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Do the Ultrasonographic Measures of Midurethral Sling Location Relate With Surgical Outcomes? Urogynecology (IF 1.6) Pub Date : 2023-11-30 Mehmet Murat Seval,Serife Esra Cetinkaya,Kaan Baydemir,Bulut Varli,Fulya Dokmeci
IMPORTANCE The proper placement of a midurethral sling (MUS) is the key factor for a successful surgical outcome. OBJECTIVE This study aimed to evaluate the relationship of perineal ultrasonographic measures of the tape location with subjective and objective outcomes after MUS surgery at midterm follow-up of women. METHODS The tape percentile (TP; total urethral length/bladder neck tape distance×100)
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Triangulation of a Needs Assessment on High-Tone Pelvic Floor Dysfunction. Urogynecology (IF 1.6) Pub Date : 2023-11-30 Devon Smith,Lindsey Gugerty,Seran Schug,Lioudmila Lipetskaia
IMPORTANCE High-tone pelvic floor dysfunction is a complex condition that is challenging to manage effectively. Pelvic floor physical therapy (PFPT) is often used in the treatment and relies on a coordinated effort between the physician, patient, and physical therapist. Collaboration is crucial for therapy success, but there is limited research that includes personal perspectives from these individuals
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Levator Ani Avulsion in Ultrasound Increases Recurrence in Sacrospinous Fixation. Urogynecology (IF 1.6) Pub Date : 2023-11-10 Andrea Maluenda,Fernanda Santis-Moya,Diego Arévalo,Dominga Pohlhammer,Bernardita Blumel,Rodrigo Guzmán-Rojas,Javier Pizarro-Berdichevsky
IMPORTANCE Pelvic floor translabial ultrasound (TLUS) can identify levator ani muscle (LAM) avulsion and ballooning, which some studies have shown to be possible risk factors for prolapse recurrence. Our group uses TLUS to counsel patients preoperatively. If any of these risk factors exist, we offer sacrocolpopexy over vaginal repair. However, some patients, even though they have these possible risk
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Use of a Digital Conversational Agent for the Management of Overactive Bladder. Urogynecology (IF 1.6) Pub Date : 2023-11-06 David Sheyn,Natalie Chakraborty,Yufan Brandon Chen,Sangeeta T Mahajan,Adonis Hijaz
IMPORTANCE Conservative therapy is effective for the treatment of overactive bladder (OAB) but may be limited by accessibility to care. OBJECTIVE The objective of this study was to evaluate the efficacy of a digital conversational agent (CeCe) for the treatment of OAB. STUDY DESIGN This was a prospective observational trial utilizing a digital conversational agent developed by Renalis University Hospitals
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Analgesia Using Transcutaneous Electric Nerve Stimulation in Office Bladder Chemodenervation, a Randomized Controlled Trial. Urogynecology (IF 1.6) Pub Date : 2023-11-06 Diego Hernandez-Aranda,Joseph Panza,Marc Eigg,Marc Greenstein,Dongmei Li,Jeanne O'Brien,Gareth Warren,Paula Jaye Doyle
IMPORTANCE Office bladder chemodenervation, performed via cystoscopy with intradetrusor onabotulinumtoxinA (BOTOX) injections, is a common treatment for overactive bladder/urge urinary incontinence. Transcutaneous electric nerve stimulation (TENS) has shown to provide analgesia during office hysteroscopy. Adjuvant analgesia using TENS during bladder chemodenervation has not been studied. OBJECTIVE
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Tags for Tears: The Obstetric Anal Sphincter Injury Hashtag Ontology Project. Urogynecology (IF 1.6) Pub Date : 2023-10-30 Cima Maliakal,Alexis Dieter,Cheryl Iglesia,Abigail Davenport
IMPORTANCE Social media is a powerful outlet for the dissemination of health care information. Adoption of a hashtag ontology-a standardized list of terms-may help better organize information and improve access to educational materials for health care providers (HCPs) and patients. OBJECTIVES The primary objective was to create a hashtag ontology specific to obstetric anal sphincter injuries (OASIS)
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Overactive Bladder in Late Pregnancy to 1 Year After First Vaginal Delivery. Urogynecology (IF 1.6) Pub Date : 2023-10-30 Whitney K Hendrickson,Amanda A Allshouse,Ingrid E Nygaard,Carolyn W Swenson
IMPORTANCE Understanding overactive bladder (OAB) during pregnancy and postpartum may increase our knowledge of pathophysiology. OBJECTIVES The purpose of this study was to understand the prevalence and severity of OAB during pregnancy through 1 year postpartum as well as the associated factors. STUDY DESIGN This is a secondary analysis of a prospective cohort study evaluating primiparous women with
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At the Scrub Sink: Uterosacral Ligament Suspension. Urogynecology (IF 1.6) Pub Date : 2023-10-24 Kate V Meriwether
Uterosacral ligament suspension for repair of prolapse has some challenges, such as visualization in the vagina, choice of suture, and avoidance of dangers such as ureteral kinking. This editorial offers some tips for performing a uterosacral suspension that are commonly discussed "at the scrub sink" before a case.
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Infection of Obturator Mesh Sling Masquerading as Fistula-in-Ano: A Case Report. Urogynecology (IF 1.6) Pub Date : 2023-10-24 Cynthia D Hall,Jennifer S Davids
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Management of Urinary Tract Infection Symptoms in Older Women: A Survey of Practitioners. Urogynecology (IF 1.6) Pub Date : 2023-10-24 Ashley Murillo,Selma Su,Halina Zyczynski,Megan Bradley
IMPORTANCE Urinary tract infection (UTI) is the most common bacterial infection for which empiric antibiotics are prescribed despite limited progression to urosepsis. More than half of antibiotics prescribed to older adults for a suspected UTI are considered unnecessary. OBJECTIVE The aim of the study was to assess knowledge, attitudes, and practices regarding management of older women (>65 years)
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Effect of Pelvic Floor Muscle Training With Smartphone Reminders on Women in the Postpartum Period: A Randomized Controlled Trial. Urogynecology (IF 1.6) Pub Date : 2023-10-24 Lei Chu,Xia Jin,Siyu Wu,Xiaowen Tong,Huaifang Li,Xinliang Chen
IMPORTANCE Standard postpartum pelvic floor muscle training (PFMT) can effectively reduce the incidence of pelvic floor dysfunction diseases. OBJECTIVE This study aimed to evaluate the adherence of PFMT with smartphone application reminders on women in the postpartum period. STUDY DESIGN We conducted a randomized controlled trial. This single-center randomized (1:1) controlled study included primiparous
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Perioperative Outcomes for Same- Versus Next-Day Discharge After Benign Vaginal Hysterectomy. Urogynecology (IF 1.6) Pub Date : 2023-10-19 Kristina A Burger,Elizabeth H Robison,Silpa Nekkanti,Andrew F Hundley,Catherine O Hudson
IMPORTANCE While same-day discharge (SDD) after laparoscopic hysterectomy is well supported, studies for vaginal hysterectomy (VH) are lacking. OBJECTIVE The aim of the study was to compare 30-day complications for SDD versus next-day discharge (NDD) after benign VH. STUDY DESIGN This was a retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program
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Referral and Prescription Patterns for Female Patients With Urinary Incontinence. Urogynecology (IF 1.6) Pub Date : 2023-10-09 Marie C Luebke,Emily R W Davidson,Bradley H Crotty,Nicole Fergestrom,R Corey O'Connor,Emily Schmitt,Aaron N Winn,Kathryn E Flynn,Joan M Neuner
IMPORTANCE Although behavioral modifications, medications, and other interventions can improve urinary incontinence (UI), many women never receive them. OBJECTIVES To better characterize UI treatment patterns in primary care, we examined prescriptions and referrals to pelvic floor physical therapy (PFPT) and specialist physicians within a large Midwestern academic health system. STUDY DESIGN Electronic
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Twelve Month Outcomes of Pelvic Organ Prolapse Surgery in Patients With Uterovaginal or Posthysterectomy Vaginal Prolapse Enrolled in the Multicenter Pelvic Floor Disorders Registry. Urogynecology (IF 1.6) Pub Date : 2023-10-01 Cecile A Ferrando,Catherine S Bradley,Leslie A Meyn,Heidi W Brown,Pamela A Moalli,Christine A Heisler,Shivani M Murarka,Raymond T Foster,Doreen E Chung,Emily L Whitcomb,Robert E Gutman,Uduak U Andy,Stuart H Shippey,Jennifer Anger,Ladin A Yurteri-Kaplan
OBJECTIVE The aim of the study was to compare 12-month subjective and objective outcomes between 3 approaches to apical pelvic organ prolapse (POP) surgery in patients presenting with uterovaginal or posthysterectomy vaginal prolapse enrolled in the Pelvic Floor Disorders Registry for Research. STUDY DESIGN This was an analysis of a multicenter, prospective registry that collected both patient- and
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From Vaginal Mesh to Mommy Makeovers: Lessons on Safely Introducing New Technologies in Gynecologic Surgery. Urogynecology (IF 1.6) Pub Date : 2023-10-01 Cheryl B Iglesia
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Bowel Complications Due to Barbed Suture (V-LOCK) Use During Sacrocolpopexy. Urogynecology (IF 1.6) Pub Date : 2023-09-22 Emma Reynolds,Tyler Bergeron,Ken Shapiro,Nitya Abraham
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Patient Outcomes After Robotic Ventral Rectopexy With Sacrocolpopexy. Urogynecology (IF 1.6) Pub Date : 2023-09-22 James H Ross,Meng Yao,Shannon L Wallace,Marie Fidela R Paraiso,Sarah A Vogler,Katie Propst,Cecile A Ferrando
IMPORTANCE As few studies exist examining postoperative functional outcomes in patients undergoing robotic sacrocolpopexy and ventral rectopexy, results from this study can help guide surgeons in counseling patients on their outcomes. OBJECTIVE The aim of the study was to evaluate functional outcomes and overall postoperative satisfaction as measured by the Pelvic Floor Disability Index 20 (PFDI-20)
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Transobturator Versus Minisling for Urinary Incontinence: A Randomized Controlled Trial. Urogynecology (IF 1.6) Pub Date : 2023-09-20 Rodrigo Bartilloti Barachisio Lisboa,Marcelo de Arruda Faber,Glaucia Miranda Varella Pereira,Edilson Benedito de Castro,Ana Carolina Marchesini Camargo,Cássia Raquel Teatin Juliato,Luiz Gustavo Oliveira Brito
IMPORTANCE The comparison between single-incision slings (SISs) and midurethral slings has been documented in the literature, but results vary according to the SIS device. OBJECTIVES The purpose of this study is to assess whether SIS (Solyx) is noninferior to transobturator (TOT) (Obtryx) sling for treating women with confirmed stress-predominant urinary incontinence. STUDY DESIGN A prospective, parallel
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Impact of Sling at Time of Prolapse Surgery on Overactive Bladder. Urogynecology (IF 1.6) Pub Date : 2023-09-20 Joseph T Kowalski,Erin Maetzold,Kimberly A Kenne,Catherine S Bradley
IMPORTANCE Prolapse surgery and sling surgery both lead to improvement in overactive bladder. However, less is known regarding how slings performed concurrently with less is know about how overactive bladder symptoms change in patients having prolapse surgery with a sling compared to prolapse surgery without a sling. OBJECTIVE The primary aim was to compare change in postoperative overactive bladder
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Effect of Educational Video on Patient Adherence and Completeness of Voiding Diaries: A Randomized Trial. Urogynecology (IF 1.6) Pub Date : 2023-09-20 Shailja Mehta,Madeline Carmain,Shana Dalal,Lisbet Lundsberg,Brad St Martin,Oz Harmanli
IMPORTANCE Voiding diaries are clinically useful tools for elucidating the etiology of lower urinary tract symptoms. The utility of voiding diaries is challenged by low return rate and incomplete or inaccurate data entry. OBJECTIVE The objective was to determine the effect of the use of an educational video on patient adherence, completeness of intake and voiding diaries, and patient satisfaction.
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Small Bowel Obstruction After Colpopexy-Case Report and Images of the Mechanism. Urogynecology (IF 1.6) Pub Date : 2023-09-20 Steven Michael Minaglia
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Utilization of Rectal Examinations Before Magnetic Resonance Defecography Studies. Urogynecology (IF 1.6) Pub Date : 2023-09-20 Colby J Schrum,Micaela M Dickinson,Eric D Shah,Mark R Speicher,Kris Strohbehn
IMPORTANCE More information is needed to guide referring subspecialists on the appropriate patient evaluation before magnetic resonance defecography (MRD). OBJECTIVES This study aimed to evaluate how often health care providers perform digital rectal examination (DRE) before ordering MRD to investigate causes of bowel and pelvic floor complaints. STUDY DESIGN We conducted a retrospective cohort review
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Use of a Computerized Decisional Analysis Tool in Patients With Urgency Urinary Incontinence. Urogynecology (IF 1.6) Pub Date : 2023-09-01 Hoa Nguyen,Oluwateniola Brown,Carol E Bretschneider,Margaret Mueller,Julia Geynisman-Tan,Christina Lewicky-Gaupp,Kimberly Kenton,Sarah Collins
IMPORTANCE Decision analysis tools (DAT) are shared decision making instruments that include patient input on treatment goals and values that have been shown to decrease decisional regret in women's health care. OBJECTIVE We describe a novel, computerized DAT for patients with urinary incontinence (UI), and our primary aim was to assess the concordance between treatment fit as determined by the DAT
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The Launch of the Urogynecology Early Career Peer Reviewer Academy. Urogynecology (IF 1.6) Pub Date : 2023-09-01 Linda Brubaker
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Risk Factors for Missed Appointments at a Multisite Academic Urban Urogynecology Practice. Urogynecology (IF 1.6) Pub Date : 2023-08-31 Jeannine M Miranne,Alexa Courtepatte,Stephanie Schatzman-Bone,Vatche A Minassian
IMPORTANCE Missed appointments lead to decreased clinical productivity and poor health outcomes. OBJECTIVES The objectives of this study were to describe sociodemographic and clinical characteristics of patients who miss urogynecology appointments and identify risk factors for missed appointments. STUDY DESIGN We conducted an institutional review board-approved case-control study of women 18 years
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Performance of Perioperative Tasks for Women Undergoing Anti-incontinence Surgery: Developed by the AUGS Quality Improvement and Outcomes Research Network. Urogynecology (IF 1.6) Pub Date : 2023-08-01 Elisabeth Erekson,Emily L Whitcomb,Neil Kamdar,Steve Swift,Geoffrey W Cundiff,Jerome Yaklic,Kris Strohbehn,Rony Adam,Jill Danford,Marcella G Willis-Gray,Rose Maxwell,Autumn Edenfield,Samantha Pulliam,Merry Gong,Mackenzie Malek,Paul Hanissian,Geoffrey Towers,Noelani M Guaderrama,Paul Slocum,Daniel Morgan
OBJECTIVES Surgery for the correction of stress urinary incontinence is an elective procedure that can have a dramatic and positive impact on quality of life. Anti-incontinence procedures, like inguinal hernia repairs or cholecystectomies, can be classified as high-volume/low-morbidity procedures. The performance of a standard set of perioperative tasks has been suggested as one way to optimize quality
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European Urogynaecological Association Position Statement: Pelvic Organ Prolapse Surgery. Urogynecology (IF 1.6) Pub Date : 2023-08-01 Anna Padoa,Andrea Braga,Tal Fligelman,Stavros Athanasiou,Christian Phillips,Stefano Salvatore,Maurizio Serati
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Vesicouterine Fistula After Cesarean Delivery at Full Cervical Dilation. Urogynecology (IF 1.6) Pub Date : 2023-07-29 Alessandro Bulfoni,Giulia Bonavina,Stefano Acerboni,Irene Schirripa,Paolo Casale,Andrea Busnelli
IMPORTANCE Vesicouterine fistula (VUF) is an iatrogenic consequence of cesarean section in the vast majority of cases. The worldwide increase of cesarean delivery rates is likely to be accompanied by a rise of this complication, and surgery is the mainstay treatment. OBJECTIVE The aim of the study is to assess current evidence on VUF pathogenesis and management. STUDY DESIGN The study is a case report
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Outcomes in Women With Pelvic Organ Prolapse Presenting With Pessary-Related Complications. Urogynecology (IF 1.6) Pub Date : 2023-07-27 Ukpebo Omosigho,Katie Propst,Cecile A Ferrando
IMPORTANCE There is currently a paucity of data describing the outcomes of women with pelvic organ prolapse (POP) and/or urinary incontinence (UI) who present with pessary-related complications. OBJECTIVE This study aimed to describe outcomes in women with POP and UI managed with a pessary who present with pessary-related complications. STUDY DESIGN This was a retrospective cohort study of women with
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Complex Rectoneovaginal Fistula Repair After Vaginoplasty. Urogynecology (IF 1.6) Pub Date : 2023-07-27 Bethany Bandi,Marianna Maspero,Crina Floruta,Hadley M Wood,Cecile A Ferrando,Tracy L Hull
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Anatomic Criterion for Clinically Relevant Apical Prolapse in Urogynecology Populations. Urogynecology (IF 1.6) Pub Date : 2023-07-26 Sumin Oh,E Kyung Shin,So Yeon Lee,Min Ju Kim,Youjoung Lee,Myung Jae Jeon
IMPORTANCE Despite recognition of the critical role of the apex in vaginal support, there is no consensus on the anatomic criteria for clinically relevant apical prolapse. OBJECTIVE The aim of this study was to define an optimal anatomic criterion for clinically relevant apical prolapse. STUDY DESIGN This retrospective cohort study included 3,690 patients who had visited a tertiary hospital for ambulatory
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Pilot Study of a Novel At-Home Posterior Tibial Nerve System for Overactive Bladder Syndrome. Urogynecology (IF 1.6) Pub Date : 2023-07-24 Claire S Burton,Eric R Sokol
IMPORTANCE Urgency urinary incontinence and overactive bladder are common conditions. Third-line therapies are often underutilized because of either being too invasive or being burdensome for the patient. OBJECTIVE We aimed to determine the efficacy and acceptability of a noninvasive, home-based posterior tibial nerve treatment system for the treatment of overactive bladder syndrome. STUDY DESIGN In
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The Impact of Vaginal Probiotics on Pessary Use: A Randomized Controlled Trial. Urogynecology (IF 1.6) Pub Date : 2023-07-18 Elisabeth C Sappenfield,Colleen Mellen,Jennifer Wilcox,Deirdre Elizabeth O'Hanlon,David M O'Sullivan,Elena Tunitsky-Bitton
IMPORTANCE Pessary-related adverse effects are common, and treatment options are limited. Probiotics may improve pessary-related adverse effects by altering the vaginal microenvironment. OBJECTIVE This study aimed to evaluate the effect of a vaginal probiotic suppository on the vaginal microenvironment among pessary users. STUDY DESIGN Women who used pessaries were randomized to vaginal probiotic suppository
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Addressing Sustainability in the Operating Room. Urogynecology (IF 1.6) Pub Date : 2023-07-13 Alexandra I Melnyk,Clarissa Niino,Kelly N Wright
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Women's Experiences of Urinary Tract Infections and Impact on Life: An Exploratory Qualitative Study. Urogynecology (IF 1.6) Pub Date : 2023-07-13 Priyanka H Krishnaswamy,Eilidh Middleton,Suzanne Hagen,Karen Lesley Guerrero,Jo Booth
IMPORTANCE Despite high incidences of urinary tract infections (UTIs), little is known about how bothersome symptoms are and the effects on women's life and sexual activity, leaving a gap in our understanding of the physical and emotional effects of UTIs on women. OBJECTIVES This initial exploratory and descriptive study analyzes women's experiences of UTI and their perceived impact on quality of life
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Pudendal Nerve Block With Liposomal Bupivacaine for Sacrospinous Ligament Suspension. Urogynecology (IF 1.6) Pub Date : 2023-07-13 Dima Ezzedine,Laura Dhariwal,Erika Wasenda,Charbel Salamon,Ricardo Caraballo
IMPORTANCE Pudendal nerve block has been frequently used as a pain management modality for vaginal prolapse surgery. However, studies investigating its efficacy and the type of anesthetic used have had conflicting results. OBJECTIVE This study aimed to evaluate the effect of intraoperative pudendal nerve block with liposomal bupivacaine on postoperative pain after sacrospinous ligament suspension surgery
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Perioperative Outcomes of Vesicovaginal Fistula Repair by Surgical Approach. Urogynecology (IF 1.6) Pub Date : 2023-07-07 Francis A Jefferson,Kristine T Hanson,Maraika O Robinson,Elizabeth B Habermann,Annetta M Madsen,John B Gebhart,Brian J Linder
IMPORTANCE Data comparing perioperative outcomes between transvaginal, transabdominal, and laparoscopic/robotic vesicovaginal fistula (VVF) repair are limited but are important for surgical planning and patient counseling. OBJECTIVE This study aimed to assess perioperative morbidity of VVF repair performed via various approaches. STUDY DESIGN The American College of Surgeons National Surgical Quality
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Cost-Utility Analysis of Midurethral Sling Timing Among Women Undergoing Prolapse Surgery. Urogynecology (IF 1.6) Pub Date : 2023-07-04 Jessica C Sassani,Lauren E Giugale,Erin Seifert Lavelle,Jonathan P Shepherd
IMPORTANCE There are no guidelines regarding the ideal timing of midurethral sling (MUS) placement following prolapse repair. OBJECTIVE The objective of this study was to estimate the cost-utility of concomitant MUS versus staged MUS among women undergoing apical suspension surgery for pelvic organ prolapse. STUDY DESIGN Cost-utility modeling using a decision analysis tree compared concomitant MUS
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The Use of Disposable Supplies: Measuring Suburethral Sling Surgical Waste by Cost and Weight. Urogynecology (IF 1.6) Pub Date : 2023-07-04 Alexandra I Melnyk,Noe Woods,Megan S Bradley,Pamela Moalli
IMPORTANCE The health care industry is a leading contributor to solid waste in the United States, and two thirds of a hospital's regulated medical waste is produced from surgery. OBJECTIVE The primary objective was to assess the utilization of single-use disposable supplies during suburethral sling cases. STUDY DESIGN We observed suburethral sling plus cystoscopy procedures at an academic medical center
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Randomized Trial on Expectations and Pain Control Advancement in Surgery: The REPAIR Study. Urogynecology (IF 1.6) Pub Date : 2023-06-27 Tasha R Serna-Gallegos,Yuko M Komesu,Gena C Dunivan,Kate V Meriwether,Cara S Ninivaggio,Timothy R Petersen,Peter C Jeppson
IMPORTANCE Following standardized preoperative education and adoption of shared decision making positively affects postoperative narcotic practices. OBJECTIVES The aim of this study was to assess the impact of patient-centered preoperative education and shared decision making on the quantities of postoperative narcotics prescribed and consumed after urogynecologic surgery. STUDY DESIGN Women undergoing
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Relationships Between Urinary and Nonurinary Symptoms in Treatment-Seeking Women in LURN. Urogynecology (IF 1.6) Pub Date : 2023-06-27 Abigail R Smith,Sarah A Mansfield,Catherine S Bradley,Kimberly S Kenton,Margaret E Helmuth,Anne P Cameron,Ziya Kirkali,C Emi Bretschneider,Victor Andreev,Aruna Sarma,Giulia Lane,Sarah A Collins,David Cella,H Henry Lai,Steven E Harte,James W Griffith,
IMPORTANCE Physical health and psychological health represent modifiable factors in the causal pathway of lower urinary tract symptoms (LUTS). OBJECTIVES Understand the relationship between physical and psychological factors and LUTS over time. STUDY DESIGN Adult women enrolled in the Symptoms of Lower Urinary Tract Dysfunction Research Network observational cohort study completed the LUTS Tool and
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Trends in Urogynecologic Surgery Among Obstetrics and Gynecology Residents From 2002 to 2022. Urogynecology (IF 1.6) Pub Date : 2023-06-22 Alexandra C Nutaitis,Estee L George,Caroline J Mangira,Shannon L Wallace,Natalie A Bowersox
IMPORTANCE The number of American women with a pelvic floor disorder is projected to increase from 28.1 million in 2010 to 43.8 million in 2050. OBJECTIVES The objective of this study was to evaluate trends in the number of urogynecologic procedures performed by graduating obstetrics and gynecology residents and to compare variability in volume between residents in the 70th and 30th percentiles for
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Changing the Name of the Subspecialty (Back) to Urogynecology and Reconstructive Pelvic Surgery. Urogynecology (IF 1.6) Pub Date : 2023-06-22 Matthew D Barber,Catherine S Bradley,George D Wendel
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Risk Factors for De Novo Overactive Bladder After Midurethral Sling. Urogynecology (IF 1.6) Pub Date : 2023-06-14 Tasha Serna-Gallegos,Sonia Dutta,Carly Crowder,Paul Wadensweiler,Emily L Whitcomb,Noelani M Guaderrama
IMPORTANCE The low incidence of de novo overactive bladder (OAB) symptoms after a midurethral sling (MUS) procedure better informs preoperative counseling. OBJECTIVE The study aimed to measure the incidence and risk factors for de novo OAB after MUS. STUDY DESIGN This was a retrospective cohort study of de novo OAB symptoms in patients who underwent MUS surgery in a health maintenance organization
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Platelet-Rich Plasma for the Treatment of Stress Urinary Incontinence-A Randomized Trial. Urogynecology (IF 1.6) Pub Date : 2023-06-01 Themos Grigoriadis,Christos Kalantzis,Dimitrios Zacharakis,Nikolaos Kathopoulis,Anastasia Prodromidou,Sofia Xadzilia,Stavros Athanasiou
IMPORTANCE Urinary incontinence affects millions of women worldwide. OBJECTIVE The aim of the current study was to evaluate the efficacy and safety of periurethral platelet-rich plasma (PRP) injections in women with stress urinary incontinence (SUI). STUDY DESIGN This was a single-center, double-blind, randomized sham-controlled trial. Fifty participants with SUI and urodynamic stress incontinence
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Evaluating the Long-term Impact of Implementing Standardized Postoperative Opioid Prescribing Recommendations Following Pelvic Organ Prolapse Surgery. Urogynecology (IF 1.6) Pub Date : 2023-06-01 Elizabeth J Olive,Amy E Glasgow,Elizabeth B Habermann,John B Gebhart,John A Occhino,Emanuel C Trabuco,Brian J Linder
IMPORTANCE Improving opioid stewardship is important, given the common use of opioids and resultant adverse events. Evidence-based prescribing recommendations for surgeons may help reduce opioid prescribing after specific procedures. OBJECTIVE The aim of this study was to assess longitudinal prescribing patterns for patients undergoing pelvic organ prolapse surgery in the 2 years before and after implementing
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Comparison of Readmission Rates for Same-Day Versus Next-Day Discharge After Benign Vaginal Hysterectomy. Urogynecology (IF 1.6) Pub Date : 2023-06-01 Elizabeth H Robison,Kristina A Burger,Silpa Nekkanti,Andrew F Hundley,Catherine O Hudson
IMPORTANCE Same-day discharge (SDD) for laparoscopic hysterectomy is shown to be safe and acceptable, but data for vaginal hysterectomy (VH) are lacking. OBJECTIVE The aim of this study was to compare 30-day readmission rates, timing, and reasons for readmission for SDD versus next-day discharge (NDD) after VH. STUDY DESIGN This was a retrospective cohort study using the American College of Surgeons
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Efficacy of Pelvic Floor Ultrasound for Assessing Transobturator Tape Sling Procedure. Urogynecology (IF 1.6) Pub Date : 2023-05-31 Yang Hu,Shuxu Zhu,Yelin Lou,Heng Zhang,Ting Huang,Liping Xie
IMPORTANCE Complications after midurethral sling, which require a high degree of clinical suspicion for timely diagnosis, accurate evaluation, and proper intervention, are closely associated with surgical success or failure. OBJECTIVES This study aimed to evaluate the efficacy and complications of tension-free midurethral sling for stress urinary incontinence (SUI) using pelvic floor ultrasound. STUDY
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Does AUGS Still Have Quality Assurance Goals?: Erratum. Urogynecology (IF 1.6) Pub Date : 2023-06-01
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EUGA Abstracts 15th EUGA Annual Congress 20-22 October 2022, Antibes - Palais des Congrès. Urogynecology (IF 1.6) Pub Date : 2023-06-01
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Association of Pelvic Floor Disorders, Perceived Psychological Stress, and Military Service in U.S. Navy Servicewomen: A Cross-Sectional Survey. Urogynecology (IF 1.6) Pub Date : 2023-05-20 Joy A Greer,Kristen R Heye,Andrea McGlynn,Shorty Johansson,Christine M Vaccaro
IMPORTANCE Pelvic floor disorders (PFDs) are linked to psychological stress and decreased work performance in civilian populations. Higher psychological stress is reported in female active-duty servicewomen (ADSW), which affects military readiness. OBJECTIVE This study sought to associate PFDs, work-related challenges, and psychological stress in ADSW. STUDY DESIGN We conducted a single-site, cross-sectional
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Race in Clinical Algorithms and Calculators in Urogynecology: What Is Glaring to Us. Urogynecology (IF 1.6) Pub Date : 2023-05-19 Feven W Getaneh,Mary F Ackenbom,Charelle M Carter-Brooks,Oluwateniola Brown
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Medium-Term Outcomes of Conservative and Surgical Treatments for Stress Urinary Incontinence: A Medicare Claims Analysis: Developed by the AUGS Payment Reform Committee. Urogynecology (IF 1.6) Pub Date : 2023-05-19 Evelyn F Hall,Daniel H Biller,Joanna L Buss,Tanaz Ferzandi,Gabriela E Halder,Tyler M Muffly,Katelin B Nickel,Mikio Nihira,Margaret A Olsen,Shannon L Wallace,Jerry L Lowder
OBJECTIVE This study aimed to evaluate the 3- to 5-year retreatment outcomes for conservatively and surgically treated urinary incontinence (UI) in a population of women 66 years and older. METHODS This retrospective cohort study used 5% Medicare data to evaluate UI retreatment outcomes of women undergoing physical therapy (PT), pessary treatment, or sling surgery. The data set used inpatient, outpatient
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The Predictive Value of the Genital Hiatus. Urogynecology (IF 1.6) Pub Date : 2023-05-17 Joan L Blomquist,Victoria L Handa
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Clean-Catch Urine Specimen More Likely to Be Contaminated After Vaginal Surgery for Pelvic Organ Prolapse. Urogynecology (IF 1.6) Pub Date : 2023-05-17 Amanda O'Meara,Victoria Abalyan,David M O'Sullivan,Elena Tunitsky-Bitton
IMPORTANCE Accurate diagnosis of urinary tract infection after pelvic organ prolapse (POP) surgery is essential to postoperative care. OBJECTIVE Our aim was to determine the agreement between the urinalysis of a clean-catch versus a straight catheter urine specimen in women who underwent vaginal surgery for POP. STUDY DESIGN This was a cross-sectional study evaluating patients after vaginal surgery
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Effects of Pure Barre Exercise on Urinary Incontinence Symptoms: A Prospective Observational Cross-Sectional Study. Urogynecology (IF 1.6) Pub Date : 2023-05-17 Rebeccah S Briskin,Ali M Luck
IMPORTANCE Pure Barre is a form of physical exercise using low-impact, high-intensity, pulsatile isometric movements that may serve as a treatment option for urinary incontinence. OBJECTIVE The objective of this study was to measure the effects of the Pure Barre workout on urinary incontinence symptoms and sexual function. STUDY DESIGN This was a prospective observational study of new, female Pure
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Hungarian Women's Health Care Seeking Behavior and Knowledge of Urinary Incontinence and Pelvic Organ Prolapse: A Cross-sectional Study. Urogynecology (IF 1.6) Pub Date : 2023-05-17 Éva Szatmári,Alexandra Makai,Viktória Prémusz,Béla József Balla,Eszter Ambrus,Iuliana Boros-Balint,Pongrác Ács,Márta Hock
IMPORTANCE Adequate knowledge about pelvic floor disorders could lead to increased health care-seeking behavior, improved symptoms, and quality of life. OBJECTIVES The aims of the present study were to evaluate Hungarian women's knowledge about pelvic floor disorders and to assess health care-seeking behavior. STUDY DESIGN We conducted a cross-sectional survey from March to October 2022 using self-administered
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Pain Catastrophizing and Impact on Pelvic Floor Surgery Experience. Urogynecology (IF 1.6) Pub Date : 2023-05-17 T Clark Powell,Isuzu Meyer,David T Redden,Julia Maier,Christine Nguyen,Holly E Richter
IMPORTANCE Understanding patients' perceptions of symptoms and outcomes of urogynecologic surgery is essential for providing high-quality care. OBJECTIVE The aim of the study was to assess association of pain catastrophizing with pelvic floor symptom distress and impact, postoperative pain, and voiding trial in patients undergoing urogynecologic surgery. STUDY DESIGN Individuals whose self-identified