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Opioid Consumption After Urogynecologic Surgery: A Prospective Multicenter Observational Study Using a Text-Messaging Survey Tool
Importance Understanding postoperative opioid consumption is key to reducing opioid misuse. Objective The aim of the study was to quantify the amount of outpatient opioids consumed after urogynecologic surgery. Study Design This is a prospective multicenter cohort study sponsored by the American Urogynecologic Society Fellow’s Pelvic Research Network. Women undergoing pelvic organ prolapse or urinary incontinence surgery between May 2019 and January 2021 were included. Patients used text messaging to report daily opioid consumption, pain levels, and nonopioid analgesic consumption 2 weeks postoperativel...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 25, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Barriers and Promotors to Health Service Utilization for Pelvic Floor Disorders in the United States: Systematic Review and Meta-analysis of Qualitative and Quantitative Studies
Conclusions This review identified a low utilization rate for pelvic floor care and revealed multilayered, actionable items affecting care-seeking behavior. It highlights the need for more inclusive and multifaceted approaches in future pelvic floor disparity research and equity interventions. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 25, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Patient Satisfaction, Provider Productivity, and Efficacy of a Standardized Preparatory Toolkit With Broad Telemedicine Adaptation in an Outpatient Urology Clinic
Importance The COVID-19 pandemic prompted telemedicine adoption. In March 2020, we developed an implementation toolkit with a nursing protocol for patient preparation before tertiary care urology clinic visits. Objectives Our primary objective was to determine patient satisfaction after implementation of a telemedicine toolkit. Our secondary objective was to assess downstream productivity generated from telehealth visits. Study Design We prospectively conducted a postvisit survey that included the Telehealth Usability Questionnaire, a validated survey assessing patient satisfaction, for all patients with ...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 25, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Effect of Time of Year on Surgical Outcomes in Patients Undergoing Minimally Invasive Sacral Colpopexy or Uterosacral Ligament Suspension
Importance Academic urogynecologists incorporating fellows/residents into operative cases must ensure safety and quality outcomes throughout the learning curve of the academic year. Objectives We evaluated if the month of year relative to fellow/resident promotions in July affects operating time, complications, and prolapse recurrence for minimally invasive sacral colpopexy (MISC) or uterosacral ligament suspension (USLS). Study Design This was a retrospective study comprising MISC and USLS from January 2009 to August 2015. Patient demographics, clinical, and surgical data were compared between months wit...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 25, 2022 Category: OBGYN Tags: Original Articles Source Type: research

The Effect of Preoperative Fiber on Postoperative Bowel Function After Pelvic Reconstructive Surgery: A Randomized Controlled Trial
Conclusions Preoperative fiber supplementation before prolapse surgery does not improve time to first bowel movement after surgery. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Relationship Between Opioid Prescriptions and Number of Chronic Pain Conditions in Women With Interstitial Cystitis
Objectives The aim of this study was to determine the relationship between opioid prescriptions and number of chronic pain conditions in women with interstitial cystitis (IC). Methods This was a cross-sectional study. Women diagnosed with IC based on International Classification of Diseases, Ninth Revision/Tenth Revision codes over an 11-year period (2010–2020) were identified from electronic medical records. Data on comorbidities and ambulatory opioid prescriptions were also extracted. Univariable and multivariable logistic regressions were used to assess the relationship between opioid prescriptions and the ...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Length of Stay and 30-Day Postoperative Complications Following Minimally Invasive Apical Prolapse Repair
The objective of this study was to use a nationwide database to examine the correlation between length of stay and 30-day postoperative complications following minimally invasive apical prolapse repair. Study Design This retrospective cohort study included women in the American College of Surgeons National Surgical Quality Improvement Program database from 2008 to 2018 who underwent laparoscopic/robotic sacrocolpopexy or uterosacral/sacrospinous repair and were discharged on postoperative day 0 (POD0) or 1 (POD1). The primary outcome was 30-day postoperative complication rate. Results Of the 28,269 women disc...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Preprocedure and Immediate Postoperative Changes to Genital Hiatus Following Minimally Invasive Sacrocolpopexy
This study assesses resting genital hiatus (GH) measurements under anesthesia as compared with in-office measurements for intraoperative planning purposes. Objectives The aim of this study was to determine the influence of general anesthesia and apical suspension on GH measurements compared with office measurements. Study Design This was a retrospective cohort of women who underwent minimally invasive sacrocolpopexy within an academic urogynecology practice. Genital hiatus for each patient was measured at 4 time points: (1) preoperative office examination (baseline) at rest (GHrest) and with strain (GHstrain)...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Quantifying the Added Value of 2 Common Frailty Measures for Predicting Adverse Outcomes After Elective Hysterectomy
Conclusions The RAI and mFI provided modest improvement in the ability to predict adverse outcomes, which limits its clinical utility. Surgeons may consider selective utilization among those individuals undergoing abdominal hysterectomy or with BMI of 40 of higher or less than 20. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Postprocedural Pain Associated With 5 Versus 20 Intradetrusor Injections of onabotulinumtoxinA for Treatment of Overactive Bladder: A Multicenter Randomized Clinical Trial
Importance Intradetrusor injection of onabotulinumtoxinA is performed via varying injection paradigms but no studies have studied the various effects of these paradigms on patient experience with the procedure. Objectives This randomized clinical trial aims to compare pain and procedure time between patients receiving a 100-unit dose of onabotulinumtoxinA in 5 injections compared to 20 injections for the treatment of idiopathic overactive bladder or urgency urinary incontinence. Study Design Patients presenting with refractory overactive bladder or urgency urinary incontinence at 2 clinical sites were ide...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Incidence and Risk Factors for Genitourinary Tract Injury Within 1 Year After Surgery for Pelvic Organ Prolapse
The objective of this study was to identify the incidence and risk factors of GUTI related to POP surgery. Study Design Women undergoing POP surgery between 2010 and 2019 were identified using Current Procedural Terminology codes in the Premier Healthcare Database. The primary outcome was GUTI, defined as bladder or ureteral injury, and vesicovaginal or ureterovaginal fistula within 1 year of surgery. Genitourinary tract injury was identified using International Classification of Diseases and Current Procedural Terminology codes. Patients were divided into those with and without GUTI. Differences between groups were...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Altis® Adjustable Single Incision Sling System for Treatment of Intrinsic Sphincteric Deficiency: A 3-Year Follow-up Observational Study
Conclusions Altis system could be considered an effective and safe alternative to traditional midurethral slings as treatment for women with ISD. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Who’s Posting What? A Qualitative, Cross-Sectional Study Comparing Twitter and Instagram Patterns Between Health Care Professionals and Patients
Conclusions Physicians are more likely to post on Twitter than Instagram, with content focused primarily on their peer group, and physicians/patients are unlikely to engage with each other. There is an opportunity to improve social media interactions between physicians and the public while increasing high-quality patient education. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Trends in Performance of Anti-Incontinence Treatment at the Time of Pelvic Organ Prolapse Repair From 2011 to 2019
Conclusions After the FDA's order for postmarketing studies, rates of concomitant SUI treatment significantly decreased. Rates stabilized after the OPUS trial at around 35% and did not subsequently change. Rates of nonmesh concomitant SUI treatment decreased during the analysis period. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Design and Implementation of a Career Development Program for Physician-Scientists: Lessons Learned
Conclusions Career development programs that incorporate online education, mentoring, database access, and biostatistical support must be prepared for midprogram changes. Regular communication among stakeholders was vital. Working with a core facility provided efficient database access, but evolving regulatory and administrative processes and costs presented challenges. Our experiences implementing this program can benefit similar programs that train early-career physician-scientists. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: AUGS Research Report Source Type: research