Discussion on cervical cytology in postmenopausal women.

Background: Considering the cervix at the climacteric period, important changes take place in the morphology of the epithelium and stroma due to hypoestrogenism. Therefore, the aim of the present study was to compare the presence of transformation zone cells in the cervix of premenopausal and postmenopausal women.

Methods: In a private laboratory in São Paulo (Brazil) a retrospective analysis of cervical cytology results was performed.

Evaluation of 1,030,482 Cervical Smear Results in Brazilian Population.

Background: The objective was to determine the prevalence of abnormal cytologic smears in a large population of a Brazilian city.

Methods: Retrospective study of cervical cytology results performed at a private laboratory in São Paulo - Brazil. A total of 1,030,482 cytology tests were performed between January 2010 and December 2015.

Rehabilitation of People With Chronic Spinal Cord Injury Using a Laparoscopically Implanted Neurostimulator: Impact on Mobility and Urinary, Anorectal, and Sexual Functions.

Objectives: This study aimed to assess the impact of the laparoscopic implantation of neuromodulation electrodes (Possover-LION procedure) on mobility and on sexual, urinary, and anorectal functions of people with chronic spinal cord injury (SCI).

Material And Methods: Longitudinal analysis of 30 patients with chronic SCI (21 ASIA impairment scale (AIS) A, eight AIS B, and one AIS C) submitted to the Possover-LION procedure for bilateral neuromodulation of femoral, sciatic, and pudendal nerves. Assessments were performed before the surgical procedure and at 3, 6, and 12 months postoperatively.

Intrapelvic entrapment of sacral nerve roots by abnormal bundles of the piriformis muscle: description of an extra-spinal cause of sciatica and pudendal neuralgia.

Piriformis syndrome is a well-known extra-spinal cause of sciatica characterized by the entrapment of the sciatic nerve by variant bundles of the piriformis muscles in the deep gluteal space. In this case series, we describe the entrapment of intrapelvic portions of the sacral nerve roots by a variant bundle of the piriformis muscle originating medially to the sacral foramina, the surgical technique for the laparoscopic treatment of this condition, and the outcomes of the first eight cases treated with this technique. Five female and three male patients presenting with sciatica, pudendal pain and lower urinary tract symptoms underwent a laparoscopic exploration of the intrapelvic portion of the sacral nerve roots and transection of the abnormal piriformis bundle.

Closing the knowledge gap in pelvic neuroanatomy: assessment of a cadaveric training program.

Background: The objective of this study is to characterize participants in a laparoscopic cadaveric neuroanatomy course and assess knowledge of pelvic neuroanatomy before and after this course.

Methods: This is a survey-based cohort study with a setting in a university educational facility. The participants are surgeons in a multiday laparoscopic cadaveric pelvic neuroanatomy course.

Cervical Cancer Screening of Adolescents and Young Women: Further Evidence Shows a Lack of Clinical Value.

Study Objective: To assess the prevalence of cytological abnormalities among young people from a large population in the city of São Paulo (Brazil).

Design: Retrospective, observational analysis of data from the institution's data processing center.

Setting: A private laboratory in São Paulo (Brazil).

Detection of transformation zone cells in liquid-based cytology and its comparison with conventional smears.

Background: To compare the differences between liquid-based cytology (LBC) and conventional cytology in respect of the detection of transformation zone cells (TZC) by age group and to assess test performance by correlating results with cytological abnormalities.

Methods: A retrospective study assessing the results of cervical-vaginal cytology smears collected at a private laboratory in São Paulo (Brazil) between January 2010 and December 2015.

Results: A total of 1 030 482 cytology tests were performed; of these, 3811 (0.

Superior gluteal vein syndrome: an intrapelvic cause of sciatica.

The role of malformed or dilated branches of iliac vessels in causing pelvic pain is not well understood. Such vessels may entrap nerves of the lumbosacral (LS) plexus against the pelvic sidewalls, producing symptoms not typically encountered in gynecological practice, including sciatica and refractory urinary and/or anorectal dysfunction. We describe cases of sciatica in which laparoscopy revealed compression of the LS plexus by variant superior gluteal veins (SGVs).

Vulvar melanoma: relevant aspects in therapeutic management.

Cancer of the vulva accounts for at least 1% of malignant neoplasms among women. Although rare, vulvar melanoma is the second most common histological type of vulvar cancer, representing 7-10% of all malignant vulvar neoplasms. Initial symptoms are non-specific and complete excision of the lesion is indicated in cases with suspected diagnosis.

Verrucous carcinoma of the vulva: diagnosis and treatment.

Vulvar cancer accounts for less than 1% of malignancies in women. Verrucous carcinoma of the vulva is a rare histological variation, comprising less than 1% of vulvar cancer cases. Although it is characterized as being locally invasive, the condition is not associated with metastatic spreading.

Development of an electronic protocol for uterine cervical cancer.

Objective: Development of an electronic protocol for cancer of the cervix.

Methods: We collected data through a literature review and formatted them to build a theoretical base for cancer of the cervix for inclusion in the protocol. The computerized database used the SINPE © (Integrated Electronic Protocols) developed at the Federal University of Parana by the Graduate Program in Surgery, Department of Health Sciences, with the help of the Laboratory of Computer and Multimedia.