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International Urogynecology Journal

Jyotshna Khadgi, Arjun Poudel
Uterine Prolapse (UP) is a major cause of mortality and morbidity among women in low-income countries like Nepal. More than 1 million women in Nepal suffer from this condition and most of them belong to the reproductive age. The cause and consequence for UP in Nepalese women is mainly gender discrimination. Early marriage, multiple births, lack of skilled birth attendants during delivery, continuous work throughout their pregnancies and soon after giving birth are the risk factors and causes of UP. It affects many aspects of a woman's quality of life, which ranges from physical discomfort, psychological, social and sexual lifestyle restrictions...
September 21, 2018: International Urogynecology Journal
Elizabeth J Goodall, Rufus Cartwright, Emily C Stratta, Simon R Jackson, Natalia Price
INTRODUCTION AND HYPOTHESIS: Midurethral slings (MUS) are an established treatment for stress urinary incontinence (SUI), with good objective outcomes and low rates of complications. However, large population-based registry studies highlighted long-term complications from polypropylene slings including erosion, dyspareunia and chronic pain. With recent highly negative media coverage, many women are presenting with chronic pain attributed to the mesh to request complete removal. The available literature provides limited evidence on safety, symptom resolution and incontinence following MUS removal...
September 18, 2018: International Urogynecology Journal
Alexandra Mowat
No abstract text is available yet for this article.
September 17, 2018: International Urogynecology Journal
Brian J Linder, John A Occhino
INTRODUCTION AND HYPOTHESIS: We present a video demonstrating technical considerations and tips for cystoscopic placement of external, lighted, and internal ureteral stents. METHODS: Cystoscopic ureteral stent placement is useful in cases where difficult pelvic periureter dissection is expected or encountered. In this video, we review cystoscopy basics, our approach to various types of retrograde stent placement, and performing retrograde pyelograms. Traditional external ureteral stent and lighted stent placement for prophylactic purposes are discussed, with attention to understanding stent markings, appropriate resistance, and steps for externalization...
September 15, 2018: International Urogynecology Journal
Douglas Miyazaki, Catherine A Matthews, Mujan Varasteh Kia, Amr Sherif El Haraki, Noah Miyazaki, Chi Chiung Grace Chen
INTRODUCTION AND HYPOTHESIS: The Miya Model ™ (Miyazaki Enterprises, Winston-Salem, NC, USA) was designed as a realistic vaginal surgery simulation model. Our aim was to describe this model and present pilot data on validity and reliability of the model as an assessment tool of vaginal hysterectomy skills. METHODS: We video recorded ten obstetrics and gynecology residents (novice group) and ten practicing gynecologists (expert group) performing vaginal hysterectomy using the Miya model...
September 6, 2018: International Urogynecology Journal
Katie Propst, David M O'Sullivan, Adam C Steinberg
INTRODUCTION AND HYPOTHESIS: Pain control is a key component of postoperative care; our objective was to evaluate if use of long-acting local anesthesia at the sacrospinous ligament leads to decreased postoperative pain versus short-acting local anesthesia in patients undergoing sacrospinous ligament fixation. METHODS: Women ≥ 18 years old undergoing sacrospinous ligament fixation to treat pelvic organ prolapse were eligible to participate in this randomized trial...
September 6, 2018: International Urogynecology Journal
Hayser Medina Lucena, Douglas G Tincello
INTRODUCTION AND HYPOTHESIS: The objective was to review different methods that have been used to assess bladder sensation and to provide an overview of the accuracy and objectivity of the measurement of the subjective perception of the bladder. METHODS: The MEDLINE and PubMed databases were searched to identify articles. References from those articles were also searched. Terms used for the search were: urinary bladder, sensation, cystometry, urodynamics, urinary incontinence and focus group...
September 5, 2018: International Urogynecology Journal
Camila Teixeira Moreira Vasconcelos, Mariana Luisa Veras Firmiano, Mônica Oliveira Batista Oriá, José Ananias Vasconcelos Neto, Dayana Maia Saboia, Leonardo Robson Pereira Sobreira Bezerra
INTRODUCTION: Knowledge, attitude and practice (KAP) investigations lead to an understanding of what a particular population group knows, thinks and does in relation to a certain subject. METHODS: This systematic review was conducted to identify women's KAP related to urinary incontinence (UI) described in the literature and the measurement/evaluation instruments used. A literature search, up to July 2017, was conducted in PUBMED, SCOPUS and BVS (Virtual Health Library) for articles dealing with women's KAP related to UI that described the validation procedure of any data collection instrument...
September 4, 2018: International Urogynecology Journal
Philippe Neveü, Idir Ouzaid, Evanguelos Xylinas, Christophe Egrot, Vincent Ravery, Jean-François Hermieu
INTRODUCTION AND HYPOTHESIS: Managing urethral diverticula is challenging because of recurrence rate and postoperative complications. Herein, we report a standardized, single-institution experience of surgical treatment of urethral diverticula in women. METHODS: The medical record of 37 female patients treated for urethral diverticula between 2005 and 2017 in a single institution were reviewed. All patients were operated in a standardized genupectoral position using a technical artifice called the pacifier trick to inflate diverticula throughout the procedure and facilitate its dissection...
September 3, 2018: International Urogynecology Journal
Allison R Polland, Meghan Davis, Alexander Zeymo, Cheryl B Iglesia
INTRODUCTION AND HYPOTHESIS: Although medical comorbidities are widely recognized to be associated with erectile dysfunction, less research has been done on their association with female sexual dysfunction (FSD). The purpose of this study was to assess whether FSD is associated with comorbidities; we hypothesized that there is an association. METHODS: This is a secondary analysis of the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a prospective stratified probability sample of individuals aged 16-74...
September 3, 2018: International Urogynecology Journal
Leigh Rosen, Nina Jacobson, Alan Weinberg, Charles Ascher-Walsh
INTRODUCTION AND HYPOTHESIS: Our aim was to assess whether immediate preoperative resident simulation training decreases operative time and improves resident proficiency when performing a retropubic midurethral sling (MUS) procedure. METHODS: This prospective cohort study took place over 8 months at the Icahn School of Medicine, New York, USA. During the first 4 months, all retropubic MUS procedures were performed by residents who underwent immediate preoperative simulation training...
August 30, 2018: International Urogynecology Journal
Marianne Koch
No abstract text is available yet for this article.
August 29, 2018: International Urogynecology Journal
Vishalli Ghai, Vasilios Pergialiotis, Haider Jan, James M N Duffy, Stergios K Doumouchtsis
OBJECTIVE: There is no systematic evaluation of online health information pertaining to obstetric anal sphincter injury. Therefore, we evaluated the accuracy, credibility, reliability, and readability of online information concerning obstetric anal sphincter injury. MATERIALS AND METHODS: Multiple search engines were searched. The first 30 webpages were identified for each keyword and considered eligible if they provided information regarding obstetric anal sphincter injury...
August 29, 2018: International Urogynecology Journal
Pieternel Steures, Alfredo L Milani, Deliana A van Rumpt-van de Geest, Kirsten B Kluivers, Mariëlla I J Withagen
INTRODUCTION AND HYPOTHESIS: The objective was to compare medium-term efficacy and safety of a partially absorbable mesh kit and native tissue repair in pelvic organ prolapse (POP). MATERIALS AND METHODS: Women with primary POP stage ≥ II were randomized to transvaginal trocar-guided partially absorbable mesh (81 women) or native tissue repair (82 women). Primary outcome was overall anatomical success (POP < stage II) at 24 months. Secondary outcomes were composite success, global improvement, and adverse events...
August 29, 2018: International Urogynecology Journal
Ruchira Singh, Erik D Hokenstad, Sheila R Wiest, Shunaha Kim-Fine, Amy L Weaver, Michaela E McGree, Christopher J Klingele, Emanuel C Trabuco, John B Gebhart
INTRODUCTION AND HYPOTHESIS: Catheter-associated urinary tract infections (UTI) are the most common health-care-related infections. We aimed to compare the UTI rate among women undergoing urogynecological procedures with a silver-alloy suprapubic catheter (SPC) and a standard SPC, and identify the risk factors predisposing patients to UTI. METHODS: Patients who were to undergo placement of an SPC as part of pelvic organ prolapse surgery were enrolled between 1 August 2011 and 30 August 2017, and randomized to either standard SPC or silver-alloy SPC...
August 25, 2018: International Urogynecology Journal
Angélica Mércia Pascon Barbosa, Nivaldo Antonio Parizotto, Cristiane Rodrigues Pedroni, Mariana Arias Avila, Richard Eloin Liebano, Patricia Driusso
Electrical stimulation is widely used for pelvic floor muscle dysfunctions (PFMDs), but studies are not always clear about the parameters used, jeopardizing their reproduction. As such, this study aimed to be a reference for researchers and clinicians when using electrical stimulation for PFMD. This report was designed by experts on electrophysical agents and PFMD who determined all basic parameters that should be described. The terms were selected from the Medical Subject Headings database of controlled vocabulary...
August 24, 2018: International Urogynecology Journal
Joseph T Kowalski, Allen Mehr, Evan Cohen, Catherine S Bradley
INTRODUCTION AND HYPOTHESIS: The current literature on pelvic organ prolapse (POP) employs wildly varying definitions of surgical success. Understanding which definitions of success have been used and how these may impact reported outcomes is critical. Therefore, we performed a systematic review to identify and summarize these definitions and how they have changed over time. MATERIALS AND METHODS: A PubMed search was performed for studies reporting POP surgical outcomes (1996 and later)...
August 24, 2018: International Urogynecology Journal
Luis C Moya-Jiménez, María L Sánchez-Ferrer, Evdochia Adoamnei, Jaime Mendiola
INTRODUCTION AND HYPOTHESIS: Episiotomy is performed selectively during vaginal delivery. Among the maternal anthropometric factors for episiotomy, the length of the perineal body (pb) and genital hiatus (gh) defined as per the POP-Q system have been studied. The objective of our study was to compare two perineal measurements (defined as per the POP-Q system and the anogenital distance [AGD] concept) to determine which of these can predict the likelihood of an episiotomy being performed...
August 23, 2018: International Urogynecology Journal
Haiying Niu, Lizhi Zhang, Shijie Yao, Quanxin Qu
AIM: An IUD perforating the uterus and bladder and creating a nidus for stone formation is a rare complication. We aim to demonstrate with a video a novel surgical technique that involves transcervically extracting a perforating IUD with a transurethral nephroscope after removal of the bladder stone on the IUD. METHODS: A 57-year-old woman was referred to our department 4 months ago following a 2-year history of suprapubic pain at the end of urination. Ultrasound and X-ray examination confirmed an IUD perforating the uterus and the bladder...
August 20, 2018: International Urogynecology Journal
Willian Eduardo Ito, Sílvio Henrique Maia de Almeida
No abstract text is available yet for this article.
August 18, 2018: International Urogynecology Journal
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