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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. Posi...
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