Age-related fertility decline: is there a role for elective ovarian tissue cryopreservation?

Age-related fertility decline (ARFD) is a prevalent concern amongst western cultures due to the increasing age of first-time motherhood. Elective oocyte and embryo cryopreservation remain the most established methods of fertility preservation, providing women the opportunity of reproductive autonomy to preserve their fertility and extend their childbearing years to prevent involuntary childlessness. Whilst ovarian cortex cryopreservation has been used to preserve reproductive potential in women for medical reasons, such as in pre- or peripubertal girls undergoing gonadotoxic chemotherapy, it has not yet been considered in the context of ARFD.

Diagnostic delay for superficial and deep endometriosis in the United Kingdom.

A Cross-sectional study was undertaken at a specialist centre in the United Kingdom investigating duration and causes of delay in the diagnosis of endometriosis. One hundred and one women completed a self-reported questionnaire containing 20 items about their psychosocial, symptoms and experiences. The statistical analysis included a Mann-Whitney test.

Identifying Preoperative Factors Associated with Nonresponders in Women Undergoing Comprehensive Surgical Treatment for Endometriosis.

Study Objective: To examine whether existing quality of health outcome measures can be used to predict or have an association with nonresponse surgery for endometriosis.

Design: Retrospective cohort study.

Settings: Single endometriosis referral center.

Ambulatory urodynamics monitoring - a video demonstration.

Aims: To present a narrated video designed to demonstrate the steps involved in performing and interpreting ambulatory urodynamics monitoring (AUM).

Methods: This video provides an overview of the role of AUM in clinical practice and describes the process of performing AUM using solid state microtip transducers and the MMS / Laborie Luna ambulatory recorder. Line placement, calibration and the urodynamic protocol are discussed along with descriptions of provocation tests that can be used during AUM.

Laparoscopic mesh repair of a labial hernia.

Aims: To present a narrated video designed to demonstrate the steps involved in a laparoscopic mesh repair of a labial hernia.

Methods: This was in a 76-year-old woman who presented with a small bowel hernia in to her left labium majus. In 2014 she had a robotically assisted radical cystectomy for bladder cancer with anterior exenteration.

Narrated video demonstrating the procedure of videourodynamics.

Aims: To present a narrated video designed to demonstrate the steps involved in the procedure of videourodynamics.

Methods: The technique shown and described in this teaching video is that performed in the urogynaecology Department at King's College Hospital, London. The equipment utilizes fluid filled lines and external pressure transducers which provide accurate and consistent results.

The effect of a uterine manipulator on the recurrence and mortality of endometrial cancer: a multi-centric study by the Italian Society of Gynecological Endoscopy.

Background: Although widely adopted, the use of a uterine manipulator during laparoscopic treatment of endometrial cancer represents a debated issue, and some authors hypothesize that it potentially may cause an increased risk of relapse, particularly at specific sites.

Objective: Our aim was to evaluate the risk and site of disease recurrence, overall survival, and disease-specific survival in women who had laparoscopic surgery with and without the use of a uterine manipulator.

Study Design: Data were reviewed from consecutive patients who had laparoscopic surgery for endometrial cancer staging in 7 Italian centers.

Narrated video of a re-do colposuspension.

Aims: To present a narrated video designed to demonstrate the steps involved in an open re-do colposuspension.

Methods: This was in a 70-year-old woman who presented with recurrent severe stress urinary incontinence. Urodynamics confirmed severe urodynamic stress incontinence, with no detrusor over activity.

3D straight-stick laparoscopy versus 3D robotics for task performance in novice surgeons: a randomised crossover trial.

Background: The advent of three-dimensional passive stereoscopic imaging has led to the development of 3D laparoscopy. In simulation tasks, a reduction in error rate and performance time is seen with 3D compared to two-dimensional (2D) laparoscopy with both novice and expert surgeons. Robotics utilises 3D and instrument articulation through a console interface.

Combined Laparoscopic, Vesicoscopic, and Vaginal Repair of a Vesicovaginal Fistula.

Study Objective: To demonstrate a combined laparoscopic, vesicoscopic, and vaginal approach to repair of a complex vesicovaginal fistula.

Design: Technical video demonstrating a combined laparoscopic, vesicoscopic, and vaginal approach for repairing a vesicovaginal fistula (Canadian Task Force classification level III).

Setting: Urogynecology and Urology Departments of a tertiary referral center for urogynecology.

Technical Video: Vesicoscopic Excision of Eroded Tension-free Vaginal Tape.

Study Objective: To show vesicoscopic excision of eroded tension-free vaginal tape (TVT).

Design: A technical video showing vesicoscopic excision of eroded TVT (Canadian Task Force Classification level III).

Setting: Urogynecology and Urology Departments, King's College Hospital, London, UK, a tertiary referral center for urogynecology.

Laparoscopic Surgery for Severe Rectovaginal Endometriosis Compromising the Bowel: A Prospective Cohort Study.

Study Objective: Endometriosis can affect 10% of women at reproductive age. Of those, 5.3% to 12% will have endometriosis affecting the bowel.

Technical Video: Bilateral Tubal Adhesiolysis With Cuff Salpingostomy.

Study Objective: To show the steps involved in a bilateral tubal adhesiolysis and cuff salpingostomy.

Design: Technical video showing tubal adhesiolysis and cuff salpingostomy in a step-by-step approach.

Setting: Minimal Access Therapy Training Unit, Royal Surrey County Hospital, Guildford, UK, a tertiary referral unit for complex gynecologic endoscopic surgery.

Technical video: modified laparoscopic colposuspension.

Background: Laparoscopic colposuspension has been shown in some studies to have equivocal results as open colposuspension, and in addition to treating stress incontinence can also reduce anterior vaginal wall compartment prolapse, as described by Burch in 1961 [1].

Study Objective: To demonstrate a novel modified technique for laparoscopic colposuspension.

Design: Narrated step-by-step video demonstration of the modified laparoscopic colposuspension technique.

Demonstration of laparoscopic resection of uterine sacculation (niche) with uterine reconstruction.

Study Objective: To demonstrate a technique of laparoscopic excision of uterine sacculation (niche) with uterine reconstruction.

Design: Narrated video presenting a step-by-step explanation of a laparoscopic technique for excision of uterine sacculation (niche) with uterine reconstruction using a narrated video (Canadian Task Force classification III).

Setting: Laparoscopic excision of uterine sacculation (niche) is a fertility-sparing technique for use in a selected group of patients who do not respond to medical treatment and in whom definitive treatment via hysterectomy is not an option.