14. Advanced Posterior Vaginal Prolapse in an Adolescent
We report a case of a 14 year-old postmenarchal female who presented with vaginal pain and sensation of bulge with examination consistent with Stage III posterior predominant pelvic organ prolapse (POP). On exam under anesthesia, the posterior prolapse was noted to arise from significant redundant posterior vaginal soft tissue with multiple invaginations creating blind-ending pouches. Symptoms resolved after posterior colporrhaphy and resection of redundancy of posterior vaginal wall epithelium. (Source: Journal of Pediatric and Adolescent Gynecology)
Source: Journal of Pediatric and Adolescent Gynecology - April 1, 2024 Category: OBGYN Authors: Caitlin McCarthy, Andrea Zuckerman, Evelyn Hall Source Type: research

Active Compared With Passive Voiding Trials After Midurethral Sling Surgery: A Systematic Review
CONCLUSION: Passive trial of void had higher passing rates and lower discharge with catheter than active trial of void. Rates of most complications were low and similar between both groups, although passive trial of void had higher sling revisions.SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42022341318.PMID:38547487 | DOI:10.1097/AOG.0000000000005567 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Siri Drangsholt Cassidy Lleras Rebecca Kindler Maytal Babajanian Bracha Pollack Aleksandr Harutyunyan Matan Grunfeld Yehuda Gejerman Katherine Kilkenny Moshe Bulmash Rahim Hirani Parissa Alerasool Christopher McNeil Patrick Popiel Elizabeth D Drugge Cara Source Type: research

Active Compared With Passive Voiding Trials After Midurethral Sling Surgery: A Systematic Review
CONCLUSION: Passive trial of void had higher passing rates and lower discharge with catheter than active trial of void. Rates of most complications were low and similar between both groups, although passive trial of void had higher sling revisions.SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42022341318.PMID:38547487 | DOI:10.1097/AOG.0000000000005567 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Siri Drangsholt Cassidy Lleras Rebecca Kindler Maytal Babajanian Bracha Pollack Aleksandr Harutyunyan Matan Grunfeld Yehuda Gejerman Katherine Kilkenny Moshe Bulmash Rahim Hirani Parissa Alerasool Christopher McNeil Patrick Popiel Elizabeth D Drugge Cara Source Type: research

Active Compared With Passive Voiding Trials After Midurethral Sling Surgery: A Systematic Review
CONCLUSION: Passive trial of void had higher passing rates and lower discharge with catheter than active trial of void. Rates of most complications were low and similar between both groups, although passive trial of void had higher sling revisions.SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42022341318.PMID:38547487 | DOI:10.1097/AOG.0000000000005567 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Siri Drangsholt Cassidy Lleras Rebecca Kindler Maytal Babajanian Bracha Pollack Aleksandr Harutyunyan Matan Grunfeld Yehuda Gejerman Katherine Kilkenny Moshe Bulmash Rahim Hirani Parissa Alerasool Christopher McNeil Patrick Popiel Elizabeth D Drugge Cara Source Type: research

Active Compared With Passive Voiding Trials After Midurethral Sling Surgery: A Systematic Review
CONCLUSION: Passive trial of void had higher passing rates and lower discharge with catheter than active trial of void. Rates of most complications were low and similar between both groups, although passive trial of void had higher sling revisions.SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42022341318.PMID:38547487 | DOI:10.1097/AOG.0000000000005567 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Siri Drangsholt Cassidy Lleras Rebecca Kindler Maytal Babajanian Bracha Pollack Aleksandr Harutyunyan Matan Grunfeld Yehuda Gejerman Katherine Kilkenny Moshe Bulmash Rahim Hirani Parissa Alerasool Christopher McNeil Patrick Popiel Elizabeth D Drugge Cara Source Type: research

Quality-of-life improvements in patients after various surgical treatments for pelvic organ prolapse
ConclusionsSurgical treatment can significantly improve the quality of life of patients with POP. Colpocleisis may offer more advantages than those of other surgical procedures, and improvement was lower after TVM than after other procedures. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - February 15, 2024 Category: OBGYN Source Type: research

Does vaginal surgery for correction of pelvic organ prolapse improve urinary function? A prospective cohort study
ConclusionsPelvic organ prolapse surgery reduced the prevalence of urgency symptoms, and all questionnaires on urinary symptoms showed clinically significant improvement. Vaginal surgery for POP, even combined with MUS, significantly reduced PVR volume and improved urgency symptoms. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - November 24, 2023 Category: OBGYN Source Type: research

Does vaginal surgery for correction of pelvic organ prolapse improve urinary function? A prospective cohort study
ConclusionsPelvic organ prolapse surgery reduced the prevalence of urgency symptoms, and all questionnaires on urinary symptoms showed clinically significant improvement. Vaginal surgery for POP, even combined with MUS, significantly reduced PVR volume and improved urgency symptoms. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 24, 2023 Category: OBGYN Source Type: research

Surgical correction of the genital hiatus at the time of sacrocolpopexy — a 7-year Markov analysis: a cost-effectiveness analysis
ConclusionsIn this 7-year Markov cost-effectiveness analysis, SCPwithout concurrent PR was the dominant strategy. SCP+PR costs more with lower effectiveness than SCP alone, due to higher surgical cost of SCP+PR and higher probability of dyspareunia after SCP+PR. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 31, 2023 Category: OBGYN Source Type: research

Surgical correction of the genital hiatus at the time of sacrocolpopexy — a 7-year Markov analysis: a cost-effectiveness analysis
ConclusionsIn this 7-year Markov cost-effectiveness analysis, SCPwithout concurrent PR was the dominant strategy. SCP+PR costs more with lower effectiveness than SCP alone, due to higher surgical cost of SCP+PR and higher probability of dyspareunia after SCP+PR. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 31, 2023 Category: OBGYN Source Type: research

Antibiotic prophylaxis in posterior colporrhaphy does not reduce postoperative infection: a nationwide observational cohort study
ConclusionIn this nationwide Swedish register study antibiotic prophylaxis was not associated with a reduced risk of postoperative infection after a posterior colporrhaphy. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 8, 2023 Category: OBGYN Source Type: research

Antibiotic prophylaxis in posterior colporrhaphy does not reduce postoperative infection: a nationwide observational cohort study
ConclusionIn this nationwide Swedish register study antibiotic prophylaxis was not associated with a reduced risk of postoperative infection after a posterior colporrhaphy. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 8, 2023 Category: OBGYN Source Type: research

Regional practice variation in pelvic organ prolapse surgery in Tuscany, Italy: a retrospective cohort study on administrative health data
Conclusions We found high and systematic variation in the access to POP surgical care in Tuscany and in quality and efficiency provided by hospitals. Such a variation may be mainly explained by user and provider preferences, which should be further explored. Also, supply-side factors may be involved, suggesting that wider and more uniform dissemination of robotic/laparoscopic procedures may reduce variation. (Source: BMJ Open)
Source: BMJ Open - March 7, 2023 Category: General Medicine Authors: Ferrari, A., Giannini, A., Seghieri, C., Simoncini, T., Vainieri, M. Tags: Open access Obstetrics and gynaecology Source Type: research

Surgical outcomes in patients aged 70  years and older following uterosacral ligament suspension: a comparative study
ConclusionWomen over the age of 70 undergoing uterosacral ligament suspension for treatment of apical prolapse have comparable outcomes to younger patients. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - February 25, 2023 Category: OBGYN Source Type: research