journal
Journals Female Pelvic Medicine & Recon...

Female Pelvic Medicine & Reconstructive Surgery

https://read.qxmd.com/read/35421017/feasibility-and-research-insights-from-a-randomized-controlled-trial-for-recurrent-urinary-tract-infection-prevention-in-postmenopausal-women-using-vaginal-estrogen-therapy
#21
RANDOMIZED CONTROLLED TRIAL
Stacy M Lenger, Christine M Chu, Chiara Ghetti, Michael J Durkin, Zoe Jennings, Siobhan Sutcliffe, Jerry L Lowder
OBJECTIVE: The aim of the study was to inform feasibility parameters (eligibility, enrollment, and retention) for a recurrent urinary tract infection (rUTI) prevention randomized controlled trial (RCT). METHODS: We assessed feasibility parameters of an RCT of postmenopausal women with uncomplicated rUTIs using vaginal estrogen. Participants were randomized to either d-mannose or a control arm. All participants were required to be using vaginal estrogen and to have a negative urine culture before 90-day trial participation...
June 1, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35421010/bladder-eversion-through-a-vesicovaginal-fistula-in-a-patient-with-uterine-procidentia-a-case-report
#22
JOURNAL ARTICLE
Nicole Fennimore, Sarah H Boyles, Mary Anna Denman
No abstract text is available yet for this article.
June 1, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35420551/the-impact-of-local-estrogen-on-the-urogenital-microbiome-in-genitourinary-syndrome-of-menopause-a-randomized-controlled-trial
#23
RANDOMIZED CONTROLLED TRIAL
Jennifer Nicole Lillemon, Lisa Karstens, Rahel Nardos, Bharti Garg, Emily R Boniface, W Thomas Gregory
IMPORTANCE: The postmenopausal urinary bladder microbiome is not well defined. OBJECTIVES: The aims of this study were to characterize the effect of vaginal estrogen on the vaginal and urinary bladder microbiome in postmenopausal women and describe any clinical associations with the symptoms of genitourinary syndrome of menopause. STUDY DESIGN: This was a participant-masked, randomized controlled trial comparing the effect of a 12-week course of an estrogen-containing vaginal ring to a placebo vaginal ring...
June 1, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35420550/the-role-of-pessaries-in-the-treatment-of-women-with-stress-urinary-incontinence-a-systematic-review-and-meta-analysis
#24
JOURNAL ARTICLE
Julia Klein, Michelina Stoddard, Charles Rardin, Shawn Menefee, Art Sedrakyan, Stephanie Sansone, Bilal Chughtai
IMPORTANCE: Pessaries are an important conservative therapy for stress urinary incontinence (SUI), but few studies have comprehensively evaluated their utility. OBJECTIVE: The objective of this study is to evaluate the existing evidence on the efficacy and safety of pessaries for the treatment of SUI. STUDY DESIGN: We searched for the terms "stress urinary incontinence" and "pessar/y/ies/ium" in PubMed, Embase, and Cinhal on June 10, 2020...
June 1, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35234183/vaginectomy-in-transmasculine-patients-a-review-of-techniques-in-an-emerging-field
#25
REVIEW
Madeline Coulter, David A Diamond, Carlos Estrada, Frances Grimstad, Richard Yu, Paula Doyle
PURPOSE: This report reviews the various techniques for vaginal obliterative surgery in the transmasculine patient population, including advantages and drawbacks with differing methods and reflects on the focus of future research and surgical efforts. FINDINGS: Existing techniques for vaginal obliterative surgery by vaginectomy or colpocleisis vary without strong evidence to identify a superior approach. SUMMARY: The increasing number of transmasculine patients seeking vaginectomy as a part of gender-affirming surgery must be matched by evidence-based techniques that provide a safe, long-term outcome...
June 1, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35703292/effect-of-nrf2-on-phenotype-changes-of-macrophages-in-the-anterior-vaginal-wall-of-women-with-pelvic-organ-prolapse
#26
JOURNAL ARTICLE
Peng Liu, Dongxia Liu, Fei Chen, Lin Luo, Yuxi Jin, Juan Peng, Hang Yu, Mengyan Wei, Xiaojing Shi, Luwen Wang
OBJECTIVE: The aim of this study was to observe the effect of nuclear factor-erythroid 2-related factor 2 (Nrf2) on the phenotype changes of macrophages in the anterior vaginal wall of patients with pelvic organ prolapse (POP). METHODS: The tissues of the anterior vaginal wall of the control group (n = 30) and POP groups (n = 60) were collected during operation. The expressions of Nrf2, iNOS (representative factor of M1 macrophages), and CD206 (representative factor of M2 macrophages) were determined by immunohistochemical staining and Western blot...
May 31, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35703263/patient-satisfaction-provider-productivity-and-efficacy-of-a-standardized-preparatory-toolkit-with-broad-telemedicine-adaptation-in-an-outpatient-urology-clinic
#27
JOURNAL ARTICLE
Tyler L Overholt, Rahul Dutta, Whitney R Smith, Liliya P Velet, Raymond Xu, Catherine A Matthews
IMPORTANCE: The COVID-19 pandemic prompted telemedicine adoption. In March 2020, we developed an implementation toolkit with a nursing protocol for patient preparation before tertiary care urology clinic visits. OBJECTIVES: Our primary objective was to determine patient satisfaction after implementation of a telemedicine toolkit. Our secondary objective was to assess downstream productivity generated from telehealth visits. STUDY DESIGN: We prospectively conducted a postvisit survey that included the Telehealth Usability Questionnaire, a validated survey assessing patient satisfaction, for all patients with documented completion of the nursing protocol to assess patient experience and satisfaction...
May 30, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35703257/preprocedure-and-immediate-postoperative-changes-to-genital-hiatus-following-minimally-invasive-sacrocolpopexy
#28
JOURNAL ARTICLE
Stephanie Glass Clark, Jessica C Sassani, Halina M Zyczynski, Megan S Bradley
IMPORTANCE: This study assesses resting genital hiatus (GH) measurements under anesthesia as compared with in-office measurements for intraoperative planning purposes. OBJECTIVES: The aim of this study was to determine the influence of general anesthesia and apical suspension on GH measurements compared with office measurements. STUDY DESIGN: This was a retrospective cohort of women who underwent minimally invasive sacrocolpopexy within an academic urogynecology practice...
May 30, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35649239/barriers-and-promotors-to-health-service-utilization-for-pelvic-floor-disorders-in-the-united-states-systematic-review-and-meta-analysis-of-qualitative-and-quantitative-studies
#29
JOURNAL ARTICLE
Tsung Mou, Javier Gonzalez, Ankita Gupta, Michele O'Shea, Mary Duarte Thibault, Elizabeth L Gray, Molly Beestrum, Oluwateniola Brown, Sara Cichowski
IMPORTANCE: We need a systematic approach to understanding health service utilization behavior in women with pelvic floor symptoms in the United States. OBJECTIVES: The aim of this study was to determine the prevalence of pelvic floor care utilization and identify its barriers and promotors using Andersen's model, which theorizes care-seeking behavior with individual care needs, resources, predispositions, and macrostructures. DESIGN: This was a systematic search of studies on care-seeking patterns in women with symptomatic pelvic floor disorders, which included pelvic organ prolapse, lower urinary tract symptoms, and anal incontinence...
May 30, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35649240/effect-of-time-of-year-on-surgical-outcomes-in-patients-undergoing-minimally-invasive-sacral-colpopexy-or-uterosacral-ligament-suspension
#30
JOURNAL ARTICLE
Kaitlin Renkosiak, Megan Bradley, Alexandra Dubinskaya, Jonathan P Shepherd
IMPORTANCE: Academic urogynecologists incorporating fellows/residents into operative cases must ensure safety and quality outcomes throughout the learning curve of the academic year. OBJECTIVES: We evaluated if the month of year relative to fellow/resident promotions in July affects operating time, complications, and prolapse recurrence for minimally invasive sacral colpopexy (MISC) or uterosacral ligament suspension (USLS). STUDY DESIGN: This was a retrospective study comprising MISC and USLS from January 2009 to August 2015...
May 24, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35649237/de-novo-stress-urinary-incontinence-after-prolapse-surgery-have-we-answered-the-question
#31
JOURNAL ARTICLE
Blake Osmundsen, W Thomas Gregory
No abstract text is available yet for this article.
May 24, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35649234/social-media-and-urogynecology
#32
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
May 24, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35695733/altis%C3%A2-adjustable-single-incision-sling-system-for-treatment-of-intrinsic-sphincteric-deficiency-a-3-year-follow-up-observational-study
#33
JOURNAL ARTICLE
Andrea Morciano, Giuseppe Marzo, Dario Caliandro, Giorgio Fachechi, Alessia Giaquinto, Giuseppe Campagna, Giovanni Panico, Alfredo Ercoli, Giuseppe Muzzupapa, Ettore Cicinelli, Giovanni Scambia, Mauro Cervigni
IMPORTANCE: This article is a long-term follow-up study on the Altis adjustable single incision sling (Coloplast Corp.) in patients with isolated intrinsic sphincteric deficiency (ISD). OBJECTIVES: The primary end-points were to evaluate the subjective and objective outcomes of the Altis for the treatment of ISD, with a 3-year follow-up. The secondary end-point was to evaluate the safety of this surgical procedure. STUDY DESIGN: This is a retrospective single-arm study...
May 12, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35543540/postprocedural-pain-associated-with-5-versus-20-intradetrusor-injections-of-onabotulinumtoxina-for-treatment-of-overactive-bladder-a-multicenter-randomized-clinical-trial
#34
JOURNAL ARTICLE
Eric S Chang, Nancy Ringel, Katherine L Woodburn, Jean Paul Tanner, Renee Bassaly, Kristie Greene, Allison Wyman, Cheryl Iglesia
IMPORTANCE: Intradetrusor injection of onabotulinumtoxinA is performed via varying injection paradigms but no studies have studied the various effects of these paradigms on patient experience with the procedure. OBJECTIVES: This randomized clinical trial aims to compare pain and procedure time between patients receiving a 100-unit dose of onabotulinumtoxinA in 5 injections compared to 20 injections for the treatment of idiopathic overactive bladder or urgency urinary incontinence...
May 12, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35543553/trends-in-performance-of-anti-incontinence-treatment-at-the-time-of-pelvic-organ-prolapse-repair-from-2011-to-2019
#35
JOURNAL ARTICLE
Gregory E Zemtsov, J Eric Jelovsek, Michele O'Shea, Doug Luchristt
IMPORTANCE: There are no publications on national trends in performance of concomitant stress urinary incontinence (SUI) treatment with pelvic organ prolapse surgery over the past decade. OBJECTIVES: The objective of this study was to describe trends in the performance and type of concomitant SUI treatment from 2011 to 2019. STUDY DESIGN: Surgical procedures for pelvic organ prolapse and coding for prolapse repair were identified from the American College of Surgeons National Surgical Quality Improvement Program database...
May 5, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35543546/quantifying-the-added-value-of-2-common-frailty-measures-for-predicting-adverse-outcomes-after-elective-hysterectomy
#36
JOURNAL ARTICLE
Douglas Luchristt, Nazema Y Siddiqui, C Emi Bretschneider, J Eric Jelovsek
IMPORTANCE: Although frailty is predictive of adverse outcomes in predominantly male general and orthopedic surgical populations, the utility of American College of Surgeons National Surgical Quality Improvement Program-based frailty measurement for hysterectomy is unclear. OBJECTIVES: The objective of this study was to measure the added contribution of the modified frailty index (mFI) and Risk Analysis Index (RAI) for predicting adverse outcomes after hysterectomy...
May 5, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35536666/relationship-between-opioid-prescriptions-and-number-of-chronic-pain-conditions-in-women-with-interstitial-cystitis
#37
JOURNAL ARTICLE
Jordann-Mishael Duncan, Christopher X Hong, Heidi S Harvie, Lily A Brown, Lily A Arya, Edward K Kim
OBJECTIVES: The aim of this study was to determine the relationship between opioid prescriptions and number of chronic pain conditions in women with interstitial cystitis (IC). METHODS: This was a cross-sectional study. Women diagnosed with IC based on International Classification of Diseases, Ninth Revision/Tenth Revision codes over an 11-year period (2010-2020) were identified from electronic medical records. Data on comorbidities and ambulatory opioid prescriptions were also extracted...
May 5, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35536667/six-month-outcomes-of-reimplantation-of-a-coin-sized-tibial-nerve-stimulator-for-the-treatment-of-overactive-bladder-syndrome-with-urgency-urinary-incontinence
#38
JOURNAL ARTICLE
Bilal Kaaki, Sharon English, Peter Gilling, Patrick Meffan, Vincent Lucente, Scott MacDiarmid, Matthew Clark, Subhro K Sen
OBJECTIVE: The eCoin (Valencia Technologies Corporation, Valencia, CA) is a battery-powered, nickel-sized and shaped neuromodulation device for the treatment of overactive bladder, and it is implanted in the lower leg in a short office or outpatient procedure under local anesthesia. A follow-on trial was conducted to evaluate the feasibility, safety, and efficacy of eCoin reimplantation. METHODS: This was a prospective, single-arm, open-label study, including 23 participants with refractory urgency urinary incontinence (UUI) who were previously participants in the eCoin clinical feasibility trial...
May 1, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35420558/effect-of-covid-19-on-female-pelvic-medicine-and-reconstructive-surgery-fellowship-education-and-training
#39
JOURNAL ARTICLE
Brandy M Butler, Daniel H Biller
IMPORTANCE: The COVID-19 pandemic has caused a noticeable disruption in national medical and surgical care, including medical training. OBJECTIVES: We designed a survey to examine the educational effect of the pandemic on female pelvic medicine and reconstructive surgery (FPMRS) training and secondarily to identify areas for innovation and opportunity in FPMRS fellowship training. STUDY DESIGN: We used an online survey, approved by the American Urogynecologic Society Scientific Committee and distributed it to FPMRS fellows with responses obtained and stored in REDCap...
May 1, 2022: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/35234184/surgical-correction-of-the-genital-hiatus-at-the-time-of-sacrocolpopexy-are-concurrent-posterior-repairs-cost-effective
#40
JOURNAL ARTICLE
Olivia H Chang, Jonathan P Shepherd, Brad St Martin, Eric R Sokol, Shannon Wallace
OBJECTIVE: The objective was to perform a cost-effectiveness analysis of posterior repair performed at the time of sacrocolpopexy (SCP). METHODS: We used TreeAge Pro to construct a decision model comparing laparoscopic hysterectomy with SCP with and without concurrent posterior repair (SCP and SCP + PR). Using a time horizon of 1 year, we modeled prolapse recurrence, prolapse retreatment, and complications, including rectal injury, rectovaginal hematoma requiring surgical take-back, and postoperative dyspareunia...
May 1, 2022: Female Pelvic Medicine & Reconstructive Surgery
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