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.

Long-Term Outcomes After Vaginal and Laparoscopic Mesh Hysteropexy for Uterovaginal Prolapse: A Parallel Cohort Study (eVAULT)
This study provides 7-year data from the original VAULT (Vaginal and Laparoscopic Mesh Hysteropexy for Uterovaginal Prolapse Trial) study. Objective The aim of this study was to compare long-term outcomes and success for laparoscopic sacral hysteropexy (LSHP) and vaginal mesh hysteropexy (VMHP). Study Design This multicenter, prospective parallel cohort was an extension to the initial VAULT study. Subjects were contacted, and informed consent was obtained. We collected baseline demographics and the latest Pelvic Organ Prolapse–Quantification examination data from chart review and conducted telephone intervi...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Trends Among Female Pelvic Medicine and Reconstructive Surgery Fellowships and Graduates
Conclusions Despite many FPMRS programs stating that they accept gynecology or urology-trained applicants, few fellows graduate from outside specialty FPMRS training programs. Several barriers were identified that may prevent trainees acceptance outside of their residency specialty. Procedural training experience differs between urology- and gynecology-based fellowships. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

The Impact of Methenamine Hippurate Treatment on Urothelial Integrity and Bladder Inflammation in Aged Female Mice and Women With Urinary Tract Infections
Conclusions Methenamine hippurate seems to enhance barrier function as evidenced by decreased urothelial permeability and increased urinary IgA levels, without worsening inflammation. This may reflect another beneficial mechanism by which MH helps prevent rUTI. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Assessing the Content and Readability of Robotic and Laparoscopic Sacrocolpopexy Information Online
Conclusions Almost all websites require at least a high school education to properly comprehend, regardless of source or specialty. It is important that health care providers be aware of available information, so they may direct patients to specific resources that are personally validated or provide in-office materials at an appropriate reading level. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Prevalence of Pelvic Floor Disorders in United States Active-Duty Service Women Seeking Medical Care
Conclusions Active-duty service women have significantly lower rates of pelvic floor disorders compared with the general population, possibly due to the protective effects of improved weight management and physical fitness requirements for their job performance. However, pelvic floor disorders may be uptrending and need continued monitoring. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Systematic Review of Pelvic Anatomy iOS and Android Applications for Obstetricians and Gynecologists
Conclusions Although there are numerous anatomy apps available, only a few meet prespecified criteria for functionality, content, quality, and are appropriate for obstetrician-gynecologists. Using a validated scoring system, we present a scored list of female pelvic anatomy apps most appropriate for obstetrician-gynecologists. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

The Role of Pessaries in the Treatment of Women With Stress Urinary Incontinence: A Systematic Review and Meta-Analysis
The objective of this study is to evaluate the existing evidence on the efficacy and safety of pessaries for the treatment of SUI. Study Design We searched for the terms “stress urinary incontinence” and “pessar/y/ies/ium” in PubMed, Embase, and Cinhal on June 10, 2020. Studies that characterized subjective and/or objective data were included. Studies performed in pediatric populations, pregnancy, and use of pessaries not for SUI were excluded. Two reviewers independently screened and assessed data quality and risk of bias according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidel...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Feasibility and Research Insights From a Randomized Controlled Trial for Recurrent Urinary Tract Infection Prevention in Postmenopausal Women Using Vaginal Estrogen Therapy
Conclusions We learned several important lessons that can benefit future research. Many patients with frequent/recurrent UTIs are interested in research, but rigorous eligibility criteria and referral urine culture documentation made recruitment challenging. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

The Impact of Local Estrogen on the Urogenital Microbiome in Genitourinary Syndrome of Menopause: A Randomized-Controlled Trial
Conclusions Our study did not show a significant change in the bacterial composition of the vaginal or urinary bladder microbiome after either vaginal ring in this relatively asymptomatic postmenopausal population. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Mix and Mesh: An Electronic Database of FPMRS Mesh Products Through 2020
Conclusions Health care providers of all experience levels can use this free application for educational and clinical purposes to better understand patients' histories, improve preoperative planning, and enhance patient counseling. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Complications After Vaginal Vault Suspension Versus Minimally Invasive Sacrocolpopexy in Women With Elevated Body Mass Index: A Retrospective Cohort Study Using Data From the National Surgical Quality Improvement Program Database
Importance Overweight and obese women represent a growing share of pelvic floor reconstruction surgeons’ practices. Determining perioperative risk specific to this population is essential to inform decision making regarding operative approach in this population. Objective The aim of the study was to compare surgical complications among overweight and obese women undergoing apical compartment prolapse surgery by either minimally invasive abdominal or vaginal approach. Study Design The American College of Surgeons National Surgical Quality Improvement Database was used to identify overweight and obese pat...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Estimated Levator Ani Subtended Volume: A Predictive Biomarker for Surgical Outcomes Following Native Tissue Apical Repair
Conclusions In this small prospective pilot study, patients with elevated eLASV on a preoperative pelvic magnetic resonance imaging were associated with an increased risk for surgical failure at 1 year regardless of age, body mass index, stage, or parity. CLINICAL TRIAL REGISTRATION:ClinicalTrials.gov, NCT03534830 (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Incidence of Midurethral Sling Revision or Removal by Its Timing With Prolapse Surgery
Objective The aim of the study was to evaluate incidence of midurethral sling removal/revision based on timing with surgery for pelvic organ prolapse. Methods This was a retrospective cohort study of women who underwent midurethral sling placement in a claims-based database of women 65 years or older. Three groups were identified using the Current Procedural Terminology codes: (1) isolated sling, (2) concomitant sling, and (3) prolapse surgery and staged sling after prolapse surgery. In the staged group, placement of sling was identified within 18 months after index prolapse surgery. Fascial grafts were excluded...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Postoperative Urinary Incontinence in Diabetic Patients Undergoing Pelvic Reconstructive Surgery
Importance Diabetes is an independent risk factor for urinary incontinence, and its impact on rates of postoperative incontinence after pelvic reconstructive surgery remains unexplored. Objective The aim of the study was to compare the incidence of postoperative stress urinary incontinence (SUI), urgency urinary incontinence (UUI), and mixed urinary incontinence in patients with diabetes mellitus undergoing surgery for pelvic organ prolapse (POP) with or without SUI surgery. Study Design This is a secondary analysis of a multicenter retrospective cohort study involving 10 diverse medical centers that iden...
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Changes in Performance of Apical Suspension at the Time of Surgery for Prolapse: Assessment of the Influence of the American Urogynecologic Society and American College of Obstetricians and Gynecologists Practice Bulletin
Conclusions Performance of apical suspensions during surgery for prolapse remains low and is increasing at less than 1% per year. The AUGS/ACOG practice guidelines were associated with minimal changes in this pattern. Incentives or other strategies may be needed to further encourage standard of care management of prolapse. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - June 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research