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Incidence of Dementia Among Medicare Beneficiaries With and Without Urinary Incontinence. Urogynecology (IF 0.8) Pub Date : 2024-08-23 Rachel A High,Cassie B Ford,Victoria L Handa,Jennifer Anger
IMPORTANCE Dementia and urinary incontinence (UI) have been associated in cross-sectional studies. The temporal relationship between these 2 conditions is not well understood. OBJECTIVE The aim of the study was to investigate the risk of incident dementia in female adults with and without UI using the Medicare 5% Limited Data Set. STUDY DESIGN This retrospective cohort study matched females with UI
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Mobile Phone Apps for Pelvic Floor Disorders. Urogynecology (IF 0.8) Pub Date : 2024-08-12 Madison Kasoff,Leael Alishahian,Justin Gimoto,Adi Steinhart,Cara L Grimes,Dominique Malacarne Pape
IMPORTANCE Up to 50% of patients report not readily seeking treatment for pelvic floor disorders (PFDs). The increase in phone applications (apps) for health care information is an opportunity to increase access to care. OBJECTIVE The aim of the study was to systematically evaluate content and function of apps for patients with PFDs. STUDY DESIGN Apps were screened using PFD-related search terms. Included
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The Reliability of 3-Dimensional Endoanal Ultrasonography Early and Late Postpartum. Urogynecology (IF 0.8) Pub Date : 2024-08-12 Søren Gräs,Marianne Starck,Hanna Jangö,Gunnar Lose,Niels Klarskov
IMPORTANCE There is no consensus on how to define obstetric anal sphincter defects detected by 3-dimensional endoanal ultrasonography (3D-EAUS), and the reported rates vary significantly in the postpartum period. OBJECTIVE The objective of this study was to establish a diagnostic strategy with a high and clinically relevant interrater reliability both early and late postpartum. STUDY DESIGN The study
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At the Scrub Sink: Permanent Versus Absorbable Sutures for Sacrocolpopexy Vaginal Mesh Fixation. Urogynecology (IF 0.8) Pub Date : 2024-08-10 Sherif A El-Nashar
Thirty years ago, open sacrocolpopexy was the main route for the procedure, and at that time, most surgeons used permanent sutures to attach the mesh to the vagina. With the changes to laparoscopic and robotic-assisted routes, some urogynecologists started using delayed absorbable sutures while others continued using permanent sutures. The current data suggest no increased failures with delayed absorbable
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The Association of Adverse Pregnancy Outcomes With Overactive Bladder Anticholinergics. Urogynecology (IF 0.8) Pub Date : 2024-08-08 Blayne Welk,J Andrew McClure,Eric McArthur,Yvonne Leong
IMPORTANCE The pregnancy safety and teratogenicity of overactive bladder (OAB) anticholinergic medications in humans are unknown. OBJECTIVE The aim of this study was to determine if the use of OAB anticholinergics during pregnancy was associated with adverse pregnancy outcomes or congenital malformation. STUDY DESIGN Using routinely collected health care data from Ontario, Canada, we conducted a retrospective
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Do Prophylactic Postoperative Antibiotics Prevent Sacral Neuromodulation Infections? Urogynecology (IF 0.8) Pub Date : 2024-08-07 Ashley J Murillo,Caroline Lindsey,Christopher J Chermansky,Megan S Bradley
IMPORTANCE There are no definitive guidelines for use of postoperative antibiotics after sacral neuromodulation (SNM) leading to practice pattern variation among health care professionals. OBJECTIVES The objectives of this study were to determine if additional antibiotics beyond preoperative intravenous antibiotics and surgical preparation decrease postoperative infections and to determine if additional
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Barriers to Adherence to Overactive Bladder Treatment for Hispanic Women. Urogynecology (IF 0.8) Pub Date : 2024-08-02 Gregory Vurture,Nicole Jenkins,Nina Jacobson,Scott W Smilen
IMPORTANCE Adherence to overactive bladder (OAB) therapy is low among the general population. Prior studies suggest that OAB is more prevalent among Hispanic women compared with other ethnicities. OBJECTIVES The aims of this study were to analyze nonadherence to OAB therapy among Hispanic compared with non-Hispanic women and identify potential barriers to treatment to reduce disparities in care. STUDY
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At the Scrub Sink: Removing a Sling Due to Pain/Incomplete Bladder Emptying. Urogynecology (IF 0.8) Pub Date : 2024-08-01 Lieschen H Quiroz
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Racial Disparities in Nocturia Persist Regardless of BMI Among American Women. Urogynecology (IF 0.8) Pub Date : 2024-07-30 Gnankang Sarah Napoe,Dulcie Kermah,Nia S Mitchell,Keith Norris
IMPORTANCE It is crucial to understand the racial and ethnic disparities that exist in nocturia prevalence to appropriately manage nocturia. OBJECTIVES Nocturia is associated with increased body mass index (BMI) and is most prevalent in Black and Hispanic women, who also have the highest and second highest prevalence of obesity, respectively. We sought to better understand the association of nocturia
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Urinary Incontinence Care-Seeking Barriers Among Latina Patients: What Are We Missing? Urogynecology (IF 0.8) Pub Date : 2024-07-22 Anna Pancheshnikov,Bryna J Harrington,Victoria L Handa,Liz I Yanes,Margot Le Neveu,Kristin M Voegtline,Sarah B Olson,Joan L Blomquist,Stephanie Jacobs,Danielle Patterson,Chi Chiung Grace Chen
IMPORTANCE The Latina population is the largest growing ethnic group in the United States with high levels of health disparities in urinary incontinence (UI) treatment and complications rates, which may be due to disproportionately high barriers to UI care-seeking among Latinas. OBJECTIVES The objectives of this study were to compare barriers to UI care-seeking among Latina, non-Latina Black, and non-Latina
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A Prediction Model for Pelvic Floor Recovery After Vaginal Birth With Risk Factors. Urogynecology (IF 0.8) Pub Date : 2024-07-16 Pamela S Fairchild,Lisa Kane Low,Mary Duarte Thibault,Katherine M Kowalk,Giselle E Kolenic,Dee E Fenner
IMPORTANCE Although parturients report few postpartum symptoms, birth is clearly associated with future symptom development. The ability to identify asymptomatic at-risk women would facilitate prevention. OBJECTIVE The aim of the study was to develop a model predicting abnormal recovery in women at risk for childbirth-associated pelvic floor injury. STUDY DESIGN Women undergoing first vaginal birth
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Geographic Access to Urogynecology Care in the United States. Urogynecology (IF 0.8) Pub Date : 2024-07-08 Eleanor M Schmidt,Lucy Ward,W Thomas Gregory,Sara B Cichowski
IMPORTANCE Although access to urogynecologic care is known to influence patient outcomes, less is known regarding geographic access to care and how it may vary by population characteristics. OBJECTIVE The primary objective of this study was to estimate geographic accessibility of urogynecologic services in terms of drive time and by population demographics. STUDY DESIGN We performed a descriptive study
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Dynamic Changes of the Genital Hiatus at the Time of Prolapse Surgery: 1-Year Follow-Up Study. Urogynecology (IF 0.8) Pub Date : 2024-07-08 Olivia H Chang,Cecile A Ferrando,Marie Fidela R Paraiso,Katie Propst
IMPORTANCE The genital hiatus (GH) has been identified as a predictor of pelvic organ prolapse. An enlarged preoperative GH is a risk factor for recurrent prolapse after surgery. OBJECTIVE The objective of this study was to determine the changes in preoperative and postoperative GH size compared with the intraoperative resting GH at 6 weeks and 12 months after native-tissue pelvic organ prolapse surgery
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Racial and Ethnic Disparities in Sacrocolpopexy Approach. Urogynecology (IF 0.8) Pub Date : 2024-07-08 Lauren Nicola-Ducey,Olivia Nolan,Sara Cichowski,Blake Osmundsen
IMPORTANCE Racial inequity elevates risk for certain diagnoses and health disparities. Current data show disparities for Black women when comparing open versus minimally invasive hysterectomy. It is unknown if a similar disparity exists in surgical management of pelvic organ prolapse. OBJECTIVE The objective of this study was to determine whether racial or ethnic disparities exist for open abdominal
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Factors Associated With Pelvic Organ Prolapse in Postmenopausal South Korean Women. Urogynecology (IF 0.8) Pub Date : 2024-07-08 Tae-Ran Kim,Hee-Yeong Jung,Myoung-Hwan Kim,Jin-Sung Yuk
IMPORTANCE This study identifies key risk factors for pelvic organ prolapse (POP) in Korean women, providing valuable insights for prevention and personalized care. OBJECTIVES The aim of this study was to identify risk factors for POP in Korean women. STUDY DESIGN This retrospective case-control study analyzed 2003-2011 Korean health checkup data in postmenopausal women diagnosed with POP (cases) and
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A Randomized Controlled Trial of Consent for Patients Undergoing Transobturator Slings. Urogynecology (IF 0.8) Pub Date : 2024-07-05 Veronica Demtchouk,William D Winkelman,Ronald M Cornely,Anna Modest,Michele R Hacker,Eman A Elkadry
IMPORTANCE Improving patients' recall and understanding of their planned surgery is essential for fully informed consent. OBJECTIVE The objective of this study was to assess if the addition of an information handout to the standard preoperative consent process for the transobturator midurethral sling procedure improved patient understanding, recall, and satisfaction. STUDY DESIGN This is a randomized
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Feasibility of Home Collection for Urogenital Microbiome Samples. Urogynecology (IF 0.8) Pub Date : 2024-07-03 Emily S Lukacz,Cynthia S Fok,MacKenzie Bryant,Dulce P Rodriguez-Ponciano,Melanie R Meister,Margaret G Mueller,Cora E Lewis,Jerry L Lowder,Ariana L Smith,Ann Stapleton,Amy Ayala,Ratna Pakpahan,Sarah Hortsch,Daniel McDonald,Sara Putnam,Kyle Rudser,Se Jin Song,Rob Knight,Linda Brubaker,
IMPORTANCE Feasibility of home urogenital microbiome specimen collection is unknown. OBJECTIVES This study aimed to evaluate successful sample collection rates from home and clinical research centers. STUDY DESIGN Adult women participants enrolled in a multicentered cohort study were recruited to an in-person research center evaluation, including self-collected urogenital samples. A nested feasibility
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Obstetric Anal Sphincter Injury: Interpregnancy Interval and Route of Subsequent Delivery. Urogynecology (IF 0.8) Pub Date : 2024-07-03 Alexandra C Nutaitis,Meng Yao,Lisa C Hickman,Swapna Kollikonda,Katie A Propst
IMPORTANCE Knowledge on the interpregnancy interval (IPI) among women with an obstetric anal sphincter injury (OASI) is both limited and not well understood. OBJECTIVES The objectives of this study were to describe the IPI among women with OASI and to compare women with OASI based on the route of subsequent obstetric delivery and OASI recurrence. STUDY DESIGN This was a retrospective single-cohort
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Measurement of Physical Activity Using Fitness Trackers Before and After Midurethral Sling. Urogynecology (IF 0.8) Pub Date : 2024-06-27 Zebulun S Cope,J Ryan Stewart,Ankita Gupta,Deslyn T G Hobson,Jenna Warehime,Rehan Feroz,Sarah Scheidel,Kate V Meriwether,Stacy M Lenger,Jeremy T Gaskins,Sharmin Sumy,Sean Francis
IMPORTANCE Urinary incontinence can be a barrier to performing physical activities for many women. A midurethral sling (MUS) has shown symptom improvement for women experiencing stress urinary incontinence (SUI), suggesting the hypothesis that physical activity rates should increase after treatment. OBJECTIVE The aim of this study was to determine the change in objectively measured physical activity
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Comparative Analysis of Performance of Large Language Models in Urogynecology. Urogynecology (IF 0.8) Pub Date : 2024-06-27 Ghanshyam S Yadav,Kshitij Pandit,Phillip T Connell,Hadi Erfani,Charles W Nager
IMPORTANCE Despite growing popularity in medicine, data on large language models in urogynecology are lacking. OBJECTIVE The aim of this study was to compare the performance of ChatGPT-3.5, GPT-4, and Bard on the American Urogynecologic Society self-assessment examination. STUDY DESIGN The examination features 185 questions with a passing score of 80. We tested 3 models-ChatGPT-3.5, GPT-4, and Bard
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Experiences of Black Women With Pelvic Floor Disorders-A Qualitative Analysis Study. Urogynecology (IF 0.8) Pub Date : 2024-06-27 Jennifer Chyu,Oriyomi Alimi,Shreeya Popat,Gjanje Smith-Mathus,Una J Lee
IMPORTANCE Disparities research in Black women with pelvic floor disorders (PFDs) has primarily focused on epidemiology or surgical outcomes, but little is known about the patient perspective on seeking PFD care. OBJECTIVE To provide quality and equitable care to Black women with PFDs, we conducted a qualitative study to hear their perspectives and lived health care experiences. STUDY DESIGN Black
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Symptomatic Autonomic Dysfunction in Interstitial Cystitis/Bladder Pain Syndrome. Urogynecology (IF 0.8) Pub Date : 2024-06-27 Rory Ritts,Dylan Wolff,Mary Namugosa,Fang-Chi Hsu,Kaylee Ferrara,Robert Evans,Stephen J Walker
IMPORTANCE Interstitial cystitis/bladder pain syndrome (IC/BPS) is a highly prevalent condition with incompletely understood pathophysiology, especially in relation to the systemic symptoms experienced. The role of autonomic nervous system dysfunction in IC/BPS remains poorly understood. OBJECTIVE The purpose of this study was to assess the relationship between autonomic symptom severity and clinical
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The Executive Summary of Clinical Practice Guideline: Rehabilitation Interventions for Urgency Urinary Incontinence, Urinary Urgency, and/or Urinary Frequency in Adult Women. Urogynecology (IF 0.8) Pub Date : 2024-06-26 J Adrienne McAuley,Amanda T Mahoney,Mary M Austin
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Urinary Incontinence Medications: Patient-Initiated Concerns in Primary Care. Urogynecology (IF 0.8) Pub Date : 2024-06-21 Joan Neuner,Emily Schmitt,Aaron Winn,Emily Davidson,Robert C O'Connor,Sarah Marowski,Marie Luebke,Joanna Balza,Madeline Attewell,Kathryn E Flynn
IMPORTANCE Guideline-recommended medications for overactive bladder and urge urinary incontinence (OAB/UUI) are effective but have high costs and side effects. Little is known about patient concerns regarding these medications when prescribed by their primary care providers (PCPs). OBJECTIVE The aim of the study was to describe PCP-patient interactions when prescribing medications for OAB/UUI, specifically
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At the Scrub Sink: Uterine Preservation Surgery. Urogynecology (IF 0.8) Pub Date : 2024-06-01 Isuzu Meyer
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Retropubic Versus Transobturator Midurethral Slings at Time of Colpocleisis. Urogynecology (IF 0.8) Pub Date : 2024-05-15 Jennifer W H Wong,Douglas A Stram,Minita S Patel
IMPORTANCE This study aimed to evaluate if there is a difference between outcomes when retropubic or transobturator midurethral sling surgery is performed at the time of colpocleisis. OBJECTIVES The purpose of this study was to compare the surgical outcomes of the retropubic midurethral sling (RP-MUS) versus the transobturator midurethral sling (TO-MUS) in women who underwent concomitant colpocleisis
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Comparing Postoperative Urinary Retention Rates Between Robotic Apical Prolapse Repairs. Urogynecology (IF 0.8) Pub Date : 2024-05-10 Kaythi Khin,Shaun T Adair,Laura Dhariwal,Erika Wasenda,Ellie Leong,Stephanie Chiu,Carolyn Botros
IMPORTANCE Understanding the risk of urinary retention with different prolapse repair surgical procedures is important for perioperative counseling. OBJECTIVE The study compared postoperative urinary retention rates between robotic sacrocolpopexy and robotic uterosacral ligament suspension. STUDY DESIGN This institutional review board-exempt retrospective cohort study compared patients who underwent
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Cost Analysis of Bladder Catheterization After Pelvic Floor Surgery. Urogynecology (IF 0.8) Pub Date : 2024-05-10 Anouk Benseler,Zi Ying Zhao,Muhammad Harris Sheikh,Brian Chan,George Tomlinson,Colleen D McDermott
IMPORTANCE Approximately 15-45% of female patients develop transient postoperative urinary retention (POUR) following pelvic reconstructive surgery. Catheter options for bladder drainage include transurethral indwelling catheter (TIC), intermittent self-catheterization (ISC), and suprapubic tube (SPT). Each strategy has risks and benefits; none have been shown to be clinically superior, and to date
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Assessing the Impact of Overactive Bladder Medications on Cognition. Urogynecology (IF 0.8) Pub Date : 2024-05-06 Darlene Vargas Maldonado,Phillip J Schulte,Laureano Rangel Latuche,Maria Vassilaki,Ronald C Petersen,John A Occhino,Brian J Linder
IMPORTANCE Emerging literature has associated the use of anticholinergic medications to cognitive decline. OBJECTIVE The aim of this study was to evaluate the association of overactive bladder medications on cognitive function with prospective longitudinal cognitive assessments. STUDY DESIGN A population-based cohort of individuals 50 years and older who had serial validated cognitive assessment, in
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Treatment of Stress Urinary Incontinence: Does Race Matter? Urogynecology (IF 0.8) Pub Date : 2024-05-06 Brittni Boyd,Noelani Guaderrama,Zimin Zhuang,Stephanie Tovar,Emily Whitcomb
IMPORTANCE The importance of this study was to examine treatment patterns and surgical complications for stress urinary incontinence (SUI). OBJECTIVES The aim of this study was to describe the treatment of SUI and associated complications in a racially and ethnically diverse population. STUDY DESIGN This was a retrospective cohort study of patients with a new diagnosis of SUI. We identified patients
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Postoperative Activity Restrictions After Slings: A Randomized Controlled Trial. Urogynecology (IF 0.8) Pub Date : 2024-05-06 Erica Lai,Katherine McDonald,Vini Chopra,Lindsay Robinson,Alejandro Alvarez,Danielle O'Shaughnessy,Nirmala Pillalamarri,Allison Polland,Dara Shalom,Harvey Winkler
IMPORTANCE Restricting activity after midurethral slings is an unproven practice. OBJECTIVE The objective of this study was to evaluate the effect of postoperative activity restriction on satisfaction and outcomes after slings. STUDY DESIGN This was a multicenter, 2-arm, noninferiority randomized controlled trial. Patients aged 18-85 years undergoing treatment with a midurethral sling were randomized
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Racial Disparities in Sacral Neuromodulation for Idiopathic Fecal Incontinence. Urogynecology (IF 0.8) Pub Date : 2024-05-02 Vienne Seitz,Jed Calata,Ling Mei,Emily R W Davidson
IMPORTANCE Sacral neuromodulation (SNM) is an effective treatment for fecal incontinence (FI). Previous studies found that Black women undergo SNM for urinary incontinence less than White women, but there is less known about racial disparities for FI. OBJECTIVE This study assessed differences in Black and White patients' FI treatment; SNM counseling was the primary outcome. STUDY DESIGN This was a
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Impact of Obesity on Midurethral Sling Failure in a Highly Hispanic Population. Urogynecology (IF 0.8) Pub Date : 2024-05-02 Jun Song,Xuemei Song,Zhu Wang,Alexandriah Alas
IMPORTANCE Mixed data exist in the literature regarding the impact of obesity on midurethral sling (MUS) failure rates. OBJECTIVE The aim of this study was to evaluate the impact of obesity and Hispanic ethnicity on MUS failure. STUDY DESIGN This was a retrospective cohort study of females who underwent MUS surgery, alone or with concomitant prolapse repair, with at least 1 year of follow-up. Body
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Regenerative Medicine in Urogynecology: Where We Are and Where We Want to Be. Urogynecology (IF 0.8) Pub Date : 2024-05-01 Tatyanna Henderson,Karen L Christman,Marianna Alperin
Pelvic floor disorders (PFDs) constitute a major public health issue given their negative effect on quality of life for millions of women worldwide and the associated economic burden. As the prevalence of PFDs continues to increase, novel therapeutic approaches for the effective treatment of these disorders are urgently needed. Regenerative medicine techniques, including cellular therapies, extracellular
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Factors Associated With Persistent Bothersome Urinary Symptoms and Leakage After Pregnancy. Urogynecology (IF 0.8) Pub Date : 2024-04-30 Sonia Bhandari Randhawa,Andrea Rizkallah,David B Nelson,Elaine L Duryea,Catherine Y Spong,Jessica E Pruszynski,David D Rahn
IMPORTANCE Urinary incontinence is a common postpartum morbidity that negatively affects quality of life. OBJECTIVE This study aimed to identify factors associated with persistent (ie, 12 months postpartum) bothersome urinary symptoms, including stress urinary incontinence (SUI) and urgency urinary incontinence (UUI), and explore their association with mental health in medically underserved communities
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Laser and Pelvic Floor Muscle Training for Urinary Incontinence: A Randomized Clinical Trial. Urogynecology (IF 0.8) Pub Date : 2024-04-25 Samantha Conde Rocha-Rangel,Gláucia Miranda Varella Pereira,Cassia Raquel Teatin Juliato,Luiz Gustavo Oliveira Brito
IMPORTANCE Pelvic floor muscle training (PFMT) is considered the first option as a conservative treatment for female stress urinary incontinence (SUI). However, there is still debate whether energy-based devices are effective for treating SUI. OBJECTIVE The objective of this study was to assess whether PFMT and fractional CO2 laser therapy may improve symptoms in women with SUI. STUDY DESIGN A parallel
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Access to Urogynecologic Care in Federally Qualified Health Centers: A Mystery Caller Study. Urogynecology (IF 0.8) Pub Date : 2024-04-25 Micah G Pascual,Atieh Novin,Michaele Francesco Corbisiero,Sydney Unciano,Yasmine Hachicha,Natalie Shelden,Wyanet Bresnitz,Tanaz Ferzandi,Tyler M Muffly
IMPORTANCE Federally Qualified Health Centers (FQHCs) play an important role in providing care to underserved populations. However, little is known about the availability of urogynecology services at FQHCs. OBJECTIVES This study aimed to assess the availability of appointments for urogynecology care and to determine the prevalence of FQHCs offering urogynecologic services. STUDY DESIGN A total of 362
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Suture-Needle Management Device and Novel Port Configuration for Robotic Sacrocolpopexy. Urogynecology (IF 0.8) Pub Date : 2024-04-24 Deepanjana Das,Natalie Squires,Margaret Mueller,Sarah Collins,Christina Lewicky-Gaupp,C Emi Bretschneider,Julia Geynisman-Tan,Kimberly Kenton
IMPORTANCE Robot-assisted sacrocolpopexy (SCP) is a commonly performed procedure for the repair of apical pelvic organ prolapse; therefore, novel devices and techniques to improve safety and efficacy of this procedure should be explored. OBJECTIVE The objective of this study was to assess safety and efficacy of 8-mm trocar site for use of a disposable suture/needle management device (StitchKit; Origami
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Letter to the Editor re: Is It Time to Rethink Our Approach to Overactive Bladder Treatment? Urogynecology (IF 0.8) Pub Date : 2024-04-23 Roger R Dmochowski
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Pudendal Block at the Time of Transvaginal Prolapse Repair: A Randomized Controlled Trial. Urogynecology (IF 0.8) Pub Date : 2024-04-19 Michele Torosis,Morgan Fullerton,Daniela Kaefer,Victor Nitti,A Lenore Ackerman,Tamara Grisales
IMPORTANCE The utility of pudendal nerve blocks (PNBs) at the time of transvaginal surgery is mixed in the literature. No published study has evaluated the efficacy of PNB since the widespread adoption of Enhanced Recovery After Surgery (ERAS) pathways. OBJECTIVE This study aimed to determine if PNB, in addition to ERAS measures, at the time of vaginal reconstructive surgery reduces opioid use in the
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Social Vulnerability Index and Surgical Management of Pelvic Organ Prolapse. Urogynecology (IF 0.8) Pub Date : 2024-04-15 Steliana Fakas,Jessica Silvestri,Alejandro Alvarez,Kristen Demertzis,Matthew J Blitz,Danielle O'Shaughnessy
IMPORTANCE/STUDY OBJECTIVES The aim of this study was to determine whether the Social Vulnerability Index (SVI) is associated with the type of surgery for pelvic organ prolapse (POP) focusing on sacrocolpopexy (SCP) and uterosacral ligament suspension (USLS). STUDY DESIGN This was a retrospective case-control study that included patients from 8 hospitals within a large academic health system in New
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Specialty-Specific Trends in Surgery for Apical Pelvic Organ Prolapse Post Vaginal Mesh. Urogynecology (IF 0.8) Pub Date : 2024-04-13 Rahul Dutta,Raymond Xu,Dylan Thomas Wolff,Gopal Hariram Badlani,Catherine Ann Matthews
IMPORTANCE Since transvaginal mesh (VM) kits for apical pelvic organ prolapse (APOP) were labeled "high-risk" in 2016 and subsequently banned in 2019 by the U.S. Food and Drug Administration, the most common remaining surgical options include abdominal mesh-augmented sacrocolpopexy (AS) and transvaginal native tissue suspension (VN). OBJECTIVE The objective of this study was to determine temporal trends
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Diet Intake After Diet Modification Intervention in Women With Fecal Incontinence. Urogynecology (IF 0.8) Pub Date : 2024-04-10 Jaclyn M Muñoz,Molly Groskreutz,Charlene Compher,Uduak U Andy
IMPORTANCE Older women with fecal incontinence (FI) who underwent diet modification intervention (DMI) showed significant improvement in FI symptoms. It is unclear whether improvement in symptoms was associated with objective changes in dietary intake quality. OBJECTIVES The primary aim was to determine if improvement in overall dietary intake quality was associated with improvement in FI symptoms
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Restriction of Surgical Options for Pelvic Floor Disorders. Urogynecology (IF 0.8) Pub Date : 2024-04-10
The purpose of this document is to update the 2013 AUGS Position Statement based on subsequent decisions made by the U.S. Food and Drug Administration, published clinical data, and relevant society and national guidelines related to the use of surgical mesh. Urogynecologists specialize in treating pelvic floor disorders, such as pelvic organ prolapse (POP) and urinary incontinence, and have been actively
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Urethral Mucinosous Adenocarcinoma in a Female Patient-A Case Report. Urogynecology (IF 0.8) Pub Date : 2024-04-10 João Pedro Paulino Ruas,Thiago Vasconcellos Andrade,Edgard Costa Scopacasa,Felipe Garcia Prado,Miguel Horwacz,Luiz Felipe Costa Mello,Rafael Fernandes Abrahão,João Ernesto Aldred Pinto Filho
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Nocturnal Urinary Symptoms as Screening Tools for Obstructive Sleep Apnea. Urogynecology (IF 0.8) Pub Date : 2024-04-10 Eliza F Burr,Emily N B Myer,Jacqueline Y Kikuchi,Chi Chiung Grace Chen
IMPORTANCE Nocturnal lower urinary tract symptoms are part of obstructive sleep apnea (OSA), and urogynecology clinics may serve as OSA screening sites. OBJECTIVE This study's aim was to determine the accuracy of nocturia and nocturnal enuresis (NE) as screening tools for OSA in new patients at a urogynecology clinic. STUDY DESIGN Using a retrospective study design, we gathered information regarding
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Telehealth in a Pelvic Floor Physical Therapy Clinic: A Retrospective Cohort Study. Urogynecology (IF 0.8) Pub Date : 2024-04-10 Charlotte M Ter Haar,Quetzal A Class,William H Kobak,Lopa K Pandya
IMPORTANCE Telehealth offers advantages to patients with pelvic floor disorders because they face unique barriers to care; however, attendance of telehealth appointments is unknown. OBJECTIVE The objective of this study was to examine the attendance of telehealth appointments in urogynecology patients receiving pelvic floor physical therapy as compared with in-person visits before and during the COVID-19
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Patient Perspectives Following Obstetric Anal Sphincter Injury. Urogynecology (IF 0.8) Pub Date : 2024-04-10 Alexandra C Nutaitis,Cecile A Ferrando,Katie Propst
IMPORTANCE An obstetric anal sphincter injury can significantly affect patients. Support for these patients is both limited and not well understood. OBJECTIVE The aim of this study was to describe patient experiences after an obstetric anal sphincter injury. STUDY DESIGN This is a prospective cross-sectional qualitative study of patients who experienced an obstetric anal sphincter injury within a tertiary
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Prevalence of Sexual Function and Vibrator Use Among Urogynecology Patients. Urogynecology (IF 0.8) Pub Date : 2024-04-10 Brittany Roberts,Rebecca Rogers,Katherine Husk,Jessmehar Walia,Bradley Jacobs,Gillian Wolff,Erin C Deverdis
IMPORTANCE Urogynecology patients often present with sexual dysfunction; limited information on vibrator utilization to improve sexual function in this population exists. OBJECTIVE The aim of this study was to assess patient knowledge of and receptivity to vibrator use. STUDY DESIGN We conducted a cross-sectional, survey-based cohort study. The survey included patient characteristics, Pelvic Floor
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Response to Letter to the Editor re: "Pudendal Nerve Block Analgesia at the Time of Vaginal Surgery: A Randomized, Double-Blinded, Sham-Controlled Trial". Urogynecology (IF 0.8) Pub Date : 2024-04-01 Emily Slopnick
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Letter to the Editor re: "Pudendal Nerve Block Analgesia at the Time of Vaginal Surgery: A Randomized, Double-Blinded, Sham-Controlled Trial". Urogynecology (IF 0.8) Pub Date : 2024-04-01 Ulas Coban
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Antibiotic Duration and UTI Outcomes in Recurrent UTI Patients. Urogynecology (IF 0.8) Pub Date : 2024-03-27 Julia Shinnick,Isabel Josephs,Johanna A Suskin,Kathryn Kurchena,Lindsey Pileika,Spencer Darveau,Matthew M Scarpaci,Cassandra Carberry
IMPORTANCE Little evidence is available to inform management of acute urinary tract infections (UTIs) in women with recurrent urinary tract infection (rUTI). OBJECTIVE This study aimed to compare the proportion of acute UTIs with persistence/relapse or recurrence based on duration of treatment antibiotics (acute UTI guideline-consistent versus extended). STUDY DESIGN A retrospective noninferiority
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Urinary Incontinence in Primary Care-The Gap Between Recommendations and Real World. Urogynecology (IF 0.8) Pub Date : 2024-03-26 Julia Geynisman-Tan,Manisha Cherupally,Shaina J Alexandria,Tiffany Brown,Sarah Collins,Ashley Mathews,Havisha Pedamallu,Kimberly S Kenton,Stephen D Persell
IMPORTANCE Routine screening for urinary incontinence (UI) by primary care providers (PCPs) is recommended. OBJECTIVES We aimed to describe the rate of incident UI diagnosed at annual PCP visits, the prevalence of UI in a large primary care population, and estimate the rate of screening for UI during primary care preventive and annual wellness visits. Secondary aims were to describe PCP knowledge and
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Vaginal Estrogen Prescribing and Cost Trends Among Medicare Part D Beneficiaries. Urogynecology (IF 0.8) Pub Date : 2024-03-26 Alexandra L Tabakin,Wai Lee,Harvey A Winkler,Dara F Shalom
IMPORTANCE In 2016, the American College of Obstetricians and Gynecologists issued a Committee Opinion on the safety of vaginal estrogen (VE) in estrogen-dependent breast cancer patients. Since that time, prescribing trends of VE have not been studied. OBJECTIVE Our objective was to analyze expenditure and prescribing trends of VE from 2016 to 2020 for Medicare Part D beneficiaries. STUDY DESIGN In
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Resolution of Overactive Bladder Symptoms After Anterior and Apical Prolapse Repair. Urogynecology (IF 0.8) Pub Date : 2024-03-26 Megan Abrams,Sarah Sears,Susan Wherley,Stephen Rhodes,Jeffrey Mangel,David Sheyn
IMPORTANCE Patients often present with both overactive bladder (OAB) and pelvic organ prolapse (POP) concerns. It is unknown whether treatment of POP improves OAB. OBJECTIVE This study aimed to evaluate whether OAB improves after anterior/apical POP repair for anterior wall prolapse. STUDY DESIGN This was a prospective study of women with anterior/apical prolapse at or beyond the hymen and concomitant
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Obesity and Native Tissue Repairs: A Secondary Analysis of the OPTIMAL Trial. Urogynecology (IF 0.8) Pub Date : 2024-03-26 Meghan K Hagedorn,Tonja M Locklear,Sarah Evans,Natalie E Karp,W Jerod Greer
IMPORTANCE The Operations and Pelvic Muscle Training in the Management of Apical Support Loss (OPTIMAL) Trial compared sacrospinous ligament fixation (SSLF) and uterosacral ligament suspension (ULS) surgical outcomes. Increasing body mass index (BMI) is associated with an increased risk of pelvic organ prolapse, and the prevalence of obesity is increasing worldwide. OBJECTIVE The purpose of this study
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Understanding the Role of Obesity and Metabolism in Pelvic Floor Disorders. Urogynecology (IF 0.8) Pub Date : 2024-03-25 Jenny B Koenig,Lindsey A Burnett
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ChatGPT in Urogynecology Research: Novel or Not? Urogynecology (IF 0.8) Pub Date : 2024-03-25 David Choueka,Alexandra L Tabakin,Dara F Shalom
IMPORTANCE ChatGPT (Chat Generative Pre-trained Transformer) is an artificial intelligence (AI) chatbot that provides human-like responses to text prompts. Little is known regarding ChatGPT's ability to identify original research ideas in urogynecology. OBJECTIVE Our objective was to evaluate the accuracy of ChatGPT in generating novel systematic review (SR) and research ideas in urogynecology. STUDY
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Factors Associated With Onabotulinum Toxin-A Discontinuation in a Diverse Urban Population. Urogynecology (IF 0.8) Pub Date : 2024-03-21 Tyler Bergeron,Arshia Aalami Harandi,Mariel Liebeskind,Nitya Abraham
IMPORTANCE Although overactive bladder (OAB) is a common condition, affecting 16% of Americans, few patients continue on to advanced therapies. Furthermore, procedural therapies like intravesical onabotulinum toxin-A (BTX-A), which require ongoing repeat treatments, have discontinuation rates ranging from 25% to 51%. OBJECTIVES This study sought to investigate factors associated with dis-continuation
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Pelvic Floor Dysfunction Among Persons With Marfan and Loeys-Dietz Syndrome. Urogynecology (IF 0.8) Pub Date : 2024-03-15 Cydni Akesson,Elliott G Richards,Meng Yao,James Ross,Josephine Grima,Lauren May,Gustavo Roversi,Cecile A Ferrando
IMPORTANCE Connective tissue disorders are proposed in the literature to be predisposing risk factors for pelvic floor disorders. Prior data characterizing the prevalence of and symptom burden related to pelvic floor disorders are limited for individuals with Marfan syndrome and are nonexistent for those with Loeys-Dietz syndrome. OBJECTIVE The objective of this study was to determine the prevalence