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Minimal Criteria for the Diagnosis of Avulsion of the Puborectalis Muscle by To...
Dietz, Hans P; Bernardo, MJ; Kirby, A; Shek, Ka LaiIntroduction and hypothesis Puborectalis avulsion is a likely etiological factor for female pelvic organ prolapse(FPOP). We performed a study to establish minimal sonographic criteria for the diagnosis of avulsion. Methods We analysed datasets of 764 women seen at a urogynecological service. Offline analysis of ultrasound datasets was performed blinded to patient data. Tomographic ultrasound imaging (TUI) was u...
McCune Albright Syndrome: A Diagnosis to be Kept in Mind
Barros, L; Sousa, F; Bernardo, MJPrecocious puberty, defined as the development of secondary sexual characteristics before the age of 8, often leads to anxiety in patients and their families but also in clinicians searching for the final diagnosis. After adequate investigation, the majority of the cases in girls turn out to be idiopathic. The authors present a case of McCune Albright syndrome in order to call attention to a rare cause of sexua...
Postmenopausal Bleeding and Endometrial Changes: Clinical Significance?
Correia, A; Barreto, S; Mahomed, F; Bernardo, MJIntroduction: Postmenopausal bleeding is a common complaint from women seen in general practice, although majority of them, will have no major problem. Objective: Study of endometrium in postmenopausal women with suspicious sonographic endometrial changes. Comparison of findings in asymptomatic women and those who reported metrorrhagia. Methods: Consultation of outpatient medical records of 487 women undergoing...
Two Gestational Sacs, Two Locations - Heterotopic Pregnancy - Case Report
Olival, V; Bernardo, MJ; Leitão, C; Coelho, M; Nunes, MJ; Nery, Isabel; Mira, RIntroduction: Heterotopic pregnancy (HP) is defined as two gestational sacs simultaneously present in two different locations, being the uterus and the fallopian tubes the more common. Sporadic HP is a very rare condition (1:30,000 pregnancies). With the use of medically assisted reproduction the prevalence is significantly higher(1:7,000). Considering spontaneous pregnancy, HP is associated with risk factors, ...
Office Hysteroscopy After Ultrasonographic Diagnosis of Thickened Endometrium i...
Cordeiro, A; Condeço, R; Leitão, C; Sousa, F; Coutinho, S; Silva, MC; Bernardo, MJ; Mira, RThe aim of our study was to access office hysteroscopy results in postmenopausal patients with thickened endometrium. A retrospective descriptive study was carried out on 245 postmenopausal patients submitted to office hysteroscopy after sonographic diagnosis of thickened endometriumin 20 consecutive months.Women were evaluated for age, hormonal therapy, hysteroscopic findings, procedure duration, complications...
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