Complete labial fusion in a postmenopausal woman: unusual cause of urinary symptoms
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 6, 2018 Category: OBGYN Source Type: research

Laparoscopic implantation of electrodes for bilateral neuromodulation of the pudendal nerves and S3 nerve roots for treating pelvic pain and voiding dysfunction
ConclusionsWe conclude that laparoscopic implantation of neuromodulation electrodes allows simultaneous stimulation of S3 and pudendal nerves, providing more programming options and possibly increasing success rates in complex pelvic floor dysfunction cases. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - July 15, 2017 Category: OBGYN Source Type: research

Architectural assessment of rhesus macaque pelvic floor muscles: comparison for use as a human model
ConclusionsOverall, RM provides the closest architectural representation of human PFM complex among species examined; however, differences between individual PFMs should be taken into consideration. As RM is closely followed by rat with respect to PFM similarity with humans, this less-sentient and substantially cheaper model is a good alternative for PFM studies. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - March 10, 2017 Category: OBGYN Source Type: research

Early voiding dysfunction after midurethral sling surgery: comparison of two management approaches
ConclusionsPatients experiencing EVD after MUS surgery can be informed that UR will resolve in 50% with continued catheterization. Mobilization should be an option for those not comfortable with prolonged catheterization. Early intervention by mobilization may be associated with a lower risk of recurrent SUI, compared to continued catheterization and delayed sling lysis. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - March 10, 2017 Category: OBGYN Source Type: research

Pelvic organ support several years after a first birth
AbstractIntroduction and hypothesisFemale pelvic organ prolapse is highly prevalent and childbirth has been shown to be an important risk factor. The study was carried out to observe if pelvic organ support deteriorates over time following a first birth.MethodsThis is a retrospective review using archived data sets of women seen in the context of two prospective perinatal imaging studies. All subjects had undergone a standardised interview, a clinical examination and 4D translabial ultrasound, 3  months and 2–5 years post-partum. Main outcome measures were pelvic organ descent and hiatal area at maximum Val...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - March 10, 2017 Category: OBGYN Source Type: research

The role of reconstructive surgery in patients with end-stage interstitial cystitis/bladder pain syndrome: is cystectomy necessary?
ConclusionOur study adds to the existing evidence that cystectomy is not necessary to provide symptomatic cure in patients with end-stage IC/BPS. Urinary diversion without cystectomy is a highly effective operation and a successful outcome was achieved in all patients. Ileocystoplasty may be offered in carefully selected cases. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - March 10, 2017 Category: OBGYN Source Type: research

Two techniques for assessing postoperative voiding function, a randomized trial
ConclusionsOR-fill VT did not decrease total PACU time compared with PACU-fill VT. No overdistension was seen in either group; transient postoperative voiding dysfunction was common. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - March 10, 2017 Category: OBGYN Source Type: research

Surgeons ’ views on sling tensioning during surgery for female stress urinary incontinence
ConclusionsOur results indicate that there is a wide degree of variation in technique among surgeons. Prospective studies assessing the utility of various techniques could provide more evidence-based approaches to midurethral sling surgery and potentially improve quality and patient outcomes. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - March 10, 2017 Category: OBGYN Source Type: research

Calculus in female urethral diverticulum eroded to the vagina
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - March 10, 2017 Category: OBGYN Source Type: research

Comment on the recently published IUGA/ICS joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - March 1, 2017 Category: OBGYN Source Type: research

An observational follow-up study on pelvic floor disorders to 3 –5 years after delivery
This study aimed to determine the prevalence of urinary incontinence (UI), fecal incontinence (FI), and pelvic organ prolapse (POP) 3 –5 years after the first pregnancy and their associated risk factors.MethodsWe assessed 506 women using the Pelvic Floor Distress Inventory (PFDI) and the Pelvic Floor Impact Questionnaire (PFIQ). Maternal characteristics and obstetric data were analyzed using descriptive analysis, independent samplet test, chi-squared test, and logistic regression.ResultsThe prevalence of UI, FI, and POP, respectively, at a mean of 43  months after first delivery was 40.8, 6.6, and 10.2% followin...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - February 13, 2017 Category: OBGYN Source Type: research

Tissue-engineering with muscle fiber fragments improves the strength of a weak abdominal wall in rats
ConclusionTissue-engineering with MFFs seeded on a scaffold of biodegradable MPEG-PLGA might be an interesting adjunct to future POP repair. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 31, 2017 Category: OBGYN Source Type: research

Role of concurrent vaginal hysterectomy in the outcomes of mesh-based vaginal pelvic organ prolapse surgery
ConclusionsConcurrent hysterectomy during mesh-based POP surgery in patients under 55  years led to more expensive charges and a longer stay compared with uterine-preserving mesh surgery. There was no difference in reintervention rates between groups for up to 3 years. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 12, 2017 Category: OBGYN Source Type: research

Anticholinergic prescription: are healthcare professionals the real burden?
ConclusionsWe have found that knowledge is lacking amongst all our HCPs, but especially amongst our first-line doctors, our GPs. Education is key in developing knowledge and safe prescribing, to improve the care we give to our patients. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 12, 2017 Category: OBGYN Source Type: research

Two cases of female urethral reconstruction with acellular porcine urinary bladder matrix
ConclusionsFemale urethral reconstruction using acellular porcine UBM is a viable option for patients who have lost a significant portion of their urethra. Both cases demonstrated transition of the graft into  the posterior wall of the urethra with significant improvement in continence. Further studies are needed to confirm that acellular porcine UBM can transform to urethral mucosa in women requiring urethral reconstruction. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 12, 2017 Category: OBGYN Source Type: research

Is levator hiatus distension associated with peripheral ligamentous laxity during pregnancy?
ConclusionLH distension and peripheral ligamentous laxity are significantly associated during pregnancy. However, the relationship is weak, and the results need to be confirmed in larger populations and with more specific techniques such as elastography to directly assess the elastic properties of the pelvic floor muscles. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 11, 2017 Category: OBGYN Source Type: research

Effectiveness of BTX-A and neuromodulation in treating OAB with or without detrusor overactivity: a systematic review
ConclusionThe limited evidence suggests that urodynamic diagnosis of DO does not alter patient reported outcomes for invasive treatments such as BTX-A and SNS. Noninferiority RCTs powered to evaluate the role of DO in predicting treatment response are required. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 11, 2017 Category: OBGYN Source Type: research

Pelvic floor morphometry: a predictor of success of pelvic floor muscle training for women with stress and mixed urinary incontinence
ConclusionIn older women with UI, a urethro-vesical junction height at rest of at least 11.4  mm appears to be predictive of PFM training response. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 11, 2017 Category: OBGYN Source Type: research

Risk factors for urinary incontinence among postmenopausal Mexican women
AbstractIntroduction and hypothesisPrevious studies of racial/ethnic variation in urinary incontinence (UI) suggest that population-specific studies of UI risk factors are needed to develop appropriate public health recommendations. We assessed UI risk factors among postmenopausal Mexican women enrolled in the Mexican Teachers ’ Cohort.MethodsWe conducted a cross-sectional study among 15,296 postmenopausal women who completed the 2008 questionnaire. UI cases were women who reported experiencing UI during menopause. Self-reported potential UI risk factors included age, reproductive variables, smoking status, adiposity...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 15, 2016 Category: OBGYN Source Type: research

Impaired contraction and decreased detrusor innervation in a female rat model of pelvic neuropraxia
ConclusionsBilateral pelvic nerve injury increased bladder size, impaired contractility, and decreased SM and autonomic innervation. Therapeutic strategies preventing nerve injury-mediated decline in neuronal input and SM content may prevent the development of a neurogenic bladder and improve quality of life after invasive pelvic surgery. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 15, 2016 Category: OBGYN Source Type: research

Long-term outcomes of intravesical dimethyl sulfoxide/heparin/hydrocortisone therapy for interstitial cystitis/bladder pain syndrome
AbstractIntroduction and hypothesisFor decades, intravesical dimethyl sulfoxide (DMSO) cocktail therapy has been used for the treatment of interstitial cystitis/bladder pain syndrome (IC/BPS), but little is known about its long-term efficacy. We aimed to assess the long-term efficacy of intravesical DMSO/heparin/hydrocortisone/bupivacaine therapy in patients with IC/BPS.MethodsPatients with IC/BPS from our institutions who underwent this therapy with>2  years follow-up were surveyed with O’Leary–Sant interstitial cystitis symptom and problem index questionnaires before and after therapy. Chart reviews a...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 15, 2016 Category: OBGYN Source Type: research

Comparative study of episiotomy angles achieved by cutting with straight Mayo scissors and the EPISCISSORS-60 in a birth simulation model
ConclusionsIn a simulated setting the majority of operators are unable to cut an episiotomy at the recommended 60 ° angle with Mayo scissors. The EPISCISSORS-60 cut an episiotomy a statistically significant 15° wider than regular Mayo scissors and achieved the recommended 60° in the vast majority of cases. If these findings translate into real life situations, then cutting episiotomies at 60° is expected to make a valuable contribution in reducing third- and fourth-degree tears in both spontaneous and operative vaginal deliveries. Variability in mediolateral episiotomies should be reduced by use of fixed-an...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 15, 2016 Category: OBGYN Source Type: research

Relationship between pelvic floor muscle strength and sexual dysfunction in postmenopausal women: a cross-sectional study
ConclusionsPostmenopausal women with sexual dysfunction showed lower PFM strength than women without sexual dysfunction. There was a weak correlation between urinary incontinence severity and sexual function. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 5, 2016 Category: OBGYN Source Type: research

Recurrence risk is associated with preoperatively advanced prolapse stage: Is there a difference between women with stage 2 and those with stage 3 or 4 cystocele?
ConclusionsWomen with advanced cystocele were significantly older than women with stage 2 cystocele. This raises the question whether it would be favorable to perform POP surgery in an earlier stage, i.e., at a younger age, in order to prevent POP recurrence. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 5, 2016 Category: OBGYN Source Type: research

Robot-assisted extravesical vesicovaginal fistula repair utilizing laparoscopically mobilized omental flap interposition
ConclusionsRobot-assisted extravesical VVF repair avoids the morbidity of a laparotomy, provides excellent exposure, and avoids a large cystotomy. It maintains vaginal length and allows for significantly better visualization compared with the transvaginal approach. This repair offers improved outcomes for certain patients depending on their history, anatomy, and the surgeon ’s experience. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 5, 2016 Category: OBGYN Source Type: research

Pain relief after triamcinolone infiltration in patients with bladder pain syndrome with Hunner ’s ulcers
AbstractIntroduction and hypothesisBladder pain syndrome (BPS) is a chronic condition with severe implications in the patient ’s quality of life with no definitive treatment. Our objective was to assess pain relief after triamcinolone injection in patients with BPS with Hunner’s ulcers (HU).MethodsRetrospective study of 20 consecutive patients with BPS treated at the Hospital Clinic of Barcelona with triamcinolone injection with flexible cystoscope between 2015 and 2016. Pain was assessed according to the visual analog scale (VAS) (0 –10) before and after treatment. Outcomes were compared using Student&rs...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 5, 2016 Category: OBGYN Source Type: research

Female sexual function following different degrees of perineal tears
AbstractIntroduction and hypothesisPerineal tears may have a negative impact on female sexual function (FSF). The aim of the study was to assess the effect of different degrees of perineal tears sustained during delivery on subsequent FSF.MethodsThis prospective cohort study assessed women with third- or fourth-degree perineal tears following vaginal delivery (study group) and compared them with women who underwent episiotomy or had minor lacerations (control group). Sexual function of postpartum women meeting inclusion criteria was assessed using the validated Arabic version of the Female Sexual Function Index (FSFI) ques...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 5, 2016 Category: OBGYN Source Type: research

A validated translation of a survey for measuring incontinence knowledge in Chinese-speaking American immigrants
ConclusionsWe validated a translation of the UIQ for assessment of urinary incontinence knowledge in Chinese-speaking immigrants to the USA. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 5, 2016 Category: OBGYN Source Type: research

Mesh removal after vaginal surgery: what happens in the UK?
ConclusionsRemoval of exposed, eroded and/or painful vaginally inserted mesh is performed by many different surgeons in a variety of hospital settings in the UK. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 5, 2016 Category: OBGYN Source Type: research

Predicting levator avulsion from ICS POP-Q findings
ConclusionLevator avulsion is associated with ICS POP-Q measures. Together with simple clinical data, it is possible to predict the risk of avulsion using a scoring system. This may be useful in clinical practice by modifying the index of suspicion for the condition. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - December 5, 2016 Category: OBGYN Source Type: research

Transvaginal repair of a urethrovaginal fistula using the Latzko technique with a bulbocavernosus (Martius) flap
ConclusionsTransvaginal repair using the Latzko technique with a vascular bulbocavernosus (Martius) flap is an effective and safe mode of treatment. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 26, 2016 Category: OBGYN Source Type: research

Analysis of changes in sexual function in women undergoing pelvic organ prolapse repair with abdominal or vaginal approaches
AbstractIntroduction and hypothesisTo examine changes in sexual function after abdominal and transvaginal pelvic organ prolapse repair.MethodsWomen enrolled in our prospective, longitudinal prolapse database with abdominal sacrocolpopexy (ASC) or transvaginal (TVR) pelvic organ prolapse (POP) repair with or without mesh, between 19 December 2008 through 4 June 2014. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Pelvic Floor Distress Inventory (PFDI  -20) were mailed preoperatively, and at 6 and 12 months postoperatively. Patients completed Global Response Assessments to r...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 26, 2016 Category: OBGYN Source Type: research

Measuring the impact of a posterior compartment procedure on symptoms of obstructed defecation and posterior vaginal compartment anatomy
AbstractIntroduction and hypothesisWe hypothesized that there would be a significant difference in changes in obstructed defecation symptoms and posterior compartment prolapse between women who underwent posterior vaginal wall prolapse repair (PR) and those who did not.MethodsThis was a two-site prospective cohort study of women undergoing prolapse or incontinence surgery in which a PR was, or was not, performed at the discretion of the surgeon. Women were assessed using validated obstructed defecation questionnaires and standardized examination measures (including POP-Q, measurement of transverse gh, and assessment for a ...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 26, 2016 Category: OBGYN Source Type: research

Non-face-to-face treatment of stress urinary incontinence: predictors of success after 1  year
ConclusionThe long-term success of a non-face-to-face treatment program for SUI with a focus on PFMT can be predicted by successful short-term results, increasing age, and the performance of regular PFMT after 1  year. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 26, 2016 Category: OBGYN Source Type: research

A retrospective comparison of two vaginal mesh kits in the management of anterior and apical vaginal prolapse: long-term results for apical fixation and quality of life
ConclusionsThe use of the Elevate Ant mesh was associated with significantly better apical correction at 2  years. Function improved in both groups, but with a significantly better PFDI-20 score in the Elevate Ant group at 1 and 2 years. The postoperative stress urinary incontinence rate, however, tended to be greater in the Elevate Ant group. The results need confirming with longer follow-up of these cohorts and in randomized studies. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 26, 2016 Category: OBGYN Source Type: research

Hungarian language validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)
ConclusionsThe PISQ-IR Hungarian version is a valid and reliable tool that is equivalent to the original English questionnaire and assesses sexual function in Hungarian women with pelvic organ prolapse, urinary incontinence and/or fecal incontinence. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 26, 2016 Category: OBGYN Source Type: research

The pelvic floor muscle training manoeuvre works by increasing intraurethral resistance. Comment on “Influence of voluntary pelvic floor muscle contraction and pelvic floor muscle training on urethral closure pressures: a systematic literature review”
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 26, 2016 Category: OBGYN Source Type: research

Reply to the Editor
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 26, 2016 Category: OBGYN Source Type: research

Suburethral mass formation after injection of polydimethylsiloxane (Macroplastique ®) urethral bulking agent
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 26, 2016 Category: OBGYN Source Type: research

Barriers to seeking care for accidental bowel leakage: a qualitative study
ConclusionsABL care-seeking barriers are similar to those described for UI, with the notable addition of lack of knowledge that ABL is a medical condition experienced by others. Interventions to promote access to effective treatments for ABL should include information about prevalence and treatability. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 13, 2016 Category: OBGYN Source Type: research

Trans-abdominal ultrasound shear wave elastographyfor quantitative assessment of female bladder neck elasticity
AbstractIntroduction and hypothesisDisorders of micturition result from a wide variety of conditions and evaluation often involves multiple diagnostic modalities. However, the sensitivity and specificity of these techniques are highly variable and may not always yield a diagnosis. Novel imaging techniques such as ultrasound shear wave elastography may help to improve diagnostic accuracy.MethodsContinent women were recruited from outpatient gynecology offices from a tertiary medical system. Participants underwent ultrasound evaluation with measurement of the shear wave velocity (SWV) of the bladder neck (BN). SWV was used t...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 13, 2016 Category: OBGYN Source Type: research

Changes in intraocular pressure and tear secretion in patients given 5  mg solifenacin for the treatment of overactive bladder
ConclusionsSolifenacin succinate is useful in eliminating OAB symptoms in female patients, but can cause systemic side effects. It had no significant side effects on tear secretion (Schirmer I) and IOP. We concluded that solifenacin succinate could be reliably used in pure OAB patients without comorbidity in terms of dry eye and IOP. We believe that prospective studies with larger series are still needed to reach a definite conclusion. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 13, 2016 Category: OBGYN Source Type: research

Age-related alterations in female obturator internus muscle
AbstractIntroduction and HypothesisPelvic floor muscle rehabilitation is a widely utilized, but often challenging therapy for pelvic floor disorders, which are prevalent in older women. Regimens involving the use of appendicular muscles, such as the obturator internus (OI), have been developed for strengthening of the levator ani muscle (LAM). However, changes that lead to potential dysfunction of these alternative targets in older women are not well known. We hypothesized that aging negatively impacts OI architecture, the main determinant of muscle function, and intramuscular extracellular matrix (ECM), paralleling age-re...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 3, 2016 Category: OBGYN Source Type: research

In the footsteps of Bonney and Nichols: hysterectomy during surgical repair of pelvic organ prolapse
AbstractBased on the available urogynecological literature, the role of hysterectomy in the surgical strategy of pelvic organ prolapse (POP) repair remains controversial. Currently, there are no data to favor either the removal or preservation of the uterus in women with POP. The findings that hysterectomy may contribute to a higher success rate and to the development of urinary incontinence and/or female sexual dysfunction are not supported by evidence. It is not clear why both hysteropexy was sometimes performed in the presence of overt uterine prolapse and/or concomitant vaginal hysterectomy was often included in vagina...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 3, 2016 Category: OBGYN Source Type: research

Predictors of voiding dysfunction following extensive vaginal pelvic reconstructive surgery
The objective of this study was to identify the predictors of postoperative voiding dysfunction in women following extensive vaginal pelvic reconstructive surgery.MethodsWe enrolled 1,425 women who had pelvic organ prolapse of POP-Q stage III or IV and had undergone vaginal pelvic reconstructive surgery with or without transvaginal mesh insertion from January 2006 to December 2014. All subjects were required to complete a 72-h voiding diary, and the IIQ-7, UDI-6, POPDI-6 and PISQ-12 questionnaires. Urodynamic study was performed preoperatively and postoperatively.ResultsOf the 1,425 women, 54 were excluded due to incomplet...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 18, 2016 Category: OBGYN Source Type: research

Re: Influence of TVT properties on outcomes of midurethral sling procedures: high-stiffness versus low-stiffness tape
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 18, 2016 Category: OBGYN Source Type: research

Vaginal prolapse in bladder exstrophy with complete duplication of the uterus
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 18, 2016 Category: OBGYN Source Type: research

Reply to the letter to the editor on Prien-Larsen et al.: Influence of TVT properties of midurethral sling procedures: high-stiffness versus low-stiffness tape
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 18, 2016 Category: OBGYN Source Type: research

Residual defects after repair of obstetric anal sphincter injuries and pelvic floor muscle strength are related to anal incontinence symptoms
AbstractIntroduction and hypothesisThe aim was to analyze the correlation between residual anal sphincter (AS) defects and pelvic floor muscle (PFM) strength on anal incontinence (AI) in patients with a history of obstetric AS injuries (OASIS).MethodsFrom September 2012 to February 2015, an observational study was conducted on a cohort of females who underwent repair of OASIS intrapartum. The degree of OASIS was scored intrapartum according to Sultan ’s classification. Participants were assessed at 6 months postpartum. Incontinence symptoms were evaluated using Wexner’s score and PFM strength using the Mod...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 8, 2016 Category: OBGYN Source Type: research

Pelvic floor muscle training in groups versus individual or home treatment of women with urinary incontinence: systematic review and meta-analysis
ConclusionPFMT is an efficient technique for the improvement of the symptoms of female UI. When PFMT was supervised by a physiotherapist, no significant difference was noted when comparing group with individual approaches. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 8, 2016 Category: OBGYN Source Type: research