You searched for:"Marair Gracio Ferreira Sartori"
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Original Article
Efficacy of Sacrospinous Fixation or Uterosacral Ligament Suspension for Pelvic Organ Prolapse in Stages III and IV: Randomized Clinical Trial
- Sérgio Brasileiro Martins
, - Rodrigode Aquino Castro ,
- Claudia Cristina Takano ,
- Gisele Vissoci Marquini ,
- Leticia Maria de Oliveira , [ … ],
- Marair Gracio Ferreira Sartori
Summary
Original ArticleEfficacy of Sacrospinous Fixation or Uterosacral Ligament Suspension for Pelvic Organ Prolapse in Stages III and IV: Randomized Clinical Trial
Rev Bras Ginecol Obstet. 2023;45(10):584-593
- Sérgio Brasileiro Martins ,
- Rodrigode Aquino Castro ,
- Claudia Cristina Takano ,
- Gisele Vissoci Marquini ,
- Leticia Maria de Oliveira ,
- Paulo Cezar Feldner Martins Junior ,
- Márcia Maria Dias ,
- Manoel João Batista Castello Girão ,
- Marair Gracio Ferreira Sartori
Views3Abstract
Objective
To evaluate the efficacy and outcomes of the surgical treatment for pelvic organ prolapse (POP) in stages III and IV by sacrospinous ligament fixation (SSLF) or uterosacral ligament suspension (USLS) by comparing anatomical and subjective cure rates and quality-of-life parameters (through the version validated for the Portuguese language of the Prolapse Quality of Life [P-QoL] questionnaire) under two definitions: genital prolapse Ba, Bp, and C< −1 (stage I) and Ba, Bp, and C ≤ 0 (stage II).
Materials and Methods
After we obtained approval from the Ethics Committee (under CAAE 0833/06) and registered the study in ClinicalTrials.gov (NCT 01347021), 51 patients were randomized into two groups: the USLS group (N = 26) and the SSLF group (N = 25), with follow-up 6 and 12 months after the procedures.
Results
There was a significant improvement in the P-QoL score and anatomical measurements of all compartments in both groups after 12 months (p< 0.001). The anatomical cure rates in the USLS and SSLF groups, considering stage 1, were of 34.6% and 40% (anterior) respectively; of 100% both for groups (apical); and of 73.1% and 92% (posterior) respectively. The rates of adverse outcomes were of 42% (N = 11) and 36% (N = 11) for the USLS and SSLF groups respectively (p = 0.654), and those outcomes were excessive bleeding, bladder perforation (intraoperative) or gluteal pain, and urinary infection (postoperative), among others, without differences between the groups.
Conclusion
High cure rates in all compartments were observed according to the anatomical criterion (stage I), without differences in P-QoL scores and complications either with USLS or SSLF for the surgical treatment of accentuated POP.
Key-words patient health questionnairepatient-reported outcome measurespelvic floor disorderspelvic organ prolapsereconstructive surgical proceduresSee moreViews3
Summary
Original ArticleEfficacy of Sacrospinous Fixation or Uterosacral Ligament Suspension for Pelvic Organ Prolapse in Stages III and IV: Randomized Clinical Trial
Rev Bras Ginecol Obstet. 2023;45(10):584-593
- Sérgio Brasileiro Martins ,
- Rodrigode Aquino Castro ,
- Claudia Cristina Takano ,
- Gisele Vissoci Marquini ,
- Leticia Maria de Oliveira ,
- Paulo Cezar Feldner Martins Junior ,
- Márcia Maria Dias ,
- Manoel João Batista Castello Girão ,
- Marair Gracio Ferreira Sartori
Views3Abstract
Objective
To evaluate the efficacy and outcomes of the surgical treatment for pelvic organ prolapse (POP) in stages III and IV by sacrospinous ligament fixation (SSLF) or uterosacral ligament suspension (USLS) by comparing anatomical and subjective cure rates and quality-of-life parameters (through the version validated for the Portuguese language of the Prolapse Quality of Life [P-QoL] questionnaire) under two definitions: genital prolapse Ba, Bp, and C< −1 (stage I) and Ba, Bp, and C ≤ 0 (stage II).
Materials and Methods
After we obtained approval from the Ethics Committee (under CAAE 0833/06) and registered the study in ClinicalTrials.gov (NCT 01347021), 51 patients were randomized into two groups: the USLS group (N = 26) and the SSLF group (N = 25), with follow-up 6 and 12 months after the procedures.
Results
There was a significant improvement in the P-QoL score and anatomical measurements of all compartments in both groups after 12 months (p< 0.001). The anatomical cure rates in the USLS and SSLF groups, considering stage 1, were of 34.6% and 40% (anterior) respectively; of 100% both for groups (apical); and of 73.1% and 92% (posterior) respectively. The rates of adverse outcomes were of 42% (N = 11) and 36% (N = 11) for the USLS and SSLF groups respectively (p = 0.654), and those outcomes were excessive bleeding, bladder perforation (intraoperative) or gluteal pain, and urinary infection (postoperative), among others, without differences between the groups.
Conclusion
High cure rates in all compartments were observed according to the anatomical criterion (stage I), without differences in P-QoL scores and complications either with USLS or SSLF for the surgical treatment of accentuated POP.
Key-words patient health questionnairepatient-reported outcome measurespelvic floor disorderspelvic organ prolapsereconstructive surgical proceduresSee more
- Sérgio Brasileiro Martins
-
Original Article/Teaching and Training
Effectiveness of an Educational Intervention with Guidelines from the Total Acceleration of Postoperative Recovery Project (ACERTO) in Gynecology
- Juliana Marques Marra ,
- Isabela Corrêa Samper ,
- Laura Aparecida Xavier de Abreu ,
- Rafaela Pereira Anelvoi ,
- Maria Gabriela Baumgarten Kuster Uyeda , [ … ],
- Gisele Vissoci Marquini
Summary
Original Article/Teaching and TrainingEffectiveness of an Educational Intervention with Guidelines from the Total Acceleration of Postoperative Recovery Project (ACERTO) in Gynecology
Rev Bras Ginecol Obstet. 2023;45(11):699-705
- Juliana Marques Marra ,
- Isabela Corrêa Samper ,
- Laura Aparecida Xavier de Abreu ,
- Rafaela Pereira Anelvoi ,
- Maria Gabriela Baumgarten Kuster Uyeda ,
- Marair Gracio Ferreira Sartori ,
- Gisele Vissoci Marquini
Views2Abstract
Objective
To evaluate the effectiveness of an educational intervention among gynecologists about recommendations of the Total Acceleration of Postoperative Recovery (ACERTO, in the Portuguese acronym) project derived from the solid foundations of Enhanced Recovery After Surgery (ERAS) guidelines to optimize hospital care for surgical-gynecological patients.
Methods
Educational intervention through monthly 1-hour long meetings (3 months), with the application of an objective questionnaire about specific knowledge of the ACERTO project between before and after educational intervention phases, for gynecologists, after approval by the ethics committee and signature of informed consent by participants, in a federal university hospital.
Results
Among the 25 gynecologists who agreed to participate, the educational intervention could be effective with a statistically significant difference between the phases before and after the intervention for the main recommendations of the ACERTO project, such as abbreviation of preoperative fasting (p = 0.006), venous thromboembolism prophylaxis (p = 0.024), knowledge and replication of ACERTO (p = 0.034), and multimodal analgesia (p = 0.021).
Conclusion
An educational intervention, through clinical meetings with exposition and discussion of the recommendations of the ACERTO project based on the ERAS protocol can be effective for the knowledge and possibility of practical application of the main measures, such as abbreviation of preoperative fasting, multimodal analgesia, and prophylaxis of thrombosis among gynecologists.
Key-words enhanced recovery after surgeryperioperative carepreoperative caresurgical procedures in gynecologySee moreViews2Summary
Original Article/Teaching and TrainingEffectiveness of an Educational Intervention with Guidelines from the Total Acceleration of Postoperative Recovery Project (ACERTO) in Gynecology
Rev Bras Ginecol Obstet. 2023;45(11):699-705
- Juliana Marques Marra ,
- Isabela Corrêa Samper ,
- Laura Aparecida Xavier de Abreu ,
- Rafaela Pereira Anelvoi ,
- Maria Gabriela Baumgarten Kuster Uyeda ,
- Marair Gracio Ferreira Sartori ,
- Gisele Vissoci Marquini
Views2Abstract
Objective
To evaluate the effectiveness of an educational intervention among gynecologists about recommendations of the Total Acceleration of Postoperative Recovery (ACERTO, in the Portuguese acronym) project derived from the solid foundations of Enhanced Recovery After Surgery (ERAS) guidelines to optimize hospital care for surgical-gynecological patients.
Methods
Educational intervention through monthly 1-hour long meetings (3 months), with the application of an objective questionnaire about specific knowledge of the ACERTO project between before and after educational intervention phases, for gynecologists, after approval by the ethics committee and signature of informed consent by participants, in a federal university hospital.
Results
Among the 25 gynecologists who agreed to participate, the educational intervention could be effective with a statistically significant difference between the phases before and after the intervention for the main recommendations of the ACERTO project, such as abbreviation of preoperative fasting (p = 0.006), venous thromboembolism prophylaxis (p = 0.024), knowledge and replication of ACERTO (p = 0.034), and multimodal analgesia (p = 0.021).
Conclusion
An educational intervention, through clinical meetings with exposition and discussion of the recommendations of the ACERTO project based on the ERAS protocol can be effective for the knowledge and possibility of practical application of the main measures, such as abbreviation of preoperative fasting, multimodal analgesia, and prophylaxis of thrombosis among gynecologists.
Key-words enhanced recovery after surgeryperioperative carepreoperative caresurgical procedures in gynecologySee more
- Juliana Marques Marra
-
Review Article
Mirabegron and Anticholinergics in the Treatment of Overactive Bladder Syndrome: A Meta-analysis
- Luisa Gracio Ferreira Sartori ,
- Bruno Monteiro Nunes ,
- Daniela Farah ,
- Leticia Maria de Oliveira ,
- Claudia Cristina Takano Novoa , [ … ],
- Marcelo Cunio Machado Fonseca
Summary
Review ArticleMirabegron and Anticholinergics in the Treatment of Overactive Bladder Syndrome: A Meta-analysis
Rev Bras Ginecol Obstet. 2023;45(6):337-346
- Luisa Gracio Ferreira Sartori ,
- Bruno Monteiro Nunes ,
- Daniela Farah ,
- Leticia Maria de Oliveira ,
- Claudia Cristina Takano Novoa ,
- Marair Gracio Ferreira Sartori ,
- Marcelo Cunio Machado Fonseca
Views2See moreAbstract
Objective
To compare the use of mirabegron with anticholinergics drugs for the treatment of overactive bladder (OB).
Data Source
Systematic searches were conducted in EMBASE, PUBMED, Cochrane, and LILACS databases from inception to September 2021. We included RCTs, women with clinically proven OB symptoms, studies that compared mirabegron to antimuscarinic drugs, and that evaluated the efficacy, safety or adherence.
Data Collection
RevMan 5.4 was used to combine results across studies. We derived risk ratios (RRs) and mean differences with 95% CIs using a random-effects meta-analytic model. Cochrane Collaboration Tool and GRADE was applied for risk of bias and quality of the evidence.
Data Synthesis
We included 14 studies with a total of 10,774 patients. Fewer total adverse events was reported in mirabegron group than in antimuscarinics group [RR 0.93 (0.89–0.98)]. The risk of gastrointestinal tract disorders and dry mouth were lower with mirabegron [RR 0,58 (0.48–0.68); 9375 patients; RR 0.44 (0.35–0.56), 9375 patients, respectively]. No difference was reported between mirabegron and antimuscarinics drugs for efficacy. The adherence to treatment was 87.7% in both groups [RR 0.99 (0.98–1.00)].
Conclusion
Mirabegron and antimuscarinics have comparable efficacy and adherence rates; however, mirabegron showed fewer total and isolated adverse events.
Views2Summary
Review ArticleMirabegron and Anticholinergics in the Treatment of Overactive Bladder Syndrome: A Meta-analysis
Rev Bras Ginecol Obstet. 2023;45(6):337-346
- Luisa Gracio Ferreira Sartori ,
- Bruno Monteiro Nunes ,
- Daniela Farah ,
- Leticia Maria de Oliveira ,
- Claudia Cristina Takano Novoa ,
- Marair Gracio Ferreira Sartori ,
- Marcelo Cunio Machado Fonseca
Views2See moreAbstract
Objective
To compare the use of mirabegron with anticholinergics drugs for the treatment of overactive bladder (OB).
Data Source
Systematic searches were conducted in EMBASE, PUBMED, Cochrane, and LILACS databases from inception to September 2021. We included RCTs, women with clinically proven OB symptoms, studies that compared mirabegron to antimuscarinic drugs, and that evaluated the efficacy, safety or adherence.
Data Collection
RevMan 5.4 was used to combine results across studies. We derived risk ratios (RRs) and mean differences with 95% CIs using a random-effects meta-analytic model. Cochrane Collaboration Tool and GRADE was applied for risk of bias and quality of the evidence.
Data Synthesis
We included 14 studies with a total of 10,774 patients. Fewer total adverse events was reported in mirabegron group than in antimuscarinics group [RR 0.93 (0.89–0.98)]. The risk of gastrointestinal tract disorders and dry mouth were lower with mirabegron [RR 0,58 (0.48–0.68); 9375 patients; RR 0.44 (0.35–0.56), 9375 patients, respectively]. No difference was reported between mirabegron and antimuscarinics drugs for efficacy. The adherence to treatment was 87.7% in both groups [RR 0.99 (0.98–1.00)].
Conclusion
Mirabegron and antimuscarinics have comparable efficacy and adherence rates; however, mirabegron showed fewer total and isolated adverse events.
- Luisa Gracio Ferreira Sartori
-
Original Article
Three-dimensional Printer Molds for Vaginal Agenesis: An Individualized Approach as Conservative Treatment
- Marina Silva Fernandes ,
- Claudia Cristina Takano ,
- Thyeres Teixeira Bueno Chrispin ,
- Gisele Vissoci Marquini ,
- Manoel João Batista Castello Girão , [ … ],
- Marair Gracio Ferreira Sartori
Summary
Original ArticleThree-dimensional Printer Molds for Vaginal Agenesis: An Individualized Approach as Conservative Treatment
Rev Bras Ginecol Obstet. 2022;44(12):1110-1116
- Marina Silva Fernandes ,
- Claudia Cristina Takano ,
- Thyeres Teixeira Bueno Chrispin ,
- Gisele Vissoci Marquini ,
- Manoel João Batista Castello Girão ,
- Marair Gracio Ferreira Sartori
Views1See moreAbstract
Objective
The aim of this study was to evaluate the use of vaginal molds, made with three-dimensional (3D) printing, for conservative treatment through vaginal dilation in patients with vaginal agenesis (VA).
Methods
A total of 16 patients with a diagnosis of VA (Mayer-Rokitansky-Küster-Hauser syndrome, total androgen insensitivity syndrome, and cervicovaginal agenesis) from the Federal University of São Paulo were selected. Device production was performed in a 3D printer, and the polymeric filament of the lactic polyacid (PLA) was used as raw material. A personalized treatment was proposed and developed for each patient.
Results
There were 14 patients who reached a final vaginal length of 6 cm or more. The initial total vaginal length (TVL) mean (SD) was 1.81(1.05) and the final TVL mean (SD) was 6.37 (0.94); the difference, analyzed as 95% confidence interval (95% CI) was 4.56 (5.27–3.84) and the effect size (95% CI) was 4.58 (2.88–6.28).
Conclusion
The 3D printing molds for vaginal dilation were successful in 87.5% of the patients. They did not present any major adverse effects and offered an economical, accessible, and reproducible strategy for the treatment of VA.
Views1Summary
Original ArticleThree-dimensional Printer Molds for Vaginal Agenesis: An Individualized Approach as Conservative Treatment
Rev Bras Ginecol Obstet. 2022;44(12):1110-1116
- Marina Silva Fernandes ,
- Claudia Cristina Takano ,
- Thyeres Teixeira Bueno Chrispin ,
- Gisele Vissoci Marquini ,
- Manoel João Batista Castello Girão ,
- Marair Gracio Ferreira Sartori
Views1See moreAbstract
Objective
The aim of this study was to evaluate the use of vaginal molds, made with three-dimensional (3D) printing, for conservative treatment through vaginal dilation in patients with vaginal agenesis (VA).
Methods
A total of 16 patients with a diagnosis of VA (Mayer-Rokitansky-Küster-Hauser syndrome, total androgen insensitivity syndrome, and cervicovaginal agenesis) from the Federal University of São Paulo were selected. Device production was performed in a 3D printer, and the polymeric filament of the lactic polyacid (PLA) was used as raw material. A personalized treatment was proposed and developed for each patient.
Results
There were 14 patients who reached a final vaginal length of 6 cm or more. The initial total vaginal length (TVL) mean (SD) was 1.81(1.05) and the final TVL mean (SD) was 6.37 (0.94); the difference, analyzed as 95% confidence interval (95% CI) was 4.56 (5.27–3.84) and the effect size (95% CI) was 4.58 (2.88–6.28).
Conclusion
The 3D printing molds for vaginal dilation were successful in 87.5% of the patients. They did not present any major adverse effects and offered an economical, accessible, and reproducible strategy for the treatment of VA.
- Marina Silva Fernandes
-
Editorial
The Use of Three-dimensional Printer Molds for Treatment of Vaginal Agenesis
Rev Bras Ginecol Obstet. 2022;44(12):1081-1082
Summary
EditorialThe Use of Three-dimensional Printer Molds for Treatment of Vaginal Agenesis
Rev Bras Ginecol Obstet. 2022;44(12):1081-1082
Views1Although rare, vaginal agenesis is a relevant condition for gynecologists, who must be familiar with its current treatment.It results from agenesis of the Mullerian ducts, known as Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKHS), and the incidence is 1:5000 women. In this congenital malformation, genetic alterations affect the development of Mullerian ducts during the embryonic period and there is […]See moreViews1Summary
EditorialThe Use of Three-dimensional Printer Molds for Treatment of Vaginal Agenesis
Rev Bras Ginecol Obstet. 2022;44(12):1081-1082
Views1Although rare, vaginal agenesis is a relevant condition for gynecologists, who must be familiar with its current treatment.It results from agenesis of the Mullerian ducts, known as Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKHS), and the incidence is 1:5000 women. In this congenital malformation, genetic alterations affect the development of Mullerian ducts during the embryonic period and there is […]See more -
Review Article
Burch Procedure: A Historical Perspective
- Gisele Vissoci Marquini ,
- Zsuzsanna Ilona Katalin de Jarmy di Bella ,
- Marair Gracio Ferreira Sartori
Summary
Review ArticleBurch Procedure: A Historical Perspective
Rev Bras Ginecol Obstet. 2022;44(5):511-518
- Gisele Vissoci Marquini ,
- Zsuzsanna Ilona Katalin de Jarmy di Bella ,
- Marair Gracio Ferreira Sartori
Views5See moreAbstract
Introduction
The Burch procedure (1961) was considered the gold standard treatment for stress urinary incontinence (SUI) before the midurethral slings (MUSs) were introduced, in 2001.
Objective
This historical perspective of the Burch’s timeline can encourage urogynecological surgeons to master the Burch technique as one of the options for surgical treatment of SUI.
Search Strategy and Selection
Criteria A bibliographic search was performed in the PubMed and National Library of Medicine (NIH) databases with the terms Burch colposuspension AND history AND stress urinary incontinence in the last 20 years. The original article by Burch (1961) was included. The references were read by three authors. The exclusion criterion was studies in non-English languages. Biomedical Library Special Collections were included as historical relevant search.
Data Collection, Analysis and Main Results
Some modifications of the technique have been made since the Burch procedure was first described. The interest in this technique has been increasing due to the negative publicity associated with vaginal synthetic mesh products. Twenty-nine relevant articles were included in the present review article, and numerous trials have compared Burch colposuspension with MUS.
Conclusion
This historical perspective enables the scientific community to review a standardized technique for SUI. Burch colposuspension should be considered an appropriate surgical treatment for women with SUI, and an option in urogynecological training programs worldwide.
Views5Summary
Review ArticleBurch Procedure: A Historical Perspective
Rev Bras Ginecol Obstet. 2022;44(5):511-518
- Gisele Vissoci Marquini ,
- Zsuzsanna Ilona Katalin de Jarmy di Bella ,
- Marair Gracio Ferreira Sartori
Views5See moreAbstract
Introduction
The Burch procedure (1961) was considered the gold standard treatment for stress urinary incontinence (SUI) before the midurethral slings (MUSs) were introduced, in 2001.
Objective
This historical perspective of the Burch’s timeline can encourage urogynecological surgeons to master the Burch technique as one of the options for surgical treatment of SUI.
Search Strategy and Selection
Criteria A bibliographic search was performed in the PubMed and National Library of Medicine (NIH) databases with the terms Burch colposuspension AND history AND stress urinary incontinence in the last 20 years. The original article by Burch (1961) was included. The references were read by three authors. The exclusion criterion was studies in non-English languages. Biomedical Library Special Collections were included as historical relevant search.
Data Collection, Analysis and Main Results
Some modifications of the technique have been made since the Burch procedure was first described. The interest in this technique has been increasing due to the negative publicity associated with vaginal synthetic mesh products. Twenty-nine relevant articles were included in the present review article, and numerous trials have compared Burch colposuspension with MUS.
Conclusion
This historical perspective enables the scientific community to review a standardized technique for SUI. Burch colposuspension should be considered an appropriate surgical treatment for women with SUI, and an option in urogynecological training programs worldwide.
- Gisele Vissoci Marquini
-
Review Article
Effects of the COVID-19 Pandemic on Gynecological Health: An Integrative Review
- Gisele Vissoci Marquini ,
- Sérgio Brasileiro Martins ,
- Letícia Maria Oliveira ,
- Márcia Maria Dias ,
- Claudia Cristina Takano , [ … ],
- Marair Gracio Ferreira Sartori
Summary
Review ArticleEffects of the COVID-19 Pandemic on Gynecological Health: An Integrative Review
Rev Bras Ginecol Obstet. 2022;44(2):194-200
- Gisele Vissoci Marquini ,
- Sérgio Brasileiro Martins ,
- Letícia Maria Oliveira ,
- Márcia Maria Dias ,
- Claudia Cristina Takano ,
- Marair Gracio Ferreira Sartori
Views3Abstract
Objective
To analyze the existing scientific literature to find out if the coronavirus disease 2019 (COVID-19) pandemic has an effect on gynecological health.
Search Strategy
We performed an integrative review of articles published between April 2020 and April 2021 on the PubMed, SciELO, and LILACS databases, using COVID-19 and the following relevant terms: Menstrual change; Ovarian function; Violence against women; Contraception; HPV; Mental health; and Urogynecology.
Selection Criteria
Among the eligible studies found, editorials and primary research articles, which describe the dynamics between severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection (the cause of the COVID-19 pandemic) and gynecological health, were included.
Data Collection and Analysis
Through qualitative synthesis, data were extracted from the included publications and from guidelines of national and international societies of gynecology.
Main Results
The 34 publications included in the present study showed that some factors of the SARS-CoV-2 infection, and, consequently, the COVID-19 pandemic, might be associated with menstrual abnormalities, effects on contraception, alterations in steroid hormones, changes in urogynecological care, effects on women’s mental health, and negative impact on violence against women.
Conclusion
The COVID-19 pandemic has significantly impacted the health of women. The scientific community encourages the development of recommendations for specialized care for women and strategies to prevent and respond to violence during and after the COVID-19 pandemic.
Key-words contraceptionCOVID-19 pandemicmenstrual changeovarian functionSARS-CoV-2urogynecologyviolence against womenSee moreViews3Summary
Review ArticleEffects of the COVID-19 Pandemic on Gynecological Health: An Integrative Review
Rev Bras Ginecol Obstet. 2022;44(2):194-200
- Gisele Vissoci Marquini ,
- Sérgio Brasileiro Martins ,
- Letícia Maria Oliveira ,
- Márcia Maria Dias ,
- Claudia Cristina Takano ,
- Marair Gracio Ferreira Sartori
Views3Abstract
Objective
To analyze the existing scientific literature to find out if the coronavirus disease 2019 (COVID-19) pandemic has an effect on gynecological health.
Search Strategy
We performed an integrative review of articles published between April 2020 and April 2021 on the PubMed, SciELO, and LILACS databases, using COVID-19 and the following relevant terms: Menstrual change; Ovarian function; Violence against women; Contraception; HPV; Mental health; and Urogynecology.
Selection Criteria
Among the eligible studies found, editorials and primary research articles, which describe the dynamics between severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection (the cause of the COVID-19 pandemic) and gynecological health, were included.
Data Collection and Analysis
Through qualitative synthesis, data were extracted from the included publications and from guidelines of national and international societies of gynecology.
Main Results
The 34 publications included in the present study showed that some factors of the SARS-CoV-2 infection, and, consequently, the COVID-19 pandemic, might be associated with menstrual abnormalities, effects on contraception, alterations in steroid hormones, changes in urogynecological care, effects on women’s mental health, and negative impact on violence against women.
Conclusion
The COVID-19 pandemic has significantly impacted the health of women. The scientific community encourages the development of recommendations for specialized care for women and strategies to prevent and respond to violence during and after the COVID-19 pandemic.
Key-words contraceptionCOVID-19 pandemicmenstrual changeovarian functionSARS-CoV-2urogynecologyviolence against womenSee more - Gisele Vissoci Marquini
-
Original Article
Prevalence of Urinary Incontinence in CrossFit Practitioners before and during the COVID-19 Quarantine and its Relationship with Training Level: An Observational Study
- Maita Poli de Araujo ,
- Luiz Gustavo Oliveira Brito ,
- Alberto de Castro Pochini ,
- Benno Ejnisman ,
- Marair Gracio Ferreira Sartori , [ … ],
- Manoel João Batista Castello Girão
Summary
Original ArticlePrevalence of Urinary Incontinence in CrossFit Practitioners before and during the COVID-19 Quarantine and its Relationship with Training Level: An Observational Study
Rev Bras Ginecol Obstet. 2021;43(11):847-852
- Maita Poli de Araujo ,
- Luiz Gustavo Oliveira Brito ,
- Alberto de Castro Pochini ,
- Benno Ejnisman ,
- Marair Gracio Ferreira Sartori ,
- Manoel João Batista Castello Girão
Views1See moreAbstract
Objective
To compare the prevalence of urinary incontinence (UI) before and during the COVID-19 quarantine in CrossFit women and their relationship with training level.
Methods
A cross-sectional study was performed among 197 women practicing CrossFit. The inclusion criteria were nulliparous women, between 18 and 45 years old, who had trained, before quarantine, in accredited gyms. The exclusion criteria were not following the COVID-19 prevention protocols and having UI on other occasions than just sport. An online questionnaire was emailed containing questions about frequency, duration, and intensity of training and data related to the COVID-19 pandemic. The participants were invited to answer whether they were infected with COVID-19 and what treatment/recommendation they have followed. Whether UI stopped among participants, they were asked about the possible reasons why this happened. The training intensity was categorized as “the same,” “decreased” or “increased.”
Results
The mean age of the participants was 32 years old and most (98.5%) could practice CrossFit during the pandemic. There was a decrease in training intensity in 64% of the respondents. Exercises with their own body weight, such as air squat (98.2%), were the most performed. Urinary incontinence was reported by 32% of the participants before the COVID-19 pandemic, and by only 14% of them during the pandemic (odds ratio [OR]=0.32 [0.19-0.53]; p<0.01; univariate analysis). Practitioners reported that the reason possibly related to UI improvement was the reduction of training intensity and not performing doubleunder exercise.
Conclusion
The reduction in the intensity of CrossFit training during the COVID-19 quarantine decreased the prevalence of UI among female athletes.
Views1Summary
Original ArticlePrevalence of Urinary Incontinence in CrossFit Practitioners before and during the COVID-19 Quarantine and its Relationship with Training Level: An Observational Study
Rev Bras Ginecol Obstet. 2021;43(11):847-852
- Maita Poli de Araujo ,
- Luiz Gustavo Oliveira Brito ,
- Alberto de Castro Pochini ,
- Benno Ejnisman ,
- Marair Gracio Ferreira Sartori ,
- Manoel João Batista Castello Girão
Views1See moreAbstract
Objective
To compare the prevalence of urinary incontinence (UI) before and during the COVID-19 quarantine in CrossFit women and their relationship with training level.
Methods
A cross-sectional study was performed among 197 women practicing CrossFit. The inclusion criteria were nulliparous women, between 18 and 45 years old, who had trained, before quarantine, in accredited gyms. The exclusion criteria were not following the COVID-19 prevention protocols and having UI on other occasions than just sport. An online questionnaire was emailed containing questions about frequency, duration, and intensity of training and data related to the COVID-19 pandemic. The participants were invited to answer whether they were infected with COVID-19 and what treatment/recommendation they have followed. Whether UI stopped among participants, they were asked about the possible reasons why this happened. The training intensity was categorized as “the same,” “decreased” or “increased.”
Results
The mean age of the participants was 32 years old and most (98.5%) could practice CrossFit during the pandemic. There was a decrease in training intensity in 64% of the respondents. Exercises with their own body weight, such as air squat (98.2%), were the most performed. Urinary incontinence was reported by 32% of the participants before the COVID-19 pandemic, and by only 14% of them during the pandemic (odds ratio [OR]=0.32 [0.19-0.53]; p<0.01; univariate analysis). Practitioners reported that the reason possibly related to UI improvement was the reduction of training intensity and not performing doubleunder exercise.
Conclusion
The reduction in the intensity of CrossFit training during the COVID-19 quarantine decreased the prevalence of UI among female athletes.
- Maita Poli de Araujo
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