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Effects of Preoperative Gabapentin on Clinical Outcomes After Outpatient Midurethral Sling Placement
Conclusions One of 5 women had urinary retention after outpatient midurethral sling placement. Although no statistically significant difference was found in urinary retention between groups, the odds of urinary retention in the treated group were increased. Because there was no difference in pain, analgesic usage, or time to discharge between groups, investigation regarding gabapentin use for outpatient urogynecologic surgery is needed. (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

Is Delaying Urogynecologic Surgery for Patients With Elevated Hemoglobin A1C High-Value Care?
Objective Poor glycemic control is a risk factor for surgical complications. We evaluated the cost-effectiveness of immediate versus delayed pelvic reconstructive surgery for women with hemoglobin A1C (HbA1c) greater than 8%. Methods We designed a decision tree model from a health care sector perspective to compare costs and effectiveness (quality-adjusted life-years [QALYs]) of 3 strategies: patients with HbA1c greater than 8% can undergo (1) immediate surgery, (2) delay surgery 6 months, or (3) delay surgery until HbA1c is less than 8%. Groups 2 and 3 undergo treatments to improve glycemic control. Our primary...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Adherence to Pelvic Floor Physical Therapy Referrals in Women With Fecal Incontinence
Conclusion Of the women prescribed PFPT for a diagnosis of FI, approximately two thirds attended at least a single session, but only one third of those patients were adherent with the recommended therapy. (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

Trends in Same-Day Discharge Rate After Minimally Invasive Sacrocolpopexy and Propensity Score–Matched Analysis of Postoperative Complication Rates Using the National Surgical Quality Improvement Program Database
Objective The primary aim of this study was to review trends in the same-day discharge (SDD) rate after minimally invasive sacrocolpopexy (MISCP). The secondary aim was to compare the composite 30-day postoperative complication rates between propensity score–matched SDD and admitted cohorts. Methods This was a retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program database from 2015 to 2019. Patients who underwent MISCP were identified by Current Procedural Terminology codes. Concurrent hysterectomy, anterior or posterior repairs, rectopexy, and midureth...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

A Physician-Led Communication Initiative to Inform OAB Patients of Dementia Risk Associated With Anticholinergic Medications
Conclusions Overall, this outreach initiative resulted in an increase in patient counseling that led to a change in treatment for most patients. This initiative was received favorably by patients and health care providers. (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

Failure Rate of Retropubic Midurethral Sling With and Without Concomitant Robotic Sacrocolpopexy
Importance The retropubic midurethral sling (rMUS) and sacrocolpopexy are treatments for stress urinary incontinence (SUI) and pelvic organ prolapse, respectively, which are often performed concomitantly. Objective The purpose of this study was to identify whether a difference exists in the failure rates of rMUS when placed alone or at the time of robotic sacrocolpopexy (RSC). Study Design We conducted a single-center retrospective cohort study of patients who underwent rMUS placement between December 2015 and March 2020. The primary outcome was rMUS failure defined as additional treatment for SUI at any ...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Sex Differences in Commercial Patient Reviews of Women and Men Urogynecologic Surgeons
The objective of our study was to describe differences in commercial patient reviews of women and men urogynecologic surgeons. Materials and Methods Reviews of surgeons on Healthgrades.com in 4 metropolitan areas were included. Based on the qualitative assessment using qualitative content analysis of major and minor elements, we defined 4 theme categories: global experience, social interaction, technical skills, and ancillary aspects, each embedded with discrete elements. Differences in proportions of mentioned themes as well as quantitative ratings were evaluated by sex with the appropriate statistical tests. Re...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

A Retrospective Cohort Study to Identify the Risk Factors for Urinary Tract Infection After Office Procedures
Conclusions Patients with recurrent UTI were 7.51 times more likely to develop a UTI after cystoscopy, whereas those with interstitial cystitis were 4.56 times more likely to develop a UTI after cystoscopy. The incidence of UTI after UDS was low overall. Understanding who is at higher risk of postprocedural UTIs may help identify subpopulations that may benefit from prophylactic strategies. (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

Can Women Accurately Predict Their Voided Volumes?
Conclusions Nearly two-thirds of women estimated their voided volume within 30% of the actual void and one-third of women could predict within 20%. This should be taken into consideration when obtaining patient history, particularly with age and diagnosis of anxiety, and may substantiate use of voiding diaries for accurate measurement in specific populations. (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

How Involved Do Patients Want to Be in the Medical Decision-Making at the Initial Urogynecology Clinic Visit?
Conclusions Despite a change in women's reported involvement in decision-making after their first urogynecology visit compared with their preferences before the visit, most women perceived collaboration during their visit and were completely satisfied. (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

Suprapubic Versus Transurethral Catheterization: Perioperative Outcomes After Colpocleisis
This study compared length of catheterization and postoperative complications after colpocleisis between planned suprapubic catheter placement and transurethral catheterization. Methods This is a retrospective cohort study including all women undergoing colpocleisis from January 2015 to December 2019 in a large female pelvic medicine and reconstructive surgery practice. Women undergoing planned placement of a suprapubic catheter intraoperatively during colpocleisis and women who were discharged with a transurethral catheter after failing an active voiding trial postoperatively after colpocleisis were included. Women...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Long-term Urinary Outcomes After Transvaginal Uterovaginal Prolapse Repair With and Without Concomitant Midurethral Slings
Importance Many health care providers place concomitant midurethral slings during pelvic organ prolapse repair, yet growing evidence supports staged midurethral sling placement. Objectives The aim of this study was to compare urinary function after transvaginal uterovaginal prolapse repair with and without midurethral sling. Study Design Secondary analysis of the Study of Uterine Prolapse Procedures Randomized Trial (hysterectomy with uterosacral ligament suspension vs mesh hysteropexy). Our primary outcome was Urinary Distress Inventory score (UDI-6) through 5 years compared between women with and withou...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Special Issue Submission Source Type: research

Urgent PC Versus a Generic Posterior Tibial Neurostimulator for Overactive Bladder: A Retrospective Noninferiority Study
Conclusions In this cohort of women undergoing PTNS for nonneurogenic OAB, urgency urinary incontinence, or mixed urinary incontinence, the generic neurostimulator demonstrated noninferior rates of treatment success compared with Urgent PC. (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

Sacrospinous Ligament Fixation Using an Anchor Versus Suture-Capturing Device: A Prospective Cohort Study
Conclusions Persistent gluteal or posterior thigh pain and surgical failure is uncommon 12 months after sacrospinous fixation and was not associated with the type of fixation device. (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

The American Urogynecologic Society Action Plan on Diversity, Equity, and Inclusion: Developed by the Diversity, Equity, and Inclusion Task Force
The American Urogynecologic Society (AUGS) identified diversity, equity, and inclusion as the cornerstone of excellence in governance and operations. Although efforts to increase diversity of our membership have been ongoing for years, there had not previously been an adequate investment to ensure an inclusive climate that emphasizes equity across our volunteers and programs. In June 2020, the AUGS President, Dr Shawn Menefee, and Board of Directors called for a Presidential Task Force on Diversity, Equity, and Inclusion to study the current state of our society and make recommendations for future directions. The charge wa...
Source: Female Pelvic Medicine and Reconstructive Surgery - March 1, 2022 Category: OBGYN Tags: AUGS Conference Report Source Type: research