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.

Urinary tract injuries during hysterectomy for endometriosis: a NSQIP study
Urinary tract injuries following hysterectomy are rare, though endometriosis is a known risk factor. Rates of injury in this setting following wide adoption of laparoscopy are of interest. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: B Hickey, K Stewart, A Cope, K Tessier, C Fok, S Hutto Source Type: research

Current trends in surgical procedures for stress urinary incontinence
Colposuspensions and pubovaginal slings were commonplace surgeries for stress urinary incontinence (SUI) until the 1990s when the mid urethral sling (MUS) was introduced. The sling offered an effective, fast, and safe surgical management option and became the gold standard. Urogynecology and Reconstructive Pelvic Surgery (URPS) fellows are required to perform a minimum of 5 retropubic procedures. This has become increasingly difficult to achieve due to the shift in management of SUI in the United States. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: C Seaman, C Sham, D Lieberman, L Dabney, C Ascher-Walsh, A Romanova, A Hardart Source Type: research

Performance of chat generative pre-trained transformer (ChatGPT) on personal review of learning in obstetrics and gynecology
Chat generative pre-trained transformer (ChatGPT) is a natural language processing model that uses an unsupervised deep learning algorithm to process prompts and produce a human-like response through prediction of the most likely word in a sequence. There is increasing interest in the application of ChatGPT in medicine, including the development of medical education and patient materials. Therefore, it is important to understand ChatGPT ’s medical specialty specific knowledge. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Cohen, J Burns, M Gabra, A Gordon, N Deebel, R Terlecki, K Woodburn Source Type: research

Battle of the bots: a comparative analysis of generative ai responses from leading chatbots to patient questions about endometriosis
The use of generative artificial intelligence (AI) has begun to permeate through most industries including medicine, and it is inevitable that patients will begin using these large language model chat bots as a modality for education. Different chatbots can provide different answers to the same question due to variability in training data, the statistical nature of response production and use-specific interactions. As healthcare information technology continues to evolve, it is imperative to evaluate chatbots and the accuracy of the information they provide to patients, and to determine if there is variability between them...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: N Cohen, K Kho, K Smith Source Type: research

Leveraging electronic alerts to enhance the detection of post-operative complications in the emergency department after gynecologic surgery
Complications are a risk of surgery. Delayed recognition of post-operative complications can exacerbate morbidity. Delays of care in patients presenting to the emergency department (ED) is multifactorial, and strategies to mitigate the risks for post-surgical patients have not been well-described. For patients whose care spans across different units and specialties, electronic warning systems are a known tool to prevent catastrophic outcomes. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: B Geng, N Pondugula, R Sangal, L Lundsberg, H Zurich, L Fan Source Type: research

Fibroids larger than 10 cm and pregnancy outcomes: does location matter?
Fibroids are the most common uterine neoplasm, occurring in at least 20 –25% of all reproductive age women. They have been associated with a number of pregnancy complications. The location and size have also been associated with adverse obstetrical outcomes. However, there is scant literature evaluating these outcomes, specifically in cases when the fibroids are large r than 10 cm. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: R Jalloul, K Schmidt, C Livingston, D Goodly, B Sibai Source Type: research

Leiomyoma characteristics and their effect on lower urinary tract symptoms after surgical treatment of leiomyomas
Leiomyomas are associated with lower urinary tract symptoms (LUTS). Several studies identify baseline leiomyoma characteristics associated with the prevalence of LUTS, including size and location. While some data demonstrate improvement in urinary symptoms following leiomyoma debulking, few studies define baseline leiomyoma characteristics associated with symptomatic improvement following surgical management. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: I Agu, S Mcfarlane, B Cureton, ET Carey, CM Chu Source Type: research

Learning curve of laparoscopic myomectomy in recently-graduated minimally invasive gynecologic surgeons: a cumulative sum analysis
Laparoscopic myomectomy is a technically challenging surgery. Prior studies have evaluated surgical learning curves to determine when proficiency is obtained for specific procedures. However, the learning curve for laparoscopic myomectomy has not yet been assessed. While MIGS fellowship helps graduates to achieve laparoscopic myomectomy competence, proficiency is likely obtained after independent practice. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Kosmacki, R Huang, C Mulligan, C Okuagu, E Bardawil, K De Souza, S Biest, W Ross Source Type: research

Tissue retrieval of laparoscopically excised adnexal specimens in gynecologic surgery: posterior culdotomy versus abdominal extraction
Despite the established benefits of minimally invasive surgery, tissue extraction can remain a challenge to successfully complete a procedure in a minimally invasive fashion or without the need to significantly enlarge an abdominal incision. For this reason, specimen extraction via the posterior culdotomy has gained attention in more recent years. Limited studies have evaluated the technique, but available data suggest it is safe and feasible, with possible reduction in postoperative pain scores. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: T Horton, H Palin, A Carrubba Source Type: research

Retrospective cohort of in-office backfill-assisted voiding trial versus at-home catheter discontinuation with autofill voiding trial on the day after urogynecologic surgery
To decrease patient and provider burden, we performed A Postoperative Cohort Study Assessing Healthcare Utilization and Feasibility of Transurethral Catheter Self-Discontinuation (FLOTUS) to examine at-home VT as a possible alternative to in-office VT following gynecologic surgery. FLOTUS subjects were given instructions on performing at-home catheter self-discontinuation with autofill VT ( “at-home VT”) on postoperative day (POD) 1. Passing at-home VT was defined as voiding at least 150 mL over 6 hours. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Davenport, C Chung, H William, A Dieter Source Type: research

The impact of perioperative pharmacologic anticoagulation on venous thromboembolism and bleeding complications following surgery for pelvic organ prolapse
Venous thromboembolism (VTE) is one of the most common preventable causes of morbidity and mortality following surgery. Rates of VTE following major gynecologic surgery range from 15-40% in patients who receive no thromboprophylaxis, either mechanical or pharmacologic. The current recommendations on initiating VTE prophylaxis in gynecologic surgery originate from the American College of Chest Physicians guidelines, which stratify patients into low, moderate, and high risk. Most patients undergoing benign gynecologic surgery fall into the moderate to high-risk categories based on age and duration of procedure, indicating th...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: H Bauer, M Schlussel, S Rhodes, D Sheyn Source Type: research

Ultrasound diagnosis of adenomyosis – a blinded validation study of the 2022 MUSA guidelines
Adenomyosis is a common gynecologic condition characterized by the presence of endometrial glands and stroma within the myometrium and can lead to heavy, painful menses. It is also associated with infertility and poor IVF outcomes. The gold standard for diagnosis is histopathologic examination of the uterus which requires hysterectomy. A growing body of evidence suggests that ultrasound can identify adenomyosis. Consensus guidelines describing standardized terms to describe specific features of adenomyosis were published in 2015 by the Morphological Uterus Sonographic Assessment (MUSA) group. (Source: American Journal of O...
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Chatroux, P Maghsoudlou, M Ajao, L King, Y Groszmann Source Type: research

Validation of ICIQ-LUTS questionnaire in the transmasculine population
In the United States alone, 1.6 million people identify as transgender and gender diverse. While there is a large spectrum of possible gender identities, there is now limited evidence from focus group studies that transgender men and transmasculine (TGM/TM) individuals assigned female at birth report a variety of lower urinary tract symptoms (LUTS) such as frequency, urgency, nocturia, and incontinence and which result in shame, fear, and embarrassment. LUTS research, however, is limited by inequities. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: F Kreines, C Cox, H Harvie, L Arya, U Andy Source Type: research

A comparative carbon footprint analysis of uterine manipulators for hysterectomy
The health care system is a main contributor of greenhouse gas emissions in the United States. Single-use disposable supplies contribute significantly to these emissions and over 95% of their environmental impacts occur during production and manufacturing phases. Uterine manipulators can be manufactured from reusable stainless steel, disposable materials, or both, all of which have distinct carbon footprints. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: A Melnyk, N Silva De Souza Lima Cano, S Glass Clark, A Artsen Source Type: research

Impact of informal spousal caregiver dyads on recovery after urogynecologic surgery in older adults
Caregiving is often studied in the context of long-term care for chronic conditions. This leaves gaps in knowledge of the impact of caregiving in short-term settings, like surgical recovery from elective, major surgery, in which an informal caregiver is often preferred. It is known that informal spousal caregiver-patient dyads are more common with older adults, especially in long-term or end-of-life care. However, the dynamics of older adult spousal caregiver-patient dyads in the setting of recovery from elective urogynecologic surgery is not well understood. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - March 21, 2024 Category: OBGYN Authors: L Yu, L Vargas, A Pollard, S Zuo, S Orris, J Chang, M Ackenbom Source Type: research