Predictive values of the ultrasound parameters, CA-125 and risk of malignancy index in patients with ovarian cancer.

Backgrounds: Assessment of predictive values for CA-125, ultrasound features (US) and risk of malignancy index (RMI) in ovarian malignancy.

Material And Methods: 115 patients, divided into: 1) group-A (n = 41)--ovarian malignancy; group-B (n = 74)--benign ovarian tumor; 2) subgroup-CA(a) with low CA-125 (< 35 U/mL) (n = 64); subgroup-CA(b) with slightly elevated CA-125 (35-130 U/ml) (n = 26); subgroup-CA(c) with high CA-125 (> 130 U/ml) (n = 25).

Results: 1) patients of group-A were older (p < 0.

A new modification of the POPQ system--its effectiveness in the diagnosis of supravaginal elongation of the uterine cervix in cases with genital prolapse.

Background: The evaluation of a genital prolapse has to include the POPQ-pelvic organ position quantification as a descriptive system.

Objectives: Effectiveness of our modification of the POPQ in the diagnosis of supravaginal cervical elongation.

Methods: We evaluated our modification: Bal (midpoint of distance Aa/Va); Vas (most proximal point of anterior vaginal wall); Va (attachment of anterior vaginal wall to cervix); Vp (attachment of posterior vaginal wall to cervix); Vps (most proximal point of posterior vaginal wall); SU (attachment of sacrouterine ligaments to cervix); Bp1 (midpoint of distance Ap/Vp); as well as some level distances: (Vas-Va), (Vp-SU), (Vps-Vp), (Aa-Ba1) in 358 patients, divided into: group A-stage I/II prolapse; group B-stage I/II prolapse and cervical elongation; group C-stage III/IV prolapse; group D-stage III/IV prolapse and cervical elongation; group E-stage 0 prolapse and stress incontinence during Valsalva maneuver (Vm) and Pozzy maneuver (Pm).

Vaginosacral colpopexy (VSC)--a new modification of the Mc Call operation using vaginosacral ligaments as autologous sliding grafts in posthysterectomy vault prolapse.

Objectives: The effect of a new modification of the Mc Call operation, vaginosacral colpopexy (VSC) was evaluated in the group of 32 patients.

Background: Due to our bad experience with transabdominal lumbosacral colpopexy, we tried to find out another solution.

Methods: VSC using the mobilized vaginosacral ligaments as sliding grafts (two sutures through the vaginosacral ligaments and posterior vaginal wall and the third suture through the uterosacral ligaments) for vault prolapse was performed in the group of 32 patients.