Giuseppe Colafiglio

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OBJECTIVE To evaluate the type and etiopathogenic role of infectious agents detected in endometrial cultures obtained from women with chronic endometritis (CE). DESIGN Prospective controlled study. SETTING University hospital. PATIENT(S) 2190 women undergoing hysteroscopy for different indications. INTERVENTION(S) Vaginal and endometrial samples(More)
STUDY OBJECTIVE Chronic endometritis is a subtle condition that is difficult to detect; however, it may cause abnormal uterine bleeding and infertility. Few data exist about the appearance of chronic endometritis at fluid hysteroscopy and about the value of diagnostic fluid hysteroscopy in the detection of this condition. In our experience, at fluid(More)
OBJECTIVE To compare outcomes in patients with symptomatic uterine myomas who underwent laparoscopic (LPS) or minilaparotomic (MLPT) myomectomy. DESIGN Prospective randomized study (Canadian Task Force classification II-2). SETTING University hospital. PATIENTS Eighty patients with no more than 3 uterine myomas of maximal diameter of 7 cm. (More)
OBJECTIVE This study aimed at comparing the reliability of diagnostic fluid hysteroscopy, transvaginal sonography (TVS), and magnetic resonance imaging (MRI) to assess pre-operatively the presence of cervical involvement by endometrial carcinoma. METHODS Cervical involvement was assessed by diagnostic fluid mini-hysteroscopy, TVS and MRI before surgery in(More)
OBJECTIVE Concerns exist about the risk of endometrial cancer cells spreading into the peritoneal cavity after fluid minihysteroscopy. The aim of our study was to evaluate the 5-year incidence of pelvic recurrences in women affected by early-stage endometrial carcinoma (stage IA or IB) who did or did not undergo preoperative hysteroscopy with low pressure(More)
OBJECTIVE To evaluate the usefulness of narrow-band imaging (NBI) technology for improving the diagnostic reliability of hysteroscopy. DESIGN Prospective controlled clinical study (Canadian Task Force classification II-2). SETTING University hospital. PATIENT(S) Three hundred ninety-five outpatient women undergoing diagnostic hysteroscopy were(More)
In a 3-year prospective study, 30 postmenopausal women received transdermal E2 gel and every-other-day vaginal P in capsules. At study completion, endometrial thickness was significantly reduced as compared with baseline (2.7 +/- 0.5 vs. 3.4 +/- 0.9 mm), endometrial biopsy showed endometrial atrophy in all cases, and amenorrhea was achieved in 92.6% of(More)
OBJECTIVE To investigate the potential role of peritoneal fluid activity for the local delivery of gonadal steroid hormones. DESIGN Prospective clinical study. SETTING University hospital. PATIENT(S) Nine women undergoing tubal sterilization during laparoscopic surgery. INTERVENTION(S) Peritoneal fluid was collected during laparoscopic surgery by(More)
BACKGROUND The blood supply to the tubal corner of the uterus may originate from the uterine and ovarian arteries. The border of supply from the arteries has been found to move in young women; the change seemed dependent on ovarian steroid production. The present work investigated whether the border of supply could differ between the two sides of the uterus(More)
AIM The aim of this study was to determine the diagnostic accuracy of minihysteroscopy with fluid distention and vaginoscopic approach for the diagnosis of endometrial pathologies. METHODS This controlled clinical study was conducted on 930 women with endometrial abnormalities who referred to our Department of Obstetrics and Gynecology, University Medical(More)