Tomasz Paszkowski

Chronic pelvic pain (CPP) of gynaecological origin encompasses a heterogeneous group of disorders, among which pelvic venous disorders (PeVD) and adenomyosis are recognised contributors. Concomitant PeVD and adenomyosis may potentiate sympt…

Uterine fibroids and endometriosis are among the most common conditions encountered in gynaecological practice. Fibroids affect 30-70% of women, with up to half experiencing symptoms that significantly impair quality of life (QoL), includin…

Simultaneous uterine arteries and ovarian veins embolization as a management for chronic pelvic pain due to adenomyosis and pelvic venous disorders.

Objective. To determine the prevalence of adenomyosis among patients with Pelvic Venous Disorders (PeVD) presenting with Chronic Pelvic Pain (CPP) and to assess the clinical response to ovarian vein embolization in cases of isolated PeVD ve…

Chronic Pelvic Pain (CPP) is one of the most common condition encountered in the daily practice of gynaecologists. Prevalence estimates for CPP vary from 6.4 to 25.4% depending on population and established criteria, resulting in a heavy so…

Uterine fibroids, benign tumors originating from uterine smooth muscle cells, vary in prevalence depending on patient ethnicity, hormonal exposure, and genetics. Due to their high incidence, these neoplasms pose a significant burden on heal…

It is estimated that chronic pelvic pain (CPP) may affect up to 24% of women. Unfortunately, very often, despite extensive diagnostics, the cause of CPP remains unknown. The pathophysiology of CPP could be explained to a large extent by the…

INTRODUCTION: Problems related to the quality of sexual life in gynecological practice are usually neglected. This study aimed to highlight the significance of this area of concern and evaluate the usefulness of tools, such as patient-repor…

Uterine fibroids are benign tumors that arise from the smooth muscle tissue of the uterus and are the most common tumors in women. Due to their high prevalence, costs for the health care system and the substantial impact on women's quality …

OBJECTIVES: To present preliminary results of minimally invasive endovascular embolization as a treatment of symptomatic adenomyosis or adenomyosis with fibroids and to assess the long-term clinical outcome. MATERIAL AND METHODS: Between 2…

BACKGROUND: Endometrial cancer (EC) is the most common malignancy of the female reproductive tract. Despite years of research, the accurate screening strategy is still not available in this disease and it is usually diagnosed only after the…

Rates of caesarean section have increased over recent years and so too have associated complications, one of which is a caesarean scar defect (CSD). The defect may cause gynaecological symptoms, such as menometrorrhagia, infertility, chroni…

72% respectively, adenomyosis were 79%, 84%, 58%, 93% and 83% respectively, combined were 19%, 93%, 47%, 81% and 57% respectively. Conclusions: This study demonstrated that TVS is effective non-invasive method for the presurgical diagnosis …

Elastography is an ultrasound-based imaging technique visualising the stiffness of the examined region. This technique enables to match the elasticity of organs with a range of colours and depicts the strain ratios on a colour map. Adenomyo…

PURPOSE: This review presents the information about epidemiology, clinical manifestation, diagnosis and treatment of primary ovarian Burkitt's lymphoma (BL), including a literature search of available BL cases. The purpose of this review is…

It is rare for neurofibromatosis to occur in the female genital tract. We report a case of a plexiform neurofibroma in the left fallopian tube in a 50-year-old postmenopausal woman. The initial diagnosis was a pedunculated leiomyoma or a fa…

PURPOSE: To assess the role of elastography in preoperative ultrasound assessment of abdominal wall endometriosis (AWE) location. MATERIALS AND METHODS: 33 patients qualified for surgical excision of AWE were included in the study. Preoper…

The aim of this study was to evaluate the effect of acetylsalicylic acid (ASA) on subendometrial blood flow in infertile women with adenomyosis. Adenomyosis is a benign uterine pathology of the uterus in which the endometrium cells grow int…

INTRODUCTION: Uterine anomalies may lead to infertility recurrent miscarriage, preterm labour intrauterine growth restriction and post-partum haemorrhage. Infertility and recurrent miscarriage are relatively common problems in the female po…

Conclusions: 3D ultrasonography is useful only to increase the diagnostic accuracy of 2D in the diagnosis of other posterior localizations of deep endometriosis.

Extrapelvic endometriosis can occur in up to 12% of cases. The symptoms are generally related to menstruation. Vaginal localizations of endometriosis is very rare form of extrapelvic endometriosis, occurring in up to 1.00% of cases. The pat…

Recent epidemiologic studies indicate that use of combined oral contraception is associated with a increase in the incidence of cardiovascular disease (venous thromboembolism, pulmonary embolism, myocardial infarction and stroke). The risk …

The development of steroid-releasing vaginal rings over the past three decades is reviewed to illustrate the role of this device as an effective hormonal contraceptive for women. NuvaRing is a combined contraceptive vaginal ring that releas…