American Journal of Obstetrics and Gynecology This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Two pee or not two pee: a cost analysis of second postoperative void trials
While postoperative urinary retention affects anywhere from 15-50% of Urogynecologic patients, discharge with a foley catheter is unappealing to many patients, and second attempts at trial of void (TOV) after initial failure are often requested. While a second attempt does improve pass rates and decreases the need for outpatient management of urinary retention, it also extends time in the PACU and delays discharge. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: M Baker, S Nelamangala, U Omosigho, C Zimmerman, R Adam, D Biller Source Type: research

Value of uterus: quality of life, symptom severity, and treatment decisions in patients with fibroids
Fibroids are the most common benign pelvic tumor in women with a cumulative incidence greater than 70% by the age of 50. Understanding patient preferences regarding uterine preservation in the surgical management of fibroids is crucial to shared-decision making and improved counseling. In order to provide patient-centered, culturally competent care, we must understand the value patients place on uterine preservation, and understand the racial and cultural influences that impact valuation of the uterus. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: V Fuentes, M Cantave, C Okuagu, C Mulligan, K Scholl, E Bardawil, K De Souza, S Biest, W Trotter Ross Source Type: research

Novel surgical approach to remote management of recurrent spontaneous bladder rupture
Spontaneous bladder rupture (SBR) is a rare condition (1:126,000) but with significant risk for morbidity and mortality (10-20%). It is more prevalent in men and is usually diagnosed around the age of 60. Risk factors include bladder outlet obstruction, neurogenic bladder, and various chronic conditions like diabetes and hypertension. Strategies reported in the medical literature include surgical management at the time of the rupture and/or conservative catheterization management. It has a recurrence rate of 2-5%. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: P Lotze, M Umble Source Type: research

It is feasible to offer laparoscopically approach hysterectomy with contained morcelation even with huge uteri
Multiple studies show improved outcomes of laparoscopic hysterectomy compared to laparotomy, including decreased blood loss, shorter hospitalization and faster recovery. These outcomes are preserved even with longer operative time. Huge uteri make minimally invasive surgery technically challenging. Due to the risk of leiomyosarcoma in a presumed benign uterus, we offer patients contained morcellation as part of the minimally invasive approach. Very few publications describe the technical challenges of laparoscopic surgery for very large uteri, particularly if contained morcellation is planned. (Source: American Journal of ...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: D Pino, A Romo Source Type: research

The economic impact of unused suture at a community hospital
Climate change is a pressing matter that over the upcoming decades will put the health of billions at risk. The health care sector while simultaneously striving to improve the health of people, is perpetuating climate change with its considerable carbon footprint. Operating rooms and labor-delivery suites in the United States make up as much as 70% of waste produced from hospitals, and while. many studies acknowledged that waste associated with disposable medical supplies is an area of potential improvement, few have quantified its economic impact to the healthcare system. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Pennycuff, A Zinter, S Barman, T Price, T Gill, C Heisler Source Type: research

The impact of obstetrics and gynecology journal podcasts on the dissemination of featured articles
Podcasts have gained popularity as a platform for sharing published research. This shift challenges conventional metrics of an article ’s quality and impact. Bibliometrics, the traditional statistical analysis of research publications, struggle to capture the growing influence of non-traditional media outlets. Altmetrics are research metrics that analyze article dissemination across diverse platforms including social media, blogs , policy documents and news outlets. Currently, data are limited regarding the effect of podcasts in Obstetrics and Gynecology on research dissemination and impact of presented articles, as meas...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Hayden, C Maxey, K Hamilton, R Schneyer, M Siedhoff, M Truong, R Meyer Source Type: research

A comparison of operative outcomes for abdominal myomectomies using cherney incisions vs pfannensteil incisions
Out our institution, abdominal myomectomies are performed primarily using Pfannenstiel or Cherney incisions. Limited data suggests similar outcomes with midline vertical and Cherney incisions in gynecologic surgery. There are no studies comparing Cherney and Pfannenstiel incisions for abdominal myomectomies. Furthermore, there is limited published data on the use of Cherney incisions for abdominal myomectomies. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: N Atobiloye, V Flatow, S Khalil, L Rosen, C Ascher-Walsh, K Zakashansky Source Type: research

Access to general obstetrics and gynecology care among medicaid beneficiaries and the privately insured: a nationwide mystery caller study in the united states
Rapid healthcare access is crucial for improved patient outcomes and satisfaction. The COVID-19 pandemic has exacerbated challenges in maintaining short wait times, with a surge in demand for medical care in recent years due to deferred treatments. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: H Kyllo, W Bresnitz, M Bickner, M Matous, N Mulenga, E O'brien, S Whitehead, N Fordwuo, E Wong, K Adkins, T Muffly Source Type: research

Measuring the intangibles of obstetrics and gynecology residency training: a comparative analysis across specialties
Obstetrics and gynecology (OB/GYN) residency programs present unique challenges for trainees, such as demanding work schedules, significant financial burdens, and the need to balance professional responsibilities with personal life. These stressors have significant implications for residents ’ overall health and well-being during residency. Despite the well-documented challenges of residency, the literature lacks a comprehensive evaluation of the fringe benefits offered to support residents during this period, specifically in obstetrics and gynecology. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: H Kyllo, N Larrea, N Nguyen, T Muffly Source Type: research

Factors associated to the presence of isthmocele diagnosed by pelvic ultrasound, magnetic resonance imaging or diagnostic hysteroscopy: a cross-sectional study
Cesarean section is one of the most performed surgery around the world. Not only its rate is on the rise but also associated complications such as isthmocele and the related risk factors for developing isthmocele are unclear. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: JP Leonardo-Pinto, R Bellumoni, CL Benetti-Pinto, LGO Brito, DA Yela Source Type: research

Ovarian torsion: diagnostic predictors and rates of oophorectomy in a large safety-net hospital
Diagnosing ovarian torsion is challenging due to its unclear clinical presentation and the variable sensitivity and specificity of diagnostic predictor tests. For example, the use Doppler ultrasound in confirming or ruling out ovarian torsion is highly unreliable. This underscores the critical importance of maintaining a high level of clinical suspicion for timely intervention and the preservation of ovarian function. In the county hospital, many challenges related to medical case complexity, high patient volume and varying availability of immediate testing may further create barriers for accurate and efficient diagnosis a...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: R Jalloul, J Swan Source Type: research

Correlation of CT derived biomarkers of presacral adiposity with body mass index
Sacrocolpopexy (SC) is often cited as the gold standard for pelvic organ prolapse surgery. Dissection of the presacral space is inherently difficult as this space contains many vulnerable structures including the common iliac vessels, the presacral vessels, and the hypogastric nerve. Inaccessability of the sacral promontory has been associated with conversion to open sacrocolpopexy. It is not known if BMI or other biometrics are associated with sacral accessibility. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: J Pennycuff, D Jaber, G Toia, P Pickhardt Source Type: research

Does pudendal nerve block improve perioperative pain following onabotulinumtoxina injection for myofascial pelvic pain?
OnabotulinumtoxinA (BTA) injections are useful for treatment of myofascial pelvic pain. Concurrent pudendal nerve block (PNB) has been suggested to decrease postoperative pain, as BTA does not take immediate effect. The efficacy of PNB for this purpose has not been well elucidated. We aim to determine if PNB improves pain in the perioperative period following pelvic floor BTA injections. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: P Coombs, G Lewis, A Chen, A Carrubba Source Type: research

Prophylactic ureteral stents in complex pelvic surgery and rates of acute kidney injury
Prophylactic Ureteral Catheterization (PUC) is among the adjunctive strategies aimed at preventing intraoperative ureteral injury. It has gained some acceptance as a technique to assist in identifying the ureter during surgery. However, there is ongoing debate regarding the acceptance and application of PUC, as there are mixed reports regarding its advantages, complications, and cost-effectiveness. While certain authors claim reduced rates of intraoperative ureteral injury with PUC, aggregated data has failed to conclusively demonstrate its clinical benefits. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: F Sunez, R Jalloul, H Ayoub, J Ma, R Pham, A Agarwal Source Type: research

Developmental uterine anomalies in transgender patients receiving gender-affirming hysterectomies
Most developmental uterine anomalies occur due to Mullerian duct maldevelopment and are often incidentally discovered through pelvic imaging or intraoperatively. The incidence and prevalence of uterine anomalies are well known in the cisgender female general population. A few studies on gender-affirming hysterectomies have reported on the histological endometrial findings of patients using testosterone therapy, with findings of endometrial atrophy ranging from 18 to 50%. 1-3. However, there are no known studies which report developmental uterine anomalies in transgender male or nonbinary (TGNB) patients. (Source: American ...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: N Nguyen, H Kim, M Sumida, R Galzote Source Type: research