Peri-urethral Injections

Sep 20, 2016 by in GYNECOLOGY Comments Off on Peri-urethral Injections

Agent (author) RCT design (N) Follow-up (years) Volume injected (mL)b Dry/improvedc Subjects requiring multiple treatments Durasphere [38] Multicenter     Agent (176) 1 Agent: 4.83**** –/66 % 35 % Control (188)  Control: 6.23**** –/66 %…

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Office Diagnostic Hysteroscopy

Sep 20, 2016 by in GYNECOLOGY Comments Off on Office Diagnostic Hysteroscopy

Evaluation of abnormal bleeding • Premenopausal anovulatory women • Premenopausal ovulatory women • Postmenopausal bleeding Evaluation of infertility • Routine infertility work-up • Abnormal HSG • Pre-IVF evaluation • Recurrent…

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Saline Infusion Sonohysterography

Sep 20, 2016 by in GYNECOLOGY Comments Off on Saline Infusion Sonohysterography

Fig. 6.1 Normal saline infusion sonohysterography (SIS). (a) Sagittal view. (b) 3D rendering Supporting Data When compared to traditional two-dimensional (2D) transvaginal sonography, SIS has been found in numerous studies…

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Colposcopy

Sep 20, 2016 by in GYNECOLOGY Comments Off on Colposcopy

Fig. 15.1 ASCCP application for smartphone and tablets Screening Program Success The health profession’s success on limiting cervical cancer deaths is based on a confluence of favorable factors. For one,…

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Cystoscopy

Sep 20, 2016 by in GYNECOLOGY Comments Off on Cystoscopy

Fig. 11.1 Rigid cystoscope Fig. 11.2 Components of rigid cystoscope (a) telescope (b) bridge (c) sheath Flexible cystoscopes have the ability to combine the optical system along with irrigation capabilities…

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Basic Gynecologic Procedures

Sep 20, 2016 by in GYNECOLOGY Comments Off on Basic Gynecologic Procedures

Fig. 5.1 ParaGard IUD—seen with sterile package contents which include device, loading instructions, ringed solid white insertion rod, and a measurement guide. Note the arms bend downward for loading Fig….

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Hysteroscopic Tubal Sterilization

Sep 20, 2016 by in GYNECOLOGY Comments Off on Hysteroscopic Tubal Sterilization

Fig. 8.1 Tip of Essure™ delivery catheter with loaded nitinol microcoil insert In-Office Application Since FDA approval of a device for transcervical sterilization in 2002, the number of tubal sterilizations…

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Trigger Point Injections for Pelvic Pain

Sep 20, 2016 by in GYNECOLOGY Comments Off on Trigger Point Injections for Pelvic Pain

Agent Onset of action (min) Duration of effect (min) Maximum total dose (mg) Lidocaine 2–5 30–120 300 Bupivacaine 5–10 120–240 175 Ropivacaine 3–15 120–360 200 Fig. 14.1 Iowa trumpet needle…

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