Contributors: Smart Technology in Obstetrical Care
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: Contributors: Smart Technology in Obstetrical Care Source Type: research
Obstetric and Gynecologic Genitourinary Fistulas
Urinary incontinence shortly after childbirth or gynecologic surgery can be the result of obstetric or iatrogenic fistula formation. This can be a confusing and challenging diagnosis for medical providers. While the number of iatrogenic fistula cases is rising worldwide, obstetric fistulas are an issue uniquely particular to resource poor settings. Appropriate treatment of genitourinary fistulas spans beyond surgical intervention of leakage, and includes re-integration into the community, widespread education and counseling, and battling social stigma and cultural biases. Current and future research must focus on rigorous,...
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
Urinary Incontinence and Pelvic Organ Prolapse
The multifactorial pathophysiology of pelvic floor disorder accounts for the coexistence of several pelvic floor disorders in many women. Up to 54% of women with pelvic organ prolapse (POP) report concurrent stress urinary incontinence (SUI). While POP is a risk factor for coexistent SUI, apical and anterior prolapse can also conceal SUI symptoms that are unmasked by POP repair, resulting in de novo SUI postoperatively. It is important for pelvic reconstructive surgeons to consider the relationship between POP and urinary incontinence in presurgical planning and to discuss with patients the risks and advantages of concurre...
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
Management of Urgency and Mixed Urinary Incontinence
This article reviews management of urgency and mixed UI by breaking the management algorithm down into observation, lifestyle and behavioral changes, pharmacologic therapy, and procedural management. Stress UI is best managed with mid-urethral slings and is covered in other chapters. Behavioral and pharmacologic management are equally efficacious for urgency UI, but procedural therapy is superior. Mixed UI is conventionally treated by first managing whichever UI subtype is most bothersome. The management of overflow UI is directed at its underlying etiology: detrusor underactivity or bladder outlet obstruction. (Source: Cl...
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
Surgical Management of Stress Incontinence
The aim was to describe contemporary surgical procedures for the treatment of stress urinary incontinence (SUI) in women. The 4 most commonly performed surgical procedures for the treatment of SUI were reviewed using standardized terminology. We addressed the history and evolution of the procedures as well as the mechanisms of action by which they work. Efficacy and safety data were also presented. Midurethral Sling, Pubovaginal Sling, Retropubic Colposuspension, and Urethral Bulking are safe and effective procedures. Midurethral Sling, Pubovaginal Sling, Retropubic Colposuspension, and Urethral Bulking are contemporary pr...
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
An Evidenced-based Approach to Stress Urinary Incontinence in Women: What's New?
Stress urinary incontinence is a common condition in women potentially affecting women of any age including young women who have not yet completed childbearing. It is important to consider the impact on quality of life and offer treatment to those experiencing bother. There are several effective nonsurgical treatments for women before considering more invasive or definitive intervention. There is good data on lifestyle and behavioral changes which are often first-line recommendations. Data is also strong for pelvic muscle training and strengthening. Pessary supportive devices also play a role. Additional options also exist...
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
Basic Evaluation of Urinary Incontinence
Urinary incontinence is a significant, quality of life health condition affecting millions of women. Incontinence is increasingly common as the population ages, and women present with varying degrees of bother. With basic in-office evaluation, most subtypes of urinary incontinence can be defined, evaluated, and treated. Basic in-office evaluation involves a detailed history with a review of current medical problems and medications, a physical examination, and selective in-office testing. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
Applying a Health Equity Lens to Urinary Incontinence
This article will review what we currently know about urinary incontinence disparities and provide a framework for evaluation as well as a framework for advancing health equity in the care of diverse patient populations with urinary incontinence. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
Background, Etiology, and Subtypes of Urinary Incontinence
Urinary incontinence (UI) is the involuntary loss of urine. UI is a prevalent condition that affects people of all ages, becoming more common with older age, and which negatively affects the lives of millions of people. Although the pathophysiology behind UI is still being researched, we review here the basic neuromuscular system regulating urinary control and several other potential factors influencing the lower urinary tract dysfunction that contributes to UI including the urobiome and genetic variants. The specific subtypes, risk factors and findings associated with UI are reviewed. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
Foreword: An Evidenced Based Approach to Urinary Incontinence in Women: What's New?
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
Contributors: An Evidenced Based Approach to Urinary Incontinence in Women: What's New?
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 30, 2021 Category: OBGYN Tags: Contributors: An Evidenced Based Approach to Urinary Incontinence in Women: What's New? Source Type: research
Index
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - January 24, 2021 Category: OBGYN Tags: Index Source Type: research
Educating Trainees to Manage Pregnant Women With Obesity: A Primer
This review is intended to outline essential resources for trainees in order to optimize education on the care of pregnant patients with obesity. Addressing provider biases, exploring ethical considerations of care and streamlining screening and counseling of patients with obesity will provide an excellent framework for our trainees to care for women with obesity from preconception to postpartum care and beyond. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - January 24, 2021 Category: OBGYN Tags: Diabesity: Type 2 Diabetes and Obesity Source Type: research
Risk Factors for Progression From Gestational Diabetes to Postpartum Type 2 Diabetes: A Review
Gestational diabetes mellitus (GDM) complicates 6% to 8% of pregnancies and up to 50% of women with GDM progress to type 2 diabetes mellitus (DM) within 5 years postpartum. Clinicians have little guidance on which women are most at risk for DM progression or when evidence-based prevention strategies should be implemented in a woman’s lifecycle. To help address this gap, the authors review identifiable determinants of progression from GDM to DM across the perinatal period, considering prepregnancy, pregnancy, and postpartum periods. The authors categorize evidence by pathways of risk including genetic, metabolic, and beha...
Source: Clinical Obstetrics and Gynecology - January 24, 2021 Category: OBGYN Tags: Diabesity: Type 2 Diabetes and Obesity Source Type: research
Optimizing Care Preconception for Women With Diabetes and Obesity
The prevalence of diabetes in reproductive age women has been reported to be as high as 6.8%, with pregestational diabetes affecting 2% of all pregnancies. As cases of diabetes in children and adolescents rise, more patients will be entering reproductive age and pregnancy with diagnoses of obesity, prediabetes, type 2 diabetes. Early interventions of diet modification and exercise to maintain healthy weights can delay or even prevent these complications. It is critical for health care providers to emphasize the importance of preconception counseling in this high-risk patient population to reduce the morbidities associated ...
Source: Clinical Obstetrics and Gynecology - January 24, 2021 Category: OBGYN Tags: Diabesity: Type 2 Diabetes and Obesity Source Type: research
