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Female Pelvic Medicine & Reconstructive Surgery

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https://www.readbyqxmd.com/read/30325784/indwelling-versus-immediate-removal-of-transurethral-catheter-after-robotic-sacrocolpopexy-a-randomized-clinical-trial
#1
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
#2
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
#3
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/30281532/predictors-of-opioid-administration-in-the-acute-postoperative-period
#4
Marcella G Willis-Gray, Katherine E Husk, Taylor J Brueseke, Jennifer M Wu, Alexis A Dieter
No abstract text is available yet for this article.
October 2, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30272594/levator-morphology-and-strength-after-obstetric-avulsion-of-the-levator-ani-muscle
#5
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
#6
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
https://www.readbyqxmd.com/read/30247167/postoperative-opioid-prescribing-following-gynecologic-surgery-for-pelvic-organ-prolapse
#7
D Allan Leach, Elizabeth B Habermann, Amy E Glasgow, John A Occhino
OBJECTIVES: The aim of this study was to evaluate postoperative pain scores, quantity of prescribed opioids at hospital discharge, and need for additional opioid prescriptions among women undergoing surgical treatment of pelvic organ prolapse. METHODS: Institutional billing data were used to identify all patients undergoing pelvic reconstructive surgery between January 1, 2012, and May 30, 2017. Inpatient records were utilized to obtain prescription data (reported in oral morphine equivalents for standardization) and pain scores...
September 22, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30247168/patient-initiated-telephone-calls-in-the-postoperative-period-after-female-pelvic-reconstructive-surgery
#8
Aparna S Ramaseshan, Christine LaSala, David M O'Sullivan, Adam C Steinberg
OBJECTIVE: The aim of this study was to evaluate reasons and factors associated with patient calls in the postoperative period after female pelvic medicine and reconstructive surgery. METHODS: A retrospective review using electronic medical records was performed on consecutive patients who underwent surgery within our academic female pelvic medicine and reconstructive surgery practice during a 6-month period. Calls after postoperative discharge until first scheduled postoperative visit were included...
September 21, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30239346/a-hypothesis-generating-the-mechanical-systems-underlying-posterior-vaginal-prolapse-based-on-observed-displacements-by-dynamic-magnetic-resonance-imaging
#9
Zhongyuan Qiu, Yanfeng Song
OBJECTIVE: The aim of this study was to analyze quantified displacements of the posterior vaginal wall (PVW) on dynamic magnetic resonance imaging (MRI), which may generate hypotheses for the detailed mechanisms that underlie the development of posterior vaginal prolapse. METHODS: Pelvic dynamic MRI scans were obtained for 12 women with normal vaginal structure (stage 0) and 62 women with 4 consecutive stages (1-4) of posterior vaginal prolapse. Structural locations (apex vagina, distal vagina, and mid-perineal body [PB]) and equidistant points along the PVW (points 4-6 were considered as midvagina) were identified, and PVW length, straight distance of PVW, levator ani parameters (levator hiatus length [LHL], levator hiatus width [LHW], levator plate angle, anorectal angle, and M line [ML]), urogenital hiatus, and prolapse diameter were measured at rest and maximal Valsalva, respectively...
September 20, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30239345/opioid-pain-medication-use-in-new-urogynecology-patients
#10
Denicia S Dwarica, Abby R Rubenstein, Robert B Boccaccio, Anita K Motwani, Jennifer D Peck, Edgar L LeClaire, Lieschen H Quiroz
OBJECTIVES: The aim of this study was to determine the prevalence of opioid pain medication use among patients presenting for a new visit to the urogynecology clinic compared with those presenting to general gynecology. METHODS: We identified all patients who presented for new patient visits to the urogynecology and gynecology clinics between January 1, 2016, and December 31, 2016. Any previous or current opioid use was extracted from the electronic medical record medication list...
September 20, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30212388/evaluation-of-urine-choline-levels-in-women-with-and-without-overactive-bladder-syndrome
#11
David Sheyn, Adonis K Hijaz, Fred E Hazlett, Konyinsola Dawodu, Sherif El-Nashar, Jeffrey M Mangel, Andrey Petrikovets, Sangeeta T Mahajan
OBJECTIVE: The objective of this study was to determine whether levels of choline (Ch) differ in women with and without overactive bladder (OAB) symptoms. METHODS: New patients were evaluated using the overactive bladder symptom score; Medical, Epidemiologic, and Social Aspects of Aging (MESA) urgency incontinence questionnaire; and Impact Questionnaire 7 and provided a urine sample. Patients were stratified into asymptomatic controls, scoring 0 on overactive bladder symptom score and the MESA questionnaire, and patients with OAB and urgency incontinence (OAB-wet)...
September 12, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30192256/female-urology-and-urogynecology-the-outcome-of-patients-participating-in-live-surgical-broadcasts
#12
Sarah Itam, Mahreen Pakzad, Rizwan Hamid, Jeremy Ockrim, Arvind Vashisht, Alfred Cutner, Tamsin Greenwell
INTRODUCTION: The aims of this study were to assess the complications and short- and long-term outcomes of patients involved in live surgical broadcasts (LSBs) of female urology and urogynecological surgery and compare the surgical success with operations performed outside this setting by the same surgeons. METHODS: We reviewed our prospectively collected database of all patients who had taken part in LSBs between 2008 and 2015 for the annual female urology and urogynecology course...
September 5, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30180050/uterosacral-ligament-suspension-a-radiographic-study-of-suture-location-in-live-subjects
#13
Benjamin C Smith, Charles V Herfel, Jennifer Yeung, Abigail Shatkin-Margolis, Catrina C Crisp, Steven D Kleeman, Rachel N Pauls
OBJECTIVES: This study aimed to describe uterosacral ligament suspension (USLS) suture location relative to the surrounding anatomy in a living model using computed tomographic imaging. METHODS: This was an institutional review board-approved prospective descriptive study. Women aged 18 to 85 years undergoing vaginal hysterectomy with USLS were eligible. A size 'small' titanium vascular clip was applied to the base of each USLS suture. Computed tomography of the pelvis was performed on postoperative day 1...
August 31, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30180049/sling-plication-for-failed-midurethral-sling-procedures-a-case-series
#14
Deepali Maheshwari, Keisha Jones, Ellen Solomon, Oz Harmanli
OBJECTIVES: The aim of this article is to report the outcomes of sling plications performed on women who presented with persistent stress urinary incontinence after midurethral sling. METHODS: All women who underwent sling plication for persistent stress urinary incontinence after placement of either retropubic or transobturator midurethral sling were included in this case series. For plication, first, the suburethral incision was opened. After mobilization of the mesh in the midline, the sling was plicated with absorbable sutures...
August 31, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30180048/effect-of-bariatric-surgery-on-urinary-incontinence-in-obese-women-a-meta-analysis-and-systematic-review
#15
Jindong Zhang, Liang Gao, Maoyu Liu, Chuan Liu
OBJECTIVES: The aim of this study was to explore the effectiveness of bariatric surgery in obese women with urinary incontinence (UI) through meta-analysis. METHODS: Searches of PubMed, the Cochrane Library, and EMBASE databases were performed using "weight loss surgery/bariatric surgery/gastric bypass surgery" and "incontinentia urinae/uracratia/urinary incontinence/uroclepsia" in the title/abstract before January 2018. Then, meta-analysis was analyzed by Review Manager 5...
August 31, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30180047/perioperative-complication-rates-after-colpopexy-in-african-american-and-hispanic-women
#16
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...
August 31, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30074917/knowledge-of-pelvic-floor-disorders-in-obstetrics
#17
Elishia R Mckay, Lisbet S Lundsberg, Devin T Miller, Ashley Draper, Jamie Chao, Judy Yeh, Sabrina Rangi, Priscilla Torres, Michelle Stoltzman, Marsha K Guess
OBJECTIVES: The aim of this study was to investigate knowledge and demographic factors associated with a lack of knowledge proficiency about urinary incontinence (UI) and pelvic organ prolapse (POP) among pregnant and postpartum women. METHODS: This was a cross-sectional survey of women receiving antepartum and postpartum care at 9 Connecticut sites. Knowledge was assessed using the validated Prolapse and Incontinence Knowledge Questionnaire. Lack of knowledge proficiency was defined as less than 80% and less than 50% correct responses on the Prolapse and Incontinence Knowledge Questionnaire UI and POP subscales...
August 2, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30059439/fungal-lumbosacral-osteomyelitis-after-robotic-assisted-laparoscopic-sacrocolpopexy
#18
Brittni Boyd, Toya Pratt, Kavita Mishra
Sacral osteomyelitis is a rare complication after robotic sacrocolpopexy, with previous reports of enteric and skin flora as inciting organisms. We report a patient who presented with severe low back pain and fever 6 weeks after a robotic sacrocolpopexy, who was subsequently diagnosed as having lumbosacral discitis and osteomyelitis with thoracic intervertebral extension. Empiric antibiotic therapy was initially administered. After laparoscopic mesh excision and abdominal wash out, Candida albicans was isolated from the excised mesh...
July 27, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30059438/statewide-success-of-staged-sacral-neuromodulation-for-the-treatment-of-urinary-complaints-in-california-2005-2011
#19
Amy D Dobberfuhl, Amandeep Mahal, Kai B Dallas, Katherine M Choi, Craig V Comiter, Christopher S Elliott
PURPOSE: Sacral neuromodulation (SNS) is approved by the Food and Drug Administration as a third-line treatment for refractory overactive bladder, idiopathic urinary retention, and fecal incontinence. Prior to implantation of an implantable pulse generator, all patients undergo a trial phase to ensure symptom improvement. The published success rates of progression from the test phase to permanent implant vary widely (range, 24% to >90%). We sought to characterize success rates using a statewide registry...
July 27, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/30059437/long-term-pelvic-floor-symptoms-recurrence-satisfaction-and-regret-following-colpocleisis
#20
William D Winkelman, Miriam J Haviland, Eman A Elkadry
There are insufficient studies on long-term outcomes following colpocleisis, which limits physicians' ability to effectively counsel patients. The purpose of this study was to assess pelvic floor symptoms, recurrence, satisfaction, and regret among patients who underwent colpocleisis procedures. METHODS: This is an ambidirectional cohort study involving patients who underwent a colpocleisis at a single institution from 2002 to 2012. Medical records were reviewed, and patients were contacted by telephone in order to complete questionnaires...
July 27, 2018: Female Pelvic Medicine & Reconstructive Surgery
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