Counseling Regarding Future Deliveries in Patients With Prior Pelvic Floor Disorder Treatment Must Consider Obstetrical Factors
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Letters to the Editor Source Type: research

RE: Intraoperative Evaluation of Urinary Tract Injuries at the Time of Pelvic Surgery: A Systematic Review
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Letters to the Editor Source Type: research

EUGA 2020 Interactive Meeting
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Abstracts Source Type: research

Adding Insult to Injury: Levator Ani Avulsion in Women With Obstetric Anal Sphincter Injuries
Conclusions In women with obstetric anal sphincter injuries, the risk of levator ani avulsion is almost 6 times higher after forceps-assisted vaginal delivery as compared with spontaneous vaginal delivery. In those with avulsion, recovery of anal continence is compromised, suggesting that adding insult (avulsion) to injury (obstetric anal sphincter injury) may have negative functional consequences. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Expression Levels of Nerve Growth Factor and Its Receptors in Anterior Vaginal Wall in Postmenopausal Women With Pelvic Organ Prolapse
Conclusions The decreased expression of NGF and its receptors p75NTR and TrkA in vaginal anterior wall tissue of postmenopausal POP patients and the change of the ratio of 2 receptors may be related to the occurrence and development of POP. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Early and Consistent Improvements in Urinary Symptoms and Quality of Life With OnabotulinumtoxinA in Patients With Overactive Bladder and Urinary Incontinence: Results From a Randomized, Placebo-controlled, Phase IV Clinical Trial
Objectives This randomized, multicenter, placebo-controlled, phase IV study assessed the efficacy and tolerability of onabotulinumtoxinA in patients with overactive bladder. Methods Patients were randomized 1:1 to onabotulinumtoxinA 100 U or placebo. Assessments over 12 weeks included: change from baseline in urinary incontinence (UI) episodes/day; proportions of patients who achieved 100% and 50% or greater reductions in UI episodes/day; proportion of patients using no incontinence pads in the previous 24 hours; and changes from baseline in micturition frequency, nocturia, urgency UI, Incontinence-Quality of Li...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Factors Associated With Long-Term Use of Percutaneous Tibial Nerve Stimulation for Management of Overactive Bladder Syndrome
Objectives The aims of the study were to estimate the rate of percutaneous tibial nerve stimulation maintenance therapy (PTNS-MT) among women with overactive bladder syndrome (OAB) and evaluate factors associated with long-term use of PTNS. Methods Patients who completed 12 weekly sessions of PTNS (PTNS-IN) for OAB between 2009 and 2016 within the Kaiser Permanente Northern California were identified using Current Procedural Terminology and International Classification of Diseases codes. Bivariate analysis was performed to compare demographic and clinical variables. A logistic regression model was used to determ...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Patient Preferences and Knowledge Regarding Hysterectomy: A Study from the Fellows’ Pelvic Research Network (FPRN)®
Conclusions Patients prefer laparoscopic hysterectomy approach, although have limited understanding of vaginal hysterectomy. Higher health literacy levels are associated with increased knowledge of gynecology and hysterectomy routes, but were not found to influence patient preference for hysterectomy route. Overall, patients have limited knowledge of vaginal hysterectomy. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Video Virtual Clinical Encounters Versus Office Visits for Postoperative Care After Pelvic Organ Prolapse Surgery: A Randomized Clinical Trial
Conclusions For patients with pelvic organ prolapse undergoing reconstructive surgery, postoperative virtual clinical encounters via video conference technology are noninferior to traditional in-office clinical encounters with high levels of short-term patient satisfaction and no differences in postoperative health care utilization and complications rates. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Operationalizing Postdischarge Recovery From Laparoscopic Sacrocolpopexy for the Preoperative Consultative Visit
Conclusions Most study subjects were “significantly” recovered at 42 days after laparoscopic sacrocolpopexy using a PSR13 score of 80 or greater as a numeric threshold. There is a need to determine the population percentage of recovered study subjects at 30, 60, and beyond 90 days from laparoscopic sacrocolpopexy. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Regional Performance of Apical Support Procedures at Time of Hysterectomy for Benign Indications: What Is the Role of Surgeon Training?
Conclusions Even in patients with a preoperative diagnosis of uterovaginal prolapse, ASPs are not routinely performed at time of hysterectomy. Fellowship-trained surgeons were more likely to perform ASPs. Ongoing educational efforts during training and postgraduate at the national and regional level on the importance of reestablishing apical vaginal support at time of hysterectomy is needed to prevent incident and recurrent post-hysterectomy vaginal vault prolapse. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Factors Influencing Selection of Concomitant Total Versus Supracervical Hysterectomy at the Time of Sacrocolpopexy and Associated Perioperative Outcomes
The objective of this study was to describe national practice patterns of hysterectomy type performed with concurrent sacrocolpopexy and determine clinical factors associated with surgical route. Methods We used the National Surgical Quality Improvement Program database with hysterectomy data for this retrospective cohort study. We identified sacrocolpopexy cases from 2014 to 2016 with concurrent hysterectomy and stratified patients into supracervical hysterectomy (SCH) or total hysterectomy (TH). As a secondary analysis, we compared the laparoscopic subset of cases. We performed χ2 and backward stepwise logisti...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Therapeutic Suggestion in Postoperative Pain Control: A Randomized Controlled Trial
Conclusions No differences in postoperative pain, analgesic use, return of bowel and bladder function, or pelvic organ prolapse symptoms were noted in participants receiving perioperative therapeutic suggestion versus routine perioperative care. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

A Randomized Controlled Trial of a Multimedia Patient Education Tool for Stress Versus Urgency Urinary Incontinence
Objective The aim of this study was to determine whether there was a difference in patient education when comparing traditional conversation-based patient counseling with multimedia-based patient counseling about stress and urgency urinary incontinence. Methods Patients seeking treatment for urinary incontinence were randomized to traditional, conversation-based counseling from a physician regarding stress and urgency urinary incontinence (control group) or view a video (multimedia) as their counseling (treatment group). A vignette-based assessment of the patient’s knowledge of stress and urgency urinary i...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 24, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Dear Editor
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Letter to the Editor Source Type: research

Rates of Sling Procedures and Revisions—A National Surgical Quality Improvement Program Database Study
Conclusions Our data suggest that MUS remain the preferred procedure for treatment of stress urinary incontinence despite the recent FDA communications with MUS representing 99% of sling procedures during the study period. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Genital Hiatus Size as a Predictor of Progression of Pelvic Organ Prolapse
This study aimed to determine if genital hiatus (GH) size is a predictor of worsening pelvic organ prolapse and a preference for a therapeutic intervention in women with pelvic organ prolapse who opt for expectant management over therapeutic intervention at their initial encounter. Methods This was a retrospective cohort study analyzing the GH size of women who opted for expectant management in the initial treatment of pelvic organ prolapse at one academic institution from 2002 to 2015. Participants were divided into 2 groups: (1) large GH was defined as ≥4 cm and (2) normal GH was defined as (Source: Female Pelv...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Unanticipated Uterine and Cervical Malignancy in Women Undergoing Hysterectomy for Uterovaginal Prolapse
Conclusions The risk of unexpected uterine cancer and cervical cancer in women undergoing hysterectomy for uterovaginal prolapse was relatively low but should be appropriately considered when counseling patients desiring uterine- or cervix-sparing procedures. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Postoperative Admission, Readmission, and Complications for Patients 60 Years and Older Who Are Undergoing an Isolated Sling Procedure for Stress Incontinence: A Database Study
Conclusions Among patients 60 years and older, the risk of postoperative admission and readmission for patients undergoing a synthetic or autologous sling procedure is low and complications are uncommon. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Reliability of Symptoms and Dipstick for Postoperative Catheter-Associated Urinary Tract Infections
Objective The aim of the study was to determine the diagnostic reliability of patient symptoms and urine dipstick results, including blood, leukocyte esterase, and nitrite, in diagnosing postoperative catheter-associated urinary tract infections (CAUTIs) after gynecologic surgery. Methods A prospective cohort study of patients undergoing gynecologic surgeries who required short-term (>24 hours) postoperative catheterization was conducted. Patients completed a questionnaire regarding symptoms. Urine dipstick analysis was completed on catheterized urine samples and urine was sent for culture for all patients. P...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

The Prevalence of Pelvic Floor Hematoma After Vaginal Delivery
Conclusions Although the prevalence of pelvic floor hematoma was higher in vaginal-primiparous women than vaginal-multiparous women after vaginal delivery, hematomas were present in both groups. Future prospective studies are needed to evaluate the additive effect of multiple vaginal deliveries on the pelvic floor. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Satisfaction With Telephone Versus In-Person Interpretation Services in Limited English-Proficient Urogynecology Patients: A Randomized Controlled Trial
The objective of this study was to determine if in-person interpreters improve patient satisfaction scores compared with phone interpreters for urogynecology office visits in limited English proficient (LEP) patients. Methods Portuguese and Spanish LEP subjects were randomized to phone or in-person interpreter, and a 14-item questionnaire was administered with 3 subscales assessing the primary outcome of patient satisfaction with the interpreter, physician, and nursing. Subject demographics, English proficiency, overall health status, and yearly household income were recorded. Sample size calculations indicated that...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Hysterectomy Volume Among Recent Obstetrics and Gynecology Residency Graduates
Objective Although guidelines recommend hysterectomy be performed vaginally whenever possible, recent trainees have decreased exposure to vaginal hysterectomy given the availability of laparoscopic hysterectomy, nonsurgical management, and falling volume nationwide. We sought to estimate hysterectomy volume in the 5 years after residency. Our secondary objective was to compare vaginal hysterectomy utilization between recent graduates and senior surgeons. Methods Retrospective, statewide data from 2005 to 2014 was obtained from the Massachusetts Center for Health Information Analysis. All hysterectomies performed...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Risk Factors for Urinary Incontinence in Chinese Women: A Cross-sectional Survey
Conclusions Urinary incontinence is common among Chinese women in Guangzhou. Among the factors that we are concerned with, old age and vaginal delivery are the two with greatest impact. Moreover, wearing a corset and drinking are the 2 lifestyle factors associated with UI. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Pilot Trial of Midstream Urine Collection Device Versus Transurethral Catheter in Women With Lower Urinary Tract Symptoms: Practicality of Use in a Clinical Setting, Patient Preferences, and Comparison of Laboratory Findings
Conclusions The midstream urine collection device could increase comfort, and many patients prefer it to transurethral catheterization. With proper patient selection and instructions for use, this device could increase satisfaction. Further studies are needed to assess contamination rates with this device. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

A Mobile Application Patient Decision Aid for Treatment of Overactive Bladder
Objective The aim of this study was to develop and validate a mobile application patient decision aid (mPDA) for providing treatment options to women with overactive bladder (OAB). Methods We performed a mixed methods study. We conducted cognitive interviews to gain insight about treatment decisions for OAB. We then developed an evidence-based mPDA and conducted a prospective cohort study to validate it. Women completed the validated Decisional Conflict Scale. Construct validity was determined by comparing Decisional Conflict Scale scores before and after use of the decision aid. Concurrent validity was assessed...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Safety and Efficacy of a Disposable Vaginal Device for Stress Urinary Incontinence
Objective The aim of this study was to evaluate the efficacy and safety of an over-the-counter device for the treatment of stress urinary incontinence (SUI) in females. Methods A multicenter, interventional, single-arm study involving 5 different sites was conducted including women diagnosed with symptomatic SUI using a self-inserted pessary device. A 1-week baseline period was followed by a 2-week period of wearing the device. The main outcome of our study was to determine if the device was able to reduce at least 50% the number of leakage events and pad weight. Results Across all study sites, 73 subject...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Does a Hysterectomy Hurt? Comparing Narcotic Requirements and Pain Scores in Patients Undergoing Apical Prolapse Repair With or Without Hysterectomy
Conclusions Concomitant hysterectomy at the time of prolapse repair does not increase pain medication requirements or patient-reported postoperative pain scores. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

The Impact of Age on Perioperative Complications After Minimally Invasive Sacrocolpopexy
Objective Our aim was to compare perioperative complications between older (≥65 years), middle-age (55–64 years), and younger ( (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

A Novel Injection Technique for Extended-Release Local Anesthetic After Posterior Colporrhaphy and Perineorrhaphy: A Randomized Controlled Study
Conclusions In this study of pelvic reconstructive surgeries with posterior colporrhaphy and perineorrhaphy, there were no differences in pain scores or any secondary outcomes between liposomal bupivacaine and placebo injected into the posterior vaginal compartment. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Generic Health-Related Quality of Life in Patients Seeking Care for Pelvic Organ Prolapse
Objective Using the American Urogynecologic Society multicenter Pelvic Floor Disorder Registry for Research, we (1) compared generic quality of life (QOL) in women planning pelvic organ prolapse (POP) treatment (surgery vs pessary), (2) correlated generic and condition-specific QOL scores, and (3) identified associations between generic QOL and other factors. Methods This cross-sectional analysis assessed generic physical and mental QOL using the Patient-Reported Outcomes Measurement Information System Global Health Scale at baseline. Global Physical and Mental T-scores center on a representative US population s...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2021 Category: OBGYN Tags: AUGS Publication: AUGS Research Report Source Type: research

Consensus Definitions and Interpretation Templates for Fluoroscopic Imaging of Defecatory Pelvic Floor Disorders: Erratum
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Erratum Source Type: research

Laparoscopic Removal of Eroded Sacrocolpopexy Mesh and Fistula Repair 9 Years After Hysterectomy
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Case Report Source Type: research

The Effect of a Diagnosis on Patients With Interstitial Cystitis/Bladder Pain Syndrome: A Qualitative Approach
Conclusions A formal medical diagnosis of IC/BPS has a significant effect on patients who experience the condition. Although diagnosis usually improves symptoms and coping, a universal experience was not described by all IC/BPS patients. Given that most patients report improvement, more work is needed to expedite diagnosis. In addition, we must better understand factors associated with lack of symptom and quality of life improvement after an IC/BPS diagnosis has been made by medical providers. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Periurethral Lidocaine Does Not Decrease Pain After Urodynamic Testing in Women: A Double-Blinded Randomized Control Trial
Conclusions Topically applied 2% lidocaine gel does not decrease pain compared with water-based lubricant. For most women, complex urodynamic testing is not associated with any significant pain. Clinical Trial Registration:www.ClinicalTrials.gov,—NCT03390790, “Lidocaine for Pain After Urodynamic Testing”. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Mesh Sling Arm Removal for Persistent Pain After an Initial Vaginal Suburethral Mesh Sling Removal Procedure
Conclusions In women who underwent SSR for pain only, 67% reported pain resolution. An additional procedure to remove the extension arms of the mesh was performed in one third of women for persistent pain after SSR. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

High Patient Satisfaction With Local Anesthesia and Light Sedation in a Novel Fast-Track Setup for Sacrospinous Fixation
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Letters to the Editor Source Type: research

Re: Guzman-Negron et al—“Sacral Neuromodulation Lead Twisting Causes Migration and Loss of Efficacy”
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Letters to the Editor Source Type: research

Response to “Barriers to Optimizing Perioperative Pain Control After Ambulatory Urogynecologic Surgery”
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Letters to the Editor Source Type: research

Does Obtaining a Diagnosis of Interstitial Cystitis/Bladder Pain Syndrome Improve Symptoms or Quality of Life? A Cross-sectional Questionnaire-Based Study
Conclusions Participants reported improvements on global and symptom-specific quality of life measures after diagnosis and treatment for IC/BPS. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Cultivable Bacteria in Urine of Women With Interstitial Cystitis: (Not) What We Expected
Objective Multiple studies show cultivatable bacteria in urine of most women. The existence of these bacteria challenges interstitial cystitis (IC)/painful bladder syndrome (PBS) diagnosis, which presumes a sterile bladder. The aims of this study were (1) to compare the female bladder microbiomes in women with IC/PBS and unaffected controls and (2) to correlate baseline bladder microbiome composition with symptoms. Methods This cross-sectional study enrolled 49 IC/PBS and 40 controls. All provided catheterized urine samples and completed validated questionnaires. A subset of the IC/PBS cohort provided voided and...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Evaluation of Postpartum Pelvic Floor Physical Therapy on Obstetrical Anal Sphincter Injury: A Randomized Controlled Trial
Conclusions At 12 weeks postpartum, the PFPT group reported a significant improvement in pelvic floor symptoms and bother compared with the standard care group. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Association of Knowledge and Presence of Pelvic Floor Disorders and Participation in Pelvic Floor Exercises: A Cross-sectional Study
Introduction Women’s baseline knowledge of pelvic floor exercises (PFEs) and pelvic floor disorders (PFDs) is not well established, as is their knowledge regarding PFE and participation in such exercise. The aim of our study was to assess baseline PFD and PFE knowledge and to determine if knowledge in any way influenced participation in PFEs. Methods This was an institutional review board–approved, cross-sectional survey administered to women 18 years or older. We included all women who completed the survey, of which 3733 met the criteria. A survey-based questionnaire was used to query lower urinary ...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Postoperative Opioid Utilization in Older Women Undergoing Pelvic Organ Prolapse Surgery
Conclusions Opioid consumption after prolapse surgery in older women is very modest and equates to a median (interquartile range) of 4 (1–9) oxycodone (5 mg) tablets. Opioid prescribing patterns should be adjusted accordingly. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Outcomes of Transperineal Gender-Affirming Vaginectomy and Colpocleisis
Conclusions This is a large series studying the outcomes of gender-affirming vaginectomy by complete mucosal excision approach in the literature. Perioperative complications were low. Operative time decreased overtime such that after approximately 20 cases, the procedure fairly consistently takes 2 to 2.5 hours to perform. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Low Interrater Reliability of Videourodynamic Diagnosis of Detrusor External Sphincter Dyssynergia
Conclusions The IRR to diagnose DESD on VUDS was much lower than expected, even among experts, and was likely multifactorial and partially owing to lack of clinical context and lack of standardized VUDS interpretation of the electromyogram. A high negative predictive value was found among all participants. Further research is needed to evaluate factors contributing to the low reproducibility of DESD diagnosis on VUDS. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Effects of Oxytocin for Induction and Augmentation of Labor on Pelvic Floor Symptoms and Support in the Postpartum Period
Conclusions Oxytocin during labor does not significantly increase the risks for the incidence or persistence of pelvic floor symptoms or worse vaginal support in the early postpartum period, although power for less frequent outcomes was limited. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Perineorrhaphy Outcomes Related to Body Imagery: A Randomized Trial of Body Image Perception
Objectives The aim of this study was to determine if a perineorrhaphy at the time of apical pelvic organ prolapse surgery positively affects women’s body image. Methods This is a randomized controlled trial of women undergoing apical suspension procedures in which women (GH ≥2 cm to ≤6 cm) received either perineorrhaphy or no perineorrhaphy. The primary aim compared body image between the groups postoperatively using the Body Image in Pelvic Organ Prolapse (BIPOP) questionnaire. Secondary outcomes included prolapse stage, pain, pelvic floor muscle strength, pelvic floor symptoms, and sexual function....
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: Original Articles Source Type: research

Baseline Characteristics, Evaluation, and Management of Women With Complaints of Recurrent Urinary Tract Infections
Objective The aims of this study were to determine the proportion of women presenting for recurrent urinary tract infections (UTIs) who met the diagnostic criteria (culture-proven UTI ≥3 in 1 year or ≥2 in 6 months) and to assess advanced testing utilization, preventive therapy use, and risk factors. Methods This is a retrospective chart review of women seen as new urogynecology consults for recurrent UTI (rUTI) between April 1, 2017, and April 1, 2018, followed through April 1, 2019. Exclusion criteria included catheter use, cancer treatment within 2 years, and prior organ transplant, urinary diversion, c...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: AUGS Research Report Source Type: research

Committee Opinion: Onabotulinumtoxin A and the Bladder
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 31, 2021 Category: OBGYN Tags: Erratum Source Type: research