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Female Pelvic Medicine & Reconstructive Surgery

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https://www.readbyqxmd.com/read/30520742/low-bladder-compliance-in-women-a-clinical-overview
#1
Divya Arunachalam, Michael Heit
Bladder compliance refers to the ability of the bladder to accommodate large volumes of urine. Patients with low bladder compliance may present with persistent urinary incontinence and/or evidence of upper tract damage. Clinicians often may not consider low bladder compliance in their differential for patients complaining of bothersome lower urinary tract symptoms. In this article, we aim to provide further guidance in the management of women with low bladder compliance given the lack of information on this topic in the medical literature...
December 5, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30489341/pelvic-pain-and-apical-prolapse-surgery-a-population-based-retrospective-cohort-study
#2
Mostafa A Borahay, Burak Zeybek, Parin Patel, Yu-Li Lin, Yong-Fang Kuo, Gokhan S Kilic
OBJECTIVES: The aims of this study were to evaluate the association of preoperative pelvic pain with operative characteristics and the association of patient and operative characteristics with postoperative pain. METHODS: This is a retrospective cohort study utilizing Clinformatics DataMart, a large national commercial insurance database. We collected data for patients older than 18 years who underwent apical prolapse surgery between January 2005 and December 2014...
November 27, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30489340/pelvic-organ-prolapse-symptoms-in-american-samoan-women
#3
Kathleen E Cohen, Stephen T McGarvey, Phinnara Has, Brittany S Hampton
OBJECTIVES: American Samoa has one of the highest rates of obesity worldwide, making it a population at high risk for pelvic organ prolapse (POP). The primary objective of this study was to describe the presence of POP symptoms and associated degree of bother in American Samoan women. The secondary objective was to determine which characteristics are associated with POP symptoms in this cohort. METHODS: We performed a cross-sectional survey of women presenting to the waiting room of the emergency department of the Lyndon B...
November 27, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30461428/the-effect-of-catheterization-on-susceptibility-of-uropathogens-after-pelvic-reconstructive-surgery
#4
Rachael C Baird, Ellen Romich, Emily Holthaus, Matthew D Barber, Cecile A Ferrando
OBJECTIVE: The aim of this study was to determine whether bacterial uropathogens from positive urine cultures and uropathogen antibiotic susceptibility differ between catheterized (C) and noncatheterized (NC) patients after pelvic reconstructive surgery. METHODS: This is a retrospective cohort study of patients with a positive urine culture within 1 year of pelvic reconstructive surgery. Patients were categorized as having an indwelling catheter placed for urinary retention or voiding dysfunction within 48 hours of specimen collection versus no catheter...
November 17, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30418297/seapi-incontinence-classification-system-1-year-postoperative-results-following-midurethral-sling-placement
#5
Allison Glass, Blythe Durbin-Johnson, Jennifer Rothschild, Alexander Gomelsky
OBJECTIVE: There are limited long-term data that has examined postoperative quality-of-life measures following placement of midurethral sling (MUS) for stress urinary incontinence (SUI). The SEAPI incontinence questionnaire includes 5 data points that rate severity of specific urinary symptoms. Our aim was to describe changes in SEAPI questionnaire outcomes 1 year following sling placement. METHODS: We retrospectively reviewed women who underwent MUS for SUI from 2005 to 2012...
November 9, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30418263/tamsulosin-to-prevent-postoperative-urinary-retention-after-female-pelvic-reconstructive-surgery
#6
Graham C Chapman, David Sheyn, Andrey Petrikovets, Sangeeta T Mahajan, Sherif El-Nashar, Robert Pollard, Jeffrey M Mangel
OBJECTIVE: This study aimed to determine the effect of tamsulosin on postoperative urinary retention in female patients after pelvic reconstructive surgery. METHODS: Data were obtained from a retrospective, matched cohort of female patients who were admitted after pelvic reconstructive surgery at a single academic institution. Patients who received tamsulosin were compared with those who did not at a 1:4 ratio, matched by surgical procedure. Patients were excluded if they were discharged on the day of surgery or if an intraoperative complication necessitated prolonged postoperative bladder drainage...
November 9, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30394992/anterior-wall-success-at-1-year-after-vaginal-uterosacral-ligament-suspension-and-sacral-colpopexy
#7
Dina A Bastawros, Megan E Tarr, Megan A Templin, Kevin J Stepp, G Bernard Taylor, Erinn M Myers
OBJECTIVES: The primary objective was to evaluate 1-year anterior wall anatomic success rates for vaginal uterosacral ligament suspension (USLS) and minimally invasive sacral colpopexy (SCP) using delayed-absorbable suture. Secondary objectives included assessment of apical success, mesh or suture exposure, and postoperative quality of life (QoL) measures 12 months after surgery. METHODS: This was a retrospective cohort study including women who underwent a hysterectomy with concomitant USLS or SCP with delayed-absorbable suture from January 2011 to December 2015 with 1-year follow-up...
November 2, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30383556/treatment-of-vaginal-shortening-and-narrowing-with-autologous-buccal-mucosa-graft-augmentation-without-vaginal-mold
#8
Alexander A Berger, Karolynn T Echols
Vaginal foreshortening can occur after hysterectomy leading to inability to engage successfully in vaginal intercourse resulting in decreased quality of life. Vaginal elongation using autologous buccal mucosal graft with mold and postoperative bed rest has been reported extensively for vaginal stenosis and foreshortening, but graft without mold has never been described. A 61-year-old woman 5 years after robotic-assisted hysterectomy with foreshortened vagina and vaginal stricture sought care secondary to the inability to have sexual intercourse...
October 31, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30180047/perioperative-complication-rates-after-colpopexy-in-african-american-and-hispanic-women
#9
Kasey Roberts, David Sheyn, C Emi Bretschneider, Sangeeta T Mahajan, Jeffrey Mangel
OBJECTIVES: The objective of this study was to determine if race affects complication rates after colpopexy. METHODS: This was an observational study exempt from institutional review board review. Data were obtained from the American College of Surgeons National Surgical Quality Improvement Program database from 2010 to 2015. Current Procedural Terminology codes were used to identify patients with a history of colpopexy. Patients were stratified into 3 groups: White, Hispanic, and African American...
October 29, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30365448/vaginal-jade-eggs-ancient-chinese-practice-or-modern-marketing-myth
#10
Jennifer Gunter, Sarah Parcak
OBJECTIVE: To identify evidence that vaginal jade eggs were recommended or used in sexual health practices or for pelvic muscle exercises in ancient Chinese culture. MATERIALS AND METHODS: A search of the online databases of 4 major Chinese art and archeology collections in the United States. RESULTS: More than 5000 jade objects were viewable in online databases. No vaginal jade eggs were identified. CONCLUSIONS: No evidence was found to support the claim that vaginal jade eggs were used for any indication in ancient Chinese culture...
October 25, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30362993/the-safety-and-feasibility-of-gynecologic-cancer-surgery-combined-with-surgery-for-pelvic-floor-dysfunction
#11
Nicole J McConnell, J Ryan Stewart, Alexandra Martin, Jeremy T Gaskins, Erin E Medlin
OBJECTIVES: Women with gynecologic cancer may also present with pelvic floor dysfunction that can have a significant effect on quality of life. Combined surgical intervention for both malignancy and pelvic floor dysfunction may improve quality of life with minimal additional risk. We sought to determine the safety, feasibility, and frequency of combined gynecologic cancer surgery and surgery for pelvic floor dysfunction. METHODS: This is a retrospective cohort study that utilized the National Surgical Quality Improvement Program database provided through the American College of Surgeons...
October 22, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30346319/lidocaine-use-in-vaginal-surgery-and-risk-of-toxicity
#12
Marcella G Willis-Gray, Katherine E Husk, Taylor J Brueseke, AnnaMarie Connolly, Elizabeth J Geller
OBJECTIVES: The primary objective of this study was to compare the amount of lidocaine administered for vaginal reconstruction with versus without hysterectomy. The secondary objective was to assess the risk of lidocaine toxicity. METHODS: This retrospective cohort study compares lidocaine dose in 2 cohorts: women who underwent vaginal hysterectomy with additional vaginal reconstruction (VH + VR) versus those who underwent vaginal reconstruction without hysterectomy (VR only)...
October 19, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30346318/comparison-of-anorectal-manometry-testing-in-left-lateral-and-lithotomy-positions
#13
Priyanka K Kadam-Halani, Avita K Pahwa, Nathanael C Koelper, Lily A Arya, Mary D Sammel, Uduak U Andy
OBJECTIVES: Anorectal manometry (ARM) is typically performed in left lateral position, but many practitioners are more familiar with the lithotomy position. We aimed to evaluate agreement between ARM performed in left lateral and lithotomy positions and patient preference for testing position. METHODS: We performed a prospective comparison study of left lateral versus lithotomy position for women undergoing ARM for the evaluation of fecal incontinence. Women were randomly assigned to undergo testing in either left lateral position first followed by lithotomy position, or vice versa...
October 19, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30335650/comparison-of-oral-sodium-bicarbonate-and-solifenacin-treatment-in-female-overactive-bladder-patients-with-acidic-urine-ph
#14
Mehmet Giray Sönmez, Gökhan Ecer, Ahmet Atici, Mehmet Serkan Özkent, Mehmet Sinan İyisoy, Ahmet Öztürk
OBJECTIVE: In this study, we planned to compare the effects of oral sodium bicarbonate (NaHCO3) and anticholinergic (solifenacin) treatments in women with overactive bladder (OAB) and acidic urine pH values (i6). METHODS: According to the referral order of OAB patients, 8 g/d oral NaHCO3 (group 1) or 5 mg/d solifenacin succinate (group 2) was given to the patients. Both treatment regimens were applied one at a time for 12 weeks in total. Laboratory values, bladder diary, Patient Perception of Bladder Condition score, Patient Perception of Intensity of Urgency Scale, Overactive Bladder-Validated 8-Question Awareness Tool, and the King's Health Questionnaire (KHQ) scores before and after treatment were compared...
October 17, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30335649/a-comparison-of-sacrospinous-hysteropexy-augmented-with-polypropylene-mesh-versus-human-dermis-at-12-month-follow-up-an-ambidirectional-study
#15
Miriam Seitz, Kelly Jirschele, Alexis Tran, Shilpa Iyer, Adam Gafni-Kane, Janet Tomezsko, Sylvia M Botros, Peter K Sand
BACKGROUND: Suture-based hysteropexy is performed for pelvic organ prolapse with varying results. Graft augmentation may improve outcomes. OBJECTIVE: The aim of this study was to determine whether vaginal hysteropexy with mesh reduces recurrence at 1-year postoperative examination compared with hysteropexy with allograft. METHODS: Data were collected for patients who underwent vaginal hysteropexy with either mesh "Uphold" (referred to as "mesh") or a cadaveric allograft "Axis or Repliform" (referred to as "dermal")...
October 17, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30325784/indwelling-versus-immediate-removal-of-transurethral-catheter-after-robotic-sacrocolpopexy-a-randomized-clinical-trial
#16
Vaneesha Vallabh-Patel, Patrick Popiel, Charbel Salamon
INTRODUCTION AND HYPOTHESIS: This study evaluates the necessity and effect of an indwelling transurethral catheter in the early postoperative period following a robotic-assisted laparoscopic sacrocolpopexy. METHODS: This was a randomized clinical trial of patients who underwent a robotic sacrocolpopexy for pelvic organ prolapse. Patients were randomized to have their transurethral catheter removed 6 hours postoperative (intervention group) or the morning following surgery (control group)...
October 15, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30325783/accuracy-of-bladder-scanner-for-the-assessment-of-postvoid-residual-volumes-in-women-with-pelvic-organ-prolapse
#17
Danielle Lynn Taylor, Tania Sierra, Omar Felipe Duenas-Garcia, Youngwu Kim, Katherine Leung, Cynthia Hall, Michael K Flynn
OBJECTIVES: The aim of the study was to evaluate the accuracy of the bladder scanner in assessing postvoid residual (PVR) volumes in patients with pelvic organ prolapse (POP). METHODS: We performed a prospective parallel cohort study evaluating the accuracy of the BVI 3000 bladder scanner in patients with POP. Patients with POP to the hymen were offered inclusion. Primary outcome was the absolute difference between bladder scanner and catheterization PVR. We also investigated the effect of prolapse stage on bladder scanner accuracy...
October 15, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30285979/pelvic-floor-disorders-after-obstetric-avulsion-of-the-levator-ani-muscle
#18
Victoria L Handa, Joan L Blomquist, Jennifer Roem, Alvaro Muñoz, Hans Peter Dietz
OBJECTIVES: With vaginal childbirth, 10% to 30% of women sustain levator ani muscle avulsion. The objective of this study was to estimate the cumulative incidence of prolapse and other pelvic floor disorders (PFDs), comparing vaginally parous women with and without levator avulsion. METHODS: Parous women enrolled in a longitudinal study were assessed annually for PFDs with the Pelvic Organ Prolapse Quantification Examination (for prolapse) and the Epidemiology of Prolapse and Incontinence Questionnaire (for stress incontinence, overactive bladder, and anal incontinence)...
October 3, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30272594/levator-morphology-and-strength-after-obstetric-avulsion-of-the-levator-ani-muscle
#19
Victoria L Handa, Joan L Blomquist, Jennifer Roem, Alvaro Muñoz, Hans Peter Dietz
OBJECTIVES: Obstetric levator avulsion may be an important risk factor for prolapse. This study compares the size of the levator hiatus, the width of the genital hiatus, and pelvic muscle strength between vaginally parous women with or without levator avulsion, 5 to 15 years after delivery. METHODS: Parous women were assessed for levator ani avulsion, using 3-dimensional transperineal ultrasound. Women with and without levator ani avulsion were compared with respect to levator hiatus areas (measured on ultrasound), genital hiatus (measured on examination), and pelvic muscle strength (measured with perineometry)...
September 27, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30256268/use-of-ultrasound-urodynamics-to-identify-differences-in-bladder-shape-between-individuals-with-and-without-overactive-bladder
#20
Stephanie Glass Clark, Anna S Nagle, Rachel Bernardo, Naomi Vinod, Laura Carucci, Ashley Carroll, John Speich, Adam P Klausner
OBJECTIVES: The objective of this study was to identify differences in bladder shape changes between individuals with overactive bladder (OAB) and unaffected individuals during ultrasound urodynamics. METHODS: A prospective urodynamic study was performed with concurrent transabdominal ultrasound (ultrasound urodynamics) on individuals with and without OAB based on validated International Consultation on Incontinence Questionnaire - OAB survey scores. Three-dimensional ultrasound images were acquired at 1-minute increments during filling and used to measure bladder diameters in the height, width, and depth orientations...
September 25, 2018: Female Pelvic Medicine & Reconstructive Surgery
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