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Celiac disease as a cause of chronic pelvic pain, dysmenorrhea, and deep dyspareunia.

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BACKGROUND Celiac disease may be subclinical and difficult to diagnose in adults. It has been associated with infertility and miscarriage but rarely with other gynecologic symptoms. METHODS A 43-year-old woman complaining of chronic abdominal and pelvic pain, deep dyspareunia, dysmenorrhea,

Rectal perforation at the time of vaginal mesh placement and subsequent abdominal mesh removal.

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BACKGROUND We present an uncommon complication of vaginally placed synthetic prolapse mesh and demonstrate repair of rectal mesh perforation. METHODS A 41-year-old was referred with multiple complaints following rectocele repair using a posterior vaginal mesh kit 5 months earlier. In the immediate

Rectosigmoid deep infiltrating endometriosis and ureteral involvement with loss of renal function.

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Endometriosis is a complex disease with unclear pathogenesis, defined as the presence of endometrial tissue (glands and stroma) outside its usual location in the uterine cavity. Ureteral involvement is rare, with an estimated frequency of 10-14% in cases of deep endometriosis with nodules of 3 cm or

[Inclusion of symptoms in the discrimination between benign and malignant adnexal masses].

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OBJECTIVE To assess the association between clinical symptoms and the diagnosis of malignancy in women with adnexal tumors who underwent surgery. METHODS Cross-sectional study, in which 105 women with adnexal tumors and indication for laparotomy/laparoscopy were included. All women were treated at a

Long-Term Administration of Dienogest for the Treatment of Pain and Intestinal Symptoms in Patients with Rectosigmoid Endometriosis.

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Rectosigmoid endometriosis is a severe form of deep endometriosis, which may be responsible for pain symptoms and a wide range of intestinal complains such as diarrhea, constipation, and abdominal cramping. The primary objective of this study was to evaluate the efficacy of long-term

Are the long-term adverse effects of laparoscopic presacral neurectomy for the management of central pain associated with endometriosis acceptable?

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Objective: To assess the long-term genitourinary and gastrointestinal complaints following presacral neurectomy.Design: A prospective postoperative follow-up of patients who underwent laparoscopic presacral neurectomy and treatment of endometriosis.Materials and Methods: The mean follow-up of the 67

Continuous Amenorrhea May Be Insufficient to Stop the Progression of Colorectal Endometriosis.

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We present the case of a patient in whom consecutive imaging assessment and surgery demonstrated the obvious progression of colorectal endometriosis under continuous medical therapy. A 26-year-old nullipara presented with secondary dysmenorrhea, deep dyspareunia, diarrhea, and constipation during

Endometriosis of the terminal ileum simulating the clinical, roentgenographic, and surgical findings in Crohn's disease.

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A 38-yr-old nulliparous female presented with endometriosis of the terminal ileum which mimicked the clinical, roentgenographic, and surgical findings of Crohn's disease. The patient presented with diarrhea, right lower quadrant pain, fever, and significant weight loss. At surgery, the terminal

Pseudomembranous enterocolitis after gynecologic endoscopy.

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A 21-year-old nulligravida underwent diagnostic hysteroscopy and laparoscopic potassium-titanyl-phosphate laser ablation of pelvic peritoneal endometriosis (revised American Fertility score of 10) for dysmenorrhea, dyspareunia, and dyschezia. Preoperatively the patient had an electrolyte bowel

Treatments for invasive carcinoma of the cervix: what are their impacts on the pelvic floor functions?

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OBJECTIVE Describe the impact of surgery, radiotherapy and chemoradiation in the pelvic floor functions in cervical cancer patients. METHODS A prospective study with women submitted to radical hysterectomy (RH) (n = 20), exclusive radiotherapy (RT) (n = 20) or chemoradiation (CT/RT) (n = 20) for

Inflammatory Bowel Disease--A Complicating Factor in Gynecologic Disorders?

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Gynecologic disorders occur commonly in women with Crohn's disease and ulcerative colitis. Frequently, these women also suffer menstrual disorders with gastrointestinal symptoms that overlap with those related to inflammatory bowel disease (IBD). Knowledge of the range of gynecologic problems--for

Patient reported quality of life after helical IMRT based concurrent chemoradiation of locally advanced anal cancer.

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Concurrent chemoradiation (CCRT) is the standard treatment for locally advanced anal canal carcinoma, although treatment-related side effects can affect patient quality of life (QOL). The purpose was to prospectively evaluate the effects of Tomotherapy (HT) based CCRT on patient reported QOL in

Prognostic factors for long-term quality of life after adjuvant radiotherapy in women with endometrial cancer.

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BACKGROUND Adjuvant radiotherapy (RT) for endometrial cancer (EC) may affect patients' quality of life (QoL). There is a paucity of data on prognostic factors for long-term QoL and sexual functioning. This study aimed to investigate such factors and assess the role of the vaginal dilator

Transrectal high-intensity focused ultrasound (HIFU) for the management of rectosigmoid deep infiltrating endometriosis: results of phase I clinical trial.

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Deep invasive endometriosis (DIE) of the rectosigmoid is associated with painful symptoms. When medical treatments are ineffective, surgical resection remains the standard despite significant adverse events. High intensity focused ultrasound (HIFU) is a minimally invasive ablative

Short- and Long-Term Quality of Life and Bowel Function in Patients With MRI-Defined, High-Risk, Locally Advanced Rectal Cancer Treated With an Intensified Neoadjuvant Strategy in the Randomized Phase 2 EXPERT-C Trial.

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OBJECTIVE Intensified preoperative treatments have been increasingly investigated in locally advanced rectal cancer (LARC), but limited data are available for the impact of these regimens on quality of life (QoL) and bowel function (BF). We assessed these outcome measures in EXPERT-C, a randomized

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