Potential consequences in treatment recommendations and prognosis urge attention to the detected increase of G3 endometrioid cancers.

We describe the case of a 23-year old woman with a newly diagnosed thrombosis of the inferior vena cava associated with a Brucella melitensis infection. We suggest possible mechanisms leading to brucellosis-associated venous thrombosis and review 14 previously reported cases.
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Postpartum urinary retention (PUR) continues to be a not very well understood clinical condition. The incidence varies in literature between 0.05 to 14.1%, after vaginal delivery, and between 3.3 to 24.1% after cesarean section, depending on the criteria used and reflecting differences in obstetrical practice. A commonly used definition is the lack of spontaneous micturition 6 hours after vaginal delivery or after removing an indwelling catheter. After helping measures, bladder drainage, which can be done in different ways is most important in the treatment. Though it is a distressing condition, prognosis is normally good, and there are only few published data on long-term sequelae. But overstretching the bladder wall during pregnancy or delivery can result in severe detrusor damage, followed by voiding dysfunction. There are different independent risk factors such as prolonged first and second stage of labor, isolated length of the second stage, forceps delivery or vaccum extraction, perineal laceration and nulliparity. Epidural analgesia may also increase the risk of PUR, but is controversially discussed in literature. The lack of guidelines is one of the major problems in treating women with PUR.

Background: In the reconstructive surgery for pelvic organ prolapse (POP), different newer mesh fixation techniques as an alternative to sacrocolpopexy has been developed. In order to gain more data about the different techniques, it is important to analyze success and recurrence rates of surgical procedures. Methods: Collection and analysis of data from patients treated with laparoscopic lateral suspension (LLS). Patients were followed up for 6 weeks after surgery. Consultations were continued, if needed, up to 2.5 years. Main outcome measures were anatomic results, POP recurrence, mesh exposure and reoperation rate, and potential risk factors for relapse. Results: Thirty-nine patients were treated between July 2015 and November 2017. In the first visit, one patient was diagnosed with an early relapse (success rate: 95%). Another six women relapsed during follow-up (mean, 13.5 months; success rate, 82%). Patients with recurrence were younger (62 vs. 68 years) and had initially a higher degree of prolapse, a higher parity (3.8 vs. 1.9), more previous surgeries, and longer operating times. Early exposures were seen in 5.3% patients and raised up to 13% during follow-up; all but one were treated successful with local estrogen therapy. Risk factors for exposure were higher age and longer operating time. The whole reoperation rate was 13%. Conclusions: LLS might be a valid alternative to the laparoscopic sacrocolpopexy in women with prolapse in the anterior compartment and apical descent. Younger women with higher parity and higher degree of prolapse in the middle compartment had a higher recurrence rate after LLS.