“Guidelines for Providing Privileges and Credentials to Physicians for Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse: ” Retraction
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2020 Category: OBGYN Tags: Retraction Source Type: research

A Scoping Study of Psychosocial Factors in Women Diagnosed With and/or Treated for Pelvic Organ Prolapse
Conclusions Research on the psychosocial experience of POP has largely focused on changes in QOL and sexual function. Future research should target emotional experience of women with POP; relationships among QOL, psychological distress, body image, and sexual function; and psychosocial factors related to treatment outcomes. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2020 Category: OBGYN Tags: Review Article Source Type: research

Predictors of Postdischarge Surgical Recovery Following Laparoscopic Sacrocolpopexy: A Prospective Cohort Study
Objectives Our aim was to identify sociodemographic/clinical, surgical, and psychosocial predictors of postdischarge surgical recovery after laparoscopic sacrocolpopexy. Methods Study participants (N = 171) with at least stage 2 pelvic organ prolapse completed a preoperative survey measuring hypothesized sociodemographic/clinical, surgical, and psychosocial recovery predictors followed by a postoperative survey at 4 time points (days 7, 14, 42, and 90) that included the Postdischarge Surgical Recovery 13 scale. One multivariate linear regression model was constructed for each time point to regress Postdischarge Surgic...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2020 Category: OBGYN Tags: Original Articles Source Type: research

Risk Factors for Incomplete Bladder Emptying After Prolapse Repairs and Slings
Objective The aim of this study was to determine the risk factors for catheter use and incomplete bladder emptying (IE) more than 1 week after prolapse repairs and slings. Methods This is a case-control study of women with prolapse repairs and/or sling from June 2011 to April 2016. All underwent standardized postoperative voiding trial before discharge. Controls and cases of IE were identified by codes and chart review; cases were defined as those needing any postoperative catheterization. We excluded patients with preoperative catheter use or postvoid residual (PVR) greater than 150 mL and those needing postoperative...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2020 Category: OBGYN Tags: Original Articles Source Type: research

Cost-effectiveness of Routine Postoperative Retrograde Voiding Trials Following Pelvic Surgeries
Conclusions Routine retrograde voiding trials following pelvic surgery can be cost-effective compared with expectant management when the incidence of voiding dysfunction exceeds 12.2%. These results were sensitive to WTP for health, incidence of ED visits for urinary retention, and incidence of chronic urinary retention following ED visits. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2020 Category: OBGYN Tags: Original Articles Source Type: research

Pregnancy in Women With Prior Treatments for Pelvic Floor Disorders
Although the peak incidence of surgery for pelvic floor disorders does not occur until after menopause, an increasing number of younger women are seeking treatment for these problems. Whereas most surgeons would recommend delaying surgery until the completion of childbearing, published cases and case series address outcomes after subsequent pregnancies in women who have been treated for urinary incontinence and pelvic organ prolapse. This document synthesizes the available evidence on the impact of pregnancy on women with prior treatment for pelvic floor disorders and on the impact of these prior treatments on subsequent p...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2020 Category: OBGYN Tags: AUGS Clinical Guidance Document Source Type: research

Vaginal Energy-Based Devices
This clinical consensus statement on vaginal energy-based devices (EBDs) reflects statements drafted by content experts from the American Urogynecologic Society’s EBD writing group. The American Urogynecologic Society's EBD writing group used a modified Delphi process to assess statements that were evaluated for consensus after a structured literature search. A total of 40 statements were assessed and divided into 5 categories: (1) patient criteria, (2) health care provider criteria, (3) efficacy, (4) safety, and (5) treatment considerations. Of the 40 statements that were assessed, 28 reached consensus and the remai...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2020 Category: OBGYN Tags: AUGS Clinical Consensus Statement Source Type: research

#Urogyn: What’s Trending on Instagram? A Cross-sectional Observational Study
Conclusions More than 500,000 posts related to urogynecology were identified on Instagram. Most posts were authored by patients and allied health professionals with a small contribution from physicians. Greater physician participation may increase the quantity of educational posts and offer a low-cost platform for networking and connecting with patients and other providers. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2020 Category: OBGYN Tags: Original Article Source Type: research

Why Urogynecologists Need to Be on Social Media
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2020 Category: OBGYN Tags: Editorial Source Type: research

Urinary Incontinence and Pelvic Organ Prolapse Knowledge, Care-Seeking, and Embarrassment in Women Planning Bariatric Surgery: A Cross-sectional Study
The objective of this study was to assess whether patients seeking bariatric surgery were at least as proficient in urinary incontinence (UI) and pelvic organ prolapse (POP) knowledge as the general population. Our secondary objective was to determine care-seeking and impact of embarrassment on knowledge of pelvic floor disorders (PFDs). Methods An anonymous survey was administered to adult women who attended a bariatric surgery information session from May 2015 to January 2016. The comprehensive survey included multiple data points and the Prolapse and Incontinence Knowledge Quiz. The study population was compared with...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 25, 2020 Category: OBGYN Tags: Original Articles Source Type: research

Psychometric Evaluation of the Toileting Behaviors: Women’s Elimination Behaviors Scale in a Sample of College Women
Background Lower urinary tract symptoms in women including urinary incontinence and overactive bladder are common women’s health conditions with negative financial, health, and quality of life consequences. Certain behaviors are associated with symptom presentation. Identifying and modifying these behaviors could decrease symptom presentation and progression. The Toileting Behaviors: Women’s Elimination Behaviors (TB-WEB) scale is the only known theory-based tool to date designed to assess urinary toileting behaviors in women. It has been validated in middle-aged women, but it has not been validated in a youn...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 25, 2020 Category: OBGYN Tags: Original Articles Source Type: research

Low Bladder Compliance in Women: A Clinical Overview
Bladder compliance refers to the ability of the bladder to accommodate large volumes of urine. Patients with low bladder compliance may present with persistent urinary incontinence and/or evidence of upper tract damage. Clinicians often may not consider low bladder compliance in their differential for patients complaining of bothersome lower urinary tract symptoms. In this article, we aim to provide further guidance in the management of women with low bladder compliance given the lack of information on this topic in the medical literature. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 25, 2020 Category: OBGYN Tags: Review Articles Source Type: research

Transgender Surgery and Outcomes: Focused for the FPMRS Provider
Overview As visibility of the transgender population increases, understanding of the social, psychological, medical, and surgical aspects of these patients care is vital for the practicing female pelvic medicine and reconstructive surgery urologist. The aim of this review is to describe proper terminology, psychosocial considerations specific to transgender patients, in addition to outlining contemporary surgical techniques and complications. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 25, 2020 Category: OBGYN Tags: Review Articles Source Type: research

Lessons Learned From a Review of Malpractice Litigations Involving Obstetric Anal Sphincter Injury in the United States
Conclusions Avoidance of episiotomy, thorough medical recordkeeping, comprehensive discharge instruction and counseling, and timely evaluation and referral to a female pelvic medicine and reconstructive surgery specialist may help an ob/gyn prevail in OASIS-related litigations. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 25, 2020 Category: OBGYN Tags: Review Articles Source Type: research

Development of a Patient-Centered Pelvic Floor Complication Scale
Objective The aim of the study was to evaluate patient responses on a survey of knowledge, perceptions, concerns, and fears about complications related to pelvic reconstructive surgery (PRS). This is the first step to create a simplified, patient-centered Pelvic Floor Complication Scale that evaluates complications from both the patient and surgeon perspective. Methods Subjects for this prospective study included women older than 18 years planning surgery within 12 weeks or who had undergone PRS more than 6 months ago. Patients were asked open-ended questions about postoperative complications as well as to rank the se...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 25, 2020 Category: OBGYN Tags: Original Articles Source Type: research

Diet Modifications in Older Women With Fecal Incontinence: A Qualitative Study
Conclusions Older women with FI make several dietary modifications to manage their symptoms including limiting certain foods, changing methods of food preparation, and decreasing the amounts and frequency of meals. These strategies may be considered for inclusion in a diet modification plan that is culturally competent for older women with FI. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 25, 2020 Category: OBGYN Tags: Original Articles Source Type: research

Comparing Ketorolac With Ibuprofen for Postoperative Pain: A Randomized Clinical Trial
Conclusions There was no difference in pain and satisfaction with IV ketorolac compared with IV ibuprofen in patients who underwent all modalities of urogynecologic surgery. A subgroup of patients who underwent laparotomy had less pain with ketorolac. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 25, 2020 Category: OBGYN Tags: Original Articles Source Type: research

Joint Position Statement on the Management of Mesh-Related Complications for the FPMRS Specialist
The scientific approach to categorizing mesh complications and optimal methods to address them have been complicated by the rapid proliferation and evolution of materials and techniques that have been used over the past 20 years in surgical treatment of pelvic floor disorders. In addition, terminology used to diagnose and categorize mesh complications and the descriptions of surgical procedures to manage them have been adopted inconsistently, further hampering the development of a collective experience with a standardized lexicon. Finally, much of the high-quality data on management of mesh complications is based on materi...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 25, 2020 Category: OBGYN Tags: AUGS-IUGA Joint Publication Source Type: research

A Case Report of a Periurethral Smooth Muscle Tumor of Uncertain Malignant Potential
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 29, 2020 Category: OBGYN Tags: Case Reports Source Type: research

Sacral Neuromodulation Lead Twisting Causes Migration and Loss of Efficacy
Conclusions Sacral neuromodulation lead complications are known to be among the most consequential adverse events. We report the first 2 cases, to our knowledge, of patients presenting with an InterStim device that lost efficacy due to lead twisting and subsequent retrograde lead migration, likely due to rotation of the IPG within the gluteal pocket. This finding is easily remedied with IPG pocket revision and lead replacement. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 29, 2020 Category: OBGYN Tags: Case Reports Source Type: research

Hydronephrosis Associated With Pelvic Organ Prolapse: A Systematic Review
Conclusions Hydronephrosis among patients with POP is not rare, and we suggest consideration of upper tract evaluation in patients presenting with POP, particularly in those with advanced uterovaginal prolapse electing to proceed with expectant or conservative management. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 29, 2020 Category: OBGYN Tags: Review Articles Source Type: research

Effect of Bariatric Surgery on Urinary Incontinence in Obese Women: A Meta-analysis and Systematic Review
Objectives The aim of this study was to explore the effectiveness of bariatric surgery in obese women with urinary incontinence (UI) through meta-analysis. Methods Searches of PubMed, the Cochrane Library, and EMBASE databases were performed using “weight loss surgery/bariatric surgery/gastric bypass surgery” and “incontinentia urinae/uracratia/urinary incontinence/uroclepsia” in the title/abstract before January 2018. Then, meta-analysis was analyzed by Review Manager 5.3 (Cochrane Collaboration, Oxford, United Kingdom). The standardized mean difference (SMD) and odds ratio (OR) were used to d...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 29, 2020 Category: OBGYN Tags: Review Articles Source Type: research

Long-Term Outcomes of Robotic-Assisted Laparoscopic Sacrocolpopexy Using Lightweight Y-Mesh
Conclusions Robotic-assisted laparoscopic sacrocolpopexy using very lightweight mesh provided excellent long-term results with no mesh-related complications. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 29, 2020 Category: OBGYN Tags: Original Article Source Type: research

Joint Report on Terminology for Surgical Procedures to Treat Pelvic Organ Prolapse
Surgeries for pelvic organ prolapse (POP) are common, but standardization of surgical terms is needed to improve the quality of investigation and clinical care around these procedures. The American Urogynecologic Society and the International Urogynecologic Association convened a joint writing group consisting of 5 designees from each society to standardize terminology around common surgical terms in POP repair including the following: sacrocolpopexy (including sacral colpoperineopexy), sacrocervicopexy, uterosacral ligament suspension, sacrospinous ligament fixation, iliococcygeus fixation, uterine preservation prolapse p...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 29, 2020 Category: OBGYN Tags: AUGS-IUGA Joint Publication Source Type: research

Joint Report on Terminology for Surgical Procedures to Treat Stress Urinary Incontinence in Women
Conclusions This document is a literature and consensus-based terminology report for surgical procedures to treat stress urinary incontinence in women. Future publications in female pelvic medicine and reconstructive surgery should use this standardized terminology whenever possible. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 29, 2020 Category: OBGYN Tags: AUGS-IUGA Joint Publication Source Type: research

Deciding Our Future: Consensus Conference Summary Report
Conclusions Using appropriate methodology, existing PRO measurement tools can be collapsed into one concise tool for POP quality measurement. Over the next year, work will continue toward this goal. Proposed updates to mesh terminology and treatment algorithms will be published separately. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 29, 2020 Category: OBGYN Tags: AUGS Clinical Guidance Document Source Type: research

Surgical Management of Pelvic Organ Prolapse in Ethiopian Women: What Is the Preferred Approach?
Conclusions Although both vaginal and abdominal routes of prolapse surgery seem to be safe, an abdominal approach with mesh augmentation may be the preferred surgical repair in Ethiopian women. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Optical Vaginal Biopsy Using Optical Coherence Tomography
In this study, we sought to compare vaginal tomographic images of premenopausal, perimenopausal, and postmenopausal women, demonstrate feasibility of tracking vaginal tissue changes after treatment with fractional-pixel CO2 laser therapy, and obtain a histologic correlation of these findings. Methods Enrolled subjects underwent imaging and were divided into 3 groups based on menopausal status. Women with genitourinary syndrome of menopause who received fractional-pixel CO2 laser therapy were assessed before and after treatment. A cadaveric vagina was used to obtain tomographic and histologic images to assess for accurac...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Intravesical Antibiotic Administration in the Treatment of Recurrent Urinary Tract Infections: Promising Results From a Case Series
Conclusions Intravesical instillations offer a promising therapy for the treatment of recurrent UTIs in postmenopausal women who failed oral antibiotic therapy. Future prospective studies are needed to further elucidate the clinical utility and long-term benefits of antibiotic instillations. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Effect of Vaginal Lactobacillus Species on Escherichia coli Growth
Conclusions Three of the most common vaginal Lactobacillus species inhibit E. coli growth, likely through creating a low pH environment. However, L. iners, one of the most common species found after menopause, does not. These findings might be leveraged to more effectively manage UTIs. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Racial and Ethnic Differences in Urodynamic Parameters in Women With Overactive Bladder Symptoms
Conclusions Our study suggests that minority race and ethnicity may be associated with worse performance on certain UDS parameters. Future studies should aim to understand if these differences are due to genetic, disease-related, behavioral, and/or socioeconomic factors and whether these differences are associated with worse subjective OAB. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Is Fluid Intake Associated With Fecal Incontinence in Women?
Objective The primary aim of this study was to determine if fecal incontinence (FI) is associated with self-reported fluid intake in women seeking care for pelvic floor disorders. The secondary aim was to determine the association between bowel symptoms and fluids associated with FI. Methods We conducted a retrospective cross-sectional study of women presenting for evaluation of pelvic floor disorders from 2009 to 2015. The presence of FI was defined as an affirmative response of any frequency to the question, “During the last 4 weeks, how often have you leaked or soiled yourself with stool?” Data on fluid...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Implantation Time Has No Effect on the Morphology and Extent of Previously Reported “Degradation” of Prolene Pelvic Mesh
Conclusions If in vivo Prolene degradation exists, there should be wide-ranging crack morphology and nonuniform crack penetration, as well as more cracking, degradation, and physical breakage for implants of longer implantation times, but this was not the case. There is no morphologic or spectral/chemical evidence of Prolene mesh degradation after up to 14.4 years in vivo. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

When to Remove the Indwelling Catheter After Minimally Invasive Sacrocolpopexy? CARESS (CAtheter REmoval after Sacrocolpopexy Surgery)
Conclusions We did not observe a difference in the risk of recatheterization or discharge home with a urinary catheter between the 2 groups. Addition of transvaginal tape to sacrocolpopexy did not show a difference in the risk of recatheterization. One reason for the lack of difference between the 2 groups could be due to a lack of power in our study. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Complications After Reperitonealization of Mesh at Time of Sacrocolpopexy: A Retrospective Cohort Study
Conclusions There is no significant difference in rates of complications or readmissions among patients with and without mesh reperitonealization at time of sacrocolpopexy. The only intraoperative complication solely attributed to mesh closure was a case with ureteral obstruction at time of reperitonealization. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Presacral Anatomy in Women With a Horseshoe Kidney
Objective Horseshoe kidney (HSK) is the most common renal fusion defect that can alter vascular and upper urinary tract anatomy. Anatomic variations in the presacral space can make surgical dissection very challenging. The aim of this study was to characterize presacral anatomy in women with HSK. Methods Large academic centers’ database was queried to identify imaging studies in adult women with HSK. Available multiplanar computed tomography and magnetic resonance imaging images were reviewed, and relevant vascular and upper urinary tract anatomy was measured and compared with published normal values. Study popu...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

An Alternative Approach to Posterior Colporrhaphy Plication Using Delayed Absorbable Unidirectional Barbed Suture
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

The Stress Urinary Incontinence in CrossFit (SUCCeSS) Study
Objective To evaluate the prevalence and severity of urinary incontinence (UI) in women who participate in CrossFit classes compared with women who participate in non-CrossFit group fitness classes. Methods The authors conducted a cross-sectional study of women who participate in either CrossFit or non-CrossFit group fitness classes using an online survey. Participants provided demographic information and completed the Incontinence Severity Index and Urinary Distress Inventory. Participants were recruited from local CrossFit and non-CrossFit gyms, online via social media, and an electronic CrossFit Newsletter. Associa...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Prevalence of Female Urinary Incontinence in Crossfit Practitioners and Associated Factors: An Internet Population-Based Survey
Objectives CrossFit comprises a set of high-intensity, high-impact exercises that includes movements that may increase intra-abdominal pressure and cause involuntary loss of urine. There is scant literature about the prevalence of urinary incontinence (UI) in female crossfitters, as well as its associated factors. Methods A population-based Internet survey stored in a website created with information on the benefits and risks of CrossFit for women’s health (https://crosscontinencebr.wixsite.com/crosscontinencebr) invited female crossfitters. In total, 551 women answered an online questionnaire, and the demograph...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Prolapse Recurrence After Sacrocolpopexy Mesh Removal: A Retrospective Cohort Study
Objectives There is limited literature regarding outcomes after sacrocolpopexy mesh removal. We sought to compare the proportion of prolapse recurrence in women after sacrocolpopexy mesh removal with women who underwent sacrocolpopexy without subsequent mesh removal. We hypothesize that more women will experience prolapse recurrence after mesh removal. Methods This is a retrospective cohort study of women who underwent sacrocolpopexy mesh removal between 2010 and 2019. These patients were time matched with women who had a sacrocolpopexy but did not undergo mesh removal. Prolapse recurrence was defined as the leading e...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Surgeon-Team Separation in Robotic Theaters: A Qualitative Observational and Interview Study
Conclusions Our emergent theory is that “surgeon-team separation in robotic theaters poses communication challenges which impacts on situational awareness and staff emotions.” These can be ameliorated by staff training, increased experience, and team/procedure consistency. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

In Pursuit of Patient-Centered Innovation: The Role of Professional Organizations
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 1, 2020 Category: OBGYN Tags: AUGS-IUGA Joint Editorial Source Type: research

Aftermath of a Midurethral Sling Placed in the First Trimester: A Case Report
We report a case of a 39-year-old woman who underwent an MUS in July 2017. She reported a 10-year history of frequency, urgency with rare urge incontinence, nocturia, and occasional SUI when coughing or sneezing. Preoperative assessment did not include a pregnancy test. Two days after MUS placement, she developed complete urinary retention, and it was determined that she was 6 weeks pregnant. She was referred to a tertiary urogynecology unit and was seen at 23 weeks’ gestation with worsening symptoms of urinary frequency and nocturia. She also described difficulty voiding but no incontinence. She was managed with con...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 21, 2019 Category: OBGYN Tags: Case Reports Source Type: research

Osteochondroma of the Pubic Symphysis Involved With Aberrantly Placed Minisling: A Case Report
Osteochondromas are benign bone tumors that rarely involve the pubic symphysis. This case report describes a 41-year-old woman with a pubic symphyseal osteochondroma associated with an aberrantly placed single incision sling. After an outside surgeon placed a single incision midurethral sling for stress urinary incontinence, she developed pelvic pain, dyspareunia and vaginal mesh sling exposure. Imaging demonstrated a 2.6 centimeter calcified mass posterior to the pubic symphysis. The patient underwent excision of the mass and the eroded mesh sling via vaginal and abdominal approaches. Pathology demonstrated osteochondroma...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 21, 2019 Category: OBGYN Tags: Case Reports Source Type: research

Alterations of Vascular Endothelial Growth Factor A Expression and Microvessel Density Associated With Polypropylene Vaginal Mesh
Objective Vaginal mesh exposure is the most common complication from mesh use in prolapse and incontinence surgery. Angiogenesis is an essential component of tissue healing, and defective angiogenesis plays a role in chronic wounds. We hypothesized that patients with exposures will have impaired angiogenesis as evidenced by altered tissue vascular endothelial growth factor A (VEGFA) expression and microvessel density. The study objective was to compare angiogenesis in women with vaginal mesh exposures, those with vaginal mesh without exposures, and in women who were mesh-naive. Methods Patients undergoing polypropylen...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 21, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Depression, Anxiety, and Pelvic Floor Symptoms Before and After Surgery for Pelvic Floor Dysfunction
Objectives We aimed to explore the correlation between perioperative symptoms of depression and anxiety with pelvic floor symptoms after urogynecologic surgery. Postoperative pain, goal attainment, quality of life, and satisfaction were assessed. Methods A prospective cohort study of women undergoing inpatient urogynecologic surgery was conducted. Preoperative questionnaires included Beck Depression and Beck Anxiety Inventories, Pain Catastrophizing Scale, Pelvic Floor Distress Inventory, Pelvic Floor Impact Questionnaire, and a detailed goals and perioperative supports questionnaire. Postoperative pain was assessed v...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 21, 2019 Category: OBGYN Tags: Original Articles Source Type: research

The Effect of Commonly Performed Exercises on the Levator Hiatus Area and the Length and Strength of Pelvic Floor Muscles in Postpartum Women
Conclusions Bird-dog, plank, and leg-lift exercises should be evaluated as alternative exercises to Kegel as they affect PFM strength and length and LH area similarly to Kegel, and leg lifts generate a stronger contraction than Kegel. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 21, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Levator Morphology and Strength After Obstetric Avulsion of the Levator Ani Muscle
This study compares the size of the levator hiatus, the width of the genital hiatus, and pelvic muscle strength between vaginally parous women with or without levator avulsion, 5 to 15 years after delivery. Methods Parous women were assessed for levator ani avulsion, using 3-dimensional transperineal ultrasound. Women with and without levator ani avulsion were compared with respect to levator hiatus areas (measured on ultrasound), genital hiatus (measured on examination), and pelvic muscle strength (measured with perineometry). Further analysis also considered the association of forceps-assisted birth. Results At a m...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 21, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Transfusion Rates and the Utility of Type and Screen for Pelvic Organ Prolapse Surgery
The objectives of the study are to (1) provide baseline data regarding the current need for preoperative T&S by comparing perioperative blood transfusion rates between 3 routes of apical POP surgery and (2) determine the rate of a positive preoperative antibody screen in women who underwent apical POP surgery. Methods This was a retrospective cohort study of women who underwent apical POP surgery by 3 different routes: abdominal (abdominal sacrocolpopexy), robotic (robotic sacrocolpopexy), or vaginal (uterosacral or sacrospinous ligament fixation). Results Among 610 women who underwent apical POP surgeries betwee...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 21, 2019 Category: OBGYN Tags: Original Articles Source Type: research

A Modern Comparison of Urodynamic Findings in Diabetic Versus Nondiabetic Women
Conclusions In this contemporary series, women with DM demonstrated similar presenting complaints to women without DM but had significantly altered UDS findings. Among diabetic female patients, diabetes control and duration of diabetes seem to impact bladder sensation and contractility. Urodynamics may be helpful in diabetic female patients to diagnose underlying concealed bladder dysfunction before initiation of treatment. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 21, 2019 Category: OBGYN Tags: Original Articles Source Type: research