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Long-Term Mesh Exposure 5 Years Following Minimally Invasive Total Hysterectomy and Sacrocolpopexy
ConclusionThe study found that mesh exposure risk gradually increased over time, reaching nearly 10% after more than 5  years post-surgery, regardless of suture type. However, surgical success remained high, and no delayed serious adverse events were reported. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 26, 2024 Category: OBGYN Source Type: research

Systematic Review and Meta-analysis of the Prevalence of Levator Ani Avulsion with Obstetric Anal Sphincter Injury and its Effects on Pelvic Floor Dysfunction
ConclusionLevator ani avulsion is prevalent following vaginal birth and is strongly associated with OASI. Incidence of AI does not increase in women with LAA and OASI, but they had greater symptom bother. OASI with LAA appears to increase the incidence of pelvic floor weakness and pelvic organ prolapse. There is no consensus agreement on the effect of LAA  + OASI on UI. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 25, 2024 Category: OBGYN Source Type: research

The Future of Basic Science: Development of the Next Generation of Mechanistic Researchers in Female Pelvic Medicine
ConclusionsThe attendees presented multiple perspectives to gain consensus regarding critical areas of need for training future generations of mechanistic researchers. Recommendations for a sustainable Basic Science Scholar Program were developed using IUGA as a platform. The overarching goal of such a program is to ensure a successful bench-to-bedside-and-back circuit in Urogynecology and Pelvic Reconstructive Surgery, ultimately improving lives of millions of women worldwide through scientifically rational effective preventative and therapeutic interventions. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 25, 2024 Category: OBGYN Source Type: research

Genitourinary Fistula: 5 Years ’ Experience of Five Referral Centers in Iran
ConclusionsOur patients with genitourinary fistula had a successful outcome following repair techniques, without any significant morbidity or mortality. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 21, 2024 Category: OBGYN Source Type: research

A Comprehensive Evaluation of Sexual Life in Women After Laparoscopic Sacrocolpopexy using PISQ-IR
ConclusionsAlthough the overall rate of sexually active women and sexual desire declined 12  months after sacrocolpopexy, overall sexual function scores improved and the prevalence of dyspareunia decreased. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 15, 2024 Category: OBGYN Source Type: research

Effect of Vaginal Microecological Alterations on Female Pelvic Organ Prolapse
ConclusionsVaginal microecological dysbiosis affects the occurrence of female POP, which could be considered a novel therapeutic option. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 15, 2024 Category: OBGYN Source Type: research

Validation of the Russian Version of the Prolapse Quality-of-life Questionnaire and its Application to Assess the Impact of Pelvic Organ Prolapse on Quality of Life and the Effect of Treatment in Women Undergoing Reconstructive Surgery
ConclusionsThe Russian version of the P-QoL questionnaire is characterized by appropriate psychometric properties. The P-QoL questionnaire is a useful tool for describing the QoL profile in women with POP before reconstructive surgery and evaluating treatment outcomes after the procedure. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 13, 2024 Category: OBGYN Source Type: research

Techniques for Registration of Myoelectric Activity of Women ’s Pelvic Floor Muscles: A Scoping Review
ConclusionsThe most frequently used protocol for the pelvic floor is the bipolar intracavitary probe with metal plates positioned at 3 –9 o’clock and introduced distally to the vaginal introitus with the volunteer in the supine position and the hip and knee flexed with the reference placed on the anterior–superior iliac spine. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 12, 2024 Category: OBGYN Source Type: research

Robotic Vaginal Hernia Repair for Recurrent Vaginal Prolapse Status Post-Radical Cystectomy with an Indiana Pouch
ConclusionsVaginal and pelvic floor hernia repair with a polypropylene-reinforced tissue matrix is a feasible definitive surgical treatment for patients with prior radical cystectomy in whom colpocleisis has failed. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 12, 2024 Category: OBGYN Source Type: research

Anterior –apical Transvaginal Mesh (Calistar-S) for Treatment of Advanced Urogenital Prolapse: Surgical and Functional Outcomes at 1 Year
ConclusionsThe Calistar-S System is a safe and efficient method for treating advanced-stage POP. We observed good anatomical results and subjective relief with a minimal complication rate. LUTS have also been positively affected, showing a high success rate. Additional studies are needed to establish the long-term efficacy of this system. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 11, 2024 Category: OBGYN Source Type: research

Complete Bladder Eversion after Colpocleisis
ConclusionTransvaginal bladder neck closure and suprapubic catheter placement is an acceptable and less invasive alternative to the laparotomy with cystopexy for the surgical management of recurrent bladder eversion. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 9, 2024 Category: OBGYN Source Type: research

Perioperative Morbidity Associated with Same-day Discharge in Elderly Patients
ConclusionsFor elderly women undergoing prolapse repair, the type of surgery should be considered when determining postoperative admission versus same-day discharge. Admission overnight does not seem to benefit women undergoing vaginal repairs but may decrease overall morbidity and risk of readmission in women undergoing an apical prolapse repair. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 8, 2024 Category: OBGYN Source Type: research

Single-dose Tadalafil Reduces Opening Urethral Pressure: A Randomized, Double-blind, Placebo-controlled, Crossover Trial in Healthy Women
ConclusionsA single dose of 40  mg tadalafil moderately reduced urethral pressure in healthy women, without affecting voiding parameters. The clinical implications of this are yet to be determined. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - March 8, 2024 Category: OBGYN Source Type: research

Provider Practice Patterns Regarding Over-The-Counter Continence Devices
ConclusionsGiven the low risk associated with patient use of these easily accessible devices, our study highlights barriers to clinician recommendation with the goal of increasing clinician awareness and consideration of OTC continence devices. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 28, 2024 Category: OBGYN Source Type: research

Patient Impression of Improvement 1 year After Sacrospinous Hysteropexy Versus Vaginal Hysterectomy in Women with Pelvic Organ Prolapse Stage 2 or Higher
ConclusionsOur study shows that there was no difference in the type of surgery, VH or SSH, with regard to the patient ’s impression of improvement 1 year postoperatively in a large cohort from daily clinical practice. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 28, 2024 Category: OBGYN Source Type: research