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Female Pelvic Medicine & Reconstructive Surgery

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https://read.qxmd.com/read/30896455/evaluating-postoperative-morbidity-in-patients-undergoing-pelvic-reconstructive-surgery-using-the-american-college-of-surgeons-national-surgical-quality-improvement-program-surgical-risk-calculator
#1
Sarah S Boyd, David M O'Sullivan, Christine Lasala
OBJECTIVE: The aim of this study was to evaluate the ability of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) surgical risk calculator to predict surgical morbidity in patients undergoing pelvic reconstructive surgery. METHODS: This was a retrospective study of patients who underwent pelvic reconstructive surgery from 2014 to 2017. Preoperative risk factors were abstracted from medical records and entered into the ACS NSQIP surgical risk calculator...
March 20, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30889035/psychometric-evaluation-of-the-toileting-behaviors-women-s-elimination-behaviors-scale-in-a-sample-of-college-women
#2
Kimberly J Angelini, Diane K Newman, Mary H Palmer
BACKGROUND: Lower urinary tract symptoms in women including urinary incontinence and overactive bladder are common women's health conditions with negative financial, health, and quality of life consequences. Certain behaviors are associated with symptom presentation. Identifying and modifying these behaviors could decrease symptom presentation and progression. The Toileting Behaviors: Women's Elimination Behaviors (TB-WEB) scale is the only known theory-based tool to date designed to assess urinary toileting behaviors in women...
March 15, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30889034/correlation-of-electronic-web-based-and-smartphone-administration-of-measures-of-pelvic-floor-dysfunction-a-randomized-controlled-trial
#3
Cara L Grimes, Danielle D Antosh, Sallie Oliphant, Ladin Yurteri-Kaplan, Shunaha Kim-Fine, Gabriel Melamud, Christine Heisler, Doreen E Chung
OBJECTIVE: We hypothesized that instruments of pelvic floor dysfunction would yield similar responses on web-based and smartphone administration compared with paper. METHODS: Subjects presenting with pelvic floor disorders were prospectively enrolled at 5 sites and invited to complete 4 validated pelvic floor disorder questionnaires (Pelvic Floor Distress Inventory 20, Pelvic Floor Impact Questionnaire 7, Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire 12, Bristol Stool Scale) on both paper and electronic formats, 2 weeks apart, with the order of administration being randomized...
March 15, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30883438/development-of-a-patient-centered-pelvic-floor-complication-scale
#4
Jocelyn Fitzgerald, Moiuri Siddique, Jeannine Marie Miranne, Pamela Saunders, Robert Gutman
OBJECTIVE: The aim of the study was to evaluate patient responses on a survey of knowledge, perceptions, concerns, and fears about complications related to pelvic reconstructive surgery (PRS). This is the first step to create a simplified, patient-centered Pelvic Floor Complication Scale that evaluates complications from both the patient and surgeon perspective. METHODS: Subjects for this prospective study included women older than 18 years planning surgery within 12 weeks or who had undergone PRS more than 6 months ago...
March 14, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30865030/increasing-age-predicts-increasing-residual-urine-volume
#5
Birte Johanna Wolff, Katelyn Brennan, Cara Jean Joyce, Megan B Shannon, Cynthia Ann Brincat
OBJECTIVES: To determine reference values for postvoid residual (PVR) volume for patients referred to a tertiary urogynecology center. METHODS: After Institutional Review Board approval, we performed a retrospective chart review of all new patients presenting to our referral center. We assessed associations between PVR and patient demographics, pelvic floor symptoms, and physical examination by Wilcoxon rank sum or Kruskal-Wallis tests as appropriate. A multivariable logistic regression model was used to calculate odds ratios for patient characteristics associated with PVR in the top age range-specific decile...
March 8, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30865029/high-patient-satisfaction-with-local-anesthesia-and-light-sedation-in-a-novel-fast-track-setup-for-sacrospinous-fixation
#6
Henriette Arenholt Lydiksen, Marianne Glavind-Kristensen, Susanne Greisen
OBJECTIVES: Simple prolapse operations can be performed using local anesthesia. However, this has not been the case for advanced pelvic organ prolapse operations. The aim of this study was to investigate the patient-reported feasibility and acceptability of local anesthesia and light sedation for sacrospinous fixation (SSF). METHODS: This is a prospective observational study on 105 women who underwent SSF in a public outpatient setting from April 2016 to October 2017...
March 8, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30865032/intravesical-extrusion-of-a-single-incision-midurethral-sling-anchor-with-a-simple-transurethral-resection-technique-a-case-report
#7
Iwona M Gabriel, H Abraham Chiang, Anthony Kalousdian, Vatche A Minassian
Single-incision midurethral slings were introduced in 2006 with the goal of providing shorter operative time, less postoperative pain, and decreased rates of injury to surrounding structures (eg, bladder and/or obturator nerve). Although unrecognized bladder injury during SIMS placement is a rare complication, it can lead to irritative voiding symptoms and recurrent urinary tract infections. We present the case of minimally invasive approach to remove an extruded sling.
March 7, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30865031/posterior-vaginal-compartment-anatomy-implications-for-surgical-repair
#8
Pedro A Maldonado, Kelley S Carrick, T Ignacio Montoya, Marlene M Corton
OBJECTIVES: To examine the gross and histologic anatomy of the proximal, mid, and distal posterior vaginal compartment and discuss implications for surgical repair. STUDY DESIGN: In this cadaver study, pelvic organs were resected en bloc, immersed in formalin solution, and transected in the mid sagittal plane. Measured distances included: posterior vaginal wall length, cervicovaginal junction or vaginal cuff to posterior peritoneal reflection, peritoneal reflection to proximal edge (apex) of perineal body, and perineal body apex to hymenal remnant (height)...
March 6, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30845072/pelvic-organ-prolapse-recurrence-and-patient-centered-outcomes-following-minimally-invasive-abdominal-uterosacral-ligament-and-mesh-augmented-sacrohysteropexy
#9
Emily R W Davidson, Viviana Casas-Puig, Marie Fidela R Paraiso, Beri Ridgeway, Cecile A Ferrando
OBJECTIVES: The objective of this study was to compare outcomes after minimally invasive uterosacral ligament hysteropexy (USLH) and mesh-augmented sacrohysteropexy (MSH) for women with uterovaginal prolapse including prolapse recurrence and long-term patient satisfaction. METHODS: This was a retrospective cohort study with a cross-sectional survey component. The medical record was queried for perioperative data for patients undergoing USLH and MSH between 2004 and 2016...
March 6, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30829687/trends-in-surgical-exposure-and-experience-in-female-pelvic-medicine-and-reconstructive-surgery-fellowship-programs
#10
Sarah E Andiman, John A Fantl
OBJECTIVES: This study aimed to characterize variations in female pelvic medicine and reconstructive surgery (FPMRS) fellows' surgical experiences, concurrence with Accreditation Council for Graduate Medical Education (ACGME) proposed procedural volume guidelines, and to explore how these factors affect self-assessed preparedness to practice independently upon graduation. METHODS: An electronic survey was sent to 166 fellows enrolled in ACGME-approved FPMRS fellowship programs during the 2017-2018 academic year...
February 28, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30807336/apical-suspension-utilization-at-the-time-of-vaginal-hysterectomy-for-pelvic-organ-prolapse-varies-with-surgeon-specialty
#11
David Sheyn, Sherif El-Nashar, Sangeeta T Mahajan, Jeffrey M Mangel, Graham C Chapman, Adonis K Hijaz
OBJECTIVE: To evaluate whether utilization of apical suspension procedures at the time of vaginal hysterectomy for pelvic organ prolapse varies with surgeon specialty. METHODS: This was a retrospective cohort study using data from the American College of Surgeons National Surgical Quality Improvement Program database from 2014 to 2016. International Classification of Diseases, Ninth Revision, Clinical Modification with a diagnosis of pelvic organ prolapse who underwent vaginal hysterectomy with any combination of pelvic reconstructive procedures...
February 21, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30747728/diet-modifications-in-older-women-with-fecal-incontinence-a-qualitative-study
#12
Uduak U Andy, Nancy Ejike, Kavita D Khanijow, Lorraine C Flick, Alayne D Markland, Lily A Arya, Rosemary Frasso
OBJECTIVE: The aim of the study was to investigate dietary modification strategies used by community-dwelling older women to manage their fecal incontinence (FI). METHODS: We conducted a qualitative study with focus groups wherein women 65 years and older with FI shared their experiences managing the condition. We explored the following: (1) association between diet and FI symptoms, (2) dietary strategies and modifications used by older women to manage FI, and (3) patient input about disseminating diet modification information and strategies...
February 8, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30730349/neurologic-injury-after-sacral-neuromodulation
#13
Angela S Yuan, Jorge L Almodovar, Elisabeth Erekson
OBJECTIVE: Neurologic injury after sacral nerve stimulation (SNS) is rare, but the incidence is unknown. Infection is a potential mechanism for neurologic damage. This report illustrates the presentation, pathophysiology, diagnostic considerations, and treatment of epidural infection causing neurologic deficits after SNS. CASE REPORT: We present a case of a woman with severe fecal incontinence due to Crohn's disease who underwent SNS implantation and subsequently developed a wound infection requiring complete device explantation...
February 1, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30707119/survey-of-postoperative-activity-guidelines-after-minimally-invasive-gynecologic-and-pelvic-reconstructive-surgery
#14
William D Winkelman, Adrienne L Erlinger, Miriam J Haviland, Michele R Hacker, Peter L Rosenblatt
OBJECTIVE(S): Most surgeons recommend restriction of activities after minimally invasive gynecologic and pelvic reconstructive surgery. The goal of this study was to identify and assess the postoperative guidelines gynecologists and urogynecologists provide their patients. METHODS: This was a cross-sectional study of physicians at a national gynecology conference in March 2018. Respondents were asked to answer questions about the typical postoperative recommendations they provide patients after gynecologic surgery as well as their postoperative prescribing habits...
January 30, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30681420/predictors-of-urinary-retention-after-vesicovaginal-fistula-surgery-a-retrospective-case-control-study
#15
Olivia H Chang, Rachel J Pope, Haleh Sangi-Haghpeykar, Prakash Ganesh, Jeffrey P Wilkinson
OBJECTIVE: The objective of this study is to determine the predictors for urinary retention after vesicovaginal fistula surgery. METHODS: This was a retrospective case-control study of women who underwent vesicovaginal fistula repair between January 2014 and December 2017 at the Fistula Care Centre in Lilongwe, Malawi. Cases were defined as patients with documented urinary retention, defined as a postvoid residual that is 50% greater than the total void of at least 100 mL...
January 23, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30681419/overactive-bladder-symptoms-after-pelvic-organ-prolapse-repair
#16
Justine R Johnson, Rachel A High, Olivia Dziadek, Adriana Ocon, Tristi W Muir, Jiaqiong Xu, Danielle D Antosh
OBJECTIVES: This study aimed to identify the characteristics associated with overactive bladder (OAB) symptoms perioperatively in patients undergoing pelvic organ prolapse (POP) surgery with and without slings and to determine the rate of OAB symptom resolution postoperatively. METHODS: This retrospective, single-institution study involved women undergoing prolapse surgery with and without concomitant midurethral sling from 2011 to 2016. A validated questionnaire was used to determine OAB symptoms preoperatively and postoperatively...
January 23, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30664026/gel-infused-translabial-ultrasound-in-the-evaluation-of-female-urethral-stricture
#17
Rachael D Sussman, Mariana Kozirovsky, Shpetim Telegrafi, Benoit Peyronnet, Ricardo Palmerola, Scott Smilen, Dominique M Pape, Nirit Rosenblum, Victor W Nitti, Benjamin M Brucker
OBJECTIVES: The aims of this study were to describe our technique of gel-infused translabial ultrasound (GITLUS) to assess the female urethra for stricture and to highlight its utility when compared with other diagnostic techniques. METHODS: Consecutive patients presenting with prior diagnosis and/or suspicion for female urethral stricture underwent evaluation with uroflowmetry, postvoid residual, video urodynamics, and cystoscopy at the surgeon's discretion. All patients underwent GITLUS; 8-MHz curvilinear and 6-MHz linear high-frequency transducers were used to image the urethra from meatus to bladder neck while instilling 20 mL of lidocaine jelly to distend the urethra...
January 17, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30640196/urinary-incontinence-and-pelvic-organ-prolapse-knowledge-care-seeking-and-embarrassment-in-women-planning-bariatric-surgery-a-cross-sectional-study
#18
Chandhana Paka, Jennifer L Hallock, Bruce Trock, Kimberley Steele, E James Wright
OBJECTIVE: The objective of this study was to assess whether patients seeking bariatric surgery were at least as proficient in urinary incontinence (UI) and pelvic organ prolapse (POP) knowledge as the general population. Our secondary objective was to determine care-seeking and impact of embarrassment on knowledge of pelvic floor disorders (PFDs). METHODS: An anonymous survey was administered to adult women who attended a bariatric surgery information session from May 2015 to January 2016...
January 11, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30628948/lessons-learned-from-a-review-of-malpractice-litigations-involving-obstetric-anal-sphincter-injury-in-the-united-states
#19
Edward K Kim, David A Lovejoy, Danielle Patterson, Victoria L Handa
OBJECTIVE: The aim of this article is to review all litigations involving obstetric anal sphincter injury (OASIS) in the United States to highlight the most common allegations and factors that aided the involved obstetricians and gynecologists (ob/gyns). METHODS: We used Lexis Nexis, a comprehensive legal database, to search all publicly available high-profile federal and state level litigations related to OASIS. RESULTS: Of 68 cases that resulted and reviewed, 19 were deemed to be pertinent to the question being addressed...
January 9, 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30628947/a-national-contemporary-analysis-of-perioperative-outcomes-for-vaginal-vault-prolapse-minimally-invasive-sacrocolpopexy-versus-nonmesh-vaginal-surgery
#20
Brian J Linder, Boris Gershman, Katherine A Bews, Amy E Glasgow, John A Occhino
OBJECTIVE: The aim of this study was to compare the perioperative morbidity of minimally invasive sacrocolpopexy (MISC) and nonmesh apical vaginal surgeries for repair of vaginal vault prolapse using data from a contemporary nationwide cohort. METHODS: The American College of Surgeons' National Surgical Quality Improvement Program database was used to identify women who underwent apical prolapse surgery via vaginal approach or MISC from 2010 to 2016. Those undergoing concomitant hysterectomy or transvaginal mesh placement were excluded...
January 9, 2019: Female Pelvic Medicine & Reconstructive Surgery
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