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International Urogynecology Journal

Jordi Sabadell, Sabina Salicrú, Anabel Montero-Armengol, Núria Rodriguez-Mias, Antonio Gil-Moreno, Jose L Poza
INTRODUCTION AND HYPOTHESIS: Stress urinary incontinence (SUI) may appear after the correction of pelvic organ prolapse (POP). The aim of this study was to externally validate a described predictive model for de novo SUI and to assess its clinical performance when used as a diagnostic test. METHODS: This was a retrospective descriptive study on a cohort of consecutive women treated in our institution. The main outcome used to validate the model was the presence of objective or subjective SUI 1 year after surgery...
November 15, 2018: International Urogynecology Journal
Chiyi Wang
No abstract text is available yet for this article.
November 15, 2018: International Urogynecology Journal
Ankita Gupta, Sean Francis, Ryan Stewart, Deslyn Hobson, Kate V Meriwether
INTRODUCTION AND HYPOTHESIS: One in 2900 genotypical men report gender dysphoria, and many undergo gender confirmation surgery to match their physical phenotype to their identity. A variety of surgical techniques are used in male-to-female transgender patients, one of which is bowel vaginoplasty, and postoperative stenosis of the colonic neovagina is common. Extracellular matrix grafts have been used in vaginal reconstruction. with porcine urinary bladder matrix (UBM) acting as a scaffold for smooth-muscle tissue and matrix regeneration...
November 9, 2018: International Urogynecology Journal
Christopher Iwanoff, Maria Giannopoulos, Charbel Salamon
INTRODUCTION AND HYPOTHESIS: The purpose of our study was to identify the most common reasons why postoperative urogynecology patients called their surgeon within the first 6 weeks of surgery. We hypothesize that implementing a follow-up postoperative call (FPC) policy would decrease the number of patient-initiated calls within this postoperative period. METHODS: This is a prospective before-and-after cohort study that was conducted in two phases. The initial phase identified the most common reasons why patients call within 6 weeks of their inpatient or outpatient urogynecological surgery...
November 9, 2018: International Urogynecology Journal
Tamara Serdinšek, Branka Žegura Andrić, Igor But
INTRODUCTION AND HYPOTHESIS: Our aim was to introduce a new affordable and easy-to-make pelvic model for training in complex urogynecological laparoscopic procedures. METHODS: We modified a commercial female pelvic model consisting of sacrum, coccyx, two hip bones, the pubic symphysis, the fifth lumbar vertebra with intervertebral disc, and certain pelvic ligaments. We used sponge foam paper, felt fabric pieces, chenille stems, foam, plastic ties, fabric glue, and a thick, coated wire to create pelvic floor, uterus/vaginal cuff, bladder, both ureters, and anterior longitudinal and pectineal ligaments...
November 8, 2018: International Urogynecology Journal
J Marinus van der Ploeg, Jan-Paul W R Roovers
The risk of postoperative stress urinary incontinence (SUI) can be reduced by combining prolapse repair with continence surgery. However, more women face a serious adverse event (SAE) after vaginal prolapse surgery combined with a midurethral sling (MUS). It is difficult to predict a woman's individual postoperative SUI and SAE risk; therefore, weighing the benefits and risks of combination surgery is complex. We offer a concept that might help in considering combination surgery. According to this concept, women whose risk of needing subsequent surgery for postoperative SUI is on average 9% are likely to benefit from combination surgery...
November 8, 2018: International Urogynecology Journal
Bobby Garcia, Jack Pardo
No abstract text is available yet for this article.
November 8, 2018: International Urogynecology Journal
Doreen E Chung, Ladin A Yurteri-Kaplan, Tengiz Asatiani, Erin A Brennand, Audrey Wang, Cara L Grimes
Discussion and management of incontinence in a patient with spina bifida by four international experts followed by a literature review.
November 7, 2018: International Urogynecology Journal
Isabella Raasthøj, Sandra Elnegaard, Marianne Rosendal, Dorte Ejg Jarbøl
INTRODUCTION AND HYPOTHESIS: Urinary incontinence (UI) is frequent among women worldwide, but embarrassment and shame can prevent them from discussing symptoms with others. This study aimed to identify personal and professional relations involved by Danish women with UI. It further aimed to investigate whether age, persistence of symptoms, number of symptoms, influence on daily activities and concern about the symptoms are associated with involving personal and professional relations...
November 5, 2018: International Urogynecology Journal
Sara Houlihan, Shunaha Kim-Fine, Colin Birch, Selphee Tang, Erin A Brennand
INTRODUCTION AND HYPOTHESIS: To compare laparoscopic and vaginal approaches to uterosacral ligament vault suspension (USLS) by perioperative data, short-term complications, rates of successful concomitant adnexal surgery and procedural efficacy. METHODS: Retrospective cohort of USLS procedures performed at the time of hysterectomy at a tertiary care center over a 3-year period. Patient demographics, surgical data, concomitant adnexal procedures and complications were abstracted from a surgical database and compared using parametric or non-parametric tests as appropriate...
November 5, 2018: International Urogynecology Journal
Kim W M van Delft
No abstract text is available yet for this article.
November 3, 2018: International Urogynecology Journal
Bobby D O'Leary, Ciara E Nolan, Vineta Ciprike
INTRODUCTION AND HYPOTHESIS: Injury to the anal sphincter at vaginal delivery remains the leading cause of faecal incontinence in women. Previous studies reported an increased incidence of obstetric anal sphincter injury (OASI) in women attempting vaginal birth after caesarean section (VBAC). The aim of the paper was to establish whether women in their second pregnancy, with one previous uterine scar, are at a higher risk of OASI compared with nulliparous women. METHODS: All primiparous and secundiparous women with a previous caesarean section who delivered from 2008 to 2017 were analysed in a single-centre retrospective study...
October 30, 2018: International Urogynecology Journal
Meixuan Li, Liang Yao, Caiwen Han, Huijuan Li, Yangqin Xun, Peijing Yan, Meng Wang, Wenbo He, Cuncun Lu, Kehu Yang
INTRODUCTION AND HYPOTHESIS: We performed a systematic review of randomized controlled trials to assess the incidence of urinary tract infection (UTI) and complications of different urinary drainage methods (indwelling urinary catheterization, suprapubic catheterization, and intermittent catheterization.). METHODS: PubMed, EMBASE, and Cochrane Library were systematically searched from their inception to March 2018. We selected randomized controlled trials (RCTs) comparing at least two of the three possible urinary drainage routes after gynecologic surgery...
October 29, 2018: International Urogynecology Journal
Elisa Rodriguez Trowbridge, Sarah L Evans, Bethany M Sarosiek, Susan C Modesitt, Dana L Redick, Mohamed Tiouririne, Robert H Thiele, Traci L Hedrick, Kathie L Hullfish
INTRODUCTION AND HYPOTHESIS: Enhanced recovery protocols (ERPs) are evidenced-based interventions designed to standardize perioperative care and expedite recovery to baseline functional status after surgery. There remains a paucity of data addressing the effect of ERPs on pelvic reconstructive surgery patients. METHODS: An ERP was implemented at our institution including: patient counseling, carbohydrate loading, avoidance of opioids, goal-directed fluid resuscitation, immediate postoperative feeding and early ambulation...
October 29, 2018: International Urogynecology Journal
Zhiyuan Dai, Hui Li, Huimin Shu, Xiaohong Guan, Kai Zhang
INTRODUCTION AND HYPOTHESIS: Traditionally, surgical treatment for uterine prolapse has included hysterectomy. However, more patients now prefer a uterine-preserving operation because of concerns about fertility or sexual dysfunction. In this video, we describe a novel approach to correcting uterine prolapse in an attempt to demonstrate an alternative option for patients. METHODS: A 42-year-old woman with symptomatic stage I-IV uterine prolapse (POP-Q: Aa +2, Ba +2, C + 3, gh 6...
October 25, 2018: International Urogynecology Journal
Pei-Chen Li, Huei-Kai Huang, Dah-Ching Ding
INTRODUCTION AND HYPOTHESIS: The effect of hysterectomy on vesicourethral functions remains controversial. The objective of this study was to examine the association between hysterectomy and de novo lower urinary tract symptoms (LUTSs). METHODS: We identified 8514 patients who had undergone hysterectomy between January 1, 2000, and December 31, 2012, from Taiwan's National Health Insurance (NHI) Research Database. A control cohort, comprising 34,056 age-matched patients who had not undergone hysterectomy, was created for comparison...
October 24, 2018: International Urogynecology Journal
Ana Eliza Rios de Araújo Mathias, Márcia Silva de Oliveira, Carolina Mayumi Haruta, Fábia Maria de Lima, Kátia Cristina Lima de Petribú, Geraldo de Aguiar Cavalcanti, Steven E Swift, Alessandro Digesu
INTRODUCTION AND HYPOTHESIS: Our aim was to validate the Brazilian Portuguese version of the International Federation of Gynecology and Obstetrics (FIGO) Assessment Scoring System (FASS) to identify and quantify signs and symptoms related to pelvic floor dysfunction. METHODS: One hundred and seventy-nine women aged 18-82 (47.68 ± 14.42) years participated in this validation study. Collected data included a sociodemographic and clinical questionnaire, application of the FASS, and physical examination using the Pelvic Prgan Prolapse Quantification (POP-Q) system...
October 24, 2018: International Urogynecology Journal
Myriam Girgis, Ka Lai Shek, Hans Peter Dietz
INTRODUCTION AND HYPOTHESIS: Using the International Continence Society Pelvic Organ Prolapse Quantification (ICS POP-Q) system, uterine prolapse staging requires measurement of total vaginal length (TVL). The aim of this study was to determine whether TVT is a confounder of the relationship between uterine descent and POP symptoms. METHODS: This is a retrospective study on 721 patients seen in a tertiary urogynaecological unit. All patients had undergone a standardised, in-house, physician-led questionnaire and digital POP-Q examination...
October 24, 2018: International Urogynecology Journal
Hyun Ju Kim, Jong Wook Kim, Hong Seok Park, Du Geon Moon, Jeong Gu Lee, Mi Mi Oh
INTRODUCTION AND HYPOTHESIS: This study evaluated the effects of using a heating pad during cystoscopy on anxiety, pain, and distress in female patients. METHODS: Seventy-four female patients who underwent rigid cystoscopy between January 2017 and August 2017 were randomized to either the experimental group using a heating pad (n = 37) or the control group using a pad without heat (n = 37). In the experimental group, a heating pad was applied to the patient's sacrum during cystoscopy...
October 22, 2018: International Urogynecology Journal
Emil Karl Nüssler, Emil Nüssler, Jacob Kjær Eskildsen, Mats Löfgren
INTRODUCTION AND HYPOTHESIS: Surgical mesh can reinforce damaged biological structures in operations for genital organ prolapse. When a method is new, scientific information is often contradictory. Individual surgeons may accept different observations as useful, resulting in conflicting treatment strategies. Additional scientific information should lead to increasing convergence. METHODS: Based on data from the Swedish National Quality Register of Gynecological Surgery, all patients who underwent their first recurrent anterior compartment prolapse operation between 2006 and 2017 were included (2758 patients)...
October 20, 2018: International Urogynecology Journal
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