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urogynecology

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https://www.readbyqxmd.com/read/29464301/outcomes-of-minimally-invasive-abdominal-sacrocolpopexy-with-resident-operative-involvement
#1
Emily A Slopnick, Adonis K Hijaz, J Welles Henderson, Sangeeta T Mahajan, Carvell T Nguyen, Simon P Kim
INTRODUCTION AND HYPOTHESIS: Resident involvement in complex surgeries is under scrutiny with increasing attention paid to health care efficiency and quality. Outcomes of urogynecological surgery with resident involvement are poorly described. We hypothesized that resident surgical involvement does not influence perioperative outcomes in minimally invasive abdominal sacrocolpopexy (ASC). METHODS: Using the 2006-2012 National Surgical Quality Improvement Program database, we identified 450 cases of laparoscopic or robotic ASC performed with resident involvement...
February 20, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29463476/defibulation-a-visual-reference-and-learning-tool
#2
Jasmine Abdulcadir, Sandra Marras, Lucrezia Catania, Omar Abdulcadir, Patrick Petignat
Female genital mutilation type III (infibulation) is achieved by narrowing the vaginal orifice by creating a covering seal, accomplished by cutting and appositioning the labia minora and/or labia majora, with or without clitoral excision. Infibulation is responsible for significant urogynecological, obstetrical, and psychosexual consequences that can be treated with defibulation (or de-infibulation), an operation that opens the infibulation scar, exposing the vulvar vestibule, vaginal orifice, external urethral meatus, and eventually the clitoris...
February 17, 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29441607/an-international-urogynecological-association-iuga-international-continence-society-ics-joint-report-on-the-terminology-for-the-assessment-of-sexual-health-of-women-with-pelvic-floor-dysfunction
#3
Rebecca G Rogers, Rachel N Pauls, Ranee Thakar, Melanie Morin, Annette Kuhn, Eckhard Petri, Brigitte Fatton, Kristene Whitmore, Sheryl Kinsberg, Joseph Lee
AIMS: The terminology in current use for sexual function and dysfunction in women with pelvic floor disorders lacks uniformity, which leads to uncertainty, confusion, and unintended ambiguity. The terminology for the sexual health of women with pelvic floor dysfunction needs to be collated in a clinically-based consensus report. METHODS: This report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA), and the International Continence Society (ICS), assisted at intervals by many external referees...
February 14, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29411644/genitourinary-syndrome-of-menopause-prevalence-and-quality-of-life-in-spanish-postmenopausal-women-the-genisse-study
#4
E Moral, J L Delgado, F Carmona, B Caballero, C Guillán, P M González, J Suárez-Almarza, S Velasco-Ortega, C Nieto
OBJECTIVE: To determine the prevalence of genitourinary syndrome of menopause (GSM) and urogynecological conditions associated with menopause, and to evaluate the impact of GSM on quality of life in a cohort of Spanish postmenopausal women. METHODS: Multicenter, cross-sectional, and observational study involving 430 women. RESULTS: The prevalence of GSM was 70%. GSM was diagnosed in 60.2% of women with no known diagnosis of vulvovaginal atrophy or GSM...
February 7, 2018: Climacteric: the Journal of the International Menopause Society
https://www.readbyqxmd.com/read/29379662/a-comparison-of-normal-and-high-post-void-residual-urine-and-urodynamic-parameters-in-women-with-overactive-bladder
#5
Hediye Dağdeviren, Hüseyin Cengiz, Çağlar Helvacıoğlu, Ulkar Heydarova, Cihan Kaya, Murat Ekin
Objective: To investigate voiding functions and assess the relationships of voiding parameters to overactive bladder symptoms and postvoiding residue volumes. Materials and Methods: This is a retrospective study analyzing urodynamic parameters in patients who were diagnosed as having overactive in our urogynecology clinic between April 2014 and April 2016. A total of 290 women who met the selection criteria were included in the study. The patients were divided into two groups according to postvoiding residue volumes: group 1, postvoiding residue volumes <100 mL (n=135); group 2, postvoiding residue volumes ≥100 mL (n=155)...
December 2017: Turkish Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29370600/re-prevalence-of-positive-screening-test-for-cognitive-impairment-among-elderly-urogynecologic-patients
#6
Tomas L Griebling
No abstract text is available yet for this article.
August 2017: Journal of Urology
https://www.readbyqxmd.com/read/29369839/american-urogynecologic-society-best-practice-statement-recurrent-urinary-tract-infection-in-adult-women
#7
Linda Brubaker, Cassandra Carberry, Rahel Nardos, Charelle Carter-Brooks, Jerry L Lowder
No abstract text is available yet for this article.
January 24, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29369837/american-urogynecologic-society-consensus-statement-cystoscopy-at-the-time-of-prolapse-repair
#8
Seth A Cohen, Cassandra L Carberry, Scott W Smilen
Injury to the urinary tract is a known risk of surgical repair of anterior and apical pelvic organ prolapse. Cystoscopy at the time of surgical prolapse repair is a low-risk procedure that can identify genitourinary tract injury by inspecting the bladder and urethra as well as by visualizing the ureters and ureteral efflux. There are several techniques to assist with visualization of ureteral efflux. Identifying injury intraoperatively may allow for mitigation of the morbidity of the injury. Universal cystoscopy should be performed at the time of all pelvic reconstructive surgeries, with the exception of operations solely for posterior compartment defects...
January 24, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29367168/does-vaginal-estriol-make-urodynamic-changes-in-women-with-overactive-bladder-syndrome-and-genitourinary-syndrome-of-menopause
#9
Maria Grazia Matarazzo, Salvatore Caruso, Giuliana Giunta, Gaetano Valenti, Giuseppe Sarpietro, Antonio Cianci
OBJECTIVES: OAB is a common finding in postmenopausal women. Hypoestrogenism is the root cause of many signs and symptoms of Genitourinary Syndrome of Menopause (vaginal dryness, atrophy, dyspareunia, urinary disorders, etc.). As such the aim of this study was to evaluate the urodynamic effects of ultralowdose estriol vaginal gel formulation to treat women with Genitourinary Syndrome of Menopause and Overactive Bladder Syndrome. STUDY DESIGN: This open-labeled, single center, prospective study involved 37 women with OAB recruited in our Urogynecological Unit between January and July 2016...
January 9, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29342494/how-does-the-patient-react-after-reading-the-informed-consent-form-of-a-gynecological-surgery-a-qualitative-study
#10
Andrea Cristina Amorim, Luis Guilherme Teixeira Dos Santos, Omero Benedicto Poli-Neto, Luiz Gustavo Oliveira Brito
OBJECTIVE:  To analyze the reaction of women after reading the Informed Consent Form (ICF) before undergoing elective gynecological/urogynecological surgeries. METHODS:  A qualitative study with 53 women was conducted between September 2014 and May 2015. The analysis of the content was conducted after a scripted interview was made in a reserved room and transcribed verbatim. We read the ICF once more in front of the patient, and then she was interviewed according to a script of questions about emotions and reactions that occurred about the procedure and her expectations about the intra- and postoperative period...
January 17, 2018: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/29339299/is-there-a-difference-in-the-outcome-of-mid-urethral-sling-operations-performed-by-urogynecologists-as-compared-to-supervised-residents
#11
Osnat Elyashiv, Noa Mevorach Zussman, Masha Ben-Zvi, Jacob Bar, Ron Sagiv, Alexander Condrea, Shimon Ginath
STUDY OBJECTIVE: To compare the operative results of midurethral sling (MUS) surgeries for stress urinary incontinence (SUI) performed by residents under the guidance of an attending specialist in urogynecology, to those done by attendings. DESIGN: Retrospective chart review DESIGN CLASSIFICATION: Canadian Task Force classification II-2 SETTING: University hospital PATIENTS: A retrospective analysis of all MUS's performed between January 2009 to December 2013, in a single public tertiary medical center, was carried out...
January 12, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29329897/-botulinium-toxin-and-idiopathic-overactive-bladder-multicentric-contempory-management-in-bourgogne
#12
A Schneider, B Tourlonias, L Cormier, E Mourey, N Koutlidis, E Delorme, J Pasquale, I Kermarec, A-D Foahom-Kamwa, V Bonniaud
INTRODUCTION: Since 2014, OnabotulinumtoxinA Botox® (Allergan, Inc., Irvine, USA) represents a new therapeutic option for second-line treatment of idiopathic overactive bladder. The purpose of the current study was to evaluate practices of surgeons using onabotulinium toxin (BoNTA) in this indication. MATERIAL AND METHODS: All urogynecology centers of the country were asked in order to list all patients who were treated since marketing autorisation. Patient symptoms, previous treatments, paraclinic evaluations, data of surgery and the characteristics of the follow up were collected and analyzed...
January 9, 2018: Progrès en Urologie
https://www.readbyqxmd.com/read/29310041/laparoscopic-supracervical-hysterectomy-and-sacral-colpopexy-for-pelvic-organ-prolapse-with-percutaneous-surgical-system-results-from-a-pilot-study
#13
Giuseppe Campagna, Giovanni Panico, Andrea Morciano, Lorenzo Vacca, Luigi Pedone Anchora, Valeria Gallucci, Mauro Cervigni, Alfredo Ercoli, Giovanni Scambia
OBJECTIVE: The aim of the study was to report our preliminary experience of supracervical 2 hysterectomy followed by sacral colpopexy performed with the Percuvance ™ PSS in terms of feasibility, effectiveness and safety. STUDY DESIGN: Between Jan 2017 and Feb 2017 10 patients affected by POP were enrolled in the present study. All patients undergoing supracervical hysterectomy followed by sacral colpo-cervicopexy with the Percuvance ™ PSS. RESULTS: The reported series consisted of 10 patients undergoing supracervical hysterectomy followed by sacral colpopexy with a median age of 63 years (range 55-71 years) and a median BMI (body mass index) of 24 (range 21-26)...
January 2, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29309287/american-urogynecologic-society-prolapse-consensus-conference-summary-report
#14
Nazema Y Siddiqui, W Thomas Gregory, Victoria L Handa, John O L DeLancey, Holly E Richter, Pamela Moalli, Matthew D Barber, Samantha Pulliam, Anthony G Visco, Marianna Alperin, Carlos Medina, Matthew O Fraser, Catherine S Bradley
OBJECTIVES: The 2016 American Urogynecologic Society Prolapse Consensus Conference brought together thought leaders in the field of pelvic organ prolapse (POP). The goal was to identify critical areas of need for future research. This article summarizes the findings. METHODS: Prior to the conference, 5 major focus areas were identified. Focus areas were explored over the 2-day conference. Clinicians, clinical and basic science researchers, and representatives from government agencies, industry, patient advocacy groups, and the public convened to identify the major gaps in knowledge in each of these focus areas...
January 5, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29307474/predictors-of-clinical-outcome-of-colonic-stents-in-patients-with-malignant-large-bowel-obstruction-due-to-extracolonic-malignancy
#15
Shahdabul Faraz, Suhail B Salem, Mark Schattner, Robin Mendelsohn, Arnold Markowitz, Emmy Ludwig, Junting Zheng, Hans Gerdes, Pari Shah
BACKGROUND AND AIMS: Colonic stent placement in patients with large-bowel obstruction (LBO) secondary to extra colonic malignancy (ECM) has been evaluated in small series with heterogeneous results. Our aim is to better characterize the technical and clinical success of colonic stent placement and to identify factors that affect this success in ECM patients. METHODS: All patients at a single high-volume center who presented for colonic stent placement for LBO due to ECM between 2001 and 2012 were retrospectively identified...
January 4, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29300257/ultrasound-indicators-of-rectal-support-defect-in-women-with-obstructive-defecatory-symptoms
#16
Ghazaleh Rostaminia, Pouya Javadian, Charbel Awad, S Abbas Shobeiri
OBJECTIVE: The anatomic and physiologic pathophysiology of obstructive defecatory symptoms is complex and poorly understood. As a consequence, there is no one surgical method that can achieve overall superiority. We aimed to investigate rectal architectural change in women with obstructive defecatory symptoms using three-dimensional pelvic floor ultrasound. METHODS: This retrospective cohort study included 65 women who were referred to our urogynecology clinic because of varied pelvic floor disorders between January 2013 and January 2014...
January 3, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29290215/predictors-for-dislodgment-of-vaginal-pessary-within-one-year-in-women-with-pelvic-organ-prolapse
#17
Rachel Y K Cheung, Loreta L L Lee, Tony K H Chung, Symphorosa S C Chan
OBJECTIVES: To identify clinical risk factors for dislodgment of vaginal pessary within one year in women with symptomatic pelvic organ prolapse. STUDY DESIGN: This was a prospective observational study which recruited consecutive women with symptomatic pelvic organ prolapse in a tertiary urogynecology center. Basic demographics, clinical symptoms and staging of pelvic organ prolapse were assessed. A vaginal pessary was offered where appropriate. MAIN OUTCOME MEASURES: Demographics and clinical parameters were compared between women who were able to use a vaginal pessary for one year and those whose pessaries were dislodged within one year...
February 2018: Maturitas
https://www.readbyqxmd.com/read/29283092/trends-in-the-training-of-female-urology-residents-in-canada
#18
Katherine Anderson, Karthik Tennankore, Ashley Cox
INTRODUCTION: There is limited research on why females do or do not choose a career in urology. Considering the increasing proportion of female medical students, we assessed for trends in female applicants to urology programs in Canada and their post-residency career choices. METHODS: Data from the Canadian Residency Matching Service (CaRMS) was used (1998-2015). Trends in the proportions of females applying and matching to surgical subspecialties, and applying and matching to urology were computed...
December 22, 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29228344/relationship-between-inter-rectus-distance-and-symptom-severity-in-women-with-diastasis-recti-in-the-early-postpartum-period
#19
Nadia Keshwani, Sunita Mathur, Linda McLean
Background: Diastasis recti abdominis (DrA) is associated with negative body image, musculoskeletal pain and dysfunction, and perhaps urogynecological complaints. The severity of DrA has traditionally been determined by measuring the inter-rectus distance (IRD); however, the relationship between IRD and symptoms in women with DrA is unclear. Objective: The objective of the study was to investigate the relationship between IRD and symptom severity in women with DrA in the early postpartum period...
December 4, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29211399/oab-score-a-clinical-model-that-predicts-the-probability-of-presenting-overactive-detrusor-in-the-urodynamic-study
#20
Leandro Cristian Arribillaga, Marta Ledesma, Ariel Montedoro, Florencia Pisano, Rubén Guillermo Bengió
PURPOSE: To create a predictive model of involuntary detrusor contraction (IDC) to improve the diagnostic accuracy of overactive detrusor (OAD), associating overactive bladder (OAB) symptoms with other clinical parameters in the female population. MATERIALS AND METHODS: A total of 727 women were studied retrospectively. In all of them, urodynamic study was conducted for urogynecological causes. Demographics information, personal history, symptoms, physical exam, a 3-day frequency/volume chart and urinary culture, were collected in all patients and they subsequently underwent uroflowmetry and urodynamic studies...
December 7, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
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