasic uterus. FSH, LH, estradiol, progester [...] one, testosterone, prolactin, all normal. Cariotype: 46XX. She is clinically diagnosed as a Mayer-Rokitansky-Küster-Hauser syndrome. Vaginoplasty was performed by modifications of McIndoe´s technique, using hemostatic gel sponges for grafts integration.

  16. Vaginoplastia: modificación de la técnica de McIndoe usando esponja de gel hemostático Vaginoplasty: modification to McIndoe techique using hemostatic gel sponge

    Directory of Open Access Journals (Sweden)

    N. Antoniadis

    2011-03-01

    Full Text Available Presentamos el caso de una paciente de 23 años de edad, que consulta por amenorrea primaria. En el examen físico encontramos: fenotipo femenino, genitales externos normales y genitales internos con ausencia de vagina. Los exámenes complementarios, ultrasonido y tomografía abdomino-pélvica, demostraron útero aplásico. El perfil hormonal (FSH, LH, estradiol, progesterona, testosterona y prolactina fue normal y el cariotipo, 46 XX. Se diagnosticó clínicamente como Síndrome de Mayer-Rokitansky-Küster-Hauser. Realizamos vaginoplastia utilizando técnica descrita por McIndoe modificada, empleando esponja de gel hemostático para la fijación de los injertos.We report a case of a 23 years old female patient with primary amenorrhea. Physical exam: phenotipically female, normal external genitalia, show internal genitalia without evidence of vagina. Complimentary exams, abdominopelvic ultrasound and tomography: aplasic uterus. FSH, LH, estradiol, progesterone, testosterone, prolactin, all normal. Cariotype: 46XX. She is clinically diagnosed as a Mayer-Rokitansky-Küster-Hauser syndrome. Vaginoplasty was performed by modifications of McIndoe´s technique, using hemostatic gel sponges for grafts integration.

  17. Syed-Neblett interstitial template in locally advanced gynecological malignancies

    Energy Technology Data Exchange (ETDEWEB)

    Ampuero, F.; Doss, L.L.; Khan, M.; Skipper, B.; Hilgers, R.D.

    1983-12-01

    Twenty-eight patients with locally advanced malignancies of the cervix and vagina were treated with a combination of external radiation therapy and after loading Syed-Neblett iridium template. There were 22 patients with squamous cell cancer and two patients with adenocarcinomas of the cervix. Four patients with squamous cell cancer of the vagina were treated with this method. Only patients with locally advanced disease (cervical lesion >4 cm in diameter) and poor vagnal anatomy were selected for this modality of therapy. In this series the incidence of distant failures of 39% seems to confirm the significance of local volume of disease as a prognostic indicator; despite a local control rate of 59%, only 33% of the patients are alive from 25-51 months. Complications occurred in 12 patients (42%). Six patients (22%) developed severe rectal stricture or rectovaginal fistula necessitating diverting sigmoid colostomy; five patients (18%) developed hemorrhagic proctitis with diarrhea and tenesmus; one patient developed vaginal vault necrosis. Complications occurred 7 to 24 months following therapy. Six of the 12 patients developing complications are dead of disease. On the basis of this study and because of the low cure rate and high incidence of complications, the value of the Syed-Neblett template in locally advanced gynecologic malignancies should be reconsidered.

  18. Amputação abdômino-perineal mais colostomia para-vaginal no tratamento do câncer reto-anal / Abdomino-perineal amputation plus para-vaginal colostomy in the treatment of reto-anal cancer

    Scientific Electronic Library Online (English)

    Alcino, Lázaro da Silva.

    2009-12-01

    Full Text Available SciELO Brazil | Language: Portuguese Abstract in portuguese O apresenta uma proposta e as tentativas iniciais para evitar a colostomia abdominal quando esta tem que ser definitiva. Na mulher foi possível a sua execução, desde que se aproveitou o tono da musculatura esfincteral vulvovaginal quando ela pode ser preservada na amputação de reto-ânus. O colo, pre [...] parado com as válvulas, desce posteriormente à vagina, por dentro do conjunto esfincteral vulvovaginal. As observações iniciais mostram que esta tentativa poderia ser incrementada para melhores estudos de continência. Abstract in english The Author presents a proposal and lhe initial attempties to avoid the abdominal colostomy when it has to be definitive. In the woman was possible its execution, since it took advantage from the vulvovaginal esfincteral muscle nohen it can be preserved ot the anus-rectum amputation. The colon, prepa [...] red wit the valves, descend posteriorily from the vagina, inside the vulvo-vaginal esfincteral group. The initial observations shows that this attempt could be better developed for cotinency etudies.

  19. Primer hallazgo de Spirometra mansoni en Felis domesticus de Costa Rica / FIRST REPORT OF Spirometra mansoni IN Felis domesticus FROM COSTA RICA

    Scientific Electronic Library Online (English)

    IDALIA, VALERIO; BEATRÍZ, RODRÍGUEZ; MISAEL, CHINCHILLA.

    2004-07-01

    Full Text Available Se describe un céstodo encontrado en el intestino delgado de gatos provenientes de dos zonas diferentes de Costa Rica (Liberia-Guanacaste y Atenas-Alajuela). De acuerdo con un análisis comparativo morfológico se concluye que los ejemplares hallados corresponden a parásitos del género Spirometra ya q [...] ue presentan el útero espiralado y huevecillos con los extremos puntiagudos, a diferencia del útero en roseta y huevecillos con extremos redondeados que se encuentran en el género Diphyllobothrium. Dado que presentan un número variable de vueltas en la parte anterior del útero y la vagina es ondulada se clasifican como Spirometra mansoni, siendo éste el primer reporte de este parásito en el país. Se hace una corta revisión de la importancia de este parasito para el ser humano. Abstract in english A tapeworm found in the small intestine of cats from two different zones of Costa Rica (Liberia-Guanacaste and Atenas-Alajuela), is described. According to a morphologic comparative analysis, the parasite is classified as Spirometra genus, since the uterus is coiled and the eggs have pointed ends, w [...] hile in Diphyllobothrium the uterus has a rose shape and the eggs present rounded ends. The presence in the anterior part of the uterus of a variable number of coils and the undulating vagina, let us to assign the name Spirometra mansoni to this organism, which represents the first report of this parasite in Costa Rica. The importance of this parasites in the human point of view is discussed

  20. Preoperative radiotherapy followed by radical vulvectomy with inguinal lymphadenectomy for advanced vulvar carcinomas

    Energy Technology Data Exchange (ETDEWEB)

    Rotmensch, J.; Rubin, S.J.; Sutton, H.G.; Javaheri, G.; Halpern, H.J.; Schwartz, J.L.; Stewart, M.; Weichselbaum, R.R.; Herbst, A.L. (Univ. of Chicago, IL (USA))

    1990-02-01

    A therapeutic alternative to exenteration for large locally advanced vulvar carcinoma involving the rectum, anus, or vagina is the use of preoperative radiation followed by radical surgery. Between 1980 and 1988, 13 patients with Stage III and 3 with Stage IV vulvar carcinoma involving the rectum/anus, urethra, or vagina were treated with 4000 rad to the vulva and 4500 rad to the inguinal and pelvic nodes followed by a radical vulvectomy and inguinal lymphadenectomy 4 weeks later. The overall 5 year cumulative survival was 45%. Twelve tumors regressed after radiation with 62.5% of the patients having visceral preservation while in 4 patients there was no major response to radiation and urinary or fecal diversion was required. Of the 6 recurrences 4 were central and 2 distant. Three patients with central recurrences had tumor within 1 cm of the vulvectomy margin. Complications included wet desquamation, inguinal wound separation, lymphedema, and urethral strictures. There were no operative deaths. It is concluded that the use of preoperative radiation followed by radical vulvectomy may be an alternative to pelvic exenteration in selected patients with advanced vulvar lesions.