Log in or walk in? evaluating 30-day outcomes following virtual vs. In-Person consultations for UTIs
Urinary tract infections (UTIs) are the most common bacterial infections in the United States. The rise of virtual visits for UTIs, particularly post the COVID-19 pandemic, marks a significant shift in healthcare delivery. However, despite the surge in patients opting for virtual care for UTIs, there's a noticeable lack of data on outcomes and safety compared to traditional in-person consultations. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: G Yadav, S Yang, S Menefee, J Tan-Kim Source Type: research

Surgical outcomes in patients undergoing hysterectomy for gender dysphoria
Gender-affirming surgeries are performed to help individuals with gender dysphoria align their physical characteristics with their gender identity. Comparative data on the surgical outcomes and complications between different approaches of hysterectomy performed for gender dysphoria is minimally reported. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: D Strozza, S Narayanamoorthy, K Hanson, E Habermann, J Occhino Source Type: research

Urinary incontinence care-seeking barriers among latina patients, what are we missing?
Urinary incontinence (UI) is prevalent and burdensome among women, yet most women with symptoms do not seek care. The Latina population is the largest growing ethnic group in the United States with unfortunately high levels of health disparities in UI treatment and complications rates compared with White women. Failure to seek care and resultant health inequities may be due to disproportionately high barriers to UI care-seeking among Latinas and other minoritized ethnic/racial groups. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Pancheshnikov, B Harrington, V Handa, L Yanes, K Voegtline, S Olson, M Le Neveu, J Blomquist, S Jacobs, D Patterson, CCG Chen Source Type: research

Performance of chatGPT on female pelvic medicine and reconstructive surgery PROLOG exam
A notable milestone is the performance of Chat-GPT, which has achieved scores at or near the passing threshold on the United States Medical Licensing Exam (USMLE). This development has catalyzed discussions about AI's potential role in medical education and complex decision-making within healthcare environments. The Council on Resident Education in OBGYN (CREOG) administers annual in-service exams to assess the readiness of OBGYN residents for their board examinations at the culmination of their residency training. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: I Burgard, P Altshuler, T Muffly Source Type: research

ERAS protocols and medication choices: impacts on pain and opioid use post-midurethral sling
Stress urinary incontinence (SUI) is a prevalent condition that affects up to a third of U.S. adult women, imposing a significant health burden. While Enhanced Recovery After Surgery (ERAS) protocols are traditionally linked with improved pain control and fewer postoperative complications in various major surgical procedures, their influence on postoperative pain and opioid consumption following a midurethral sling procedure remains unclear. This research investigates the impact of preoperative ERAS medications and intraoperative medication choices in this context. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: M Taboada, E Hoover, K James, A Silfen, Y Kim, M Weinstein, D Ellis, M Ortega Source Type: research

Assessing perioperative risk with hysterectomy in very large uteri by surgical route
Uterine size plays an important role in the surgical route offered to patients undergoing hysterectomy for benign indications. Some studies have proposed a uterine size greater than 15 weeks gestation or uterine weight greater than 500 g as the safe upper limit for offering a minimally invasive approach. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: S Gupta, P Maghsoudlou, L Perkins King, J Einarsson, M Ajao Source Type: research

Transurethral buccal mucosal graft for urethroplasty following complex diverticulectomy
Complex urethral diverticulectomies are challenging and complications include de novo stress urinary incontinence, recurrent diverticula, urethrovaginal fistulas, and rarely strictures. Buccal mucosal grafts are used to treat urethral strictures but have not been described for urethral reconstruction during a diverticulectomy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Wheat, K Dengler, F Balzano Source Type: research

Assessing perioperative risk for minimally invasive sacrocolpopexy: how accurate is the ACS NSQIP calculator?
Minimally invasive sacrocolpopexy is increasing in frequency for correction of pelvic organ prolapse, a common condition whose prevalence is expected to increase as the population ages. There is consequently a heightened need to predict and minimize perioperative risk for patients undergoing this procedure. The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) surgical risk calculator has been used to predict eighteen distinct 30-day perioperative complications based on preoperative characteristics and type of surgery performed as determined by current procedural terminology (CPT) code....
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: K Christensen, M Mckevitt, B Gaigbe-Togbe, M Sarker, A Hardart Source Type: research

Characterization of PCOS twitter: an analysis of users and trends
Polycystic Ovary Syndrome (PCOS) is a disorder affecting 6-12% of women of reproductive age, with life-long health implications. Despite prevalence, studies show dissatisfaction amongst patients regarding diagnosis, treatment, and accessible information. Social media has become a valuable resource for healthcare conversations for physicians and patients. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: M Glass, E Chorna, P Xu, F Ricciardi, S Ohrn, C Grimes Source Type: research

Descriptions of trainee surgical skill in letters of recommendation for urogynecology fellowship
The surgical aptitude of fellowship applicants is of particular interest in Urogynecology. A better understanding of the frequency and manner in which surgical skills are described in Urogynecology fellowship letters of recommendation (LOR) would assist letter authors and evaluators. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: K Kurchena, J Shinnick, S Hampton Source Type: research

Provider ’s perspectives on customizable pessaries
This study aims to gauge healthcare providers' perspectives on the potential b enefits and applicability of these customizable pessaries in clinical practice. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Brausch, T Muffly Source Type: research

What is normal? using objective measurements to describe typical vulvar anatomy
There is a paucity of research describing normal dimensions of external female genitalia, and many women are requesting surgical alteration. Due to the lack of scientific information, physicians and patients alike may draw from anecdotal experience or media to define "normal ” female anatomy, thus setting unsubstantiated anatomic expectations. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Wheat, H Stautz, A Watson, J Carty, K Dengler, K Shvartsman, C Vaccaro Source Type: research

The impact of transversus abdominus plane (TAP) blocks for total laparoscopic hysterectomy on postoperative pain and recovery time: a retrospective analysis
The multimodal approach to pain control as outlined by the Enhanced Recovery after Surgery program (ERAS) includes consideration of transversus abdominis plane (TAP) blocks, a form of opioid-sparing regional analgesia. Recent studies have shown mixed results; one systematic review demonstrated significant improvement in postoperative early and delayed pain control compared with placebo (Bacal et al., 2019), while other meta-analyses showed no clinically significant difference in pain scores or opioid consumption with or without TAP block for laparoscopic hysterectomy (Shin et al., 2020; Lopez-Ruiz et al., 2022). (Source: A...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Wong, S Lim, D Rasugu, A Broach, A Song, C Sobolewski Source Type: research

Preoperative pelvic pain syndromes are a risk factor for failure in patients undergoing radiofrequency endometrial ablation
Endometrial ablation is a widely used procedure for treatment of heavy menstrual bleeding in premenopausal patients. It is less invasive than hysterectomy, has high patient satisfaction rates (92%), and an excellent safety profile. Published rates of treatment failure range from 23-36%, with increased failure noted in age less than 40, history of cesarean section, abnormal imaging prior to procedure (fibroid, polyp, thickened endometrial stripe), history of tubal ligation, and irregular bleeding profile. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: K Rakes, J Sosa-Stanley Source Type: research

Torsion time - does gender matter
Gonadal torsion is a surgical emergency, and with delays risk loss of function and fertility. A recent study demonstrated time to the operating room was delayed comparing ovarian to testicular torsions. While the location inside the abdominal cavity (ovaries) vs outside (testicles) can account for some of this delay, their data suggested female vs. male staff could increase delays, one of many gender biases for surgeons. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Roth, W Nilsson, A Newmark, J Shepherd Source Type: research