Racial Differences in Pelvic Organ Prolapse Symptoms Among Women Undergoing Pelvic Reconstructive Surgery for Prolapse
Conclusions White women appeared to have more overall symptom bother from prolapse, as well as urinary symptoms, as compared with black women, when assessed by validated questionnaire tools in a cohort of patients who underwent prolapse surgery. Further research is required to determine if racial differences in symptoms translate to differences in outcomes. (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

Evaluation of Opioid Prescriptions After Urogynecologic Surgery Within a Large Health Care Organization: How Much Are We Prescribing?
Conclusions There is wide variation in the range of MME prescribed postoperatively to patients undergoing common urogynecologic surgeries. Less than two thirds of patients received a postoperative NSAID prescription, which was found to be independently associated with a higher postoperative opioid prescription dose. (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 Quality of Health Information Available on the Internet for Patients With Fecal Incontinence
Conclusions The quality of available information about FI on the Internet is variable, and key components are often missing. The term “fecal incontinence” yielded the highest quality information of all search terms. (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 12-Month Clinical Durability of Effectiveness and Safety Evaluation of a Vaginal Bowel Control System for the Nonsurgical Treatment of Fecal Incontinence
Objective The aim of this study was to characterize clinical success, impact on quality of life, and durability up to 1 year in women with fecal incontinence (FI) responsive to an initial test period with a trial vaginal bowel control system. Methods This was a prospective open-label study in subjects with FI and successfully fit who underwent an initial 2-week trial period. Those achieving 50% or greater reduction in FI episodes were provided the long-term system. Primary outcome was success at 3 months defined as 50% or greater reduction in baseline FI episodes, also assessed at 6 and 12 months. Secondary outcomes i...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Obstetrical Anal Sphincter Injuries and the Need for Adequate Care
Conclusions Multidisciplinary perineal clinics are needed globally. Despite the creation of the perineal clinic at the RAH, women continue to lack specialized care after OASI. It is crucial that healthcare professionals specializing in OASI share their experiences to establish best practices and create new, and improve existing, perineal clinics. (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

Anatomical Outcomes Based on Suturing Technique During Vaginal Mesh Attachment in Robotic Sacrocolpopexy
In this study, we assessed the difference in anatomical outcomes using the barbed, self-anchoring, delayed absorbable suture when compared with the traditional knot-tying interrupted suture technique during vaginal mesh attachment in robotic sacrocolpopexy. In addition, we compared the rates of mesh erosion with the 2 techniques. Methods This is a retrospective cohort study of 131 women who underwent minimally invasive robotic sacrocolpopexy at 2 sites. There were 65 subjects at site 1 (barbed, self-anchoring, delayed absorbable suture) and 66 from site 2 (traditional knot-tying technique). The primary outcome was anato...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Utility of Preoperative Laboratory Testing in Women Undergoing Suburethral Sling
Conclusions Most women who underwent midurethral sling procedures had preoperative testing. Major postoperative complications were uncommon, and there was no substantial difference in outcomes between women who underwent preoperative testing and those who did not. In the future, surgeons may consider eliminating preoperative testing in low-risk 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

Uterosacral Ligament Suspension Versus Robotic Sacrocolpopexy for Treatment of Apical Pelvic Organ Prolapse
Objective The aim of the study was to compare long-term outcomes of uterosacral ligament suspension (USLS) versus robotic sacrocolpopexy (RSC) in patients with pelvic organ prolapse. Methods This was an institutional review board–approved retrospective cohort study. Women 3 to 7 years after USLS or RSC were contacted for enrollment. Participants were asked to complete validated questionnaires and physical examinations. The primary outcomes were no symptoms of bulge or retreatment for prolapse (subjective) and POP-Q examination demonstrating prolapse above or equal to −1 (objective). For the subjective outc...
Source: Female Pelvic Medicine and Reconstructive Surgery - February 26, 2019 Category: OBGYN Tags: AUGS Special Issue Submissions Source Type: research

Perioperative Adverse Events in Women Undergoing Concurrent Hemorrhoidectomy at the Time of Urogynecologic Surgery
Conclusions Patients undergoing concurrent hemorrhoidectomy at the time of vaginal urogynecologic surgery are at higher risk of minor events such as postoperative urinary tract infection and need for discharge home with a Foley, as well as risk of pain that may be greater than urogynecologic surgery alone. (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 Prospective Randomized Trial Comparing Restorelle Y Mesh and Flat Mesh for Laparoscopic and Robotic-Assisted Laparoscopic Sacrocolpopexy
Conclusions Case and mesh placement times do not differ in patients undergoing LSC or RSC with either Restorelle Y mesh or flat mesh. At 6 months, subjective and objective successes were 94% and 100%, respectively. (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

Sling Plication for Failed Midurethral Sling Procedures: A Case Series
Conclusions Sling shortening by plication is an effective low-risk option for the management of persistent stress urinary incontinence following a midurethral sling. This approach was found to be more successful after retropubic slings. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Case Series Source Type: research

Treatment of Vaginal Shortening and Narrowing With Autologous Buccal Mucosa Graft Augmentation Without Vaginal Mold
Vaginal foreshortening can occur after hysterectomy leading to inability to engage successfully in vaginal intercourse resulting in decreased quality of life. Vaginal elongation using autologous buccal mucosal graft with mold and postoperative bed rest has been reported extensively for vaginal stenosis and foreshortening, but graft without mold has never been described. A 61-year-old woman 5 years after robotic-assisted hysterectomy with foreshortened vagina and vaginal stricture sought care secondary to the inability to have sexual intercourse. Her vagina was successfully repaired with autologous buccal mucosal grafting w...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Case Report Source Type: research

Intravaginal Diazepam for the Treatment of Pelvic Floor Hypertonic Disorder: A Double-Blind, Randomized, Placebo-Controlled Trial
Conclusions It is unlikely that self-administered intravaginal diazepam suppositories promote an improvement in the 100-mm visual analog scale of 20 mm or more or other substantial symptom improvement in women with pelvic floor hypertonic disorder. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Spanish Language Pelvic Floor Disorders Patient Information Handouts: How Readable Are They?
Conclusions Current available free, industry-, organization-, and government-provided reading materials in Spanish do not serve the Spanish-speaking only or low English-speaking literacy population. Future work should aim to simplify the language in such documents to the suggested sixth grade reading level. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Baseline Understanding of Urinary Incontinence and Prolapse in New Urogynecology Patients
Objectives Investigators sought to assess whether age was related to patient understanding of pelvic floor disorders; given studies show that increased age is associated with lower health literacy. Methods This was a cross-sectional survey of new urogynecology patients. Enrolled participants completed a survey including demographics, history of urinary incontinence (UI) and pelvic organ prolapse symptoms and treatment, the Prolapse and Incontinence Knowledge Questionnaire (PIKQ), self-assessment of UI and prolapse knowledge, and a pelvic anatomy diagram to label. To achieve 80% power to detect a 2-point difference in ...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Can Urodynamic Parameters Predict Sling Revision for Voiding Dysfunction in Women Undergoing Synthetic Midurethral Sling Placement?
Conclusions Sling release for voiding dysfunction was rare in our cohort. No urodynamic parameters were associated with the risk of sling release. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Postoperative Voiding Dysfunction: The Preferred Method for Catheterization
Conclusions This study has shown that patients prefer SPT over CISC and TIC for management of voiding dysfunction after POP surgery. Use of SPT showed better satisfaction rates, better uroflowmetry results, and lower infection rates 1 week after surgery. Patient preference is an important factor in this decision and can help facilitate a clinical approach. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

A Cost-Utility Analysis of Nonsurgical Treatments for Stress Urinary Incontinence in Women
Conclusions The findings of our cost-utility analysis favor PFMT as the most cost-effective nonsurgical treatment option for SUI. Cost-effectiveness for 1 year of treatment was also favorable for Impressa and Uresta. In jurisdictions where there is no public funding for PFMT, Impressa or Uresta are alternatives for women wishing to avoid surgery. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Outcomes of Vaginal Hysterectomy With and Without Perceived Contraindications to Vaginal Surgery
Conclusions Vaginal hysterectomy can be safely performed with favorable outcomes, even in women with a uterus greater than 280 g, prior cesarean delivery, no vaginal parity, and obesity. Our findings challenge several perceived contraindications to vaginal hysterectomy. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Do the Surgical Outcomes of Rectovaginal Fistula Repairs Differ for Obstetric and Nonobstetric Fistulas? A Retrospective Cohort Study
Conclusions Nonobstetric rectovaginal fistulas have a nearly 4-fold increased risk of repair failure compared with obstetric fistulas. Our results will help surgeons adequately counsel patients on potential outcomes of surgical repair of obstetric versus nonobstetric rectovaginal fistulas. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Analyzing the Readability of Online Urogynecologic Patient Information
Conclusions The vast majority of urogynecologic information available to patients on the Internet is written at or above an eighth grade reading level despite longstanding recommendations to the contrary. Clinicians should advise patients that the information they find online may be difficult to understand. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Concomitant Anterior Repair, Preoperative Prolapse Severity, and Anatomic Prolapse Outcomes After Vaginal Apical Procedures
Conclusions In the absence of clinical trial data, this analysis suggests an AR should be considered for women with higher-stage prolapse undergoing an SSLF. Preoperative prolapse severity is a strong predictor of poor anatomic outcomes with native tissue vaginal apical surgeries. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Racial/Ethnic Differences in Perineal Lacerations in a Diverse Urban Healthcare System
Objectives The aim of the study was o determine whether variations exist between races/ethnicities in perineal laceration at first vaginal delivery. Methods We assessed first vaginal deliveries greater than 35 weeks gestation, for a four-year period, in our diverse urban healthcare system. Predictor variable was race/ethnicity with outcome variable of none, first-, second-, third-, or fourth-degree perineal laceration. Race and ethnicity were self-reported and combined into one variable to facilitate analysis. We also collected data on other known risk factors for laceration to adjust our analysis accordingly. Result...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Anal Sphincter Anatomy Prepregnancy to Postdelivery Among the Same Primiparous Women on Dynamic Magnetic Resonance Imaging
Conclusions Anal sphincter measurements on MRI did not change significantly in nulliparous women prepregnancy to postdelivery at any location, and the EAS was not measurable at 12 o'clock in any women at either time point, challenging classic concepts of EAS anatomy. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Pelvic Floor Disorders After Obstetric Avulsion of the Levator Ani Muscle
The objective of this study was to estimate the cumulative incidence of prolapse and other pelvic floor disorders (PFDs), comparing vaginally parous women with and without levator avulsion. Methods Parous women enrolled in a longitudinal study were assessed annually for PFDs with the Pelvic Organ Prolapse Quantification Examination (for prolapse) and the Epidemiology of Prolapse and Incontinence Questionnaire (for stress incontinence, overactive bladder, and anal incontinence). Three-dimensional transperineal ultrasound was used to identify levator avulsion. Women with and without levator avulsion after vaginal delivery...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Vaginal Jade Eggs: Ancient Chinese Practice or Modern Marketing Myth?
Conclusions No evidence was found to support the claim that vaginal jade eggs were used for any indication in ancient Chinese culture. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 25, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Broken Sacral Neuromodulation Lead Migration Into the Sigmoid Colon: A Case Report
This report describes a 40-year-old woman who underwent sacral neuromodulation explant and full-system implant for weaning efficacy of her device. During device removal, the tined lead broke and was left in situ. Four months later, she was diagnosed as having a wound infection at the site of the retained lead. Imaging revealed lead fragment migration into the sigmoid colon. A colocutaneous fistula was noted soon thereafter. The retained lead was removed during a colonoscopy and the fistula healed. A retained lead can result in migration through the peritoneum and into the colon. This can be managed with assistance from col...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Case Reports Source Type: research

Fungal Lumbosacral Osteomyelitis After Robotic-Assisted Laparoscopic Sacrocolpopexy
We report a patient who presented with severe low back pain and fever 6 weeks after a robotic sacrocolpopexy, who was subsequently diagnosed as having lumbosacral discitis and osteomyelitis with thoracic intervertebral extension. Empiric antibiotic therapy was initially administered. After laparoscopic mesh excision and abdominal wash out, Candida albicans was isolated from the excised mesh. Postoperatively, the patient was treated with a 12-month course of oral fluconazole with significant clinical improvement. To our knowledge, this is the second reported case of fungal osteomyelitis, providing further recommendations fo...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Case Reports Source Type: research

Spontaneous Transvaginal Sigmoid Colon Evisceration and Sepsis From Complete Procidentia
Conclusions We highlight the risk factors, clinical presentation, and treatment options for this unique multidisciplinary emergency. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Case Reports Source Type: research

Reply to: Predictors of Opioid Administration in the Acute Postoperative Period
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Letters to the Editor Source Type: research

Predictors of Opioid Administration in the Acute Postoperative Period
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Letters to the Editor Source Type: research

Inflammatory Urinary Cytokine Expression and Quality of Life in Patients With Overactive Bladder
Conclusions To our knowledge, this is at present the only study correlating inflammatory cytokine/chemokine levels in women with OAB with quality of life and distress. Interleukin 1 signified worsening distress, whereas IL-10, IL-12p70, and IL-13 were the only cytokines found at different levels in subjects. Our findings support a larger study in order to evaluate the value of urinary cytokines/chemokines as potential biomarkers. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Elevated Postvoid Residual Urine Volume: Identifying Risk Factors and Predicting Resolution in Women With Pelvic Organ Prolapse
This study aims to identify risk factors for elevated preoperative postvoid residual (PVR) and persistently elevated postoperative PVR and to evaluate the resolution rate of elevated PVR urine volume in patients undergoing reconstructive surgery for pelvic organ prolapse (POP). Methods This was a retrospective cohort study comparing 50 women with elevated preoperative PVR (≥100 mL) and 50 women with normal PVR ( (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Is Something Missing From Antenatal Education? A Survey of Pregnant Women's Knowledge of Pelvic Floor Disorders
Conclusions Pregnant women have limited knowledge about pelvic floor dysfunction despite being at increased risk for these conditions during and after their pregnancies. This is an area where patient education and empowerment during routine prenatal care could improve. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Health Literacy in Women Presenting to a Urogynecology Practice
Objective Health literacy (HL) is the degree to which an individual can obtain, process, and communicate basic health information to make appropriate health decisions. Understanding HL of patients can improve outcomes. Thus, we evaluated HL in women with pelvic floor disorders and investigated its relationship to patient demographics, reading level, and cognition. Methods We conducted a cross-sectional study with a convenience sample of English-speaking women 18 years or older, recruited from female pelvic medicine and reconstructive surgery clinics from July 2016 to January 1, 2017. Patients with severe visual impair...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Length of Catheter Use After Hysterectomy as a Risk Factor for Urinary Tract Infection
Objectives The aims of this study were to determine the effect of length of postoperative catheterization on risk of urinary tract infection (UTI) and to identify risk factors for postoperative UTI. Methods This was a retrospective case-control study. Demographic and perioperative data, including duration of indwelling catheter use and postoperative occurrence of UTI within 30 days of surgery, were analyzed for hysterectomies using the Michigan Surgical Quality Collaborative database. Catheter exposure was categorized as low—no catheter placed/catheter removed the day of surgery, intermediate—catheter remo...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Definition of Recurrent Urinary Tract Infections in Women: Which One to Adopt?
Conclusions This review of major RUTI definition recommendations by expert individuals and specialty societies underlines the lack of uniformity and the need for a more robust and generally agreeable RUTI definition for use in clinical and academic practice. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Vaginal Native Tissue Repair for Posterior Compartment Prolapse: Long-Term Analysis of Sexual Function and Quality of Life in 151 Patients
Conclusions Vaginal native tissue repair is a safe and effective procedure for symptomatic rectocele, with a low rate of complications, and improves pelvic organ prolapse–related symptoms, QoL, and sexual function. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Increasing Anteroposterior Genital Hiatus Widening Does Not Limit Apical Descent for Prolapse Staging During Valsalva's Maneuver: Effect on Symptom Severity and Surgical Decision Making
Conclusions Facilitation through herniation rather than obscuration from anteroposterior GH widening explains why patients will not be undertreated based on signs and symptoms of disease. Adding posterior colporrhaphy to apical suspension more effectively reduces anteroposterior GH widening without differential improvement in symptoms rendering the operation to no more than a cosmetic procedure. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Perioperative Outcomes, Complications, and Efficacy of Robotic-Assisted Prolapse Repair: A Single Institution Study of 196 Patients
We describe the safety and efficacy of robotic prolapse repair in a large teaching institution. Methods Consecutive robotic-assisted prolapse repairs at a single institution between 2006 and 2014 were retrospectively reviewed for patient characteristics, operative information, and outcomes. Results A total of 196 women (mean age, 61 ± 9 years) underwent robotic prolapse repair (189 sacrocolpopexy, 6 sacrohysteropexy, 1 enterocele repair). Concomitant procedures included hysterectomy (88), midurethral sling (84), and/or Burch colposuspension (7). Mean odds ratio time was 242 ± 69.9 minutes, and median le...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Real-World Retention Rates After Intravesical OnabotulinumtoxinA for Idiopathic Overactive Bladder
Introduction The risk of incomplete bladder evacuation requiring catheterization after intravesical onabotulinumtoxinA (BoNT-A) is well established. However, the rates reported in the literature are highly variable and low overall in clinical trials. We attempt to evaluate the rate of symptomatic acute urinary retention requiring catheterization after initial BoNT-A in a private practice setting of patients with idiopathic overactive bladder. Methods We performed a retrospective study from 2010 to 2014 for patients with idiopathic overactive bladder undergoing their first BoNT-A. Demographic information recorded inclu...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Laparoscopic Mesh-Less Cervicosacropexy for Uterovaginal Prolapse
Conclusions Laparoscopic mesh-less cervicosacropexy represents an effective and feasible option for the surgical treatment of uterovaginal prolapse in sexually active women, avoiding postoperative complications due to the mesh use. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Original Articles Source Type: research

Complications of Urethral Bulking Agents for Stress Urinary Incontinence: An Extensive Review Including Case Reports
Conclusions This extensive review shows that various UBAs have different complication rates, with certain UBAs being more prone to serious complications. Based on available publications, most UBAs have a good safety profile, with low complication rates. However, although the majority of UBA complications are transient and require no or noninvasive treatment, serious complications may require invasive intervention and treatment. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: Review Article Source Type: research

American Urogynecologic Society Best-Practice Statement on Evaluation of Obstructed Defecation
The symptoms of constipation and obstructed defecation are common in women with pelvic floor disorders. Female pelvic medicine and reconstructive surgery specialists evaluate and treat women with these symptoms, with the initial consultation often occurring when a woman has the symptom or sign of posterior compartment pelvic organ prolapse (including rectocele or enterocele) or if a rectocele or enterocele is identified in pelvic imaging. This best-practice statement will review techniques used to evaluate constipation and obstructed defecation, with a special focus on the relationship between obstructed defecation, consti...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 30, 2018 Category: OBGYN Tags: AUGS Communication Source Type: research

Vaginal Myomectomy to Resolve Bladder Outlet Obstruction 50 Years After Hysterectomy
Conclusion Vaginal resection with ureteral stenting represents a safe surgical approach for resection of a symptomatic, benign bladder mass. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 26, 2018 Category: OBGYN Tags: Case Reports Source Type: research

Persistent Vaginal Leakage in the Setting of an Apical Vaginal Sinus Tract: A Case Report
Fistulas are defined as abnormal connections between 2 organ, vessels, or structures. They can often present in the genitourinary tract as a result of iatrogenic injury during pelvic surgery. A 46-year-old female presents many years after a hysterectomy for persistent vaginal leakage with concern for a vesicovaginal fistula. Computed tomography urogram, intravenous retrograde pyelogram, and cystoscopy were negative for vesicovaginal fistula; however, a vaginal sinus tract was noted and further explored. This case report will describe the use of both laparoscopy and concomitant vaginoscopy to diagnose and, ultimately, surgi...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 26, 2018 Category: OBGYN Tags: Case Reports Source Type: research

Successful Treatment of Paradoxical Puborectalis Contraction and Intractable Anorectal Pain With Sacral Neuromodulation
Conclusions Sacral neuromodulation is an established therapy for overactive bladder syndrome, urinary retention, and fecal incontinence. In urology, the use of sacral neuromodulation has been described to benefit some patients with pelvic floor pain. Sacral neuromodulation can be a successful treatment for PPC and functional anorectal pain with resulting improvement in quality of life without the sequelae of an invasive and irreversible surgery. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 26, 2018 Category: OBGYN Tags: Case Reports Source Type: research

Female Caudal Duplication Syndrome: A Surgical Case Report With 10-Year Follow-up and Review of the Literature
We describe her presentation and our surgical experience, including complications and outcomes, for this case. We also review caudal duplication syndrome—its etiology, clinical presentation, diagnostic workup, surgical intervention (if any), and recommendations. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 26, 2018 Category: OBGYN Tags: Case Reports Source Type: research

A Case of Mesh Erosion to the Sigmoid After Laparoscopic Sacrocolpopexy and a Literature Review of Mesh Related Complications
We report a case of sigmoid vaginal fistula identified 4 years after laparoscopic sacrocolpopexy, along with an analysis of the follow-up of 140 patients over 12 months or more. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 26, 2018 Category: OBGYN Tags: Case Reports Source Type: research

Davydov Procedure for Augmenting Vaginal Length in a Postsurgical Male-to-Female Transgender Patient
We present a case of vaginoplasty using the laparoscopic Davydov technique performed on a male-to-female transgender patient. Our case provides a novel approach to treating this rare condition and introduces Davydov procedure as a potentially effective and safe treatment. Preoperative endovaginal and endoanal 3-dimensional ultrasounds and a pelvic magnetic resonance imaging of the case are presented to provide details of this patient's unique anatomy. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 26, 2018 Category: OBGYN Tags: Case Reports Source Type: research