Background: We sought to compare the effectiveness and safety of sublingual versus vaginal misoprostol for the termination of pregnancy with a live full-term fetus.Methods: This randomized, triple-blind, placebo-controlled clinical trial was performed on 200 primiparous women with normal, singleton, full-term pregnancies candidated for the induction of labor. Sublingual and vaginal tablets cont...

Matrix metalloprotease (MMP) activity is increased in the postpartum vagina of wild-type (WT) animals. This degradative activity is also accompanied by a burst in elastic fiber synthesis and assembly. The mechanisms that precipitate these changes are unclear. The goals of this study were to determine how vaginal distention (such as in parturition) affects elastic fiber homeostasis in the vagina...

BACKGROUND: The changes in vaginal acidity impact the composition of microbiota, either commensal or pathogenic. After menopause, tract is more susceptible to infection. Current study was conducted analyze effect on microbiota menopausal women.METHODS: A cross-sectional 32 subjects with vulvovaginal atrophy (VVA). Vaginal pH measured using a strip colorimetric examination. detection Candida sp....

Background: Vaginal cancer presenting concurrently with stage 4 uterovaginal prolapse is a rare occurrence, representing less than 1% of all gynecologic malignancies. Case: We review the case of an 82-year-old woman who presented for care of prolapse. Examination demonstrated complete uterovaginal prolapse and a vaginal ulcer, later confirmed to be vaginal cancer. Conclusion: The management of ...

We present a case of complete vaginal stenosis in a woman diagnosed with Sheehan's syndrome. The patient delivered at full-term 5 months prior, and experienced massive postpartum bleeding at that time. During evaluation of persistent amenorrhea, we found that her vaginal orifice was completely adhesive and obstructed. Prior to corrective surgery, we managed the patient with an oral contraceptiv...

Background: Fallopian tube prolapse is an infrequent complication of hysterectomy. Surgical management has been described by vaginal, abdominal, and combined approaches. More recently, laparoscopic management has been advocated generally in combination with vaginal surgery or in cases in which an initial vaginal operation was unsuccessful. Case: We report our totally laparoscopic technique for ...

OBJECTIVE To complete a systematic review of the published literature comparing complications, postoperative recovery time, and costs following laparoscopy-assisted vaginal hysterectomy, total abdominal hysterectomy (TAH), and vaginal hysterectomy. DATA SOURCES We searched MEDLINE and several bibliographies, identifying all reports using the term "laparoscopy-assisted hysterectomy" published ...