Female Pelvic Medicine and Reconstructive Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

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 tract sy...
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. Betwe...
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, con...
Source: Female Pelvic Medicine and Reconstructive Surgery - April 29, 2021 Category: OBGYN Tags: AUGS Research Report Source Type: research