Now Anyone Can Kegel (NACK): One-time Office Teaching of Pelvic Floor Muscle Exercises: Erratum
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Erratum Source Type: research

Understanding Your Online Ratings: A Methodological Analysis Using Urogynecologists in the United States: Erratum
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Erratum Source Type: research

Evaluation of Smartphone Pelvic Floor Exercise Applications Using Standardized Scoring System
Conclusion The quality of the apps is markedly variable in both the paid and unpaid applications. Using the APPLICATIONS scoring system, the apps were very similar in overall quality and value. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Is There an Association Between Bothersome Urinary Symptoms and Postpartum Depression?
Conclusions No statistically significant association between bothersome urinary symptoms and the odds of screening positive for increased risk of postpartum depression was found. Future work in this area is needed. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Physical Activity Patterns and Sedentary Behavior in Older Women With Urinary Incontinence: an Accelerometer-based Study
Conclusions Low levels of physical activity are associated with greater nocturia and nocturnal enuresis. Sedentary behavior is a new construct that may be associated with lower urinary tract symptoms. Physical activity and sedentary behavior represent potential new targets for treating nocturnal urinary tract symptoms. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Comparison of Vaginal Axis in Women Who Have Undergone Hysterectomy Versus Women With an Intact Uterus
Objectives To compare vaginal axis and posterior cul-de-sac measurements in women who have undergone hysterectomy and women with an intact uterus. Methods This was a retrospective cohort study comparing magnetic resonance imaging findings in women who had undergone hysterectomy with women with an intact uterus. The primary outcome was change in the upper, middle, and lower vaginal axes relative to the pelvic inclination correction system line. Secondary outcomes included angles between the upper-middle and middle-lower vagina, depth of the posterior cul-de-sac, and total vaginal length. Results In the hysterectomy ...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Orally Administered Combination of Hyaluronic Acid, Chondroitin Sulfate, Curcumin, and Quercetin in the Prevention of Postcoital Recurrent Urinary Tract Infections: Analysis of 98 Women in Reproductive Age After 6 Months of Treatment
Objective The aim of this study is to assess the efficacy of orally administered combination of hyaluronic acid (HA), chondroitin sulfate (CS), curcumin, and quercetin for the prevention of postcoital recurrent urinary tract infection (UTI) in reproductive age women. Methods Ninety-eight consecutive patients in reproductive age affected by UTI were considered for the study. All 98 patients received a combination of HA, CS, curcumin, and quercetin two tablets per diem for the first month and one tablet every day for the next 5 months. We investigate recurrence of UTI with the Urinary Tract Infection Symptoms Assessment...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

The Association of Abdominal Striae With Pelvic Organ Prolapse
Conclusion Women with POP are more likely to have striae compared with women without POP. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Teaching Vaginal Hysterectomy via Simulation: Creation and Validation of the Objective Skills Assessment Tool for Simulated Vaginal Hysterectomy on a Task Trainer and Performance Among Different Levels of Trainees
Objectives The use of simulation-based education to train surgeons is widely accepted. Although many authors describe the use of an Objective Skills Assessment Test (OSAT) to assess performance of various surgical procedures, there is a paucity of research on use of this modality to evaluate vaginal surgery skills. We created a vaginal hysterectomy procedure-specific checklist (PSC) to complete the OSAT (which is composed of a PSC and a global rating scale [GRS]). The primary objective of this study is to evaluate the performance of a novel evaluation strategy for vaginal hysterectomy using an OSAT combining PSC and GRS....
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Volume at First Leak Is Associated With Sling Failure Among Women With Stress Urinary Incontinence
Conclusions Bladder volume at first leak is a strong predictor of sling failure. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Effectiveness of Assessing Ureteral Patency Using Preoperative Phenazopyridine
Objectives The aims of this study were to determine the efficacy of phenazopyridine when used intraoperatively to assess ureteral patency and to investigate factors that may influence its efficacy. Methods This is a retrospective chart review performed at the Olive View–UCLA Medical Center, a Los Angeles County teaching hospital, from January 2014 through July 2016. Patients undergoing cystoscopy at the time of gynecologic surgery were identified via department case logs. All women receiving preoperative oral phenazopyridine were included. If ureteral flow was unable to be visualized with phenazopyridine alone, ...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Does the Vaginal Flora Modify When a Synthetic Mesh is Used for Genital Prolapse Repair in Postmenopausal Women? A Pilot, Randomized Controlled Study
Conclusions In this pilot study, the use of synthetic mesh by vaginal or abdominal route did not affect the vaginal flora in postmenopausal women operated on by POP surgery. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Patients’ Knowledge of and Attitude Toward Robotic Surgery for Pelvic Organ Prolapse
Conclusions The majority of women with POP reported no preference for robotic approach to POP surgery. Knowledge about robotic surgery was low, even among subjects who expressed preference. Comprehensive counseling may help patients make informed decisions even when surgical preferences exist. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Long-Term Outcomes After Overlapping Sphincteroplasty for Cloacal-Like Deformities
Conclusions Perioperative morbidity after overlapping sphincteroplasty for cloacal-like deformities after obstetrical injury is rare. Although long-term complete anal continence may be difficult to achieve in all cases, good quality of life measures and low symptom severity were noted at a mean interval of 7 years after surgery. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Randomized Controlled Trial to Assess the Impact of Intraurethral Lidocaine on Urodynamic Voiding Parameters
Conclusions In this pilot study of 23 asymptomatic women, intraurethral administration of lidocaine did not decrease VE compared with placebo. The lidocaine group had a greater percentage of interrupted flow patterns and increased electromyographic activity during micturition. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Surgical Innovation and the US Food and Drug Administration
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 25, 2019 Category: OBGYN Tags: Editorial Source Type: research

Effect of Electronic Video Education on Patient's Self-Assessed Knowledge About Obesity and Pelvic Floor Disorders: A Randomized Controlled Trial
Conclusions Participants who received electronic video education scored significantly higher on self-assessed perception of knowledge questionnaire about pelvic floor disorders in relation to obesity. The video did not increase motivation to lose weight. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

In Search of Mobile Applications for Patients With Pelvic Floor Disorders
Conclusions Few identified apps were accurate and subsequently scored. Our results demonstrate that when searching for apps, patients are likely to obtain information that is not relevant or inaccurate, even if the appropriate search term is used. By carefully excluding inaccurate apps, providers should feel confident that the 23 scored apps can be shared with patients. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Urine RNA Processing in a Clinical Setting: Comparison of 3 Protocols
Conclusions Although other methods may provide a higher quantity of RNA, when using clinical urine samples, the ZR Urine RNA Isolation Kit provided the highest quality of extracted RNA. This kit is especially attractive for the clinical setting because it does not require an initial centrifugation step. The urine RNA obtained with this kit may be useful for polymerase chain reaction but is not likely to be of high enough integrity for RNA sequencing. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Associations Between Risk Factors and Overactive Bladder: A Meta-analysis
Conclusions This meta-analysis suggests that age and body mass index are associated with increased risks of OAB, whereas employment status is associated with a decreased risk of OAB. Further prospective studies with large sample sizes are needed to confirm this conclusion. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

The Relationship Between Intra-Abdominal Pressure and Body Acceleration During Exercise
Conclusion Waist-worn accelerometers may provide a viable method for approximating mean maximal IAP in a population of women during most activities. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Restoring Genital Hiatus to Normative Values After Apical Suspension Alone Versus With Level 3 Support Procedures
Objective The aim of the study was to evaluate postoperative genital hiatus after apical suspension procedures without a level 3 support procedure (L3SP), posterior repair, and perineorrhaphy, compared with normative-value genital hiatus of 3.4 cm. Methods This an analysis of a pre-existing retrospectively collected database that included all minimally invasive sacrocolpopexies and uterosacral ligament suspensions performed at a tertiary medical center from January 2009 to August 2015. Results We identified 1006 surgical cases: 160 (15.9%) apical suspensions with L3SPs and 846 (84.1%) without. Mean (SD) age was 59 ...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Ultrasound Indicators of Rectal Support Defect in Women With Obstructive Defecatory Symptoms
Conclusions Women with obstructive defecatory symptoms have wider rectum and descendent levator plate regardless of the stage of prolapse as measured by POPQ or the severity of rectocele. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Abdominal Sacrocolpopexy for Repair of Pelvic Organ Prolapse After Radical Cystectomy
Conclusion In women with large enterocele or vaginal vault prolapse after RC, repair with ASC, although technically challenging, can offer durable POP outcomes. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Sacrocolpopexy With Concomitant Total vs Supracervical Hysterectomy: Functional Support Comparisons in Cadavers
Conclusions This study showed no differences in the ability of the cervix (after supracervical hysterectomy) compared with the vaginal cuff (after total hysterectomy) to resist downward traction of successive weights after ASC. Clinical trials are necessary to correlate these findings with prolapse recurrence rates and patient satisfaction following these procedures. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Anterior Colporrhaphy With and Without Dermal Allograft: A Randomized Control Trial With Long-Term Follow-Up
Conclusions We cannot conclude whether there is a difference in anterior recurrence for anterior colporrhaphy with and without dermal allograft and do not recommend changes in clinical practice based on these results. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

Pelvic Organ Prolapse Repair Using the Uphold Vaginal Support System: 5-Year Follow-Up
This study aimed to assess the long-term (5 years) outcomes of the Uphold Vaginal Support System for symptomatic vaginal apical prolapse with or without anterior colporraphy. Methods In total, 164 (81.2%) of 202 women operated on in 24 centers were reached for follow-up. Outcomes were assessed by using the Pelvic Organ Prolapse Quantification, the Pelvic Floor Distress Inventory 20, and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire questionnaires. Pain on pelvic area was evaluated using a visual analog scale. Adverse events and secondary procedures were recorded. Results An optimal outcome at th...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Original Articles Source Type: research

A Gift for FPMRS Reviewers
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 20, 2019 Category: OBGYN Tags: Editorial Source Type: research

Neurologic Injury After Sacral Neuromodulation
Conclusions Neurologic sequelae from an infection after SNS are a rare event and should be considered in patients with fevers, leg pain, and neurologic deficits. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: Case Reports Source Type: research

Rectoneovaginal Fistula in a Transgender Woman Successfully Repaired Using a Buccal Mucosa Graft
Conclusions In some cases, RnVFs following vaginoplasty surgery for gender affirmation may be repaired successfully with a buccal mucosa graft. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: Case Reports Source Type: research

Abstract Book
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Complex Female Pelvic Pain: A Case Series From a Multidisciplinary Clinic in Urogynecology and Physiatry
Conclusions Musculoskeletal abnormalities were common in this highly selected cohort of complex CPP cases with external pelvic symptoms. The imaging findings and specific diagnoses allowed targeted therapy beyond generalized physical therapy for CPP. The expertise of urogynecologists and physical therapists who evaluate the internal pelvic muscles and viscera combined with the physiatrist’s expertise in musculoskeletal assessment and imaging provides an expanded, collaborative approach for managing these patients. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

A Cross-sectional Pilot Cohort Study Comparing Standard Urine Collection to the Peezy Midstream Device for Research Studies Involving Women
Conclusions Compared with standard clean catch method, the Peezy urine collection device with and without the castile soap wipe resulted in urine with lower bacterial abundance that was distinct from the periurethra. Voided urine collected by Peezy may reduce postbladder microbial contribution. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

A 3-Dimensional Anatomical Education Model in Postpartum Perineal Laceration Care: A Pre-Post Intervention Study
Objective The aim of this study was to investigate the effects of postpartum patients introduction to and interaction with a virtual 3-dimensional (3D) pelvic model on the self-care, knowledge, and anxiety parameters. Methods The model was designed from computed tomography data displaying the involvement of the levator ani in a fourth-degree perineal laceration. This 3D model was used to educate postpartum day 1 patients at the bedside. Patient data were collected using a pre and post questionnaire assessing knowledge, anxiety, and confidence in perineal wound self-care. Results Thirty-six patients were enrolled wi...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Predictive Factors of Postdischarge Narcotic Use After Female Pelvic Reconstructive Surgery
Objective The aim of the study was to evaluate the association of patient factors, amount of in-hospital postoperative narcotics, and pain scores on postdischarge narcotic use (PDNU). Methods This is a secondary analysis of a randomized controlled trial comparing a postoperative usual-care regimen with multimodal pain regimen after pelvic reconstructive surgery. This analysis evaluated patients in the multimodal arm. Postdischarge narcotic use (as mg oral morphine equivalents, MME, calculated from narcotic tablets remaining) was assessed postoperative days 7 to 10. Brief Pain Inventory (BPI) surveys were collected pre...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Analysis of Robotic Procedural Times Using Colpassist Versus End-to-End Anastomosis Sizer for Robotic-Assisted Sacrocolpopexy: A Randomized Controlled Trial
Objective The impact of vaginal instrumentation on operative time for robotic-assisted sacrocolpopexy (RSC) is not well understood. Colpassist (Boston Scientific, Quincy, Mass) is a vaginal positioning device designed to improve exposure with a curved double-sided handle that can be adapted to patient anatomy with 2 different sized functional ends. We sought to compare operative time for RSC using a Colpassist compared with a traditional end-to-end anastomosis sizer (EEAS). Methods This was a single-center randomized controlled trial of consecutive women undergoing RSC for apical pelvic organ prolapse. Participants we...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Approach to Ureterovaginal Fistula: Examining 13 Years of Experience
Conclusions In carefully selected patients, ureteral stenting results in high cure rates for posthysterectomy ureterovaginal fistulas and should be considered first-line therapy. Complicated ureterovaginal fistulas may be best managed by primary ureteral reimplantation. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Understanding Your Online Ratings: A Methodological Analysis Using Urogynecologists in the United States
Objective The influence of online physician ratings is growing, yet their interpretation remains difficult. Our aim was to analyze the online content of urogynecologists on 1 website to transform these ratings into practical tools for care improvement. Methods This cross-sectional analysis studied the ratings and reviews of every board-certified urogynecologist listed on Healthgrades.com. The ratio of 5:1 ratings was compared between various physician characteristics and practice qualities. Four investigators classified narrative reviews into one or more of the following themes: about the (1) physician, (2) clinical o...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Validation and Testing of an E-Learning Module Teaching Core Urinary Incontinence Objectives in a Randomized Controlled Trial
Conclusions The UI-ELM resulted in greater improvement in UI knowledge among third year medical students compared with traditional methods of learning and similar to those exposed to a UroGyn rotation. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Determining the Health State Utility Value of Urinary Tract Infection in Women
Conclusions Our data suggest a value of 0.90 to represent the health state utility value of UTI in women older than 18 years. The EQ-5D is not sensitive to impact of UTI in women, and we would not recommend using it for that purpose based on our findings. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

The Effect of Lidocaine Gel on Pain Perception During Diagnostic Flexible Cystoscopy in Women: A Randomized Control Trial
Conclusions Pain perception during flexible cystoscopy decreased when using 2% transurethral lidocaine gel. The use of 2% lidocaine gel is suggested for the reduction of pain at the time of diagnostic flexible cystoscopy in women. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Desire for Continued Pessary Use Among Women of Hispanic and Non-Hispanic Ethnic Backgrounds for Pelvic Floor Disorders
Conclusions Despite increased vaginal pain and vaginal microbiome disturbances in Hispanic women using a pessary, no significant differences in the desire to continue using the pessary existed. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Retrospective Cohort Study on the Perioperative Risk Factors for Transient Voiding Dysfunction After Apical Prolapse Repair
Objectives The primary aim was to compare the incidence of transient voiding dysfunction (TVD) between vaginal uterosacral ligament suspension, sacrospinous ligament fixation, and robotic sacrocolpopexy. Secondarily, we identified risk factors for TVD and associated postoperative complications. Methods This was a retrospective cohort study of women who underwent apical repair at 1 institution. Data were collected from electronic medical records and were presented as means (SD) or numbers (percent) as appropriate. Univariate and multivariate analyses were performed to identify risk factors for TVD and its associated po...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Association of Urinary Phytoestrogens With Pelvic Organ Prolapse and Fecal Incontinence Symptoms in Postmenopausal Women
Conclusions Increased urinary O-desmethylangolensin level was associated with lower odds of FI. Future research may be warranted to further investigate the potential of specific phytoestrogens as mediators of FI, as well as the role of phytoestrogens on POP symptoms. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Lower Urinary Tract Symptoms in Women With Female Genital Mutilation
This study aimed to describe symptom prevalence and quality of life impact from lower urinary tract symptoms (LUTS) in women living with female genital mutilation (FGM) in the United States. Methods A convenience sample of English-speaking women with FGM were invited to complete an anonymous survey including the Female Lower Urinary Tract Symptoms questionnaire to assess symptom prevalence and bother and the Pelvic Floor Impact Questionnaire-7 to assess quality of life impact from pelvic floor disorders. Data are reported as median (interquartile range). Correlations were calculated using Spearman ρ. Results Thir...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

All Levels of Providers Can Effectively and Efficiently Teach Pelvic Floor Strength Assessment at Time of Pelvic Examination
Conclusions At the time of pelvic floor muscle assessment, the level of provider does not impact teaching time or PFMC1 to PFMC3. Teaching pelvic floor muscle exercise is a cost-effective, low-resource tool to improve patient care, and providers of any level should be encouraged to teach pelvic floor muscle exercise to patients at the time of office examination. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Now Anyone Can Kegel: One-Time Office Teaching of Pelvic Floor Muscle Exercises
Objective In women with pelvic floor disorders, we sought to determine time-to-teach (TTT) correct pelvic floor muscle (PFM) contraction, prevalence of inappropriate muscle contractions, and the association between TTT with PFM strength (PFMS). Methods From August 2017 to April 2018, patients from 2 pelvic floor disorder clinics participated in a prospective study examining PFMS. Assessment of PFMS was performed to obtain TTT, inappropriate accessory muscle, and Modified Oxford Grading Scale scores for pelvic floor muscle contractions 1 to pelvic floor muscle contractions 2. Results Of 100 women, 77 were from low-r...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Considering Low Health Literacy: How Do the Pelvic Floor Distress Inventory—Short Form 20 and Pelvic Floor Impact Questionnaire—Short Form 7 Measure Up?
Conclusions Knowledge of potential barriers to understanding and completion may improve utilization of and accuracy of patient responses to PFDI-20 and PFIQ-7 in women with low health literacy. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Assessing Readability: Are Urogynecologic Patient Education Materials at an Appropriate Reading Level?
Conclusions All assessed AUGS and IUGA patient information English documents had readability scores above National Institutes of Health–recommended reading level. Spanish IUGA documents were written at a lower reading level than their English counterparts. To best meet patient education needs, future materials development should emphasize readability and utilization of plain language best practices. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Willingness of Women With Pelvic Floor Disorders to Use Mobile Technology to Communicate With Their Health Care Providers
Objectives The aim of this study was to assess willingness of women with pelvic floor disorders to adopt nontraditional mobile communication methods with health care providers. Methods This is a cross-sectional study of women with pelvic floor disorders. Women completed a survey regarding what technology they owned, how they utilized it, and their willingness to use technology to communicate with providers. Results Overall mobile technology ownership was high; however, older women were significantly less likely to own a smartphone (75%) compared with younger (100%) and middle-aged women (98%; P (Source: Female Pelv...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research