Publications by authors named "Cassia R T Juliato"

Article Synopsis
  • The study investigates the safety and complications of vaginal pessary use for women with pelvic organ prolapse (POP) by comparing follow-up intervals of 3 months versus 6 months.
  • In this randomized clinical trial, 38 women with advanced POP were divided into two groups to assess the impact of differing cleaning and monitoring frequencies by a healthcare professional.
  • Results showed no significant difference in ulcerations between the groups, but the 6-month group had a higher incidence of bacterial vaginosis, suggesting more frequent follow-up may be beneficial.
View Article and Find Full Text PDF

Introduction: The efficacy of unilateral versus bilateral Transcutaneous Tibial Nerve Stimulation (TTNS) for women with Overactive Bladder Syndrome (OAB) remains uncertain.

Objective: To compare the efficacy of unilateral and bilateral TTNS in the tibial region in women with OAB.

Methods: This randomized, controlled, triple-blind clinical trial included women with OAB or urgency-predominant urinary incontinence (UUI).

View Article and Find Full Text PDF
Article Synopsis
  • Vaginal laxity (VL) is a condition that women often feel embarrassed to talk about, so there's not much information about it available from doctors.
  • The study involved talking to 16 women about their experiences with VL to understand their feelings and challenges related to it.
  • Key findings showed that many women feel alone and ashamed, struggle to seek help, and find that VL affects their relationships and intimacy with partners.
View Article and Find Full Text PDF

Objective: This study aimed to translate and validate the Estro-Androgenic-Symptom Questionnaire in Women (EASQ-W) into Brazilian Portuguese language, as we hypothesized that this tool would be consistent for addressing the specific context of hormonal symptoms in menopause.

Methods: In a cross-sectional study, a total of 119 women with Genitourinary Syndrome of Menopause (GSM) and 119 climacteric women without GSM were included. The EASQ-W was translated, and its psychometric properties were rigorously examined.

View Article and Find Full Text PDF

Objectives: The objective was to describe the ease and difficulty of removing intrauterine devices (IUDs).

Methods: We conducted a prospective study at the University of Campinas (UNICAMP), Faculty of Medical Sciences, UNICAMP. We included women who requested IUD removal.

View Article and Find Full Text PDF

Background: Vaginal laxity (VL) is a complaint of excessive vaginal looseness with a prevalence ranging from 24% to 38% across studies.

Aim: The study sought to compare the effect of radiofrequency (RF) and pelvic floor muscle training (PFMT) on the treatment of women with VL.

Methods: From February 2020 to December 2021, a prospective, parallel, noninferiority, randomized clinical trial was carried out in women ≥18 years of age and complaining of VL in a tertiary hospital.

View Article and Find Full Text PDF

Objective: To evaluate the influence of the personal experience of female obstetricians and gynaecologists (Obst/Gyns) who utilise contraceptive methods on the provision of these methods.

Methods: An anonymous online web-based survey was carried out with female Obst/Gyns. The instrument contained questions about their current and previous contraceptive methods use, factors that influenced the choice and satisfaction with the ongoing method, as well as the occurrence of adverse events.

View Article and Find Full Text PDF
Article Synopsis
  • A study was done to translate a questionnaire about body and sexual feelings after childbirth into Brazilian Portuguese for new mothers.
  • They surveyed 234 women who had given birth, either naturally or by C-section, to see how well the questionnaire worked for them.
  • The results showed that the questionnaire was reliable and could help understand the effects of perineal tears better, linking it to things like older age and urinary problems.
View Article and Find Full Text PDF

To evaluate gene expression associated with unfavorable vaginal bleeding in users of the Etonogestrel (ENG) contraceptive implant. Prospective study involving 100 women who intended to use the ENG implant. Exclusion criteria included abnormal uterine bleeding, inability to attend a 1-year follow-up, and implant removal for reasons unrelated to vaginal bleeding or loss of follow-up.

View Article and Find Full Text PDF

Importance: Pelvic floor muscle training (PFMT) is considered the first option as a conservative treatment for female stress urinary incontinence (SUI). However, there is still debate whether energy-based devices are effective for treating SUI.

Objective: The objective of this study was to assess whether PFMT and fractional CO2 laser therapy may improve symptoms in women with SUI.

View Article and Find Full Text PDF

Objective: The objective of this study was to evaluate the effects of home-based pelvic floor muscle training in women with urinary incontinence, addressing the difficulties arising from social isolation due to the coronavirus disease 2019 pandemic by utilizing a specialized mobile app.

Methods: This randomized, single-group clinical trial aimed to assess the efficacy of pelvic floor muscle training guided by a mobile app (Diario Saúde) in women with stress urinary incontinence. Participants were instructed via telephone to engage in pelvic floor muscle training exercises twice a day for 30 days.

View Article and Find Full Text PDF

Background: Female sexual dysfunction (FSD), including vaginal laxity (VL), can lead to a decrease in quality of life and affect partner relationships.

Aim: We aimed to investigate the associated factors of VL and FSD and their relationship with other pelvic floor disorders in a female population.

Methods: This cross-sectional study was conducted at Chelsea and Westminster Hospital from July to December 2022.

View Article and Find Full Text PDF
Article Synopsis
  • There was no complete review before on how to treat vaginal laxity (VL), so researchers wanted to find the best methods to help women with this issue.
  • They looked at many studies from different sources to see how effective treatments like laser, radiofrequency (RF), surgery, and creams were for improving VL and related problems like sexual function and muscle strength.
  • After checking 816 records, they found 38 studies that showed some treatments helped with sexual function, but the results were mixed, especially when comparing RF to a fake treatment, suggesting more research is needed.
View Article and Find Full Text PDF

The aim of our article is to discuss barriers associated with post-pregnancy contraception in Brazil during the SARS-CoV-2 (COVID-19) pandemic. Socioeconomic differences in gaining access to long-acting reversible contraceptive (LARC) methods became greater during the COVID-19 pandemic. The inadequate distribution of existing resources and the reduced capacity for elective care meant that healthcare providers in family planning had to be reallocated to respond to COVID-19 emergencies.

View Article and Find Full Text PDF

Objective: To evaluate gene expression associated with vaginal bleeding in the 52-mg hormonal intrauterine device (IUD) users.

Materials And Methods: We conducted a prospective study involving 100 women seeking to use the 52-mg hormonal IUD for contraception. We excluded women with a history or current condition of abnormal uterine bleeding and who were unable to attend a 1-year follow up.

View Article and Find Full Text PDF

Introduction And Hypothesis: This study was aimed at evaluating the impact of a mobile app-guided pelvic floor muscle training (PFMT) program on urinary symptoms and quality of life in women suffering from urinary incontinence.

Methods: The study included women with stress urinary incontinence (SUI), who underwent a structured interview and completed validated questionnaires, including the Questionnaire for Urinary Incontinence Diagnosis (QUID), the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), and the Incontinence Quality of Life Questionnaire (I-QOL). These women were randomly assigned to one of two groups: the app group, which received a visual depiction on the expected contraction pattern through a mobile app to support their PFMT exercises, and the control (paper) group.

View Article and Find Full Text PDF

Importance: The comparison between single-incision slings (SISs) and midurethral slings has been documented in the literature, but results vary according to the SIS device.

Objectives: The purpose of this study is to assess whether SIS (Solyx) is noninferior to transobturator (TOT) (Obtryx) sling for treating women with confirmed stress-predominant urinary incontinence.

Study Design: A prospective, parallel, nonblinded, multicenter, noninferiority, randomized controlled study with 114 patients were randomized and followed 6 and 12 months after surgery.

View Article and Find Full Text PDF

Objective: To assess the provision of contraceptives by Brazilian obstetricians and gynaecologists (Obst/Gyns) during medical consultation and associated factors.

Methods: An anonymous online survey was conducted with Obst/Gyns regarding age, gender, training, method counselling about and provision of long-acting reversible contraception (LARC).

Results: Of 16,000 Obst/Gyns, 610 (3.

View Article and Find Full Text PDF

Objective: To compare the continuation rates, expulsion, and other reasons for discontinuation of the hormonal intrauterine device with 52 mg of levonorgestrel (52 mg LNG-IUD) in adolescents and adult women.

Methods: We conducted a retrospective cohort study that included 393 women in whom we placed a 52 mg LNG-IUD and followed up to 5 years. We created two retrospective cohorts, one with 131 adolescents (aged between 12 and 19 years) and the other with 262 women aged ≥20 years.

View Article and Find Full Text PDF

Objective: To evaluate the acceptance rate of post-placental intrauterine device (PPIUD) placement during the SARS-CoV-2 (COVID-19) pandemic and to to assess factors associated with PPIUD acceptance.

Methods: A cross-sectional study was conducted between August 2020 and August 2021. PPIUDs were offered to women scheduled for caesarean delivery or admitted in labour at the Women's Hospital of the University of Campinas.

View Article and Find Full Text PDF

Introduction And Hypothesis: Urinary incontinence (UI) affects approximately 50% of adult women worldwide and is associated with declining sexual function (SF). Energy-based devices emerged as a minimally invasive alternative treatment. Nevertheless, their effect on sexuality is uncertain.

View Article and Find Full Text PDF

Objective:  Cervical pregnancy is challenging for the medical community, as it is potentially fatal. The treatment can be medical or surgical; however, there are no protocols that establish the best option for each case. The objective of the present study was to describe the cases of cervical pregnancy admitted to a tertiary university hospital over a period of 18 years.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the best methods for inserting intrauterine devices (IUDs) immediately after vaginal childbirth to reduce unplanned pregnancies.
  • It includes a randomized trial with women aged 18 to 43, comparing manual versus forceps insertion techniques, assessing discomfort, expulsion rates, and proper positioning of the IUD in follow-up visits.
  • Results will help determine the most effective insertion method by analyzing a sample size of 186 women, focusing on the overall benefits of postpartum IUD insertion despite potential higher expulsion rates.
View Article and Find Full Text PDF

Purpose: Our study aimed to evaluate the acceptability, adverse effects and continuation rates among adolescents who accepted the etonogestrel (ENG) subdermal implant and compared to adolescents who chose other methods during the immediate postpartum period before hospital discharge, with one year follow-up up.

Materials And Methods: We conducted a cohort non-randomised study at the Women's Hospital, University of Campinas. All women up to 19 years of age, who gave birth at the hospital between July 2019 and April 2020, were invited to participate and were offered the ENG-implant or the routine contraceptive methods.

View Article and Find Full Text PDF

Introduction And Hypothesis: Vaginal laxity (VL) can impair women´s quality of life and there are not many tools aimed at quantitatively addressing this complaint. Sexual distress can be present within this group of patients. The aim of our study is to carry out the cross-cultural adaptation/translation and validation of the Female Sexual Distress Scale-Revised (FSDS-R) for Brazilian Portuguese women with VL.

View Article and Find Full Text PDF