We appreciate the interest in our paper, and we are grateful for the comment by Orsi et al., ‘Incarceration of the gravid uterus: proposal for a shared definition’. They proposed that both symptomatic cases at any gestational age and asymptomatic full-term cases should be included in the definition.
However, symptoms in early trimesters might be caused not only by incarceration itself, but also by the retroflexed and/or retroverted uterus. Moreover, the paramount message of our paper was that awareness and enlightenment for the sustained incarceration should be emphasized, because this condition may lead to severe perinatal outcomes [1]. We consider that the choice of 16 weeks of gestation as an inclusion threshold is reasonable.
Funding
This research received no external funding.
Institutional Review Board Statement
The study was conducted according to the guidelines of the Declaration of Helsinki, and approved by the Institutional Review Board of Osaka City University Graduate School of Medicine (No. 2021-067, May 2021).
Informed Consent Statement
The patients were well informed and written consent was submitted.
Data Availability Statement
Data available on request due to restrictions of privacy.
Conflicts of Interest
The authors declare no conflict of interest.
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Reference
- 1.Tachibana D., Misugi T., Kitada K., Kurihara Y., Tahara M., Hamuro A., Nakano A., Yamamoto A., Koyama M. Incarcerated Gravid uterus: Spontaneous resolution is not rare. Diagnostics. 2021;11:1544. doi: 10.3390/diagnostics11091544. [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
Data available on request due to restrictions of privacy.