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Updated Prevalence of Urinary Incontinence in Women: 2015–2018 National Population-Based Survey Data
Conclusions More than 60% of community-dwelling adult women in the United States experience any UI and an increase from prior estimates (38%–49%) using NHANES data from 1999 to 2004; more than 20% experience moderate or more severe UI. Increases in UI prevalence may be related to population aging and increasing obesity prevalence. Age greater than 70 years, body mass index>40, and vaginal birth had the strongest association with UI in multivariate modeling. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 1, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Complications After Vesicovaginal Fistula Repair Based on Surgeon Specialty in the United States: Analysis of a National Database
This study aimed to compare the rates of major and minor complications for vesicovaginal fistula (VVF) repair based on surgeon specialty and to identify risk factors for adverse outcomes. Methods This was a retrospective cohort analysis of the American College of Surgeons National Surgical Quality Improvement Program between the years 2014 and 2019. Cases were identified using Current Procedural Terminology codes for VVF repair. Minor and major complication rates for VVF repair were compared between 2 cohorts defined by surgeon specialty: gynecology versus urology. Additional outcomes included readmissions and reope...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Prevalence of Overactive Bladder Symptoms Among Women With Interstitial Cystitis/Bladder Pain Syndrome
Importance Symptoms of urinary frequency, urgency, and urinary leakage are characteristic of overactive bladder (OAB) syndrome. However, frequency and urgency symptoms are also present in most patients with interstitial cystitis/bladder pain syndrome (IC/BPS). Objective Our objective was to describe the urge incontinence among women with IC/BPS, which may indicate true overlap of OAB and IC/BPS. Study Design This is a prospective study of women with IC/BPS diagnosed clinically in the Veterans Affairs Health Care system. Patients completed the OAB and Female Genitourinary Pain Index (F-GUPI) questionnaires...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Seeking the Truth About Primary Elective Cesarean Delivery and Pelvic Floor Disorders: A Systematic Review and Meta-Analysis
This study aimed to perform a systematic review and meta-analysis evaluating whether primary elective CD is protective against pelvic floor disorders. Study Design Using the MOOSE criteria, electronic databases were searched for studies that compared the prevalence of pelvic floor disorders among primiparous women. Outcomes of interest were urinary incontinence (UI), fecal incontinence (FI), anal incontinence (AI), and pelvic organ prolapse (POP). Comparisons were made between CD before the onset of labor (“Elective CD”), CD after trial of labor (“Labor CD”), and vaginal delivery (VD). Risk ratios (RRs) were...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Cost-effectiveness Analysis of Early Sling Loosening Versus Delayed Sling Lysis in the Management of Voiding Dysfunction After Midurethral Sling Placement
Conclusions Early sling loosening represents a more cost-effective management method in resolving ongoing voiding dysfunction after sling placement. These findings may favor early clinical management in patients with voiding dysfunction after midurethral sling placement. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Vaginal Hysterectomy Performed Under General Versus Neuraxial Regional Anesthesia: Comparison of Patient Characteristics and 30-Day Outcomes Using Propensity Score–Matched Cohorts
Objectives Compared with surgery under general anesthesia (GA), surgery under neuraxial regional anesthesia (RA) has been associated with economic and clinical benefits in certain populations. Our aim was to compare preoperative and postoperative characteristics and 30-day outcomes, including intraoperative complications, for patients undergoing benign vaginal hysterectomy under GA versus RA. Methods This is a retrospective cohort study of patients who underwent vaginal hysterectomy for benign indications between 2015 and 2019 using the American College of Surgeons National Surgical Quality Improvement Program d...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Medicare Patient Referral Networks to Pelvic Floor Physical Therapy Across the United States
Conclusion Our network analysis of pelvic floor physical therapy referrals in Medicare patients across the United States shows fractured networks with dense geographic connections in some areas, whereas sparse in others. Multidisciplinary approaches and early referrals to pelvic floor physical therapy are recommended as some ways to amend these fractured networks. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Assessment of Level of Fear in Adult Patients Undergoing Elective Urogynecologic and Gynecologic Procedures and Surgeries During the COVID-19 Pandemic Using the Validated Surgical Fear Questionnaire
Conclusions Fear of surgery and office procedures was low and consistent throughout the COVID-19 pandemic and lower than historic data. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Telemedicine: The New “Virtual Reality” of Female Pelvic Medicine and Reconstructive Surgery?
Conclusions Video telemedicine is a well-accepted adjunct model of care with the potential to expand the reach of quality subspecialty care of value to women with PFDs. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

A Randomized Controlled Trial Evaluating the Effect of an Educational Video on Patient Understanding of Midurethral Sling
Objective The primary objective was to evaluate the use of a novel video for enhancing patient knowledge of midurethral sling compared with standard handout. Methods Participants scheduled for midurethral sling were randomized to 1 of 2 preoperative educational interventions, either video or standard handout. The primary outcome was change in knowledge measured via a 15-question questionnaire completed immediately before and after the intervention. Secondary outcomes were knowledge retention, urinary symptoms, decision satisfaction, and regret measured via validated questionnaires at 2 and 6 weeks postoperativel...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Trends in Apical Suspension at the Time of Hysterectomy for Pelvic Organ Prolapse: Impact of American College of Obstetricians and Gynecologists Recommendations
Objective The aim of the study was to compare national surgical practice patterns of performing apical suspension procedures (ASPs) at the time of hysterectomy for pelvic organ prolapse (POP) before and after the publication of the American College of Obstetricians and Gynecologists (ACOG) 2017 Practice Bulletin on POP. Methods The American College of Surgeons National Surgical Quality Improvement Program database was queried for hysterectomy cases performed for POP indications for the years 2015–2016 and 2018–2019. The primary outcome was the use of ASP at the time of hysterectomy for POP. Secondary outcome...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Recurrent Urinary Tract Infection Incidence Rates Decrease in Women With Cystitis Cystica After Treatment With d-Mannose: A Cohort Study
Conclusions Patients with rUTI with CC had more frequent UTI episodes than patients without CC. Patients in both groups had fewer UTI episodes after beginning d-mannose prophylaxis. These findings add to the body of literature supporting d-mannose for the prevention of rUTI in women, including those with CC. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Methenamine Hippurate With Cranberry Capsules Versus Cranberry Alone for Urinary Tract Infection Prevention in a Short-Term Indwelling Foley Catheter Population After Urogynecologic Surgery: A Double-Blinded Randomized Controlled Trial
Conclusions In this high-risk population, methenamine was well tolerated and significantly reduced UTI rates. Methenamine with cranberry should be considered as an effective prophylactic therapy to reduce this common complication after pelvic surgery. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Patient Experience of Antimuscarinic Treatment for Overactive Bladder: A Qualitative Exploration of Online Forum Content
The objective of this study is to qualitatively explore patient experience of antimuscarinic medications used for overactive bladder using reviews on Drugs.com. Study Design We examined reviews prior to February 2, 2020 (available since 2008) for oral antimuscarinic medications. User content was reviewed qualitatively via inductive content analysis. Investigators coded third-party impressions, categorizing each review as positive, mostly positive, mostly negative, or negative. The prevalence of side effects, themes, and impressions are described, with comparisons by drug using χ2, Mann–Whitney U, and Kruskal-Wall...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Short-Term Urinary Retention After Tension-Free Vaginal Tape Midurethral Sling Performed Alone or as a Concomitant Procedure
Conclusions The proportion of patients discharged with an indwelling catheter did not significantly differ if TVT was performed alone or at the time of a concomitant prolapse procedure (9.0% vs 4.5%, P = 0.1). (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research