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AUGS-PERFORM: A New Patient-Reported Outcome Measure to Assess Quality of Prolapse Care
Conclusions We present a concise set of candidate items that were developed using rigorous patient-centered methodology and a national consensus process, including urogynecologic patients and providers. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: AUGS Conference Report Source Type: research

De Novo Stress Urinary Incontinence After Prolapse Surgery: Have We Answered the Question?
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Editorial Source Type: research

The Current State of Surgical Ergonomics
Objective Work-related musculoskeletal disorders are widespread among surgeons, causing significant disability and career modification. Gender plays a role, as female surgeons have a two-fold greater risk for discomfort during certain operations due to generally smaller hand sizes and height as compared to male surgeons. There is a lack of appropriate surgical instrumentation geared toward smaller hand sizes. Maintaining a neutral position while operating, frequent changes in position, and increased awareness can contribute to decreasing the detrimental impact on surgeons' bodies from performing operations. (Source: Fe...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 1, 2022 Category: OBGYN Tags: Commentary Source Type: research

Complications Reported to the Food and Drug Administration: A Cross-sectional Comparison of Urogynecologic Meshes
This study is a cross-sectional analysis of medical device reports (MDRs) of urogynecologic mesh from January 2004 to March 2019, using the Reed Tech Navigator (LexisNexis), which codes MDRs. The percentage of reports containing specific complaints (not an adverse event rate) were compared with χ2 tests with Dunn-Sidak correction. Correlations with time on market, mesh weight, stiffness, and porosity were determined. Results The 34,485 reports examined included 6 transvaginal meshes, 4 sacrocolpopexy meshes, and 10 midurethral slings. Most reported events were pain, erosion, and infection. For transvaginal prolapse...
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Risk Factors for Bladder Perforation at the Time of Retropubic Midurethral Sling Placement
Conclusions The incidence of bladder perforation was 8%. The risk of this complication is higher in patients with a BMI less than 30 and/or endometriosis. Retropubic hydrodissection may not decrease the likelihood of this event. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Pass or Fail? Postoperative Active Voiding Trials in an Enhanced Recovery Program
This study aimed to compare postoperative active voiding trial (AVT) outcomes before and after implementation of an enhanced recovery program (ERP) for women undergoing pelvic reconstructive surgery. In addition, risk factors for postoperative urinary retention were identified. Study Design We retrospectively identified patients undergoing inpatient vaginal or robotic pelvic reconstructive surgery before and after implementation of an ERP at our institution. Demographics, operative and postoperative details, and AVT outcomes were collected. Primary outcome was AVT failure. Variables associated with increased risk of...
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Adverse Events for Overactive Bladder Medications From a Public Federal Database
Conclusions The FAERS database not only is a repository of ADEs but also may represent evolving prescribing habits for OAB medications. Transdermal oxybutynin had the lowest NP ADEs and may be appropriate for selected individuals. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Surgeon Attitudes Toward Concurrent Urogynecologic and Gynecologic Oncology Procedures: A Cross-sectional Survey
Importance There is increasing overlap in the urogynecologic and gynecologic oncologic patient populations. To improve patient advocacy and access to care, a collaborative surgical approach may benefit this cohort. Objective The aim of the study was to evaluate surgeon attitudes toward performing concurrent urogynecologic and gynecologic oncology procedures. We hypothesized that most surgeons are amenable to collaboration. Study Design We conducted a cross-sectional questionnaire of members of the Society of Gynecologic Oncology and the American Urogynecologic Society from August to November 2020. A 23-it...
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Is Same-Day Discharge Following Minimally Invasive Sacrocolpopexy Safe and Feasible? A National Contemporary Database Analysis
Objective The aim of this study was to investigate trends and outcomes of ambulatory minimally invasive sacrocolpopexy (MISC) using data from a contemporary multicenter nationwide cohort. Methods We used the American College of Surgeons National Surgical Quality Improvement Program database to identify women who underwent nonemergent MISC (laparoscopic and robotic) from 2012 to 2018. Exclusion criteria were age (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Factors Associated With a Positive Urine Culture in Women Seeking Urogynecologic Care for Urinary Tract Infection Symptoms
Conclusions In a cohort of women seeking care for UTI symptoms, older women, those with a history of rUTI and those presenting with dysuria are more likely to have a positive urine culture compared with those with urinary frequency. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

A Randomized Clinical Trial Comparing the Efficacy and Safety of 2% Versus 4% Chlorohexidine Gluconate for Surgical Preparation of the Vagina
Conclusions Two percent CHX is noninferior to 4% CHX in reducing vaginal bacterial contamination at 60 minutes after vaginal surgical site preparation, with low rates of postpreparation contamination and vaginal discomfort. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Editorial—Urogynecology
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Editorials Source Type: research

Social Media and Urogynecology
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2022 Category: OBGYN Tags: Editorials Source Type: research

Bladder Eversion Through a Vesicovaginal Fistula in a Patient With Uterine Procidentia: A Case Report
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Case Report Source Type: research

Vaginectomy in Transmasculine Patients: A Review of Techniques in an Emerging Field
This report reviews the various techniques for vaginal obliterative surgery in the transmasculine patient population, including advantages and drawbacks with differing methods and reflects on the focus of future research and surgical efforts. Findings Existing techniques for vaginal obliterative surgery by vaginectomy or colpocleisis vary without strong evidence to identify a superior approach. Summary The increasing number of transmasculine patients seeking vaginectomy as a part of gender-affirming surgery must be matched by evidence-based techniques that provide a safe, long-term outcome. (Source: Female Pe...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Review Article Source Type: research