Journal of minimally invasive gynecology
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Visually Directed Hysteroscopic Biopsy in the Evaluation of Abnormal Uterine Bleeding and Postmenopausal Bleeding: A Joint Society Practice Guideline

Jun 23, 2026

The authors aimed to provide evidence-based recommendations for the histopathologic evaluation of patients with abnormal uterine bleeding (AUB) and postmenopausal bleeding (PMB) by comparing the diagnostic accuracy of hysteroscopy versus blind endometrial biopsy. Their findings indicate that hysteroscopy, particularly when combined with biopsy, offers superior diagnostic accuracy for detecting various intrauterine pathologies, including endometrial cancer and hyperplasia, and should be integrated into diagnostic protocols for AUB and PMB. The guideline emphasizes the importance of visually directed biopsy to enhance diagnostic outcomes in these patients.

Management of Urethrovaginal Fistula and Stress Urinary Incontinence Using a Martius Flap and Laparoscopic Artificial Urinary Sphincter Implantation

Jun 22, 2026

The authors aim to address the management of a 69-year-old woman with an iatrogenic urethrovaginal fistula and subsequent stress urinary incontinence due to intrinsic sphincter deficiency. They detail the diagnostic and surgical interventions, including the repair of the fistula using a Martius flap and the implantation of a laparoscopic artificial urinary sphincter to restore urinary function.

Serum Interleukin-6 Levels in Endometriosis and Endometriosis-Associated Ovarian Cancer: A Systematic Review and Meta-Analysis Demonstrating a Biological Gradient

Jun 21, 2026

This systematic review and meta-analysis aimed to quantify serum interleukin-6 levels across a spectrum from healthy individuals to those with endometriosis and ovarian cancer, assessing the biological gradient of inflammation. The findings revealed a progressive increase in interleukin-6 levels, with levels nearly doubling from endometriosis to ovarian cancer, highlighting the role of inflammation in disease progression. The authors emphasize the need for more prospective studies to further investigate subtype-specific inflammatory responses.

Efficacy and safety of vaginal native tissue repair for pelvic organ prolapse across frailty levels

Jun 20, 2026

The authors aimed to evaluate the 1-year outcomes of vaginal native tissue repair for pelvic organ prolapse (POP) across different levels of frailty in women. Their retrospective cohort study found that postoperative lump sensation and voiding difficulty were uncommon and comparable among frailty groups, suggesting that frailty did not significantly impact these outcomes in functionally independent patients. However, the authors caution against generalizing these results to more frail or medically high-risk populations.

Prevalence of urinary symptoms in women with parametrial endometriosis - Systematic review and meta-analysis

Jun 19, 2026

This systematic review and meta-analysis aimed to evaluate the prevalence of urinary symptoms in women with parametrial endometriosis both before and after surgical intervention. The findings revealed that while urinary symptoms, particularly lower urinary tract symptoms (LUTS), were common preoperatively, their prevalence significantly decreased post-surgery, although some symptoms persisted in a notable percentage of patients. The study highlights the importance of careful surgical techniques and patient counseling to improve urinary function outcomes.

Ovarian tissue transplantation using autologous platelet-rich plasma: step-by-step surgical technique

Jun 18, 2026

The authors aim to demonstrate a step-by-step surgical technique for ovarian tissue transplantation (OTT) using autologous platelet-rich plasma (PRP) to enhance graft efficiency and longevity, addressing the issue of follicular loss post-reimplantation. They report a successful case involving a 38-year-old woman, where the procedure restored endocrine function and resumed menstrual cycles within three months without hormonal replacement. A phase-II trial is currently underway to further evaluate the long-term effects of PRP on reproductive outcomes following OTT.

Cross-Platform Comparison of Hugo RAS and da Vinci Xi in Benign Robotic Hysterectomy: Differences in Cost Structure and Operative Time

Jun 17, 2026

The study aimed to compare the perioperative outcomes and cost structures of the Hugo RAS and da Vinci Xi robotic systems for benign simple hysterectomy. The findings revealed that while Hugo RAS resulted in lower total surgical costs primarily due to reduced material expenses, it was associated with longer operative and console times compared to da Vinci Xi. No significant differences were noted in labor, drug, or overhead costs, and both systems had no recorded 30-day complications.

Embryo Euploidy Rates and Reproductive Outcomes Following Ethanol Sclerotherapy, Laparoscopic Cystectomy, or No Intervention for Ovarian Endometriomas Prior to IVF with PGT-A: A Retrospective Cohort Study

Jun 15, 2026

The authors aimed to determine whether the management of ovarian endometriomas—through ethanol sclerotherapy, laparoscopic cystectomy, or no intervention—affects embryo euploidy rates and reproductive outcomes in women undergoing IVF with preimplantation genetic testing for aneuploidy (PGT-A). Their findings revealed no significant differences in euploidy rates or cumulative live birth rates among the treatment groups, suggesting that the choice of endometrioma management should be based on clinical factors rather than concerns about embryo chromosomal competence.

The Scholarly Infrastructure of Complex Benign Gynecology: A Bibliometric Analysis of Publication Patterns, Citation Impact, and Field Maturation from 2015-2025

Jun 15, 2026

The authors aim to evaluate the publication patterns and citation impact of Complex Benign Gynecology (CBG) scholarship within specialized and general Obstetrics and Gynecology journals from 2015 to 2025. Their bibliometric analysis reveals that specialized journals publish a higher proportion of primary CBG-focused articles, while general journals provide broader dissemination of CBG research, indicating a developing scholarly profile for the field. Overall, the findings highlight the collaborative nature of CBG scholarship across different journal types and its implications for subspecialty maturation.

Association Between Pre-Conception Surgery for Deep Endometriosis and Adverse Obstetric Outcomes: A Retrospective Cohort Study

Jun 12, 2026

The authors aimed to determine whether pre-conception surgery for deep endometriosis (DE) is linked to adverse obstetric outcomes compared to conservative management. Their retrospective cohort study found that women who underwent surgery experienced significantly higher rates of composite adverse obstetric outcomes, including complications such as placenta previa and gestational hypertensive disorders, though fetal and neonatal outcomes were similar between the groups. The authors caution that these findings indicate an association rather than causation due to the study's observational nature and differences in disease severity.