The Evaluation of Baseline Physical Function and Cognition in Women Undergoing Pelvic Floor Surgery
Conclusions: Women undergoing elective pelvic reconstructive surgery had good physical and cognitive function. The simple TUG test was the most likely tool to identify patients with poorer physical function. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Analysis of High-, Intermediate-, and Low-Volume Surgeons When Performing Hysterectomy for Uterovaginal Prolapse
Objectives: To determine if surgeon volume is associated with differences in the use of apical colpopexy and cystoscopy and in the rate of intraoperative complications during hysterectomy for prolapse. Methods: We performed a multicenter retrospective review of hysterectomies done for uterovaginal prolapse at 4 hospital systems between January 1, 2008, and December 31, 2011. Low (≤10 cases)-, intermediate (11–49 cases)-, and high (≥50 cases)-volume surgeon groups for the 4-year period were established a priori. Rates of concomitant colpopexy, cystoscopy, and intraoperative complications were determined by chart...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Bladder Symptoms and Attitudes in an Ethnically Diverse Population
Conclusions: Our study demonstrates that with few exceptions, bladder symptoms and attitudes are similar among reproductive-age women of various racial/ethnic groups in a community setting. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Critical Anatomy Relative to the Sacral Suture: A Postoperative Imaging Study After Robotic Sacrocolpopexy
Conclusions: We describe critical anatomy surrounding the sacral suture placed during robotic sacrocolpopexy. Proximity of both vascular and urologic structures within 10 to 18 mm, as well as anterior ligament thickness of only 2 mm highlights the importance of adequate exposure, careful dissection, and surgeon expertise. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Anatomic Outcomes of Robotic Assisted Supracervical Hysterectomy and Concurrent Sacrocolpopexy at a Tertiary Care Institution at Initial Adaptation of the Procedure
Conclusions: Even with initial adaptation of the procedure, RASCH with concurrent sacrocolpopexy for the repair of primary POP is effective in restoring anatomic support in the short term. Operative complications are minimal. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Adherence to Oral Therapy for Urgency Urinary Incontinence: Results from the Anticholinergic Versus Botox Comparison (ABC) Trial
Conclusions: Adherence using pill counts and MEMSCAP was reasonably correlated and similar in both the AC and P groups. In the AC group, higher baseline incontinence severity and better UUI Quality of Life were associated with decreased adherence. Smokers were less adherent. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Update on Urinary Tract Markers in Interstitial Cystitis/Bladder Pain Syndrome
Abstract: Interstitial cystitis (IC)/painful bladder syndrome/bladder pain syndrome (BPS) is a chronic hypersensory condition of unknown etiology. Moreover, the optimal modality for diagnosing IC remains disputed. Several urinary markers have been investigated that may have potential utility in the diagnosis or confirmation of IC/BPS. Thus, inflammatory mediators, proteoglycans, urinary hexosamines, proliferative factors, nitric oxide (NO), BK polyomavirus family, and urothelial proinflammatory gene analysis have been found to correlate with varying degrees with the clinical diagnosis or cystoscopic findings in patients wi...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: Review Source Type: research

The Impact of Robotic-Assisted Surgery on Training Gynecology Residents
Introduction: To investigate the changes in surgical route of hysterectomy after implementation of robotics and to assess the impact on the surgical training of gynecology residents. Methods: This was an institutional review board–approved retrospective analysis at 2 large academic community hospitals. Subjects undergoing hysterectomy during 2005 and 2011 were identified. A stratified random sample representative of the overall number of hysterectomies, 20 per month for each year, was obtained. Charts were reviewed for route of hysterectomy and resident involvement. Chi-square analysis was used for main outcomes. Res...
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: AUGS Conference Source Type: research

Differences in Patterns of Preoperative Assessment Between High, Intermediate, and Low Volume Surgeons When Performing Hysterectomy for Uterovaginal Prolapse
Conclusions: High-volume surgeons were more likely than low-volume surgeons to perform a standardized preoperative pelvic examination, offer a pessary, and evaluate stress urinary incontinence. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: AUGS Conference Source Type: research

AUGS 36th Presidential Address: “The Journey of a Thousand Miles Begins With a Single Step” (Lao Tzu)
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: Editorials Source Type: research

Beginning Together
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - December 18, 2015 Category: OBGYN Tags: Editorials Source Type: research

Comparison of Short Term Outcomes of Sacral Nerve Stimulation and Intradetrusor Injection of OnabotulinumtoxinA (Botox) in Women With Refractory Overactive Bladder
Conclusions: The SNS resulted in lower failure rates at 6 months when performed for refractory OAB symptoms as compared with the Botox procedure. However, further studies are needed to evaluate the long-term cost-effectiveness of both procedures. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Ureteral Compromise in Laparoscopic Versus Vaginal Uterosacral Ligament Suspension: A Retrospective Cohort
Objectives: The aim of this study was to evaluate if ureteral compromise is significantly different between laparoscopic and vaginal uterosacral ligament suspension (USLS). Methods: This is a retrospective cohort study comparing all women who underwent laparoscopic and vaginal USLSs at 2 institutions (part of a single training program with procedures performed by 11 fellowship-trained Female Pelvic Medicine and Reconstructive Surgery gynecologic surgeons) between January 2008 and June 2013. Results: A total of 208 patients in the study underwent a USLS, 148 in the laparoscopic group and 60 in the vaginal group. At baseline...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Perineal Body and Genital Hiatus in the Third Trimester and Risk of Perineal Laceration
Conclusions: Our data suggest that antenatal measurement of gh and pb does not correlate with the risk of obstetric perineal laceration in nulliparous patients undergoing spontaneous vaginal delivery. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Prospective Randomized Crossover Trial Comparing Continuous and Cyclic Stimulation in InterStim Therapy
Conclusions: No significant differences were noted in voiding diaries and subjective responses between cyclic and continuous stimulation in InterStim therapy for patients with urge incontinence or frequency. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Patient Preferences for Abdominal Incisions Used for Pelvic Organ Prolapse Surgery
Objectives: Approaches for performing sacrocolpopexy (laparotomy, laparoscopy, and robotically assisted) differ with regard to length of surgery, postoperative pain, and cosmetic appearance of skin incisions. The aim of our study is to better understand what factors influence patient preferences for surgical approach. Methods: A cross-sectional study was performed using a survey. Females 18 years or older presenting to gynecologic offices were asked to complete a survey that included photographs of patient incisions 6 weeks postoperatively along with a schematic representation of each incision type (laparotomy with low tra...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Apical Suspension at the Time of Hysterectomy for Uterovaginal Prolapse: A Comparative Analysis of 2001 and 2011
Objectives: The primary aim of this study was to compare the proportion of concomitant apical procedures in women undergoing hysterectomy for uterovaginal prolapse in 2001 and 2011. The secondary aim was to identify factors associated with receiving concomitant apical procedures in 2001 and 2011. Methods: The Nationwide Inpatient Sample database was queried for women with a primary diagnosis of uterovaginal prolapse who underwent hysterectomy in 2001 and 2011. The study cohort was analyzed for demographics, clinical factors, and concomitant procedures. Factors potentially associated with receiving concomitant apical proced...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

The Differential Impact of Flatal Incontinence in Women With Anal Versus Fecal Incontinence
Objective: The differential impact on quality of life (QOL) that leakage of both stool and flatus confers on women compared with stool only is unclear. Our aim was to characterize differences in symptom distress, impact on QOL, and anorectal testing among women with leakage of stool and flatus, stool only, and flatus only. Methods: A retrospective review was conducted of women undergoing evaluation of at least monthly bowel incontinence symptoms. Subjects were divided into the following 3 groups: liquid/solid stool and flatus (anal incontinence [AI]), liquid/solid stool only (fecal incontinence [FI]), and flatal only (FL)....
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

The Emotional Burden of Pelvic Organ Prolapse in Women Seeking Treatment: A Qualitative Study
Conclusions: Prolapse significantly impacts women's emotional health and subjective well-being. An improved understanding of women's emotional experiences of prolapse may help providers better meet patients' needs. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Obliterative Surgery for the Treatment of Pelvic Organ Prolapse: A Patient Survey on Reasons for Surgery Selection and Postoperative Decision Regret and Satisfaction
Objectives: To identify patient-reported reasons for selecting obliterative surgery for the purpose of predicting decision regret and satisfaction. Methods: We created a deidentified database of patients who underwent an obliterative procedure for prolapse from 2006 to 2013. Patients were excluded if they declined study participation, were deceased, or had dementia. Participants completed a survey regarding reasons for selecting obliterative surgery and a modified version of validated questionnaires on decision regret (Decision Regret Scale-Pelvic Floor Disorder) and satisfaction (Satisfaction with Decision Scale-Pelvic Fl...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Symptom Improvement After Prolapse and Incontinence Graft Removal in a Case Series of 306 Patients
We report our experience with removal of synthetic and biologic implants used in pelvic reconstruction in a tertiary referral center from 2005 to 2012. Methods: We performed a retrospective cohort study of all consecutive patients who underwent surgical implant removal for treatment of implant-related complications. Symptoms were determined by patient self-assessment including validated questionnaires. One hundred seventy-nine patients completed follow-up. Results: Three hundred six patients underwent removal for exposure or erosion (57%), pain (46%), and urinary symptoms or incontinence (54%). Ninety patients (29%) had pr...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Reoperation After Robotic and Vaginal Mesh Reconstructive Surgery: A Retrospective Cohort Study
Conclusions: Despite recent controversies, transvaginal mesh offers the benefit of an effective minimally invasive procedure with shorter operative times, and may not pose additional risk for reoperation when compared to robotic-assisted sacrocolpopexy. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Urinary Incontinence in Women
Abstract: Urinary incontinence, the involuntary leakage of urine, is caused by a variety of factors and may result in a wide range of urinary symptoms that can affect women’s physical, psychological, and social well-being and sometimes can impose significant lifestyle restrictions. Identifying the etiology of each woman’s urinary incontinence symptoms and developing an individualized treatment plan is essential for improving her quality of life. The purpose of this joint document of the American College of Obstetricians and Gynecologists and the American Urogynecologic Society is to review information on the cu...
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Practice Bulletin Source Type: research

Epilog
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Editorials Source Type: research

Urinary Incontinence in Women—Practice Bulletin
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - October 28, 2015 Category: OBGYN Tags: Editorials Source Type: research

Management of Female Anterior Urethral Masses
Conclusions: Tailored intervention for anterior female urethral masses can provide both symptomatic relief and mortality benefit. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Case Reports Source Type: research

Ureteral Trauma During Transvaginal Ultrasound-Guided Oocyte Retrieval: A Case Report
Conclusion: Ureteral trauma during transvaginal-guided oocyte retrieval is a rare complication with a variable clinical presentation. If ureteral injuries are not promptly recognized, significant morbidity may occur. This case demonstrates that early identification of injury and timely intervention result in favorable outcomes. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Case Reports Source Type: research

Might Pelvic Surgeons Be Unaware of Their Surgical Failures? Patient Reporting and Perceptions After Failed Incontinence or Pelvic Organ Prolapse Surgery
Conclusions: Roughly one third of patients who suffer from recurrence after POP or SUI surgery do not notify their original surgeon. This may artificially inflate a clinician’s perceived success rate of pelvic floor repair. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Diabetes, Glycemic Control, and Urinary Incontinence in Women
Conclusions: Worsening glycemic control is associated with an increased risk for stress incontinence for women with relatively controlled diabetes. For those either below the diagnostic threshold or with poorly controlled diabetes, the risk may be driven by other factors. Further prospective investigation of HbA1c as a modifiable risk factor may motivate measures to improve continence in women with diabetes. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Racial Disparities in Knowledge of Pelvic Floor Disorders Among Community-Dwelling Women
Conclusions: Significant racial disparities exist in women's baseline knowledge regarding risk factors and treatment options for POP and UI. Targeted, culturally sensitive educational interventions are essential to enhancing success in reducing the personal and economic burden of PFD, which have proven negative effects on women's quality of life. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Effect of Transobturator Midurethral Sling Placement on Urgency and Urge Incontinence: 1-Year Outcomes
This study is a prospective continuation aimed to determine if the short-term benefit of TVT-O on U/UUI persists at 12 months postoperatively. Methods: Patients with stress-predominant mixed incontinence undergoing TVT-O placement were prospectively assessed using 3-day bladder diary and multiple validated incontinence questionnaires focusing on U (Urgency Perception Score), UUI (International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms), and QOL (Incontinence Impact Questionnaire, Short Form). Results: Eighty-seven patients achieved 12-month assessment, at which point improvements (versu...
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Botulinum Toxin A Injections Into Pelvic Floor Muscles Under Electromyographic Guidance for Women With Refractory High-Tone Pelvic Floor Dysfunction: A 6-Month Prospective Pilot Study
Objectives: High-tone pelvic floor dysfunction (HTPFD) is a debilitating chronic pain disorder for many women with significant impact on their quality of life (QoL). Our objective was to determine the efficacy of electromyography-guided onabotulinumtoxinA (Botox; Allergan, Irvine, Calif) injections in treating patient’s perception of pelvic pain and improving QoL measurement scores. Methods: This is a prospective pilot open-label study of women with chronic pelvic pain and HTPFD who have failed conventional therapy between January 2011 and August 2013. Botox injections (up to 300 U) were done using needle electromyog...
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Physician Attitudes Toward Urinary Incontinence Identification
Conclusions: We initially thought that time would be the biggest barrier to care for UI, but we identified discomfort with diagnosis and treatment as barriers. The most common barrier was the lack of an accessible algorithm. Attention to physician education implementation of a screening tool algorithm for treatment of UI could improve UI identification. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Internet Use Among Urogynecology Patients in North Carolina
Objectives: Given limited information regarding digital technology use among patients, we sought to evaluate Internet use among younger ( (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Ultrasound Evaluation of Midurethral Sling Position and Correlation to Physical Examination and Patient Symptoms
Conclusions: On 3-dimensional US, RP sling angle was found to be significantly more acute than the angles of the TOT and TVT-O slings, and there was no difference between the 2 transobturator slings. The TOT sling was more often palpable on examination, but this finding did not correlate with increased pain on palpation. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Urinary Retention After Hysterectomy and Postoperative Analgesic Use
This study aimed to determine risk factors, including postoperative analgesic use, for the development of postoperative urinary retention (PUR) after hysterectomy for routine gynecologic indications using a case-control study design. Methods: Cases of PUR after hysterectomy were identified from billing data. Cases were those patients requiring recatheterization for inability to void. Controls were similarly identified and matched by age and date of surgery in a 3:1 control-to-case ratio. Chart review was performed to obtain demographic, medical, surgical, anesthetic, and medication data. Cumulative and interval doses of po...
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Pelvic Floor Physical Therapy as Primary Treatment of Pelvic Floor Disorders With Urinary Urgency and Frequency-Predominant Symptoms
Objective: To assess the efficacy of pelvic floor physical therapy (PFPT) as primary treatment of urinary urgency and frequency symptoms Methods: We conducted a prospective cohort study of women with urinary urgency and frequency symptoms. Participants underwent PFPT once or twice per week for 10 weeks. Symptom improvement was assessed by validated questionnaires (Pelvic Floor Distress Inventory-Short Form 20 and Patient Global Impression of Improvement), voiding diaries, and subjective measures. Results: Fifty-seven participants enrolled; 21 (36.8%) withdrew or completed less than 5 weeks of PFPT. Thirty-one (54.4%) of th...
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Does Side Make a Difference? Anatomical Differences Between the Left and Right Ureter
Conclusions: Based on midline measurements, the left ureter courses 2 to 4 mm more lateral and anterior than does the right ureter. The cervix is also positioned 2 to 4 mm to the left side, and as a result, the ureters are actually symmetric to the cervix. Although seemingly small, 2 to 4 mm is the width range of a Heaney clamp. These anatomic differences may be a contributing factor to the increase in ureteral injuries on the left side compared with the right. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Tension-Free Vaginal Tape Failure After Robotic Sacrocolpopexy and Tension-Free Vaginal Tape for Concomitant Prolapse and Stress Incontinence
Objective: Evidence of surgical cure with tension free vaginal tape (TVT) is robust for isolated stress urinary incontinence, but rigorous studies investigating combined prolapse and incontinence are lacking. Our study measured cure of stress incontinence in concomitant robotic sacrocolpopexy and retropubic sling (TVT). We hypothesized a higher rate of objective failure as measured by the cough stress test (CST) compared to failures reported in recent randomized trials of TVT in patients without prolapse (aggregate 8% failure). Methods: Prospective cohort of patients with stress incontinence and prolapse, scheduled for rob...
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: AUGS Conference Submission Source Type: research

Enmeshed in Controversy: Use of Vaginal Mesh in the Current Medicolegal Environment
Conclusions: To lessen the liability, a surgeon using transvaginal mesh should inform patients of potential complications associated with the products and document informed consent in their medical records. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 1, 2015 Category: OBGYN Tags: Review Article Source Type: research

Levatorplasty for Symptomatic Posterior Prolapse due to Recurrent Malignant Ascites
Conclusions: Management of patient with cancer with prolapse is complex. Patients with cancer with ascites also have pelvic organ prolapse, in addition to other, better described sequelae of increased intra-abdominal pressure. These patients should be treated specifically for prolapse, with therapy, including type of surgery, chosen with special consideration of their underlying disease. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: Case Reports Source Type: research

Urinary Incontinence Due to Urethral Coitus in a Multiparous Woman
We report the case of a 48-year-old gravida 5, para 5 woman with a history of urethral coitus complaining of urinary incontinence. To the best of our knowledge, our patient is the fifth reported case of urethral coitus with normal genitalia, and it might be accepted as the first reported case of urethral coitus in a multiparous woman. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: Case Reports Source Type: research

Uretero-Uterine Fistula: Delayed Presentation After Ureteral Reimplantation for Vesicoureteral Reflux
We present a case of a fistula occurring between a bicornuate uterus and the ureteral stump that had been ligated at the time of ureteral reimplantation during childhood. The presenting symptom was cyclic hematuria beginning at the age of 14 years with the onset of menarche. Cystoscopy and retrograde pyelogram showed a fistula connecting the ureteral stump (which had been ligated at the time of ureteral reimplantation) to the small horn of the bicornuate uterus. Computed tomographic scan showed bilateral single orthotopic kidneys and collecting systems. The patient underwent successful transvaginal and transvesical surgica...
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: Case Reports Source Type: research

The Effect of Age on Postoperative Morbidity in Women Undergoing Urogynecologic Surgery
Conclusions: Women aged 65 years and older who underwent urogynecologic surgery had a higher risk of clinically significant postoperative complications based on the Dindo-Clavien Scale when compared with women younger than 65 years. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Effect of a Decision Aid on Decision Making for the Treatment of Pelvic Organ Prolapse
Conclusions: In this relatively small sample, the addition of a DA to SC for women with POP does not significantly decrease the level of decisional conflict in making treatment-related decisions. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

The Quality of Health Information Available on the Internet for Patients With Pelvic Organ Prolapse
This study aimed to assess the quality of Web sites that provide information on pelvic organ prolapse using validated quality measurement tools. Methods: The Google search engine was used to perform a search of the following 4 terms: “pelvic organ prolapse,” “dropped bladder,” “cystocele,” and “vaginal mesh.” The DISCERN appraisal tool and JAMA benchmark criteria were used to determine the quality of health information of each Web site. Cohen κ was performed to determine interrater reliability between reviewers. Kruskal-Wallis and Wilcoxon rank sum tests were used to co...
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

The Feasibility of Clean Intermittent Self-Catheterization Teaching in an Outpatient Setting
Objectives: The aim of this study was to evaluate the feasibility of teaching clean intermittent self-catheterization (CISC) in an outpatient setting to women planning surgery for pelvic organ prolapse (POP) and/or urinary incontinence (UI). Methods: This was a prospective observational study of 55 women who planned surgical correction of POP and/or UI. All women were taught CISC as part of their preoperative education. The ability to learn CISC and the amount of time needed to teach CISC were recorded. Multivariate modeling, χ2 test, Fisher exact test, and Kruskal-Wallis analysis of variance were used for statistical ...
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Pectineal Ligament Hysteropexy for Uterine Prolapse in Premenopausal Women by Open and Laparoscopic Approach in Indian Urban and Rural Centers
Conclusions: Open PLH for uterine prolapse may be safely performed and gives durable support to the prolapsed uterus with low recurrence risk. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Lower Urinary Tract and Functional Bowel Symptoms in Women With Vulvar Diseases and Controls
This study aims to compare the prevalences of lower urinary tract symptoms (LUTS), irritable bowel syndrome (IBS) and constipation in women with vulvar diseases to those from the general population. Methods: Three groups of women were recruited from the University of Michigan Gynecology Clinics, women with: (1) biopsy proven lichen sclerosus (LS), (2) non-LS vulvar diseases (vulvar controls, VC), and (3) presenting for annual examinations (AE). All patients completed self-administered surveys and validated pelvic floor symptom questionnaires. Results: 317 subjects were enrolled: 101 with LS, 86 VCs, and 130 AEs. Compared t...
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: AUGS Conference Submission Source Type: research

Elevate and Uterine Preservation: Two-Year Results
Conclusions: Anatomic success and complications for the EAA do not appear to be significantly impacted when the uterus is removed before or during surgery or preserved. There may be a trend toward increased mesh extrusion when a hysterectomy is performed. However, larger cohort studies are needed to determine if concomitant hysterectomy impact extrusion. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - July 1, 2015 Category: OBGYN Tags: AUGS Conference Submission Source Type: research