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001-es BibID:	BIBFORM124393
Első szerző:	Sipos Attila Gergely (szülész-nőgyógyász)
Cím:	Vaginal elasticity is significantly decreased in postpartum vaginal prolapse : a strain elastography study / Sipos Attila Gergely, Pákozdy Krisztina, Erdődi Balázs, Krasznai Zoárd Tibor, Takács Péter, Kozma Bence
Dátum:	2024
ISSN:	0960-7692 1469-0705
Megjegyzések:	Objectives: Strain elastography is a novel method for assessing tissue elasticity. We aimed to evaluate the value of vaginal strain elastography in women with anterior and/or posterior vaginal compartment prolapse six weeks postpartum. Methods: Women with or without anterior or posterior vaginal prolapse were included in this cross-sectional study at six weeks after vaginal delivery. Participants underwent a detailed vaginal examination with an assessment of POP-Q. Prolapse was defined as Ba and/or Bp?-1. Elastography parameters of the vaginalwalls were measured in nine regions of interest (ROI). The Elastography Index (EI) was defined by the average colour score of nine ROIs. Groups were compared with unpaired t-test or Mann-Whitney U test. Results: 24 women were diagnosed with anterior and/or posterior vaginal wall prolapse, and 27 had no signs of prolapse six weeks postpartum. The two groups had no significant differences in age (years, mean?SD, 29?3 vs. 28?3, NS), BMI (mean?SD, 26.8?3.7 vs. 28.6?4.0, NS), and birthweight (Gramm, mean?SD, 3273?417 vs. 422?400, NS). EI was significantly lower in the prolapse group than in the non-prolapse group (mean?SD, 27?17 vs. 38?18, p<0.05). Conclusions: Vaginal elasticity is significantly decreased in women with vaginal prolapse, measured by elastography index six weeks postpartum. Our results suggest that strain elastography may be a valuable tool in the assessment of vaginal prolapse postpartum and pave the way for further studies investigating the role of aginal wall elastography in predicting postpartum prolapse.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idézhető absztrakt folyóiratcikk postpartum prolapse elastography transvaginal ultrasound vaginal wall
Megjelenés:	Ultrasound In Obstetrics & Gynecology. - 64 : S1 (2024), p. 48-49. -
További szerzők:	Pákozdy Krisztina (1991-) (szülész-nőgyógyász) Erdődi Balázs (1984-) (szülész-nőgyógyász szakorvosjelölt) Krasznai Zoárd Tibor (1973-) (szülész-nőgyógyász, gyermeknőgyógyász) Takács Péter (1968-) (szülész-nőgyógyász) Kozma Bence (1982-) (szülész-nőgyógyász)
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001-es BibID:	BIBFORM112811
035-os BibID:	(WoS)001016138200002 (Scopus)85163149718
Első szerző:	Takács Péter (szülész-nőgyógyász)
Cím:	A randomized controlled pilot trial to assess the effectiveness of a specially formulated food supplement and pelvic floor muscle training in women with stress-predominant urinary incontinence / Takacs Peter, Pákozdy Krisztina, Koroknai Erzsébet, Erdődi Balázs, Krasznai Zoárd, Kozma Bence
Dátum:	2023
ISSN:	1472-6874
Megjegyzések:	Background: Pelvic floor muscle training (PFMT) is the first-line treatment approach for stress urinary incontinence. Creatine and leucine have been shown to improve muscle function. Our aim was to assess the effectiveness of a food supplement and PFMT in women with stress-predominant urinary incontinence. Methods: Women with stress-predominant urinary incontinence were randomized in 1:1 ratio to receive daily oral supplementation for six weeks with either a food supplement (treatment group) or placebo (control group). Both groups were instructed to perform standardized daily PFMT. The primary outcome was the Urogenital Distress Inventory Short Form (UDI-6) score. Secondary outcomes were the Incontinence Impact Questionnaire (IIQ?7) score, Patient's Global Impression of Severity (PGI?S), and Biomechanical Integrity score (BI-score) measured by Vaginal Tactile Imager. To have a power of 80% and a significance level of 5% to detect a decrease of 16 points in the UDI-6 score, a sample size of 32 was needed, with 16 patients in each arm of our trial. Results: Sixteen women in the control group and sixteen in the treatment group completed the trial. Between-group analysis revealed no significant differences between the control and treatment group except for mean change (delta) in vaginal squeeze pressure [(cmH2O, mean?SD), 5?12 vs. 15?15, P=0.04] and mean change (delta) in PGI-S score [(mean ? SD), -0.2?0.9 vs. -0.8?0.8, P=0.04]. Within-group analysis showed that UDI-6 and IIQ-7 scores improved significantly from baseline to six weeks in the treatment group but not in the control group [UDI-6 score (mean?SD) 45?21 vs. 29?21, P=0.02; 43?18 vs. 33?26, P=0.22] [IIQ-7 score (mean?SD) 50?30 vs. 30?21, P=0.01; 48?23 vs.40?28, P=0.36]. PGI-S scores only improved in the treatment group from baseline to six weeks after treatment [PGI-S score (mean?SD) 3.1?0.8 vs. 2.3?0.8, P=0.0001]. BI-score, on average, improved significantly in the treatment and control group as well [SD unit, mean, from -1.06 to -0.58, P=0.001; from -0.66 to -0.42, P=0.04]. Conclusions: Women with stress-predominant urinary incontinence receiving a specially formulated supplement in addition to daily PFMT for six weeks had significantly improved urinary symptoms (decrease in UDI-6 score and IIQ-7) and BI-score compared to their baseline.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk urinary incontinence Pelvic floor Creatine Zinc Leucine
Megjelenés:	BMC Womens Health. - 23 : 1 (2023), p. 1-12. -
További szerzők:	Pákozdy Krisztina (1991-) (szülész-nőgyógyász) Koroknai Erzsébet (1987-) (szülész-nőgyógyász) Erdődi Balázs (1984-) (szülész-nőgyógyász szakorvosjelölt) Krasznai Zoárd Tibor (1973-) (szülész-nőgyógyász, gyermeknőgyógyász) Kozma Bence (1982-) (szülész-nőgyógyász)
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