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Sample records for Vagina

  1. Vagina

    Science.gov (United States)

    The vagina is the female body part that connects the womb (uterus) and cervix to the outside of the ... The vagina is a muscular tube lined with mucous membranes. Its opening is between the urethra (where urine leaves ...

  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. 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)

  4. The vagina : morphological, functional and ecological aspects

    OpenAIRE

    Sjöberg, Inga

    1991-01-01

    The vagina is one organ of the body which has not been studied exhaustively. Moreover, most of the studies found in the contemporary literature have been performed on women affected by a variety of genital diseases. In the present study the vaginal epithelium was examined with a histological method, morphometry, whereby cyclical changes related to hormonal variation during the menstrual cycle were demonstrated. Determination of the quantity of estrogen receptors in the vaginal epithelium on t...

  5. 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)

  6. Primary Small Cell Carcinoma of the Vagina

    Directory of Open Access Journals (Sweden)

    Rafael Oliveira

    2013-01-01

    Full Text Available The primary small cell carcinoma of the vagina is rare, and it is a highly aggressive malignancy with no consensus regarding the treatment of this tumor. The survival rate for patients treated in the early stages is around two years. We related the case report of a patient of 41 years with a vegetative and necrotic lesion in left vaginal wall, in middle and upper third, and involvement of parametrium in its proximal third and medium third. A biopsy showed a small cell undifferentiated carcinoma composed of epithelial cells with round nuclei, oval or elongated, hyperchromatic nuclei, with little distinct nucleoli, and scarce cytoplasm. Immunohistochemistry showed positivity for AE1/AE3, CD57, and chromogranin A. The patient received 6 cycles of chemotherapy with cisplatin and etoposide and radiotherapy, achieving complete response, with complete regression of the lesion. The patient had no sign of tumor recurrence and locoregional or distant metastases after 5 months of followup.

  7. Primary malignant melanoma of cervix and vagina

    Science.gov (United States)

    Lee, Jae Hoon; Yun, Jisun; Seo, Jung-Won; Bae, Go-Eun; Lee, Jeong-Won

    2016-01-01

    Primary malignant melanoma (MM) accounts for 1% of all cancers, and only 3% to 7% of these tumors occur in the female genital tract. Data are limited with respect to the basis for treatment recommendations because of the rarity of MM. The overall prognosis of melanomas of the female genital tract is very poor. Two cases of MM of the female genital tract are presented. The first case is of a 70-year-old female patient who complained of left thigh pain and underwent magnetic resonance imaging that showed cervical cancer with involvement of the vagina, bladder, and parametrium, in addition to multiple bony metastases of the proximal femur, acetabulum, and both iliac bones. The second case is of a 35-year-old female patient who suffered from vaginal bleeding for 5 months, and she was diagnosed as having primary vaginal melanoma. The patient underwent radical surgery and two additional surgeries because of recurrence of cancer in both inguinal areas. After surgery, the patient received adjuvant immunotherapy, radiation therapy, and chemotherapy. In both the aforementioned cases, the pathologic diagnosis was made after immunohistochemical analysis, i.e., the tumor cells were stained with HMB-45 and S100, and were found to be positive for both immunostains. PMID:27668208

  8. Rare case of primary mucinous adenocarcinoma of vagina

    Directory of Open Access Journals (Sweden)

    Bharati Dhorepatil

    2013-01-01

    Full Text Available Here we present a rare case of primary mucinous adenocarcinoma of vagina treated successfully with wide local excision and post-operative radiotherapy. There was no recurrence even after four years.

  9. Vagina vasorum dissection during D2 lymphadenectomy for gastric carcinoma

    Institute of Scientific and Technical Information of China (English)

    Jian-Jun Peng; Yu-Long He; Wen-Hua Zhan; Ping Xiao; Shi-Rong Cai; Chang-Hua Zhang; Hui Wu

    2007-01-01

    AIM:To explore the relationship between metastasis and vagina vasorum in the progress of gastric carcinoma and to find some facts and references for gastric surgeons.METHODS:One hundred and seven specimens of left or right gastric arteries (55 left and 52 right) were gathered from 59 patients undergoing radical gastrectomy for gastric carcinoma. All the frozen specimens were cut into 3 μm-thick sections and stained with hematoxylin-eosin (HE) and immunohistochemical method separately. Cytokeratin (CK) and mesothelial cells (MC) were stained with immunohistochemical method. Cancer cells inside vagina vasorum were detected and* the structure of artery wall was observed under microscope.RESULTS:Metastatic cancer cells or tubercles were found inside vagina vasorum in some stage Ⅲ or Ⅳ specimens,but not in stage Ⅰ or Ⅱ specimens. Tumor cells in vagina vasorum were CK positive in 26 specimens of 14 tumors. Among them,stage in was found in 4 specimens of 2 tumors,and stage Ⅳ in 22 specimens of 12 tumors. None of these specimens was positive for MC. The positive rate of CK increased with TNM staging. Compared with the lower part,tumors in the upper and middle parts of stomach were more,likely to metastasize into vagina vasorum.CONCLUSION:Vagina vasorum dissection should be performed during D2 lymphadenectomy for TNM stage Ⅲ or Ⅳ gastric carcinoma.

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

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Ji Young; Kim, Do Kang; Lee, Eun Hee [College of Medicine, Catholic Univ., Seoul (Korea, Republic of); Kim, Jun Sang [College of Medicine, Chungnam National Univ., Daejeon (Korea, Republic of)

    2003-09-01

    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.

  11. A case of small cell carcinoma of the vagina

    Directory of Open Access Journals (Sweden)

    Ryosuke Tamura

    2013-12-01

    Full Text Available Primary small cell carcinoma of the vagina is quite rare, and a standard treatment has not been established yet. Herein, we report a case of an 81-year-old woman who was diagnosed with a vaginal tumor without continuity with the uterine cervix. Histopathological diagnosis indicated alveolar solid growth of nuclear chromatin-rich atypical cells with a high N/C ratio and a partially recognized rosette-like structure, suggesting a differentiated neuroendocrine system. Chromogranin A and synapto- physin were positive. Stage I vaginal small cell carcinoma localized to the vagina was diagnosed. The tumor disappeared by radiation monotherapy with external beam irradiation and endocavitary irradiation. The patient remains alive without any disease 1 year and 8 months after the treatment, suggesting the efficacy of radiotherapy in small cell carcinoma of the vagina.

  12. ULTRASONOGRAPHIC EVALUATION OF PREGNANCY WITH BLEEDING PER VAGINA

    Directory of Open Access Journals (Sweden)

    Amit C

    2014-12-01

    Full Text Available This study of 150 patients presenting with bleeding per vagina in first, second & third trimester was conducted to evaluate the cause of bleeding, access the severity of condition, to predict the later coarse of pregnancy & to evaluate the role of ultrasonography in management. This study was conducted in department of Radiology at Basaweshwar Teaching & General hospital, Government general hospital & Sangameshwer teaching & General hospital. This study concludes that, Ultrasonography should be the first line of investigation in all the cases of bleeding per vagina in pregnancy

  13. CONGENITAL ABSENCE OF THE VAGINA - RESULTS OF CONSERVATIVE TREATMENT

    NARCIS (Netherlands)

    LAPPOHN, RE

    1995-01-01

    Objective: To assess the efficacy of a combination of Frank's mold therapy with intercourse as a treatment for congenital vaginal aplasia. Study design: From 1973-1993, thirty-three patients with congenital aplasia of vagina and uterus were seen by one gynecologist. Patients with a partner were inst

  14. Over het ontstaan van het zure milieu in de vagina

    NARCIS (Netherlands)

    J.C. Hage

    1978-01-01

    textabstractDe bekleding van de vagina bestaat uit p!aveiselepitheel, dat opgebouwd is uit een basale, intermediaire en superficiële laag; de laatste bevat het meeste glycogeen (Rakoff e.a. 1944, Matter 1955, Gregoire e.a. 1971 ). De fluor vaginalis bevat glycogeen door exfoliatie van de oppervlakki

  15. SPINDLE CELL SARCOMA OF VAGINA- A CASE REPORT

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    Sankareswari

    2013-04-01

    Full Text Available ABSTRACT : Malignant tumors of vagina are rare accounting for 1 to 4 % of all genital malignancies. Rarest of rare is spindle cell sarcoma of vagina having a very poor prognosis. 47yrs old, regularly menstruating woman, completed f amily, presented with hard painful ulcerated swelling near the vaginal introitus and l ower vaginal wall of 4 months duration. On examination, 2x4cms sized ulcerated growth with exc avated base, covered with necrotic material, present in the left antero-lateral lower e nd of vagina, inner to hymenal ring which was tender, hard, indurated, infiltrating, fixed to bas e and did not bleed to touch. Another nodule of size 1x1cm tender, hard, fixed and necrotic was pres ent below the external urethral meatus. HPE revealed Amelanotic malignant melanoma of vagin a. Immunohistochemistry revealed Spindle cell sarcoma of vagina. Tumor board recommen ded neo-adjuvant chemotherapy and radiotherapy (CT + EBRT. Of the recommended 50Gy, s he completed 46Gy in 23days and 1 course of chemotherapy (VAC. On review after 9 mont hs, the lesion disappeared clinically and she was advised to complete the treatment. Inspite o f radio and chemotherapy secondaries to lungs and brain could not be prevented and the patien t expired 20 months after the final diagnosis

  16. 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.

  17. Nanoparticle transport from mouse vagina to adjacent lymph nodes.

    Directory of Open Access Journals (Sweden)

    Byron Ballou

    Full Text Available To test the feasibility of localized intravaginal therapy directed to neighboring lymph nodes, the transport of quantum dots across the vaginal wall was investigated. Quantum dots instilled into the mouse vagina were transported across the vaginal mucosa into draining lymph nodes, but not into distant nodes. Most of the particles were transported to the lumbar nodes; far fewer were transported to the inguinal nodes. A low level of transport was evident at 4 hr after intravaginal instillation, and transport peaked at about 36 hr after instillation. Transport was greatly enhanced by prior vaginal instillation of Nonoxynol-9. Hundreds of micrograms of nanoparticles/kg tissue (ppb were found in the lumbar lymph nodes at 36 hr post-instillation. Our results imply that targeted transport of microbicides or immunogens from the vagina to local lymph organs is feasible. They also offer an in vivo model for assessing the toxicity of compounds intended for intravaginal use.

  18. Nanoparticle transport from mouse vagina to adjacent lymph nodes.

    Science.gov (United States)

    Ballou, Byron; Andreko, Susan K; Osuna-Highley, Elvira; McRaven, Michael; Catalone, Tina; Bruchez, Marcel P; Hope, Thomas J; Labib, Mohamed E

    2012-01-01

    To test the feasibility of localized intravaginal therapy directed to neighboring lymph nodes, the transport of quantum dots across the vaginal wall was investigated. Quantum dots instilled into the mouse vagina were transported across the vaginal mucosa into draining lymph nodes, but not into distant nodes. Most of the particles were transported to the lumbar nodes; far fewer were transported to the inguinal nodes. A low level of transport was evident at 4 hr after intravaginal instillation, and transport peaked at about 36 hr after instillation. Transport was greatly enhanced by prior vaginal instillation of Nonoxynol-9. Hundreds of micrograms of nanoparticles/kg tissue (ppb) were found in the lumbar lymph nodes at 36 hr post-instillation. Our results imply that targeted transport of microbicides or immunogens from the vagina to local lymph organs is feasible. They also offer an in vivo model for assessing the toxicity of compounds intended for intravaginal use. PMID:23284844

  19. 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

  20. Nanoparticle Transport from Mouse Vagina to Adjacent Lymph Nodes

    OpenAIRE

    Byron Ballou; Andreko, Susan K.; Elvira Osuna-Highley; Michael McRaven; Tina Catalone; Bruchez, Marcel P.; Hope, Thomas J.; Labib, Mohamed E.

    2012-01-01

    To test the feasibility of localized intravaginal therapy directed to neighboring lymph nodes, the transport of quantum dots across the vaginal wall was investigated. Quantum dots instilled into the mouse vagina were transported across the vaginal mucosa into draining lymph nodes, but not into distant nodes. Most of the particles were transported to the lumbar nodes; far fewer were transported to the inguinal nodes. A low level of transport was evident at 4 hr after intravaginal instillation,...

  1. KANDIDIASIS VAGINA YANG MENDAPAT TERAPI SISTEMIK DAN TOPIKAL: SEBUAH LAPORAN KASUS

    Directory of Open Access Journals (Sweden)

    Dewa Made Rendy Sanjaya

    2014-08-01

    Full Text Available Kandidiasis vulvovaginitis ialah penyakit jamur candida yang mengenai mukosa vagina danvulva.Penyebabnya yang tersering biasanya adalah candida albicans.Gejala klinis KandidiasisVulvovaginitis ialah gatal didaerah vulva, dan pada yang berat terdapat rasa panas,dispaneuria.lesi eritema, hiperemis dilabia mayora, dan vagina 1/3 bawah. Dilaporkan satu  kasusseorang wanita. berumur 26 tahun dengan keluhan keputihan pada daerah vagina sertamengalami kegatalan dan rasa nyeri terjadi sejak 2 minggu yang lalu. Pada gambaran klinis tampak dinding vagina eritema, erosi dengan secret putih kental. Pada pengecatan gram darisecret mukosa vagina didapatkan leukosit blastopsora dan pseudohifa. Pemerikaan KOH 10%dari sekret vagina didapatkan blastopore dan pesudohifa.Penanganan yang diberikan adalah obatsistemik dengan flukonazol 1x150 mg dosis tunggal dan topical diberikan ketokenazol cream.Prognosis kasus tersebut adalah baik..

  2. Pelvic Myxoid Leiomyoma Mass between Vagina and Rectum.

    Science.gov (United States)

    AlShalabi, Omar; Alahmar, Fadi Obaied; Aljasem, Hazem; Alsaid, Bayan; AlShalabi, Abdulghani

    2016-01-01

    Leiomyomas are the most common pelvic tumors in women. About 20-30% of women older than 35 are affected. Rare conditions of leiomyomas have extrauterine locations. Myxoid degeneration is a rare type of leiomyoma degeneration. We report a case of solid-cystic myxoid leiomyoma in a 53-year-old woman complained of constipation, urinary hesitation, and malodorous vaginal discharge with palpable 17 × 12 cm mass between vagina and rectum. Regarding the inferior location of the mass, a perineal approach was used to enucleate it. This rare location has not been mentioned before. The woman was finally diagnosed by pathologists which was myxoid leiomyoma. PMID:27429825

  3. Management of radiation injuries of vulva and vagina

    Energy Technology Data Exchange (ETDEWEB)

    Fraunholz, I.B.; Schopohl, B.; Boettcher, H.D. [Klinik fuer Strahlentherapie und Onkologie, Johann-Wolfgang-Goethe-Universitaet Frankfurt am Main (Germany)

    1998-11-01

    Background: Acute and late injuries of vulva and vagina are frequent and potentially serious complications in radiotherapy of gynecologic tumors. They still are reported poorly in literature. Methods: Based on a literature search a survey will be given of the modalities, which are used or recommended for prophylaxis or treatment of these radiation injuries. The principles of the different measures will be discussed with available study results. Results: Hygiene measures and the topical application of antimicrobial or granulation stimulating substances, which is mostly based on long standing clinical experience, are the principles of the treatment of acute reactions of vulva and vagina. The topical use of estrogen, which promotes proliferation of epithelium, is generally described in connection with treatment and prophylaxis of late radiation injuries. As a prophylaxis for the late reaction of vaginal stenosis, vaginal dilatation is recommended in literature. Conclusion: With the exception of a few reports on estrogen, there are no data about the effectiveness of the currently used medical substances. The local application of estrogen as prophylaxis of the acute reactions will therefore be examined in a prospective study. (orig.) [Deutsch] Hintergrund: Akute und spaete Reaktionen an Vulva und Vagina sind haeufige und zum Teil schwerwiegende Nebenwirkungen der Strahlentherapie von gynaekologischen Tumoren, auf die in der Literatur kaum eingegangen wird. Methoden: Basierend auf einer umfangreichen Literaturrecherche, werden die Massnahmen, die zur Prophylaxe oder Therapie dieser Strahlenreaktionen zur Verfuegung stehen, systematisch zusammengestellt und, soweit verfuegbar, mit Ergebnissen aus Studien diskutiert. Ergebnisse: Hygienemassnahmen und die auf klinischen Erfahrungswerten basierende lokale Anwendung einer Vielzahl von mehr oder weniger antimikrobiell wirkenden oder granulationsfoerdernden Substanzen lassen sich als Grundprinzipien der Behandlung von akuten

  4. Management of radiation injuries of vulva and vagina

    International Nuclear Information System (INIS)

    Background: Acute and late injuries of vulva and vagina are frequent and potentially serious complications in radiotherapy of gynecologic tumors. They still are reported poorly in literature. Methods: Based on a literature search a survey will be given of the modalities, which are used or recommended for prophylaxis or treatment of these radiation injuries. The principles of the different measures will be discussed with available study results. Results: Hygiene measures and the topical application of antimicrobial or granulation stimulating substances, which is mostly based on long standing clinical experience, are the principles of the treatment of acute reactions of vulva and vagina. The topical use of estrogen, which promotes proliferation of epithelium, is generally described in connection with treatment and prophylaxis of late radiation injuries. As a prophylaxis for the late reaction of vaginal stenosis, vaginal dilatation is recommended in literature. Conclusion: With the exception of a few reports on estrogen, there are no data about the effectiveness of the currently used medical substances. The local application of estrogen as prophylaxis of the acute reactions will therefore be examined in a prospective study. (orig.)

  5. Malignant melanoma of the vagina: a report of 2 cases

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ok Bae; Kim, Jin Hee; Jung, Young Yeon; Cho, Chi Heum; Choi, Tae Jin [Dongsan Medical Center, School of Medicine, Keimyung University, Daegu (Korea, Republic of)

    2005-06-15

    Primary malignant melanoma of the vagina is an extremely rare genital neoplasm occurring mainly in postmenopausal women. It has a worse prognosis than cutaneous melanomas, because of the high rate of locoregional recurrences and rapid systemic dissemination. In the past, radical surgical extirpation as the primary management had been recommended to improve loco-regional control, and possibly overall survival. However, the prognosis was poor in spite of such a radical approach. Recently, more conservative treatment such as wide local excision combined with adjuvant high-dose fraction radiotherapy seems to have promising results. Primary radiation therapy could be served as an alternative to surgery for patients with lesion less than 3 cm in diameter. We report 2 cases of primary vaginal malignant melanoma treated with radiotherapy.

  6. Surgical Management of the Constricted or Obliterated Vagina.

    Science.gov (United States)

    Gebhart, John B; Schmitt, Jennifer J

    2016-08-01

    Management of the constricted or obliterated vagina demands an understanding and recognition of the potential etiologies leading to this presentation. A thorough and comprehensive medical and surgical review is required to arrive at an accurate diagnosis, which then will guide medical or surgical intervention. It is paramount to recognize when underlying medical conditions are contributing to these conditions and to begin medical therapy; failure to do so will often yield suboptimal results. When these conditions arise after surgical interventions, compensatory surgical techniques that correct upper and lower vaginal strictures or obliteration include incision through the stricture, vaginal advancement, Z-plasty, skin grafts, perineal flaps, and abdominal flaps and grafts. Postoperative surveillance and dilation are critical to optimize long-term success. PMID:27399991

  7. 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.

  8. 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.)

  9. Colocolpopoiesis : the use of sigmoid colon in the treatment of conditions associated with absence of the vagina

    NARCIS (Netherlands)

    I. Freundt (Ingrid)

    1994-01-01

    textabstractThe creation of a coitally functional vagina is an important part of sexual rehabilitation in patients with congenital or acqnired absence of the vagina, and in male-to-female transsexuals. Various conservative and surgical techniques have been developed to construct an artificial vagina

  10. High-dose-rate brachytherapy for cervical carcinoma patients with narrow vagina

    Energy Technology Data Exchange (ETDEWEB)

    Yorozu, Atsunori; Toya, Kazuhito; Kawase, Takatugu [National Tokyo Medical Center, Tokyo (Japan); Dokiya, Takushi [Saitama Medical Coll., Moroyama (Japan)

    2002-06-01

    We retrospectively analyzed cervical cancer patients with narrow vagina treated by high-dose-rate (HDR) brachytherapy followed by external beam irradiation. Fifty patients were treated with radical radiotherapy between 1992 and 1999 at the National Tokyo Medical Center. All patients received 30 Gy of external whole pelvic irradiation and 20 Gy of pelvic irradiation with a central shield. After 30 Gy of whole pelvic irradiation, 24 Gy of fractionated brachytherapy was applied with a tandem and ovoids, non-rigid type developed in the Cancer Institute, according to the Manchester method. Nineteen patients with a narrow vagina of less than 40 mm in width were compared with 31 other patients (control group). The 5-year cumulative survival rates were 56% in the patients with a narrow vagina and 53% in the control group (P=0.6008). The control rate in the pelvis was not significantly different between the two groups. The cumulative rate of rectal complications of the patients with a narrow vagina was more frequent than the control group (58% vs 29%) (P=0.0924). Severe rectal bleeding was also more frequent in the patients with a narrow vagina. The estimated maximal dose of the rectal wall was significantly higher in patients with a narrow vagina. This result suggests that a lower brachytherapy dose is necessary for patients with narrow vagina considering the rectal sequelae in the case of using our methods. (author)

  11. Anatomic and histological characteristics of vagina reconstructed by McIndoe method

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    Kozarski Jefta

    2009-01-01

    Full Text Available Background/Aim. Congenital absence of vagina is known from ancient times of Greek. According to the literature data, incidence is 1/4 000 to 1/20 000. Treatment of this anomaly includes non-operative and operative procedures. McIndoe procedure uses split skin graft by Thiersch. The aim of this study was to establish anatomic and histological characteristics of vagina reconstructed by McIndoe method in Mayer Küster-Rockitansky Hauser (MKRH syndrome and compare them with normal vagina. Methods. The study included 21 patients of 18 and more years with congenital anomaly known as aplasio vaginae within the Mayer Küster-Rockitansky Hauser syndrome. The patients were operated on by the plastic surgeon using the McIndoe method. The study was a retrospective review of the data from the history of the disease, objective and gynecological examination and cytological analysis of native preparations of vaginal stain (Papanicolau. Comparatively, 21 females of 18 and more years with normal vaginas were also studied. All the subjects were divided into the groups R (reconstructed and C (control and the subgroups according to age up to 30 years (1 R, 1C, from 30 to 50 (2R, 2C, and over 50 (3R, 3C. Statistical data processing was performed by using the Student's t-test and Mann-Writney U-test. A value of p < 0.05 was considered statistically significant. Results. The results show that there are differences in the depth and the wideness of reconstructed vagina, but the obtained values are still in the range of normal ones. Cytological differences between a reconstructed and the normal vagina were found. Conclusion. A reconstructed vagina is smaller than the normal one regarding depth and width, but within the range of normal values. A split skin graft used in the reconstruction, keeps its own cytological, i.e. histological and, so, biological characteristics.

  12. 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 μm in thickness and has a dense surface layer 0.2 μm 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 μm in length; three kinds of surrounding glands with three kinds of secretory granules (abundant oval or rounded electron-dense granules 0.7-2.5 μm in length, much less numerous spheroidal, vesicular granules 0.3-0.4 μm in diameter, and tightly packed, spheroidal granules 0.8 μm 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

  13. Carcinoma of the vulva and vagina in patients irradiated for carcinoma of the cervix

    Energy Technology Data Exchange (ETDEWEB)

    Tsukiyama, Iwao; Kakehi, Masae; Ono, Ryosuke; Watai, Kiichi; Yanagawa, Shigeo; Kasamatsu, Tatsuhiro

    1984-08-01

    Six patients with carcinoma of the vulva and 3 with carcinoma of the vagina following radiation therapy for cancer of the cervix were analyzed. The interval between irradiation and diagnosis of the second tumor varied from 5 to 23 years. Despite the lack of having detailed information on irradiation factors in all patients, circumstantial evidence from this study suggests that radiation therapy may have contributed to the development of carcinoma of the vulva and vagina in some of the patients. Close follow-up patients treated for squamous carcinoma of the genital tract must emphasize inspection for new lesions. The incidences previously reported in the literature are also reviewed for comparison. (author).

  14. Imaging of the vagina and vulva; Aspectos de imagem das lesoes vulvo-vaginais

    Energy Technology Data Exchange (ETDEWEB)

    Souza, Luis Ronan Marquez Ferreira de; Szejnfeld, Jacob [Universidade Federal de Sao Paulo (UNIFESP/EPM), SP (Brazil). Dept. de Diagnostico por Imagem]. E-mail: luisronan@gmail.com; Borges, Leonardo Romualdo; Rosalen Junior, Roberto Antonio [Universidade Federal do Triangulo Mineiro (UFTM), Uberaba, MG (Brazil); Signorini Filho, Roney Cesar; Marques, Renato Moretti; Nicolau, Sergio Mancini [Universidade Federal de Sao Paulo (UNIFESP/EPM), SP (Brazil). Disciplina de Oncoginecologia; Goldman, Suzan Menasce [Universidade Federal de Sao Paulo (UNIFESP/EPM), SP (Brazil). Dept. de Diagnostico por Imagem

    2006-10-15

    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)

  15. Carcinoma of the vulva and vagina in patients irradiated for carcinoma of the cervix

    International Nuclear Information System (INIS)

    Six patients with carcinoma of the vulva and 3 with carcinoma of the vagina following radiation therapy for cancer of the cervix were analyzed. The interval between irradiation and diagnosis of the second tumor varied from 5 to 23 years. Despite the lack of having detailed information on irradiation factors in all patients, circumstantial evidence from this study suggests that radiation therapy may have contributed to the development of carcinoma of the vulva and vagina in some of the patients. Close follow-up patients treated for squamous carcinoma of the genital tract must emphasize inspection for new lesions. The incidences previously reported in the literature are also reviewed for comparison. (author)

  16. Committee Opinion No. 571: Solutions for surgical preparation of the vagina.

    Science.gov (United States)

    2013-09-01

    Currently, only povidone-iodine preparations are approved for vaginal surgical-site antisepsis. However, there are compelling reasons to consider chlorhexidine gluconate solutions for off-label use in surgical preparation of the vagina, especially in women with allergies to iodine. Although chlorhexidine gluconate solutions with high concentrations of alcohol are contraindicated for surgical preparation of the vagina, solutions with low concentrations of alcohol (eg, 4%) are both safe and effective for off-label use as vaginal surgical preparations and may be used as an alternative to iodine-based preparations in cases of allergy or when preferred by the surgeon. PMID:23963423

  17. Safety, Efficiency, and Outcomes of Perineoplasty: Treatment of the Sensation of a Wide Vagina.

    Science.gov (United States)

    Ulubay, Mustafa; Keskin, Ugur; Fidan, Ulas; Ozturk, Mustafa; Bodur, Serkan; Yılmaz, Ali; Kinci, Mehmet Ferdi; Yenen, Mufit Cemal

    2016-01-01

    Background. The sensation of a wide vagina is a common problem for women after childbirth. As its etiology is unknown, there is no uniform management strategy. We hypothesized that, rather than vaginal laxity, the cause was level 3 pelvic support deficiency. Methods. This retrospective study compared preoperative and postoperative genital hiatus length, perineal length, and total vaginal length in patients treated with perineoplasty for the sensation of a wide vagina. A telephone survey was used to determine postoperative patient and male partner satisfaction rates. Results. Mean age of patients was 48 (26-68) years; mean body mass index (BMI) was 25.3 (17.6-33.2); and mean parity was 2.5 (2-5). Preoperative and postoperative genital hiatus, perineal length, and total vaginal length were 4.62 and 3.18 (p vagina. Conclusion. With low dyspareunia rates, low complication rates, high patient satisfaction, and satisfactory anatomical success, perineoplasty can be considered successful for treatment of the sensation of a wide vagina. PMID:27610368

  18. Hematocolpos in double vagina associated with uterus didelphus: US and MR findings

    Energy Technology Data Exchange (ETDEWEB)

    Ballesio, L.; Andreoli, C.; De Cicco, M.L.; Angeli, M.L.; Manganaro, L

    2003-02-01

    The malformative syndrome of double vagina in association with uterus didelphus and kidney agenesis is a rare condition, often asymptomatic: if this condition is accompanied by imperforated obstructed hemivagina, the clinical manifestations depend on the presence of hematocolpos. MRI plays an important role for diagnosis because it allows to characterize the nature of the lesion and to evaluate the anatomical details of the uterine malformation. The authors describe this complex genital malformation and discuss the main US and MRI features.

  19. Measuring the space between vagina and rectum as it relates to rectocele

    Institute of Scientific and Technical Information of China (English)

    Jin Liu; Li-Dong Zhai; Yun-Sheng Li; Wan-Xiang Liu; Rui-Hua Wang

    2009-01-01

    AIM: To measure the normal space between the posterior wall of the vagina and the anterior wall of the respectively rectum using computed tomography (CT) and reveal its were relationship to rectocele. METHODS: A total of twenty female volunteers without rectocele were examined by CT scan. We performed a middle level continuous horizontal pelvic scan from the upper part to the lower part and collected the measurement data to analyze the results using t -test. RESULTS: Twenty volunteers were enrolled in the study. The space between the posterior wall of the vagina and the anterior wall of the rectum was measured at three levels (upper 1/3, middle, lower 1/3 level of vagina).The results showed that the space from the posterior wall of the vagina to the anterior wall of the rectum at the upper 1/3 level and the middle level was 3.896 ± 0.3617 mm and 4.6575 ± 0.3052 mm, respectively. When the two groups of data were compared, we found the space at the upper 1/3 level was shorter than at the middle level (P < 0.01). Moreover, at the lower 1/3 level the space measured was 10.058 ± 0.4534 mm. The results revealed that the space at the lower 1/3 level was longer than that at the middle level (P < 0.01). CONCLUSION: These measurement data may be helpful in assessing rectocele clinical diagnosis and functional outcomes of rectocele repair.

  20. Long-term results of radiotherapy in primary carcinoma of the vagina

    Energy Technology Data Exchange (ETDEWEB)

    Hegemann, Stefan; Willich, Normann [University Hospital, Muenster (Germany). Dept. of Radiotherapy and Radiation Oncology; Schaefer, Ulrich [University Hospital, Muenster (Germany). Dept. of Radiotherapy and Radiation Oncology; Lippe Hospital, Lemgo (Germany). Dept. of Radiotherapy; Lelle, Ralph [University Hospital, Muenster (Germany). Dept. of Gynecology and Gynecologic Oncology; Micke, Oliver [University Hospital, Muenster (Germany). Dept. of Radiotherapy and Radiation Oncology; Franziskus Hospital, Bielefeld (Germany). Dept. of Radiotherapy and Radiation Oncology

    2009-03-15

    Background: The long-term results of radiotherapy in primary carcinoma of the vagina are not well defined. Patients and Methods: The treatment results of 41 patients with primary malignancies of the vagina were analyzed. The mean follow-up period was 77.3 months (2.3-404 months). The predominant histology was squamous cell carcinoma, FIGO stages I: n = 7 (17.1%), II: n = 13 (31.7%), III: n = 13 (31.7%), and IVa: n = 8 (19.5%). Radiotherapy was the primary treatment for all patients. None of the patients had undergone prior surgery for vaginal carcinoma. The majority of patients received pelvic irradiation, including treatment of the inguinal lymphatics (median dose: 50 Gy). 26 patients received additional intravaginal brachytherapy. Results: Overall, 21 patients (51.2%) achieved complete remission, 17 patients (41.5%) had partial responses, and three patients (7.3%) had no change or progressive disease. The total median survival of the analyzed patients was 41.3 months. The 1-year survival probability was 85.4%, the 5-year survival probability 40.6%, and the 10-year survival probability 27.2%. Univariate analysis revealed a survival advantage for earlier tumor stages (FIGO I and II) compared to advanced stages (FIGO III and IV), with a median survival of 58.1 months compared to 26.8 months. Treatment side effects were tolerable and easily managed. Conclusion: Definite radiotherapy is the treatment of choice for primary carcinomas of the vagina. Considering that primary malignancies of the vagina are typically diseases of the elderly, it should be noted that radiotherapy is especially well tolerated in this population. (orig.)

  1. CT and MR imaging findings of primary leiomyosarcoma of the vagina : a case report

    Energy Technology Data Exchange (ETDEWEB)

    Cho, So Hee; Rha, Sung Eun; Cho, Song Mee; Byun, Jae Young [College of Medicine, The Catholic Univ. of Korea, Seoul (Korea, Republic of)

    2001-09-01

    Primary malignant lesions of the vagina are uncommon and represent approximately 1-2% of all gynecologic malignancies. About 2% of all malignant vaginal lesions are primary sarcomas, the most common of these being leiomyosarcoma. We report the CT and MR imaging findings in a 41-year-old woman with vaginal leiomyosarcoma presenting as a bulky solid mass which caused expansion of the vaginal canal.

  2. Regional variation in tissue composition and biomechanical properties of postmenopausal ovine and human vagina.

    Directory of Open Access Journals (Sweden)

    Daniela Ulrich

    Full Text Available OBJECTIVE: There are increasing numbers of reports describing human vaginal tissue composition in women with and without pelvic organ prolapse with conflicting results. The aim of this study was to compare ovine and human posterior vaginal tissue in terms of histological and biochemical tissue composition and to assess passive biomechanical properties of ovine vagina to further characterise this animal model for pelvic organ prolapse research. STUDY DESIGN: Vaginal tissue was collected from ovariectomised sheep (n = 6 and from postmenopausal women (n = 7 from the proximal, middle and distal thirds. Tissue histology was analyzed using Masson's Trichrome staining; total collagen was quantified by hydroxyproline assays, collagen III/I+III ratios by delayed reduction SDS PAGE, glycosaminoglycans by dimethylmethylene blue assay, and elastic tissue associated proteins (ETAP by amino acid analysis. Young's modulus, maximum stress/strain, and permanent strain following cyclic loading were determined in ovine vagina. RESULTS: Both sheep and human vaginal tissue showed comparable tissue composition. Ovine vaginal tissue showed significantly higher total collagen and glycosaminoglycan values (p<0.05 nearest the cervix. No significant differences were found along the length of the human vagina for collagen, GAG or ETAP content. The proximal region was the stiffest (Young's modulus, p<0.05, strongest (maximum stress, p<0.05 compared to distal region, and most elastic (permanent strain. CONCLUSION: Sheep tissue composition and mechanical properties showed regional differences along the postmenopausal vaginal wall not apparent in human vagina, although the absolute content of proteins were similar. Knowledge of this baseline variation in the composition and mechanical properties of the vaginal wall will assist future studies using sheep as a model for vaginal surgery.

  3. Placement of temperature probe in bovine vagina for continuous measurement of core-body temperature

    Science.gov (United States)

    Lee, C. N.; Gebremedhin, K. G.; Parkhurst, A.; Hillman, P. E.

    2015-09-01

    There has been increasing interest to measure core-body temperature in cattle using internal probes. This study examined the placement of HOBO water temperature probe with an anchor, referred to as the "sensor pack" (Hillman et al. Appl Eng Agric ASAE 25(2):291-296, 2009) in the vagina of multiparous Holstein cows under grazing conditions. Two types of anchors were used: (a) long "fingers" (4.5-6 cm), and (b) short "fingers" (3.5 cm). The long-finger anchors stayed in one position while the short-finger anchors were not stable in one position (rotate) within the vagina canal and in some cases came out. Vaginal temperatures were recorded every minute and the data collected were then analyzed using exponential mixed model regression for non-linear data. The results showed that the core-body temperatures for the short-finger anchors were lower than the long-finger anchors. This implied that the placement of the temperature sensor within the vagina cavity may affect the data collected.

  4. Compensatory structural adaptive modifications of vagina in response to functional demand in goat.

    Science.gov (United States)

    Hussin, Amer M; Zaid, Nazih W; Hussain, S O

    2014-01-01

    Vaginal biopsies and smears were collected from ten adult local healthy goats. Routine histological methods were carried out on vaginal biopsies and then stained with PAS stain. The smears were stained with Methylene blue. All samples were inspected under light microscope. The present study found that many constituents of the wall of the vagina, which have an important functional role, were absent; among these were the vaginal glands, goblet cells, muscularis mucosa, and lymphatic nodules. On the other hand, vagina showed special compensatory histological mechanisms, namely, the deep epithelial folds, the well-developed germinated stratum basale, the apparent basement membrane, and the profuse defensive cells, such as neutrophils, macrophages, lymphocytes, plasma cells, and mast cells. The general stains of this study could not recognize dendritic cells although they play an important functional role. Moreover, the herein study declared also that the vaginal smears showing many adaptive cellular mechanisms among these were, the keratinization, the process of sheet formation that lines the vaginal lumen, the process of metachromasia which is related to the cellular activity in protein synthesis, keratin, and finally the presence of endogenous microorganisms. It was concluded that all the above cellular compensatory adaptive mechanisms may compensate the lacking vaginal constituents and act to raise the immune response of the vagina.

  5. Fractionated stereotactic radiotherapy with vagina carotica protection technique for local residual nasopharyngeal carcinoma after primary radiotherapy

    Institute of Scientific and Technical Information of China (English)

    LIU Feng; HUAN Fu-kui; FANG Hao; WAN Bao; LI Ye-xiong; XIAO Jian-ping; XU Ying-jie; ZHANG Ye; XU Guo-zhen; GAO Li; YI Jun-lin; LUO Jing-wei; HUANG Xiao-dong

    2012-01-01

    Background Local failure of nasopharyngeal carcinoma (NPC) after radiotherapy (RT) remains one of the major treatment failures.This study aimed to evaluate the clinical efficacy and complications of fractionated stereotactic radiotherapy (FSRT) with vagina carotica protection technique for local residual of NPC patients after the primary RT.Methods From August 2006 to August 2010,FSRT with vagina carotica protection technique was applied to 36 patients in our department,the patients aged between 13 and 76 years with a median of 41.3 years,25 of them were male and 11were female.According to 2002 Union for International Cancer Control (UICC) Staging System,the stages before primary radiotherapy were:Ⅱa 2,Ⅱb 5,Ⅲ 18,Ⅳa 7,Ⅳb 4.In the first course of radiotherapy,9 patients received conventional RT,27 patients received intensity modulated radiotherapy (IMRT) and 20 out of the 36 patients received concurrent chemoradiotherapy.The total dose in the first course of RT was 69.96-76.90 Gy (median,72.58 Gy).The intervals between the primary RT and FSRT ranged from 12 to 147 days (median,39.8 days).Target volumes ranged from 1.46 to 32.98 cm3 (median,14.94 cm3).The total FSRT doses were 10.0-24.0 Gy (median,16.5 Gy) with 2.0-5.0Gy per fraction.The most common regimen was 15 Gy in 5 fractions of 3 Gy,the irradiation dose to vagina carotica was less than 2 Gy per fraction.Results The median follow-up time was 34 months (range,12-59 months).The 3-year local control rate was 100%;the 3-year overall survival rate was 94.4%;the 3-year disease-free survival rate was 77.8%.In this study,we had one case of cranial nerve injury,two cases of temporal lobe necrosis,and no nasopharyngeal massive hemorrhage was observed.Conclusion FSRT with vagina carotica protection technique is an effective and safe RT regimen for local residual of NPC with reduction of radiation-related neurovascular lesions.

  6. Metastasis of Ductal Breast Carcinoma to the Vagina – A Case Report

    OpenAIRE

    Leila Cristina Soares; Anna Candida Andrade de Camaret

    2013-01-01

    Primary cancers of the vagina are rare, and so vaginal tumours are likely to represent metastasis from another site. Although breast cancer is a common malignancy, it rarely gives rise to vaginal metastases. In this study, we report a case of vaginal cancer diagnosed in a 65-year-old woman. Clinical examination showed the presence of a breast tumour, and ductal breast carcinoma was diagnosed by biopsy. Analysis of the vaginal tumour suggested that it was a metastasis. It was through the detec...

  7. Borderline malignant change in recurrent müllerian papilloma of the vagina.

    OpenAIRE

    Dobbs, S P; Shaw, P A; Brown, L J; Ireland, D.

    1998-01-01

    Malignant change occurred in a benign, recurrent vaginal müllerian polyp. The patient, a 49 year old woman with cerebral palsy, presented with a polypoid mass in the vagina. At four years of age she had presented with a haemorrhagic polyp, and over the following years she had recurrent irregular bleeding and regrowth of the polypoidal mass, requiring a total of 10 operations to excise the polyp. Histological examination of the specimen showed typical müllerian features with tubal, endometrioi...

  8. [Life threatening postpartal haemorrhage after rupture of the vagina, uterine cervix, caesarean section or hysterectomy].

    Science.gov (United States)

    Kozovski, I; Radoinova, D

    2010-01-01

    The authors discuss 10 cases--seven after vaginal and cervical rupture, 2 after Caesarean section and 1 after hysterectomy. Six of them died--5 after rupture of the vagina and cervix and one after Caesarean section. The lethal issue was avoidable in all cases because it was a result of untimely done or not done at all hysterectomy and other interventions, e.g., ligation of the hypogastric arteries, as well as of faulty surgical performance. Basic principles of surgical behavior in such cases are postulated.

  9. A Case Report of Cervical Rhabdomyosarcoma with the Complaint of a Mass Protrusion from Vagina with Bleeding and Vaginal Discharge

    Directory of Open Access Journals (Sweden)

    M. Arab

    2006-10-01

    Full Text Available Introduction: Botyroide sarcoma is one of the rhabdomyosarcoma which is usually seen in infant's vagina. However, it rarely originates from uterine cervix. Rhabdomyosarcoma is a heterogenic tumor and it is usually diagnosed in second decade of life.Case Report: The patient was a 17 years old virgin girl with the complaint of a mass protrusion from vagina with bleeding and vaginal discharge. Biopsy samples and immunohistochemistry assessments showed embryonal rhabdomyosarcoma. Surgery combined with chemotherapy, significantly increased the survival of patients with uterine cervical rhabdomyosarcoma. Conclusion: The patient underwent radical hysterectomy with restored ovaries and then combined chemotherapy. In the 9 months follow up recurrence has not been observed yet.

  10. Radicality of initial surgery for primary malignant melanoma of the vagina.

    Science.gov (United States)

    Todo, Yukiharu; Okamoto, Kazuhira; Suzuki, Yoshihiro; Minobe, Shinichiro; Kato, Hidenori

    2016-04-01

    Radical surgery is considered not to improve the prognosis of primary malignant melanoma of the vagina (PMMV). This study was carried out to review the general consensus. A systematic review was performed on the basis of data from 10 patients in our cohort and 147 patients in the previous literature. The radicality of the initial surgery (RAINS) score was defined as the total number of points in terms of the resected organs. The target organs were the vagina, vulva, urethra, bladder, uterus, anus, rectum, pelvic lymph nodes, and inguinal lymph nodes. Overall survival (OS) according to the RAINS score was analyzed using the Kaplan-Meier method. Information on tumor stage, size, and depth of invasion was not obtained in 15, 47, and 43% of patients, respectively. The median follow-up period was 18 months. OS with a RAINS score of at least 7 was significantly longer than that with a RAINS score of up to 6 (median survival time, 41 vs. 19 months; log-rank test, P=0.037), despite the fact that the former group included significantly more patients with advanced-stage disease. A significant difference in OS was not found between patients with a RAINS score of at least 6 and up to 5. The therapeutic significance of radical surgery for PMMV has not been assessed appropriately in previous studies because of the lack of comparability among groups and differences in the definitions of surgical radicality. Patients with PMMV might benefit from initial surgery with appropriate surgical radicality, despite incomplete validation of the RAINS score. PMID:26825038

  11. Absence of a vagina and right sided adnexa uteri in the Waardenburg syndrome: a possible clue to the embryological defect.

    OpenAIRE

    Goodman, R M; Oelsner, G; Berkenstadt, M; Admon, D.

    1988-01-01

    An 18 year old single Jewish woman with the Waardenburg syndrome and absence of a vagina and right sided adnexa uteri is reported. Other congenital malformations associated with the Waardenburg syndrome are mentioned and it is postulated that they may be the result of an altered invasion of neurones or altered neurones in certain organ systems early in embryogenesis.

  12. De betrouwbaarheid van het vagina-uitstrijkje van de rat als middel om de fase van de bronstcyclus te detecteren

    NARCIS (Netherlands)

    van Velsen FL; Loeber JG; Franken MAM; Liefde AD

    1985-01-01

    De betrouwbaarheid van het vagina-uitstrijkje bij de rat als indicator van de fase van de cyclus is onderzocht bij 60 dieren van 250 g. Gedurende 4 achtereenvolgende weken is op de werkdagen een uitstrijkje gemaakt ter beoordeling van de regelmaat van de cyclus. Daarna zijn de dieren geseceerd na d

  13. Complete Genome Sequence of Lactococcus lactis subsp. lactis CV56, a Probiotic Strain Isolated from the Vaginas of Healthy Women▿

    OpenAIRE

    Gao, Yong; Lu, Ying; Teng, Kun-Ling; Chen, Mei-Ling; Zheng, Hua-Jun; Zhu, Yong-Qiang; Zhong, Jin

    2011-01-01

    Lactic acid bacteria that exist in the urinogenital system play an important role in maintaining the health of the host. Here, we report the finished and annotated genome of a Lactococcus strain that was isolated from the vaginas of healthy women and shows probiotic properties, including nisin A production and adhesion to vaginal epithelial cells.

  14. Genome Sequences of 15 Gardnerella vaginalis Strains Isolated from the Vaginas of Women with and without Bacterial Vaginosis.

    Science.gov (United States)

    Robinson, Lloyd S; Perry, Justin; Lek, Sai; Wollam, Aye; Sodergren, Erica; Weinstock, George; Lewis, Warren G; Lewis, Amanda L

    2016-01-01

    Gardnerella vaginalis is a predominant species in bacterial vaginosis, a dysbiosis of the vagina that is associated with adverse health outcomes, including preterm birth. Here, we present the draft genome sequences of 15 Gardnerella vaginalis strains (now available through BEI Resources) isolated from women with and without bacterial vaginosis. PMID:27688326

  15. Sugar expression in the mucosae of the canine uterus and vagina during the oestrous cycle and with pyometra.

    Science.gov (United States)

    Yasunaga, Y; Takeuchi, T; Shimokawa, T; Asano, A; Nabeta, M; Ohta, Y

    2013-04-01

    The pathogenesis of canine pyometra is still unclear, but bacterial infection of the endometrium, mediated by bacterial lectins, is suspected to induce pyometra. The aim of this study was to investigate sugar expression in the mucosae of the uterus and vagina of healthy dogs with normal oestrous cycles and in dogs with pyometra, using a panel of lectins to investigate the pathogenesis of pyometra. In dogs with pyometra, the uterine and vaginal mucosae were positive for lectins that selectively bind to glucose or mannose, especially during days 7-10 and 30-40 of dioestrus. These results suggest that temporal changes in sugar expression in the uterus and vagina present an opportunity for pathogens to infect the endometrium, causing pyometra. PMID:22990121

  16. The effect of hyaluronic acid (Cicatridine) on healing and regeneration of the uterine cervix and vagina and vulvar dystrophy therapy.

    Science.gov (United States)

    Markowska, J; Madry, R; Markowska, A

    2011-01-01

    Procedures aimed at the treatment of precancerous lesions and ectopia on the uterine cervix are frequently linked to lesions of anatomical structures. The application of hyaluronic acid (Cicatridine vaginal ovules) promotes accelerated healing of the uterine cervix and acquisition of a normal shape in the uterine cervix canal. Local application of hyaluronic acid in the vagina following radiotherapy due to cancer in the uterine cervix or endometrium favourably affects the healing of post-irradiation lesions in the vagina and improves quality of life. Over 90% of patients responded positively to the application of hyaluronic acid in the form of a cream on dystrophic lesions in the vulva. Hyaluronic acid aids the healing process of post-procedural wounds in the uterine cervix, following radiotherapy applied due to cancer of the uterine cervix, endometrium and in vulvar dystrophy.

  17. Paraganglioma of the vagina: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Cai T

    2014-06-01

    Full Text Available Tao Cai,1 Yucong Li,2 Qingming Jiang,3 Dong Wang,2 Yu Huang2 1Department of Dermatology, The First Affiliated Hospital of Chongqing Medical University, 2Department of Gynecologic Oncology, 3Department of Pathology, Chongqing Cancer Research Institute, Chongqing, People’s Republic of China Abstract: Vaginal paraganglioma is a rare and unusual tumor occurring in the vaginal wall. It is a solitary primary paraganglioma, especially in atypical sites. Herein, we report an unusual case of a 17-year-old woman who had not experienced vomiting, or hypertension. She was found to have an immobile solid mass in the right side of her vaginal wall. Positron emission tomography/computed tomography scans revealed a well-defined solid ovoid mass adjacent to the bladder and pelvic floor. Tumor markers were within the normal range. A transient blood pressure increase occurred during the biopsy. After oral administration of antihypertensive drugs, surgery was performed to completely remove the mass. Histopathological examination indicated that it was a paraganglioma of the vagina. Repeat computed tomography examination did not reveal any local recurrence or distant metastasis during the 12-month follow-up period. Keywords: vaginal paraganglioma, neuroendocrine tumor, clinical features, treatment

  18. [Streptococcus agalactiae (GBS)--the characteristic of isolated strains from productive women's vagina].

    Science.gov (United States)

    Wolny, Katarzyna; Gołda-Matuszak, Ewa

    2010-01-01

    The main aim of my research: to determine the frequency of colonisation Streptococcus agalactiae from productive women's vagina, an evaluation of usefulness microbiological diagnostic methods to detect GBS, to define serotype of analysed strains of S. agalactiae. After all, I tried to define fenotypic differential, biochemical and antimicrobial susceptibility between GBS with and without hemolysis. All of strains S. agalactiae (n = 380) belong to bacteria Gram(+), they had B serologic group and didn't produce catalase. On the basis of TSA+5% sheep blood streptococcus with beta-hemolysis grew like a small, grey and shiny colonies with a narrow, bright ring. On the same base we had S. agalactiae without beta-hemolysis, in examine material--6% (n = 22). On the basis of Strepto B ID S. agalactiae grew like a small, round red colonies and on the base Granada agar like an orange, white colonies. The level of colonisation S. agalactiae was 22% (380GBS/1727women). Identification of analysed strains of S. agalactiae was made by test API 20 Strep. The susceptibility was examined to ampicilin, azithromycin, erythromycin, clindamycin, chloramphenicol, doxycyclin, cotrimoxasol, ciprofloxacin. Serotypes III (50%), Ia (18%) and V (14%) prevailed. PMID:20873487

  19. Perivascular epithelioid cell tumour of the vagina in an 8 year old girl.

    Science.gov (United States)

    Ong, Lin Yin; Hwang, Wei Sek; Wong, Adelina; Chan, Mei Yoke; Chui, Chan Hon

    2007-03-01

    Perivascular epithelioid cell tumor (PEComa) is a rare mesenchymal tumor with an unpredictable natural history. We present the first reported case of PEComa of the vagina diagnosed in an 8-year-old girl. This was initially diagnosed on biopsy as an embryonal rhabdomyosarcoma, and the patient underwent 3 cycles of chemotherapy according to the Mesenchymal Malignant Tumour 1989 protocol. A repeat scan, however, revealed an increase in tumor size. Total resection was achieved via a transvaginal (vertical sleeve) partial vaginectomy. The resected tumor had the typical appearance of a PEComa. Immunostains showed positive staining of tumor cells for HMB45, neuron-specific enolase, and calponin but were negative for S100 protein, melaninA, chromogranin, smooth muscle actin, desmin, caldesmon, epithelial membrane antigen, AE1/3, and synaptophysin. Six months after surgery, she remains free of tumor and is on follow-up with regular local examinations under anesthesia and computed tomography scans. Our case highlights the importance of an accurate initial diagnosis, and we stress the importance of regular surveillance over a significant period. PMID:17336201

  20. A RARE C.T. SCAN FINDING OF FOREIGN BODY VAGINA, A HARD FRUIT, KEPT AS PESSARY FOR UTERINE PROLAPSE

    Directory of Open Access Journals (Sweden)

    Radha Rani

    2014-06-01

    Full Text Available Vaginal pessaries still have a role in the management of uterine prolapse, particularly in elderly patients. The presence of a foreign body or device in the female pelvis can be a potential source of confusion to the radiologists, particularly to the inexperienced reader. We present a rare C.T. scan finding of a hard fruit kept in vagina 5yrs back for uterine prolapse.

  1. Estudio de micoplasmas y bacterias aerobias en la vagina craneal de hembras caninas clínicamente sanas

    OpenAIRE

    Stornelli, María Alejandra; Cerdá, Raúl Oscar; Gobello, Cristina; Arauz, María Sandra; Stanchi, Néstor Oscar

    2000-01-01

    La flora bacteriana presente en la vagina de hembras caninas posee un discutido rol en las enfermedades reproductivas de esta especie, por lo tanto y para contribuir al esclarecimiento de este aspecto, se realizó un estudio de los microorganismos vaginales en 33 perras sanas. Las muestras fueron tomadas mediante hisopo cubierto y procesadas siguiendo las marchas bacteriológicas indicadas para bacterias aerobias y Micoplasmas. Se aislaron microorganismos a partir de 30 muestras, siendo 3 negat...

  2. Delivery of double singleton pregnancies in a woman with a double uterus, double cervix, and complete septate vagina.

    Science.gov (United States)

    Yang, Ming-Jie; Tseng, Jen-Yu; Chen, Chih-Yao; Li, Hsin-Yang

    2015-12-01

    Uterine anomalies involving a double uterus, double cervix, also known as didelphys uterus, and complete septate vagina are rarely seen and have an associated fertility problem. However, artificial reproductive technology with embryo transfers can help solve this fertility challenge. Conception in the uterus in just one side is commonly seen for embryos, which are always transferred through the usually used (dilated) vagina. We here present a patient with the above uterine anomaly who conceived with the aid of in vitro fertilization and embryo transfer to both uterine cavities under general anesthesia, which resulted in successful double singleton pregnancies with one fetus in each uterus. With intensive prenatal care, the pregnancy course for each fetus was rather uneventful. Although both fetuses were in cephalic presentation, cesarean section was performed at the 39(th) week of gestation with good outcomes in order to preclude anticipated difficulties if the baby had been delivered through the rarely dilated vagina. However, order of birth between the two fetuses was a crucial decision during the operation. PMID:26462956

  3. Antagonistic Potential against Pathogenic Microorganisms and Hydrogen Peroxide Production of Indigenous Lactobacilli Isolated from Vagina of Chinese Pregnant Women

    Institute of Scientific and Technical Information of China (English)

    HENG-YI XU; WAN-HONG TIAN; CUI-XIANG WAN; LI-JUN JIA; LAN-YIN WANG; JING YUAN; CHUN-MEI LIU; MING ZENG; HUA WEI

    2008-01-01

    Objective To investigate the indigenous lactobacilli from the vagina of pregnant women and to screen the isolates with antagonistic potential against pathogenic microorganisms. Methods The strains were isolated from pregnant women's vagina and identified using the APISOCH system. The ability of the isolates to produce hydrogen peroxide was analyzed semi-quantitatively using the TMB-HRP-MRS agar. The antagonistic effects of the isolates on pathogenic microorganisms were determined with a double layer agar plate. Results One hundred and three lactobacilli strains were isolated from 60 samples of vaginal secretion from healthy pregnant women. Among them, 78 strains could produce hydrogen peroxide, in which 68%, 80%, 80%, and 88% had antagonistic effects against Candida albicans CMCC98001, Staphylococcus aureus CMCC26003, Escherichia coli CMCC44113, and Pseudomonas aeruginosa CMCC10110, respectively. Conclusion The recovery of hydrogen peroxide-producing lactobacilli decreases with the increasing pregnant age and time. The most commonly isolated species from vagina of Chinese pregnant women are Lactobacillus acidophilus and Lactobacillus crispatus. Most of L. Acidophilus and L. Crispatus produce a high H2O2 level.

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

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    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 17αethinyl 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 ERα, which is important for growth of the vaginal epithelium. We show that the full-length ERα is not expressed during estrus in the vagina of female offspring exposed to either dose of BPA when compared to the control group, whereas ERα expression does not differ from the control group during the diestrus stage. ERa downregulation seems to be responsible for the observed altered vaginal morphology.

  5. 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.

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

    OpenAIRE

    Jiménez Rabadán, Pilar; Ramón, Manuel; García Alvarez, Olga; Maroto Morales, Alejandro; Olmo, Enrique del; Pérez Guzmán, María Dolores; Bisbal, A.; Fernández Santos, María del Rocío; Garde López-Brea, José Julián; Soler, Ana Josefa

    2012-01-01

    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 ...

  7. Unravelling the Bacterial Vaginosis-Associated Biofilm: A Multiplex Gardnerella vaginalis and Atopobium vaginae Fluorescence In Situ Hybridization Assay Using Peptide Nucleic Acid Probes.

    Directory of Open Access Journals (Sweden)

    Liselotte Hardy

    Full Text Available Bacterial vaginosis (BV, a condition defined by increased vaginal discharge without significant inflammation, is characterized by a change in the bacterial composition of the vagina. Lactobacillus spp., associated with a healthy vaginal microbiome, are outnumbered by BV-associated organisms. These bacteria could form a polymicrobial biofilm which allows them to persist in spite of antibiotic treatment. In this study, we examined the presence of Gardnerella vaginalis and Atopobium vaginae in vaginal biofilms using Peptide Nucleic Acid (PNA probes targeting these bacteria. For this purpose, we developed three new PNA probes for A. vaginae. The most specific A. vaginae probe, AtoITM1, was selected and then used in an assay with two existing probes, Gard162 and BacUni-1, to evaluate multiplex FISH on clinical samples. Using quantitative polymerase chain reaction (qPCR as the gold standard, we demonstrated a sensitivity of 66.7% (95% confidence interval: 54.5% - 77.1% and a specificity of 89.4% (95% confidence interval: 76.1% - 96% of the new AtoITM1 probe. FISH enabled us to show the presence of a polymicrobial biofilm in bacterial vaginosis, in which Atopobium vaginae is part of a Gardnerella vaginalis-dominated biofilm. We showed that the presence of this biofilm is associated with high bacterial loads of A. vaginae and G. vaginalis.

  8. Clinical Holistic Medicine: Holistic Sexology and Acupressure Through the Vagina (Hippocratic Pelvic Massage

    Directory of Open Access Journals (Sweden)

    Søren Ventegodt

    2006-01-01

    Full Text Available Many gynecological and sexological problems (like urine incontinence, chronic pelvic pains, vulvodynia, and lack of lust, excitement, and orgasm are resistant to standard medical treatment. In our work at the Research Clinic for Holistic Medicine in Copenhagen, we have found that vaginal acupressure, or Hippocratic pelvic massage, can help some of these problems. Technically, it is a very simple procedure as it corresponds to the explorative phase of the standard pelvic examination, supplemented with the patient's report on the feelings it provokes and the processing and integration of these feelings. Sometimes it can be very difficult to control the emotions released by the technique, i.e., regression to earlier traumas from childhood sexual abuse. This review discusses the theory behind vaginal acupressure, ethical aspects, and presentation of a case story. This procedure helped the patient to become present in her pelvis and to integrate old traumas with painful emotions. Holistic gynecology and sexology can help the patient to identify and let go of negative feelings, beliefs, and attitudes related to sex, gender, sexual organs, body, and soul at large. Shame, guilt, helplessness, fear, disgust, anxiety, anger, hatred, and other strong feelings are almost always an important part of a sexual or functional problem as these feelings are “held” by the tissue of the pelvis and sexual organs. Acupressure through the vagina/pelvic massage must be done with great care by an experienced physician, with a third person present, after obtaining consent and the necessary trust of the patient. It must be followed by conversational therapy and further holistic existential processing.

  9. The Lactobacillus flora in vagina and rectum of fertile and postmenopausal healthy Swedish women

    Directory of Open Access Journals (Sweden)

    Stjernquist Martin

    2011-05-01

    Full Text Available Abstract Background Lactobacillus species are the most often found inhabitants of vaginal ecosystem of fertile women. In postmenopausal women with low oestrogen levels, Lactobacillus flora is diminishing or absent. However, no studies have been performed to investigate the correlation between oestrogen levels and the lactobacilli in the gut. The aim of the present study was to investigate the relation in healthy women between vaginal and rectal microbial flora as well as possible variations with hormone levels. Methods Vaginal and rectal smears were taken from 20 healthy fertile women, average 40 years (range 28-49 years, in two different phases of the menstrual cycle, and from 20 postmenopausal women, average 60 years (range 52-85 years. Serum sex hormone levels were analyzed. Bacteria from the smears isolated on Rogosa Agar were grouped by Randomly Amplified Polymorphic DNA and identified by multiplex PCR and partial 16S rRNA gene sequencing. Results Lactobacillus crispatus was more often found in the vaginal flora of fertile women than in that of postmenopausal (p = 0.036. Fifteen of 20 fertile women had lactobacilli in their rectal smears compared to 10 postmenopausal women (p = 0.071. There was no correlation between the number of bacteria in vagina and rectum, or between the number of bacteria and hormonal levels. Neither could any association between the presence of rectal lactobacilli and hormonal levels be found. Conclusion Lactobacillus crispatus was more prevalent in the vaginal flora of fertile women, whereas the Lactobacillus flora of rectum did not correlate to the vaginal flora nor to hormonal levels.

  10. 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<0.0001). Orgasm effort scores were intermediate (median: 3.0), uniform throughout the external and internal areas (P=0.626). Ratings for 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. PMID:25683213

  11. Seminal plasma protein profiles of ejaculates obtained by internal artificial vagina and electroejaculation in Brahman bulls.

    Science.gov (United States)

    Rego, J P A; Moura, A A; Nouwens, A S; McGowan, M R; Boe-Hansen, G B

    2015-09-01

    The present study was conducted to investigate if differences exist in the seminal plasma protein profile from mature Brahman bulls using two methods of semen collection: internal artificial vagina (IAV) and electroejaculation (EEJ). Semen was collected four times from three bulls on the same day and parameters were assessed immediately post-collection. Seminal plasma proteins were evaluated by 2-D fluorescence difference gel electrophoresis and identified by mass spectrometry. Semen volume was greater (P < 0.05) for EEJ (4.6 ± 0.35 mL) than for IAV (1.86 ± 0.24 mL) but sperm concentration was greater in IAV (1505 ± 189 × 10(6) sperm/mL) than in EEJ samples (344 ± 87 × 10(6) sperm/mL). Sperm motility and the percentage of normal sperm were not different between treatments. Total concentration of seminal plasma proteins was greater for samples collected by IAV as compared to EEJ (19.3 ± 0.9 compared with 13.0 ± 1.8 mg/mL, P < 0.05; respectively). Based on 2-D gels, 22 spots had a greater volume (P < 0.05) in gels derived from IAV samples, corresponding to 21 proteins identified as transferrin, albumin, epididymal secretory glutathione peroxidase, among others. Thirty-three spots, corresponding to 26 proteins, had a greater volume (P < 0.05) in gels derived from EEJ samples. These proteins were identified as spermadhesin-1, Bovine Sperm Protin 1, 3 and 5 isoforms, angiogenin-1, alpha-1B-glycoprotein, clusterin, nucleobindin-1, cathepsins, spermadhesin Z13, annexins, among others. Thus, proteins in greater amounts in samples obtained by IAV and EEJ were mainly of epididymal origin and accessory sex glands, respectively. PMID:26282524

  12. 阴道平滑肌瘤25例临床分析%Clinical analysis of 25 cases of leiomyoma of the vagina

    Institute of Scientific and Technical Information of China (English)

    钱建华; 郑斐; 石一复

    2001-01-01

    目的 探讨阴道平滑肌瘤的组织来源、临床特点和治疗方法。方法 回顾性分析1988年1月~1999年1月在我院住院手术并经病理检查证实的阴道平滑肌瘤25例。结果 阴道平滑肌瘤多为单发,生长缓慢,症状与肿瘤的大小及部位有关,可复发及恶性变。治疗方式为阴道平滑肌瘤剔除术。结论 阴道平滑肌瘤临床少见,一旦发现,均应及时手术治疗,以免肌瘤增大产生症状甚至恶性变。%Objective To study the histologic source, clinical features and treatment methods of leiomyoma of the vagina. Methods From January of 1988 to January of 1999, 25 patients with leiomyoma of the vagina were retrospectively analyzed. Results The clinical features of leiomyoma of the vagina were slow in growth and solitary in number. Leiomyoma of the vagina can be recurrence and sarcomatous change. The symptoms of leiomyoma of the vagina depended on the size and location of the leiomyoma. Treatment consisted of surgical excision by vagina. Conclusions Leiomyoma of the vagina is a rare condition. Whenever such a tumor is detected, it has to be removed immediately to prevent further growing and sarcomatous change in the future.

  13. Bladder cancer will grow anywhere: report of a urothelial carcinoma drop metastasis to the vagina and literature review.

    Science.gov (United States)

    Uhlman, Matthew A; Bevill, Mark D; Goodheart, Michael J; Brown, James A; O'Donnell, Michael A

    2016-08-01

    Urothelial carcinoma is the 2nd most common cancer of the urinary tract and accounts for the majority of cases of bladder cancer. Metastases are not infrequently encountered, increasing with disease stage and are most commonly seen in the bones and lungs. Many other sites have been described including the omentum, liver, and ovaries. An extremely rare site of metastatic disease however is within the vagina. Here we present a case of a probable vaginal 'drop metastasis' from previously treated urothelial carcinoma in the ureter and bladder. PMID:27544563

  14. Vulvovaginectomy and neo-urethrostomy for the treatment of haemangiosarcoma of the vulva and vagina : case report

    Directory of Open Access Journals (Sweden)

    T.P. Hill

    2000-07-01

    Full Text Available Vulvovaginectomy and neo-urethrostomy were performed in a 9-year-old German shepherd dog following a diagnosis of infiltrative vulvar and vestibulovaginal haemangiosarcoma. The dog was presented for intermittent vulvar haemorrhage over a 3-month period. On examination the vulva and vestibulovagina were distended and firm. Vaginal discharge and fine needle aspiration cytology detected anaplastic cells. Haemangiosarcoma was diagnosed on biopsy. A new urethral opening was created in the floor of the vagina allowing resection of the vulva and caudal vestibulovagina. Urinary continence was preserved and healing was without complications.

  15. 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)

  16. Effect of seminal plasma on post-thaw quality and functionality of corriedale ram sperm obtained by electroejaculation and artificial vagina.

    Science.gov (United States)

    Ledesma, A; Manes, J; Ríos, G; Aller, J; Cesari, A; Alberio, R; Hozbor, F

    2015-06-01

    We have already shown that seminal collection method affects seminal plasma composition and sperm quality in Corriedale rams. In this study, we evaluated the effect of seminal plasma collected by electroejaculation or artificial vagina on sperm resistance to cryodamage. Seminal plasma of five rams of the Corriedale breed collected by artificial vagina or electroejaculation was added before freezing to sperm cells collected by the two methods, and post-thaw quality parameters were evaluated. We found that seminal plasma has no effect on sperm resistance to cryodamage. However, we observed significantly higher percentages of sperm with intact and functional plasma membrane, intact acrosome and greater fertilizing potential after thawing in samples obtained by electroejaculation. This study demonstrates that sperm collected by electroejaculation are more resistant to damage caused by cryopreservation than those collected by artificial vagina. PMID:25684063

  17. Ultrastructural study of the neovagina following the utilization of human amniotic membrane for treatment of congenital absence of the vagina

    Directory of Open Access Journals (Sweden)

    L.F. Bleggi-Torres

    1997-07-01

    Full Text Available We present an ultrastructural study of the utilization of human amniotic membrane in the treatment of congenital absence of the vagina in 10 patients. All patients were surgically treated with application of an amniotic membrane graft using the modified McIndoe and Bannister technique. Sixty days after surgery, samples of the vaginal neo-epithelium were collected for transmission electron microscopy analysis. The ultrastructural findings consisted of a lining of mature squamous epithelium indicating the occurrence of metaplasia of the amniotic epithelium into the vaginal epithelium. The cells were arranged in layers as in the normal vaginal epithelium, i.e., superficial, intermediate and deep layers. There were desmosomes and cytoplasmic intermediate cytokeratin filaments, as well as some remnant features of the previous amniotic epithelium. These findings suggest that human amniotic membrane is able to complete metaplasia into squamous cells but the mechanism of this cellular transformation is unknown

  18. Analysis of study rezults of biopsies of the vagina mucous membrane in women with recurrent genital prolapse

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    Banakhevich R.M.

    2014-06-01

    Full Text Available The study involved 53 women with recurrent genital prolapse. The average age of the women studied was 62,8±9,8 years, age of women of the control group was 57,2±6,3 years (p>0,05. Features of expression of estrogen and progesterone receptors levels, markers of cell proliferation and collagen in the biopsy of the vagina mucous membrane were estimated. In the vaginal mucosa of patients with recurrent prolapse expression of Ki-67 markers of proliferative activity was not established. According to the study general lowering of estrogen receptors by 76,2% in patients with recurrent genital prolapse was established, whereas in patients of the control group level of estrogen receptors in the unchanged epithelium and stroma was positive in 100% of cases. In patients with recurrent genital prolapse the decrease of expression of progesterone receptors by 83,4% was identified.

  19. Diversity of the Lactobacillus group in breast milk and vagina of healthy women and potential role in the colonization of the infant gut

    NARCIS (Netherlands)

    Martin, R.; Heilig, G.H.J.; Zoetendal, E.G.; Smidt, H.; Rodriguez, J.M.

    2007-01-01

    Aims: To evaluate the diversity of the Lactobacillus group in breast milk and the vagina of healthy women and understand their potential role in the infant gut colonization using the 16S rRNA gene approaches. Methods and Results: Samples of breast milk, vaginal swabs and infant faeces were aseptical

  20. Characterization of microbial communities found in the human vagina by analysis of terminal restriction fragment length polymorphisms of 16S rRNA genes

    NARCIS (Netherlands)

    Coolen, MJL; Post, E; Davis, CC; Forney, LJ

    2005-01-01

    To define and monitor the structure of microbial communities found in the human vagina, a cultivation-independent approach based on analyses of terminal restriction fragment length polymorphisms (T-RFLP) of 16S rRNA genes was developed and validated. Sixteen bacterial strains commonly found in the h

  1. 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.

  2. Radioautographic study of the rat brain, uterus and vagina after (/sup 3/H)R-5020 injection

    Energy Technology Data Exchange (ETDEWEB)

    Warembourg, M.

    1978-10-01

    Localization of (/sup 3/H)R-5020, a potent synthetic progestin, was examined by radioautography in the central nervous system and the genital tract of estrogen-primed, ovariectomized rat. In the brain, a concentration of radioactivity was found in the nuclei of neurons localized in different specific areas: the preoptic region and the medio-basal hypothalamus. In the anterior pituitary, cells which concentrated the hormone were found. The uterine tissues (uterine horns and cervix) presented a nuclear concentration of radioactivity in stromal and muscle cells but little or no radioactivity in luminal and glandular epithelia. In the vagina of the same animals, radioactivity was observed in the connective tissue cells, muscle cells and epithelial cells. Hormonal specificity and saturability of radioactivity binding in these target tisses were established by competition with an excess of unlabeled hormones. In the presence of an excess of unlabeled progesterone the nuclear concentration of radioactivity was diminished in all areas, while no inhibition of radioactivity incorporation was observed with unlabeled corticosterone. These results suggest the presence of specific progesterone receptors in the hypothalamus, the pituitary and the genital tract tissues of the rat.

  3. 非培养法检测阴道微生态的进展%Research Progress of Detecting Vagina Microecology by Cultivation-Independent Methods

    Institute of Scientific and Technical Information of China (English)

    陈晴

    2012-01-01

    女性阴道内寄生着多种微生物,鉴定阴道中存在的微生物有助于了解其在健康和疾病时的作用,但是许多微生物难以通过培养将其分离鉴定.近年来,一系列分子生物学的方法,如基于16S rRNA基因聚合酶链反应扩增法等用于研究阴道微生态并取得了较大的进展.利用分子生物学的非培养法检测女性阴道微生物发现,不论在健康女性还是细菌性阴道病(BV)患者中惰性乳杆菌是普遍存在的乳杆菌;还发现许多新的厌氧菌与BV高度相关,如阴道阿托波菌、阴道加德纳菌、BVAB1等.%The human vagina hosts many microbes. Identifying all kinds of microbes in vagina will help to better understand their roles in heath and disease. However,many microbes are difficult to be identified by cultivation-dependent methods. In recent years, a series of molecular approaches, such as PCR amplification of 16S rRNA gene,are used to study the vagina microecology and have made considerable progress. The use of molecular, cultivation-independent methods have revealed :lactobacillus inert is the ubiquitous nature in women with or without bacterial vaginosis( BV ); some novel anaerobes are strongly associated with BV, such as Atopobium vaginae, Gardnerella vaginalis, BVAB1 and so on.

  4. 25例先天性无阴道的手术治疗%Surgical treatment of 25 patients with congenital absence of vagina

    Institute of Scientific and Technical Information of China (English)

    游艳琴; 宋磊; 李立安

    2012-01-01

    Objective To study the curative effect of surgical treatment on congenital absence of vagina. Methods Clinical data about 25 patients with congenital absence of vagina admitted to our hospital from 2006 to 2011 were retrospectively analyzed. Of these patients, 20 underwent vaginoplasty with acellulardermal repairing patch, 3 underwent vaginoplasty with peritoneum, and 2 underwent vaginoplasty with amniotic membrane. Results The vagina mucosa was formed in 19 patients 8 weeks after vaginoplasty with acellulardermal repairing patch and in 1 patient after vaginoplasty with peritoneum. The satisfactory rate of the patients for sexual life was 90%. Conclusion The time of vagina mucosa formation is relative short after vaginoplasty with acellulardermal repairing patch. The satisfactory rate of vaginoplasty with acellulardermal repairing patch is high, and the procedure deserves to be recommended.%目的 探讨先天性无阴道患者的手术疗效.方法 回顾性分析2006 年1 月-2011 年6 月我科就诊的25 例先天性无阴道患者的临床资料,20 例行脱细胞异体真皮补片人工阴道成形术,3 例行腹会阴联合腹膜代阴道成形术,2 例行羊膜代阴道成形术.结果 19 例脱细胞异体真皮补片人工阴道成形术和1 例腹膜阴道成形术者在术后8 周人工阴道完全黏膜化,性生活满意率为90%.结论 脱细胞异体真皮补片阴道成形术后阴道黏膜化时间短,满意率高,是一种值得推广的术式.

  5. Characterisation of the bacterial microbiota of the vagina of dairy cows and isolation of pediocin-producing Pediococcus acidilactici

    Directory of Open Access Journals (Sweden)

    Wang Yvonne

    2013-01-01

    Full Text Available Abstract Background Uterine infections in dairy cows lower profitability of dairy operations. Infections of the reproductive tract are related to the overgrowth of pathogenic bacteria during the first three weeks after parturition. However, alterations in the vaginal microbiota composition in the first weeks after parturition remain poorly documented. Results In this study, bacteria isolated from the vagina of healthy pregnant, and infected postpartum cows were characterised by random amplification of polymorphic DNA (RAPD analysis and partial 16S ribosomal RNA (rDNA gene sequencing. Populations of bacilli and lactic acid bacteria of the genera Enterococcus, Lactobacillus, and Pediococcus were present in both healthy and infected cows. Infected cows had a significant increase in the vaginal enteric bacteria population which consisted mainly of Escherichia coli. Three E. coli isolates harboured the gene coding for Shiga-like-toxin (SLT I or II. Several isolates of the Pediococcus acidilactici were found to produce the bacteriocin pediocin AcH/PA-1. Quantitative PCR analyses of vaginal mucus samples collected from ten metritic cows before and after parturition confirmed the presence of the Lactobacillus group (Lactobacillus spp., Pediococcus spp., Leuconostoc spp., and Weissella spp.; Enterobacteriaceae, E. coli, and bacilli. The presence of the pediocin AcH/PA-1 structural gene and SLT genes were also confirmed with qPCR. Conclusions In conclusion, overgrowth of pathogenic bacteria, particularly E. coli, after parturition likely contributes to the development of metritis. Our microbiota analysis extends the information related to the composition of commensal bacteria in the bovine female reproductive tract and may facilitate the development of novel intervention strategies for prevention of uterine infections in dairy cows.

  6. 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 del gesto ...

  7. 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.

  8. Cloning of 16S rRNA genes amplified from normal and disturbed vaginal microflora suggests a strong association between Atopobium vaginae, Gardnerella vaginalis and bacterial vaginosis

    Directory of Open Access Journals (Sweden)

    De Ganck Catharine

    2004-04-01

    Full Text Available Abstract Background The pathogenesis of bacterial vaginosis remains largely elusive, although some microorganisms, including Gardnerella vaginalis, are suspected of playing a role in the etiology of this disorder. Recently culture-independent analysis of microbial ecosystems has proven its efficacy in characterizing the diversity of bacterial populations. Here, we report on the results obtained by combining culture and PCR-based methods to characterize the normal and disturbed vaginal microflora. Results A total of 150 vaginal swab samples from healthy women (115 pregnant and 35 non-pregnant were categorized on the basis of Gram stain of direct smear as grade I (n = 112, grade II (n = 26, grade III (n = 9 or grade IV (n = 3. The composition of the vaginal microbial community of eight of these vaginal swabs (three grade I, two grade II and three grade III, all from non-pregnant women, were studied by culture and by cloning of the 16S rRNA genes obtained after direct amplification. Forty-six cultured isolates were identified by tDNA-PCR, 854 cloned 16S rRNA gene fragments were analysed of which 156 by sequencing, yielding a total of 38 species, including 9 presumptively novel species with at least five species that have not been isolated previously from vaginal samples. Interestingly, cloning revealed that Atopobium vaginae was abundant in four out of the five non-grade I specimens. Finally, species specific PCR for A. vaginae and Gardnerella vaginalis pointed to a statistically significant co-occurrence of both species in the bacterial vaginosis samples. Conclusions Although historically the literature regarding bacterial vaginosis has largely focused on G. vaginalis in particular, several findings of this study – like the abundance of A. vaginae in disturbed vaginal microflora and the presence of several novel species – indicate that much is to be learned about the composition of the vaginal microflora and its relation to the etiology of BV.

  9. 婴幼儿阴道内胚窦瘤的CT和MRI诊断%CT and MRI diagnosis of endodermal sinus tumor of vagina in infants

    Institute of Scientific and Technical Information of China (English)

    胡悦林; 刘鸿圣; 罗源利; 周宁; 田金生; 鹿连伟

    2013-01-01

      目的探讨婴幼儿阴道内胚窦瘤的CT和MRI表现特点。方法回顾性分析8例经病理证实的婴幼儿阴道内胚窦瘤的CT及MRI表现,分析总结其影像学特点。结果阴道内胚窦瘤瘤体较大,多呈类圆形,CT平扫密度欠均匀,均可见坏死囊变区域。MRI检查瘤体在T1WI序列上呈等低混杂信号,在T2WI序列上以稍高信号为主,信号混杂不均。CT及MRI增强扫描均呈明显不均匀强化,以病灶周边强化最为显著。结论阴道内胚窦瘤的CT和MRl表现具有一定特征性,结合血清AFP显著升高,可以明确诊断。MRI在显示病灶向周围浸润程度、判断疗效及肿瘤复发方面优于CT。%  Objective To assess the CT and MRI features of endodermal sinus tumors of vagina in infants.Methods The CT and MRI of pathologically confirmed endodermal sinus tumors of vagina in eight infants were analyzed retrospectively.Results Endodermal sinus tumor of vagina showed a large soft tissue mass similar-circular,and the density was inhomogeneous All cases are Endodermal sinus tumor of vagina appeared as a large round soft tissue mass with heterogeneous density,variable necrosis and cystic degeneration on unenhanced CT. The tumor had heterogeneous low to intermediate T1 and slightly high T2 signal intensities. Heterogeneous enhancement especially peripherally was noted on both CT and MRI.Conclusions The CT and MRI features of heterogeneously enhancing vaginal mass with necrosis and cystic degeneration in the setting of elevatedα-fetoprotein level suggest diagnosis of endodermal sinus tumor. MRI is superior to CT in showing surrounding tumor infiltration and tumor recurrence.

  10. 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.

  11. Normal tissue tolerance to external beam radiation therapy: The vagina; Dose de tolerance a l'irradiation des tissus sains: le vagin Normal

    Energy Technology Data Exchange (ETDEWEB)

    Magne, N. [Unite de curietherapie, departement de radiotherapie, institut de cancerologie de la Loire, 42 - Saint-Priest-en-Jarez (France); Chargari, C. [Service d' oncologie radiotherapie, hopital d' instruction des armees du Val-de-Grace, 75 - Paris (France); Pointreau, Y. [Clinique d' oncologie radiotherapie, centre Henry-S.-Kaplan, hopital de Bretonneau, CHU de Tours, 37 - Tours (France); Haie-Meder, C. [Service de curietherapie, departement de radiotherapie, institut Gustave-Roussy, 94 - Villejuif (France)

    2010-07-15

    The vagina is a virtual cavity involved in sexual reproduction field. Due to its anatomical location, it may be exposed in whole or in part to ionizing radiation in external radiotherapy and/or brachytherapy of the pelvic region. This review aims to describe the vaginal acute and late side effects due to radiation, probably inadequately reported in the literature. Medline and PubMed literature searches were performed using the keywords -vaginal - radiotherapy - toxicity. The acute and late functional changes after external beam radiation consist mainly of drought. Their incidences are poorly described in the literature and the delivered doses even less. Recommendations are non-existent as the normal tissue complication probability (NTCP). Brachytherapy delivers high and heterogeneous doses, making it difficult to estimate the dose. The concomitant administration of chemotherapy appears to be a factor increasing the risk of toxicity. Modern techniques of conformal radiotherapy with modulated intensity appear to have little impact on this body. Only a maximum dose on each third of the vagina appears to be currently proposed to avoid the risk of side effects. (authors)

  12. Conceptual knowledge of vesico-vagina fistula among parents, teachers and counsellors of senior secondary students in Warri South local government area of Delta State, Nigeria

    Directory of Open Access Journals (Sweden)

    Imoukhede M.O

    2015-04-01

    Full Text Available Background: VVF is leakages of urine and faeces through the vagina. It is rampant in the North and the Eastern parts of Nigeria due to the forced marriage of girls at about the age of eleven. This may be attributed to their small pelvises which have resulted in harmful reproductive health practice. The disability and suffering from obstetric fistula remains a neglected issue in global health. Aim: This study seeks to explore the conceptual knowledge of vesico-vagina fistula (VVF among parents, teachers and counselors of senior secondary school students in Warri South local government area of Delta state. Methods: A survey design was used. Random sampling method was used to select a total number of six hundred respondents including parents, teachers and counselors that participated in the study, but only five hundred and eleven questionnaires were retrieved. The questionnaire was divided into two sections containing information on demography and selected variables for the study. Data was analyzed using descriptive statistics of Anova and t-tests. Result: the study revealed that there is no significant difference in the conceptual knowledge of VVF among parents, teachers and counselors of senior secondary school students either by educational status or location. Conclusion: It can be concluded that parents, teachers and counselors of senior secondary school have very little knowledge about VVF. There is need for educational programmes on VVF to enlighten them about VVF and the danger it poses.

  13. The Clinical Application of Micro-ecosystem in Vagina and Mixed Infection%阴道微生态评价系统的临床应用与混合感染

    Institute of Scientific and Technical Information of China (English)

    王梅(综述); 岳惠芬(审校)

    2015-01-01

    The microbe community of the vagina has formed a coordinated equivalent balance with the host cell and the environment.This kind of micro-ecosystem balance of the vagina is necessary for maintai-ning the well-being of the organism.Many reproductive tract infection diseases were usually found in clinical entity because of the imbalance of the micro-ecology of the vagina.The evaluating system of the micro-eco-system of the vagina could quickly diagnose the common clinical vaginitis .To fully evaluate the vaginosis and the situation of the micro-ecosystem of the vagina before and after the treatment plays an important role in treating the complicated infection of the vagina and decreasing the recurrence .%阴道内的微生物群落与宿主、环境构成了动态协调的平衡关系,这种阴道的微生态平衡对维持机体的健康是必要的。许多临床上常见的生殖道感染性疾病均存在的明显的阴道微生态系统失衡,阴道微生态评价体系可以快速诊断临床常见的阴道炎症,全面评价阴道感染及治疗前后的阴道微生态状况,对阴道混合感染的治疗及降低复发率等起着重要的作用。

  14. The use of peritoneum for laparoscopic vaginoplasty in patients with congenital absence of vagina%腹腔镜下腹膜代阴道治疗先天性无阴道

    Institute of Scientific and Technical Information of China (English)

    王明波; 刘穗; 刘喻; 余幼辉

    2010-01-01

    目的 探讨腹腔镜下腹膜代阴道成形术的效果.方法 2003年10月至2009年1月共行腹腔镜下腹膜代阴道成形术9例,通过腹腔镜探查盆腔,游离盆腔腹膜,分离人工阴道腔穴,将游离盆腔腹膜自人工腔穴牵出,缝合形成人工阴道.结果 手术时问120~170 min,术中出血50~200 ml,术后第2天肛门排气,人工阴道深度10~12 cm.随访时间3年,人工阴道黏膜红润、光滑、弹性好,功能和形态达到生理要求,已婚者述性生活满意.结论 腹腔镜下腹膜代阴道成形术创伤小,术后恢复快,不破坏机体完整性,腹膜形成的阴道壁光滑,与正常阴道黏膜相似,符合生理状态,是治疗先天性无阴道较理想的手术方式.%Objective To study the effect of the use of peritoneum tor laparoscopic vaginoplasty in patients with congenital absence of vagina.Methods 9 patients with congenital absence of vagina were perfomed peritoneum for laparoscopic vaginoplasty from Oct ,2003 to Jan ,2009.Explore the pelvic by laparoscopic vaginoplasty,free the pelvic peritoneum,detach artificial vagina,pull the pelvic peritoneum from the artificial vagina,suture to form a vagina.Results The operation time was 120 ~ 170 minutes.Blood loss of operation was 50 ~200 ml.All patients had gas discharged 2 days after operation.Depth pf vagina made were 10 ~ 20 cm.3 years after operation,the vagina made all have a smoothy and tendy mucous membrane that their function or shape reached physiological goal Patients or their spouses were satisfied to their sex activity.Conclusion Use of peritoneum for laparoscopic vaginoplasty in patients with congenital absence of vagina has the advantages of short operation time,rapid recovery and no impact of physiological organ.Vagina membrane made by peritonem were smoothy and alike to normal vagina membrane.The use of peritoneum for laparoscopic vaginoplasty is an good operation way in patients with congenital absence of vagina.

  15. 肾移植患者术后阴道菌群变化的临床研究%The clinical study on vagina flora after kidney transplantation

    Institute of Scientific and Technical Information of China (English)

    韩献萍; 于立新; 孙勇; 张秀荣

    2000-01-01

    Objectives To explore the effect of immunosuppressants on vagina flora after kidney transplantation,and to find the appropriate nleasures for prevention and treatment.Methods Sixty women undergoing kidney transplantation and 60 healthy age-matched women were observed,whose vagina secretion was analyzed by quick smear examination.Results The incidence rate of vaginitis in women who accepted the maintenance dose of irnmunosuppressants after kidney transplantation was higher than in healthy women,while there was no difference on the vagina flora between the women undergoing kidney transplantation and the healthy group without vaginitis.Conclusions In the patients receiving maintenance dose of immunosuppressants,the incidence rate of monilial vaginitis and flora imbalance are higher than those in healthy women.Treatment of diflucan capsules has a very good curative effect.%目的 了解肾移植术后应用免疫抑制剂对阴道菌群的影响,探讨防治措施.方法 以60例女性肾移植患者为观察对象,将其阴道分泌物制成涂片,显微镜下观察细菌的数量、优势菌的比例有无改变及有无杂菌,并与60名年龄相近的正常女性进行对比分析,对患白色念珠菌性阴道炎的患者给以氟康唑胶囊治疗.结果 移植组术后发生阴道炎者26例,正常组仅8例发生阴道炎;发生阴道炎者经给予氟康唑胶囊和雌激素治疗痊愈.结论 肾移植术后阴道炎的发生率高于正常人群,且易反复发生;氟康唑治疗效果较佳.

  16. Effect of Bacterial Vaginitis on the Immune Environment of Vagina%细菌性阴道炎对阴道免疫环境的影响

    Institute of Scientific and Technical Information of China (English)

    姚锋

    2015-01-01

    目的:探讨细菌性阴道炎对阴道内免疫环境的影响。方法2015年1—7月整群收集该院诊治的80例细菌性阴道炎患者和80例正常妇女阴道灌洗液和白带,ELISA检测阴道灌洗液中IL-1β,IL-6, IL-8及HBD-2。白带涂片革兰氏染色镜检阴道杆菌和其他杂菌的数目。结果细菌性阴道炎组较正常妇女组阴道内IL-1β水平升高(P<0.001), HBD-2水平降低(P<0.001),IL-6,IL-8差异无统计学意义(P=0.631,P=0.764)。细菌性阴道炎组较正常妇女组阴道内杂菌数量增多(P<0.001),阴道杆菌数量减少(P<0.001)。结论阴道杆菌对阴道内环境有免疫调节作用,细菌性阴道炎杂菌生长会破坏阴道内免疫环境。%Objective To study the effect of bacterial vaginitis on the immune environment of vagina. Methods From Jan-uary 2015 to July 2015 ,vaginal lavage fluid and leucorrhea of 80 cases of bacterial vaginitis patients and 80 cases of nor-mal women were collected , IL-1β,IL-6, IL-8 and HBD-2 in vaginal lavage fluid were detected by ELISA, the number of vagina bacillus and other miscellaneous bacteria was examined by leucorrhea smear gram staining microscopic. Results Compared with the normal women group, IL-1βlevel of vaginal internal in the bacterial vaginitis group increased (P<0.001) and HBD-2 decreased (P<0.001),the difference of IL-6 and IL-8 was not statistically significant (P=0.631,P=0.764). Compared with the normal women group, the number of miscellaneous bacteria in the bacterial vaginitis group increased (P<0.001)but the number of vagina bacillus decreased (P<0.001). Conclusion Vagina bacillus has an immune and adjustment effect on vaginal internal environment and the growth of bacterial vaginitis bacteria can destroy vaginal internal immune environment.

  17. [Cytological and bacteriological examinations of the cervix and vagina. A review of the results obtained in a laboratory for analyses in Guadeloupe (author's transl)].

    Science.gov (United States)

    Millan, J; Crenn, O; Lidome, E

    1981-01-01

    The authors give the results of their cytological and bacteriological examinations of the cervix and vagina carried out routinely in a laboratory. They emphasize, in detailing their method of working, the criteria that they feel must be adopted in an attempt to code the qualitative appraisal of direct examination and the result of studying the cultures. The first part of the paper deals with an overall survey of the 4,573 examinations which were carried out over a period of 8 years. The second part is concerned with a more detailed analysis of the 883 samples which were divided into 4 categories: pregnant women, those having oral contraception, those with an intra-uterine device, and others. There are several variations revealed between these 4 categories as far as the white cell count, the bacterial flora and even pathogenic organisms are concerned. PMID:7334191

  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 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. Curative observation of disposable bacteriostatic absorber for vagina in the treatment of gestational candida vulva va-gina disease%唯阴康治疗妊娠期念珠菌性外阴阴道病效果观察

    Institute of Scientific and Technical Information of China (English)

    杨春; 宋晓蓉

    2014-01-01

    目的:观察唯阴康治疗妊娠期念珠菌性外阴阴道病的临床疗效及安全性。方法选取门诊2012年5月-2013年11月诊治妊娠期念珠菌性外阴阴道病患者95例,随机分为观察组(唯阴康治疗)50例和对照组(碳酸氢钠冲洗)45例,治疗10d 后比较治疗效果并观察不良反应。结果观察组总有效率为86.0%高于对照组的62.2%,差异有统计学意义(P <0.05)。2组患者治疗期间均未出现明显不良反应。结论唯阴康治疗妊娠期念珠菌性外阴阴道病方便、安全、有效,值得临床推广。%Objective To explore the clinical effect and safety of disposable bacteriostatic absorber for vagina(Weiy-inkang)in the treatment of gestational candida vulva vagina disease. Methods During May 2012 to November 2013,125 ca-ses of patients with gestational candida vulva vagina disease cured by outpatient was selected as the research objects,which were randomly divide into observation group(Weiyinkang treatment)including 50 cases,and control group(sodium bicarbon-ate flush)including 45 cases according to the random number table,and the treatment effect and adverse reaction of which were compared after ten days' cure. Results The total effective rate of observation group was 86. 0% ,which was higher than 62. 2% of the control group,and the difference was statistical significance(P < 0. 05). Neither of 2 groups had obvious ad-verse reaction. Conclusion The treatment of Weiyinkang on gestational candida vulva vagina disease is convenient,safe and effective,which is worthy of clinical promotion.

  20. Three-dimensional(3D) Pelvic Floor Ultrasound:Transversal Imaging of Nulliparous Vagina at Different Level%未产妇阴道不同水平横断面的三维盆底超声观察

    Institute of Scientific and Technical Information of China (English)

    李勤; 胡兵; 应涛

    2009-01-01

    Objective To search for an effective imaging method for the morphological observation of female pelvic support by studying 3D ultrasound image features of nulliparous vagina and perivaginal structures at different level.Methods Fifty nulliparas were examined by 3D pelvic floor ultrasonography.The appearance of vagina and perivaginal structures was observed from vaginal vault to orifice in transversal 3D reconstruction image of pelvic floor.Results Three-dimensional pelvic floor ultrasound showed cross-sectional imaging of the whole vagina clearly.The vaginal transversal morphologies were different at different level.It was lip-like in proximal vagina,butterfly-like in middle vagina and crescent-like in distal vagina.The perivaginal structures at different level were different.Perineal body was at distal vagina level,urethrovaginal septum,rectovaginal septum and paravaginal support at middle vagina level,perivaginal connective tissue at proximal vagina level.All were uniform,dense and complete.Conclusions The 3D pelvic floor ultrasound images of vagina and perivaginal structures at different level are distinct,which is valuable for the study of 3D ultrasound in female pelvic support and pelvic floor dysfunction.%目的 探讨未产妇不同水平阴道横断面及周围结构的三维盆底超声表现,为女性盆底支持结构的形态学观察提供有效的影像学方法 .方法 对50例无生育史年轻女性进行三维盆底超声检查,获得盆底横断面声像图,连续观察宫颈外口至阴道外口间阴道横断面及周围结构的声像图表现.结果 三维盆底超声清晰显示阴道全程的横断面声像图.不同水平的阴道横断面形态不同:近段阴道呈"唇形",中段阴道呈"蝶形",远段阴道呈"月牙形".不同水平的阴道周围结构不同:远段阴道水平可见会阴体,中段阴道水平可见尿道阴道隔、直肠阴道隔及阴道旁支持结构,近段阴道水平可见阴道周围结缔组织,阴道周围

  1. Analysis of microbial flora in dairy cow's vagina, and the isolation and identification of lactobacillus%奶牛阴道菌群分析与乳酸菌的分离及鉴定

    Institute of Scientific and Technical Information of China (English)

    侯荣伦; 程超; 付艳茹; 刘彦民; 李利平; 郝永清; 黄少磊

    2011-01-01

    目的 研究奶牛阴道菌群,并从健康奶牛阴道分离出产酸能力很强的乳酸菌.方法 采用常规的方法对奶牛阴道进行细菌的分离及鉴定,并进行菌群分析.结果 健康奶牛阴道优势菌群主要为乳酸菌(P<0.01),屡配不孕奶牛阴道优势菌群主要为金黄色葡萄球菌(P<0.01);从健康奶牛阴道分离出的乳酸菌为55株,其中产酸能力很强的6株乳酸菌鉴定结果分别为Lactobacillus plantarum,Lactobacilluz brevis,Enterococcus faecalis,Lactococcus garvieae、Lactobacillus kitasatonis和Lactobacillus amylovorus.结论 奶牛阴道菌群中分离的6株乳酸菌可作为潜在的奶牛阴道微生态制剂进行深入研究.%Objective To Analyse the microbial flora in dairy cow's vagina, isolate and identify Lactobacillus with strong acid-producing capacity from vagina of healthy dairy cows. Method The standard microbiological methods were used to isolate and identify the bacteria in dairy cow's vagina. Result The most dominant bacteria in the vagina of healthy dairy cows belonged to Lactobacillus( P <0.01 ); The most dominant bacteria in the vagina of infertile dairy cows belonged to Staphylococcus aureus(P < 0.01 ); 55 lactic acid bacteria were isolated from the vagina of healthy dairy cows. 6 of which with strong acid-producing capacity were further identified as Lactobacillus plantarum, Lactobacillus brevis, Enterococcus faecalis, Lactococcus garvieae, Lactobacillus kitasatonis and Lactobacillus amylovorus, respectively. Conclusion The 6 lactic acid bacteria strains can be used as the candidates for the preparation of microecological additives of dairy cows and need further study.

  2. An evaluation of the amount of nonoxynol-9 remaining in the vagina up to 4 h after insertion of a vaginal contraceptive film (VCF) containing 70 mg nonoxynol-9.

    Science.gov (United States)

    Mauck, C K; Allen, S; Baker, J M; Barr, S P; Abercrombie, T; Archer, D F

    1997-08-01

    The objectives of this study were to determine the amount of nonoxynol-9 (N-9) remaining in the vagina 30 min and 1, 1.5, 2, and 4 h after vaginal insertion of a single sheet of VCF containing 70 mg N-9 and to compare these results to the manufacturer's instructions for use of this product. A new method of vaginal lavage was used to obtain samples for N-9 determination. This was an open-label, noncomparative, pharmacokinetic study in 12 healthy women volunteers not at risk for pregnancy. The study consisted of a screening visit followed by five test visits approximately 1 month apart and a final visit 1 week after all test visits were completed. At each test visit, the investigator inserted a single sheet of VCF in the vagina of the volunteer at midcycle. The volunteer remained in the clinic and underwent vaginal lavage with normal saline after one of five specified time intervals had elapsed. The sequence of the intervals completed by each volunteer was determined by randomization. When undissolved film was found in the vagina, it was removed prior to lavage and assayed for N-9 content separately from that recovered in lavage fluid. It was assumed that the N-9 in undissolved film would not contribute significantly to sperm immobilization. Between 18.5 and 28.5 mg of N-9 were recovered in lavage fluid after intervals of 0.5, 1, 1.5, and 2 h. These levels did not differ statistically (p > 0.05). The amount of N-9 recovered dropped significantly at 4 h to 11.0 mg. If it is assumed that an N-9 concentration of 0.100 mg/mL is required to immobilize sperm in vitro, this study suggests that the amount of N-9 remaining in the vagina in the form of dissolved film up to 4 h after insertion of VCF is sufficient to immobilize sperm. The lavage procedure may not have recovered all N-9 remaining in the vagina. However, intercourse did not take place between insertion and lavage; if it had, the proportion of the film remaining undissolved and the total amount N-9 remaining in

  3. 瘢痕子宫瘢痕妊娠阴道彩超的检查%Scar Uterine Scar Pregnancy Vagina Colour to Exceed Examination

    Institute of Scientific and Technical Information of China (English)

    袁雪英

    2013-01-01

    Objective:To explore the vagina colour to exceed to check for improving the significance of treatment of scar uterine scar pregnancy. Method:82 cases of cesarean section with postpartum scar pregnancy were retrospectively analyzed in our hospital from March 2010 to May 2013,and were randomly divided into two groups:observation group for vagina colour to exceed examination of patients,42 cases;the control group for patients with abdominal colour to exceed,40 cases. Compared the diagnostic coincidence rate of two groups. Result:Observation group diagnostic coincidence rate was 95.24%(40/42),the control group was 67.50%(27/40),the two groups had statistical significance(P<0.05);the missed diagnosis rate was 2.38%(1/42) in observation group,the control group was 12.50%(5/40).Conclusion:Transvaginal doppler colour to exceed examination can accurately positioning scar pregnancy surgical site,and damage to patients is small,less complications,is of great significance in clinic,is worth promoting.%目的:探讨阴道彩超检查对于提高治疗瘢痕子宫瘢痕妊娠的重要意义。方法:回顾性分析2010年3月-2013年5月本院收治的82例剖宫产产后瘢痕妊娠患者临床资料,随机分为两组,观察组42例进行阴道彩超检查,对照组40例进行腹部彩超检查。比较两组诊断符合率。结果:观察组诊断符合率95.24%(40/42),高于对照组的67.50%(27/40),两组比较差异具有统计学意义(P<0.05);观察组漏诊率2.38%(1/42)低于对照组的12.50%(5/40)。结论:经阴道多普勒彩超的检查能够准确的定位瘢痕妊娠的手术部位,在临床上具有重要意义,值得推广。

  4. 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

  5. Citologia Hormonal do Trato Urinário Baixo e da Vagina de Mulheres na Pós-menopausa, antes e durante Estrogenioterapia Oral e Transdérmica

    OpenAIRE

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

    2002-01-01

    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...

  6. Atopobium vaginae与细菌性阴道病关系的研究%Study on the association of Atopobium vaginae with bacterial vaginosis

    Institute of Scientific and Technical Information of China (English)

    张彦; 宋磊

    2007-01-01

    目的:应用非培养方法研究Atopobium vaginae与细菌性阴道病的关系.方法:根据Nugent评分标准从15例健康妇女及17例BV患者的其阴道分泌物中提取细菌总DNA.分别选择健康妇女及BV患者样本各3例,构建16S rRNA基因克隆文库并进行测序分析.应用Atopobium vaginae16S rRNA基因的特异性引物对32例样本进行PCR扩增.结果:Atopobium vaginae是BV患者阴道菌群中的优势菌种,它存在于大部分(14/17)BV患者阴道中,健康妇女阴道中(1/15)则很罕见.结论:Atopobium vaginae与细菌性阴道病的发生有一定的相关性.

  7. Differential Regulation of Morphology and Estrogen Receptor-Alpha Expression in the Vagina of Ovariectomized Adult Virgin Rats by Estrogen Replacement: A Histological Study.

    Science.gov (United States)

    Li, Ting; Ma, Yuanyuan; Zhang, Hong; Yan, Ping; Huo, Lili; Hu, Yongyan; Chen, Xi; Li, Ting; Zhang, Miao; Liu, Zhaohui

    2016-01-01

    Background. To determine the exact role of estrogen in vaginal tissue morphology and estrogen receptor-alpha (ERα) distribution in the vagina, which remains controversial. Methods. Sixty rats were randomly categorized: sham-operated (sham), ovariectomy (OVX), and four estradiol treatments (estradiol valerate at 0.4, 0.8, 1.6, and 3.2 mg/kg/day) for 2 weeks. Thereafter, vaginal samples were biopsied from the distal- and proximal-half portions. The percentage of ERα-immunoreactive cells and the ERα score were quantified using immunohistochemistry to assess changes in ERα expression and distribution. Results. OVX induced significant vaginal atrophy and organic index. Estrogen-replacement therapy (ERT) reversed vaginal atrophy. The vaginal distal-half areas showed lower ERα% than the proximal-half areas. The ERα% increased sharply 4 weeks after OVX, especially in the epithelial layer (P = 0.023). ERT elicited different degrees of reductions in tissues after the 2-week treatment, but the ERα% in only the epithelium recovered in parallel with that in the sham group (P = 0.001). The OVX group showed higher ERα histological scores than the sham group, and the distal-half area changed more evidently than the proximal-half area. ERα expression was nearly unchanged after ERT (P > 0.05). Conclusions. ERT is effective for treating obesity and vulvovaginal atrophy caused by hypoestrogenism and advancing age in menopausal women but cannot recover the distribution and expression of ERα. PMID:27642295

  8. Inhibition of HIV-1 infection in ex vivo cervical tissue model of human vagina by palmitic acid; implications for a microbicide development.

    Directory of Open Access Journals (Sweden)

    Xudong Lin

    Full Text Available BACKGROUND: Approximately 80% of all new HIV-1 infections are acquired through sexual contact. Currently, there is no clinically approved microbicide, indicating a clear and urgent therapeutic need. We recently reported that palmitic acid (PA is a novel and specific inhibitor of HIV-1 fusion and entry. Mechanistically, PA inhibits HIV-1 infection by binding to a novel pocket on the CD4 receptor and blocks efficient gp120-to-CD4 attachment. Here, we wanted to assess the ability of PA to inhibit HIV-1 infection in cervical tissue ex vivo model of human vagina, and determine its effect on Lactobacillus (L species of probiotic vaginal flora. PRINCIPAL FINDINGS: Our results show that treatment with 100-200 µM PA inhibited HIV-1 infection in cervical tissue by up to 50%, and this treatment was not toxic to the tissue or to L. crispatus and jensenii species of vaginal flora. In vitro, in a cell free system that is independent of in vivo cell associated CD4 receptor; we determined inhibition constant (Ki to be ∼2.53 µM. SIGNIFICANCE: These results demonstrate utility of PA as a model molecule for further preclinical development of a safe and potent HIV-1 entry microbicide inhibitor.

  9. 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

  10. 唯阴康预防宫颈癌放射治疗阴道并发症的观察%Wei yin kang to prevent cervical cancer radiotherapy vagina observation of complications

    Institute of Scientific and Technical Information of China (English)

    杨爱青

    2015-01-01

    目的:对宫颈癌放射治疗的患者应用唯阴康预防放射性阴道并发症的效果观察。方法选择2008年3月至2012年12月宫颈癌患者160例,随机分为2组,80例为观察组,80例为对照组,对照组每日常规给予阴道冲洗,观察组,每日常规给予阴道冲洗后隔日给予阴道填塞唯阴康1支,共2个月,第3个月每周用2支。结果观察组使用唯阴康后阴道并发症明显低于对照组。%Objective:To apply only in patients with cervical cancer radiotherapy of Yin, prevention of complications of the vagina effect observation. Methods:March 2008-December 2012 160 cases of cervical cancer patients, randomly divided into 2 groups, 80 cases in observation group, 80 cases as control group, control group a daily routine for vagina washing, observation group, a day after the daily routine for vagina washing give vaginal tamponade wei Yin kang 1, 2 months, 3 months, two a week. Results:the observation group USES the vagina after wei Yin kang complications were significantly lower than the control group.

  11. Detection of the Human 70-kD and 60-kD Heat Shock Proteins in the Vagina: Relation to Microbial Flora, Vaginal pH, and Method of Contraception

    Directory of Open Access Journals (Sweden)

    P. Giraldo

    1999-01-01

    Full Text Available The expression of the 60-kD and 70-kD heat shock proteins (hsp60 and hsp70 in the vaginas of 43 asymptomatic women of reproductive age with or without a history of recurrent vulvovaginitis (RVV were compared. Vaginal wash samples were obtained and assayed by enzyme-linked immunosorbent assay (ELISA for human hsp60 and hsp70. Heat shock protein 70 was not detected in any of the 19 women with no history of RVV, and hsp60 was present in only one woman in this group. In contrast, in the RVV group, 11 (45.8% were hsp60-positive and eight (33.3% were hsp70-positive. The presence of either heat shock protein in the vagina was associated with an elevated vaginal pH (>4.5. Bacterial vaginosis or Candida was identified in some of the asymptomatic subjects; their occurrence was significantly higher in women with vaginal hsp70 than in women with no heat shock proteins. Oral contraceptives were used by 35.7% of subjects who were negative for vaginal heat shock proteins, as opposed to only 12.5% of women who were positive for hsp70 and 8.3% who were positive for hsp60. Expression of heat shock proteins in the vagina may indicate an altered vaginal environment and a susceptibility to vulvovaginal symptoms. Infect. Dis. Obstet. Gynecol. 7:23–25, 1999.

  12. Detection of the human 70-kD and 60-kD heat shock proteins in the vagina: relation to microbial flora, vaginal pH, and method of contraception.

    Science.gov (United States)

    Giraldo, P; Neuer, A; Ribeiro-Filho, A; Linhares, I; Witkin, S S

    1999-01-01

    The expression of the 60-kD and 70-kD heat shock proteins (hsp60 and hsp70) in the vaginas of 43 asymptomatic women of reproductive age with or without a history of recurrent vulvovaginitis (RVV) were compared. Vaginal wash samples were obtained and assayed by enzyme-linked immunosorbent assay (ELISA) for human hsp60 and hsp70. Heat shock protein 70 was not detected in any of the 19 women with no history of RVV, and hsp60 was present in only one woman in this group. In contrast, in the RVV group, 11 (45.8%) were hsp60-positive and eight (33.3%) were hsp70-positive. The presence of either heat shock protein in the vagina was associated with an elevated vaginal pH (>4.5). Bacterial vaginosis or Candida was identified in some of the asymptomatic subjects; their occurrence was significantly higher in women with vaginal hsp70 than in women with no heat shock proteins. Oral contraceptives were used by 35.7% of subjects who were negative for vaginal heat shock proteins, as opposed to only 12.5% of women who were positive for hsp70 and 8.3% who were positive for hsp60. Expression of heat shock proteins in the vagina may indicate an altered vaginal environment and a susceptibility to vulvovaginal symptoms. PMID:10231004

  13. The clinical study of the extensive hysterectomy vagina yarn after anesthesia%广泛全子宫切除术前实施麻醉后行阴道塞纱的临床研究

    Institute of Scientific and Technical Information of China (English)

    黄兰英; 陈少君; 刘萍凤; 康淑泉

    2014-01-01

    目的:探讨广泛全子宫切除术前实施麻醉后行阴道塞纱的效果。方法选择行广泛全子宫切除术患者60例,设对照组和实验组各30例,对照组实施有针对性阴道塞纱,实验组实施麻醉后行阴道塞纱。术后由手术医生对2患者术前阴道塞纱的效果进行评估,并在术后1天采用自行设计的患者满意度调查表对两组病人进行调查。结果实施麻醉后行阴道塞纱效果优于对照组(χ2=6.66,P !0.01),实验组患者与对照组患者满意度调查相比差异有统计学意义(χ2=38.46,P !0.01)。结论广泛全子宫切除术前实施麻醉后行阴道塞纱更能体现人性化服务,可提高手术效果,减少手术并发症,提高医疗护理质量。%Objective To investigate the effect of the extensive hysterectomy vagina yarn after anesthesia.Method 60 patients with extensive hysterectomy were selected which were divided into control group and experimental group.Control group implement the targeted vagina gauze, while the experimental group implement vagina yarn after anesthesia.The doctors evaluated the effect of the patient’s vagina yarn on two the groups after the intervention.The patient satisfaction questionnaire was used on two the groups of patients in the investigation.ResultsThe results of the experimental group is better than the control group(χ2 =6.66,P<0.01 ).The difference between the experimental group patients and the control group patients’satisfaction was statistically significant.Conclusion Extensive hysterectomy vagina yarn after anesthesia is more human-ized service and it is beneficial to improve the effect of surgery and reduce complications and improve the quality of medical care.

  14. Cervix high-risk HPV infection and vagina environment correlation factor analysis%宫颈高危HPV感染与阴道内环境相关因素分析

    Institute of Scientific and Technical Information of China (English)

    于妍妍; 金哲; 刘艳霞; 黄文玲; 曹颖

    2011-01-01

    Objective To investigate the relationship between vaginal environment change and the cervix high-risk human papilloma virus ( HR-HPV ) infects. Methods 250 female patients were enrolled and received HPV-DNA examination. The woman's vagina secretion were tested by using the vagina secretion method of pendant drop and the Gram dyeing, the fast BV examination reagent box method, the pH indicator paper determination method separately, the results of the vaginitis, vagina cleanliness, vagina pH value, vagina bacteria colony were tested and recorded. Results HPV-DNA results showed that positive results in 124 cases and negative in 126 cases. The Logistic regression analysis results indicated that the pH value, the bacteria colony change and bacterial vaginosis were the HR-HPV infection hazard factor ( OR value were 2. 883, 1. 547 and 2. 409 respectively, P <0. 05 ). the cleanliness, infusoria vaginitis and rayon saccharomycetes vaginitis were not the HR-HPV infection hazard factor( P >0.05 ). Conclusion The pH value, the bacteria colony change and the bacterial vaginosis are the HR-HPV infection hazard factors, but the cleanliness, the infusoria vaginitis and the rayon saccharomycetes vaginitis are not the HR-HPV infection hazard factors.%目的 探讨阴道内环境的变化与宫颈高危人乳头瘤病毒(HR-HPV)感染之间的关系.方法 入选250例女性,进行HPV DNA检测,取阴道分泌物分别采用阴道分泌物悬滴法、Gram染色法、快速BV检测试剂盒法,测阴阴道炎和检道内环境的指标(阴道清洁度、阴道pH值、阴道菌群组成).结果 250例女性中HR-HPV阳性124例、阴性126例.Logistic回归分析结果表明,pH值、菌群变化及细菌性阴道病是HR-HPV感染的危险因素(OR值分别为2.883、1.547、2.409,P均0.05).结论 pH值、菌群变化及细菌性阴道病是HR-HPV感染的危险因素,而清洁度、滴虫性阴道炎及假丝酵母菌阴道炎不是HR-HPV感染的危险因素.

  15. 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.

  16. 乙状结肠代阴道成形术治疗先天性无阴道的疗效分析%Clinical effect of sigmoid colon vaginoplasty in treatment of congenital absence of vagina

    Institute of Scientific and Technical Information of China (English)

    唐素蓉; 藤青芳; 张晓丹

    2014-01-01

    Objective To discuss the clinical effect of sigmoid colon vaginoplasty in the treatment of patients with congenital absence of vagina. Methods 4 patients with the congenital absence of vagina treated in this hospital from February 2011 to August 2013 received the treatment of sigmoid colon vaginoplasty. Their average operation time, intraoperative hematoma volume, postoperative complications and postoperative vaginal structure and function were observed. Results 4 patients with the congenital absence of vagina who received the sigmoid colon vaginoplasty were all successful in the operation, with the average operation time of (140.5±26.5)min and average hematoma volume of (118.4±4.5)mL. The vagina formed by the sigmoid colon surgery was close to the normal one in the shape and patients were satisfied with the sex life without any intraoperative or postoperative complication. Conclusion After receiving the sigmoid colon vaginoplasty, patients with the congenital absence of vagina have their operation-formed vaginas basically similar to normal ones in the structure and function. It is characterized by the safe operation, short operation time, limited hematoma volume and little complications, which is worthy to be popularized in the clinical practice.%目的:研究探讨应用乙状结肠代阴道成形术治疗先天性无阴道患者的临床疗效。方法对我院2011年2月~2013年8月收治的先天性无阴道患者4例进行分析,采用乙状结肠代阴道成形术治疗,观察4例采用乙状结肠代阴道成形术的平均手术时间、手术时出血量、手术后的并发症以及手术后阴道的结构和功能的情况。结果采用乙状结肠代阴道成形术治疗的4例先天性无阴道患者手术均获得成功,而且手术的平均时间为(140.5±26.5)min,平均出血量为(118.4±4.5)mL。用乙状结肠手术成的阴道在形态上与正常女性阴道接近,并且患者性生活感觉满意,没有发生手

  17. Character of Psychology of Patients with Congenital Absence of Vagina during Preoperative Period and Nursing Strategy%先天性无阴道患者围手术期心理特点及护理对策

    Institute of Scientific and Technical Information of China (English)

    王小丽

    2011-01-01

    目的探讨先天性无阴道患者围手术期有效的护理措施,提高护理质量.方法:针对患者不同的心理状态进行分类,给予心理辅导,提供相关信息,做出相应的护理对策.结果:43 例患者均痊愈出院,无护理并发症的发生.结论:有效的围手术期护理是手术成功的重要因素之一,应根据患者的病情及心理特点,采取有针对性的护理措施,减轻和消除患者不良的心理反应,促进健康的恢复.本文通过对先天性无阴道患者围手术期心理特点的观察,提出相应的护理措施,并很好地运用于临床.%Objective: To investigate the nursing strategy for patients with congenital absence of vagina during preoperative period in order to improve quality of nursing. Methods: According to different characteristics of psychology of patients, patients were administered with psychological consulting and related nursing strategy.Results: 43 of patients were fully recovery from congenital absence of vagina without complication. Conclusion: Effective nursing during preoperative period is a critical factor for successful surgery. According to different condition and character of psychology of patients, related nursing intervention was administered to relieve negative psychological condition and promote recovery from illness.Out study presented that that it was effective of using of psychological nursing intervention to patients with congenital absence of vagina in clinical work.

  18. 消糜阴道泡腾片对大鼠细菌性阴道炎的治疗作用研究%Experimental study on the effect of Xiaomi Vagina Effervescent Tablets on bacterial vaginitis in rats

    Institute of Scientific and Technical Information of China (English)

    姜善玲; 王平; 李百开; 高雁

    2014-01-01

    目的:探讨消糜阴道泡腾片对大鼠细菌阴道炎模型的治疗作用。方法将雌性大鼠随机分为正常对照组、模型组、消糜阴道泡腾片治疗组、氧氟沙星栓剂对照组。除正常对照组外,其余各组大鼠建立细菌性阴道炎模型,成模后给药,末次药后取阴道分泌物涂片染色镜检验;处死大鼠,取阴道组织,进行病理学的检查。结果消糜阴道泡腾片高剂量抗大鼠细菌性阴道炎的总有效率为91.7%,与氧氟沙星栓组比较无统计学意义(P ﹥0.05)。结论消糜阴道泡腾片对大鼠细菌性阴道炎具有显著的治疗作用。%Objective To investigate the therapeutic effects of Xiaomi Vagina Effervescent Tablets on bacteria vaginitis model in rats. Methods Female rats were randomly divided into normal control group,model group,Xiaomi Vagina Effer-vescent Tablets treatment group,Ofloxacin Suppositories control group. Except normal control group,establishment of bacte-rial vaginitis model in the remaining rats,into the mold after the administration,after last administration,vaginal secretion smear staining microscopic examination;The rats were sacrificed,and vaginal tissue was took to carry out pathologic exami-nation. Results The high dose of Xiaomi Vagina Effervescent Tablets in rats with bacterial vaginosis total efficiency was 91. 7% ,there was no statistical significance compared with the Ofloxacin Suppositories group(P ﹥ 0. 05). Conclusion Xiaomi Vagina Effervescent Tablets in the treatment of bacterial vaginosis rats had significantly therapeutic effect.

  19. Vaginoplasty with an Acellular Dermal Matrix Patch for Congenital Absence of Vagina%生物补片人工阴道成形术治疗先天性无阴道

    Institute of Scientific and Technical Information of China (English)

    贡震; 邵振堂; 沈宇飞; 张蕾; 石晓燕; 谭笑梅

    2014-01-01

    Objective To evaluate the clinical application of vaginoplasty with an acellular dermal matrix patch in the treatment of congenital absence of vagina . Methods This retrospective analysis included 21 patients with congenital absence of vagina referred to our department from March 2010 to March 2013.All the patients underwent vaginoplasty at the gap between the rectum and the urethra with an acellular dermal matrix patch .The clinical course and management were reviewed . Results All the 21 patients underwent vaginoplasty with an acellular dermal matrix patch successfully .The vagina mucosa was formed 8 weeks after vaginoplasty with a depth >8 cm and width >3 cm.After follow-up reviews for 9-18 months, a satistactory feedback of sexual life was obtained in 14 patients who had sexual experiences . Conclusion Vaginoplasty with an acellular dermal matrix patch for patients with congenital absence of vagina can be successfully performed with satisfactory outcomes .%目的:探讨生物补片人工阴道成形术治疗先天性无阴道的疗效。方法2010年3月~2013年3月,行生物补片人工阴道成形术治疗21例先天性无阴道,于直肠及尿道膀胱间隙人工造穴,百得塞补片置入造穴腔,并指导患者定期更换模具。结果21例手术均获成功,术后8周人工阴道即完全黏膜化,阴道壁柔软、红润,阴道深度>8 cm,宽度>3横指。随访9~18个月,有性生活患者(14例)性生活满意。结论生物补片人工阴道成形术是治疗先天性无阴道的可行方法。

  20. 复发性外阴阴道假丝酵母菌病发病机制的研究进展%An analysis of the factors contributing to recurrent vulva and vagina candidiasis

    Institute of Scientific and Technical Information of China (English)

    徐倩倩; 宁玉梅

    2013-01-01

    复发性外阴阴道假丝酵母菌病(Recurrent candidiasis of vulva and vagina,RVVC)病因复杂,主要原因有机体免疫防御机制的变化,宿主局部因素,假丝酵母菌的菌群多样性变化等.认识、了解及掌握上述因素,对临床工作者有效防治RVVC起着非常重要作用.

  1. Detection of the Human 70-kD and 60-kD Heat Shock Proteins in the Vagina: Relation to Microbial Flora, Vaginal pH, and Method of Contraception

    OpenAIRE

    Giraldo, P.; Neuer, A.; Ribeiro-Filho, A; Linhares, I; Witkin, S. S.

    1999-01-01

    The expression of the 60-kD and 70-kD heat shock proteins (hsp60 and hsp70) in the vaginas of 43 asymptomatic women of reproductive age with or without a history of recurrent vulvovaginitis (RVV) were compared. Vaginal wash samples were obtained and assayed by enzyme-linked immunosorbent assay (ELISA) for human hsp60 and hsp70. Heat shock protein 70 was not detected in any of the 19 women with no history of RVV, and hsp60 was present in only one woman in this group. In contrast, in the RVV gr...

  2. Clinical observation of filling type suture via vagina on rectocele%经阴道填充式修补术治疗直肠前突的疗效观察

    Institute of Scientific and Technical Information of China (English)

    刘进中; 李俊英

    2012-01-01

    目的 观察经阴道填充式修补术治疗中、重度直肠前突的临床疗效.方法 对21例直肠前突病例资料进行回顾性分析.结果 治愈14例(66.7%),显效4例(19.0%),有效3例(14.3%),无效0例(0.0%).住院13~21 d,无并发症及后遗症.结论 经阴道填充式修补术治疗直肠前突,临床疗效满意,安全可靠,值得临床推广.%Objective To observe the clinical efficacy of filling type suture via vagina on moderate and severe rectoeele (RC). Methods The clinical data of 21 RC patients were retrospectively analyzed. Results Fourteen patients (66.7%) were cured. The therapeutic effect was excellent in 4 patients (19.0%), and good in 3 (14.3%). No ineffective case was recorded. The length of hospital stay was 13 to 21 d with no complications and sequelae. Conclusion The filling type suture via vagina on RC can obtain satisfying clinical outcomes. It's safe, reliable, and worth to be popularized.

  3. 葛石胶囊对去卵巢大鼠子宫和阴道的影响%The effects of Geshi capsule on womb and vagina in ovariectomized rats

    Institute of Scientific and Technical Information of China (English)

    王诗华

    2011-01-01

    目的 明确葛石胶囊对主要分布雌激素α受体的子宫和阴道的影响.方法采用模拟人类妇女绝经期的雌性切除双侧卵巢大鼠模型,随机分成正常组、假手术组、模型组、雌激素组及葛石胶囊大、中、小剂量组.手术后第2周开始给药,持续6周.结果模型组子宫和阴道的湿重及指数明显减少;雌激素可使其增加至正常范围,葛石胶囊各组也可使其有不同程度增加,表现为高于模型组而同时低于正常组.模型组大鼠子宫的体积变小,管壁明显变薄,管腔狭窄,内膜下腺体减少,固有层细胞密集,同时,阴道壁明显变薄,黏膜上皮薄.雌激素组治疗后,子宫和阴道恢复到正常组水平;葛石胶囊大剂量组可部分改善去卵巢大鼠子宫和阴道的变化,但达不到正常组水平.中、小剂量组对所观察指标影响不大.结论葛石胶囊无显著促进去卵巢大鼠子宫和阴道增重及相关细胞增生的作用.提示临床应用葛石胶囊防治更年期妇女骨质疏松、心血管疾病及其能量代谢的同时,其诱发子宫和阴道的不良反应可能远低于雌激素.%OBJECTIVE To clarify the effect of Geshi capsule on womb and vagina, where estrogen a receptor was mainly expressed. METHODS The ovariectomized rats were randomly divided into the normal group, sham - operation group, model group, estrogen group,Geshi capsule with high,middle and low dose groups. Two weeks after surgery,the moded rats were treated for 6 weeks. RESULTS The wet weight and related index in the model group were significantly reduced, and could be increased to the normal range by estrogen. The value of these parameters after treated with Geshi capsule appeared to be higher than model group,but lower than normal group (P < 0.01). The morphology observation demonstrated that the size of womb became smaller and the vagina wall got thinner in model group. The womb and vagina could recover to normal state following

  4. Progress in research of vagina micro ecological imbalance in Chinese and Western medicine%阴道微生态失调的中西医研究进展

    Institute of Scientific and Technical Information of China (English)

    王丹丹; 董燕

    2014-01-01

    Vaginal micro ecological imbalance refers to the normal flora imbalance of the vagina, including the result of the impact of external factors , the mutual restraint and interdependent among the original flora to broke the balance , causing abnormal vaginal discharge, genital itching or waist, a gynecological abdominal pain symptoms of vaginitis, vaginal as female genital connection with the outside world the only passage between the environment, the human body is an important micro­ecological zones. Is also an important part of the reproductive tract micro flora. In the vaginal wall mucosal folds and then there is the vault vaginal flora, usually vaginal flora with lactobacilli was the dominant bacteria. Into a variety of lactic acid bacteria, Lactobacillus probiotics for the maintenance of the vagina is important, PH value of the vagina can be maintained in the normal acidic condition, can also inhibit bacteria play a bactericidal effect, in addition to lactic acid bacteria in the vagina outside of further there are fungi, viruses, etc., under normal circumstances, a variety of flora in the vagina interdependent mutual restraint, joint action within the vaginal environment will be maintained at a balanced state, the dominant strain of Lactobacillus, once lost the advantage will lead to other flora overgrowth, breaking the vaginal micro flora balance, leading to female vaginal dysbiosis.%阴道微生态失调是指阴道中的正常的菌群在内因或在外因的影响下出现了菌群之间的失衡,使原来菌群之间的互相制约、互相依赖的平衡关系被打破,从而引起白带异常、外阴瘙痒或是腰部、下腹部疼痛[1]的阴道炎症状的一种妇科疾病。阴道作为连接女性内生殖器与外界环境之间唯一的通道,是人体内重要的微生态区,也是生殖道微生态的重要部分。在阴道的侧壁黏膜、皱襞,而后是穹窿都存在有阴道菌群,通常阴道菌群

  5. Isolation and identification of Trichosporon inkin colonized in vagina%阴道定植因肯毛孢子菌的分离鉴定

    Institute of Scientific and Technical Information of China (English)

    吕雪莲; 戴辉华; 梅亚宁; 张晓利; 吕桂霞; 沈永年; 王淑玉; 刘维达

    2009-01-01

    Objective To report a case of vaginal colonization due to Trichosporon inkin. Methods A 34-year-old female presented with increased vaginal discharge accompanied by abnormal odor for 2 months. Clinical laboratory examination was carried out. Cultures of vaginal discharge yielded yeast-like colony. Subsequently, the isolate underwent the following mycological examinations: purification, slide micro-culture, temperature test, urea enzyme test, biochemistry identification, antifungal susceptibility test, and gene sequencing. Results Gynecological examination revealed white homogeneous secretions attached to mucous membrane of the vagina. Nugent scores of vaginal discharge amounted to 5-6. Two rounds of culture of vaginal discharge resulted in stramineous, reductus and yeast-like colony. The isolate could grow in 42 ℃. Appressorium on the top of hypha and typical sarcinae formed in slide microculture of corn agar, and yeast malt agar was the optimal growth medium for it. Urea enzyme test was positive. API 20C AUX biochemical test and gene sequencing revealed that the isolate was consistent with Trichosporon inkin. The isolate was sensitive to amphotericin B and azoles such as clotrimazole and fluconazole, but resistant to flucytosine and caspofungin. Conclusions It is the first report of vaginal colonization due to T. Inkin in China. The accu-rate identification of T. Inkin relies on synthetic analysis of phenotype characteristics, biochemistry test and molecular sequencing.%目的 报道1例因肯毛孢子菌(Trichospomn inkin)的阴道定植病例并对该菌进行临床实验研究.方法 患者女,34岁,阴道分泌物增多伴异味2个月就诊.对其进行临床实验室检查,并对分离菌株进行纯化、玻片小培养鉴定、温度试验、脲酶试验、生化鉴定、体外药敏试验和分子测序基因鉴定等实验研究.结果 患者妇科体检阴道内可见乳白色均质化分泌物附着于阴道壁黏膜,阴道分泌物Nugent评分5~6

  6. Endoluminal ultrasound and segmental analysis in diagnosis of congenital malformation of the uterus and vagina%腔内超声节段分析法诊断先天性子宫及阴道畸形

    Institute of Scientific and Technical Information of China (English)

    杨雪冰; 王慧芳; 刘云平; 陈秋香; 郭娟; 王诗雅

    2013-01-01

    Objective To investigate the diagnostic value of endoluminal ultrasound (transvaginal and transrectal ultrasound) and segmental analysis with three-dimensional ultrasonography for congenital malformation of the uterus and vagina. Methods A total of 226 patients with clinically confirmed congenital malformations of the uterus and vagina were enrolled and divided into two groups. Group A included 154 cases, the findings of transabdominal or endoluminal two dimensional ultrasonography were retrospectively compared with clinical diagnosis. Group B included 72 cases, the results of segmental analysis by endoluminal three-dimensional ultrasonography were perspective studied and then compared with clinical diagnosis. Results In group A, 99 of 154 cases with congenital malformations of the uterus and vagina were diagnosed by two dimensional ultrasound, while 55 cases were missed or misdiagnosed. The coincidence rate was 64. 29% (99/154). In group B, since the introduction of three dimensional ultrasonography and segmental analysis, 69 of 72 cases were defined, with the coincidence rate of 95. 83% (69/72), while 3 cases were missed diagnosed or misdiagnosed. Conclusion Translu-minal three-dimensional ultrasonography and segmental analysis have essential diagnostic value, which can improve the accuracy of diagnosis and classification of congenital malformation of the uterus and vagina.%目的 探讨应用腔内(经阴道或经直肠)三维超声节段分析法诊断先天性子宫及阴道畸形的价值.方法 将226例先天性子宫及阴道畸形患者分为A、B两组.A组154例,采用回顾性分析,对比分析其经腹或腔内二维超声检查的结果及临床结局;B组72例,采用前瞻性研究,对比分析应用节段分析法经腔内三维超声检查的结果及临床结局.结果 A组154例中,二维超声检查诊断符合率为64.29%(99/154),漏、误诊55例,未进行详细分类;B组72例中,腔内三维超声节段

  7. 妊娠期外阴阴道念珠菌感染患者的临床治疗措施研究%Clinical treatment for vulva vagina candida infection during pregnancy

    Institute of Scientific and Technical Information of China (English)

    张佳洁; 梁淑青

    2015-01-01

    Objectives:To summarize the clinical treatment and therapeutic efficiency of vulva vagina can-dida infection during pregnancy.Methods:82 pregnancy patients with vulva vagina candida infection treated in our hospital from February 201 2 to August 201 4 were selected and randomly divided into two groups.41 cases in control group received routine therapy,while 41 cases in the experimental group received targeted therapy plan.The thera-peutic efficiency of the two groups was compared.Results:The difference in treatment effect between the two groups was significant (P <0.05).Conclusion:Clinical treatment on clinical pregnancy vulva vagina candida infection must be timely and thorough.More attention should be given to drug choose,so as not to affect the fetus.At the same time,the use of antifungal drugs on the vulva vagina candida infection during pregnancy is prohibited.Vaginal topical drugs are the main choice to minimize influence on the fetus.%目的:总结妊娠期外阴阴道念珠菌感染患者的临床治疗措施与治疗效率。方法:本次研究资料选自2012年2月至2014年8月期间在我院接受诊治的82例妊娠期外阴阴道念珠菌感染患者,随机分成两组。对照组41例研究对象接受常规治疗,而实验组41例研究对象则接受针对性治疗方案,同时对比及分析两组研究对象的治疗情况。结果:两组研究对象在治疗效果方面的比较差异较为显著(P <0.05)。结论:临床上妊娠期外阴阴道念珠菌感染患者的临床治疗必须及时与彻底,并严格把握药物选用环节,以免对胎儿造成影响。同时,妊娠期外阴阴道念珠菌感染患者禁止使用抗真菌类药物,以阴道局部类药物为主要选择,最大限度控制对胎儿的影响。

  8. Clinical treatment for vulva vagina candida infection during pregnancy%妊娠期外阴阴道念珠菌感染患者的临床治疗措施研究

    Institute of Scientific and Technical Information of China (English)

    张佳洁; 梁淑青

    2015-01-01

    Objectives:To summarize the clinical treatment and therapeutic efficiency of vulva vagina can-dida infection during pregnancy.Methods:82 pregnancy patients with vulva vagina candida infection treated in our hospital from February 201 2 to August 201 4 were selected and randomly divided into two groups.41 cases in control group received routine therapy,while 41 cases in the experimental group received targeted therapy plan.The thera-peutic efficiency of the two groups was compared.Results:The difference in treatment effect between the two groups was significant (P <0.05).Conclusion:Clinical treatment on clinical pregnancy vulva vagina candida infection must be timely and thorough.More attention should be given to drug choose,so as not to affect the fetus.At the same time,the use of antifungal drugs on the vulva vagina candida infection during pregnancy is prohibited.Vaginal topical drugs are the main choice to minimize influence on the fetus.%目的:总结妊娠期外阴阴道念珠菌感染患者的临床治疗措施与治疗效率。方法:本次研究资料选自2012年2月至2014年8月期间在我院接受诊治的82例妊娠期外阴阴道念珠菌感染患者,随机分成两组。对照组41例研究对象接受常规治疗,而实验组41例研究对象则接受针对性治疗方案,同时对比及分析两组研究对象的治疗情况。结果:两组研究对象在治疗效果方面的比较差异较为显著(P <0.05)。结论:临床上妊娠期外阴阴道念珠菌感染患者的临床治疗必须及时与彻底,并严格把握药物选用环节,以免对胎儿造成影响。同时,妊娠期外阴阴道念珠菌感染患者禁止使用抗真菌类药物,以阴道局部类药物为主要选择,最大限度控制对胎儿的影响。

  9. Relevance between acidic environment of vagina and vulvovaginal Candidiasis%阴道内酸性环境对白色念珠菌性外阴阴道炎治疗的关联研究

    Institute of Scientific and Technical Information of China (English)

    施磊; 宗黎琼; 童剑倩; 郭澄

    2012-01-01

    Objective To explore the relevance between the acidic environment of vagina and vulvovaginal Candidiasis infected by Candida albicans. Methods Ninety-six strains from patients (June 2009 to March 2010) with Simple Gynecological Candida Vulvovaginitis (SVVC) were isolated and identified. The MIC of miconazole and clotrimazole under different pH value of environment were measured. Results The MIC of miconazole or clotrimazole was decreased under lower pH value. Conclusion Keep the acidic environment of vagina is beneficial to the treatment of vulvovaginal Candidiasis infected by Candida albicans.%目的 探讨阴道内酸性环境与白色念珠菌性外阴阴道炎的相关性.方法 分别对2009年6月至2010年3月妇科门诊的单纯性外阴阴道假丝酵母菌病(SVVC)患者进行阴道菌株分离、鉴定,获得白色念珠菌96株.检测不同pH值环境下菌株对硝酸咪康唑与克霉唑的药物敏感性,并观察相关性.结果 在pH值偏酸性的环境下,两种唑类药物的MIC均有不同程度的降低,对白色念珠菌抑菌效果更强.结论 维持阴道内酸性环境能更有效地治疗白色念珠菌性外阴阴道炎.

  10. Clinical Study on Live Lactobacillus Preparation in the Treatment of Postpartum Vagina Microenviroment Dysbiosis%乳酸杆菌活菌制剂治疗产后阴道微生态失衡临床观察

    Institute of Scientific and Technical Information of China (English)

    金小青; 张旭; 李毅; 吴利忠

    2014-01-01

    目的:探讨乳酸杆菌制剂治疗产后阴道微生态失衡的疗效。方法:入选我院2013年2~11月的剖宫产者、阴道分娩后恶露干净者及体检健康的有生产史的妇女各100例,取阴道分泌物评价阴道微生态状况,将失衡者随机分为两组,观察组采用乳酸杆菌活菌制剂阴道用药治疗,对照组不予治疗,观察疗效和细菌性阴道病(BV)发生情况。结果:共88例(29.3%)发生阴道微生态失衡,各组阴道微生态失衡发生率、pH、H2O2结果、镜检结果和菌群分布差异均有统计学意义(P<0.05)。观察组治疗有效率95.5%,显著高于对照组29.5%,BV发生率4.5%显著低于对照组75.0%,差异均有统计学意义(P<0.05)。结论:乳酸杆菌制剂治疗产后阴道微生态失衡疗效确切,安全性好。%Objective:To investigate the effect of live lactobacillus preparation in the treatment of postpartum vagina microenviro-ment dysbiosis. Methods:Totally 300 cases of postpartum women were selected in our hospital from February 2013 to November 2013, including those with normal delivery, cesarean section and vaginal delivery after lochia, and each was with 100 cases. The vaginal se-cretion was withdrawn from vagina and the microenvironment was assessed. The patients with dysbiosis were randomly divided into two groups, the observation group was treated with living lactobacillus preparation and the treatment group was without treatment. The effi-cacy and incidence of bacterial vaginosis(BV) were observed. Results:Totally 88 cases (29. 3%) occurred vaginal dysbiosis. There were significant differences in the dysbiosis incidence rate, pH, H2 O2 results, microscopic examination results and the distribution of flora between the two groups (P <0. 05). The effective rate of the observation group was 95. 5%, which was significantly higher than that of the control group (29. 5%). The incidence rate of BV was 4. 5% in the observation group, which was significantly lower

  11. 外阴、阴道和宫颈尖锐湿疣组织中HPV感染的对比研究%A comparative study of HPV infection in condyloma acuminate tissues of vulva,vagina and cervix

    Institute of Scientific and Technical Information of China (English)

    单慧敏; 施启丰; 耿建祥; 仲玉英; 梅静; 龙秀荣; 夏林; 王宏景; 赵雪

    2016-01-01

    目的:研讨外阴、阴道和宫颈尖锐湿疣(CA)组织中人乳头瘤病毒(HPV)感染型别的分布状况以及临床意义。方法应用基因芯片结合PCR技术对63例外阴尖锐湿疣、61例阴道尖锐湿疣和65例宫颈尖锐湿疣组织行23种HPV基因型检测,并分析患者的临床病理资料。结果63例外阴尖锐湿疣组织中检出HPV阳性者56例,HPV感染率为88.89%(56/63);61例阴道尖锐湿疣组织中检出HPV阳性者55例,HPV感染率为90.16%(55/61);65例宫颈尖锐湿疣组织中检出HPV阳性者62例,HPV感染率为95.39%(62/65)。结论HPV感染与外阴、阴道和宫颈尖锐湿疣的发病密切相关,HPV6和11是主流型别,以外阴尖锐湿疣最为常见。基因芯片结合PCR技术是适合应用于临床行HPV分型诊断的一种方法,具有敏感性好、特异性高的特点。对女性外阴、阴道和宫颈尖锐湿疣的临床诊断、治疗及其疫苗的研究具有重要的意义。%Objective To study the distribution status and clinical significance of human papillomavirus(HPV) infection geno‐types in condyloma acuminate(CA) tissues of vulva ,vagina and cervix .Methods The gene‐chips combined with polymerase chain reaction (PCR) technology were utilized for detecting 23 kinds of HPV genotypes in tissue specimens from 63 cases of vulval CA , 61 cases of vaginal CA and 65 cases of cervical CA .Their clinical pathological data were analyzed .Results In 63 cases of vulval CA ,56 cases were HPV positive with the HPV infection rate of 88 .89% (56/63) ,in 61 cases of vaginal CA ,55 cases were HPV positive with the HPV infection rate of 90 .16% (55/61) ,and in 65 cases of cervical CA ,62 cases were HPV positive with the HPV infection rate of 95 .39% (62/65) .Conclusion HPV infection is closely related to the CA pathgenesis in vulva ,vagina and cervix . HPV6 and HPV 11 are main stream genotypes ,in which vulval CA is most common .The gene

  12. The research progress of vagina lactobacillus is associated with cervical lesions%阴道乳杆菌与宫颈病变相关的研究进展

    Institute of Scientific and Technical Information of China (English)

    辛秀团

    2015-01-01

    The cervical lesion is one of the major diseases threatening the health of women, in the context of its incidence, second only to breast cancer in female malignant tumor in the whole world, in some countries even than the breast cancer incidence of a disease. Mainly concentrated in cervical lesions in patients with age between 30 to 45 years old, and as the patient age incidence is obviously rising trend. At home and abroad at present, many scholars believe that the cervical lesions have direct links to the fall in the number of lactobacillus in the vagina, aimed at this situation, this study from the antitumor mechanism and original microbial antagonism disease-resistant two aspects of lactobacillus in the vagina and cervix lesion of correlation analysis, the peers to play the role of reference and reference.%宫颈病变是威胁妇女健康的主要疾病之一,就其发病率来看,在全球女性恶性肿瘤中仅次于乳腺癌,在部分国家中发病率甚至超过了乳腺癌。宫颈病变患者年龄主要集中在30-45岁之间,而且随着患者年龄的增长发病率呈明显上升趋势。目前,国内外诸多学者认为宫颈病变与阴道乳杆菌数量下降有着直接的联系,针对这一现状,本研究从抗肿瘤机制以及拮抗病原微生物两个方面对阴道乳杆菌与宫颈病变的相关性进行分析,希望能够对广大同行起到借鉴与参考的作用。

  13. 剖宫产后阴道分娩35例相关因素分析%Splits the Palace Post-natal Vagina Childbirth 35 Example Correlation Factors to Analyze

    Institute of Scientific and Technical Information of China (English)

    邹清如; 蔡芬兰; 黄利兰; 宋薇

    2012-01-01

      目的 探讨剖宫产术后阴道分娩(VBAV)的相关因素.方法 回顾性分析135例瘢痕子宫孕妇的临床资料,根据分娩方式分为阴道分娩组(实验组)35例和剖宫产组(对照组)100例,对孕妇的一般情况进行调查分析,并在两组之间进行对比.结果 两组产妇在阴道分娩史、前次剖宫产指征、胎龄、新生儿体质量、宫颈条件等方面有统计学差异(P0.05).结论 VBAV与多种因素有关,针对上述相关因素可适时选择阴道分娩,减少剖宫产率,提高产科质量.%  Objective After the goal discussion splits the palace to produce the technique the vagina childbirth (VBAV) correlation factor. Method Review analysis 135example scar womb pregnant woman's clinical material, divides into the vagina childbirth group according to the childbirth way (experimental group) 35 examples and splits the palace to produce the group (control group) 100 examples, carries on the diagnosis to pregnant woman's ordinary circumstances, and carries on the contrast between two groups. Result The two group of parturient women in the vagina childbirth history, recently split the palace to produce refer draft, aspects and so on embryo age, newborn body weight, cervix of the uterus condition have statistics difference (P0.05).Conclusion VBAV and many kinds of factors related, may at the right moment choose the vagina childbirth in view of the above correlation factor, reduces splits the palace production rate, improves obstetrics quality.

  14. 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

    OpenAIRE

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

    2002-01-01

    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...

  15. 益母草颗粒剂及血府逐瘀冲剂对减少药物流产后阴道出血的临床研究%Yimucao drop preparation and Xue fuzhuyu oral juice for reduction of vagina bleeding caused by medicine aborting

    Institute of Scientific and Technical Information of China (English)

    王蕊; 胡燕琴

    2001-01-01

    目的:用中药治疗减少药物流产后阴道出血量及缩短阴道出血时间。方法:将150例病人随机分组,分别用益母草冲剂及血府逐瘀冲剂治疗流产后阴道出血。结果:单剂益母草颗粒剂及血府逐瘀冲剂对减少流产后阴道出血持续时间及出血量无临床差异,但二者合剂却能明显缩短出血时间及减少出血量。结论:复方合剂中药制剂对减少药物流产后阴道出血量及缩短出血时间有良好的临床效果。%Objective: medicine treatment for reducing vagina bleeding caused by medicine aborting. Method: 150 patients are at ranclom divided in to two groups given yimuco drop preparation and xuefuzhuyu oral juice to treat the vagina bleeing caused by medicine aborting, respectively. Results: There was no difference in reducing the lasting time and the amount of vagina bleeding caused by medicine aborting if either of the two drug alone was used. However, both of them used together showed better a treatment effect. Conclusion: The combination of the two chinese medicines has a very best clinice effect for reducing the lasting time and the amount of vagina bleeding after medicine aborting.

  16. Posterior Pelvic Exenteration and Plastic Operation of Vagina Constituted from the Sigmoid Flexure for Rectal Carcinoma Treatment in Female Patients%后盆脏器切除带蒂乙状结肠阴道修复术治疗女性直肠癌

    Institute of Scientific and Technical Information of China (English)

    匡毅; 李福沛; 蒋又新; 赵和照

    2012-01-01

    Objective: This work aims to investigate the method and significance of postoperative restitution after pelvic exenteration on female rectal cancer patients. Methods: Since 1996, 49 cases of female rectal cancer underwent posterior pelvic exenteration in the Chongqing Cancer Institute. These patients received plastic operation of the vagina that was constituted from the sigmoid flexure. The pre-sacral space was simultaneously filled by the greater omentum. Primary suture of the perineum was performed in 34 out of 49 cases. Results: The reconstructed vaginas have a width of two fingers, a depth between 8 and 10 cm, and a smooth, soft, and lustrous quality. Their shape and localization were the same as those of the original vaginas, and the patients revealed they have satisfied sexual life and improved bladder function without dysuresia. Conclusion: mThe structural defect of the vagina was eliminated after posterior pelvic exenteration and plastic operation. The sexual function of the vagina was maintained, and the quality of life of the patients improved.%目的:探讨女性后盆腔脏器切除术后盆底结构重建的方法和意义.方法:1996年3月至2009年1月重庆市肿瘤研究所行女性后盆腔脏器切除术(posterior pelvic exenteration) 49例,其中采用移植带血管蒂乙状结肠作阴道成形,并以大网膜充填骶前间隙,一期缝合会阴切口34例.结果:再造阴道可容两指,长度8~9cm,壁光滑、柔软、润泽,形体位置与原阴道相近.患者性生活无障碍,膀胱功能良好,无排尿困难.结论:本术式弥补了直肠癌后盆切除术盆底结构缺损处理困难的缺陷,保留患者的性功能,提高了患者术后生存质量.

  17. 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

  18. Vulvovaginal candidiasis during pregnancy and the change of local immune condition of vagina%妊娠期外阴阴道假丝酵母菌病与阴道局部免疫环境变化

    Institute of Scientific and Technical Information of China (English)

    崔颖; 王少为

    2009-01-01

    Objective To examine the local immune condition of vagina, and to investigate the immunological pathogenesis of vulvovnginal candidiasis during pregnancy. Methods Women who visited Beijing Hospital for prenatal care or for health examination during September 2005 to August 2006 were cho-sen and divided into three groups: pregnant women with vtdvovaginal candidiasis (pregnant VVC group, 50 cases), non-pregnant women with VVC (non-pregnant VVC group, 55 cases), healthy women (control group, 35 cases). After primary microscopical screening, vaginal lavnge was centrifuged to separate super-natant, lymphocyte and epithelium. Concentration of IgE was messured by ELISA, and surface immunologi-cal markers of CD4 and CD8 were detected by flow cytometer. Results IgE concentration of the pregnant WC group was lower than that of the non-pregnant WC group, but higher than that of the control group (all Ps <0.05). CD4+ cells and CD4/CD8 ratio for the pregnant WC group were lower than those of the con-trol group (P<0.05). However, CD8 + cells for the pregnant VVC group was higher than that of the con-trol group (P<0.05). Conclusion The changes in immune environment of vagina may play a role in the pathogenesis of pregnant vulvovaginal candidiasis.%目的 了解妊娠期妇女阴道局部免疫特点,探讨妊娠期外阴阴道假丝酵母菌病的免疫学发病机理. 方法 选取2005年9月至2006年8月在卫生部北京医院妇产科门诊就诊及进行健康体检的育龄妇女,分为妊娠外阴阴道假丝酵母菌病组(妊娠VVC,50例)、单纯外阴阴道假丝酵母菌病组(单纯VVC,55例)、正常对照组(35例),经显微镜镜检初步筛选,留取阴道灌洗液,离心后分离上清液、淋巴细胞和上皮细胞成分.用ELISA法测定IgE浓度、流式细胞仪检测淋巴细胞表面免疫标志CD4、CD 8. 结果 IgE水平妊娠VVC组为(1.903±0.274)g/L,单纯VVC组为(2.032±0.289)g/L,正常对照组为(1.347±0.287)g/L,妊娠VVC组与单纯WC组和

  19. 臭氧液阴道冲洗治疗假丝酵母菌病的疗效观察%Efficacy of douching vagina with ozone liquid in treatment of vulvovaginal candidiasis

    Institute of Scientific and Technical Information of China (English)

    罗翠华; 陈晓燕; 李伟妙; 罗建华

    2014-01-01

    目的:观察单纯臭氧灭菌液配合改良阴道冲洗和臭氧液直接阴道内冲洗配合阴道给药两种不同方法的临床疗效,为进一步改进假丝酵母菌病的治疗方法提供依据。方法将2008年6月-2012年10月200例确诊外阴阴道假丝酵母菌病的患者随机分成两组,观察组100例采用单纯臭氧灭菌液配合改良阴道冲洗治疗,每天1次,疗程3 d;对照组100例采用臭氧液直接阴道内冲洗配合达克宁栓阴道给药,每天1次,疗程3 d ,每次冲洗前进行临床、真菌学疗效分析,比较两组的疗效及不良反应。结果治疗3 d后,观察组痊愈率达到91.0%,总有效率达98.0%;对照组痊愈率达57.0%,总有效率达81.0%;观察组症状缓解时间明显短于对照组,两组比较差异有统计学意义(P<0.05)。结论单纯臭氧灭菌液配合改良阴道冲洗治疗外阴阴道假丝酵母菌病疗效好,并且操作简单安全、不良反应少,患者容易接受,值得在临床中推广使用。%OBJECTIVE To observe the clinical curative effect of the treatment of vulvovaginal candidiasis by using pure ozone sterilizing liquid with modified vaginal douche compared with the method of douching the vagina with ozone liquid and vaginal drug delivery ,so as to providing evidence to modify the treatment of vulvovaginal candidi-asis further .METHODS Totally 200 cases of patients with vulvovaginal candidiasis in Jun 2008 to Oct 2012 were randomly divided into two groups .The 100 patients of observation group were treated with pure ozone sterilizing liquid with modified vaginal douche ,1 d ,period of treatment 3 d .The 100 patients of control group was treated by douching the vagina with ozone liquid directly and applying miconazole suppository ,1 d ,period of treatment 3 d .Each time the clinical and mycological efficacy were analyzed before treatment and the efficacy and adverse reac-tions were compared between

  20. 妊娠期外阴阴道假丝酵母菌病症状与妊娠结局分析%Vulva Vagina Candida Disease Symptoms During Pregnancy and Pregnancy Outcome Analysis

    Institute of Scientific and Technical Information of China (English)

    莫培培

    2014-01-01

    目的:研究妊娠期外阴阴道假丝酵母菌病(VVC)症状与妊娠结局的关系。方法选取我院收集的136例妊娠>35 w患者阴道分泌物假丝酵母菌涂片阳性诊断VVC,其中有症状者60例作为观察组,无症状者76例作为对照组。观察两组妊娠结局及不良妊娠结局情况。结果观察组胎膜早破、产褥感染和剖宫产率与对照组比较差异有统计学意义(0.05)。结论妊娠期有症状VVC可致胎膜早破、剖宫产率等不良妊娠结局增高,早期诊断和治疗十分必要。%Objective To study the pregnancy vulva vagina candida disease symptoms and the relationship between pregnancy outcome (VVC). Methods Selected our hospital's col ection of 136 patients older than 35 weeks pregnancy vaginal candida smear positive diagnosis of VVC, including symptoms in 60 patients as observation group, asymptomatic 76 cases as control group. Observation two groups of pregnancy outcome and adverse pregnancy outcomes. Results The observation group of premature rupture of membranes, puerperal infection and cesarean section rate compared with control group dif erence was statistical y significant ( 0.05). Conclusion Symptomatic VVC during pregnancy can cause premature rupture of membranes, cesarean section rate increased and other adverse pregnancy outcomes, early diagnosis and treatment is necessary.

  1. 宫颈炎症患者阴道局部免疫状态与疾病发生的相关性%Relevance between part of vagina's immune status and occurrence of disease of patients with cervicitis

    Institute of Scientific and Technical Information of China (English)

    黄益于; 郭芙蓉

    2015-01-01

    目的:探讨分析宫颈炎症患者阴道局部免疫状态与疾病发生的相关性。方法选取我院2013年4月~2014年4月收治的250例宫颈炎症患者,分为淋病奈瑟菌宫颈炎(NG,50例)、人型支原体宫颈炎(MH,50例)、宫颈糜烂患者(EC,50例)、沙眼衣原体宫颈炎(CT,50例)、解脲支原体宫颈炎(UU,50例)和250例正常妇女作为对照组,对所有患者进行阴道灌洗,并应用酶联免疫吸附试验检测洗液中肿瘤坏死因子-α(TNF-α)和白细胞介素-8(IL-8)的水平,其中给予观察组宫颈炎康栓配合射频治疗该病,对照组采用常规射频治疗,对比其疗效和局部免疫状态与疾病发生的相关性。结果阴道灌洗液TNF-α水平,除宫颈糜烂患者(EC)组之外,其余各组均高于对照组,组间比较差异有统计学意义(P<0.01)。阴道灌洗液IL-8水平,NG组为(336±35)ng/L,MH组为(369±33)ng/L,CT组为(363±31)ng/L,三组和对照组相比,为(314±33)ng/L,(343±35)ng/L及(337±36)ng/L,组间比较差异有统计学意义(P<0.05)。UU组和EC组与对照组比较差异无统计学意义(P>0.05)。宫颈炎组治疗总有效率优于对照组(P<0.05)。结论阴道局部免疫状态在各种宫颈炎症的发病机制中发挥了重要作用,尤其在与疾病发生的相关性中IL-8在人型支原体宫颈炎、沙眼衣原体宫颈炎及淋病奈瑟菌宫颈炎中有更重要的作用。%ObjectiveTo explore and analyze the relevance between part of vagina's immune status and occurrence of disease of patients with cervicitis.Methods250 patients with cervicitis who were admitted to our hospital from April 2013 to April 2014 were allocated into Neisseria gonorrhoeae cervicitis group (NG, 50 patients), Mycoplasma hominis cervicitis group (MH, 50 cases), erosion of cervix group (EC, 50 cases), cervicitis of chlamydia trachomatis group (CT

  2. Sarcoidosis of the vagina treated with methotrexate.

    Science.gov (United States)

    Şahin, N; Solak, A; Karaarslan, S; Doruk, S

    2016-06-01

    We describe the first case of mediolateral episiotomic sarcoidosis of the deep vaginal tissue, without involvement of the pulmonary parenchyma or pulmonary symptoms. A 68-year-old female was admitted with a vaginal mass that had developed about 1 month prior. On bimanual examination, we found a painful solid mass approximately 4 cm in diameter on the episiotomy line of the deep vaginal tissue. The patient underwent pelvic magnetic resonance imaging on suspicion of a malignancy, and a vaginal true-cut biopsy was performed. The biopsy specimen exhibited non-caseating, granulomatous inflammation and many multinucleated giant cells, strongly suggesting sarcoidosis. We had excluded other granulomatous diseases; a final diagnosis was made of stage-1 sarcoidosis in the deep vaginal mass. A 3-month course of methotrexate (2.5 mg/week) was commenced to treat a flare-up of rheumatoid arthritis. The vaginal mass resolved. To the best of our knowledge, this is the first case of sarcoidosis in a deep vaginal mass without pulmonary parenchymal or other solid-organ involvement. PMID:26624970

  3. 心理干预对先天性无阴道患者术后婚姻和生活质量的影响%The influence on the quality of marital and life in the congenital absence of vagina patients with operation by psychological intervention

    Institute of Scientific and Technical Information of China (English)

    张晓玲; 朱清仙

    2008-01-01

    目的 探讨心理干预对先天性无阴道患者术后婚姻和生活质量的影响.方法 将先天性无阴道患者按自愿原则分为干预组18例和非干预组11例,对干预组的患者进行术前的认知行为治疗,用Olson婚姻质量调查问卷及诺丁汉健康量表对两组手术前后生活质量以及术后婚姻质量进行评估.结果:干预组术后婚姻和生活质量评分均显著优于非干预组(P<0.05或P<0.01).结论 手术前心理干预能有效提高先天性无阴道患者术后婚姻和生活质量.%Objective To explore the influence on the quality of marital and life of the congenital absence of vagina patients with operation by psychological intervention.Methods The congenital absente of vagina patients were divided into psycholOgical intervened group(n=18,all cases were treated with the cognitive and behaviour therapy)and without intervened group(n=11).Before and after treatment the scores of the nottingham health poofity(NHP)were used in the two groups.After treatment the Olson's enrich questionary were tested also.Results The scores of NHP and Olson of psychological intervened group were significantly superior to those without intervened group(P<0.05 or P<0 01).Conclusion The cogntive and behaviour theraopy before operation is good for the quality of marital and life in congenital absence of vagina patients.

  4. 25%足叶草酯溶液外涂治疗85例阴道及宫颈尖锐湿疣的效果%Coating 25% Podophyllotoxin Liquid on the Vagina and Cervix Uteri Area for Treating the Verruca Acuminate:85 Case Reports

    Institute of Scientific and Technical Information of China (English)

    张淑芳; 刘品娟; 陈海针

    2015-01-01

    Objective To develop an efifcient method for treating the verruca acuminate on the vagina and cervix uteri area. To analyze the safety and effectiveness of using the 25% podophyllotoxin on the vagina and cervix uteri area.Methods Dipping the 25% podophyllotoxin on the warts. Controlling the dose less than 0.5 mL. Dipping less and superifcially.Results The warts of Eighty-ifve patients were disappeared after the treatment. Five patients were found relapsing in a month. Given the same treatment once, the warts disappeared.Conclusion The method of using the 25% podophyllotoxin on the vagina and cervix uteri area for treating the verruca acuminate is a efifcient safe and non-invasive treatment.%目的:探讨治疗阴道及宫颈尖锐湿疣的有效方法,分析阴道和宫颈使用25%足叶草酯溶液治疗的安全有效性。方法点蘸25%足叶草酯溶液至疣体局部,每次用量控制在0.5 mL内,药液使用少而浅。结果85例患者在治疗后复诊皮损均消退,有5例在1个月后复查有复发,再予相同治疗使用一次后,皮损均消退。结论使用25%足叶草酯溶液外涂治疗阴道和宫颈尖锐湿疣,是一种有效,安全,无创的治疗方法。

  5. Colpoplasty by the Nympha Flap for the Treatment of Congenital Atresia of Inferior Vagina%小阴唇皮瓣法阴道成形术治疗阴道下段闭锁9例临床分析

    Institute of Scientific and Technical Information of China (English)

    杨春燕; 吴晓芳

    2012-01-01

    目的 探讨小阴唇皮瓣法阴道成形术在治疗先天性阴道下段闭锁的临床效果.方法 回顾分析我院1994年1月-2011年11月收治的9例先天性阴道下段闭锁患者采用小阴唇皮瓣阴道成形术治疗的临床资料.结果 所有手术均获成功,所形成的阴道通畅,光滑湿润弹性好,所有病人月经正常,痛经缓解,性生活满意,有4例正常分娩.结论 小阴唇皮瓣法阴道成形术方法简便,效果好,是治疗先天性阴道下段闭锁良好的方法,值得临床推广应用.%Objective To explore the clinic effects of colpoplasty by the nympha flap for the treatment of congenital atresia of inferior vagina. Method The clinical data was retrospectively studied of 9 patients with congenital atresia of vagina treated by nympha flap colpoplasty. Results The follow-up results showed all the operations were successful without colpostenosis. The reconstructed vaginas were moist, elastic and smooth. The menstruation cycle was normal. The couples had satisfactory sex life and 4 cases achieved normal pregnancy and delivery. Conclusion It is recommended of the nympha flap colpoplasty for congenital gynatresia of simple operation and good efficacy.

  6. 保妇康栓联合乳酸菌阴道胶囊治疗妊娠期霉菌性阴道炎的临床效果%the Clinical Effect of Baofukang suppository Combined Lactobacillus Vagina Capsule Treatment Mould Sex Vaginitis During Pregnancy

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    Objective Baofukang suppository combined lactobacillus vagina capsule treatment, the clinical effect of mould sex vaginitis during pregnancy. Methods Will be 100 cases of clinically diagnosed with mould sex vaginitis were randomly divided into observation group and control group 50 cases each, observation group was given Baofukang suppository combined lactobacillus vagina capsule treatment, control group given bao fu kang treatment, compare the curative effect of two groups of patients. Results Group the cure rate is 90%; Control group cure rate was 74%, the observation group is significantly higher than the control group, two groups of comparisons, the difference was statistically significant (P<0.05). Conclusion Baofukang and lactobacillus vagina capsule combined treatment curative effect is mould sex vaginitis, worthy of clinical application widely.%  目的保妇康栓联合乳酸菌阴道胶囊治疗妊娠期霉菌性阴道炎的临床效果。方法将100例经临床确诊的霉菌性阴道炎患者随机分为观察组和对照组各50例,观察组给予保妇康栓联合乳酸菌阴道胶囊治疗,对照组给予保妇康治疗,比较两组患者的治疗效果。结果组治愈率为90%;对照组治愈率为74%,观察组显著高于对照组,两组比较,差异具有统计学意义(P<0.05)。结论保妇康与乳酸菌阴道胶囊联合治疗霉菌性阴道炎疗效确切,值得临床广泛应用。

  7. 保妇康栓联合乳酸菌阴道胶囊治疗妊娠期霉菌性阴道炎的临床效果%the Clinical Effect of Baofukang suppository Combined Lactobacillus Vagina Capsule Treatment Mould Sex Vaginitis During Pregnancy

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

      目的保妇康栓联合乳酸菌阴道胶囊治疗妊娠期霉菌性阴道炎的临床效果。方法将100例经临床确诊的霉菌性阴道炎患者随机分为观察组和对照组各50例,观察组给予保妇康栓联合乳酸菌阴道胶囊治疗,对照组给予保妇康治疗,比较两组患者的治疗效果。结果组治愈率为90%;对照组治愈率为74%,观察组显著高于对照组,两组比较,差异具有统计学意义(P<0.05)。结论保妇康与乳酸菌阴道胶囊联合治疗霉菌性阴道炎疗效确切,值得临床广泛应用。%Objective Baofukang suppository combined lactobacillus vagina capsule treatment, the clinical effect of mould sex vaginitis during pregnancy. Methods Will be 100 cases of clinically diagnosed with mould sex vaginitis were randomly divided into observation group and control group 50 cases each, observation group was given Baofukang suppository combined lactobacillus vagina capsule treatment, control group given bao fu kang treatment, compare the curative effect of two groups of patients. Results Group the cure rate is 90%; Control group cure rate was 74%, the observation group is significantly higher than the control group, two groups of comparisons, the difference was statistically significant (P<0.05). Conclusion Baofukang and lactobacillus vagina capsule combined treatment curative effect is mould sex vaginitis, worthy of clinical application widely.

  8. Relationship of microecological environmental changes of vagina and two kinds of vaginitis%女性阴道微生态变化与两种阴道炎的关系

    Institute of Scientific and Technical Information of China (English)

    杨岚; 邵兰芬; 陈道桢

    2011-01-01

    Objective To investigate the relationship of microecological environment of vagina and vulvovaginal candidiasis (VVC) and trichomonas vaginitis (TV) of women. Methods The examinations of hydrogen peroxide, sialidase and leukocyte esterase in vaginal secretions were performed with routine smear and BV triple test in 2380 cases with WC (group WC), 1399 cases with TV( group TV) and 648 healthy controls (group C). Results The positive rates of leukocyte esterase in groups of WC and TV were 34. 7% and 61. 5% .respectively,which were both higer than 6. 6% in group C(P<0. 05). The positive rate was higher in group TV than that in group VVC (P<0. 05). Conclusion The occurance of WC and TV is closely related to the unbanlance of vaginal microecological environment Examining vaginal secretions with routine smear and Bvset, especially with leukocyte esterase test,should be taken for guiding the microecological evaluation and controlling the recurrence of vaginitis.%目的 了解外阴阴道假丝酵母菌病(VVC)及滴虫性阴道炎(Tv)与阴道微生态情况的关系.方法 用常规检测和细菌性阴道病(BV)三联法(BVset)测定2380例WC(WC组)、1399例TV患者(TV组)和648例正常体检者(对照组)阴道分泌物中过氧化氢(H2O2)浓度、唾液酸苷酶和白细胞酯酶活性.结果 VVC和TV患者三联法检测白细胞酯酶阳性率分别为34.7%和61.5%,明显高于对照组的6.6%(P<0.05);且TV组的白细胞酯酶阳性率显著高于WC组(P<0.05).结论 VVC和TV的发生与阴道微生态环境的失衡密切相关;对患者进行白带常规检测的同时进行BVset尤其是白细胞酯酶活性测定,能更好地反映出患者阴道微生态状况,对控制阴道炎的复发有一定的指导意义.

  9. The Application of Paries Anterior Vagina Muscularis Mucosal Flap in the Repairat/on of Female Complicated Urethrovaginal Fistula%阴道前壁肌黏膜瓣在女性复杂性尿道阴道瘘修补术中的应用

    Institute of Scientific and Technical Information of China (English)

    罗道升; 米其武; 戴宇平; 邓春华

    2009-01-01

    Objective To explore the application of the paries anterior vagina U shape muscularis mucosal flap for the repairing of female complicated urethrovaginal fistula. Methods Fifteen complicated urethrovaginal fistulas patients resulted from severe pelvic frac-ture and with history of failing repairing urethrovaginal fistulas were analyzed retrospectively. The mean diameter of maximum urethrovagi-nal fistula was approximately 2.3 cm. The parias anterior vagina U shape mucosal flaps were used to repair the urethrovaginal fistulas, and the paries anterior vagina muscularis mucosae were used to cover the fistulas surface again. Results Fifteen patients were followed up for 6 to 80 months, and they gained normal voiding, with no urine leakage, urinary incontinence and urethra] stricture occurring. Conclusion The paries anterior vagina U shape mucosal flap is an effective technique for repairing complicated urethrovaginal fistula.%目的 探讨阴道前壁U形肌黏膜瓣修补复杂性尿道阴道瘘的应用价值.方法 分析复杂性尿道阴道瘘患者15例,均为车祸至严重骨盆骨折合并尿道阴道瘘,年龄18~56岁,平均31岁.病程2~16个月,平均7.5个月.瘘口大小1.1 cm×2.0 cm~1.5 cm ×2.5 cm,瘘口最大直径平均约2.3cm.有1次尿瘘修补手术史10例、有2次以上修补手术史5例.采用阴道前壁U形黏膜瓣翻转修补瘘口,阴道前壁肌黏膜层覆盖加固瘘口处创面.结果 15例患者术后随访6个月~80个月,均获正常排尿,无尿漏及尿失禁,无尿道狭窄.结论 阴道前壁U形黏膜瓣翻转术操作简单,成功率高,是一种修补复杂性尿道阴道瘘的有效方法 .

  10. 直肠黏膜环切术联合阴道后壁修补术和自拟通便方在治疗女性直肠前突型便秘的应用%The application of procedure for prolapse and hemorrhoids with vagina posterior wall repair and laxative in the treatment of female rectocele constipation

    Institute of Scientific and Technical Information of China (English)

    宋健健; 辛学知; 许媛慧

    2016-01-01

    ObjectiveTo observe the clinical efficacies of procedure for prolapse and hemorrhoids with vagina posterior wall repair and laxative in the treatment of female rectocele constipation. Methods30 cases of female rectocele patients were treated with procedure for prolapse and hemorrhoids with vagina posterior wall repair and laxative. The effect and complications were observed.ResultsThe treatment effective rate was 96.67%, including 86.67% curative rate, the invalid rate was 3.33%. No postoperative infection, bleeding and rectovaginal fistula. Patients were followed up for 12 months to 18 months, All patients′symptoms were significantly alleviated except for one patient with defecation problems and feeling of anal pendant expansion.ConclusionsThe effect of prolapse and hemorrhoids with vagina posterior wall repair and laxative is significant, with low postoperative complications and recurrence rate, it was of worthy for promotion.%目的:观察女性直肠前突型便秘患者行直肠粘膜环切术(procedure for prolapse and hemorrhoids)+阴道后壁修补术(vagina posterior wall repair)联合自拟通便方治疗后的临床疗效。方法选取30例直肠前突女性患者,采用直肠粘膜环切术+阴道后壁修补术联合自拟通便方的方法治疗,观察此方法的有效率及术后并发症。结果此方法治疗的有效率为96.67%,其中痊愈率86.67%,无效率为3.33%。术后均未出现感染、出血及直肠阴道瘘等。术后随访12个月至18个月,除1例患者仍存在排便困难伴肛门坠胀感,余患者不适症状均有明显缓解。结论直肠粘膜环切术+阴道后壁修补术联合自拟通便方安全有效,效果显著,术后并发症及复发率低,值得推广。

  11. Laparoscopically sigmoid colon vaginoplasty in women with congenital absence of vagina: 11 cases report%全腹腔镜乙状结肠代阴道成形术治疗先天性无阴道11例临床分析

    Institute of Scientific and Technical Information of China (English)

    涂春华; 蔡丽萍; 刘丝荪

    2011-01-01

    [Objectives] To evaluate the functional outcomes and technical feasibility of laparoscopically sigmoid colon vaginoplasty in women with congenital absence of vagina. [Methods] Clinical data of eleven women with congenital absence of vagina treated by laparoscopically sigmoid colon vaginoplasty were retrospectively analyzed. A record was made of operating time, bleeding volume, postoperative complications, anatomical and functional outcomes of artificial vagina. [Results] The mean operating time was 143.7 min and the mean bleeding volume was 123.7 mLr There were no significant postoperative complications and all women and their partners were satisfied with the subsequent sexual activity. [Conclusions] Laparoscopically sigmoid colon vaginoplasty is a feasible, safe and effective approach for women with congenital absence of vagina.%目的 分析全腹腔镜乙状结肠代阴道成形术的临床疗效,探讨其安全性及有效性.方法 回顾性分析11例运用全腹腔镜乙状结肠代阴道成形术治疗先天性无阴道患者的临床资料.观察11例全腹腔镜乙状结肠代阴道成形术的手术时间、出血量、术后并发症及人工阴道的解剖学、功能学结果.结果 11例全腹腔镜乙状结肠代阴道成形术均获得成功,平均手术时间143.7 min,平均出血量123.7 mL,新形成的阴道形态上接近正常阴道,患者性生活感觉满意,无术中及术后并发症发生.结论 全腹腔镜乙状结肠代阴道成形术是治疗先天性无阴道患者理想、安全且有效的阴道成形方法.

  12. A randomized comparison of the laparoscopic peritoneal vaginoplasty and laparoscopic auxiliary sigmoid colon colpopoiesis techniques for congenital absence of vagina%腹腔镜腹膜代阴道成形术和乙状结肠代阴道成形术治疗先天性无阴道临床疗效比较

    Institute of Scientific and Technical Information of China (English)

    曹莉莉; 徐惠成

    2012-01-01

    Objective To evaluate the therapeutic results of the laparoscopic peritoneal vaginoplasty and laparoscopic auxiliary sigmoid colon colpopoiesis procedures for congenital absence of vagina. Methods A single-center, random control study was carried out in 40 patients with congenital absence of vagina. According to random number table method, patients were randomized in 1 :2 ratio to received vaginal angioplasty, in which congenital absence of vagina under laparoscopic auxiliary sigmoid colon vaginoplasty 14 cases, laparoscopic peritoneal generation vaginal angioplasty 26 cases. Both surgical perioperative parameters and effects were investigated. Results All surgical procedures were successfully completed in laparoscopic surgery. Compared with the laparoscopic sigmoid vaginal replacement, laparoscopic vaginal reconstruction using peritoneum approach seems to be superior in perioperative parameters. The procedure is faster and less blood loss, postoperative course was uneventful and postoperative hospital stay days were lower than the laparoscopic-as-sisted sigmoid vagina (P 0.05). Conclusion For patients with congenital absence of vagina, the laparoscopic peritoneal vaginoplasty and the sigmoid colpopoiesis are safe, and reliable method for the correction of vaginal abnormalities. However, the laparoscopic peritoneal vaginoplasty is more invasive, retrieval time faster after surgery.%目的 探讨腹腔镜腹膜代阴道成形术和乙状结肠代阴道成形术的临床疗效.方法 采用随机对照的研究方法,对2001年1月至2010年12月第三军医大学附属西南医院40例先天性无阴道患者按随机表法,1:2随机化分组,分别接受腹腔镜乙状结肠代阴道成形术(14例)和腹膜代阴道成形术(26例),比较2组的围手术期参数及术后疗效.结果 40例患者均在腹腔镜下成功完成手术,腹膜代阴道组较乙状结肠代阴道组手术时间短,术中出血量少,术后恢复快(P<0.05).术后随访6~108个月,

  13. 凯妮汀联合定君生治疗妊娠期外阴阴道假丝酵母菌病的临床观察%Clinical Observation of Canesten Joint Born on Jun Treatment during Pregnancy Vulva Vagina Candida Disease

    Institute of Scientific and Technical Information of China (English)

    陈娟

    2015-01-01

    Objective:To observe clinical effect of canesten clotrimazole vaginal tablet joint born on jun(vagina lactobacillus bacteria live capsule)treating vulva vagina candida disease during pregnancy(VVC). Method:60 cases of pregnancy VVC pregnant women were divided into research group and the control group. Control group was given routine treatment,canesten 1 piece of 0.5 g,deep into the vagina,use before bedtime,single drug used. Research group was given the conventional treatment,canesten 1 piece of 0.5 g,deep into the vagina,used before bedtime,single drug use. 4 days to give born on jun 1 grain of deep in the vagina,used before sleep every night,7 days in a row. The two groups before and after the treatment of vaginal cleanness,vaginal pH value and the cure rate were compared,the therapeutic effect was observed. Result:The vaginal cleannessⅠ-Ⅱdegrees accounted for 90.00%,the cure rate was 90.00%of research group after the treatment,cleanlinessⅠ-Ⅱdegrees accounted for 66.67%,the cure rate was 66.67%of control group.The vaginal pH value before and after treatment comparison difference was statistically significant(P<0.05). Conclusion:For pregnancy VVC,on the basis of antifungal therapy combined with lactobacillus preparation namely canesten joint born on jun can yet be regarded as a kind of curative effect of treatment,clinical popularization value.%目的:观察凯妮汀(克霉唑阴道片)联合定君生(阴道用乳杆菌活菌胶囊)治疗妊娠期外阴阴道假丝酵母菌病(VVC)的临床效果。方法:将60例妊娠期VVC的孕妇分为研究组及对照组。对照组按常规治疗,凯妮汀1片0.5 g,置于阴道深部,睡前使用,单次用药。研究组按常规治疗,凯妮汀1片0.5 g,置于阴道深部,睡前使用,单次用药;第4天再给予定君生1粒置于阴道深部,每晚睡前使用,连续7d。比较两组治疗前后的阴道清洁度、阴道pH值及治愈率,观察其治疗效

  14. Molecular ecological structure of fungal flora in the vaginas of patients with diabetes mellitus%糖尿病患者阴道真菌菌群结构与生态分布研究

    Institute of Scientific and Technical Information of China (English)

    郑能能; 吕雯; 周航; 冯国芳; 吕卫国

    2013-01-01

    Objective To characterize the ecological structure of vaginal fungal flora in patients with diabetes mellitus (DM). Methods 18S rDNA sequencing technique was employed for the construction of 18S rDNA clone libraries and phylogenetic tree of vaginal fungal flora in patients with DM and healthy women. Diversity and structural characteristics of fungal flora in each group was then analyzed. Results 3 fungal taxa with 14 genera including 21 phylotypes of fungal flora were found in vaginal specimens. The operational tax-onomic unit (OTUs) which belonged to healthy women (group H), HbA1c 7.5% patients (group DMc) was 7, 9, 13 and 16 respectively. Candida spp. was the most frequently detected clones in each group. An increased proportion of Candida spp. accompanied with decreased proportions of Saccharomyces cerevisi-ae and uncultured fungi was observed in patients with DM. C. albicans, C. glabrata and C. krusei were identified as the predominant species amongst Candida spp. in each group. Conclusion The data revealed a varied ecological structure of vaginal fungal flora in patients with DM and indicated that the degree of disturbed fungal flora in the vaginas of patients with DM might be correlated with the status of glycaemic control.%目的 探讨糖尿病(DM)患者阴道真菌菌群结构和生态分布特点.方法 采用真菌18S rDNA克隆文库法,对不同血糖控制情况下DM患者的阴道真菌18S rDNA序列进行克隆和测序,构建阴道真菌18S rDNA克隆文库,建立系统发育树,获取DM患者阴道真菌菌群的结构和组成特征.结果 DM患者和健康妇女阴道标本中存在3个真菌类群14个属共20个种系型的真菌菌群.健康妇女(H组)、HbA1c<6.5%患者(DMa组)、HbA1c6.5%~7.5%患者(DMb组)和HbA1c>7.5%患者(DMc组)的阴道真菌菌落分别存在7、9、13和16个OTUs.念珠菌属为各组研究对象阴道真菌菌群的优势菌属,其阳性克隆子在H组、DMa组、DMb组和DMc组的比例呈上升

  15. On the Palm in the Vagina Midwifery Clinical Care Application%浅谈助产掌在阴道助产临床护理中的应用

    Institute of Scientific and Technical Information of China (English)

    李安源

    2014-01-01

    目的:为了进一步提高我院妇产科的整体医疗水平,保障产妇和胎儿的生命安全,本文就助产掌在阴道助产临床护理中的应用进行了的简单的研究和探讨。方法将2011年11月至2012年11月期间在我院接受阴道助产掌分娩(观察组)的60例患者的临床资料和同期在我院接受出口产钳助产分娩(对照组)的60例患者的临床资料进行回顾性的分析和对比。结果观察组患者产后12h和24h的出血量明显低于对照组,两组之间的差异显著(P<0.05)。观察组产妇术后感染的发生率也明显低于对照组,两组之间的差异显著(P<0.05)。结论助产掌在阴道助产临床护理过程中的临床价值十分显著,有效的提高了手术的成功概率,降低了手术的风险性,保障了产妇和新生儿的生命安全,值得推广。%Objective To further improve the overall hospital maternity medical standards to protect maternal and fetal safety of this paper palm midwifery midwifery clinical care in the vaginal application of a simple study and discussion. Methods From November 2011 to November 2012 in our hospital during vaginal delivery charge of delivery(study group), 60 patients with clinical data and export the same period in our hospital forceps delivery(control group)60 patients clinical data were retrospectively analyzed and compared. Results The patients 12 h and 24 h post-partum bleeding was significantly lower than the control group, a significant difference between the groups(P<0.05). Also, the observation group maternal incidence of postoperative infection was significantly lower than the control group, a significant difference between the groups(P<0.05). Conclusion Palm midwifery midwifery clinical care in the vagina during the clinical value is very significant, effectively raising the probability of success of surgery, reducing the risk of surgery to protect the lives of mothers and newborns, worthy

  16. 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

  17. 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

    Directory of Open Access Journals (Sweden)

    Áurea Belas Lustosa

    2002-10-01

    Full Text Available 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

  18. 硝酸咪康唑栓与阴道冲洗联合治疗复发性外阴阴道假丝酵母感染的临床疗效%Clinical Curative Effect Analysis of Nitric Acid Health Thiazole Microphones and Vagina Washing Joint Bolt on the Treatment of Recurrent Vulvovaginal Candidiasis Candida Yeast Infection

    Institute of Scientific and Technical Information of China (English)

    杨建庆; 张跃

    2013-01-01

    Objective: To study the health thiazole bolt and nitric acid microphones vagina washing joint on the treatment of recurrent vulvovaginal candidiasis candida mycoderma bacteria the treatment effect of the disease. Methods: 252 were our cases of recurrent vulvovaginal candidiasis candida mycoderma bacteria patients average divided into two groups, the observation group using nitric acid health thiazole microphones bolt joint vagina washing method treatment group using clotrimazole suppositories treatment, compared to two groups curative effect. Results: The observation group the cure rate of 91.3%; The control group cure rate was 57.9%. Significant difference (P< 0.05). Conclusion:Mi nitric acid health thiazole bolt and vagina washing joint on the treatment of recurrent vulvovaginal candidiasis candida mycoderma bacteria disease treatment effect is remarkable.%  目的:探讨硝酸咪康唑栓与阴道冲洗联合治疗复发性外阴阴道假丝酵母菌病的治疗效果。方法:将我院2009年3月~2012年6月期间收治的252例复发性外阴阴道假丝酵母菌病患者平均分为两组,对照组患者采用克霉唑栓剂治疗,观察组患者使用硝酸咪康唑栓与阴道冲洗法联合治疗,然后比较两组的临床疗效。结果:观察组的治愈率达91.3%;对照组的治愈率为57.9%。组间差异具有统计学意义(P<0.05)。结论:硝酸咪康唑栓与阴道冲洗联合治疗复发性外阴阴道假丝酵母菌病具有较高的临床疗效。

  19. From a Script to a Movement——Development Course of the Feminism Drama "The Vagina Monologue"%从剧本走向运动——论女性主义先锋剧《阴道独白》的发展历程

    Institute of Scientific and Technical Information of China (English)

    石艺

    2012-01-01

    《阴道独白》不仅是一部女性主义先锋剧,更掀起了一场女性主义运动:作为一部剧本,其"独白"的特色鲜明;作为一种戏剧实践,它兼具先锋性与本土化的特征;作为一场戏剧运动,该戏取得的反响强烈、持久。%"The Vagina Monologues" is not only a feminist vanguard drama,but also set off a feminist movement.It has a distinctive characteristic of monologue as a drama itself and both vanguard and local features as a drama practice.It is also a peculiar drama movement gaining wide resonance and is of great enlightenment value.

  20. Local expression of surfactant protein A in the vagina of the patients with RVVC before and after treatment%表面活性蛋白A在复发性外阴阴道假丝酵母菌病患者治疗前后阴道局部的表达

    Institute of Scientific and Technical Information of China (English)

    杨兰英; 贾俊茹; 王素芬; 李凤文

    2013-01-01

    Objective To observe the change of surfactant protein A(SP-A) level from the local vagina of the patients with recurrent vulvovaginal candidiasis (RVVC), discuss the relationship of the development and lapsing between SP-A and RVVC and analyze the effect of He-Ne laser (He -Ne) irradiation as the maintenance therapy on vaginal SP-A. Methods After initial antifungal treatment in the acute phase and adopting the maintenance therapy with He-Ne laser treatment for two courses for RWC patients (observation group), the treatment effect were followed up and the SP-A level of vaginal secretion were determined with ELISA method. At the same time, SP-A of the vaginal secretion specimen from healthy women of child-bearing age were detected and taken as control group. Results SP-A was (7. 24 ± 0. 76) nmol/L in control group with (1. 95 ± 0. 72) nmol/L in the acute phase of RVVC. After initial treatment, SP-A reached (2.92 ± 0. 53) nmol/ L, which was elevated comparing with that of acute episode (P<0.05). SP-A was (3. 64 ± 0. 62) nmol/L after the first treatment course with He-Ne laser, which got significant elevation comparing with that before laser treatment (P<0.05). After the second treatment course with laser, SP-A was (4.27 ±0.56) nmol/L, which was elevated comparing with that of the first treatment course (P< 0.05). On re-examination sixth months after stopping treatment, there was no significant difference for (3. 91 ± 0. 35) nmol/L of SP-A from local vagina in the observation group comparing with that of the laser treatment group after the second treatment course, but it was lower than that of the control group (P<0.001). There was significant decrease in SP-A from each group at various stages of RWC process comparing with that of the control group (P<0.001). Conclusion SP-A exists in local vagina, and the reduction of SP-A may be related to the development of RWC. The local irradiation with He-Ne laser may elevate SP-A level in vagina, thus, it provides evidence

  1. 广泛性子宫颈切除术加腹膜代阴道延长术治疗早期宫颈癌的临床研究%The clinical study of radical trachelectomy and vagina replacement by peritoneum in the treatment of early stage cervical cancer

    Institute of Scientific and Technical Information of China (English)

    闫珺; 张菊新; 刘广芝; 王朕华

    2011-01-01

    Objective To compare the clinical results of radical trachelectomy and radical hysterectomy in treating patients with early stage cervical cancer and to evaluate the feasibility and security of radical trachelectomy and the sexual quality after vagina replacement by peritoneum. Methods Twenty-four women with early stage cervical cancer( IA2-IB1 ) were performed laparoscopic pelvic lymphadenectomy + radical trachelectomy + vagina replacement by peritoneum, and 32 women with early stage cervical cancer as control were performed laparoscopic pelvic lymphadenectomy + radical hysterectomy + vagina replacement by peritoneum. The operating time, blood lost, complications, recovery post surgery,recurrent rate and sexual quality were compared. For patients who received radical trachelectomy, the menstrual situation and pregnancy outcome post surgery were observed. Results All procedures were performed successfully. There was no significant difference between the two groups in the operating time, blood lost, complications, lymph node number or recovery post surgery ( P > 0. 05 ). Normal menstruation was recovered post surgery in all patients with radical trachelectomy. Pregnant rate was 45.45 % (5/11), full term delivery rate(Caesarean section) was 9.09% (1/11), miscarriage rate was 18.18% (2/11) ,and premature delivery rate was 18.18% (2/11). The two groups were followed up for 10 months to 5 years. There was no recurrent case and all patients were satisfied with their sexual activities. Conclusions Radical trachelectomy and radical hysterectomy have the same treating results for early stage cervical cancer. To prolong the vagina with peritoneum during the procedures can improve the sexual quality. Radical trachelectomy and vagina replacement by peritoneum is a selective treating strategy for patients with early stage cervical cancer who desire to preserve fertility and physiological function.%目的 比较广泛性子宫颈切除术与广泛性子宫切除术治疗早

  2. 保妇康凝胶联合乳酸菌素阴道胶囊治疗妊娠合并外阴阴道假丝酵母菌病的临床观察%Clinical Observation of Baofukang Gel Combined with Lactobacillus Vagina Capsule in Treatment of Pregnancy and Vulvovaginal Candidiasis

    Institute of Scientific and Technical Information of China (English)

    田慧敏; 黄彦霞; 宋志红; 苏淑敏

    2013-01-01

    Objective:To explore the clinical curative effect and the safety of Baofukang gel combined with lactobacillus vagina capsule in treatment of vulvovaginal candidiasis. Method:Two hundred and seventy-two cases of pregnant women with vulvovaginal candidiasis were selected and randomly divided into two groups. Group A were given Baofukang gel combined with lactobacillus vagina capsule,while Group B were given only Baofukang gel. After using the medicines,the curative effect,drug’s side effect and recurrence rate between the two groups were compared. Result:The effective rate was 89.92%in group A while it was 76.22%in Group B after treatment,the total effective rate in Group A was significantly higher than that in Group B(P<0.05);The recurrence rate in Group A was 5%,while it was 19%in Group B,the difference was significant(P<0.01). Conclusion:The curative effect of Baofukang gel combined with lactobacillus vagina capsule in the treatment of vulvovaginal candidiasis is definite;It has little side effect and low recurrence rate.%目的:观察保妇康凝胶联合乳酸菌素阴道胶囊治疗妊娠合并外阴阴道假丝酵母菌病的临床疗效和安全性。方法:选择外阴阴道假丝酵母菌病的孕妇272例,随机分成两组。其中A组为保妇康凝胶联用乳酸菌素阴道胶囊组,用保妇康凝胶联合乳酸菌素阴道胶囊治疗, B组为保妇康凝胶组,单一应用保妇康凝胶治疗。用药后观察并比较两组治疗疗效、药物副作用及复发率情况。结果:治疗结束后,A组有效率89.92%,B组为76.22%,A组的总有效率明显高于B组,两组比较差异有统计学意义(P<0.05);复发率A组5%,B组19%,两者比较差异有统计学意义(P<0.01)。结论:保妇康凝胶联合乳酸菌素阴道胶囊治疗外阴阴道假丝酵母菌病疗效确切,副作用小,复发率低。

  3. Infectious characteristic analysis and drug-resistance of pathogens among vagina infection pregnancy with premature rup-ture of membranes%阴道病原菌感染与胎膜早破的关系及其耐药性分析

    Institute of Scientific and Technical Information of China (English)

    楚丽娟; 罗婷婷; 杨桂林; 李秋红

    2014-01-01

    Objective The distribution characteristics and antibiotic resistance of specific pathogens among va-gina infection pregnancy with premature rupture of membranes (prom) ,in order to guide rational antibacterial thera-py .Methods During the periods of Jan ,2010 to Jul ,2012 ,pathogens from vagina with infectious pregnancy were gathered ,two groups-prom group and normal control were divided .The drug sensitivity of isolated strains were deter-mined by the broth dilution method .Results Only Streptococcus agalactiae (b group) and Staphylococcus aureus were found statistical significance between the two groups ,presenting higher detection in prom group(P<0 .05) .The resistant rates of Staphylococcus aureus to penicillin and ampicillin were 100% ,the sensitivity rates to erythrocin and azithromycin were 33 .3% and 50% ,respectively ,to tetracycline were 66 .7% ,others were all above of 83 .3% .The sensitivity rates of Streptococcus agalactiae (b group) to levofloxacin ,azithromycin ,erythrocin ,and ofloxacin were 30% ~40% ,yet above 80% of sensitivity to penicillin and cephems .Conclusion Streptococcus agalactiae (b group) and Staphylococcus aureus have an effect on prom .The drug sensitivity to the two bacteria are effected .Rational use of antibiotics and surveillance should be taken into account ,to avoid the development of drug-resistance strains .%目的:探讨影响孕妇胎膜早破的具体病原菌及其耐药情况,以合理地指导临床用药。方法随机选取2010年1月至2012年7月该院就诊的感染性胎膜早破的妊娠晚期女性为研究对象(患者组),未发生胎膜早破的孕妇作为对照(健康对照组),收集阴道分泌物病原菌,采用肉汤法进行药敏试验。结果患者组病原菌表现为无乳链球菌(b群)和金黄色葡萄球菌检出率高于健康对照组,差异有统计学意义( P<0.05)。金黄色葡萄球菌对氨苄西林和青霉素完全耐药,对红霉素和克

  4. Radiotherapeutic management of carcinomas of the vagina and vulva

    International Nuclear Information System (INIS)

    Purpose: To review important basic information regarding vaginal and vulvar carcinomas, including etiology, epidemiology, anatomy, pathology, spread patterns, presentation and work-up and staging. In addition, treatment concepts strategies, and radiotherapeutic techniques will be reviewed and discussed. Discussion: Vaginal carcinoma is rare, making up only 1-2% of gynecologic malignancies. However, the predominant role of radiotherapy (RT) is its management results in a significant number of patients referred to radiation oncology. Treatment and outcomes vary substantially according to stage. Important issues for consideration include the respective roles of external beam RT, brachytherapy, and surgery, intracavitary vs. interstitial brachytherapy, dose rate considerations, combined modality therapy, and management of non-squamous cell histologies. Vulvar carcinoma is similarly uncommon, comprising only 3-5% of gynecologic malignancies. Radiotherapy has a number of established roles in the management of this disease including adjuvant therapy, as part of combined modality treatment for advanced disease, salvage therapy, palliative treatment, and less often, as primary management. These issues will be discussed along with technical factors important in radiotherapeutic management. Finally, relevant literature will be reviewed with an emphasis of completed Gynecologic Oncology Group Trials

  5. Late effects of ionizing radiations on vulva, vagina and uterus

    International Nuclear Information System (INIS)

    Reporting and scoring complications after radiotherapy of gynaecological cancers is difficult because of the variety of treatment techniques involved. Use of an international classification is necessary to compare results obtained in series of patients treated in different institutions. An international group of experts designed in the early nineties the so-called French-Italian glossary. This classification of late effects is now completed with the new LENT SOMA scales. This paper contains details of these late changes, including their pathophysiology, clinical syndromes, potential treatment, and prevention. (authors)

  6. Reconstruction of Acquired Defects of the Vagina and Perineum

    OpenAIRE

    Salgado, Christopher J.; Chim, Harvey; Skowronski, Piotr P.; Oeltjen, John; Rodriguez, Meily; Mardini, Samir

    2011-01-01

    Successful reconstruction of vaginal and perineal defects requires close communication and cooperation between the extirpative and reconstructive surgeon. A variety of reconstructive options is available, dependent on the nature of the defect and extent of the ablative surgery. In all cases, obliteration of pelvic dead space and separation of intraabdominal contents from the perineum are important considerations to ensure uncomplicated perineal wound healing. The decision for vaginal reconstr...

  7. Pregnancy Complications: Bleeding and Spotting from the Vagina

    Science.gov (United States)

    ... problem, but they can be a sign of miscarriage or other serious complications. Miscarriage is when a baby dies in the womb ... is a sign of a serious problem, like: Miscarriage . Almost all women who miscarry have bleeding or ...

  8. Didelphic uterus with imperforate unilateral vagina and ipsilateral renal agenesis: Magnetic resonance. Utero didelfo con vagina unilateral imperforada y agenesia renal ipsilateral: resonancia magnetica

    Energy Technology Data Exchange (ETDEWEB)

    Rodrigo, R.M.; Saez, F.; Astigarraga, E.; Rodriguez, O. (Hospital de Cruces. Servicio de Radiodiagnostico. Baracaldo.Vizcaya (Spain))

    1993-01-01

    We present two cases of didelphic uterus with the clinical appearance of a pelvic mass produced by the hematometra-hematocolpos retained by an imperforate unilateral hemivagina. In both cases, this anomaly was accompanied by ipsilateral renal agenesis. We basically review the diagnosis of this disorder, focusing on magnetic resonance as the technique of choice. (Author) 10 refs.

  9. Clinical Holistic Medicine: Holistic Sexology and Acupressure Through the Vagina (Hippocratic Pelvic Massage)

    OpenAIRE

    Søren Ventegodt; Birgitte Clausen; Hatim A. Omar; Joav Merrick

    2006-01-01

    Many gynecological and sexological problems (like urine incontinence, chronic pelvic pains, vulvodynia, and lack of lust, excitement, and orgasm) are resistant to standard medical treatment. In our work at the Research Clinic for Holistic Medicine in Copenhagen, we have found that vaginal acupressure, or Hippocratic pelvic massage, can help some of these problems. Technically, it is a very simple procedure as it corresponds to the explorative phase of the standard pelvic examination, suppleme...

  10. Primary T-Cell Non-Hodgkin Lymphoma of the Vagina

    OpenAIRE

    Herraiz, J. L.; Llueca, A.; Maazouzi, Y.; Piquer, D.; A. Palmeiro; Calpe, E.

    2015-01-01

    The primary vaginal T-cell non-Hodgkin lymphoma is a rare form of lymphoma. Most of the previously published cases were about B-cell non-Hodgkin lymphomas. We present the case of a vaginal mass in an 82-year-old patient presenting vaginal bleeding. The results of the immunohistological studies of the mass revealed the presence of a cytotoxic T-cell non-Hodgkin lymphoma, which is the least common subtype.

  11. Laparoscopic management of fallopian tube prolapse masquerading as adenocarcinoma of the vagina in a hysterectomized woman

    Directory of Open Access Journals (Sweden)

    Kucuk Mustafa

    2002-01-01

    Full Text Available Abstract Background Fallopian tube prolapse as a complication of abdominal hysterectomy is a rare occurrence. A case with fallopian tube prolapse was managed by a combined vaginal and laparoscopic approach and description of the operative technique is presented. Case presentation A 39-year-old woman with vaginal prolapse of the fallopian tube after total abdominal hysterectomy presented with an incorrect diagnosis of adenocarcinoma of the vaginal apex. The prolapsed tube and cystic ovary were removed by vaginal and laparoscopic approach. The postoperative course went well. Conclusions Early or late fallopian tube prolapse can occur after total abdominal hysterectomy and vaginal hysterectomy. Symptoms consist of persistent blood loss or leukorrhea, dyspareunia and chronic pelvic pain. Vaginal removal of prolapsed tube with laparoscopic surgery may be a suitable treatment. The abdominal or vaginal approach used in surgical correction of prolapsed tubes must be decided in each case according to the patient's individual characteristics.

  12. 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.)

  13. First report of transvaginal endoscopic microsurgery in a patient with squamous cell carcinoma of the vagina

    NARCIS (Netherlands)

    Smink, M.; Hermans, R.H.; Schoot, D.B.; Luyer, M.; Pijnenborg, J.M.A.

    2013-01-01

    Transanal endoscopic microsurgery has been used by surgeons since 1983. All these years of experience and research have shown that this is a safe and successful approach for rectal neoplasms, both benign and malignant. The advantage of this procedure is the excellent view and hence precise surgical

  14. Uterine perforation with bowel prolapsing through vagina following an unsafe abortion

    OpenAIRE

    Kamala Verma; Girish Chandra Baniya

    2016-01-01

    An unwanted pregnancy may lead to induced abortion that means willful termination of pregnancy before the period of viability. Most of the times when termination of pregnancy is done by skilled person in fully aseptic environment, complications are low. But severe complication including uterine perforation, bowel injury, sepsis and sometimes death is common when the procedure is carried out by unskilled personnel in unhealthy condition. This case representing the neglected scenario of our mat...

  15. Uterus didelphys with an obstructed unilateral vagina and ipsilateral renal agenesis: A rare cause of dysmenorrhoea

    OpenAIRE

    ATTAR, Rukset; Yıldırım, Gazi; Inan, Yücel; Küzılkale, Özge; Karateke, Ateş

    2013-01-01

    Didelphic uterus with obstructed hemivagina and ipsilateral renal agenesis is a rare condition. It usually presents with pelvic pain following the menarche, dysmenorrhoea, and an increase in abdominal volume or a palpable mass due to unilateral haematocolpos. We present the case of a 13-year-old girl who referred with recurrent pelvic pain, mainly at the time of menses, and irregular menstrual cycle complaints in this report. The patient underwent ultrasonography and magnetic resonance (MR) i...

  16. [The influence of radium therapie on the yeast contamination of the vagina (author's transl)].

    Science.gov (United States)

    Mendling, W; Schnell, J D; Spiecker, R

    1979-12-01

    Before the beginning of radium therapy a vaginal yeast contamination of 9,7% was found of 113 patients with different genital carcinomas. However, the incidence of vaginal yeast contamination increased suddenly to 30,9% under the contac irradiation therapy with radium. The radiation effect of radium is not sufficient for a "selfsterilisation" of the radium-carrier in the case of yeast contamination. Therefore, a chemic desinfection of the radium-carriers is principly necessary. The significance of radium therapy with respect to vaginal yeast contamination is discussed and the recommendation is made that routine mycological supervision be carried out on all patients with gynaecological carcinomas and appropriate antimycotic therapy initiated where necessary.

  17. Genome Sequences of 14 Firmicutes Strains Isolated from the Human Vagina.

    Science.gov (United States)

    Deitzler, Grace E; Ruiz, Maria J; Weimer, Cory; Park, SoEun; Robinson, Lloyd; Hallsworth-Pepin, Kymberlie; Wollam, Aye; Mitreva, Makedonka; Lewis, Amanda L; Lewis, Warren G

    2016-01-01

    Research on vaginal infections is currently limited by a lack of available fully sequenced bacterial reference strains. Here, we present strains (now available through BEI Resources) and genome sequences for a set of 14 vaginal isolates from the phylum Firmicutes These genome sequences provide a valuable resource for future research in understanding the role of Gram-positive bacteria in vaginal health and disease.

  18. New Perspectives on the Normal Vagina and Noninfectious Causes of Discharge.

    Science.gov (United States)

    Powell, Anna M; Nyirjesy, Paul

    2015-09-01

    An understanding of how the vaginal flora is influenced by hormonal status is crucial in distinguishing normal from abnormal secretions. New studies exploring the vaginal microbiome with culture-independent techniques have led to the discovery of previously uncultivable bacteria on a species level, and have contributed to a better understanding of disease processes including bacterial vaginosis. It is important to note that not all vaginal discharge is abnormal or infectious in etiology, but a thorough evaluation will help reassure both the patient and the provider. PMID:26125958

  19. 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...... 24 h after birth were identical to strains isolated 3 weeks after birth from the same litter, indicating that the vaginal strains became part of a stable skin flora.......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...

  20. Genome Sequences of 14 Firmicutes Strains Isolated from the Human Vagina.

    Science.gov (United States)

    Deitzler, Grace E; Ruiz, Maria J; Weimer, Cory; Park, SoEun; Robinson, Lloyd; Hallsworth-Pepin, Kymberlie; Wollam, Aye; Mitreva, Makedonka; Lewis, Amanda L; Lewis, Warren G

    2016-01-01

    Research on vaginal infections is currently limited by a lack of available fully sequenced bacterial reference strains. Here, we present strains (now available through BEI Resources) and genome sequences for a set of 14 vaginal isolates from the phylum Firmicutes These genome sequences provide a valuable resource for future research in understanding the role of Gram-positive bacteria in vaginal health and disease. PMID:27688329

  1. Uterus didelphys with an obstructed unilateral vagina and ipsilateral renal agenesis: A rare cause of dysmenorrhoea.

    Science.gov (United States)

    Attar, Rukset; Yıldırım, Gazi; Inan, Yücel; Küzılkale, Ozge; Karateke, Ateş

    2013-01-01

    Didelphic uterus with obstructed hemivagina and ipsilateral renal agenesis is a rare condition. It usually presents with pelvic pain following the menarche, dysmenorrhoea, and an increase in abdominal volume or a palpable mass due to unilateral haematocolpos. We present the case of a 13-year-old girl who referred with recurrent pelvic pain, mainly at the time of menses, and irregular menstrual cycle complaints in this report. The patient underwent ultrasonography and magnetic resonance (MR) imaging of the pelvis was performed. The diagnosis was uterus didelphys with obstructed hemivagina and ipsilateral renal agenesia. Laparotomy was performed for diagnosis and treatment purposes. Two separated hemiuteri and two cervices with hematometra and hematocolpos on the right side and ipsilateral renal agenesis were detected. The vaginal septum was excised completely and Strassman metroplasty was performed. Her complaints were resolved and she was absolutely asymptomatic after surgery. Diagnosis and management of this congenital anomaly is challenging due to the complexity of the anatomic structures, nonspecific complaints, and heterogenic presentation. These anomalies must always be considered while working-up female patients presenting with episodic abdominal pain and abdominopelvic mass. PMID:24592115

  2. Clinical Observation on Treatment of Bacterial Vagina Diseases by Therapy with Lactobacillus Vagina Capsule%乳酸菌阴道胶囊治疗细菌性阴道病临床疗效观察分析

    Institute of Scientific and Technical Information of China (English)

    初华

    2012-01-01

    目的 观察乳酸菌阴道胶囊与甲硝唑栓治疗细菌性阴道病临床疗效.方法 将112例细菌性阴道病患者按1.15∶1随机分为治疗组和对照组,治疗组60例、对照组52例,比较两组治愈率及有效率.结果 两组停药1周治疗组、对照组的总有效率分别为85%、86.54% (P>0.05);治疗组阴道分泌物HP>4.5的2例,对照组10例两组治疗结果的差异有显著性(P<0.05).结论 乳酸菌阴道胶囊治疗细菌性阴道病具有疗效好,不易复发,无明显副作用,安全无毒是治疗妇女细菌性阴道病的理想方法.

  3. Surgical instrument migration from the abdominal cavity through the bladder into the vagina: a rare long-term complication.

    NARCIS (Netherlands)

    Gier, R.P.E. de; Feitz, W.F.J.

    2002-01-01

    A foreign body in the bladder is a well-recognized, although rare, cause of urinary tract infections. We describe a 15-year-old girl who presented with abdominal pain and recurrent urinary tract infections. On analysis, a forceps was found, with the two legs of the instrument separately perforating

  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. From toothpick legs to dropping vaginas: Gender and sexuality in Joan Rivers' stand-up comedy performance

    OpenAIRE

    Lockyer, S.

    2011-01-01

    This is the author's accepted manuscript. The final published article is available from the link below. Copyright @ 2011 Intellect. This article employs sociocultural analysis to examine Joan Rivers’ stand-up comedy performances in order to reveal how she successfully operates in a sphere of artistic expression that has been, and continues to be, male-dominated. The analysis uncovers how Rivers’ stand-up comedy performance involves a complex combination of elements and how it fuses feature...

  6. Preference and checkup of lactobacilli from vagina%人阴道乳酸杆菌的优选和鉴定

    Institute of Scientific and Technical Information of China (English)

    王丽莉; 陈其御

    2005-01-01

    目的从本地健康妇女阴道内筛选产H2O2的乳酸杆菌,确定其培养的最适条件,并鉴定出菌种.方法采样后,经过几次增菌培养-平板分离后选出乳酸杆菌,并筛选出产H2O2的菌落进行菌种鉴定.结果分离并鉴定出4种产H2O2的乳酸杆菌,其中L-acidophilusl和lb.paracaseisspparacasei3产H2O2的能力较强.结论通过试验确定了健康妇女阴道内乳酸杆菌的最佳生长条件,分离并鉴定出4种产H2O2的菌株,为后期实验奠定了基础.

  7. Pelvic Organ Prolapse in Fibulin-5 Knockout Mice : Pregnancy-Induced Changes in Elastic Fiber Homeostasis in Mouse Vagina

    OpenAIRE

    Peter G. Drewes; Yanagisawa, Hiromi; Starcher, Barry; Hornstra, Ian; Csiszar, Katalin; Marinis, Spyridon I.; Keller, Patrick; Word, R. Ann

    2007-01-01

    Pelvic organ prolapse is strongly associated with a history of vaginal delivery. The mechanisms by which pregnancy and parturition lead to failure of pelvic organ support, however, are not known. Recently, it was reported that mice with null mutations in lysyl oxidase-like 1 (LOXL1) develop pelvic organ prolapse. Elastin is a substrate for lysyl oxidase (LOX) and LOXL1, and LOXL1 interacts with fibulin-5 (FBLN5). Therefore, to clarify the potential role of elastic fiber assembly in the pathog...

  8. SU-E-T-579: Impact of Cylinder Size in High-Dose Rate Brachytherapy (HDRBT) for Primary Cancer in the Vagina

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, H; Gopalakrishnan, M; Lee, P; Sathiaseelan, V [Department of Radiation Oncology, Northwestern Memorial Hospital, Chicago, IL (United States)

    2014-06-01

    Purpose: To evaluate the dosimetric impact of cylinder size in high dose rate Brachytherapy for primary vaginal cancers. Methods: Patients treated with HDR vaginal vault radiation in a list of cylinders ranging from 2.5 to 4 cm in diameter at 0.5 cm increment were analyzed. All patients’ doses were prescribed at the 0.5 cm from the vaginal surface with different treatment lengths. A series of reference points were created to optimize the dose distribution. The fraction dose was 5.5 Gy, the treatment was repeated for 4 times in two weeks. A cylinder volume was contoured in each case according to the prescribed treatment length, and then expanded to 5 mm to get a volume Cylinder-5mm-exp. A volume of PTV-Eval was obtained by subtracting the cylinder volume from the Cylinder-5mm-exp. The shell volume, PTV-Eval serves as the target volume for dosimetric evaluation. Results: DVH curves and average doses of PTV-Eval were obtained. Our results indicated that the DVH curves shifted toward higher dose side when larger cylinder was used instead of smaller ones. When 3.0 cm cylinder was used instead of 2.5 cm, for 3.0 cm treatment length, the average dose only increased 1%, from 790 to 799 cGy. However, the average doses for 3.5 and 4 cm cylinders respectively are 932 and 1137 cGy at the same treatment length. For 5.0 cm treatment length, the average dose is 741 cGy for 2.5 cm cylinder, and 859 cGy for 3 cm cylinder. Conclusion: Our data analysis suggests that for the vaginal intracavitary HDRBT, the average dose is at least 35% larger than the prescribed dose in the studied cases; the size of the cylinder will impact the dose delivered to the target volume. The cylinder with bigger diameter tends to deliver larger average dose to the PTV-Eval.

  9. Treatment of patients with a congenital transversal vaginal septum or a partial aplasia of the vagina. The vaginal pull-through versus the push-through technique.

    NARCIS (Netherlands)

    Bijsterveldt, C.D. van; Willemsen, W.N.P.

    2009-01-01

    STUDY OBJECTIVE: The aim of this study is to describe the different modalities of congenital obstructing vaginal malformations and the evaluation of techniques to solve the problem. DESIGN: A retrospective study. SETTING: The University Hospital Nijmegen, the Netherlands. PARTICIPANTS: The medical r

  10. 参菊洗剂体外抗阴道毛滴虫作用%Effect of Shenju Lotion Agaisnt Trichomonas in Vagina In Vitro

    Institute of Scientific and Technical Information of China (English)

    张广求

    2016-01-01

    目的:探讨参菊洗剂的体外抗阴道毛滴虫作用,为临床应用提供参考。方法用肝浸液将参菊洗剂配制成400.00,200.00,100.00,50.00,25.00,12.50,6.25 mg·mL-1培养液,对阴道毛滴虫进行体外培养,分别在2,4,6,8,12,24 h观察阴道毛滴虫的形态和活动状况,计算虫体死亡率,并与相同浓度洁尔阴洗液的体外抗阴道毛滴虫效果进行比较。结果参菊洗剂在体外对临床分离的阴道毛滴虫有抑制和杀灭作用,最低有效浓度为50 mg·mL-1。参菊洗剂各浓度组阴道毛滴虫的死亡率与相同浓度的洁尔阴洗液组比较,差异无统计学意义( P>0.05)。结论参菊洗剂有明显的抗阴道毛滴虫作用。%Objective To investigate the in vitro effect of ShenJu lotion agaisnt Trichomonas vaginalis in order to provide clues for its clinical application. Methods ShenJu lotion was formulated into different concentrations(400.00,200. 00,100.00,50.00,25.00,12.50,6.25 mg·mL-1 )with liver extracts.The morphology and movement of Trichomonas vaginalis treated with different concentrations of ShenJu lotion in vitro for 2,4,6,8,12,or 24 h were observed and the mortality was calculated.The effects against Trichomonas vaginalis were compared between Jieeryin lotion and ShenJu lotion at the same concentrations. Results ShenJu lotion could significantly inhibit and kill clinical isolates of Trichomonas vaginalis in vitro and the lowest effective concentration was 50.00 mg·mL-1 .There was no significant difference in the mortality between ShenJu lotion and Jieeryin lotion(P>0.05). Conclusion ShenJu lotion has obvious effects against Trichomonas vaginalis.

  11. Late effects of ionizing radiations on vulva, vagina and uterus; Effets tardifs des radiations ionisantes sur la vulve, le vagin et l`uterus

    Energy Technology Data Exchange (ETDEWEB)

    Mazeron, J.J. [Groupe Hospitalier Pitie-Salpetriere, 75 - Paris (France); Gerbaulet, A. [Institut Gustave Roussy, 94 - Villejuif (France)

    1997-12-01

    Reporting and scoring complications after radiotherapy of gynaecological cancers is difficult because of the variety of treatment techniques involved. Use of an international classification is necessary to compare results obtained in series of patients treated in different institutions. An international group of experts designed in the early nineties the so-called French-Italian glossary. This classification of late effects is now completed with the new LENT SOMA scales. This paper contains details of these late changes, including their pathophysiology, clinical syndromes, potential treatment, and prevention. (authors)

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

    OpenAIRE

    Huang Guangying; Chen Suhua; Lu Fuer; Ma Yonggui; Qiao Yuan; Chen Zhuo

    2013-01-01

    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 vag...

  13. Clinical Analysis of 102 Cases of Bacterial Vagina Disease%102例细菌性阴道病的临床分析

    Institute of Scientific and Technical Information of China (English)

    龙玲; 杜德红

    2002-01-01

    @@ 细菌性阴道病(Bacterial vaginosis)是已婚妇女的常见病,与妇科炎性疾病、女性不孕均有密切联系,主要通过性生活传播,夫妻双方要同时治疗.本文收集了102例细菌性阴道病,并进行回顾性分析,主要探讨其与妇科炎性疾病及不孕症的关系.

  14. Influence of Synchronization Oestrus in Goats by Progesterone Vagina Embolism%孕酮阴道栓对山羊同期发情的影响

    Institute of Scientific and Technical Information of China (English)

    庞训胜; 王荣祥; 吴义; 常春芳; 李业厂; 邓英状

    2002-01-01

    选择208头黄淮山羊,根据生殖状态不同,按2×4试验设计方案分组,研究孕酮阴道栓对山羊同期发情的影响.结果表明,孕酮阴道栓处理12天,14天,16天的96 hr的发情数平均34.5%,产后羊高于生殖状态不明羊14.61%,但差异不显著(P>0.05),产后羊30天不返情率60.61%.综合分析认为,同期发情以12天为最佳孕酮阴道栓处理天数.

  15. 原发性阴道平滑肌肉瘤九例临床分析%Primary leiomyosarcoma of the vagina: a clinical analysis of 9 cases

    Institute of Scientific and Technical Information of China (English)

    李林; 张蓉; 吴令英; 白萍; 李淑敏; 李洪君; 李晓光

    2012-01-01

    目的 探讨原发性阴道平滑肌肉瘤的临床特征、诊断、治疗及预后.方法 对中国医学科学院北京协和医学院肿瘤医院1973年1月至2011年5月收治的9例原发性阴道平滑肌肉瘤患者的临床和病理资料进行回顾性分析.结果 本组病例占同期收治的阴道恶性肿瘤患者的2.7%(9/330).患者年龄35 ~66岁,中位年龄48岁;临床表现为阴道肿物3例,腹痛、阴道流血2例,阴道痛2例,排便困难及排尿困难各1例.本病术前确诊率低,在本院初次治疗的3例患者均于术前予肿物活检后病理检查确诊,另6例患者为外院行单纯肿物切除术后病理检查确诊;9例患者中5例同时行免疫组化染色检查.9例患者中,8例初次治疗为手术治疗,其中4例术后辅以化疗或放疗.9例患者均进行随诊,其中3例失访,随诊时间为7 ~ 134个月,中位随诊时间为66个月;随访期内6例复发,其中4例为2年内局部复发或邻近器官转移,3例复发后行手术治疗的患者均存活>5年,患者的5年生存率为4/9.结论 原发性阴道平滑肌肉瘤罕见,术前确诊率低,建议术前行肿瘤活检以明确诊断;目前主要的治疗方式为手术治疗,必要时结合放化疗可提高患者生存率.%Objective To analyze the clinical characteristics,diagnoses,treatments and prognoses of vaginal leiomyosarcoma (LMS).Methods The clinical and pathological recordings of 9 patients suffering from vaginal leiomyosarcoma from January 1973 to May 2011 were analyzed retrospectively.Results The study group constituted 2.7% (9/330) of all the malignant vaginal tumor admitted to our hospital in the same period.The major clinical manifestations were asymptomatic vaginal mass (3/9),bellyache and vaginal bleeding (2/9),vaginal pain (2/9),and difficulty in defecation (1/9) and micturition (1/9).Preoperative diagnosis was highly unreliable.Based on the sample chose,the diagnosis were made in 3 cases by preliminary biopsy before undertaking surgery,while 6 cases were confirmed shortly after simple tumor excision or unexpected recurrence.All the patients were pathologically confirmed diagnosis by tumor resection specimen or biopsy,5 cases of them were also confirmed by virtue of immunohistochemistry staining.All 9 patients,8 cases received initial surgery,four of them patients received postoperative adjuvant chemotherapy or radiation therapy,the remaining 1 patients received initial chemotherapy and radiotherapy.Follow-up was performed for all the 9 patients,of which 3 cases were lost,the median follow-up time was 50 months (range 7-134).Four patients underwent local recurrence and adjacent organ metastases within two years,with 5 years survival rate 4/9.Conclusions Primary vaginal leiomyosarcoma is a rare and difficult to diagnose preoperatively tumor.In this regard,It is strongly recommend preoperative biopsy for definitive diagnosis and perform surgery as the principal approach,in conjunction with radiotherapy or chemotherapy when needed to improve survival.

  16. 宫颈癌患者阴道微生物的分布特点%Distribution Characteristics of Microorganisms in the Vagina of Patients with Cervical Cancer

    Institute of Scientific and Technical Information of China (English)

    逯彩虹; 李保红; 李小斌; 王海波; 刘丽宁; 戴卫红; 李萍

    2011-01-01

    目的 探讨乳酸杆茵与常见阴道病原体在阴道黏膜上的分布特点以及与宫颈癌的关系.方法 检测65例正常宫颈、70例慢性宫颈炎、110例宫颈上皮内瘤变(CIN)、142例宫颈癌妇女阴道黏膜分泌物中乳酸杆菌的定植密度、霉茵、细茵性阴道病(BV)、支原体、衣原体、滴虫、淋茵、人乳头瘤状病毒(HPV16/18)的感染情况,了解宫颈癌患者阴道黏膜乳酸杆茵与常见病原体的分布特点以及在宫颈癌发病中作用.结果 CIN组和宫颈癌组阴道黏膜乳酸杆菌的定植密度逐渐减少(P<0.01),霉菌、滴虫、支原体、衣原体、BV、HPV的检出率逐渐增加(P<0.01).除宫颈癌组外,其余各组乳酸杆茵阴性患者阴道霉茵、滴虫、支原体、衣原体、BV、HPV的检出率均明显高于乳酸杆菌阳性患者(P<0.01).宫颈癌组和CIN组感染亚组乳酸杆菌定植密度明显低于慢性宫颈炎组和正常宫颈组(P<0.01).在正常宫颈组、慢性宫颈炎组、CIN组内感染亚组乳酸杆菌定植密度明显少于非感染亚组(P<0.01);但在宫颈癌组内比较无统计学差异.宫颈癌组和CIN组中HPV感染患者阴道乳酸杆茵阴性率高于慢性宫颈炎组和正常宫颈组;宫颈癌组和CIN组中HPV感染患者阴道乳酸杆茵阳性组乳酸杆菌定植密度明显少于慢性宫颈炎组和正常宫颈组(P<0.01).CIN组和宫颈癌组中HPV16/18、BV的感染率增加最明显,其次是衣原体、支原体、霉菌、滴虫;淋茵的检出率在各组中均很低.结论 乳酸杆茵抑制阴道常见病原体的繁殖与感染及宫颈上皮细胞异常增生与癌变.宫颈癌发生与阴道黏膜乳酸杆菌减少、阴道菌群失调相关.%Objective To study the distribution characteristics of lactobacillus and common pathogens in the vaginal mucosa and their relationship with cervical cancer. Methods The planting density of lactobacillus and the detection rates of common pathogens including mycete,hacterial vaginosis (BV),mycoplasma,chlamydia,infusorian,gonococcus,and human papillomavirus (HPV) 16/18 in the vaginal mucosa were determined in 65 cases of normal cervix,70 chronic cervicitis,110 cervical intraepithelial neoplasia (CIN),and 142 cervical cancer. The distribution characteristics of lactohacillus and common pathogens in the vaginal mucosa and their relationship with cervical cancer were analyzed. Results In CIN and cervical cancer groups,the planting density of lactobacillus in the vaginal mucosa gradually decreased (P < 0.01 ),and the detection rates of mycete,infusorian,mycoplasma,chlamydia,bacterial vaginosis,and HPV gradually increased (P < 0.01 ). In normal cervix,chronic cervicitis,and CIN groups,the detection rates of mycete,infusorian,mycoplasma,chlamydia,BV,and HPV were significantly higher in subgroup without lactobacillus infection than in subgroup with lactobacillus infection (P < 0.01 ). The planting density of lactobacillus in the subgnup with infection in cervical cancer and CIN groups were significantly lower than that in chronic cervicitis and normal cervix groups (P < 0.01 ). In normal cervix,chronic cervicitis,and CIN grups,the planting density of lactobacillus in subgroup with infection was signficantly lower than that in subgroup without infection (P < 0.01 ); and there was no significant difference in cervical cancer group. Compared with normal cervix and chronic cervicifis groups,the negative rates of lactobacillus were signficantly higher in subgroup with HPV infection in cervical cancer and CIN groups (P < 0.01 ). The planting density of lactobacillus in subgroup with HPV and lactobacillus infection in cervical cancer and CIN groups was significantly lower than that in normal cervix and chronic cervicitis groups (P < 0.01 ). The detecfon rates of HPV16/18 and BV significantly increased and the detection rates of mycoplasma,chlamydia,mycete,and infusorian moderately increased in CIN and cervical cancer groups. The detection rate of gonococcus was low in each group. Conclusion L actobacillns can inhibit the proliferation and infection of common pathogens in the vaginal mucosa and prevent the abnormal proliferation and cancerization of cervical epithelial cells. The development of cervical cancer is associated with the decreased number of lactobacillus and the imbalance of vaginal flora.

  17. Identification Study of Lactobacilli from Women Vagina%女性阴道乳酸杆菌的鉴定研究

    Institute of Scientific and Technical Information of China (English)

    谢小军; 曾忠铭; 宋作林; 何丽丽

    2010-01-01

    目的:鉴定女性生殖道乳杆菌种类及各种乳杆菌在阴道中的分布差异.方法:标本接种MRS 培养基分离培养, 使用API 50 CHL 鉴定条码对乳杆菌进行分类鉴定后;再根据GenBank中乳酸杆菌16S-23S rRNA基因间沉默区序列设计引物,测序进一步鉴定乳酸杆菌.结果: API50CHL鉴定出4种乳酸菌,分别为嗜酸乳杆菌、卷曲乳杆菌、德氏乳杆菌、乳酸球菌乳亚种;序列同源分析则为卷曲乳杆菌、格氏乳杆菌、德氏乳杆菌.结论:乳酸杆菌同源性相近,需选择合适的方法才能鉴定出稳定可靠的结果.

  18. Squamous cell carcinoma of the penis and of the cervix, vulva and vagina in spouses: is there any relationship? An epidemiological study from Norway, 1960-92.

    OpenAIRE

    T. Iversen; Tretli, S.; A. Johansen; Holte, T.

    1997-01-01

    Four hundred and twenty-three wives of 671 men with cancer of the penis were compared with 444 wives of 569 men who did not have this disease. The risk among the wives of patients with cancer of the penis of preinvasive and invasive cancer of the neck of the uterus was 1.75 (95% CI 0.42-7.37).

  19. Pharmacokinetics of acetic acid thermoreversible vaginal gel in rabbits vagina%乙酸阴道热敏凝胶剂在家兔阴道内的药动学

    Institute of Scientific and Technical Information of China (English)

    田芳; 成倩倩; 俸灵林; 王玉柱; 李卫华; 丁训诚

    2011-01-01

    OBJECTIVE To prepare monoclonal antibodies specially recognized P53 protein. METHODS Recombinant human wild-type P53 protein expressed in E. Coli. BL21 was used as antigen. Monoclonal antibodies were prepared and identified via the classic protocol of monoclonal antibody preparation. Identified monoclonal antibodies were purified by affinity chromatography. Antibody titer was determined by enzyme linked immunosorbent assay ( ELJSA). The specific binding activity of antibody was detected by Westen blotting and immunohistochemistry. RESULTS Three antibodies, 1P15, 2P37 and 3P40, against P53 protein were prepared and purified by affinity chromatography. The purity of antibodies was higher than 90% shown by SDS-PAGE. The titers of antibodies were more than 1:6000 determined by ELJSA. All antibodies could recognize P53 protein by Western blotting, in which 3P40 had the sensitivity of 5 ng for P53. Two tumor cell lines with different p53 gene type (MDA-MB-231, p53 mutant;H1299, p53 null) were used to determine the binding activity of antibody 3P40 by Western blotting and immunohistochemistry. The result indicated that endogenous P53 protein in tumor cells could be identified by 3P40. CONCLUSION Three monoclonal antibodies against P53 are prepared. Antibody 3P40 is the most sensitive and specific one to P53.%目的 研究乙酸阴道热敏凝胶剂经阴道给药后药物在家兔阴道内的药代动力学特征,探索适合阴道用药的新剂型.方法 3 ml含乙酸36.23 mg的乙酸阴道热敏凝胶剂推入家兔阴道内,给药后0.25,0.5,1,1.5,2,4,8,12,16,20和24h,对家兔阴道进行灌洗并测定灌洗液中乙酸的含量、用微电极插入阴道测定阴道pH值、取阴道组织匀浆后测定组织中乙酸含量.采用非线性最小二乘法进行计算机拟合获得药动学参数.结果 乙酸阴道热敏凝胶剂置入家兔阴道后,阴道pH值由给药前中性(pH 6.67)转变为酸性( pH 3.56),阴道pH 3.5 ~4.0可保持约6h;pH 3.5 ~4.5可保持约12h;pH3.5~5.0可保持19 h;给药后24h,pH值为5.32±0.24,乙酸含量为(0.38±0.15)g·L-1,为给药量的11%.阴道组织中乙酸浓度峰值为600μg·g-1,达峰时间为2h,平均保留时间为7.73 h,药物动力学参数符合二室模型.结论 乙酸阴道热敏凝胶剂符合阴道用药的要求.

  20. 温度敏感性壬苯醇醚阴道用缓释凝胶的制备与评价%Preparation of temperature-sensitive nonoxynol-9 sustained-release gel for vagina

    Institute of Scientific and Technical Information of China (English)

    王成伟; 唐星; 王晓梅; 田晓琳; 李真

    2006-01-01

    目的:制备以聚丙烯酸类为基本材料的温度敏感性壬苯醇醚阴道用缓释凝胶,建立温度敏感性阴道用缓释凝胶剂的体内外评价方法.方法:采用均匀试验设计,考察了泊洛沙姆F127和F68对凝胶化温度及25℃时和37℃时的黏度变化的影响,筛选出优化组合;加入聚丙烯酸类材料制备凝胶,进行显微观察、释放度、灌流冲洗量、黏度与黏附力评价;大鼠阴道内给予优化处方与国外产品,测定阴道冲洗液中药物的质量浓度.结果:温度敏感性材料优化组合为:泊洛沙姆F127的质量分数为18.2%,泊洛沙姆F68的质量分数为8.8%,制备的凝胶在大鼠阴道滞留时间可达12 h以上,室温下有较好的流动性.结论:温度敏感性壬苯醇醚阴道用缓释凝胶具有良好的体外释放性能、温度敏感黏附性能及阴道内滞留性能.

  1. Preparation and in vitro drug release characterization of nonoxynol-9 sustained-release gel for vagina%壬苯醇醚阴道用缓释凝胶的研制

    Institute of Scientific and Technical Information of China (English)

    王成伟; 唐星; 姚家荣

    2004-01-01

    目的制备壬苯醇醚阴道用缓释凝胶并优化其处方与工艺.方法采用正交试验设计,考察了聚卡波菲用量、卡波沫用量、pH值、甘油用量、液体石蜡用量、山嵛酸甘油酯用量及不同工艺对释放度的影响,与国外产品进行残差平方和、拟合度、区分因子和相似因子比较,确定壬苯醇醚阴道用缓释凝胶的处方工艺,并考察了其初步稳定性.结果优化所得处方工艺为:聚卡波菲用量0.5%(w),卡波沫用量1%(w),甘油用量为5%(w),液体石蜡用量为5%(w),山嵛酸甘油酯用量为1%(w),pH值为4.5,选用工艺1.结论按优化处方工艺制得的壬苯醇醚阴道用缓释凝胶稳定,与国外产品比较具有相似的释放度,且以复合模式释放.

  2. 自慰、阴道-阴茎性行为、无性生活与快乐模型%Pleasure model of self-consolation,vagina -penis sexual behavior and celibacy

    Institute of Scientific and Technical Information of China (English)

    田聚群

    2014-01-01

    According to the properties of skeletal muscle,frequency of sexual behavior can be divided into 4 types:injury frequency,dependence frequency,free frequency and zero frequency.To analyze from the perspec-tive of sexual desire disappearance,persons of dependence frequency,free frequency and zero frequency have the same living conditions.The person that has sexual intercourse and no sexual intercourse is of the same living condi-tions.Analyzing from the perspective of skeletal muscle dependence and pleasure model,self-consolation and va-gina-penis sexual behavior are in parallel relation.%根据骨骼肌的性质,性行为频率可以划分为4种类型:损伤频率;依赖频率;自由频率;零频率。从产生的性行为渴望完全消失的角度分析,选择依赖频率、自由频率和零频率的人拥有同样的生存状态,选择有性生活和无性生活的人拥有同样的生存状态。从骨骼肌依赖性质和快乐模型的角度分析,自慰和阴道-阴茎性行为是并列关系。

  3. 乳酸菌素阴道胶囊治疗哺乳期细菌性阴道病疗效观察%Observation of Effect of Lactobacillus Vagina Capsule in Treatment of Bacterial Vaginosis in Lactation

    Institute of Scientific and Technical Information of China (English)

    陶丽丹; 刘晓鹏; 闫春霞; 白继红

    2010-01-01

    目的 乳酸菌素阴道胶囊治疗哺乳期细菌性阴道病临床疗效.方法 对225例哺乳期细菌性阴道病患者随机分组,分别予以乳酸菌素阴道胶囊和甲硝唑栓局部用药,进行疗效比较,治疗组120例采用乳酸菌素阴道胶囊给药,0.5 g/d,连续10 d;对照组105例甲硝唑栓阴道给药,0.5 g/d,连续10 d.结果 治疗组治愈率 81.7%,对照组治愈率 84.8%,两组治愈率比较差异无统计学意义(P>0.05).结论 乳酸菌素阴道胶囊治疗哺乳期细菌性阴道病与甲硝唑栓有相同的临床疗效.

  4. 外阴阴道假丝酵母菌性阴道病阴道局部固有免疫机制研究%Study on inherent immunity in vagina infected with vulvovaginal candidiasis

    Institute of Scientific and Technical Information of China (English)

    彭丹红; 任慕兰

    2009-01-01

    目的 探讨外阴阴道假丝酵母菌性阴道病(VVC)阴道局部固有免疫机制.方法 选取2006年1月至2008年3月健康体检妇女、单纯性VVC患者和复发性VVC(RVVC)患者各20例,采集阴道灌洗液,行HE染色,细胞计数及分类,采用RT-PCR法测定阴道脱落细胞中单核细胞趋化蛋白-1(MCP-1)的mRNA水平.结果 (1)VVC组和RVVC组灌洗液的pH值分别为5.035±0.63和5.430±0.66,与对照组4.572±0.27比较,差异有统计学意义(P<0.05).(2)细胞分类中,VVC组中性粒细胞[(46.45±7.61)%]与对照组和RVVC组[分别为(18.25±3.27)%和(17.7±4.30)%]比较,差异有统计学意义(P<0.01);VVC组单核细胞(5.40±2.30)%,较对照组(3.90±1.68)%和RVVC组(3.70±1.42)%明显上升,差异有统计学意义(P<0.01).(3)对照组、VVC组和RVVC组MCP-1的mRNA表达分别为0.6363±0.0300、0.8338±0.1100、0.5315±0.0600,VVC组MCP-1的mR-NA显著高于对照人群,而RVVC组MCP-1的mRNA显著低于对照人群.结论 (1)阴道pH的改变与阴道的感染相关.(2)假丝酵母菌侵入机体后将导致机体的免疫防御反应,中性粒细胞和单核细胞数量增加并到达炎症部位发挥杀灭病原菌的作用.(3)阴道局部MCP-1低表达相关的免疫防御缺陷可能是RVVC反复发作的机制之一.

  5. Characterization of cytological changes, IgA, IgG and IL-8 levels and pH value in the vagina of prepubertal and sexually mature Ellegaard Göttingen minipigs during an estrous cycle

    DEFF Research Database (Denmark)

    Lorenzen, Emma; Agerholm, Jørgen Steen; Grossi, Anette Blak;

    2016-01-01

    minipigs ( n = 10). In sexually mature minipigs ( n = 10), evaluated through an estrous cycle, there was an increase in number of mucosal neutrophils and other leukocytes during estrus. The level of total IgA on the vaginal mucosa increased during diestrus. The level of total IgG showed no significant...... changes through the cycle. The vaginal IgA level in the prepubertal minipigs was similar to the low estrus level in sexually mature minipigs, and the IgG level in prepubertal was similar to the stable level in the sexually mature minipigs....

  6. 扩张阴道联合改良会阴保护法在接产中的临床应用%Expansion the vagina joint improvement perineum protection of clinical applications in the confinements

    Institute of Scientific and Technical Information of China (English)

    易翠兰

    2013-01-01

      目的探讨扩张阴道联合改良会阴保护法在接产中的应用效果。方法选择2012年1月~12月在我科分娩的300例初产妇,随机分为观察组168例和对照组132例。观察组在接产过程中采用扩张阴道联合改良会阴保护法保护会阴;对照组采用传统式保护会阴法。并比较两组会阴裂伤及产后出血情况。结果观察组会阴裂伤88例,占52.38%,对照组会阴裂伤101例,占76.52%,两组比较有显著性差异(P<0.01);两组会阴裂伤程度、产后出血情况比较有显著性差异(P<0.01)。结论在接产过程中采用扩张阴道联合改良会阴保护法保护会阴,可降低会阴裂伤发生率,减轻会阴裂伤程度,保持会阴完整性,,以减轻产妇的痛苦。同时也减少产后出血的发生。%Objective In the production process through vaginal dilation and improved protection of perineum protection of perineum ,in order to reduce perineal laceration and side of the cutting rate ,reduce maternal pain ,and to observe its effect .Methods 300 cases of our hospital in 2012 were the single fetal head position of women in the 1-12 months ,weeks of gestation 37 ~ 41 weeks ,age 19-35 years old ,vaginal ,no lateral episiotomy indications of maternal .Were randomly di-vided into the observation group and 168 cases of vaginal dilation ,through improved protection of perineum protection of perineum inproduction process ;132 cases in the control group ,the traditional protection of perineum .Results in the obser-vation group ,88 cases of perineal laceration accounted for 52 .38% ,control group ,101 cases of perineal laceration accounted for 76 .52% ,the difference was statistically significant (P<0 .01);the two group of perineal laceration degree ,postpartum hemorrhage compared the differences were statistically significant (P<0 .01) .Conclusion In the production process through vaginal dilation and improved protection of perineum protection of perineum ,can reduce the incidence rate of perineal lacera-tion ,alleviate perineal laceration of perineum ,maintain integrity ,to reduce maternal pain .At the same time ,reduce the inci-dence of postpartum hemorrhage .

  7. Perioperative Nursing for Elderly Patients with Severe Pelvic Organ Prolapse Treated with Vagina Closure Surgery%重度盆腔器官脱垂患者行阴道封闭术的围术期护理

    Institute of Scientific and Technical Information of China (English)

    冯莹; 张燕; 陈丽

    2010-01-01

    @@ 盆腔器官脱垂(pelvic organ prolapse,POP)是中老年妇女的常见病,发病率约为40%[1].POP患者,特别是POP-QⅢ期(依据国际尿控协会制定的盆腔器官脱垂定量分度法[2])及以上者,常合并有排尿和排便困难、尿失禁及粪失禁等症状,严重影响其日常生活.

  8. Condoms - male

    Science.gov (United States)

    ... contained in a male's semen reach a woman's vagina, pregnancy may occur. Condoms work by preventing sperm ... coming in contact with the inside of the vagina. If condoms are used correctly every time intercourse ...

  9. Terconazole Vaginal Cream, Vaginal Suppositories

    Science.gov (United States)

    ... to treat fungal and yeast infections of the vagina.This medication is sometimes prescribed for other uses; ... a cream and suppository to insert into the vagina. It is usually used daily at bedtime for ...

  10. Butoconazole Vaginal Cream

    Science.gov (United States)

    ... is used to treat yeast infections of the vagina.This medication is sometimes prescribed for other uses; ... comes as a cream to insert into the vagina. It is usually used daily at bedtime. Follow ...

  11. Nystatin

    Science.gov (United States)

    ... to treat fungal infections of the skin, mouth, vagina, and intestinal tract. Fungal medicines will not work ... and vaginal cream to be inserted into the vagina; and in powder, ointment, and cream to be ...

  12. Urinary incontinence - tension-free vaginal tape

    Science.gov (United States)

    ... small surgical cut (incision) is made inside your vagina. Two small cuts are made in your belly ... tape is passed through the cut inside the vagina. The tape is then positioned under your urethra. ...

  13. Clotrimazole

    Science.gov (United States)

    ... is used to treat yeast infections of the vagina, mouth, and skin such as athlete's foot, jock ... and vaginal cream to be inserted into the vagina. Clotrimazole is usually used five times a day ...

  14. Bacterial vaginosis - aftercare

    Science.gov (United States)

    ... BV) is a type of vaginal infection. The vagina normally contains both healthy bacteria and unhealthy bacteria. ... when you urinate Itching inside and outside the vagina You also may not have any symptoms.

  15. Vaginitis

    Science.gov (United States)

    ... led to advances in knowledge about the normal microflora of the vagina, reproductive behavior of yeast, and ... association between certain lactobacilli species in the normal microflora in the vagina and protection from bacterial vaginosis ( ...

  16. Condom

    Science.gov (United States)

    ... work by keeping semen (the fluid that contains sperm) from entering the vagina. The male condom is ... off when he gets soft. If this happens, sperm could enter the vagina. Female Condom The female ...

  17. What Is Vaginal Cancer?

    Science.gov (United States)

    ... of the uterus) to open up at the vulva (the external female genitals). The vagina is lined ... cancer. Likewise, if the cancer involves both the vulva and the vagina, it’s considered a vulvar cancer. ...

  18. 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 vagina , ...

  19. Medications for Pain Relief during Labor and Delivery

    Science.gov (United States)

    ... that carry feeling to the vagina , vulva , and perineum . The drugs are given just before delivery. They ... spine. Episiotomy: A surgical incision made into the perineum (the region between the vagina and the anus) ...

  20. Vaginal itching and discharge - adult and adolescent

    Science.gov (United States)

    ... and low estrogen levels, which may lead to vaginal dryness and other symptoms ( atrophic vaginitis ). Forgotten tampon or foreign body, which may cause a foul odor. Chemicals found in ... irritate the vagina or the skin around the vagina Less common ...

  1. 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.)

  2. Onamot Kang zuo union bacillus lacticus live fungus preparation treatment retinitis simplex vulva vagina rayon saccharomycetes sickness curative effect analysis%咪康唑联合乳酸杆菌活菌制剂治疗单纯性外阴阴道假丝酵母菌病疗效分析

    Institute of Scientific and Technical Information of China (English)

    李莉; 杨东霞

    2010-01-01

    目的:观察咪康唑,定君生联合用药治疗单纯性外阴阴道假丝酵母菌病(vulvovaginal candidiasis,VVC)的疗效.方法:将门诊150名VVC患者随机分为二组(n=75)A组阴道上达克灵400mg三天评定疗效,B组阴道上达克灵400mg三天同时阴道上定君生十天评定疗效.结果:A、B两组10天后治愈率分别为67%、69%.B组治愈率略高于A组(P>0.05),一月后复发率A、B两组分别是16%、5.77%,差异显著(P<0.05).结论:咪康唑合并乳酸杆菌胶囊治疗能降低VVC复发率.

  3. 德国赫尔曼O3水疗法配伍灭菌灵治疗外阴阴道假丝酵母菌病400例疗效观察%German Herrmann the O3 hydrotherapy blends the antiseptic spirit treatment vulva vagina rayon saccharomycetes to get sick 400 example curative effect observation

    Institute of Scientific and Technical Information of China (English)

    张海燕

    2010-01-01

    外阴阴道假丝酵母菌病是由假丝酵母菌引起的外阴阴道炎,我院自2007年开展应用德国赫尔曼O3水疗法配伍灭菌灵治疗外阴阴道假丝酵母菌病收到了满意的疗效,尤其能缓解急性、重症的外阴阴道假丝酵母菌病的瘙痒症状.

  4. A rare case of primary vaginal carcinoma with systemic metastasis with uterovaginal prolapses

    Directory of Open Access Journals (Sweden)

    Sree Chandana Damineni

    2016-08-01

    Full Text Available Primary vaginal cancer in a prolapsed uterus is a very rare condition. Here we report a rare case of carcinoma of vagina with early systemic metastasis presenting in a middle aged women with uterovaginal prolapse. A 46 year old postmenopausal lady presented with complaints of mass per vagina with foul smelling discharge per vagina. On gynaecological examination, an irreducible uterovaginal prolapse and a 6 and times; 6 cm ulcer was present on upper 1/3 of lateral vaginal wall. Biopsy of the ulcer suggested squamous cell carcinoma of vagina. She was given palliative chemotherapy. [Int J Reprod Contracept Obstet Gynecol 2016; 5(8.000: 2851-2852

  5. Formation of a vesicovaginal fistula in a pig model

    DEFF Research Database (Denmark)

    Lindberg, Jennifer; Rickardsson, Emilie; Andersen, Margrethe;

    2015-01-01

    the bladder and the vagina was made, and the mucosa between them was sutured together with absorbable sutures. A durometer ureteral stent was introduced into the fistula, secured with sutures to the bladder wall, allowing for the formation of a persistent fistula tract. Six weeks postoperatively cysto...... be an effective and cheap way to create a fistula between the bladder and vagina....

  6. HERLYN - WERNER - WUNDERLICH SYNDROME (HWW SYNDROME): A CASE REPORT

    OpenAIRE

    Pallavi S.; Ganpat; Gaurav

    2015-01-01

    Congenital anomalies of the mullerian duct system can result in various urogenital anomalies and, Herlyn Werner Wunderlich syndrome (HWW syndrome) is one such rare anomaly . This syndrome is characterized by uterus didelphys with blind hemi vagina and ipsilateral renal agenesis . 1 it is also known as OHVIRA (Obstructed Hemi vagina with ...

  7. SEMEN COLLECTION AND CONSERVATION OF BULLS SEMEN PODOL TYPE CATTLE

    OpenAIRE

    Premzl, B.; Božić, P.; Viduč, D.; Dejanović, Dubravka; Geceg, I.

    1994-01-01

    Semen collection, artificial vagina, electro-ejaculation, freeze semen We tray to collection ejaculates from bulls Podol Type Cattle with artificial vagina. Fantoms for collecting were cows in heat from the same herd or from another herd. We were not successafuly. With electro-ejaculation we collected ejaculates from bulls Podol Type Cattle and freeze semen in our Institute or in field.

  8. Initiation and progression of Müllerian duct derived malignancies

    NARCIS (Netherlands)

    P.H. van der Horst (Paul)

    2013-01-01

    textabstractThe female reproductive system consists of the internal and external genitalia. The external genitalia are formed by the vulva, which includes the clitoris, labia majora and minora, urethral orifice and vestibule of the vagina (lower part of the vagina). The internal genital system is lo

  9. Apical blebs on sperm-storage tubule epithelial cell microvilli: their release and interaction with resident sperm in the turkey hen oviduct

    Science.gov (United States)

    Technical Abstract: Located at the anterior end of the turkey hen vagina are numerous discrete tubular invaginations of the surface epithelium, collectively referred to as the sperm-storage tubules (SSTs). Following mating or artificial insemination, sperm ascend the vagina, enter the SSTs, and ove...

  10. General Ultrasound Imaging

    Medline Plus

    Full Text Available ... major branches liver gallbladder spleen pancreas kidneys bladder uterus , ovaries , and unborn child ( fetus ) in pregnant patients ... inserted into a woman's vagina to view the uterus and ovaries. top of page What will I ...

  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. Postpartum Vaginal Stenosis Due to Chemical Vaginitis.

    Science.gov (United States)

    Kaur, Gurcharan; Sinha, Maruti; Gupta, Ridhima

    2016-05-01

    Acquired vaginal stenosis is a rare obstructing anomaly, which can be caused by use of chemicals in the vagina. A 21-year-old gravida 1 para 1, presented with secondary amenorrhea and inability to have sexual intercourse, after normal spontaneous vaginal delivery complicated by post partum bleeding. The delivery was conducted by untrained traditional birth attendant at home. The wash cloth soaked with caustic soda was packed in the patient's vagina and was left in situ for 10 days, which ultimately led to the severe scarring and stenosis of the vagina. Patient underwent surgical management and the extensive vaginal adhesions were excised and a patent vagina was reconstructed. Patient then reported successful vaginal intercourse without dyspareunia. Post partum vaginal stenosis due to chemical vaginitis is rare. These cases can be prevented by adequate training of untrained health care workers. PMID:27437311

  13. Paspalum hydrophylum spec. nov., aus Paraguay

    NARCIS (Netherlands)

    Henrard, J.Th.

    1922-01-01

    Paspalum hydrophylum HENR., spec. nov. — Planta aquatica, perennis, rhizoma crassum. Culmi erecti, metrales vel ultra, simplices, teretiusculi vel subcompressi, laeves, glaberrimi, multinodes, summo nodo supra medium culmi. Vaginae laxae, ecarinatae, leviter striatae, glabrae, internodiis longiores,

  14. Birth Control: Medicines to Help You

    Science.gov (United States)

    ... STIs)? No. Sponge with Spermicide Spermicides containing N9 (nonoxynol-9) can irritate the vagina and rectum. It ... polyurethane sponge-like device with the spermicide N9 (nonoxynol-9) in it. How do I use it? ...

  15. Abnormal Uterine Bleeding (Beyond the Basics)

    Science.gov (United States)

    ... of breast cancer, tamoxifen use or a family history of breast cancer or colon cancer. (See "Patient information: Endometrial cancer diagnosis and staging (Beyond the Basics)" .) During the biopsy, a thin instrument is inserted through the vagina ...

  16. Menstruation and Menstrual Problems

    Science.gov (United States)

    ... the egg moves down the fallopian tube. The sperm can fertilize the egg at this point. Fertilization ... called conception (pronounced kuhn-SEP-shuhn ). After the sperm is ejaculated into the vagina, it moves into ...

  17. Birth control and family planning

    Science.gov (United States)

    ... vagina over the cervix before intercourse, to prevent sperm from reaching the uterus. It should be left ... and contain a chemical that kills or "disables "sperm. The sponge is moistened and inserted into the ...

  18. Genital warts

    Science.gov (United States)

    ... genitals. They may be found on the penis , vulva , urethra, vagina , cervix , and around and in the ... HPV can cause cancer of the cervix and vulva. They are the main cause of cervical cancer. ...

  19. Lymphogranuloma venereum

    Science.gov (United States)

    ... lymph nodes in the groin Swelling of the vulva or labia in women Swollen lymph nodes in ... Infections of the lower and upper genital tracts: vulva, vagina, cervix, toxic shock syndrome, endometritis, and salpingitis. ...

  20. Experiment list: SRX129062 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the n...eck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus,

  1. Experiment list: SRX314627 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the ...neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus

  2. Experiment list: SRX183894 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the ...neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus

  3. Experiment list: SRX129061 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the n...eck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus,

  4. Experiment list: SRX129065 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTER...I (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of

  5. Experiment list: SRX129063 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available te of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX... UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal e

  6. Experiment list: SRX114725 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available MPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the ne...ck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus,

  7. Experiment list: SRX508008 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available te of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX... UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal e

  8. Experiment list: SRX508006 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the n...eck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus,

  9. Experiment list: SRX314628 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the ...neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus

  10. Experiment list: SRX114726 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTER...I (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of

  11. Experiment list: SRX508009 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available te of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX... UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal e

  12. Experiment list: SRX129064 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available te of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX... UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal e

  13. Experiment list: SRX114724 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available MPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the ne...ck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus,

  14. Experiment list: SRX336292 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTER...I (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of

  15. Experiment list: SRX336290 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the n...eck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus,

  16. Experiment list: SRX508007 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the n...eck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus,

  17. Experiment list: SRX114723 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available MPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the ne...ck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus,

  18. Experiment list: SRX314630 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available te of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX... UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal e

  19. Experiment list: SRX314629 [Chip-atlas[Archive

    Lifescience Database Archive (English)

    Full Text Available te of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX... UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal e

  20. Vaginal or uterine bleeding - overview

    Science.gov (United States)

    ... Hysteroscopy : A thin device is inserted through the vagina and the opening of the cervix. It lets the provider view the inside of the uterus. Endometrial biopsy: Using a small or thin catheter (tube), tissue ...

  1. Stroke Fact Sheet

    Science.gov (United States)

    ... tells you to. Return to top Does taking birth control pills increase my risk for stroke? Taking birth ... your vagina Return to top Does using the birth control patch increase my risk for stroke? The patch ...

  2. Sexual Problems

    Medline Plus

    Full Text Available ... occur with entry into the vagina or as deep pain. Both psychological and physical factors can contribute ... All Rights Reserved. ASRM Non Discrimination Policy | ASRM Web Site Terms & Conditions of Use | Web Design and ...

  3. Biopsy - polyps

    Science.gov (United States)

    Polyp biopsy ... are treated is the colon. How a polyp biopsy is done depends on the location: Colonoscopy or flexible sigmoidoscopy explores the large bowel Colposcopy-directed biopsy examines the vagina and cervix Esophagogastroduodenoscopy (EGD) or ...

  4. Ovarian Cancer Stage II

    Science.gov (United States)

    ... primary peritoneal cancer) shows cancer in the pelvic peritoneum. Also shown are the cervix and vagina. In ... peritoneal cancer, cancer is found in the pelvic peritoneum and has not spread there from another part ...

  5. Rectocele

    Science.gov (United States)

    ... isolated finding or occur as part of a generalized weakening of the pelvic floor muscles. Other pelvic ... to defecate on a specially-designed commode after contrast material is instilled in the rectum, vagina and ...

  6. Ultrasound -- Pelvis

    Medline Plus

    Full Text Available ... and processes the sounds and creates graphs or color pictures that represent the flow of blood through ... into the vagina. The images are obtained from different orientations to get the best views of the ...

  7. Thrush - children and adults

    Science.gov (United States)

    Candidiasis - oral; Oral thrush; Fungal infection - mouth; Candida - oral ... do not fit well. Candida can also cause yeast infections in the vagina. Thrush in newborns is somewhat common and easy to treat.

  8. 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- ...

  9. What is a Urogynecologist?

    Science.gov (United States)

    ... About "It" Talking About PFD 3 Resources + More Pelvic Organ Prolapse POP Symptoms & Types Can I Prevent POP? POP ... by a urogynecologist include urinary incontinence or leakage, pelvic organ prolapse (dropping of the vagina, uterus, cystocele, rectocele), and ...

  10. Pelvic Floor Dysfunction

    Science.gov (United States)

    ... of the vagina. Smaller rectoceles may only be obvious when the woman strains. Video defecography can be ... exact cause is not known, but anxiety and depression have been closely associated with levator syndrome. HOW ...

  11. Women and sexual problems

    Science.gov (United States)

    ... thinning of your skin in the vagina and vaginal dryness. Because of this, sex may be painful. Illnesses ... sure you are aroused before intercourse. Use a vaginal lubricant for dryness. Try different positions for intercourse. Empty your bladder ...

  12. Honey

    Science.gov (United States)

    ... research suggests that applying a combination of Egyptian bee honey and royal jelly in the vagina increases pregnancy rates. Poor nutrition. Early evidence suggests that honey improves weight and ...

  13. Intraperitoneal leech: A rare complication of leech bite

    OpenAIRE

    Manoj Saha; Sedengulie Nagi

    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.

  14. Infertility and Women

    Science.gov (United States)

    ... these drugs. Sometimes doctors use drug treatment with intrauterine insemination (IUI), when sperm are released into the uterus through ... a thin flexible tube) inserted through the vagina. IUI is done at the time of ovulation. Other ...

  15. 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 ...

  16. 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. ...

  17. Herlyn Werner Wunderlich Syndrome with Hematocolpos: An Unusual Case Report of Full Diagnostic Approach and Treatment

    OpenAIRE

    Rohit Bhoil; Ajay Ahluwalia; Narvir Chauhan

    2016-01-01

    Herlyn-Werner-Wunderlich (HWW) syndrome is an uncommon combined müllerian duct anomalies (MDAs) and mesonephric duct malformation of female urogenital tract characterized by uterus didelphys and obstructed hemi-vagina and ipsilateral renal agenesis (OHVIRA) syndrome. We present a rare and unusual case of this syndrome in a 19 year-old female who suffered from hypomenorrhoea and abdominal pain. She had an obstructed hemi-vagina on right side which led to marked distention of ...

  18. Magnetic resonance imaging of vaginal and vulval pathology

    Energy Technology Data Exchange (ETDEWEB)

    Griffin, N.; Grant, L.A.; Sala, E. [Addenbrooke' s Hospital, Department of Radiology, Box 219, Cambridge (United Kingdom)

    2008-06-15

    There are a number of conditions affecting the vagina and vulva that can be optimally assessed with the use of high-resolution magnetic resonance imaging (MRI). This paper gives a suggested protocol for MRI technique and sequences for imaging the pelvis and perineum and reviews the MRI appearances of many of the common pathologies affecting the vagina and vulva. Congenital anomalies, inflammatory and neoplastic entities such as vaginal and vulval carcinoma are discussed, with rarer malignancies also reviewed. (orig.)

  19. Magnetic resonance imaging of vaginal and vulval pathology

    International Nuclear Information System (INIS)

    There are a number of conditions affecting the vagina and vulva that can be optimally assessed with the use of high-resolution magnetic resonance imaging (MRI). This paper gives a suggested protocol for MRI technique and sequences for imaging the pelvis and perineum and reviews the MRI appearances of many of the common pathologies affecting the vagina and vulva. Congenital anomalies, inflammatory and neoplastic entities such as vaginal and vulval carcinoma are discussed, with rarer malignancies also reviewed. (orig.)

  20. Community and research staff collaboration for development of materials to inform microbicide study participants in Africa

    OpenAIRE

    Cynthia Woodsong; John Michael Mutsambi; Smangalisa Ntshele; Peggy Modikoe

    2014-01-01

    Introduction: Clinical trials of new vaginal products require careful communication with participants about trial requirements. Most microbicide trials have been multi-site studies conducted among women in sub-Saharan Africa, where literacy levels and understanding of scientific methods differ from those designing and conducting the trials. Microbicide trials require women to insert objects in their vagina and ensure they are present in the vagina during sex. For many women, this is a novel b...

  1. Vulvovaginitis in prepubertal girls

    OpenAIRE

    Stricker, T; Navratil, F; Sennhauser, F

    2003-01-01

    This retrospective study evaluated the clinical features and findings in bacterial cultures and in microscopic examination of vaginal secretions in 80 prepubertal girls, aged 2–12 years, with vulvovaginitis. Vaginal secretions were obtained directly from the vagina with a sterile catheter carefully inserted into the vagina. Pathogenic bacteria were isolated in 36% of cases. In 59% of these cases the isolated pathogen was group A ß-haemolytic streptococcus. Candida was not found in any of the ...

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

    OpenAIRE

    Kirill V. Gordon; Evgenii F. Filippov; Svetlana M. Avtomeenko

    2012-01-01

    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 p...

  3. 经阴道穿刺术患者的术前阴道冲洗护理%After preoperative vaginal vaginal puncture wash care patients

    Institute of Scientific and Technical Information of China (English)

    张晓霞; 石嵩; 张婉菁

    2014-01-01

    Objective: To study the transvaginal puncture nursing experience in patients with preoperative vagina flushing. Methods: Retrospective in July 2011 to 2013, 4 menstrual vaginal proved to 325 cases, according to the vagina washing drug use and timing group, comparing group between the vagina washing effect. Results: The preoperative vaginal flush with iodine volts and physiological saline, vagina flushing effect had no significant difference (P>0.05), compared with preoperative patients with 24 hours flushing, patients with preoperative vagina flushing 48 hours, the incidence of vaginal residue increased significantly (P0.05),与术前24小时冲洗患者比较,术前48小时阴道冲洗患者,阴道分泌物残留发生率显著增加(P<0.01)。结论:对于经阴道穿刺术,术前24小时应用生理盐水阴道冲洗一次可以达到满意的效果。

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

    Science.gov (United States)

    Gregory, S P; Holt, P E; Parkinson, T J; Wathes, C M

    1999-04-01

    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. PMID:10340249

  5. Herlyn Werner Wunderlich Syndrome with Hematocolpos: An Unusual Case Report of Full Diagnostic Approach and Treatment

    Directory of Open Access Journals (Sweden)

    Rohit Bhoil

    2016-05-01

    Full Text Available Herlyn-Werner-Wunderlich (HWW syndrome is an uncommon combined müllerian duct anomalies (MDAs and mesonephric duct malformation of female urogenital tract characterized by uterus didelphys and obstructed hemi-vagina and ipsilateral renal agenesis (OHVIRA syndrome. We present a rare and unusual case of this syndrome in a 19 year-old female who suffered from hypomenorrhoea and abdominal pain. She had an obstructed hemi-vagina on right side which led to marked distention of ipsilateral cervix, while proximal hemi-vagina compressed the contralateral side causing its partial obstruction resulting in hypomenorrhoea. Understanding the imaging findings of this rare condition is important for early diagnosis in order to prevent complications which may lead to infertility.

  6. Herlyn Werner Wunderlich Syndrome with Hematocolpos: An Unusual Case Report of Full Diagnostic Approach and Treatment.

    Science.gov (United States)

    Bhoil, Rohit; Ahluwalia, Ajay; Chauhan, Narvir

    2016-01-01

    Herlyn-Werner-Wunderlich (HWW) syndrome is an uncommon combined müllerian duct anomalies (MDAs) and mesonephric duct malformation of female urogenital tract characterized by uterus didelphys and obstructed hemi-vagina and ipsilateral renal agenesis (OHVIRA) syndrome. We present a rare and unusual case of this syndrome in a 19 year-old female who suffered from hypomenorrhoea and abdominal pain. She had an obstructed hemi-vagina on right side which led to marked distention of ipsilateral cervix, while proximal hemi-vagina compressed the contralateral side causing its partial obstruction resulting in hypomenorrhoea. Understanding the imaging findings of this rare condition is important for early diagnosis in order to prevent complications which may lead to infertility. PMID:27123211

  7. HERLYN - WERNER - WUNDERLICH SYNDROME (HWW SYNDROME: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Pallavi S

    2015-08-01

    Full Text Available Congenital anomalies of the mullerian duct system can result in various urogenital anomalies and, Herlyn Werner Wunderlich syndrome (HWW syndrome is one such rare anomaly . This syndrome is characterized by uterus didelphys with blind hemi vagina and ipsilateral renal agenesis . 1 it is also known as OHVIRA (Obstructed Hemi vagina with Ipsilateral Renal Anomaly syndrome . 2 Mullerian anomalies are frequently associated with renal anomalies, the incidence ranges from 0.2 to 7.4%. 3 Diagnosis of this condition is rarely made in prepubertal girls, and rather it is diagnosed after menarche. Common clinical presentation is pelvic pain shortly after menarche with an associated vaginal or pelvic mass. 4 this triad of obstructed hemi vagina, uterus didelphys and ipsilateral renal agenesis was first reported in 1950.

  8. A rare case of Turner′s syndrome presenting with Mullerian agenesis

    Directory of Open Access Journals (Sweden)

    Suresh Vaddadi

    2013-01-01

    Full Text Available Turner′s syndrome also called as Ullrich Turner′s syndrome, is a disease of unclear pathogenesis characterized by complete or partial absence of one sex chromosome, with or without cell line mosaicism in a phenotypic female with short stature. Various anomalies result in a constellation of features, of which the most disturbing is primary amenorrhea due to gonadal dysgenesis. Hormone therapy in these patients can often result in successful menstruation, and scope for subsequent pregnancy because of anatomically normal uterus and vagina. Coexisting Mullerian agenesis in these patients can jeopardize the chances of future pregnancy as they have associated structural abnormalities of the uterus and vagina. We report a rare case of middle-aged female with Turner′s syndrome and Mullerian agenesis having absent secondary sexual characters and missing uterus with incompletely formed vagina.

  9. New laparoscopic peritoneal pull-through vaginoplasty technique

    Directory of Open Access Journals (Sweden)

    Pravin Mhatre

    2014-01-01

    Full Text Available Background: Many reconstructive surgical procedures have been described for vaginal agenesis. Almost all of them are surgically challenging, multi-staged, time consuming or leave permanent scars on abdomen or skin retrieval sites. Aim: A new simple technique using laparoscopic peritoneal pull-through in creation of neo vagina has been described. Material and Methods: Total of thirty six patients with congenital absence of vagina (MRKH syndrome were treated with laparoscopic peritoneal pull through technique of Dr. Mhatre between 2003 till 2012. The author has described 3 different techniques of peritoneal vaginoplasty. Results: This technique has given excellent results over a period of one to seven years of follow-up. The peritoneal lining changes to stratified squamous epithelium resembling normal vagina and having acidic Ph. Conclusion: Apart from giving excellent normal vaginal function, as the ovary became accessible per vaginum three patients underwent ovum retrieval and pregnancy using surrogate mother, thus making this a fertility enhancing procedure.

  10. Fistula Vesiko Vaginalis

    Directory of Open Access Journals (Sweden)

    Luki Ertandri

    2016-08-01

    Full Text Available Abstrak          Latar belakang : fistula vesiko vaginalis merupakan bagian dari fistula vesiko urogenital merupakansuatu keadaan ditandai fistel antara kandung kemih dengan vagina yang menyebabkan rembesan urin keluar melalui vagina.           Kasus : wanita P3A0H3, 44 tahun, datang dengan keluhan terasa rembesan buang air kecil dari kemaluan sejak 3 bulan yang lalu. Keluhan muncul 7 hari setelah menajalani operasi histerektomi 3 bulan yang lalu. Histerektomi dilakukan atas indikasi mioma uteri dilakukan di Rumah Sakit Swasta. Tanda vital dalam batas normal. Pada pemeriksaan inspekulo tampak cairan urin menumpuk di fornix posterior. Dilakukan prosedur tes methylene blue didapatkan hasil positif di puncak vagina anterior 1 fistel dengan ukuran 1-1,5 cm. Pada pasien dilakukan fistulorraphy vesikovagina dengan teknik repair latzko dalam spinal anasthesi.           Pembahasan : Kasus fistula vesiko vaginalis biasa muncul di negara berkembang. Diantara faktor predisposisi adalah disebabkan operasi histerektomi, selain itu trauma persalinan dan komplikasi operasi daerah pelvik. Pemeriksaan Fisik dan pemeriksaan tambahan secara konvensional atau minimal invasif seperti sistoskopi, sistografi menggunakan zat kontras bisa membantu menegakan diagnosa, menentukan lokasi, ukuran dan jumlah fistel. Pembedahan adalah terapi andalan untuk fistula urogenital melalui transvagina atau trans abdomen. Pendekatan terapi tergantung ilmu, pengalaman dan kolaborasi dengan ahli lain bila dibutuhkan.Kata kunci: fistula vesiko vaginalis, histerektomi, latzkoAbstractBackground : Vesica vagina fistula is a part of urogenital fistula wich condition that present fistula between bladder and vagina and make urine mold through vagina.Case Report: Woman P3A0H3, 44 years old, admitted with complaining mold of urine from vagina since three months ago after seven days having surgery procedure. Complaint appeared seven days after histerctomi procedure. The

  11. 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.

  12. 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

  13. A rare case of Turner's syndrome presenting with Mullerian agenesis.

    Science.gov (United States)

    Vaddadi, Suresh; Murthy, Ramana S V; Rahul, C H; Kumar, Vinod L

    2013-10-01

    Turner's syndrome also called as Ullrich Turner's syndrome, is a disease of unclear pathogenesis characterized by complete or partial absence of one sex chromosome, with or without cell line mosaicism in a phenotypic female with short stature. Various anomalies result in a constellation of features, of which the most disturbing is primary amenorrhea due to gonadal dysgenesis. Hormone therapy in these patients can often result in successful menstruation, and scope for subsequent pregnancy because of anatomically normal uterus and vagina. Coexisting Mullerian agenesis in these patients can jeopardize the chances of future pregnancy as they have associated structural abnormalities of the uterus and vagina. We report a rare case of middle-aged female with Turner's syndrome and Mullerian agenesis having absent secondary sexual characters and missing uterus with incompletely formed vagina. PMID:24672170

  14. 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.

  15. 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.

  16. Sobre a anatomia do sistema genital de Bradybaena similaris (Férussac, 1821 (Pulmonata, Stylommatophora, Bradybaenidae ocorrentes em Porto Alegre, estado do Rio Grande do Sul, Brasil

    Directory of Open Access Journals (Sweden)

    Mônica Picoral

    1989-01-01

    Full Text Available Com base em material coletado em Porto Alegre, apresenta-se um estudo anatômico detalhado do sistema genital de Bradybena similaris (Férussac, 1821, comparado com trabalhos anteriores, propondo-se uma padronização da nomenclatura dos diversos órgãos e regiões, destacando-se a estrutura da região da encruzilhada ("carrefour", do ovispermioducto até a vagina e do pênis e assinalando-se a independência das aberturas do pênis, vagina e saco do dardo num átrio genital.

  17. CONGENITAL VESICOUTERINE FISTULA ALONG WITH DISTAL VAGINAL AGENESIS, SOLITARY KIDNEY AND TONGUE TIE: A RARITY

    Directory of Open Access Journals (Sweden)

    Khalid

    2015-11-01

    Full Text Available : Congenital vesicouterine fistula in association with vaginal agenesis and solitary renal agenesis has been rarely reported. We present a case of 19 year old female suffering from cyclical menouria for last years. Physical examination revealed absence of vagina. IVP revealed left renal agenesis and CT scan revealed left renal agenesis with vesicouterine fistula. Cystoscopy showed vesicouterine fistula located above trigone near midline. Vesicouterine fistula was repaired along with uterine preservation. Sigmoid colon neovagina was created. Patient is doing well and menstruating per vagina till last followup

  18. Use of a Yankauer suction tip combined with the Colpo-Pneumo Occluder balloon to suction the surgical field at the vaginal cuff during robotic hysterectomy.

    Science.gov (United States)

    Stitely, Michael L; Hashmi, Mahreen; Jain, Preiya; Hochberg, Charles

    2011-01-01

    A 39-year-old patient with complex endometrial hyperplasia without atypia underwent robotic total laparoscopic hysterectomy with bilateral salpingo-oophorectomy. The procedure was technically challenging because of the patient's obesity (body mass index 50 kg/m(2)). Concomitant suction of pooled blood and retraction of bowel and omentum were necessary to close the vaginal cuff. An endoscopic retractor was used through the assistant's port, and a Yankauer suction tip was placed through an inflated Colpo-Pneumo Occluder balloon in the vagina to provide directed suction to the vagina cuff. This technique enabled efficient closure of the vaginal cuff.

  19. 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...

  20. 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.

  1. Antenatal MR diagnosis of urinary hydrometrocolpos due to urogenital sinus

    Energy Technology Data Exchange (ETDEWEB)

    Subramanian, Subramanian; Sharma, Raju; Gamanagatti, Shivanand [All India Institute of Medical Sciences, Department of Radiodiagnosis, New Delhi (India); Agarwala, Sandeep [All India Institute of Medical Sciences, Department of Pediatric Surgery, New Delhi (India); Gupta, Prerna; Kumar, Sunesh [All India Institute of Medical Sciences, Department of Obstetrics and Gynaecology, New Delhi (India)

    2006-10-15

    Hydrometrocolpos is cystic dilatation of the vagina and uterus due to congenital vaginal obstruction. It may be secretory or urinary in character and manifests in the neonatal period with abdominal distension. Urinary hydrometrocolpos occurs in patients with urogenital sinus or cloacal anomaly. A rare case of antenatal MR diagnosis of urinary hydrometrocolpos due to urogenital sinus is presented. (orig.)

  2. Trachelectomy for cancer of the cervix: dargent's operation. Vaginal hysterectomy for early cancer of the cervix stage IA1 and CIN III

    DEFF Research Database (Denmark)

    Ottosen, Christian

    2011-01-01

    obstetrical outcomes. The procedure is a combination of laparoscopy for pelvic lymphadenectomy and challenging classic vaginal surgery to resect the tumour, part of the parametrium and upper vagina. Complications are in the range of 8-13%. Recurrence and death occur in 5 and 3%, respectively, as good...

  3. Pituitary adenylate cyclase-activating polypeptide: occurrence and relaxant effect in female genital tract

    DEFF Research Database (Denmark)

    Steenstrup, B R; Alm, P; Hannibal, J;

    1995-01-01

    tract. The highest concentrations of PACAP-38 were detected in the ovary, the upper part of vagina, and the perineum. The concentrations of PACAP-27 were generally low, in some regions below the detection limit and in other regions 1 to 5% of the PACAP-38 concentrations. Immunocytochemistry revealed...

  4. NKT cell activation by local α-galactosylceramide administration decreases susceptibility to HSV-2 infection

    DEFF Research Database (Denmark)

    Iversen, Marie Beck; Jensen, Simon Kok; Hansen, Anne Louise;

    2015-01-01

    that received local pre-treatment with αGalCer prior to intra-vaginal HSV-2 infection had a lower mean disease score, mortality and viral load in the vagina following infection, compared to mice that did not receive αGalCer pre-treatment. Further, we found increased numbers of CD45 and NK1.1 positive cells...

  5. Treatment with tibolone partially protects 3-D microarchitecture of lumbar Vertebral Bone Tissues and Prevents Ovariectomy-induced Reduction in Mechanical Properties

    DEFF Research Database (Denmark)

    Ding, Ming

    Treatment with Tibolone partially Protects 3-D Microarchitecture of Lumbar Vertebral Bone Tissues and Prevents Ovariectomy-induced Reduction in Mechanical Properties Tibolone (Org OD14) is a tissue selective steroid with estrogenic effects on the brain, bone and vagina, without stimulating...

  6. Perivaskulær epiteloidcelletumor i uterus

    DEFF Research Database (Denmark)

    Nguyen Knudsen, Kirsten Quyen; Winter, Pia Engell; Lykkebo, Annemette Wildfang;

    2013-01-01

    Perivascular epithelioid cell tumours (PEComas) are rare tumours with unknown malignant potential. We report a case of a 48-year-old woman, who had had many tumours, initially diagnosed as leiomyomas, removed from her uterus and vagina over 16 years. A recurrent tumour and revision of prior...

  7. The vaginal microbiome is stable in prepubertal and sexually mature Ellegaard Göttingen Minipigs throughout an estrous cycle

    DEFF Research Database (Denmark)

    Lorenzen, Emma; Kudirkiene, Egle; Gutman, Nicole;

    2015-01-01

    environment and the fate of sexually transmitted infections such as Chlamydia trachomatis infections. Therefore, knowledge on the vaginal microbiota is urgently needed for the minipig model. The aim of this study was to characterize the microbiota of the anterior vagina by 16 s rRNA gene sequencing...

  8. 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.

  9. SPINAL ABNORMALITIES AND THE ATYPICAL FORM OF THE MAYER-ROKITANSKY-KUSTER-HAUSER SYNDROME

    NARCIS (Netherlands)

    STRUBBE, EH; LEMMENS, JAM; THIJN, CJP; WILLEMSEN, WNP; VANTOOR, BSJ

    1992-01-01

    In 96 patients with congenital absence of the uterus and upper vagina, the Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, it proved possible to distinguish between the typical and the atypical form using laparoscopy. The typical form was characterized by symmetrical nonfunctioning muscular buds (th

  10. Robot-Assisted Gynecologic Oncology Surgery

    Medline Plus

    Full Text Available ... it out through the vagina. So there's a number of ways to do this. And we've used this with reasonable satisfaction. Lisa, whenever you're ready, we're ready to retrieve the lymph nodes. This first specimen will be right pelvic lymph node, so ...

  11. Single stage management of a unique variant of congenital pouch colon with triplet fistula and normal anus.

    Science.gov (United States)

    Pandey, Vaibhav; Gangopadhyay, Ajay Narayan; Gupta, Dinesh Kumar; Sharma, Shiv Prasad

    2015-01-01

    Congenital pouch colon (CPC) in the female patient presents with highly variable and anomalous anatomy. We herein report the first case of CPC with uterus didelphys having normal anal opening, H-type vestibular fistula, two other fistulous communications between pouch colon and two vagina managed in a single stage with excellent postoperative outcome. PMID:26166988

  12. Uterine didelphys with cervical incompetence

    OpenAIRE

    Aher Gautam S, Gavali Urmila G, Kulkarni Meghana

    2013-01-01

    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. Single stage management of a unique variant of congenital pouch colon with triplet fistula and normal anus

    OpenAIRE

    Pandey, Vaibhav; Gangopadhyay, Ajay Narayan; Gupta, Dinesh Kumar; Sharma, Shiv Prasad

    2015-01-01

    Congenital pouch colon (CPC) in the female patient presents with highly variable and anomalous anatomy. We herein report the first case of CPC with uterus didelphys having normal anal opening, H-type vestibular fistula, two other fistulous communications between pouch colon and two vagina managed in a single stage with excellent postoperative outcome.

  14. 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.

  15. Two new Grasses from Paraguay

    NARCIS (Netherlands)

    Henrard, J.Th.

    1922-01-01

    Paspalum plumosum, HENR. nov. spec., — Perenne, dense caespitosum. Culmi stricte erecti, 6—9 dm alti, graciles, simplices, teretes, laeves pauci-nodes, nodis paullulo pilosis. Foliorum vaginae subarctae, apice hiantes, leviter compressae, laeves, glabrae, nitentes, striatae, sordide stramineo-fuscae

  16. Genome Sequences of Nine Gram-Negative Vaginal Bacterial Isolates

    Science.gov (United States)

    Deitzler, Grace E.; Ruiz, Maria J.; Lu, Wendy; Weimer, Cory; Park, SoEun; Robinson, Lloyd S.; Hallsworth-Pepin, Kymberlie; Wollam, Aye; Mitreva, Makedonka

    2016-01-01

    The vagina is home to a wide variety of bacteria that have great potential to impact human health. Here, we announce reference strains (now available through BEI Resources) and draft genome sequences for 9 Gram-negative vaginal isolates from the taxa Citrobacter, Klebsiella, Fusobacterium, Proteus, and Prevotella. PMID:27688330

  17. Associations of Filaggrin Gene Loss-of-Function Variants and Human Papillomavirus-Related Cancer and PreCancer in Danish Adults

    DEFF Research Database (Denmark)

    Skaaby, Tea; Husemoen, Lise Lotte N; Jørgensen, Torben;

    2014-01-01

    to human papillomavirus (HPV) infection and thus a higher risk of HPV-related cancer and pre-cancer. We investigated the association of the FLG genotype with incidence of HPV-related cancer of cervix, vagina, vulva, penis, anus and head and neck, and pre-cancer of the cervix. METHODS: We included 13...

  18. ALS1 and ALS3 gene expression and biofilm formation in Candida albicans isolated from vulvovaginal candidiasis

    Directory of Open Access Journals (Sweden)

    Shahla Roudbarmohammadi

    2016-01-01

    Conclusion: The results attained indicated that there is an association between the expression of ALS1 and ALS3 genes and fluconazole resistance in C. albicans. A considerable percent of the isolates expressing the ALS1 and ALS3 genes may have contributed to their adherence to vagina and biofilm formation.

  19. Molecular and immunological mechanisms of epithelial disorders of the vulva

    NARCIS (Netherlands)

    L.A.M. Santegoets (Lindy)

    2011-01-01

    textabstractThe vulva is the outer part of the female genital tract, bordered by the symphisis pubis, the labiocrural folds and the anus. It consists of the following structures: the mons pubis, the labia majora and minora, the clitoris, the vestibule of the vagina and the urethral orifice (Figure 1

  20. Cáncer de vagina—Versión para pacientes

    Science.gov (United States)

    Información del Instituto Nacional del Cáncer sobre el tratamiento del cáncer de vagina, así como referencias a estudios clínicos, investigación y otros temas relacionados con este tipo de cáncer.

  1. Reproductive morphology of Ornithonyssus sylviarum (Canestrini and Fanzago) (Acari: Macronyssidae).

    Science.gov (United States)

    Pound, J M; Oliver, J H

    1976-06-01

    The male reproductive system consists of paired tests, vasa deferentia and dark-staining lateral accessory glands, single ventromedial spongy accessory gland, seminal vesicle, ejaculatory apparatus, and gonopore. The female system consists of paired rami sacculi, sacculus foemineus, ovary (lyriform and medial portions), oviduct, vagina, and paired vaginal glands. PMID:932922

  2. Your First Pelvic Exam: A Guide for Teens

    Science.gov (United States)

    ... started to develop Whether you have ever had sex or have been sexually abused If you have vaginal itchiness or an unusual discharge (drainage) or odor from your vagina Getting Ready: If you find it helpful, your mom, sister or friend can stay with you. There ...

  3. Episiotomy

    Science.gov (United States)

    ... Drugs & Supplements Videos & Tools Español You Are Here: Home → ... on this page, please enable JavaScript. An episiotomy is a minor surgery that widens the opening of the vagina during childbirth. It is a cut to the perineum -- the ...

  4. Episiotomy - aftercare

    Science.gov (United States)

    ... Drugs & Supplements Videos & Tools Español You Are Here: Home → ... To use the sharing features on this page, please enable JavaScript. An episiotomy is a minor incision made during childbirth to widen the opening of the vagina. A ...

  5. 40 CFR 799.1560 - Diethylene glycol butyl ether and diethylene glycol butyl ether acetate.

    Science.gov (United States)

    2010-07-01

    ... volume, specific gravity, glucose, protein/albumin, and blood. (5) The liver, kidney, adrenals, brain...; salivary glands; liver; spleen; kidneys; adrenals; pancreas; gonads; uterus; oviducts; vagina; vas deferens... exorbital lachrymal glands). (7) (i) Full histopathology on normal and treated skin and on organs...

  6. 40 CFR 79.63 - Fertility assessment/teratology.

    Science.gov (United States)

    2010-07-01

    ... shall be directed to the organs of the reproductive system. (B) The liver, kidneys, adrenals, pituitary.... (ii) Histopathology. (A) Histopathology on vagina, uterus, ovaries, testes, epididymides, seminal...; prostate; liver; and kidneys/adrenals. (3) Evaluation of results. (i) The findings of a...

  7. Pharmacomicrobiomics: the impact of human microbiome variations on systems pharmacology and personalized therapeutics

    NARCIS (Netherlands)

    ElRakaiby, M.; Dutilh, B.E.; Rizkallah, M.R.; Boleij, A.; Cole, J.N.; Aziz, R.K.

    2014-01-01

    The Human Microbiome Project (HMP) is a global initiative undertaken to identify and characterize the collection of human-associated microorganisms at multiple anatomic sites (skin, mouth, nose, colon, vagina), and to determine how intra-individual and inter-individual alterations in the microbiome

  8. Pharmacomicrobiomics : the impact of human microbiome variations on systems pharmacology and personalized therapeutics

    NARCIS (Netherlands)

    ElRakaiby, Marwa; Dutilh, Bas E; Rizkallah, Mariam R; Boleij, Annemarie; Cole, Jason N; Aziz, Ramy K

    2014-01-01

    The Human Microbiome Project (HMP) is a global initiative undertaken to identify and characterize the collection of human-associated microorganisms at multiple anatomic sites (skin, mouth, nose, colon, vagina), and to determine how intra-individual and inter-individual alterations in the microbiome

  9. Your First Gynecologic Visit

    Science.gov (United States)

    ... In this exam, the doctor looks at the vulva . He or she may give you a mirror so that you can look at the vulva as well. This exam is a good way ... exam has three parts: 1. Looking at the vulva 2. Looking at the vagina and cervix with ...

  10. Human papillomavirus-associated cancers: A growing global problem.

    Science.gov (United States)

    Bansal, Anshuma; Singh, Mini P; Rai, Bhavana

    2016-01-01

    Human papillomavirus (HPV) infection is linked with several cancers such as cancer cervix, vagina, vulva, head and neck, anal, and penile carcinomas. Although there is a proven association of HPV with these cancers, questions regarding HPV testing, vaccination, and treatment of HPV-related cancers continue to remain unanswered. The present article provides an overview of the HPV-associated cancers. PMID:27127735

  11. 21 CFR 884.3900 - Vaginal stent.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Vaginal stent. 884.3900 Section 884.3900 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES... stent. (a) Identification. A vaginal stent is a device used to enlarge the vagina by stretching, or...

  12. Granulomatous Vaginal Ulceration due to Metastatic Cutaneous Crohn's Disease

    Directory of Open Access Journals (Sweden)

    Hugh J Freeman

    1995-01-01

    Full Text Available A 28-year-old woman with a prior history of Crohn's disease was evaluated for painful vaginal ulceration in 1984. Subsequent studies revealed isolated involvement of the vagina with a granulomatous inflammatory process characteristic of metastatic cutaneous Crohn's disease. Conservative symptomatic treatment was associated with resolution and no subsequent recurrence of genital tract disease.

  13. Cáncer de vagina—Versión para profesionales de salud

    Science.gov (United States)

    Información del Instituto Nacional del Cáncer para profesionales de salud sobre el tratamiento del cáncer de vagina, así como referencias a estudios clínicos, investigación y otros temas relacionados con este tipo de cáncer.

  14. 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.

  15. A multiplex real-time PCR assay for routine diagnosis of bacterial vaginosis

    NARCIS (Netherlands)

    Kusters, J. G.; Reuland, E. A.; Bouter, S.; Koenig, P.; Dorigo-Zetsma, J. W.

    2015-01-01

    A semi-quantitative multiplex PCR assay for the diagnosis of bacterial vaginosis (BV) was evaluated in a prospective study in a population of Dutch women with complaints of abnormal vaginal discharge. The PCR targets Gardnerella vaginalis, Atopobium vaginae, Megasphaera phylotype 1, Lactobacillus cr

  16. An isolated vaginal metastasis from rectal cancer

    Directory of Open Access Journals (Sweden)

    Ai Sadatomo

    2016-02-01

    Conclusion: We should keep the vagina within the field of view of pelvic MRI, which is one of the preoperative diagnostic tools for colorectal cancer. If female patients show gynecological symptoms, gynecological examination should be recommended. Isolated vaginal metastases are an indication for surgical resection, and adjuvant chemotherapy is also recommended.

  17. 21 CFR 884.4530 - Obstetric-gynecologic specialized manual instrument.

    Science.gov (United States)

    2010-04-01

    ... cervix or vagina. (14) A gynecological biopsy forceps is an instrument with two blades and handles used for gynecological biopsy procedures. (15) A uterine tenaculum is a hooklike instrument used to seize... measure the diameter and capacity of the pelvis. (17) A nonmetal vaginal speculum is a nonmetal...

  18. Orchidaceae novae malayenses XVII

    NARCIS (Netherlands)

    Smith, J.J.

    1943-01-01

    Planta florens 62—72 cm alta. Caulis inferne vaginatus, ceterum foliatus. Folia c. 8, lineari-lanceolata ad linearia, breviter acuminata ad sensim acutata, acuta, sicco membranacea, 12.5—14 cm longa, 1.8—1.1 cm lata, superiora decrescentia et sensim in bracteas vergentia; vaginae inferiores longe tu

  19. Aggressive Angiomyxoma

    OpenAIRE

    Padmavathy, L.; L Lakshmana Rao; M Dhana Lakshmi; N Sylvester

    2014-01-01

    Myxoid tumors are a heterogeneous group of lesions characterized by a marked abundance of extra cellular mucoid (myxoid) matrix. [1] The term aggressive emphasizes the often infiltrative nature of the tumor and its frequent association with recurrence. [2] A case of aggressive angiomyxoma arising from the vagina in a 55-year-old woman is reported for its rarity.

  20. Posterior vaginal wall Gartner′s duct cyst

    Directory of Open Access Journals (Sweden)

    Ripan Bala

    2015-01-01

    Full Text Available Cyst of posterior vaginal wall is very rare. This case relates to a patient who presented with polypoidal mass protruding out from vagina which could have been easily mistaken as uterovaginal prolapse, but appropriate clinical evaluation supported with investigations clinched the diagnosis easily.

  1. Draft Genome Sequence of Lactobacillus plantarum CMPG5300, a Human Vaginal Isolate

    NARCIS (Netherlands)

    Malik, S.; Siezen, R.J.; Renckens, B.; Vaneechoutte, M.; Vanderleyden, J.; Lebeer, S.

    2014-01-01

    The draft genome of a highly auto-aggregating Lactobacillus plantarum strain isolated from a human vagina is reported. The peculiar phenotype also provides an adhesive and co-aggregative potential with various pathogens, which could be of significance in the vaginal niche. Detailed genome analysis c

  2. β-Microseminoprotein endows post coital seminal plasma with potent candidacidal activity by a calcium- and pH-dependent mechanism

    DEFF Research Database (Denmark)

    Edström Hägerwall, Anneli; Rydengård, Victoria; Fernlund, Per;

    2012-01-01

    The innate immune factors controlling Candida albicans are mostly unknown. Vulvovaginal candidiasis is common in women and affects approximately 70-75% of all women at least once. Despite the propensity of Candida to colonize the vagina, transmission of Candida albicans following sexual intercourse...

  3. Reactivity to human papillomavirus type 16 Ll virus-like particles in sera from patients with genital cancer and patients with carcinomas at five different extragenital sites

    NARCIS (Netherlands)

    G.J.J. van Doornum (Gerard); C.M. Korse (Catharina); J.C.G.M. Buning-Kager (J. C G M); J.M. Bonfrer (Hans); S. Horenblas (Simon); B. Taal (Babs); J. Dillner (Joakim)

    2003-01-01

    textabstractA retrospective seroepidemiologic study was performed to examine the association between human papillomaviruses (HPV) 16 infection and carcinomas of the oropharynx, the oesophagus, penis and vagina. Sera were selected from the serum bank from the Antoni van Leeuwenhoek Hospital (Netherla

  4. [Vaginal ecology, climate, landscapes and populations (xenoecies and facies)].

    Science.gov (United States)

    Nicoli, J M; Nourrit, J; Michel-Nguyen, A; Sempe, M; Nicoli, R M

    1994-06-01

    Brief study of vaginal populations, the human vagina being considered as a biotopic cavity. Allusion to dynamic aspects ("vaginal climate", "landscapes") and to various bacterial populations. Introduction of the concept of xenoecies and of facies. This study is preceded by essential definitions of terms widely used in ecology.

  5. Healthy Sexuality

    Medline Plus

    Full Text Available ... body responds to sexual stimulation. During sexual arousal, blood flow increases to a woman’s genitals. Her vagina ... changes occur; a woman’s nipples become erect, her blood pressure and heart rate increase, and a “sex ...

  6. Antenatal MR diagnosis of urinary hydrometrocolpos due to urogenital sinus

    International Nuclear Information System (INIS)

    Hydrometrocolpos is cystic dilatation of the vagina and uterus due to congenital vaginal obstruction. It may be secretory or urinary in character and manifests in the neonatal period with abdominal distension. Urinary hydrometrocolpos occurs in patients with urogenital sinus or cloacal anomaly. A rare case of antenatal MR diagnosis of urinary hydrometrocolpos due to urogenital sinus is presented. (orig.)

  7. AcEST: BP919927 [AcEST

    Lifescience Database Archive (English)

    Full Text Available tr|B7S227|B7S227_9GAMM Molybdate ABC transporter, periplasmic mo... 33 7.2 >tr|A9... OS=Trichomonas vagina... 33 5.5 tr|B4JN38|B4JN38_DROGR GH24212 OS=Drosophila grimshawi GN=GH2421... 33 7.2

  8. Genome Sequences of Nine Gram-Negative Vaginal Bacterial Isolates.

    Science.gov (United States)

    Deitzler, Grace E; Ruiz, Maria J; Lu, Wendy; Weimer, Cory; Park, SoEun; Robinson, Lloyd S; Hallsworth-Pepin, Kymberlie; Wollam, Aye; Mitreva, Makedonka; Lewis, Warren G; Lewis, Amanda L

    2016-01-01

    The vagina is home to a wide variety of bacteria that have great potential to impact human health. Here, we announce reference strains (now available through BEI Resources) and draft genome sequences for 9 Gram-negative vaginal isolates from the taxa Citrobacter, Klebsiella, Fusobacterium, Proteus, and Prevotella. PMID:27688330

  9. 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.

  10. An unusual case of long standing vaginal foreign body removed with obstetric forceps

    Directory of Open Access Journals (Sweden)

    Padmalata

    2015-04-01

    Full Text Available This is a case of retained foreign body in vagina for 10 years, a wood apple which was inserted to reduce uterine prolapse. It was retained without any symptoms for 10 years. The foreign body was removed using obstetric forceps after other methods were failed. [Int J Reprod Contracept Obstet Gynecol 2015; 4(2.000: 502-504

  11. Primary Gonorrhea Infection

    Science.gov (United States)

    ... is typically displayed as a discharge from the penis, while redness and an ulceration on the tip of the penis can also be displayed, as seen in this ... a thick, cloudy, or bloody discharge from the penis, vagina, or rectum; or pain with sexual intercourse. ...

  12. Pre-natal innervation of the human female genital tract.

    Science.gov (United States)

    Olfat, S A; Rahman, S A

    1978-01-01

    In the human fetus of 14 weeks, ganglia on either sides of the Müllerian uterovaginal canal contained two types of cells. In the 16th week, axons invaded the basal zone of the stratified squamous epithelium at the sides of the upper vagina. In the 20th week, vesicular nuclei typified the large neurons in the midportion of the cervico-vaginal ganglion. During the 22nd week, capsulated ganglia invaded the wall of the upper vagina forming three concentrically disposed strata. Non-capsulated clusters invaded its lamina propria. At the 24th week, axons were shaded after reaching the superficial zone of the stratified vaginal epithelium. In the 28th week, satellites surrounded the mature neurons and sheath cells enveloped the axons. Ganglia invaded the splitted muscle layer of the upper vagina at 30 weeks. Intraepithelial fibres invaded the whole thickness of the endometrium, the columnar epithelium of the cervix and uterine tube at 40 weeks. Nerve cells were detected among the basal epithelial cells of the lower vagina and its subepithelial plexus. PMID:665140

  13. Syndrome in question.

    Science.gov (United States)

    Wu, Yinhua; Qiao, Jianjun; Fang, Hong

    2014-01-01

    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 relieved after treatment with topical tacrolimus cream. PMID:25184936

  14. 38 CFR 4.116 - Schedule of ratings-gynecological conditions and disorders of the breast.

    Science.gov (United States)

    2010-07-01

    ... monthly compensation. 7610Vulva, disease or injury of (including vulvovaginitis). 7611Vagina, disease or... Reproductive Organs (diagnostic codes 7610 through 7615): Symptoms not controlled by continuous treatment 30 Symptoms that require continuous treatment 10 Symptoms that do not require continuous treatment...

  15. Biofeedback and physiotherapy versus physiotherapy alone in the treatment of genuine stress urinary incontinence

    DEFF Research Database (Denmark)

    Glavind, K; Nøhr, S B; Walter, S

    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...

  16. 环吡酮胺阴道栓对阴道粘膜刺激性和过敏性试验研究

    Institute of Scientific and Technical Information of China (English)

    王小蒙; 艾涛; 符世托; 邝少轶

    2014-01-01

    目的:为了考察环吡酮胺阴道栓阴道粘膜用药的安全性。方法以家兔和豚鼠为观察对象,进行环吡酮胺阴道栓对家兔阴道粘膜刺激性试验和环吡酮胺阴道栓对豚鼠阴道粘膜过敏性试验。结果家兔完整阴道粘膜组和破损阴道粘膜组在连续7天接触受试药后,阴道粘膜均未见到异常分泌物,无充血、水肿和坏死等症状,病理检查,无炎症性细胞浸润和组织细胞坏死现象,表明环吡酮胺阴道栓对家兔完整阴道粘膜组和破损阴道粘膜组均无刺激性;豚鼠阴道粘膜接触环吡酮胺阴道栓致敏后14天激发,豚鼠阴道粘膜干净,未见异常分泌物,无充血、水肿。结论表明环吡酮胺阴道栓对豚鼠阴道粘膜无明显致敏。%Objective To investigate drug safety of ciclopirox olamine pessary for vagina mucosa .Method An irritation test with ciclopirox olamine pessary to vaginal mucosa of rabbit and hypersusceptibility test with ciclopirox olamine pessary to vagina mucosa of guinea pigs are performed .Result After continuously administration of ciclopirox olamine pessary for 7 days,the integrate vagina mucosa group and damaged vagina mucosa group of rabbits show no symptom of abnormal discharge ,hyperaemi-a,edema,necrosis,etc,and inflammatory cell accumulation and histiocytic necrotizing are not found in pathological examination ,indicating that ciclopirox olamine pessary has no irritation to vagina mucosa of rabbit in the both groups .After continuously allergia of ciclopirox olamine pessary for 14 days,vagina mucosa of guinea pig is clean showing no abnormal discharge and hyperaemia,which indicates that vagina mucosa of guinea pig.Conclusion It shows no hypersusceptibility to ciclopirox olamine pessa-ry.

  17. 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

  18. Successful repair of recurrent rectovaginal fistula by stratified suture using transanal endoscopic microsurgery

    Science.gov (United States)

    Chen, Weijie; Chen, Xin; Lin, Guole; Qiu, Huizhong

    2016-01-01

    Abstract Background: Rectovaginal fistulas (RVFs) are abnormal connections between the rectum and vagina. Although many surgical approaches to correct them have been attempted, management of RVFs still remains a challenge, especially for recurrent RVFs. Methods: In the present study, we report a case in a 22-year-old female with a chief complaint of obvious passages of flatus or stool through the vagina for 10 years. She had suffered a vaginal trauma from a violent accident 10 years prior, and gradually noticed the uncontrollable passage of gas or feces from the vagina 2 weeks later. The patient underwent a transvaginal direct repair surgery at local hospital 9 years ago, but the symptoms recurred 1 month after the surgery. After 2-years monitoring, the patient underwent another transvaginal repair surgery (fistulectomy followed by direct suture) at another hospital, but the fistula recurred again. We initially performed a temporary protective transversostomy upon admission. After 8-months of observation, a methylene blue test was conducted and the diagnosis of recurrent RVF was confirmed. Subsequently, we performed a successful repair by stratified suture using transanal endoscopic microsurgery (TEM). The scar tissue on the posterior wall of the vagina and the anterior wall of the rectum were meticulously excised until the margin of the excisional line showed healthy tissue. In addition, the fistulous tract was completely removed. The edges of the fistula on the posterior wall of the vagina were closed by simple continuous suturing, and the rectal anterior wall was sutured in the same manner. Results: During a 1-year follow-up period, the fistulae were not recurrent and no complication such as incontinences or rectal bleeding were found. The latest Wexner score was 3. Conclusion: We present a case of successful treatment with stratified suture using TEM throughout the procedure. We strongly recommend this efficient and minimally invasive procedure for recurrent

  19. 实时三维超声诊断女性尿瘘的影像学方法%Imaging method by real-time three-dimensional ultrasound in diagnosis of female urinary ;fistula

    Institute of Scientific and Technical Information of China (English)

    张逸仲

    2015-01-01

    目的:探讨实时三维超声诊断女性尿瘘的影像学方法。方法应用实时三维超声检查42例女性尿瘘患者,分别经腹部及会阴部观察女性膀胱-阴道间隔、尿道-阴道间隔矢状面和横断面的超声声像图表现,观测瘘口位置和大小,并作排尿试验或从尿道注入有色液体试验来证实。结果42例均可显示膀胱壁、尿道、阴道、膀胱-阴道间隔、尿道-阴道间隔全程矢状面及不同水平横断面的声像图,瘘口处均显示膀胱-阴道或者尿道-阴道局部融合,间隔组织缺失,回声中断,排尿试验或从尿道注入有色液体试验证实瘘口存在,术后验证位置及大小。结论实时三维超声检查女性尿瘘,通过女性膀胱-阴道间隔、尿道-阴道间隔在不同水平横断面及矢状面的超声表现,诊断和测量瘘口,结合病史及排尿试验或从尿道注入有色液体试验,对女性尿瘘临床诊断、治疗有重要作用。%Objective To investigate imaging method by real-time three-dimensional ultrasound in diagnosis of female urinary fistula. Methods Real-time three-dimensional ultrasound was applied for examination in 42 female patients with urinary fistula. Ultrasound images of sagittal plane and transverse plane of bladder-vagina interval and urethra-vagina interval through abdomen and perineum. Position and size of orificium fistulae were observed and verified by voiding trial or injection of colored liquid through urethra. Results All the 42 cases had images of full sagittal plane and partial transverse plane of bladder wall, urethra, vagina, bladder-vagina interval and urethra-vagina interval. Orificium fistulae all had meromixis of bladder-vagina or urethra-vagina, deficiency of interval organization, and suspended echo. Voiding trial or injection of colored liquid through urethra verified existence of orificium fistulae, and position and size were verified by operation. Conclusion Implement

  20. 先天性无阴道2例诊治比较

    Institute of Scientific and Technical Information of China (English)

    杨晓妮

    2014-01-01

    目的:对两例先天性无阴道进行诊治并对治疗效果进行探讨。方法选取2011年10月~2012年4月正宁县人民医院收治的2例先天性无阴道患者,对其诊断方法及治疗的结果进行探讨分析。结果2例患者均手术成功,并且术后没发生感染,机体恢复正常。而随访中,采用真皮补片进行阴道再造的患者人工阴道完全黏膜化,效果颇佳;另1例患者因为未按要求进行阴道模具的使用,6个月后出现了阴道粘连,再次入院进行阴道扩张后,阴道恢复正常,可满足其性生活需求。结论本次对2例患者分别进行了真皮补片阴道再造及腹膜代阴道的阴道再造手术,效果较好,值得临床推广应用。%Objective To discuss and analyze the diagnosis an treatment and the effect of 2 patients with congenital absence of vagina.Method Clinical data about 2 patients with congenital absence of vagina admitted to the hospital from October 2011 to April 2012 were retrospectively analyzed,discussed the diagnosis methods and treatment rsults.Results The operations of the 2 patients were successful without any postoperative infection,the body returned to its normal.During the follow-up,the vagina mucosa was formed after vaginoplasty with acellular dermal repairing patch,which was very effective.For not using the vaginal mould according to the requirements, vagina adhension appeared in another patient after half year,but the vagina recovered normal soon by vagina distension,which can meet the requirements of sexual life.Conclusion The vaginoplasty with acellular dermal repairing patch and with peritoneum in the 2 patients is very effective,so it deserves to be recommended.

  1. 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

  2. [Vaginal eviscentration with secondary strangulation of small bowel].

    Science.gov (United States)

    Gembal, Piotr; Grzegorczyk, Wiesław; Grabowski, Bogumił; Milik, Krzysztof; Pajak, Marek; Bielecki, Krzysztof

    2007-01-01

    A case of 81 year old patient with eviscentration through vagina with a strangulation of small bowel was described. The woman was treated gynecologically and underwent surgery previously. The eviscentration occurred 21 months after last surgery and was connected with high abdominal pressure during defecation. Woman was qualified to an urgent laparotomy, and the hole about 15 mm length in vaginal posterior vault was found. Through the hole passed small bowel which was strangulated. The bowel was removed to the abdominal cavity and during its control no necrosis was found. The color and vascularity return to normal and right peristaltic was noticed. The hole in parietal peritoneum was closed by a continuous suture. The hole in vagina was also closed by the continuous suture from the perineal side. Woman in good general condition was discharged from hospital in the 13th day after surgery. PMID:18540188

  3. Ultrastructural examination of the insemination reaction in Drosophila.

    Science.gov (United States)

    Alonso-Pimentel, H; Tolbert, L P; Heed, W B

    1994-03-01

    The insemination reaction is a swelling of the female vagina caused by the male ejaculate. This postmating phenomenon is common among species in the genus Drosophila. It could act as a plug securing male paternity. It is not clear, however, what benefits it provides to the female. The structure formed in the female vagina is expelled in some species and disappears gradually in others suggesting different phenomena. Based on ultrastructural examination of the vaginal contents of five Drosophila species (D. mettleri, D. nigrospiracula, D. melanogaster, D. mojavensis, and D. hexastigma), we propose three terms to describe these vaginal structures: the sperm sac, the mating plug, and the true insemination reaction. Each term describes a distinct structure associated with a specific female postmating behavior. This study questions the concept of the insemination reaction as a single phenomenon and discusses its possible functions from an evolutionary perspective. PMID:8137397

  4. [Vecchietti's operation for the formation of a neovagina: technic and results].

    Science.gov (United States)

    Janisch, H; Riss, P; Schieder, K; Rogan, A M

    1984-01-01

    We performed Vecchietti's operation in 10 patients with absence of the vagina (8 Rokitansky-Küster-syndrome, 1 testicular feminization, 1 occlusion of the vagina after radiotherapy). There were no intra- or postoperative complications; on discharge the neovagina was patent for 2 fingers in all cases. On follow-up examinations 2 to 20 months postoperatively the neovagina was no longer patent in the patient after radiotherapy, all other patients had neovaginas with a length ranging from 5 to 9 cm and reported satisfactory coitus without dyspareunia. According to our experience the conditions for successful surgical formation of a neovagina are: good psychosocial adjustment, some preoperative sexual experience, higher age, preoperative counselling, and longterm follow-up.

  5. Successful Delivery of Twin Pregnancy in Class U3b/C2/V1 Uterus by Bilateral Caesarean Section after Spontaneous Conception

    Directory of Open Access Journals (Sweden)

    Yasmine El-Masry

    2015-01-01

    Full Text Available A case of a 19-year-old female with class U3b/C2/V1 uterus conceived a twin pregnancy with a fetus in each horn after spontaneous conception. She referred to our department with presentation of premature rupture of membranes, with a history of cesarean delivery of a single full term living fetus a year and a half before this delivery. Examination revealed two completely separate uterine horns with a fetus in each horn, two distinct externally rounded cervices, and a single vagina with a short nonobstructing vaginal septum in the upper part of the vagina. And as the appropriate mode of delivery is still unclear, each case should be managed as the condition requires, and in our case urgent bilateral caesarean sections were performed.

  6. Concomitant Imperforate Hymen and Transverse Vaginal Septum Complicated with Pyocolpos and Abdominovaginal Fistula

    Directory of Open Access Journals (Sweden)

    Berna Dilbaz

    2014-01-01

    Full Text Available A 13-year-old patient with a complaint of worsening lower abdominal pain during the past 4 months was admitted to the emergency department. An abdominopelvic ultrasound scan revealed a distended uterocervical cavity suggestive of hematometrocolpos. Imperforate hymen was observed on examination of the external genitalia. MRI scan revealed an air-fluid level representing pyometrocolpos within a distended vagina. Posterior vaginal extraperitoneal leakage as the sign of a fistula between the vagina and the rectovaginal space was detected. Although laparoscopic approach was planned, malodorous pus expelled after the insertion of the Veress needle, it was decided to proceed to laparotomy. Pus with peritoneal microabscess formations was observed at laparotomy. The imperforate hymen and TVS were excised vaginally. A more complex anomaly should be suspected in cases with hematometra and concomitant imperforated hymen without any bulging and thorough evaluation using radiological imaging techniques should be performed before surgical approach.

  7. [The characteristic of biocenosis of urogenital tract in women].

    Science.gov (United States)

    Andosova, L D; Kontorshchikova, K N; Kachalina, O V; Belov, A V; Gonova, E S; Kudel'kina, S Iu

    2013-01-01

    The article deals with the study of characteristics of biocenosis of urogenital tract in women of reproductive age with using of "Femoflor" test. The scrapings of posterolateral wall of vagina were analyzed using the technique of real-time polymerase chain reaction using the reagents "Femoflor". The complex evaluation of urogenital biota identified three main types of biocenosis of vagina: type I--normocenosis (n = 50 or 11.5%): type II--mild dysbiosis (n = 88 or 21%); type III--marked dysbiosis (n = 133 or 30.6%). In the structure of alterations of biocenosis of urogenital tract the main role play the anaerobic bacteria with involvement of candida, ureoplasma and mcoplasma. PMID:23807998

  8. 阴道镜下活检诊断宫颈上皮内瘤变678例%Colposcopic biopsy diagaosis of cervical intraepithelial neoplasia experience of 678 cases

    Institute of Scientific and Technical Information of China (English)

    常宗龙; 杨霞

    2009-01-01

    Objective:The mirror appraising the electron vagina is worth to cervix lesion diagnose.Methods:678 example patients outpatient service does a vagina in FEB,2008 in MAY,2006~mirror mirror examining,checking a vagina go over has an image;Abnormal person,draws materials under the mirror,gives to pathological mechanism go over directly in the vagina,electron vagina mirror the image makes a definite diagnosis with neck of uterus microanatomy diagnose collation analysis,with pathological mechanism result action standard.Results:Patient of this group inspects up out the chronic cervicitis 85.99%, CIN11.50%,original place cancer 1.92%,infiltrates cancer 0.59%.Mirror infiltrating the cancer vagina the image is that the blood vessel is abnormal mainly,original place cancer vagina mirror visible image acetic acid white epithellum,major partners the shape blood vessei,heterotype blood vessel,mosaic and floccosoids wait a little bit;CIN acetic acid white maximum appears on epithelium,the shape blood vessel,heterotype blood vessel,rnosaic and floccosoids take second place;The chronic cervicitis gives first place to no representative shape blood vessel China and acetic acid white epithelium.Conclusion:Vagina mirror means examining importance reproducing road lesion under being early phase diagnose and treat.%目的:评价电子阴道镜对子宫颈病变的诊断价值.方法:2006年2月~2008年5月678例患者门诊行阴道镜检查,对阴道镜检查有图像异常者,直接在阴道镜下取材,送病理检查.电子阴道镜图像与宫颈组织学诊断对照分析,以病理结果作为确诊标准.结果:本组检出慢性宫颈炎85.99%,CIN11.50%,原位癌1.92%,浸润癌0.59%.浸润癌阴道镜图像主要是血管异常,原位癌阴道镜图像可见醋酸白色上皮,多数伴有点状血管、异型血管、镶嵌和白斑等;CIN醋酸白色上皮出现最多,点状血管、异型血管、镶嵌和白斑次之;慢性宫颈炎以不典型点状血管和醋酸白色

  9. 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.

  10. 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)

  11. Sugar expressions on the vaginal epithelium in pregnant mice.

    Science.gov (United States)

    Yasunaga, Youhei; Takeuchi, Takashi; Shimokawa, Tetsuya; Nabeta, Motowo; Matsuu, Aya; Asano, Atsushi; Ohta, Yasuhiko

    2012-06-01

    Sugar expressions were examined on the epithelium of both the middle portion of the vagina and the vaginal portion of the cervical canal (CC) in pregnant mice to understand the pathogenesis of bacterial infection in the female reproductive organ by using a panel of lectins. As a result, N-acetylglucosamine was positive before pregnant day (P) 7 but negative after P10 and at diestrus on both the vagina and the CC. In addition, some differences in sugar expressions were seen between them. These results suggest that sugar expressions on the mucosal surface would change not only site-specifically but also time-dependently, and these sugar differences indicate the possibility of the alteration of the settled bacterial species on the vaginal mucosa in pregnancy.

  12. The McKusick-Kaufman hydrometrocolpos-polydactyly syndrome: A rare case report

    Directory of Open Access Journals (Sweden)

    Swapnil P Yewalkar

    2013-01-01

    Full Text Available A combination of hydrometrocolpos, polydactyly, and cardiac anomlies is the cardinal feature of McKusick-Kaufman syndrome. Neonatal hydrometrocolpos is rare Mullerian duct anomaly caused by obstruction of the vagina. There is an accumulation of mucus secretions proximal to the obstruction. The secretions are secondary to intrauterine and postnatal stimulation of uterine and cervical glands by maternal estrogens. Here, we report a case of 1-day-old neonate who presented with abdominal distension. Ultrasound and computed tomography findings revealed a large abdominopelvic cystic mass posterior to the urinary bladder. Other associated findings were polydactyly and bilateral hydronephosis. Laparotomy confirmed the findings of hydrometrocolpos caused by stenosis/atresia of lower vagina.

  13. The Human Vaginal Bacterial Biota and Bacterial Vaginosis

    Directory of Open Access Journals (Sweden)

    Sujatha Srinivasan

    2008-01-01

    Full Text Available The bacterial biota of the human vagina can have a profound impact on the health of women and their neonates. Changes in the vaginal microbiota have been associated with several adverse health outcomes including premature birth, pelvic inflammatory disease, and acquisition of HIV infection. Cultivation-independent molecular methods have provided new insights regarding bacterial diversity in this important niche, particularly in women with the common condition bacterial vaginosis (BV. PCR methods have shown that women with BV have complex communities of vaginal bacteria that include many fastidious species, particularly from the phyla Bacteroidetes and Actinobacteria. Healthy women are mostly colonized with lactobacilli such as Lactobacillus crispatus, Lactobacillus jensenii, and Lactobacillus iners, though a variety of other bacteria may be present. The microbiology of BV is heterogeneous. The presence of Gardnerella vaginalis and Atopobium vaginae coating the vaginal epithelium in some subjects with BV suggests that biofilms may contribute to this condition.

  14. Cervical occlusion in women with cervical insufficiency: protocol for a randomised, controlled trial with cerclage, with and without cervical occlusion

    DEFF Research Database (Denmark)

    Secher, Niels Jørgen; MaCormack, CD; Weber, Tom;

    2007-01-01

    Kingdom, Spain, South Africa, Australia and India. This gives both a broad spectrum of diversity global and local. We expect a total of 242 women enrolled per year. POPULATION: Prophylactic study: 1. History of cervical incompetence/insufficiency. (Delivery 15 to cervix...... (secondary to maternal administration of diethyl stilbestrol) or traumatic/surgical damage rendering the vaginal approach difficult (e.g. conisation). 3. Cervical suture applied in previous pregnancy, successful outcome. 4. Previous failed cerclage. Therapeutic study: 5. Secondary cerclage: Short cervix......, without the membranes being exposed to the vagina. 6. Tertiary cerclage: Short cervix, membranes exposed to the vagina. Observational study: Eligible women who refuse to be randomised will participate in an observational study. 7. Repeat/requested cervical occlusion. METHODS: The women will be randomised...

  15. Vaginal reconstruction using perineal-thigh flaps with subcutaneous pedicle.

    Science.gov (United States)

    Chen, Z; Chen, C; Chen, M; Zhang, J; Wu, N; Wang, J

    1991-03-01

    A technique of vaginal reconstruction using bilateral, perineal-thigh flaps with subcutaneous pedicle is described. In this procedure, the flaps were raised bilaterally and introduced into an artificial space between the urinary bladder and rectum. The blood supply for the flaps flows from the perineal artery through anastomotic branches to the external pudendal artery. The authors used the technique on four patients, and all the flaps survived entirely. There was no complication. According to a more than two-year follow-up survey, the reconstructed vaginas are expansible and contract little. No stent is needed. There is good sensitivity in the wall of the artificial vagina because sensory nerves run through the flaps.

  16. Pemeliharaan Kebersihan Diri Ibu Hamil di Kecamatan Medan Belawan

    OpenAIRE

    Aramico, Sarwan

    2015-01-01

    Self-hygiene is an action to keep a person clean and healthy physically and psychologically. It includes hair care, leg and nail care, mouth hygiene, bathing, breast care, vulva/vagina care, and washing hands. The research used descriptive correlation method which was aimed to describe self-hygiene and some factors which influenced self-hygiene of pregnant women at Belawan 2 village, Medan Belawan Subdistrict. The samples were 50 respondents, taken by using convenience sampling technique. The...

  17. Candidiasis in Pediatrics; Identification and In vitro Antifungal Susceptibility of the Clinical Isolates

    OpenAIRE

    MOHAMMADI, R.; Ataei, B

    2016-01-01

    Background Candida species are normal microflora of oral cavity, vagina, and gastrointestinal tract. They are the third most prevalent cause of pediatric health care–associated bloodstream fungal infection. This study aimed to provide an epidemiological feature of candidiasis and also presents an antifungal susceptibility profile of clinical Candida isolates among children. Materials and Methods During July 2013 to February 2015, 105 patients from different hospitals of Isfahan, Iran, were ex...

  18. 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

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

    Directory of Open Access Journals (Sweden)

    Shailesh Solanki

    2015-01-01

    Full Text Available 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.

  20. Streptococcus agalactiae vaginitis: nonhemolytic variant on the Liofilchem® Chromatic StreptoB

    OpenAIRE

    Savini, Vincenzo; Marrollo, Roberta; D’Antonio, Marianna; D’Amario, Claudio; Fazii, Paolo; D’Antonio, Domenico

    2013-01-01

    Streptococcus agalactiae (group B Streptococcus, GBS) vaginal pathogenicity is not uniformly acknowledged throughout the literature; accordingly, in women, genital itching and burning, along with leukorrhea are commonly and almost exclusively referred to bacterial vaginosis, candidiasis and trichomoniasis. Conversely, GBS virulence for vagina was recognized in the past, as the organism has been observed to potentially cause local inflammation and discharge, as well as lactobacilli rarefaction...

  1. The vaginal colonization of group B streptococcus in females in the third trimester of their pregnancy

    OpenAIRE

    ÖZEROL, Dr. İbrahim Halil; Baysal, Dr. Bülent; Şengil, Dr. A.Zeki

    1994-01-01

    Group B streptococcus, or Streptococcus agalactiae, was initially recognised as a cause of puerperal sepsis. Although the organism is still associated with this disease, it has more recently gained notoriety as a significant cause of septicemia, pneumonia, and meningitis in newborn children. Group B streptococci commonly colonize the upper respiratory tract, rectum and vagina. The colonization of group B Streptococcus was investigated in 100 females in the third trimester of their pregnancy b...

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

    Directory of Open Access Journals (Sweden)

    C. Varetti

    2012-01-01

    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

  3. Evaluation of Reuterin Production in Urogenital Probiotic Lactobacillus reuteri RC-14▿

    OpenAIRE

    Cadieux, Peter; Wind, Anette; Sommer, Philip; Schaefer, Laura; Crowley, Kate; Britton, Robert A.; Reid, Gregor

    2008-01-01

    Classified as a distinct species in 1980, Lactobacillus reuteri strains have been used in probiotic formulations for intestinal and urogenital applications. In the former, the primary mechanism of action of L. reuteri SD2112 (ATCC 55730) has been purported to be its ability to produce the antibiotic 3-hydroxypropionaldehyde (3-HPA), also known as reuterin. In the vagina, it has been postulated that probiotic Lactobacillus reuteri RC-14 does not require reuterin production but mediates a resto...

  4. Relative Roles of the Epithelial and Stromal Tissue Compartment(s) in Mediating the Actions of Relaxin and Estrogen on Cell Proliferation and Apoptosis in the Mouse Lower Reproductive Tract

    OpenAIRE

    Yao, LiJuan; Agoulnik, Alexander I.; Cooke, Paul S.; Meling, Daryl D.; Sherwood, O. David

    2009-01-01

    Relaxin and estrogen are secreted by the ovary during the second half of pregnancy in rats and mice. Relaxin promotes marked growth of the lower reproductive tract in both species. Relaxin promotes accumulation of epithelial and stromal cells in the cervix and vagina by both stimulating cell proliferation and inhibiting apoptosis. Estrogen acting through estrogen receptor α (ERα) plays an essential permissive role in relaxin’s actions. A fundamental step toward understanding the actions of re...

  5. Conditional Deletion of the Relaxin Receptor Gene in Cells of Smooth Muscle Lineage Affects Lower Reproductive Tract in Pregnant Mice1

    OpenAIRE

    Kaftanovskaya, Elena M.; Huang, Zaohua; Lopez, Carolina; Conrad, Kirk; Agoulnik, Alexander I.

    2015-01-01

    Relaxin hormone secreted into the circulation during pregnancy was discovered through its effects on pubic symphysis relaxation and parturition. Genetic inactivation of the relaxin gene or its cognate relaxin family peptide receptor 1 (RXFP1) in mice caused failure of parturition and mammary nipple enlargement, as well as increased collagen fiber density in the cervix and vagina. However, the relaxin effect on discrete cells and tissues has yet to be determined. Using transgenic mice with a k...

  6. 小切口保留完整粘膜阴道紧缩术%Vaginal tightening surgery of mini-incision and complete vaginal mucosa

    Institute of Scientific and Technical Information of China (English)

    刘晓夏; 何俭; 殷剑波

    2012-01-01

    Objective To investigate the best surgical method on the vaginal relaxation. Methods The outside 1/3 segments of vagina and aditus vaginae were tighten by the operation with mini -incision.complete vaginal mucosa and suture polyptychial. Results This method was applied to 105 cases successfully. Follow up six months to three years, all patients were satisfied to the results. Conclusion On the basis of tightening the muscles, this method is more focused on the tightening to the outside 1/3 segments of vagina and aditus vaginae. The method with mini-incision and complete vaginal mucosa is more meet the physical characteristics, improve the quality of sex life and has an exact effect.%目的:探究阴道缩窄的最佳手术方式.方法:采用小切口并保留完整阴道粘膜的术式,对阴道后壁多层缝合,使阴道外1/3及阴道口得以收紧.结果:将此法应用于105例阴道松弛患者,手术全部成功,术后随访0.5~3年,效果满意.结论:小切口保留完整粘膜阴道紧缩术在收紧阴道肌肉的基础上,着重于对阴道外1/3及阴道口的收紧,更符合生理特性,提高性生活质量,效果确切.

  7. 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.

  8. Lactobacillus crispatus as biomarker of the healthy vaginal tract.

    Science.gov (United States)

    Lepargneur, Jean-Pierre

    2016-08-01

    Decades of research have shown that the lactobacilli inhabiting the human vagina are the first line of defense in the female urogenital and reproductive tracts. In healthy cervicovaginal microbiota, Lactobacillus crispatus is prevalent and beneficial with production of copious amounts of lactic acid potent broad spectrum bactericide virucide and immunomodulator. Future and preventic approaches may need to include probiotics, prebiotics also have the potential to optimize and restore the vaginal ecosystem. PMID:27492695

  9. A Giant Gartner Duct Cyst Originating from the Uterine Cervix and Adjacent Myometrium: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Eun Hui; Hwang, Seong Su; Park, Soo Youn [Catholic University, Seoul (Korea, Republic of)

    2008-11-15

    Gartner duct cysts are relatively common congenital cysts in the anterolateral wall of the vagina. Most are small (less than 2 cm) and asymptomatic, but larger cysts may cause problems. We report a rare case of a giant Gartner duct cyst (7 cm) originating from the right lateral portion of the uterine cervix and adjacent myometrium. It appeared as an exophytic multiseptated cystic mass containing different density fluids on CT

  10. 太具挑战性了:倾听"V"的独白

    Institute of Scientific and Technical Information of China (English)

    卜卫

    2002-01-01

    @@ 不久前一个细雨蒙蒙的夜晚,300多名观众涌进上海一家国际俱乐部,观看一出用英语演出的戏剧,剧名是"Vagina Monologues"(阴道独白).我暗暗吃惊,"阴道"会有什么样的独白?

  11. 自体口腔黏膜微粒移植再造阴道%Reconstructive vaginoplasty with autologous transplantation of minced oral mucus membrane

    Institute of Scientific and Technical Information of China (English)

    白晓东; 柳晓杰; 刘贤华; 王佳哲; 马丽; 林志龙

    2012-01-01

    Objective To explore ihe clinical fealure of vaginal reconslruclion by aulologous Iransplanla-lion of minced oral mucus membrane. Methods From July 2010 to Janurary 2012, lolally 30 palienls wilh congenilal absence of ihe vagina were received in our department and Irealed by aulologous Iransplanlalion of minced oral mucus membrane for reconslruclive vaginoplasly. Afler that, the reconstructed vagina was casled by model for half year. Results The vaginoplasly of all 30 cases were successful. Afler 10 months follow-up posl-operalively in 23 cases, good configuration of vulvae and vagina were received. Conclusion Vaginal reconslruclion by aulologous Iransplanlalion of minced oral mucus membrane could be a basic consideration for congenilal absence of the vagina, and il is worth spreading in clinic.%目的 探讨自体口腔黏膜微粒移植在阴道再造中的应用.方法 自2010年7月至2012年1月,我科收治30例先天性无阴道患者,采用口腔黏膜微粒移植再造阴道,模具支撑阴道成形.结果 本组30例患者手术全部成功,术后对23例患者随访10个月,外部和阴道形状满意.结论 自体口腔黏膜微粒移植再造阴道安全、有效,值得临床推广.

  12. Determining the Stage of the Estrous Cycle in Female Mice by Vaginal Smear.

    Science.gov (United States)

    Gonzalez, Gabriel

    2016-01-01

    Female mice undergo a 3- to 5-d, hormonally controlled estrous cycle. The estrous cycle is divided into different stages, including diestrus, proestrus, estrus, and metestrus. These stages can easily be determined by examining washes or cell smears of the vagina. Determining the stage of the estrous cycle may be important for setting up matings, identifying receptive females for artificial insemination, and analyzing phenotypes of the female reproductive tract. PMID:27480723

  13. Laparoscopic rectosigmoid colpopoiesis as treatment for a patient with Mayer-Rokitansky-Kuster-Hauser syndrome

    Institute of Scientific and Technical Information of China (English)

    万小平; 席晓薇; 严沁

    2003-01-01

    @@ The most common presentation of congenital absence of the vagina is known as Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome.1,2 Several procedures, invasive and noninvasive, have been used for the creation of a neovagina. A technique frequently used for this purpose in China over the last 20 years is rectosigmoid colpopoiesis. Here we report a successful rectosigmoid colpopoiesis done laparoscopically in a patient with MRKH syndrome.

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

    Science.gov (United States)

    Podgorskiĭ, V S; Liaskovskiĭ, 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

  15. Comment je traite...un uterus didelphe associe a un hemi-vagin borgne

    OpenAIRE

    Loumaye, F.; Cheruy, Charlotte; Cristinelli, S.; Foidart, Jean-Michel; Nisolle, Michelle

    2007-01-01

    Didelphys uterus with imperforated obstructed hemivagina is a rare condition. Most often, it is diagnosed a few months after the menarche. Hematocolpos, hematometria and sometimes hematosalpinx are responsible for pelvic pain and dysmenorrhea. Symptoms can be delayed when a fistulisation from the hematocolpos to permeable contralateral vagina is present. Sometimes, diagnosis is not made before adulthood during an infection of the hematocolpos. Useful additional exams include pelvic ultrasound...

  16. 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)

  17. Uterine Carcinosarcoma in a Patient with Didelphys Uterus

    OpenAIRE

    Iavazzo, C.; F. Kokka; Sahdev, A; Singh, N.; Reynolds, K.

    2013-01-01

    Background. Didelphys uterus is a noncommon finding in women. Till now, few cases with benign mesenchymal tumors in patients with didelphys uterus are described. We present a case of a patient with carcinosarcoma arising in a didelphys uterus. Case. A 73-year-old patient presented with profuse watery postmenopausal bleeding. On examination under anesthesia, left and right cervixes were identified. Tumor extended from the left cervix into the lower third of the vagina and was adherent to the r...

  18. Congenital pouch colon in a girl associated with bilateral atresia of cervix uteri and uterus didelphys

    OpenAIRE

    Rajiv Chadha; Manju Puri; Rahul Saxena; Surendrakumar Agarwala; Archana Puri; Subhasis Roy Choudhury

    2013-01-01

    This report describes a girl with congenital pouch colon (CPC), uterus didelphys with septate vagina, and a cloacal anomaly. The girl underwent cloacal reconstruction at the age of 15 months. Subsequently, at puberty, the child had primary amenorrhea with severe cyclic abdominal pain due to endometriosis of both the uteruses and adnexal cysts with hematometra and hematosalpinx. Laparotomy with removal of both uteri and the left fallopian tube was performed. Both uteri had atresia of the cervi...

  19. Recurrent preeclampsia and breech presentation in term pregnancy: the case of didelphic uterus

    OpenAIRE

    Temesgen Tilahun Bekabil

    2015-01-01

    Uterine didelphys represents a uterine malformation where the uterus is present as a paired organ. It is characterized by the presence of two endometrial cavities, each with a uterine cervix, and often a double or single vagina as well. Uterine didelphys, like other uterine malformations, is often asymptomatic and therefore remain unrecognized. The didelphic uterus has a poor reproductive outcome with a 20-30% chance of carrying pregnancy to term. I report a case of successful pregnancy in th...

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

    OpenAIRE

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

    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 rar...

  1. Studies on nerve terminations in human mucosa and skin

    OpenAIRE

    Hilliges, Marita

    1997-01-01

    - In spite of their accessibility and important sensory function,the nervous tissue components of human oral and vaginal mucosa and skin have beensubject to very few, if any, systematic investigations. Studies on the innervationof oral tissues have mainly focused on the dental pulp, the periodontium and thegingiva, probably because of specific clinical interest, thus largely neglectingthe mucosa. Genital studies comprise only in a few cases the vagina and when thevagina is i...

  2. Angiomyofibroblastoma: A diagnostic dilemma

    Directory of Open Access Journals (Sweden)

    Varuna Mallya

    2015-01-01

    Full Text Available Angiomyofibroblastoma is a very rare benign mesenchymal tumor of the superficial soft-tissues. Most of the cases have been reported in the vulva. It presents usually in the reproductive age group. Histologically it is characterized by alternating hypo and hypercellular areas admixed with thin walled blood vessels with a perivascular concentration of stromal cells. We report a case of this lesion arising in the vagina in a 46-year-old woman.

  3. Perineal template techniques for interstitial implantation of gynecological cancers using the Paris system of dosimetry

    Energy Technology Data Exchange (ETDEWEB)

    Leung, S. (Peter MacCallum Cancer Institute, Melbourne Victoria (Australia))

    1990-09-01

    Since 1984, perineal template/needle techniques for interstitial implantation of gynecologic cancer-cervix, vagina, vulva-have been developed at the Peter MacCallum Cancer Institute. The Paris System of dosimetry has been used resulting in greater dose homogeneity, fewer needles and radioactive sources and considerable simplification and ease of implantation compared with comparable techniques developed in the United States. Principles and techniques of implantation are described in detail.

  4. Social and health reasons for lime juice vaginal douching among female sex workers in Borno State, Nigeria

    OpenAIRE

    Mairiga, Abdulkarim G.; Kullima, Abubakar A.; Kawuwa, Mohammed B.

    2010-01-01

    Background: Vaginal douching with lime juice and other agents has been perceived to enhance sexual excitement through sensations of vaginal dryness, tightness or warmth, as well as prevent sexually transmitted infections and restore and tighten the vagina after delivery. Its effectiveness as a contraceptive has also been reported. However, the social and health reasons/consequences of such a practice have not been adequately documented in the communities of Borno State, Nigeria.Objectives: Th...

  5. Vaginosis bacteriana por Gardnerella vaginalis: Nuevas enseñanzas desde la ecología molecular

    OpenAIRE

    Andrés Zúñiga; Fabián Tobar-Tosse

    2015-01-01

    La vaginosis bacteriana (VB), es la afección vaginal más frecuente en las mujeres en edad reproductiva generada por un desbalance en el ecosistema vaginal que ocasiona complicaciones severas para la salud reproductiva. Existen hipótesis de origen biológico que relacionan la presencia de organismos como Gardnerella vaginalis, Prevotella sp, Atopobium vaginae como la causa más frecuente relacionada con la vaginosis, los cuales logran desplazar poblacionalmente microorganismos con capacidad prot...

  6. Other Gynecologic Cancers: endometrial, ovarian, vulvar and vaginal cancers

    OpenAIRE

    Duarte-Franco, Eliane; Franco, Eduardo L.

    2004-01-01

    Health issue In Canada, cancers of the endometrium, ovaries, vulva, vagina, placenta and adnexa account for 11% of all malignant neoplasms in women and 81% of all genital cancers. Although the incidence and mortality from vulvar and vaginal cancers are very low, endometrium and ovarian cancer are important public health problems. Key findings In Canada, there has been no appreciable improvement in survival for women with advanced endometrial (EC) or ovarian cancer (OC) over the past 30 years....

  7. 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...

  8. [A technical suggestion for laboratory tests in cases of rape].

    Science.gov (United States)

    Fazio Pellacchio, M C; Celli, R

    1994-01-01

    The paper suggests completing the clinical tests carried out in cases of rape by collecting material not only from the fornix of the vagina but also from the cervical canal using cotton-wool buds, and examining any spermatozoa adhering to the cotton filaments by staining with Baecchi's method. Alternatively, the paper suggests carrying out these tests in anticipation of their possible use as forensic evidence if requested by the court.

  9. Incomplete androgen insensitivity (Reifenstein syndrome) - a case report

    OpenAIRE

    Turan, Volkan; Yeniel, Özgür; Ergenoğlu, Mete; Terek, Coşan; Ulukuş, Murat

    2010-01-01

    We report a 20 year old case of partial androgen insensitivity syndrome, referred to our clinic with complaints concerning external genital organs and left undescended testicle. The phenotypically male case was first evaluated for secondary sex development. Axillary hair was scanty and no pubic hair was found. There was no breast development. In the gynecological examination, the clitoris was hypertrophic (4.6 cm) and a blind vagina with intact hymen was seen. Abdominopelvic ultrasonography r...

  10. ANDROGEN INSENSITIVITY SYNDROME

    OpenAIRE

    Kanan; Sonali

    2014-01-01

    The condition is inherited as X - linked recessive gene 1 . The underlying pathology is the inability of end organs to respond to androgens. These cases are phenotypically and psychologically female with adequate breast development , normal external genitalia , a vagina with variable depth , absent /sparse pubic hair and axillary hair. The exact incidence in India is not known but the reported incidence is 1 in 2 , 000 to 1 in 62 ,400 worldwi...

  11. Three cases of Lipschutz vulval ulceration.

    Science.gov (United States)

    Alés-Fernández, M; Rodríguez-Pichardo, A; García-Bravo, B; Ferrándiz-Pulido, L; Camacho-Martínez, F M

    2010-05-01

    A Lipschütz ulcer or 'ulcus vulvae acutum' is an acute simple ulceration of the vulva or vagina of non-venereal origin which can be associated with lymphadenopathy. Three cases are described with accompanying clinical photographs. Two cases refer to adolescents, one an infant, all without any history of sexual contact. The cases serve to illustrate a little known but potentially important differential diagnosis of vulval ulceration.

  12. Tumors of the genitals in girls

    International Nuclear Information System (INIS)

    Literature data on the rate and character of neoplasms in girl's genitals are presented as well as morphological classification variants of ovary and germinogenetic neoplasms in particular and role of combined treatment different types. It is shown that in the case of ovary neoplasms the surgery, chemotherapy and (in certain cases) radiotherapy are used. As for rhabdomyosarcoma of vagina and neck of the uterus the treatment consists of chemotherapy and intracavitary radiotherapy

  13. Immune Cells in the Female Reproductive Tract

    OpenAIRE

    Lee, Sung Ki; Kim, Chul Jung; Kim, Dong-Jae; Kang, Jee-Hyun

    2015-01-01

    The female reproductive tract has two main functions: protection against microbial challenge and maintenance of pregnancy to term. The upper reproductive tract comprises the fallopian tubes and the uterus, including the endocervix, and the lower tract consists of the ectocervix and the vagina. Immune cells residing in the reproductive tract play contradictory roles: they maintain immunity against vaginal pathogens in the lower tract and establish immune tolerance for sperm and an embryo/fetus...

  14. [Immediate vaginal reconstruction with a musculocutaneous flap from the gracilis muscle after extended abdomino-perineal resection].

    Science.gov (United States)

    Sezeur, A; Hautefeuille, P; Trevidic, P

    1995-01-01

    Reconstruction of a functional vagina after radical abdomino-perineal resection is a difficult surgical problem. The use of the gracilis myocutaneous flap provides a satisfactory solution. This article describes the surgical procedure of immediate vaginal reconstruction using the gracilis myocutaneous flap. Unfortunately, this technique is still not widely used by surgical teams. Nevertheless, it is a useful flap because of its low morbidity and the satisfying result of the functional neovaginal cavity. PMID:8526447

  15. 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...

  16. Hodnocení kvalitativních a kvantitativních ukazatelů spermií muflona obyčejného v průběhu roku

    OpenAIRE

    Balážová, Bianka

    2014-01-01

    The object of this work was to evaluate kvantity and quality of sperm of mouflon (Ovis musimon) and theire fertilization ability, depending on month, season and presence of female. The samples were collected from 2 beings, age 2 and 4 years, from february 2013 to january 2014, in interval 1 time per month. The method of collection the ejaculate samples was electroejaculation by the full consciousness of animals in artificial vagina. The work is interesting in macroscopic and also microscopic ...

  17. Improved cryopreservation protocol for Blanca-Celtibérica buck semen collected by electroejaculation

    OpenAIRE

    Jiménez Rabadán, Pilar; Ramón, Manuel; García Alvarez, Olga; Maroto Morales, Alejandro; Alvaro García, Pablo J.; Olmo, Enrique del; Pérez Guzmán, María Dolores; Fernández Santos, María del Rocío; Garde López-Brea, José Julián; Soler, Ana Josefa

    2013-01-01

    The collection of sperm samples by electroejaculation (EE) leads to an increase of the production of seminal plasma which could modify the tolerance of spermatozoa to the cryopreservation procedure. This study aims to compare a standard sperm cryopreservation protocol for samples collected by artificial vagina (AV) with the same protocol and modifications to this for samples obtained by EE. Semen from six males of Blanca-Celtibérica goat breed was collected by AV (control) and EE, and three e...

  18. Isolated Vaginal Neurofibroma Presenting as Vaginal Wall Cyst: A Rare Case Report With Review of Literature

    OpenAIRE

    Nibhoria, Sarita; Kaur Tiwana, Kanwardeep; Kaur, Manmeet; Phutela, Richa

    2016-01-01

    Neurofibromas commonly involve peripheral nervous system. Isolated neurofibroma of vagina is very rare tumor and usually associated with Von Recklinghausen’s disease. Vulva is the most frequent location of neurofibroma of genital tract followed by clitoris and labia. We present a rare case of neurofibroma of vaginal wall presented as vaginal cyst in a 52 year old female with no history of any other symptoms related to Recklinghausen’s disease. Excision biopsy was done and on the histopatholog...

  19. Vaginal hirudiniasis from Dhaherah Province, Oman: With a Note on Internal Hirudiniasis

    OpenAIRE

    Idris, Mohamed A

    2006-01-01

    A 75 years old lady from the Dhaherah Province, Oman, presented at Ibri Hospital, complaining from abnormal vaginal bleeding. Histopathological investigations of a cervical biopsy revealed no atypical features. A worm-like organism was removed from the vagina. Histocytological investigations of the organism revealed typical structures of a leech. The case was identified as vaginal hirudiniasis, probably due to Limnatis nilotica that necessitated a note on internal hirudiniasis.

  20. Structure, Function and Diversity of the Healthy Human Microbiome

    OpenAIRE

    Curtis Huttenhower; Dirk Gevers; Rob Knight; Sahar Abubucker; Badger, Jonathan H.; Chinwalla, Asif T.; Creasy, Heather H.; Earl, Ashlee M.; Fitzgerald, Michael G.; Fulton, Robert S.; Giglio, Michelle G; Kymberlie Hallsworth-Pepin; Lobos, Elizabeth A.; Ramana Madupu; Vincent Magrini

    2012-01-01

    Studies of the human microbiome have revealed that even healthy individuals differ remarkably in the microbes that occupy habitats such as the gut, skin, and vagina. Much of this diversity remains unexplained, although diet, environment, host genetics, and early microbial exposure have all been implicated. Accordingly, to characterize the ecology of human-associated microbial communities, the Human Microbiome Project has analyzed the largest cohort and set of distinct, clinically relevant bod...

  1. Longitudinal analysis of the vaginal microflora in pregnancy suggests that L. crispatus promotes the stability of the normal vaginal microflora and that L. gasseri and/or L. iners are more conducive to the occurrence of abnormal vaginal microflora

    OpenAIRE

    Temmerman Marleen; De Backer Ellen; Claeys Geert; Verhelst Rita; Verstraelen Hans; Vaneechoutte Mario

    2009-01-01

    Abstract Background Despite their antimicrobial potential, vaginal lactobacilli often fail to retain dominance, resulting in overgrowth of the vagina by other bacteria, as observed with bacterial vaginosis. It remains elusive however to what extent interindividual differences in vaginal Lactobacillus community composition determine the stability of this microflora. In a prospective cohort of pregnant women we studied the stability of the normal vaginal microflora (assessed on Gram stain) as a...

  2. 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.)

  3. The robotic metroplasty in a patient with hybrid septate variant anomaly.

    Science.gov (United States)

    Güngör, Mete; Afşar, Selim; Özbaşlı, Esra; Genim, Canan Erdem

    2016-09-01

    Complete uterovaginal septum is unusually associated with an obstructed left hemivagina and hemiuteri. Herein we present a case report of "hybrid septate variant" anomaly diagnosed in a 16-year-old girl. The uterine septum could not be completely removed hysteroscopically because of the obstructed vagina and thick uterine septum; therefore an abdominal approach, robotic metroplastic surgery was performed. We propose that the robotic technology has advantages over the classical laparoscopy related with the surgical correction of Müllerian anomaly. PMID:26873541

  4. Composition of the vaginal microbiota in women of reproductive age--sensitive and specific molecular diagnosis of bacterial vaginosis is possible?

    Directory of Open Access Journals (Sweden)

    Elena Shipitsyna

    Full Text Available BACKGROUND AND OBJECTIVE: Bacterial vaginosis (BV is the most common vaginal disorder, characterized by depletion of the normal lactobacillus-dominant microbiota and overgrowth of commensal anaerobic bacteria. This study aimed to investigate the composition of the vaginal microbiota in women of reproductive age (healthy women and women with BV, with the view of developing molecular criteria for BV diagnosis. MATERIALS AND METHODS: Vaginal samples from 163 women (79 control, 73 BV and 11 intermediate (Lactobacillary grade II flora cases were analyzed using 454 pyrosequencing of the hypervariable regions V3-V4 of the 16S rRNA gene and 16 quantitative bacterial species/genus-specific real-time PCR assays. Sensitivities and specificities of potential BV markers were computed using the Amsel criteria as reference standard for BV. The use of quantitative thresholds for prediction of BV, determined for both relative abundance measured with 454 pyrosequencing and bacterial load measured with qPCR, was evaluated. RESULTS: Relative to the healthy women, the BV patients had in their vaginal microbiota significantly higher prevalence, loads and relative abundances of the majority of BV associated bacteria. However, only Gardnerella vaginalis, Atopobium vaginae, Eggerthella, Prevotella, BVAB2 and Megasphaera type 1 detected at or above optimal thresholds were highly predictable for BV, with the best diagnostic accuracy shown for A. vaginae. The depletion of Lactobacillus species combined with the presence of either G. vaginalis or A. vaginae at diagnostic levels was a highly accurate BV predictor. CONCLUSIONS: Quantitative determination of the presence of G. vaginalis, A. vaginae, Eggerthella, Prevotella, BVAB2 and Megasphaera type 1 as well as the depletion of Lactobacillus was highly accurate for BV diagnosis. Measurements of abundance of normal and BV microbiota relative to total bacteria in vaginal fluid may provide more accurate BV diagnosis, and be

  5. Benzoyl Peroxide Formulated Polycarbophil/Carbopol 934P Hydrogel with Selective Antimicrobial Activity, Potentially Beneficial for Treatment and Prevention of Bacterial Vaginosis

    OpenAIRE

    Shiqi Xu; Cavera, Veronica L.; Rogers, Michael A.; Qingrong Huang; Konstantin Zubovskiy; Michael L. Chikindas

    2013-01-01

    The human vagina is colonized by a variety of indigenous microflora; in healthy individuals the predominant bacterial genus is Lactobacillus while those with bacterial vaginosis (BV) carry a variety of anaerobic representatives of the phylum Actinobacteria. In this study, we evaluated the antimicrobial activity of benzoyl peroxide (BPO) encapsulated in a hydrogel against Gardnerella vaginalis, one of the causative agents of BV, as well as indicating its safety for healthy human lactobacilli. ...

  6. [Case Reports] Successful pregnancy foilowing gamete intrafallopian transfer in a patient with a transverse vaginal septum: case report

    OpenAIRE

    Ami, Kazumi; TSUJI, ISAO; Watanabe, Yo; Fujinami, Nahoko; MIYAZAKI, Ayako; Hoshiai, Hiroshi

    2010-01-01

    [Abstract] Transverse vaginal septa (TVSs) are rare congenital, obstructive vaginal anomalies resulting from a defect of vertical fusion during embryogenesis of the vagina and are generally diagnosed at the time of pregnancy in association with obstetric complications. TVSs also contribute to infertility. Surgical treatment, such as resection or fenestration of the TVS, is generally indicated. However, the optimal treatment of infertile patients with TVS has not been established, and few case...

  7. 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

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

    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 cl...

  8. БИОЛОГИЧЕСКИЕ СВОЙСТВА ВАГИНАЛЬНЫХ ЛАКТОБАЦИЛЛ И ФАКТОРЫ МЕСТНОГО ИММУНИТЕТА ПРИ ИНФЕКЦИОННО-ВОСПАЛИТЕЛЬНЫХ ЗАБОЛЕВАНИЯХ ПОЛОВОЙ СФЕРЫ

    OpenAIRE

    Е. В. Наумкина

    2008-01-01

    Status of reproductive microflora and local immunity factors of vagina compared to some biological characteristics of normal microflora in infectious inflammatory diseases of sexual sphere were studied. It was revealed that the degree of expression and character of local immune reaction are determined by the type of vaginal microflora disorders. Safety of obligate microflora effecting compensation of pathological process depends on biological characteristics of vaginal lactobacilli determinin...

  9. THE ANALYSIS OF STATISTICAL DATA ON MALIGNANT NEOPLASMS ASSOCIATED WITH HUMAN P APILLOMAVIRUS

    Directory of Open Access Journals (Sweden)

    A. A. Kostin

    2016-01-01

    Full Text Available In this study of statistical data for the first time in Russia the analysis of the morbidity and mortality of patients with malignant neoplasms that may be associated with human papilloma virus (HPV is performed: cervical cancer (cervical cancer, cancer of the vulva and vagina, cancer of penis, cancer of the rectum, anal canal and rectosigmoid junction cancer, cancer of the pharynx and larynx.

  10. Morphology of the female reproductive system of European pea crabs (Crustacea, Decapoda, Brachyura, Pinnotheridae).

    Science.gov (United States)

    Becker, Carola; Brandis, Dirk; Storch, Volker

    2011-01-01

    Commensal pea crabs inhabiting bivalves have a high reproductive output due to the extension andfecundity of the ovary. We studied the underlying morphology of the female reproductive system in the Pinnotheridae Pinnotheres pisum, Pinnotheres pectunculi and Nepinnotheres pinnotheres using light microscopy and transmission electron microscopy (TEM). Eubrachyura have internal fertilization: the paired vaginas enlarge into storage structures, the spermathecae, which are connected to the ovaries by oviducts. Sperm is stored inside the spermathecae until the oocytes are mature. The oocytes are transported by oviducts into the spermathecae where fertilization takes place. In the investigated pinnotherids, the vagina is of the "concave pattern" (sensu Hartnoll1968): musculature is attached alongside flexible parts of the vagina wall that controls the dimension of its lumen. The genital opening is closed by a muscular mobile operculum. The spermatheca can be divided into two distinct regions by function and morphology. The ventral part includes the connection with vagina and oviduct and is regarded as the zone where fertilization takes place. It is lined with cuticle except where the oviduct enters the spermatheca by the "holocrine transfer tissue." At ovulation, the oocytes have to pass through this multilayered glandular epithelium performing holocrine secretion. The dorsal part of the spermatheca is considered as the main sperm storage area. It is lined by a highly secretory apocrine glandular epithelium. Thus, two different forms of secretion occur in the spermathecae of pinnotherids. The definite role of secretion in sperm storage and fertilization is not yet resolved, but it is notable that structure and function of spermathecal secretion are more complex in pinnotherids, and probably more efficient, than in other brachyuran crabs.

  11. Considerations of viscosity in the preliminaries to mammalian fertilisation

    OpenAIRE

    Hunter, Ronald H. F.; Coy, P; Gadea, J.; Rath, D

    2011-01-01

    Migration of spermatozoa in the female genital tract will be strongly influenced by the viscosity of the fluids encountered, yet little systematic analysis has been given to such a consideration. This essay reviews the series of milieux confronting a fertilising sperm during its progression to the oviduct ampulla. Two groups are discussed, first those in which ejaculation is into the vagina, second those in which semen enters the uterus during a protracted mating. Viscous glycoprotein secreti...

  12. Development of HIV-1 Rectal-Specific Microbicides and Colonic Tissue Evaluation

    OpenAIRE

    Dezzutti, Charlene S.; Russo, Julie; Wang, Lin; Abebe, Kaleab Z.; Li, Jie; David R. Friend; McGowan, Ian M.; Rohan, Lisa C.

    2014-01-01

    The gastrointestinal tract is structurally and functionally different from the vagina. Thus, the paradigm of topical microbicide development and evaluation has evolved to include rectal microbicides (RMs). Our interest was to create unique RM formulations to safely and effectively deliver antiretroviral drugs to mucosal tissue. RMs were designed to include those that spread and coat all surfaces of the rectum and distal colon rapidly (liquid) and those that create a deformable, erodible barri...

  13. Hybrid thoracic NOTES : a translational research project

    OpenAIRE

    Pinto, João Moreira

    2014-01-01

    Tese de doutoramento em Medicina Natural Orifice Transluminal Endoscopic Surgery (NOTES) is considered the next step on minimally invasive surgery. NOTES uses endoscopes entering through any single or combination of natural orifices - mouth, urethra, vagina, and anus, in order to perform surgery inside the thorax or the abdomen. Its main purpose is providing scarless and less painful surgery to patients. To perform NOTES in the thorax, gastroenterologists and surgeons have focu...

  14. 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.

  15. Isolation of quinupristin/dalfopristin-resistant Streptococcus agalactiae from asymptomatic Korean women.

    Science.gov (United States)

    Nam, Hye Ran; Lee, Hak Mee; Lee, Yeonhee

    2008-02-01

    Seven Streptococcus agalactiae isolates were obtained from the vagina of 80 asymptomatic women. Three of these isolates showed multi-drug resistant (MDR) phenotypes: two isolates were resistant to clarithromycin, clindamycin, erythromycin, and tetracycline; and one isolate was resistant to clarithromycin, clindamycin, erythromycin, tetracycline, and quinupristin/dalfopristin. There was no clonal relationship among the MDR isolates. This is the first report of quinupristin/dalfopristin-resistant S. agalactiae. PMID:18337702

  16. Dynamic MR Imaging of the Pelvic Floor:Technical Considerations and Image Analysis

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    @@ The pelvic floor is a complex anatomic and functional unit of multiple muscle layers, fascia and ligaments.In clinical routine, a simple anatomic concept of the female pelvic floor has gained acceptance.Especially for treatment planning,the female pelvic floor may be separated into three functional compartments:.the anterior compartment (bladder and urethra), the middle compartment (vagina,cervix,uterus,and adnexa), and the posterior compartment (anus and rectum).

  17. Recurrent ectopic pregnancy in a woman suffering from infertility due to male factor presented with heterotopic pregnancy

    OpenAIRE

    Chaudhari, Hemang D; Gandhi, Viplav S; Banker, Hiral; Suri, Amar

    2012-01-01

    Heterotopic pregnancy is the simultaneous occurrence of intrauterine and extrauterine pregnancies. A 27-year-old third gravida with history of two ectopic pregnancies, presented with cramping pain in pelvis radiating to left side and bleeding from vagina. Ultrasonographic diagnosis of heterotopic pregnancy was put forward. Unfortunately intrauterine component of heterotopic pregnancy resulted in blighted ovum and linear salpingostomy was done for left-sided tubal pregnancy.

  18. Transvaginal Appendectomy: A Systematic Review

    OpenAIRE

    Mehmet Ali Yagci; Cuneyt Kayaalp

    2014-01-01

    Background. Natural orifice transluminal endoscopic surgery (NOTES) is a new approach that allows minimal invasive surgery through the mouth, anus, or vagina. Objective. To summarize the recent clinical appraisal, feasibility, complications, and limitations of transvaginal appendectomy for humans and outline the techniques. Data Sources. PubMed/MEDLINE, Cochrane, Google-Scholar, EBSCO, clinicaltrials.gov and congress abstracts, were searched. Study Selection. All related reports were included...

  19. Transvaginal Laparoscopic Appendectomy Simultaneously with Vaginal Hysterectomy: Initial Experience of 10 Cases

    OpenAIRE

    Tian, Yu; Wu, Shuo-Dong; Chen, Ying-Han; Wang, Dan-Bo

    2014-01-01

    Background Natural orifice transluminal endoscopic surgery (NOTES) involves the introduction of instruments through a natural orifice into the peritoneal cavity to perform surgical interventions. The vagina is the most widely used approach to NOTES. We report the utilization of the vaginal opening at the time of vaginal hysterectomy as a natural orifice for laparoscopic appendectomy. Material/Methods We reviewed cases of 10 patients with chronic appendicitis who underwent transvaginal laparos...

  20. Pengetahuan Ibu Pasca Salin Terhadap Perawatan Luka Perineum Di Klinik Fajar Tahun 2015

    OpenAIRE

    Satrima, Lely

    2016-01-01

    Background: birth canal injury is a strong predisposition to infection during childbirth. Approximately 22.5% of maternal deaths in Indonesia are caused by infection after the copy, this happens because of the wound lacerations in the genital tract, including episiotomy on the perineum, the walls of the vagina and cervix. Injury to the perineum due to uterine rupture or laceration episiotomy is an area that is not easily dry. To prevent infection need to be considered, especially on the first...

  1. Aggressive angiomyxoma of the vulva presenting as a pedunculated swelling

    Directory of Open Access Journals (Sweden)

    Mandal Shramana

    2008-04-01

    Full Text Available Aggressive angiomyxoma is a rare, locally aggressive soft tissue tumor that has high propensity for local recurrence. It involves mainly the pelvis, vulva, perineum, vagina and urinary bladder in adult women in the reproductive age. Considering its locally aggressive nature, appropriate management and long-term follow-up is necessary. We describe a case of a 22-year-old young pregnant patient presenting with a large pedunculated swelling on the left labia majora.

  2. Tindakan Episiotomi pada Persalinan Primipara yang Bersalin di Bidan di Kelurahan Bela Rakyat Kecamatan Kuala Kabupaten Langkat Tahun 2013

    OpenAIRE

    Tanjung, Lyria Novita

    2015-01-01

    Latar belakang : Episiotomi adalah suatu tindakan insisi pada perineum yang menyebabkan terpotongnya selaput lendir vagina, cincin selaput dara, jaringan pada septum rektovaginal, otot-otot dan fasia perineum dan kulit sebelah depan perineum. Tujuan penelitian : Penelitian ini bertujuan untuk mengetahui jumlah tindakan episiotomi pada persalinan primipara yang bersalin di bidan praktek di Kelurahan Bela Rakyat Kecamatan Kuala Kabupaten Langkat Tahun 2013. Metodologi : Penelitian ini men...

  3. Fibromatosis in vertical rectus abdominis myocutaneous flap imitating tumor recurrence after surgery for locally advanced rectal cancer: case report

    OpenAIRE

    Goscinski, Mariusz Adam; Hole, Knut Håkon; Tønne, Elin; Ryder, Truls; Grøholt, Krystyna Kotanska; Flatmark, Kjersti

    2016-01-01

    Background Abdominoperineal excision is performed in patients with locally advanced, low rectal carcinoma. Reconstruction of the dorsal vagina and perineum using the vertical rectus abdominis myocutaneous flap following extensive surgery results in favorable surgical outcome and quality of life. However, the rectus abdominis muscle, as part of the anterior abdominal wall, may develop fibrous lesions also as a transplant. Case presentation A 39-year-old female patient with low rectal cancer an...

  4. FEMALE URETHRA – ANATOMO-CLINICAL IMPLICATIONS

    OpenAIRE

    C. Zanoschi; R. Moldovanu

    2006-01-01

    Urethra represents the last segment of the urinary tract. We present a comprehensive account of the female urethral anatomy, including its component structures, neurovascular supply, relationship to adjacent structures (the vagina, bladder and vestibular glands, and connective tissue supports) and histology. These data are important because the distal segment of the female urethra is implicated in the mechanism of urinary continence (female stress urinary incontinence is thought to result f...

  5. 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...

  6. {sup 18}F-Fluorodeoxyglucose PET/CT in a Patient with Esophageal and Genital Leiomyomatosis

    Energy Technology Data Exchange (ETDEWEB)

    An, Young Sil; Kim, Deog Yoon [Kyung Hee University, Seoul (Korea, Republic of)

    2009-12-15

    Diffuse esophageal leiomyomatosis is a rare benign tumor, which can be associated with leiomyoma in female genital tracts involving the uterus, vagina, and vulva. Alport syndrome, an inherited disorder that includes the kidneys, eyes, and sensorineural hearing loss, is also rarely associated with these multiple leiomyomatosis. In our case, {sup 18}F-fluoroseoxyglucose positron emission tomography/ computed tomography was used to distinguish esophageal and genital leiomyomatosis from malignant masses.

  7. CONGENITAL VESICOUTERINE FISTULA ALONG WITH DISTAL VAGINAL AGENESIS, SOLITARY KIDNEY AND TONGUE TIE: A RARITY

    OpenAIRE

    Khalid; Amit; Rana Pratap; Ahsan; Takallum

    2015-01-01

    : Congenital vesicouterine fistula in association with vaginal agenesis and solitary renal agenesis has been rarely reported. We present a case of 19 year old female suffering from cyclical menouria for last years. Physical examination revealed absence of vagina. IVP revealed left renal agenesis and CT scan revealed left renal agenesis with vesicouterine fistula. Cystoscopy showed vesicouterine fistula located above trigone near midline. Vesicouterine fistula was repaired along wi...

  8. Vaginal Atrophy following Long-Term Depot Medroxyprogesterone Acetate Use: A Case Report

    Directory of Open Access Journals (Sweden)

    Christie Walker

    2013-01-01

    Full Text Available Depot medroxyprogesterone acetate (DMPA is a commonly used form of contraception, with noncontraceptive benefits for the user. The mode of action is through the suppression of ovulation. It leads to hypoestrogenism which causes dryness of the vagina and dyspareunia. We present in this paper a patient that was very symptomatic with regard to vaginal atrophic changes determined by vaginal cytology. This side effect may become increasingly more common as we see more long-term use of DMPA.

  9. State-of-the-art of infections produced by human papillomavirus.

    OpenAIRE

    Julio César Reina; Nubia Muñoz; Gloria Inés Sánchez

    2009-01-01

    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 papi...

  10. THE ANALYSIS OF STATISTICAL DATA ON MALIGNANT NEOPLASMS ASSOCIATED WITH HUMAN P APILLOMAVIRUS

    OpenAIRE

    A. A. Kostin; V. V. Starinskiy; Y. V. Samsonov; A. T. Asratov

    2016-01-01

    In this study of statistical data for the first time in Russia the analysis of the morbidity and mortality of patients with malignant neoplasms that may be associated with human papilloma virus (HPV) is performed: cervical cancer (cervical cancer), cancer of the vulva and vagina, cancer of penis, cancer of the rectum, anal canal and rectosigmoid junction cancer, cancer of the pharynx and larynx.

  11. Is Procidentia a Distinct Disease? Comparison of Risk Factors

    OpenAIRE

    Serdar Aydin

    2014-01-01

    Aim: Total prolapse%u2014in other words, procidentia%u2014refers to the complete eversion of the total length of the vagina. Age, pregnancy, delivery, previous pelvic surgery, and conditions that increase intra-abdominal pressure, such as chronic pulmonary disease, constipation, and obesity are risk factors for pelvic organ prolapse. This study aims to assess the incidence of anterior, posterior, apical, and total prolapse and to determine differences in the risk factors for different vaginal...

  12. Malformations in a cohort of 284 women with Mayer-Rokitansky-Küster-Hauser syndrome (MRKH

    Directory of Open Access Journals (Sweden)

    Oppelt Patricia G

    2012-08-01

    Full Text Available Abstract Background The aim of this retrospective study was to describe the spectrum of genital and associated malformations in women with Mayer-Rokitansky-Küster-Hauser syndrome using evaluated diagnostic procedures and the Vagina Cervix Uterus Adnex – associated Malformation classification system (VCUAM. Methods 290 women with MRKH syndrome were clinically evaluated with using clinical examinations, abdominal and perineal/rectal ultrasound, MRI, and laparoscopy. Results Classification of female genital malformation according to the Vagina Cervix Uterus Adnex – associated Malformation classification system was possible in 284 women (97.9%. Complete atresia of Vagina (V5b and bilateral atresia of Cervix (C2b were found in 284 patients (100%. Uterus: bilateral rudimentary or a plastic uterine horns were found in 239 women (84.2%. Adnexa: normal Adnexa were found in 248 women (87.3%. Malformations: associated malformations were found in 126 of 282 evaluable women (44.7%, 84 women (29.6% had malformations of the renal system. Of 284 women with Mayer-Rokitansky-Küster-Hauser syndrome 212 women (74.7% could be classified as V5bC2bU4bA0. The most frequent classification was V5bC2bU4bA0M0 (46.8% diagnosed in 133 of 284 women. Conclusions Complete atresia of vagina and cervix were found in all patients, variable malformations were found with uterus and adnexa. A variety of associated malformations were present, predominantly of the renal system. It is therefore recommended that all patients with genital malformations should be evaluated for renal abnormalities.

  13. The Perinatal Microbiome and Pregnancy: Moving Beyond the Vaginal Microbiome

    OpenAIRE

    Prince, Amanda L.; Chu, Derrick M.; Seferovic, Maxim D.; Antony, Kathleen M.; Ma, Jun; Aagaard, Kjersti M.

    2015-01-01

    The human microbiome, the collective genome of the microbial community that is on and within us, has recently been mapped. The initial characterization of healthy subjects has provided investigators with a reference population for interrogating the microbiome in metabolic, intestinal, and reproductive health and disease states. Although it is known that bacteria can colonize the vagina, recent metagenomic studies have shown that the vaginal microbiome varies among reproductive age women. Simi...

  14. Pharmacomicrobiomics: The Impact of Human Microbiome Variations on Systems Pharmacology and Personalized Therapeutics

    OpenAIRE

    ElRakaiby, Marwa; Dutilh, Bas E.; Rizkallah, Mariam R; Boleij, Annemarie; Cole, Jason N; Aziz, Ramy K.

    2014-01-01

    The Human Microbiome Project (HMP) is a global initiative undertaken to identify and characterize the collection of human-associated microorganisms at multiple anatomic sites (skin, mouth, nose, colon, vagina), and to determine how intra-individual and inter-individual alterations in the microbiome influence human health, immunity, and different disease states. In this review article, we summarize the key findings and applications of the HMP that may impact pharmacology and personalized thera...

  15. Randomized controlled trial of probiotics for the prevention of spontaneous preterm delivery associated with intrauterine infection: study protocol

    OpenAIRE

    Savastano Clarisse; Batista Maria; Camacho Karla G; Braga Alcione; Rezende Maria R; Alves Mariane B; Moreira Maria; Krauss-Silva Leticia; Almada-Horta Antonio; Guerra Fernando

    2010-01-01

    Abstract Background Spontaneous preterm deliveries that occur before the 34th week of gestation, and particularly before the 32nd week of gestation, have been strongly associated to intrauterine infection, ascending from vagina, and represent the largest portion of neonatal deaths and neurological problems. Bacterial vaginosis, characterized by a diminished or absent flora of lactobacilli and increased colonization of several anaerobic or facultative microorganisms, increases two times the ri...

  16. Vaginal Atrophy following Long-Term Depot Medroxyprogesterone Acetate Use: A Case Report

    OpenAIRE

    Christie Walker; Badawy, Shawky Z. A.

    2013-01-01

    Depot medroxyprogesterone acetate (DMPA) is a commonly used form of contraception, with noncontraceptive benefits for the user. The mode of action is through the suppression of ovulation. It leads to hypoestrogenism which causes dryness of the vagina and dyspareunia. We present in this paper a patient that was very symptomatic with regard to vaginal atrophic changes determined by vaginal cytology. This side effect may become increasingly more common as we see more long-term use of DMPA.

  17. Prevention of cervical, vaginal, and vulval cancers: role of the quadrivalent human papillomavirus (6, 11, 16, 18) recombinant vaccine

    OpenAIRE

    Maria Lina Diaz

    2010-01-01

    Maria Lina DiazSection of Ambulatory Gynecology Cleveland Clinic Florida Weston, Florida, USAAbstract: The relationship between the human papillomavirus (HPV) and malignancies of the uterine cervix, vagina, and vulva has been established. The development of a quadrivalent HPV recombinant prophylactic vaccine represents the first time in history that primary prevention of these cancers is offered to girls and women. The prevalence of oncogenic HPV subtypes in cervical cancers has been the most...

  18. Recovery of Mycoplasma spp. from the Reproductive Tract of the Mare during the Estrous Cycle

    OpenAIRE

    Bermudez, Victor; Miller, Richard; Johnson, Walter; Rosendal, Soren; Ruhnke, Louise

    1987-01-01

    The sites in the genital tract from which mycoplasmas could be recovered at various stages of the estrous cycle were studied in five Standardbred mares naturally infected with Mycoplasma. Mycoplasma equigenitalium and Mycoplasma subdolum were most frequently isolated from the clitoral fossa as compared to the vagina, cervix, and uterus. The lowest isolation prevalence was observed in the uterus. The recovery of Mycoplasma spp. from the clitoral fossa did not differ at any stage of the estrous...

  19. Cytoprotective Effect of Lactobacillus crispatus CTV-05 against Uropathogenic E. coli

    OpenAIRE

    Daniel S. C. Butler; Aurelio Silvestroni; Ann E. Stapleton

    2016-01-01

    The vaginal flora consists of a subset of different lactic acid producing bacteria, typically creating a hostile environment for infecting pathogens. However, the flora can easily be disrupted, creating a favorable milieu for uropathogenic Escherichia coli (UPEC), making it possible to further infect the urinary system via the urethra. Probiotic use of different lactobacilli to restore the normal flora of the vagina has been proposed as a potential prophylactic treatment against urinary tract...

  20. 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

  1. Tuboovarian Abscess as Primary Presentation for Imperforate Hymen

    Directory of Open Access Journals (Sweden)

    Jeh Wen Ho

    2014-01-01

    Full Text Available Objective. Imperforate hymen represents the extreme in the spectrum of hymenal embryological variations. The archetypal presentation in the adolescent patient is that of cyclical abdominopelvic pain in the presence of amenorrhoea. We reported a rare event of imperforate hymen presenting as a cause of tuboovarian abscess (TOA. Case Study. A 14-year-old girl presented to the emergency department complaining of severe left iliac fossa pain. It was her first episode of heavy bleeding per vagina, and she had a history of cyclical pelvic pain. She was clinically unwell, and an external genital examination demonstrated a partially perforated hymen. A transabdominal ultrasound showed grossly dilated serpiginous fallopian tubes. The upper part of the vagina was filled with homogeneous echogenic substance. Magnetic resonance imaging (MRI demonstrated complex right adnexa mass with bilateral pyo-haemato-salpinges, haematometra, and haematocolpos. In theatre, the imperforate hymen was opened via cruciate incision and blood was drained from the vagina. At laparoscopy, dense purulent material was evacuated prior to an incision and drainage of the persistent right TOA. Conclusion. Ideally identification of imperforate hymen should occur during neonatal examination to prevent symptomatic presentation. Our case highlights the risks of late recognition resulting in the development of sepsis and TOA.

  2. Recurrent endometrial cancer: patterns of recurrent disease and assessment of prognosis

    Energy Technology Data Exchange (ETDEWEB)

    Sohaib, S.A. [Department of Radiology, Royal Marsden Hospital, London (United Kingdom); Houghton, S.L. [Department of Radiology, Royal Marsden Hospital, London (United Kingdom); Meroni, R. [Department of Academic Radiology, St Bartholomew' s Hospital, London (United Kingdom); Rockall, A.G. [Department of Academic Radiology, St Bartholomew' s Hospital, London (United Kingdom); Blake, P. [Department of Gynaecological Oncology, Royal Marsden Hospital, London (United Kingdom); Reznek, R.H. [Department of Academic Radiology, St Bartholomew' s Hospital, London (United Kingdom)

    2007-01-15

    Aim: To evaluate patterns of disease and identify factors predicting outcome in patients presenting with recurrent endometrial adenocarcinoma following primary surgery. Materials and methods: A retrospective review was performed of the imaging and clinical data in 86 patients (median age 66 years, range 42-88 years) presenting with recurrent endometrial adenocarcinoma following primary surgery. Results: Following primary surgery recurrent disease occurred within 2 years in 64% and within 3 years in 87%. Relapse was seen within lymph nodes in 41 (46%), the vagina in 36 (42%) the peritoneum in 24 (28%) and the lung in 21 (24%). Unusual sites of disease included spleen, pancreas, rectum, muscle and brain. Univariate survival analysis showed the factors significant for poor outcome were: multiple sites of disease, liver and splenic disease, haematogenous, peritoneal and nodal spread, poorly differentiated tumour, and early relapse. The presence of disease within the vagina, bladder or lung was not associated with poor prognosis. Multivariate analysis identified multiple sites of disease, liver and splenic metastases to be independent predictors of poor outcome. Conclusion: The most frequently observed sites of relapse are: lymph nodes, vagina, peritoneum and lung. Significant predictors of poor outcome in recurrent disease are multiple sites of disease and liver and splenic metastases.

  3. An unusual cause of urinary incontinence: Urethral coitus in a case of Mayer-Rokitansky-Kuster-Hauser syndrome.

    Science.gov (United States)

    Sharifiaghdas, Farzaneh; Daneshpajooh, Azar; Sohbati, Samira; Mirzaei, Mahboubeh

    2016-09-01

    Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a rare anomaly in women and is characterized by congenital aplasia of the uterus and vagina, with normal development of secondary sexual characteristics and a normal karyotype. We report a case of a 38-year-old women with MRKH syndrome that had experienced urethral sex for many years. She presented with urinary incontinence and dyspareunia. The patient's secondary sexual characteristics were normal, and examination revealed a widely open incompetent megalourethra and an absent vagina. Laboratory studies confirmed a 46, XX karyotype. Imaging included ultrasonography and magnetic resonance imaging, which indicated bilateral normal ovaries and a rudimental bicornuate uterus. After confirming the diagnosis of MRKH, the patient underwent urethroplasty by urethral plication, antiincontinence surgery by autologous fascial sling of the bladder neck, and the creation of a neo-vagina using a urethral flap. After 3 months, voiding cystourethrography and uroflowmetry confirmed normal voiding. There were no postoperative symptoms of urinary incontinence, and the patient was completely satisfied. PMID:27617320

  4. BACTERIAL VAGINOSIS, RECURRENT URINARY TRACT INFECTION AND ITS COMPLICATIONS

    Directory of Open Access Journals (Sweden)

    Ramachandra Reddy

    2013-10-01

    Full Text Available DEFINITIONS : The term Bacterial Vaginosis is used to describe the condition of a patient complaining of fishy odor, sticky mucopurulent discharge from vagi na adherent to vulva and secretions staining the fomites. The patient is frustrated and not getting a cure for so many a months from the medical practitioners. Finally women who attend to sexually transmitted disease clinic to get a complete cure. The pati ents prone to get Bacterial vaginosis: ( 1 Couple using Condom lubricated with Nanoxynol - 9 a spermicidal, bactericidal destroys the Doderline bacilli ( H 2 O 2 producing lactobacilli a commensal in the vagina which maintain the acid pH in the vagina to preve nt bacterial vaginosis an ascending retrograde infection from perineum and anus. ( 2 perverted sex activities like cunnilingus and both homo and het e ro sexual active couple acquire to get bacterial vaginosis. ( 3 Saline douching of the vagina alters the pH as alkaline and facilitates bacterial vaginosis. ( 4 Tampooing or napkins kept for long duration without knowing the consequences of menstrual bleeding as a culture media for bacterial vaginosis to occur as a retrograde infection

  5. Innervation of the human vaginal mucosa as revealed by PGP 9.5 immunohistochemistry.

    Science.gov (United States)

    Hilliges, M; Falconer, C; Ekman-Ordeberg, G; Johansson, O

    1995-01-01

    In order to obtain a description of the innervation of the vaginal wall we employed an antiserum against the general neuronal marker, protein gene product 9.5, on normal human vaginal mucosa. Specimens were taken from the anterior and posterior fornices, from the anterior vaginal wall at the bladder neck level and from the introitus vaginae region, and then processed for indirect immunohistochemistry. All regions studied revealed a profound innervation, although regional differences were noted. The more distal areas of the vaginal wall had more nerve fibers compared to the more proximal parts. Also, biopsies from the anterior wall generally were more densely innervated than the posterior wall. Some large nerve coils were observed in lamina propria of the anterior wall as well as gatherings of thick-walled medium-sized blood vessels. Free intraepithelial nerve endings were only detected in the introitus vaginae region. These fibers were very thin, always varicose and could be observed just a few cell layers from the surface. In this part of the vagina, protein gene product 9.5 antibodies also stained cells within the basal parts of the epithelium. These cells were also neurone-specific enolase positive and resembled, from a morphological point of view, Merkel cells. PMID:8560964

  6. 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

  7. Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis

    Energy Technology Data Exchange (ETDEWEB)

    Chassang, M.; Novellas, S.; Bloch-Marcotte, C.; Chevallier, P. [Hopital Archet 2, Service d' Imagerie Diagnostique et Interventionnelle, Centre Hospitalier Regional et Universitaire de Nice, 151 route de Saint Antoine de Ginestiere, B.P. 3079, Nice Cedex 3 (France); Delotte, J.; Bongain, A. [Hopital Archet 2, Service de Gynecologie-Obstetrique, Centre Hospitalier Regional et Universitaire de Nice, 151 route de Saint Antoine de Ginestiere, B.P. 3079, Nice Cedex 3 (France); Toullalan, O. [Hopital de Cannes, Service de Gynecologie, 15 avenue des Broussailles, B.P. 264, Cannes Cedex (France)

    2010-04-15

    To study the sensitivity of MRI performed utilising vaginal and rectal opacification with ultrasound gel in the detection of deep pelvic endometriosis. This was a prospective monocentric study. All patients evaluated by the gynaecologist for pelvic pain, endometriosis or infertility were included. Axial and sagittal T2-weighted images were performed both with and without vaginal and rectal opacification with ultrasound gel. Three radiologists, all blinded, interpreted the images with a minimum of 15 days between the two readings. MRI performance with and without vaginal and rectal opacification was evaluated by calculating sensitivity, specificity and both positive and negative predictive values. Seventy-eight patients were included. Among these, 31 patients had deep pelvic endometriosis of which 24 were confirmed by laparoscopy. Seventy-six locations of deep pelvic endometriosis were discovered on MRI. For the three reviewers there was a significant improvement in sensitivity between pre- and post-contrast MRI (p < 0.0002). Opacification of the vagina and rectum significantly improved the sensitivity of MRI for the detection of deep pelvic endometriosis by expanding the vagina and rectum, thus allowing better delineation of the pelvic organs. This was especially apparent for lesions localised to the vagina and rectovaginal septum. (orig.)

  8. Vaginal clear cell carcinoma in a Japanese Black cow.

    Science.gov (United States)

    Michishita, Masaki; Hori, Makito; Nakahira, Rei; Takahashi, Kimimasa

    2016-06-01

    During artificial insemination of an 18-year-old female Japanese Black cow, a mass that was of a hen's egg size was found in the vagina. On necropsy, the firm mass, measuring approximately 3.5 × 3.5 × 3.0 cm, was located at the superior region of the vagina. The cut surface of the mass was gray-white in color with occasional necrotic or hemorrhagic areas. Histologically, the mass was composed of tumor cells arranged in solid nests of various sizes with an occasional tubular structure separated by a delicate fibrovascular stroma. The tumor cells had a hypochromatic nucleus and abundant, faintly eosinophilic cytoplasm. The tumor cells contained diastase-sensitive periodic acid-Schiff positive granules. Immunohistochemically, tumor cells were positive for cytokeratin AE1/AE3, CAM5.2 and carcinoembryonic antigen, but not for vimentin, p63, estrogen receptor-α, progesterone receptor, α-smooth muscle actin, neuron-specific enolase, S-100 protein and chromogranin A. On the basis of these findings, the tumor was diagnosed as a clear cell carcinoma of the vagina. PMID:26852732

  9. Pengaruh Tepung Teripang Pasir (Holothuria Scabra Terhadap Perilaku Seksual dan Kadar Testosteron Darah Mencit (Mus musculus

    Directory of Open Access Journals (Sweden)

    Sarifah Nurjanah

    2009-09-01

    Full Text Available Sea cucumber is generally believed as a natural material that can be used as a tonic food to increase man vitality. The aim of this study was to investigate the effect of sandfish powder on sexual behavior and blood testosterone level of male mice. Method applied in the study was laboratory experimental method. Mature male mice were treated with administration of sandfish powder with three dosage rate of steroid content (10, 30 and 50 ìg/100 g body weight during 12 days, whereas for control treatment were without hormone administration and with the metil testosterone administration. Parameters that were investigated were kissing vagina and mounting for sexual behavior and the blood testosterone level of male mice. It was found that administration of sandfish powder significantly give effect on the number of kissing vagina and mounting compared to control. Administration of 10 ìg/100 g body weight on male mice showed the highest sexual behavior with 25 kissing vagina for and 6 mounting for 30 minutes. Moreover, administration of sandfish powder increased the testosterone level in the male mice blood. This may due to the steroid contained in sandfish powder and nutrition value that increase mice libido. The study proved that the sandfish powder has a potential as a nature aphrodisiac.

  10. 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

  11. Localization of /sup 3/H-estradiol in the reproductive organs of male and female baboons

    Energy Technology Data Exchange (ETDEWEB)

    Weaker, F.J.; Sheridan, P.J.

    1982-05-01

    The uptake and retention of radiolabeled estradiol by both the male and female reproductive organs were examined in the baboon. Two male and two female baboons were injected intracardially with 1 microgram/kg body weight of /sup 3/H-estradiol and two animals, one male and one female, were injected with both labeled and 100 micrograms/kg body weight of unlabeled estradiol. One and a half hours after the injections, the animals were sacrificed and the uterus, cervix, vagina, oviduct, seminal vesicles, and prostate gland were removed and processed for autoradiography. The stratified squamous epithelia of the cervix and vagina demonstrated a light uptake of the label in the germinative, but not in the superficial cell layers. The columnar cells lining the oviduct and uterine glands were labeled, whereas the luminal epithelium of the uterus and the glandular epithelia of the seminal vesicles and prostate gland did not sequester the tritiated steroid. The interstitial cells of all the organs studied demonstrated a moderate to heavy uptake of the radioactivity, whereas the smooth muscle cells were lightly labeled except in the vagina, in which these cells displayed a moderate number of silver grains.

  12. ANTIBACTERIAL ACTIVITY OF Lactobacillus casei IMV B-7280 IN CASES OF EXPERIMENTAL UROGENITAL STAPHYLOCOCCAL INFE

    Directory of Open Access Journals (Sweden)

    Babenko L. P.

    2015-08-01

    Full Text Available The aim of work was to determine antibacterial activity of Lactobacillus casei ІМV В-7280 probiotic strain on the experimental urogenital tract infection of mice. The influence of intravaginal and/or per os administration of this strain once per day during 7 days on the microflora of vagina, kidneys and intestinal contents of Staphylococcus aureus 8325-4 infected mice was studied. It was established, that in cases of experimental staphylococcal infection of urogenital tract L. Casei IMV B-7280 had effective antagonistic activity against S. aureus 8325-4 and opportunistic bacteria. After L. casei IMV B-7280 introduction into infected mice reduction or complete elimination of S. aureus 8325-4 in vagina, kidneys and intestinal contents in different periods of observation was established. Under the influence of L. casei ІМВ В-7280 the number of coliform bacteria, streptococci and staphylococci in the vagina was normalized, and fungal flora — decreased even in comparison with intact mice. Normalization of kidneys microflora was also observed. In the intestinal contents of infected mice trea ted with L. casei IMV B-7280 the number of streptococci did not change, staphylococci number decreased, but the number of fungal and coliform flora remained relatively low during the observation period. L. casei IMV B-7280 probiotic strain is promising to create immunobiotics with antibacterial action, which can be used for the prevention and treatment of urogenital infections caused by opportunistic microorganisms.

  13. Recurrent endometrial cancer: patterns of recurrent disease and assessment of prognosis

    International Nuclear Information System (INIS)

    Aim: To evaluate patterns of disease and identify factors predicting outcome in patients presenting with recurrent endometrial adenocarcinoma following primary surgery. Materials and methods: A retrospective review was performed of the imaging and clinical data in 86 patients (median age 66 years, range 42-88 years) presenting with recurrent endometrial adenocarcinoma following primary surgery. Results: Following primary surgery recurrent disease occurred within 2 years in 64% and within 3 years in 87%. Relapse was seen within lymph nodes in 41 (46%), the vagina in 36 (42%) the peritoneum in 24 (28%) and the lung in 21 (24%). Unusual sites of disease included spleen, pancreas, rectum, muscle and brain. Univariate survival analysis showed the factors significant for poor outcome were: multiple sites of disease, liver and splenic disease, haematogenous, peritoneal and nodal spread, poorly differentiated tumour, and early relapse. The presence of disease within the vagina, bladder or lung was not associated with poor prognosis. Multivariate analysis identified multiple sites of disease, liver and splenic metastases to be independent predictors of poor outcome. Conclusion: The most frequently observed sites of relapse are: lymph nodes, vagina, peritoneum and lung. Significant predictors of poor outcome in recurrent disease are multiple sites of disease and liver and splenic metastases

  14. Hallazgo de una leucorrea vaginal de carácter no inflamatoria en hembras bovinas. I. Examen macroscópico y microscópico (Finding of a vaginal leucorrhea of non-inflammatory character in bovine females. I. Macroscopic and microscopic examination

    Directory of Open Access Journals (Sweden)

    Luis O. Alba Gómez; Guadalupe Hernández Breto.

    2005-07-01

    Full Text Available Con el objetivo de demostrar la existencia de una leucorrea vaginal no inflamatoria en hembras bovinas, se examinaron macroscópicamente los órganos genitales de 350 novillas y 800 vacas Cebú comercial y mestizas Holstein x Cebú sacrificadas en el matadero. Se colectaron secreciones leucorréicas en las vaginas o cuernos uterinos del 12 y 20% de las novillas y vacas respectivamente. Ninguno de los órganos genitales de estos animales mostraron signos de inflamación en sus mucosas. El examen histológico se realizó en 80 muestras de vagina y de cuernos uterinos leucorréicos y solamente el 6,3% de los cortes histológicos de vaginas y el 8,8% de los de úteros presentaron lesiones microscópicas leves. El pH vaginal promedió 6,85  0,2. No se encontraron diferencias en el espectro electroforético entre las secreciones mucosas y las leucorréicas. Tampoco se encontraron células inflamatorias en los frotis teñidos. Los resultados indican que las secreciones leucorréicas observadas no son verdaderos exudados, sino secreciones mucosas modificadas que no tienen un origen inflamatorio.

  15. 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

  16. Streptococcus equi subsp. zooepidemicus isolates from equine infectious endometritis belong to a distinct genetic group

    Science.gov (United States)

    2013-01-01

    Streptococcus equi subsp. zooepidemicus is the pathogen most commonly isolated from the uterus of mares. S. zooepidemicus is an opportunistic pathogen and part of the resident flora in the caudal reproductive tract. The aim of this study was to investigate whether a genotypically distinct subpopulation of S. zooepidemicus is associated with endometritis in the mare, by genotyping and comparing uterine S. zooepidemicus strains with isolates from the vagina and clitoral fossa. Mares with (n = 18) or without (n = 11) clinical symptoms of endometritis were included. Uterine samples were obtained using a guarded endometrial biopsy punch, whereas a swab was used to recover samples from the cranial vagina and the clitoral fossa. If S. zooepidemicus was present, up to three colonies were selected from each anatomical location (max. 9 isolates per mare). Bacterial isolates were characterized by pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST). S. zooepidemicus was isolated from the endometrium of 12 mares. A total of 88 isolates were analyzed by PFGE: 31 from the endometrium, 26 from the cranial vagina and 31 isolates from the clitoral fossa. For MLST 21 isolates were chosen. Results demonstrated a higher genetic similarity of the isolates obtained from infectious endometritis compared to isolates obtained from the caudal reproductive tract. In conclusion, we demonstrate for the first time that a genetically distinct group of S. zooepidemicus is associated with infectious endometritis in the mare. PMID:23597033

  17. 葆宫止血颗粒对药流后阴道出血的治疗效果

    Institute of Scientific and Technical Information of China (English)

    黎巧; 陈晓玲; 尹婉红

    2014-01-01

    目的:观察葆宫止血颗粒对药物流产后阴道出血的治疗效果。方法120例早孕需行药物流产的患者,随机分为两组。观察组患者于孕囊排出后给予葆宫止血颗粒15 g口服,2次/d,共用6 d;对照组患者孕囊排出后未服任何药物。记录两组患者的阴道出血量和出血时间。结果观察组患者的阴道出血量明显比对照组的少,差异有统计学意义(P<0.05)。观察组患者的出血时间明显短于对照组,差异有统计学意义(P<0.05)。结论葆宫止血颗粒具有减少阴道出血量、缩短阴道出血时间的作用。%Objective To observe the effect of baogongzhixue granules on colporrhagia after drug abortion.Methods One hundred and twenty patients underwent colporrhagia after drug abortion were divided into two groups:observation group and control group.The patients in the observation group were administrated with baogongzhixue granules after gestation sac discharge. The patients in the control group were not administrated with drugs after gestation sac discharge.The amount of bleeding and bleeding time of vagina were recorded in both groups.Results The amount of bleeding of vagina in the observation group were less than those in the control group(P<0.05). The bleeding time of vagina in the observation group were shorter than those in the control group(P<0.05).Conclusion Baogongzhixue granules can reduce the amount of bleeding of vagina and shorten the bleeding time of vagina.

  18. [CONSERVATIVE TREATMENT OF MAYER-ROKITANSKY-KÜSTER-HAUSER SYNDROME. REVIEW OF LITERATURE AND OUR EXPERIENCE].

    Science.gov (United States)

    Sirakov, M; Tomova, E

    2016-01-01

    Mayer-Rokitansky-Küster-Hauser syndrome is a part of the group of abnormalities known as "Anomalies of the fusion of the Müllerian ducts". It is characterized by normal development of breasts and hairs, normal appearance of external genitalia, normal feminine genotype (46XX), normal FSH, LH, E₂ and Test. levels, normal ovaries and congenital absence of uterus and the whole or the upper two thirds of the vagina. It is observed in about 15% of the cases with primary amenorrhea and the incidence is about 1:4500-6000. Etiologycal factors such as lack of estrogen/gestagen receptors, deletions or mutations of genes that stop the fusion, as well as the activation of anti-Müllerian hormone (AMH), are considered. The etiology is being explored but there is no consensus yet. The diagnosis is confirmed during a clinical examination, which takes place because of a primary amenorrhea (often happening at the age of 16), and the absence of a uterus and vagina is proved. The therapy should be handled by a multidisciplinary team including obstetrician, trained midwife, psychologist, specialist in imaging and psycho-sexual counseling. The idea for surgical creation of vagina (neovagina) dates many years ago. The first known documents date back to 1817 and over the years a variety of methods are offered usage of amnion, dura mater, peritoneum, skin grafts, different parts of the intestine, cellulose, etc. The first method of non-surgical treatment is offered by the Czech gynecologist Frank. His ambition was to build a vagina by gradual dilatation of the tissue while applying dilatators with successively increasing length and thickness. The method was further developed by Ingram (1981) and nowadays by Edmonds (2012). He reported about 245 patients treated during the last 12 years by his team. 232 of them had a success in anatomic aspect (95%), 13 did not complete the treatment due to psychological or cultural problems. The experts from American College of Obstetricians and

  19. 腹腔镜乙状结肠代阴道成形术45例临床分析%Clinical analysis of vaginoplasty with sigmoid colon by laparoscopic surgery

    Institute of Scientific and Technical Information of China (English)

    李斌; 王君; 伍冀湘; 王丽英

    2009-01-01

    Objective To study clinical effect of vaginoplusty with sigmoid colon by laparoscopic surgery. Method Clinical data of 45 cases with laparuscopic vaginoplasty using a vuscularized pedicled sigmoid colon flap were reviewed, including 41 cases with congenital absence of vagina and 4 cases with male pseudohermaphroditism. Operation time, blood loss, the anatomical and functional newly forming vagina were evaluated. Results The sigmoid colon colpopoiosis was preformed successfully in all 45 cases. The range of operation time was 135-245 minutes and the mean time was 157 minutes. The mean blood loss was 82 ml during operation. The artificial vaginas had excellent cosmetic outcome, including adequate vaginal length, good lubrication, and appearance and physical functions similar to natural vagina. A vaginal mould was employed for more than 3 months in 34 cases, achieving a good dilatation of the artificial vagina. Twenty-five patients with satisfied sexual intercourse were reported. Conclusion Laparoscopic vaginoplasty using a vuscularized pedicled sigmoid colon flap is a feasible and ideal management.%目的 分析腹腔镜乙状结肠代阴道成形术的临床效果.方法 回顾性分析45例腹腔镜乙状结肠代阴道成形术患者的临床资料,其中先天性无阴道41例,男性易性癣患者变性术后4例.观察45例腹腔镜乙状结肠代阴道成形术的手术时间、出血量及成形后的阴道形态、功能.结果 45例腹腔镜乙状结肠代阴道成形术均获得成功,手术时间135~245 min,平均157 min,平均出血量82 ml,人工阴道接近女性阴道的形态和生理功能;术后共有34例患者佩戴阴道模具达3个月以上,人工阴道扩张良好;有性生活者25例,均满意.无一例手术并发症发生.结论 腹腔镜乙状结肠代阴道成形术是目前较理想的阴道成形方法.

  20. The probe into sympathesis nursing using and pregnancy outcome in birth procedure%产程中应用同感心护理与分娩结局的探讨

    Institute of Scientific and Technical Information of China (English)

    成金焕; 郭晓燕

    2008-01-01

    目的 通过同感心在产程观察中的运用,提高阴道分娩质量,降低剖宫产率,保障母儿安全.方法 取2004年1月~2006年11月在产程观察中运用同感心的产妇2389例为实验组,取2002年1月~2003年12月相同条件取用传统护理模式护理的产妇819例为对照组,观察比较两组的阴道分娩率、顺产率、难产率、剖宫产率、产程时间、阴道出血量、新生儿窒息率.结果 实验组与对照组的阴道分娩率、顺产率、难产率、剖宫产率、产程时间呈显著性差异(P0.05).结论 在产程观察中运用同感心能显著提高阴道分娩质量,降低剖宫产率,保障母婴安全,值得在临床工作中推广应用.%Objective The application of sympathy during birth procedure observation enhances Vagina childbirth quality and reduces C-section rate,to ensure the mother and the child's safety.Methods Set the 2389 parturient women sympathy-applied during birth procedure observation from January 2004.to November 2006 as an experimental group;set 819 parturient women from January 2002 to December 2003 in the same conditions but nursed by traditional nursing pattem as a contrast group.Observe and compare both groups in the vagina childbirth rate,smooth birth rate,difficult birth rate,the c-section rate,the birth time,the vagina bleeding volume and the newborn suffocation rate.Results The experimental group and the observation group indicates significant difference in the vagina childbirth rate,smooth birth rate,difficult birth rate,the c-section rate,the birth time (P0.05).Condusion The application of empathy during birth procedure observation can significantly enhance Vagina childbirth quality and reduces c-section rate to ensure the mother and the child's safety,which is highly worth promoting the application in the clinical work.

  1. Clinical observation of compound Hippophae Rhamnoides seed oil suppository combined with An’ erdian in treatment of bacterial vaginosis%复方沙棘籽油栓联合安尔碘Ⅲ型消毒剂治疗细菌性阴道病的临床观察

    Institute of Scientific and Technical Information of China (English)

    肖夏; 孙倩

    2015-01-01

    Objective It is to observe the clinical efficacy on bacterial vaginosis treated by Compound Hippophae Rham -noides seed oil suppository combined with An ’ erdian Ⅲ disinfectant .Methods 185 patients were diagnosed with bacterial vaginosis in clinic .According to the treatment time , the patients were divided into 3 groups randomly .Group A was treated with metronidazole orally combined with putting compound Hippophae Rhamnoides seed oil suppository into vagina .Group B was treated with compound Hippophae Rhamnoides seed oil suppository into vagina and disinfecting the vagina and vulva with An’erdian Ⅲdisinfectant.Group C was treated with compound Hippophae Rhamnoides seed oil suppository into vagina , dis-infecting the vagina and vulva with An ’ erdianⅢdisinfectant combined with metronidazole orally .The clinical symptoms , com-prehensive therapeutic effects , laboratory examinations , the recurrence rates and drug safety of those groups were compared . Results The comprehensive therapeutic effects , improvements of vaginal pH , normal rates of ammonia transfer , and improve-ments of clinical symptoms after treatment in group B and C were better than that of group A .The recurrence rates of group B and C were obviously lower than that of group A .In getting faster improvements of clinical symptom group B and C were better than group C .But the rate of adverse effect of group B was lower than that of group A and C .Conclusion Putting Compound Hippophae Rhamnoides seed oil suppository into vagina and disinfecting vagina and vulva with An ’ erdian Ⅲdisinfectant can effectively treat for bacterial vaginosis .In order to getting symptom relieving faster and controlling the recurrence , this method should be promoted .%目的:观察复方沙棘籽油栓联合安尔碘Ⅲ型消毒剂治疗细菌性阴道病的临床疗效。方法选择临床诊断为细菌性阴道病的患者185例。按照就诊时间次序随机分为A、B、C 3组,A组口服甲

  2. 罗湖Ⅱ式腹腔镜腹膜阴道成形术临床应用研究%Study On the clinical application of Luohu type Ⅱ laparoscopic vaginoplasty with peritoneum

    Institute of Scientific and Technical Information of China (English)

    李宝艳; 杜敏; 廖莳; 石瑾秋; 秦成路; 张娟娟; 余鸿标; 张可; 罗光楠

    2011-01-01

    Objective: To explore the clinical application value of Luohu type Ⅱ laparoscopic vaginoplasty with peritoneum in treatment of congenital absence of vagina. Methods: 106 patients with congenital absence of vagina were treated with Luohu type Ⅱ laparoscopic vaginoplasty with peritoneum (Luohu type Ⅱ group), the clinical efficacy was observed, then the results were compared with those of 15 patients treated with laparoscopic vaginoplasty with sigmoid colon (sigmoid colon group) . Results: The operation times in Luohu type Ⅱ group and sigmoid colon group were (65.52 ± 16. 67) minutes and (202. 01 ± 18. 60) minutes, respectively, there was significant difference between the two groups ( P < 0. 05 ) . The amounts of blood loss during operation in Luohu type Ⅱ group and sigmoid colon group were (26. 98 ± 15.04)ml and ( 105. 34 ± 46. 36) ml, respectively, there was significant difference between the two groups ( P < 0. 05 ) . The anal exhaust times after operation in Luohu type Ⅱ group and sigmoid colon group were ( 14. 32 ±9.52) hours and (40. 45 ± 10. 02) hours,respectively, there was significant difference between the two groups ( P < 0. 05 ) . The hospitalization times in Luohu type Ⅱ group and sigmoid colon group were ( 28. 99 ± 4. 63 ) days and (25.45 ± 7.43 ) days, respectively, there was significant difference between the two groups (P <0. 05) . After follow- up for 3 ~ 12 months after operation, the depth of artificial vagina of 98 patients in Luohu type Ⅱ group was more than 9 cm, the depth of artificial vagina of 8 patients in Luohu type Ⅱ group was more than 8 cm, a vaginal speculum could insert into the artificial vagina, the vaginal mucosa was pink, moist and elastic, 81 patients had sexual activity, and 78 patients were satisfied with it,3 patients complained that the artificial vagina was shallow, polyps occurred on the top of artificial vagina of 12 patients. In sigmoid colon group, the depth of artificial vagina of all

  3. Laparoscopic Peritoneal Vaginoplasty: Report of 21 Cases%腹腔镜下腹膜代阴道成形术21例临床分析

    Institute of Scientific and Technical Information of China (English)

    康志宏; 郝敏

    2012-01-01

    目的 探讨腹腔镜下腹膜代阴道成形术的临床价值. 方法 2006年1月~2011年1月对21例先天性无阴道在腹腔镜监视下,分离盆腔腹膜,于尿道、膀胱与直肠间隙间建立阴道“隧道”,将4根腹膜牵引线经人工阴道牵出,覆盖人工阴道腔穴,直达阴道口,与前庭黏膜切口做间断缝合,腹腔镜下关闭盆腔内腹膜,将木制阴道模型置入人工阴道内,术后定期扩张阴道.随访Olson婚姻质量问卷ENRICH性生活因子评分. 结果 21例手术均成功,无尿道、膀胱、直肠损伤.手术时间(80.5±10.7)min,术中出血量(10.8±4.6)ml,术后住院时间(5.0±1.6)d.截止2011年1月,21例术后随访10 d~5年,(2.0±0.3)年,术后有性生活的20例性生活因子评分为(35.50±4.54)分,问卷常模为(37.60±6.90)分,无显著性差异(t=2.070,P=0.052). 结论 腹腔镜下腹膜代阴道成形术具有创伤小、恢复快和术后性生活满意的特点.%Objective To explore the value of laparoscopic peritoneal vaginoplasty. Methods Totally 21 cases of congenital absence of vagina received laparoscopic peritoneal vaginoplasty in our hospital from January 2006 to January 2011. Under a laparoscope, we separated the pelvic peritoneum so that to establish a " vagina tunnel" in the space between the bladder and rectum. With four threads, we pulled out the artificial vagina to cover the artificial vagina cavity through the vaginal orifice, and then interrupted suture was made at the vestibular mucosa incision. After laparoscopic closure of the inner pelvic peritoneum, a wooden vaginal mould was placed into the artificial vagina so that to dilate the vagina regularly after the operation. ENRICH marital inventory (Olson et al. ) was used for follow-up. Results The procedure was completed in all the 21 patients without causing injury to the ureter, bladder, or rectum. The operation time was (80. 5 ± 10. 7) min, and intraoperative blood loss was (10. 8 ±4. 6) ml. The patients were

  4. Effect Comparison of Two Types of Vaginoplasty%两种阴道再造术的疗效分析

    Institute of Scientific and Technical Information of China (English)

    李晓格; 李世荣; 曹川; 陈亮

    2012-01-01

    Objective To compare the therapeutic effects of two types of vaginoplasty which used free skin graft or labia minor flap for congenital absence of vagina. Methods 16 cases suffered from congenital absence of vagina were treated by two types of vaginoplasty, including 7 of free skin graft ,9 of labia minor flap combined with free skin graft.The follow-up duration was 6 month to 2 years. Results Both operation were success,The reconstructed vagina could hold 2~3fingers easily.the length of vagina was 8cm to 10cm. Labia minor flap combined with free skin graft vaginoplasty used more time than free skin graft vaginoplasty and the satisfactory rates of sexual life was higher than free skin graft vaginoplasty. Conclusion Both types of vaginoplasty are safe,reliable,simple, but labia minor flap combined with free skin graft are more closer to the normal vagina on physiological function of artificial vagina.%目的:比较单纯游离皮片法和小阴唇皮瓣联合游离皮片法阴道再造术的手术效果.方法:16例先天性无阴道的患者7例行中厚皮片阴道再造术,9例行小阴唇皮瓣联合中厚皮片法阴道再造.术后随访6个月~2年.结果:16例阴道再造患者皮片及小阴唇瓣均成活,术后阴道可容2~3指,阴道长约8~10cm,小阴唇皮瓣联合游离皮片的手术较单纯游离皮片法时间长,差异具有统计学意义(P<0.05),出血量无统计学意义(P<0.05).应用小阴唇皮瓣联合游离皮片的方法术后阴道长度及性生活满意率优于单纯游离皮片法(P<0.05),阴道宽度两种方法无明显差异(P>0.05).结论:两种方法操作简单,易于推广,相对于单纯中厚皮片的方法,小阴唇皮瓣结合皮片阴道再造术皮片不易挛缩,弹性好,腔隙湿润,更加符合生理环境,但是小阴唇瓣受小阴唇发育情况的限制,更适合小阴唇发育好的患者.

  5. 妇科术前阴道准备方法的改进与研究%Research in modification of preoperative vaginal preparations for gynecologic surgery

    Institute of Scientific and Technical Information of China (English)

    王晓慧; 孙亦珍; 李萍萍

    2010-01-01

    Objective To compare the clinical effect of povidone-iedine cream plus vagina scrubbing with traditional preoperative vaginal preparation method in order to seek a more safe,effective,convenient and efficient method to prepare the vagina.Methods 100 cases of married patients undergoing elective gynecological surgery were divided into the observation group and the control group with 50 patients in each.The observation group adopted povidone-iodine cream plus vagina scrubbing and the control group used traditional method.Two groups were prepared in the vagina before and after taking cervical swabs for bacterial culture to compare the positive rate of bacterial culture.Results Intra-group comparison of vaginal bacterial culture before and after vaginal preparation was significantly different,but no statistical significance was seen between the two groups.Conclusions Vagina preparation with povidoneiodine cream plus vagina scrubbing can not only reduce the workload of nurses but also improve patient comfort degree.%目的 比较聚维酮碘乳膏塞阴+阴道擦洗法与传统妇科术前阴道准备方法的临床效果,探讨更加安全、有效、方便、快捷的阴道准备方法.方法 选择2009年1~9月妇科已婚择期手术术前需行阴道准备患者100例,按执行阴道准备时间先后随机分为观察组和对照组各50例.观察组术前2 d晚上睡觉前在护士的指导下,将聚维酮碘乳膏1支注入阴道深处宫颈区,1次/d,手术前30 min用聚维酮碘棉球阴道擦洗1次.对照组术前2 d采用聚维酮碘棉球阴道擦洗,2次/d,手术前30 min阴道擦洗1次.分别在阴道准备前、后取2组宫颈拭子送细菌培养,比较细菌培养阳性率.结果 2组阴道准备前后细菌培养阳性率自身比较有显著差异,但组间同时段细菌培养阳性率比较无显著差异.结论 聚维酮碘乳膏塞阴+阴道擦洗可减轻护士的工作量,而且在增进患者舒适度上存在优越性.

  6. 腹腔镜下单叶腹膜代阴道成形术52例临床分析%The Clinical Ananlysis of 52 Cases of Laparoscopic Vaginoplasty Using Single Piece of Peritoneum

    Institute of Scientific and Technical Information of China (English)

    赵喜娃; 陈书成; 张辉; 张正茂; 李利; 张军; 康山

    2013-01-01

    Objective:To investigate the surgical skill and clinical value of laparoscopic vaginoplasty using single piece of peritoneum on congenital absence of vagina.Methods:The clinical data of 52 patients with congenital absence of vagina receiving laparoscopic vaginoplasty using single piece of peritoneum were retro-spectively analyzed.The operation time,blood loss volume and postoperative function of vagina were observed.Results:All 52 patients received successful operations.The mean operation time was 71.44 ± 18.99 minutes,and the mean blood loss volume was 49.78 ±19.59 ml.All patients were followed up for 1 month ~8 years.The mean length of post-operative vagina was 9.46 ± 0.68 cm.Artificial vagina mucosa was smooth,ruddy and flexible,which could meet the physiological demand.The mean score of FSFI which was conducted in married patients to evaluate the sex life quality was 27.84 ±2.76.Conclusions:Laparoscopic vaginoplasty using single piece of peritoneum is a convenient,safe,minimally invasive and reliable surgery for congenital absence of vagina and worthy of being widely applied in clinic.%目的:探讨腹腔镜下单叶腹膜代阴道成形术治疗先天性无阴道的手术技巧及临床应用价值.方法:回顾性分析52例先天性无阴道患者行腹腔镜下单叶腹膜代阴道成形术患者的临床资料,观察手术时间、术中出血量、术后阴道情况及患者性生活满意度.结果:52例患者手术均获得成功,平均手术时间为71.44±18.99分钟,术中出血49.78±19.59 ml.术后随访时间1个月至8年:人工阴道深度为9.46±0.68 cm,阴道黏膜红润、柔软、弹性好,已婚者FSFI评估性生活满意度,总评分为27.84±2.76分.结论:腹腔镜下单叶腹膜代阴道成形术治疗先天性无阴道具有操作简便、安全、微创、效果好等优点.

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

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    C. Moraes

    2010-04-01

    Full Text Available 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 cilíndrico 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.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 pseudostratified 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

  8. FEMALE PSEUDOHERMAPHRODITISM

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    AL. Bulotta

    2012-01-01

    Full Text Available Introduction. 21α-hydroxylase deficiency is the most frequent cause of virilization in patients with female karyotype due to exposure of a female fetus to excess of androgen. We report anatomical and cosmetic results of feminizing genital reconstruction of two related patients (second cousin with XX karyotype born with urogenital sinus anomalies (UGS and not treated at birth. Materials and Metods. Patient 1 is 6-years old with ambiguous genitalia graded as Prader V and never undergone therapy or surgery. Patient 2 is 10-years old, graded as Prader IV and subjected to hormonal therapy and clitoral amputation at the age of 6. Mobilization of urogenital sinus, pull-through of vagina and tubulization of urethra was performed in both after placement of Foley chateters in vagina and bladder by cisto-vaginoscopy. Genitoplasty involved refashioning the tissues to create minora and majora labia and, after removal of corpora, partial clitorectomy was carried in patient 1 and clitoridal reconstruction in patient 2. Result. Vaginal introitus was positioned in the vestibule region below urethral meatus. Foley chateters was removed after two weeks in narcosis and the cosmetic and anatomic result was good. Conclusion. Goals of feminizing genitoplasty are to restore, soon as possible, anatomy achieving a more feminine appareance with a vagina for menstruation, to preserve reproductive capacity and to prevent urological sequelae but it’s also important to contribute in a development of a more stable gender identity. This procedure in two stage, based on an accurate diagnosis, is good to create feminine genital appareance in children with female pseudohermaphroditism expecially if not treated at birth.

  9. Species of Pseudorhabdosynochus (Monogenea, Diplectanidae) from Groupers (Mycteroperca spp., Epinephelidae) in the Mediterranean and Eastern Atlantic Ocean, with Special Reference to the 'Beverleyburtonae Group' and Description of Two New Species.

    Science.gov (United States)

    Chaabane, Amira; Neifar, Lassad; Gey, Delphine; Justine, Jean-Lou

    2016-01-01

    Pseudorhabdosynochus Yamaguti, 1958 is a species-rich diplectanid genus, mainly restricted to the gills of groupers (Epinephelidae) and especially abundant in warm seas. Species from the Mediterranean are not fully documented. Two new and two previously known species from the gills of Mycteroperca spp. (M. costae, M. rubra, and M. marginata) in the Mediterranean and Eastern Atlantic Ocean are described here from new material and slides kept in collections. Identifications of newly collected fish were ascertained by barcoding of cytochrome c oxidase subunit I (COI) sequences. Pseudorhabdosynochus beverleyburtonae (Oliver, 1984) Kritsky & Beverley-Burton, 1986 and P. sosia Neifar & Euzet 2007 are redescribed from type-specimens and new specimens collected off Tunisia and Libya from M. marginata and M. costae, respectively. Pseudorhabdosynochus oliveri n. sp., from M. marginata (type-host) off the Mediterranean coast of France (type-locality), is described from specimens found among voucher specimens of P. beverleyburtonae deposited by Guy Oliver in the collection of the Muséum National d'Histoire Naturelle, Paris. Pseudorhabdosynochus oliveri is distinguished by the shape of its sclerotised vagina; it was not found in the other localities investigated. Pseudorhabdosynochus hayet n. sp. is described from M. rubra (type host) off Senegal (type-locality) and Tunisia. Pseudorhabdosynochus hayet is morphologically similar to P. sosia (type-host: M. costae) but was distinguished by differences in measurements of the vagina and male copulatory organ, different host, and divergent COI sequences. The four species (P. beverleyburtonae, P. sosia, P. oliveri, and P. hayet) share common characteristics such as squamodiscs with 2 innermost circular rows of rodlets and a similar general structure of the sclerotised vagina; we propose to group them into a 'beverleyburtonae group' within Pseudorhabdosynochus. PMID:27532108

  10. Species of Pseudorhabdosynochus (Monogenea, Diplectanidae) from Groupers (Mycteroperca spp., Epinephelidae) in the Mediterranean and Eastern Atlantic Ocean, with Special Reference to the ‘Beverleyburtonae Group’ and Description of Two New Species

    Science.gov (United States)

    Neifar, Lassad; Gey, Delphine; Justine, Jean-Lou

    2016-01-01

    Pseudorhabdosynochus Yamaguti, 1958 is a species-rich diplectanid genus, mainly restricted to the gills of groupers (Epinephelidae) and especially abundant in warm seas. Species from the Mediterranean are not fully documented. Two new and two previously known species from the gills of Mycteroperca spp. (M. costae, M. rubra, and M. marginata) in the Mediterranean and Eastern Atlantic Ocean are described here from new material and slides kept in collections. Identifications of newly collected fish were ascertained by barcoding of cytochrome c oxidase subunit I (COI) sequences. Pseudorhabdosynochus beverleyburtonae (Oliver, 1984) Kritsky & Beverley-Burton, 1986 and P. sosia Neifar & Euzet 2007 are redescribed from type-specimens and new specimens collected off Tunisia and Libya from M. marginata and M. costae, respectively. Pseudorhabdosynochus oliveri n. sp., from M. marginata (type-host) off the Mediterranean coast of France (type-locality), is described from specimens found among voucher specimens of P. beverleyburtonae deposited by Guy Oliver in the collection of the Muséum National d’Histoire Naturelle, Paris. Pseudorhabdosynochus oliveri is distinguished by the shape of its sclerotised vagina; it was not found in the other localities investigated. Pseudorhabdosynochus hayet n. sp. is described from M. rubra (type host) off Senegal (type-locality) and Tunisia. Pseudorhabdosynochus hayet is morphologically similar to P. sosia (type-host: M. costae) but was distinguished by differences in measurements of the vagina and male copulatory organ, different host, and divergent COI sequences. The four species (P. beverleyburtonae, P. sosia, P. oliveri, and P. hayet) share common characteristics such as squamodiscs with 2 innermost circular rows of rodlets and a similar general structure of the sclerotised vagina; we propose to group them into a ‘beverleyburtonae group’ within Pseudorhabdosynochus. PMID:27532108

  11. Small dosage of PG05 for pretreatment before the painless abortion%小剂量卡前列甲酯用于无痛负压吸引术前预处理的观察

    Institute of Scientific and Technical Information of China (English)

    张庆华; 果君媛; 张宏伟; 安亚丽

    2013-01-01

    Objectives: To explore the optimal administration time of PG05 placed in vagina for cervical dilation before the painless artificial abortion. Method:The prospective comparative study consisted of 300 pregnant women who voluntarily applied for the painless artificial abortion. They were randomly divided into three groups, 100 cases in each group, namely Group A, B and C. Comparison was carried out among those two treatment groups (A and B) and Group C which didn' t use any medicine for artificial abortion. Group A were placed 0.5mg PG05 in posterior fornix of vagina 1 hour before operation. Group B were placed 0. 5mg PG05 in posterior fornix of vagina 2 hours before operation. Cervical relaxation, operation time and blood loss during operation , operation effect and side effect were observed and compared among those groups. Result ? There was no significant difference in cervical relaxation between Group A and Group B (P>0. 05) but they were significantly different from Group C (P 0. 05 ). There was no significant difference in operation time and operation effect between Group A and Group B while significantly different from Group C (P 0.05).手术时间和手术效果方面A组、B组与C组比较差异有显著性(P<0.05).结论:无痛负压吸引术前阴道放置卡前列甲酯0.5mg可以有效地扩张软化宫颈、缩短手术时间、减少受术者痛苦;术前阴道上药时间1h和2h同样有效.

  12. Bilateral pudendal thigh flaps transfer for viginoplasty%阴股沟皮瓣阴道再造

    Institute of Scientific and Technical Information of China (English)

    陈能彬; 胡静

    2012-01-01

    Objective To explore the methods and effect of viginoplasty with bilateral pudendal thigh flaps transfer. Methods From December 2001 to February 2012, twelve patients of congenital absence of vagina were performed viginoplasty of bilateral pudendal thigh flaps transfer pedicled with perineal arteries. Then the clinical experience was summarized and analyzed. Results All flaps in 12 cases survived well, and the reconstructed vagina all gained satisfactory function and appearance without severe complications or scars after 6 to 12 months follow-up. Conclusion It is a safe and effective approach of bilateral pudendal thigh flaps transfer for the reconstruction of congenital absence of vagina.%目的 探讨阴股沟皮瓣阴道再造术的方法 和疗效.方法 自2001年12月至2012年2月,共对12例先天性无阴道患者以双侧会阴动脉为蒂的阴股沟皮瓣,行阴道再造术,并对临床经验作以总结.结果 本组12例患者,皮瓣全部成活,再造阴道功能、外观良好,随访6~12个月,无严重并发症及瘢痕增生,效果满意.结论 阴股沟皮瓣再造阴道,效果可靠,是一种安全、有效的治疗先天性无阴道畸形的整复方法.

  13. 微波治疗阴道残端息肉的效果观察及护理

    Institute of Scientific and Technical Information of China (English)

    李江筠; 石喜妹

    2011-01-01

    Objective To discuss the nursing points in caring for patients with vagina remnant end polyp treated by microwave. Method Vagina remnant end polyps in thirty-three patients were excised by arterial clamps, and then the base of vagina was heat cured by the microwave and related nursing was carried out. Results Patients were reexamined one month after the treatment. All the 33 patients were cured completely. and the cure rate was 100.0.% Reexamination found no recurrence 6 months after the treatment. Conclusioons Using the microwave to treat ,ragina remnant end polyp cure had high cure rate and low recurrence rate. Simultaneoualy, psychological nursing and careful nursing guaramteed the successful and effective treatment.%目的:探讨微波治疗阴道残端息肉患者的效果及总结护理要点.方法:将33例阴道残端息肉患者在切除息肉后,应用微波将其基底部进行热凝固治疗,并配合做好相关护理.结果:治疗后1个月复查,33例患者全部一次性治愈,治愈率100.0%,治疗后6个月复查均无复发.结论:应用微波治疗阴道残端息肉治愈率高,复发率低.术前应做好患者心理护理,术中密切观察病情,术后做好健康指导,其是保证治疗顺利进行的有效措施.

  14. 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

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    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.

  15. Ultrastructural and immunohistochemical studies on Trichomonas vaginalis adhering to and phagocytizing genitourinary epithelial cells

    Institute of Scientific and Technical Information of China (English)

    陈文列; 陈金富; 钟秀容; 梁平; 林炜

    2004-01-01

    Background Trichomonas vaginalis (T. vaginalis) belongs to a common sexually transmitted disease pathogen causing genitourinary trichomoniasis in both sexes. We investigated the pathogenetic mechanism of genitourinary trichomoniasis.Methods Cultured T. vaginalis bodies were injected into the vaginas of rats, or incubated with genitourinary epithelial cells of female subjects, male subjects, and sperm. The ultrastructural and microscopic changes were observed via transmission and scanning electron microscopy and through microscopic histochemistry.Results Groups of T.vaginalis adhered to PAS positive columnar cells at the surface of stratified epithelium in the middle and upper portions of the vaginas. They also traversed under these cells. The parasites were shown to be PAS, cathepsin D, and actin positive, and they could release hydrolase into the cytoplasm of adhered epithelial cells. In the amebiform T.vaginalis, microfilaments were arranged into reticular formation. Similar phenomena were found during the interaction of T.vaginalis with host cells, both in vitro and in vivo. Usually several protozoa adhered to an epithelial cell and formed polymorphic pseudopodia or surface invaginations to surround and phagocytize the microvilli or other parts of the epithelial cytoplasm. Adhesion and phagocytosis of sperm by the protozoa occurred at 15-30 minutes of incubation. Digestion of sperm was found at 45-75 minutes and was complete at 90-105 minutes.Conclusions T.vaginalis tends to parasitize at the fornix of the vagina, because this is the site where columnar cells are rich in mucinogen granules and their microvilli are helpful for adhesion and nibbling. T.vaginalis possesses some invading and attacking abilities. Shape change, canalization, encystation, phagocytosis, digestion, the cell coat, cytoskeleton, and lysosome all play important roles in the process of adhesion. They have two methods of phagocytosis: nibbling and ingestion. Genitourinary epithelium may be

  16. Aplicación de los colgajos fasciocutáneos vulvoperineales en cirugía pediátrica: a propósito de un caso Application of vulvoperineal fasciocutaneous flaps in pediatric surgery: case report

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    S. Pérez Bertólez

    2008-09-01

    Full Text Available La incidencia de agenesia de vagina es de 1/4000- 10000 recién nacidas vivas. La causa más frecuente es el síndrome de Mayer-Rokitansky-Küster-Hauser. Presentamos un caso de reconstrucción vaginal con colgajos fasciocutáneos vulvoperineales de Málaga en una paciente pediátrica afecta de este síndrome, describiendo los pasos del procedimiento y las bases anatómicas en las que se fundamenta. Esta técnica permite la creación de una neovagina sensible, con una cobertura de excelente calidad, con un ángulo de inclinación fisiológico y natural y un axis anatómico correcto para la relación sexual; se realiza en un solo tiempo quirúrgico y con mínima morbilidad para la paciente. Su principal inconveniente es el crecimiento de pelo dentro de la vagina, aunque se atenúa con el tiempo debido a un fenómeno de atrofia folicular y metaplasia cutánea.The incidence of vaginal agenesis is 1/4000-10000 female alive newborns. The most frequent cause is Mayer-Rokitansky-Küster-Hauser syndrome. A technique for vaginal reconstruction using the vulvoperineal fasciocutaneous flaps (Malaga flaps in a pediatric patient affected of this syndrome is presented, describing the steps of the procedure and its anatomic basis. This technique allows the reconstruction of an excellent quality and sensible neovagina, with a physiologic inclination angle which allows the sexual intercourse, in one single stage operation and with minimal morbidity. The main inconvenient of this procedure is the hair growth inside the vagina, although it diminishes with the passage of time due to follicular atrophy and cutaneous metaplasy.

  17. A Pilot Study Measuring the Distribution and Permeability of a Vaginal HIV Microbicide Gel Vehicle Using Magnetic Resonance Imaging, Single Photon Emission Computed Tomography/Computed Tomography, and a Radiolabeled Small Molecule.

    Science.gov (United States)

    Fuchs, Edward J; Schwartz, Jill L; Friend, David R; Coleman, Jenell S; Hendrix, Craig W

    2015-11-01

    Vaginal microbicide gels containing tenofovir have proven effective in HIV prevention, offering the advantage of reduced systemic toxicity. We studied the vaginal distribution and effect on mucosal permeability of a gel vehicle. Six premenopausal women were enrolled. In Phase 1, a spreading gel containing (99m)technetium-DTPA ((99m)Tc) radiolabel and gadolinium contrast for magnetic resonance imaging (MRI) was dosed intravaginally. MRI was obtained at 0.5, 4, and 24 h, and single photon emission computed tomography with conventional computed tomography (SPECT/CT) at 1.5, 5, and 25 h postdosing. Pads and tissues were measured for activity to determine gel loss. In Phase 2, nonoxynol-9 (N-9), containing (99m)Tc-DTPA, was dosed as a permeability control; permeability was measured in blood and urine for both phases. SPECT/CT showed the distribution of spreading gel throughout the vagina with the highest concentration of radiosignal in the fornices and ectocervix; signal intensity diminished over 25 h. MRI showed the greatest signal accumulation in the fornices, most notably 1-4 h postdosing. The median (interquartile range) isotope signal loss from the vagina through 6 h was 29.1% (15.8-39.9%). Mucosal permeability to (99m)Tc-DTPA following spreading gel was negligible, in contrast to N-9, with detectable radiosignal in plasma, peaking at 8 h (5-12). Following spreading gel dosing, 0.004% (0.001-2.04%) of the radiosignal accumulated in urine over 12 h compared to 8.31% (7.07-11.01%) with N-9, (p=0.043). Spreading gel distributed variably throughout the vagina, persisting for 24 h, with signal concentrating in the fornices and ectocervix. The spreading gel had no significant effect on vaginal mucosal permeability. PMID:26077739

  18. Antimicrobial Potentials of Lactic Acid Bacteria Isolated From a Nigerian Menstruating Woman

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    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

  19. Evaluation of profertility effect of probiotic Lactobacillus plantarum 2621 in a murine model

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    Praveen Bhandari

    2015-01-01

    Full Text Available Background & objectives: Urogenital infections of bacterial origin have a high incidence among the female population at reproductive age, affecting the fertility. Strains of Escherichia coli can colonize the vagina and replace natural microflora. Lactobacillus the predominant vaginal microorganism in healthy women, maintains the acidic vaginal pH which inhibits pathogenic microorganisms. Studies on Lactobacillus have shown that these can inhibit E. coli growth and vaginal colonization. An alternative therapeutic approach to antimicrobial therapy is to re-establish Lactobacillus in this microbiome through probiotic administration to resurge fertility. Therefore, the aim of the present study was to determine the capability of L. plantarum 2621 strain with probiotic properties, to prevent the vaginal colonization of E. coli causing agglutination of sperms and to evaluate its profertility effect in a murine model. m0 ethods: Screened mice were divided into five groups i.e. control group, E. coli group, Lactobacillus group, prophylactic and therapeutic groups. The control group was infused with 20 µl PBS, E.coli group was administered with 10 [6] cfu/20 µl E. coli, and probiotic group was administered with Lactobacillus (10 [8] cfu/20 µl for 10 consecutive days. In prophylactic group, the vagina was colonized with 10 consecutive doses of Lactobacillus (10 [8] cfu/20 µl. After 24 h, it was followed by 10 day intravaginal infection with E. coli (10 [6] cfu/20 µl whereas for the therapeutic group vagina was colonized with (10 [6] cfu/20 µl E. coli for 10 consecutive days, followed by 10 day intravaginal administration with Lactobacillus after 24 h. Results: Upon mating and completion of gestation period, control, probiotic and the therapeutic groups had litters in contrast to the prophylactic group and the group administered with E. coli. Interpretation & conclusions: Results indicated that Lactobacillus intermitted colonization of pathogenic

  20. Description of Pseudorhabdosynochus justinei n. sp. (Monogenea: Diplectanidae) and redescription of P. vagampullum (Young, 1969) Kritsky & Beverley-Burton, 1986 from the gills of the longfin grouper Epinephelus quoyanus (Valenciennes) (Perciformes: Serranidae) in Dapeng Bay, South China Sea.

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    Zeng, Bijian; Yang, Tingbao

    2007-03-01

    Pseudorhabdosynochus justinei n. sp. is reported and described from the gills of the longfin grouper Epinephelus quoyanus in Dapeng Bay, South China Sea off the town of Nan'ao, Shenzhen, Guangdong Province, China. P. justinei n. sp. is characterised by the presence of a male copulatory organ (MCO) composed of a moderately quadriloculate organ, a short cone and a long, variable internal tube, and a sclerotised vagina comprising anterior 'trumpet' with a characteristic sclerotised ring, slightly medially curved canal, heavily sclerotised principal chamber and star-shaped lateral structure with accessory chambers. It is differentiated from the most similar species, P. caledonicus Justine, 2005, by the absence of a thinly sclerotised posterior tube of the MCO and by the size and morphology of the sclerotised vagina. P. vagampullum (Young, 1969) is redescribed based on specimens collected from the same species of host and locality as P. justinei n. sp. In comparison with the original description by Young [Young, P. C. (1969). Journal of Helminthology, 43, 223-254] and the redescription by Justine [Justine, J.-L. (2005a). Systematic Parasitology, 62, 1-37; (2005b). Systematic Parasitology, 62, 39-45] based on old museum material, the new specimens of P. vagampullum clearly showed the internal anatomy of the terminal genitalia, especially the sclerotised vagina, consisting of a distal, cylindrical canal with an anterior 'trumpet' continuing as an unsclerotised, curved, bulb-shaped vaginal pore, a conical principal chamber and a star-shaped lateral structure with an accessory chambers leading to the seminal receptacle via a fine, unsclerotised duct. PMID:17143574