Pelvic floor dysfunctions and associated factors in female CrossFit practitioners: a cross-sectional study
ConclusionThere is a high prevalence of PFD in female CrossFit practitioners, with AI being the most reported symptom, especially FI. In addition, constipation and weekly training frequency were significantly associated with FI. UI occurred primarily in CrossFit exercises, and dyspareunia was the most prevalent sexual symptom. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 22, 2021 Category: OBGYN Source Type: research

Transvaginal sacrospinous ligament suture rectopexy for obstructed defecation symptoms: 1-year outcomes
ConclusionTransvaginal sacrospinous ligament suture rectopexy was safe, feasible, and effectively treated ODS within this cohort of women undergoing POP surgery with rectal hypermobility confirmed by dynamic ultrasound. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 22, 2021 Category: OBGYN Source Type: research

The prevalence of frailty and post-treatment outcomes in elderly women with pelvic floor disorders
ConclusionsOur study shows a high prevalence of frailty in elderly women with symptoms of PFD. Further research is required to investigate whether these frail patients face an increased risk of complications and poor clinical outcomes after treatment for PFD. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 22, 2021 Category: OBGYN Source Type: research

An in-home rehabilitation program for the treatment of urinary incontinence symptoms in endometrial cancer survivors: a single-case experimental design study
ConclusionThis study provides new evidence that endometrial cancer survivors can improve the severity of their UI following an in-home rehabilitation program, including the use of a mobile technology.  This mode of delivery has the potential to address a gap in access to pelvic floor physiotherapy services for survivors of EC living in rural and remote communities. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 22, 2021 Category: OBGYN Source Type: research

Racial and ethnic representation in primary research contributing to pelvic organ prolapse treatment guidelines
AbstractIntroduction and hypothesisTo evaluate whether the studies contributing to the national treatment guidelines on pelvic organ prolapse adequately represent the racial and/or ethnic makeup of the American population.MethodsThis analysis examines the racial and ethnic makeup of all primary study cohorts contributing to the American College of Obstetricians and Gynecologists/American Urogynecologic Society Practice Bulletin No. 214 on pelvic organ prolapse. References were excluded if they lacked a primary patient population or were from outside the US. Mean proportional representation of racial/ethnic groups was compa...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 22, 2021 Category: OBGYN Source Type: research

Transvaginal surgical repair of large urethral diverticula with bipedicle double-opposing flaps of the periurethral fascia
ConclusionUsing bipedicle double-opposing flaps of the periurethral fascia during transvaginal excision of large UD is safe and effective. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 22, 2021 Category: OBGYN Source Type: research

Commentary on ‘A systematic review of neurocognitive dysfunction with overactive bladder medications’
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 22, 2021 Category: OBGYN Source Type: research

British Society of Urogynaecology Abstracts: Annual Research Meeting November 2020
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 20, 2021 Category: OBGYN Source Type: research

Psychometric evaluation of the Overactive Bladder Questionnaire (OAB-q) for measuring quality of life and clinical implications in Greek patients with overactive bladder
AbstractIntroduction and hypothesisThe Overactive Bladder Questionnaire (OAB-q) measures overactive bladder patients ’ severity of symptoms and their impact on health-related quality of life (HRQoL). The aim of this study was to validate the OAB-q in Greek patients with overactive bladder and report clinical implications of the disease.MethodsIn total, 107 patients were recruited consecutively in our clinic. They completed the OAB-q and Short Form-36 Health Survey (SF-36) twice, 3 months apart. Simultaneously, they initiated lifestyle changes and drug therapy. The reliability of OAB-q was estimated by its internal co...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 9, 2021 Category: OBGYN Source Type: research

Analysis of long-term structural failure after native tissue prolapse surgery: a 3D stress MRI-based study
ConclusionsAbnormal low  mid-vaginal paravaginal location (Level II), long vaginal length (Level II), and large UGH (Level III) were associated with long-term prolapse recurrence. Patient satisfaction was high and unrelated to anatomical recurrence. Bothersome bulge symptoms were associated with hiatus enlargement. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 9, 2021 Category: OBGYN Source Type: research

Laparoscopic ureteral reimplantation applying the modified psoas hitch and Lich-Gregoir onlay technique: a 10-step surgical video
ConclusionIntraoperative identification of ureteral injury and prompt repair are recommended. Ureteral repair technique depends on the ureteral injury site. Distal ureteral injuries (UIs) might require either uretero-ureterostomy or ureteral reimplant with or without a psoas hitch. The Lich-Gregoir is one of the two most frequently used anti-vesicoureteral reflux techniques and has acceptable complication rates. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 9, 2021 Category: OBGYN Source Type: research

Psychometric evaluation of the Overactive Bladder Questionnaire (OAB-q) for measuring quality of life and clinical implications in Greek patients with overactive bladder
AbstractIntroduction and hypothesisThe Overactive Bladder Questionnaire (OAB-q) measures overactive bladder patients ’ severity of symptoms and their impact on health-related quality of life (HRQoL). The aim of this study was to validate the OAB-q in Greek patients with overactive bladder and report clinical implications of the disease.MethodsIn total, 107 patients were recruited consecutively in our clinic. They completed the OAB-q and Short Form-36 Health Survey (SF-36) twice, 3 months apart. Simultaneously, they initiated lifestyle changes and drug therapy. The reliability of OAB-q was estimated by its internal co...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 9, 2021 Category: OBGYN Source Type: research

Analysis of long-term structural failure after native tissue prolapse surgery: a 3D stress MRI-based study
ConclusionsAbnormal low  mid-vaginal paravaginal location (Level II), long vaginal length (Level II), and large UGH (Level III) were associated with long-term prolapse recurrence. Patient satisfaction was high and unrelated to anatomical recurrence. Bothersome bulge symptoms were associated with hiatus enlargement. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 9, 2021 Category: OBGYN Source Type: research

Laparoscopic ureteral reimplantation applying the modified psoas hitch and Lich-Gregoir onlay technique: a 10-step surgical video
ConclusionIntraoperative identification of ureteral injury and prompt repair are recommended. Ureteral repair technique depends on the ureteral injury site. Distal ureteral injuries (UIs) might require either uretero-ureterostomy or ureteral reimplant with or without a psoas hitch. The Lich-Gregoir is one of the two most frequently used anti-vesicoureteral reflux techniques and has acceptable complication rates. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 9, 2021 Category: OBGYN Source Type: research

Lateral cut as management of late voiding dysfunction syndrome post sling: ‘more than a cut’ - video article
ConclusionsThe lateral cut of the mid-urethral tape should be considered a surgical alternative for the resolution of post-sling late voiding dysfunction syndrome in patients who do not improve with expectant management. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 8, 2021 Category: OBGYN Source Type: research

Online prediction tool for female pelvic floor dysfunction: development and validation
ConclusionsThis model provides an accurate online tool to differentiate between those with and without PFD and diagnoses of common pelvic floor disorders. It serves as a valuable self-assessment for women and primary care providers. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 7, 2021 Category: OBGYN Source Type: research

Interobserver variability of ultrasound measurements for the differential diagnosis of uterine prolapse and cervical elongation without uterine prolapse
AbstractObjectivesOur study aims to determine the interobserver variability of different ultrasound measurements (pubis-cervix distance, pubis-uterine fundus distance, and pubis-Douglascul-de-sac distance) previously analyzed for the ultrasound differential diagnosis of uterine prolapse (UP) and cervical elongation CE without UP.Materials and methodsWe conducted a prospective observational study with 40 patients scheduled to undergo surgical correction of UP and CE without UP. All patients underwent pelvic floor ultrasound examination by an examiner (E1) who acquired ultrasound images. Using these images, E1 measured the d...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 7, 2021 Category: OBGYN Source Type: research

Large vaginal polyp post-Manchester repair masquerading as uterine prolapse
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 7, 2021 Category: OBGYN Source Type: research

Online prediction tool for female pelvic floor dysfunction: development and validation
ConclusionsThis model provides an accurate online tool to differentiate between those with and without PFD and diagnoses of common pelvic floor disorders. It serves as a valuable self-assessment for women and primary care providers. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 7, 2021 Category: OBGYN Source Type: research

Interobserver variability of ultrasound measurements for the differential diagnosis of uterine prolapse and cervical elongation without uterine prolapse
AbstractObjectivesOur study aims to determine the interobserver variability of different ultrasound measurements (pubis-cervix distance, pubis-uterine fundus distance, and pubis-Douglascul-de-sac distance) previously analyzed for the ultrasound differential diagnosis of uterine prolapse (UP) and cervical elongation CE without UP.Materials and methodsWe conducted a prospective observational study with 40 patients scheduled to undergo surgical correction of UP and CE without UP. All patients underwent pelvic floor ultrasound examination by an examiner (E1) who acquired ultrasound images. Using these images, E1 measured the d...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 7, 2021 Category: OBGYN Source Type: research

Large vaginal polyp post-Manchester repair masquerading as uterine prolapse
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 7, 2021 Category: OBGYN Source Type: research

A new titanium-covered transobturator tape for surgical treatment of stress urinary incontinence
ConclusionThe titanium-covered transobturator sling had superior recovery time, improved sexual function and reduced reoperation rate compared to a historical polypropylene group. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 2, 2021 Category: OBGYN Source Type: research

How do women with interstitial cystitis/bladder pain syndrome make treatment choices?
ConclusionsWomen with IC/BPS have a strong interest in guided programs that teach self-care practices and deliver alternative treatments through remote platforms. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 2, 2021 Category: OBGYN Source Type: research

Comment on “Urinary incontinence during pregnancy: prevalence, experience of bother, beliefs, and help-seeking behavior”
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 1, 2021 Category: OBGYN Source Type: research

Bladder outlet obstruction is associated with bladder oversensitivity in women
AbstractIntroduction and hypothesisBladder outlet obstruction (BOO) in women might be associated with significant lower urinary tract storage symptoms such as increased frequency, urgency, and incontinence. This prospective study was designed to assess whether there is an objective association between BOO and abnormal parameters during filling cystometry in women.MethodsA total of 169 consecutive women (mean age 56  ± 14 years) who were referred for urodynamic investigation were prospectively recruited. Comprehensive medical, obstetric, and gynecological histories were recorded. All patients under...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Anticholinergic prescribing pattern changes of urogynecology providers in response to evidence of potential dementia risk
AbstractIntroduction and hypothesisRecent publications show an association between exposure to anticholinergic medications and the risk of developing dementia. We hypothesized that urogynecology providers have changed their overactive bladder syndrome treatment as a result of this literature.MethodsThis was an anonymous, cross-sectional, web-based survey of American Urogynecologic Society members. Survey questions queried awareness of the referenced literature, prescribing practices, the impact of insurance on treatment plans, and demographics. Our primary outcome measured the change in prescribing practice in response to ...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Pelvic floor distress inventory (PFDI) —systematic review of measurement properties
ConclusionOnly the hypothesis testing presented high quality of evidence for the PFDI. Criterion validity, hypothesis testing, and responsiveness presented a high quality of evidence for the PFDI-20. Due to the high degree of recommendation of the PFDI and PFDI-20 given by the ICI, further studies are needed to reevaluate all the measurement properties of these instruments. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Treatment of urinary incontinence: a critical appraisal of clinical practice guidelines with the AGREE II instrument
AbstractIntroduction and hypothesisThis systematic review evaluated the rigor of the development of clinical practice guidelines (CPG).MethodsThe searched sources were MEDLINE, EMBASE, Web of Science, Scopus, and specific databases of CPG. Reviewers, organized in triplicate and independently, selected the studies and assessed the quality of the guidelines using the Appraisal of Guidelines Research and Evaluation (AGREE II) instrument, which contains six domains for classification. The classification of the CPGs prioritized the domain 3 (developmental rigor) considering: high (score  >  60%), moderate (scor...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Consensus definitions and interpretation templates for magnetic resonance imaging of Defecatory pelvic floor disorders
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Robotic-assisted ureteral reimplantation and psoas hitch after ureteral injury during cesarean section
ConclusionsSimple modifications to a traditional technique of robotic-assisted ureteroneocystotomy effectively compensate for the presence of a uterus. Obstetricians should maintain a high index of suspicion for ureteral injury in women with new-onset severe urinary leakage post-cesarean section. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Concomitant laparoscopic and vaginal excision of duplicated collecting system
ConclusionDuplicated urinary collecting systems are the most common birth defect related to the urinary tract and can be frequently encountered by the pelvic surgeon. Knowledge of the presentation and workup of a suspected duplicated collecting system is important in carrying out appropriate treatment. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Robotic assisted proximal dorsal urethral diverticulectomy
ConclusionsDorsal urethral diverticulum in women, particularly when very proximal, can present a diagnostic and surgical challenge for reconstructive pelvic surgeons. The robotic approach to urethral diverticulectomy is feasible for a proximal dorsal urethral diverticulum which lies cephalad to the pubic symphysis. This or other laparoscopic applications may also be considered as an adjunct to the standard vaginal approach for complex urethral diverticuli with a proximal dorsal component. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Treatment outcomes of overactive bladder with combined therapies of botulinum toxin injections and oral agents
ConclusionThis is an initial report on adding back oral OAB meds to patients who have failed botulinum toxin injections suggesting there may be a role for add-back oral OAB medications. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Impact factor and the IUJ
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Re: The pathophysiology of stress urinary incontinence: a systematic review and meta-analysis.  Int Urogynecol J 32, 501–552 (2021)
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Commentary on ‘Can effective supervised pelvic floor muscle training be provided by primary care nurses? A randomized controlled trial’
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

A rare cause for urinary incontinence: fistulous communication between a urethral diverticulum and the vagina
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Response to a letter to the editor: “Single-incision slings for the treatment of stress urinary incontinence: efficacy and adverse effects at 10-year follow up”
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Can the mini-sling become the golden standard for treating stress urinary incontinence? Comment: The TFS retropubic tensioned minisling for SUI —a 14 year experience with high long-term RCT cure
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Letter to the editor: Single-incision slings for the treatment of stress urinary incontinence: efficacy and adverse effects at 10-year follow-up
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - September 23, 2021 Category: OBGYN Source Type: research

Reply to letter to the editor for UJO-D-21-00137R1
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 31, 2021 Category: OBGYN Source Type: research

Is there a correlation between a 20-min pad-test and subjective urine leakage amount?
AbstractIntroduction and hypothesisThe quantification of urinary incontinence (UI) is widely used in clinical practice to guide the prognosis and treatment, and the pad test is an inexpensive, quick, and easy tool to assess UI that has been used in studies in the literature. Another way to evaluate UI is the subjective urine leakage amount, but no studies have tried to correlate it with the 20-min pad test. Therefore, this study aimed to assess the correlation of the 20-min pad test with the subjective urine leakage amount and compare it with the pelvic floor function.MethodsThis is a cross-sectional study with a sample si...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 30, 2021 Category: OBGYN Source Type: research

The Sims position and the Sims vaginal speculum, re-examined
ConclusionThe article also reviews the origins of the Sims position, correcting popular misconceptions concerning both the position and the speculum and advocating for greater familiarity with the use of both of these valuable tools by practicing clinicians. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 30, 2021 Category: OBGYN Source Type: research

Laparoscopic sacrohysteropexy versus vaginal hysterectomy and apical suspension: 7-year follow-up of a randomized controlled trial
This study was aimed at comparing the long-term efficacy of laparoscopic mesh sacrohysteropexy and vaginal hysterectomy with apical suspension for the treatment of uterine prolapse.MethodsA randomised controlled trial comparing laparoscopic mesh sacrohysteropexy and vaginal hysterectomy with apical suspension for the treatment of uterine prolapse was performed, with a minimum follow-up of 7  years. The primary outcome was reoperation for apical prolapse. Secondary outcomes included patient-reported mesh complications, Pelvic Organ Prolapse Quantification, Patient Global Impression of Improvement in prolapse symptoms a...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 23, 2021 Category: OBGYN Source Type: research

Correction to: Abdelmageed Abdelrahman MBBCh BAO DIPM DFSRH MRCOG MSc (clinical education)
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 23, 2021 Category: OBGYN Source Type: research

Colpocleisis as an obliterative surgery for pelvic organ prolapse: is it still a viable option in the twenty-first century? Narrative review
ConclusionsColpocleisis is a heterogeneous procedure, characterized by high subjective and objective success, low coital ability regret, and a low risk of complications. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 18, 2021 Category: OBGYN Source Type: research

Laparoscopic pectopexy: the learning curve and comparison with laparoscopic sacrocolpopexy
This study was aimed at developing a learning curve for LP and to compare it with results with LS.MethodsWe started laparoscopic/robotic pectopexy in our department in August 2019. This retrospective study included the initial 18 consecutive women with apical prolapse receiving LP and another group undergoing LS (21 cases) performed by the same surgeon. The medical and video records were reviewed.ResultsThe age was older in the LP group than in the LS group (65.2 vs 53.1  years). The operation time of LP group was significantly shorter than that of the LS group (182.9 ± 27.2 vs 256.2 &plusm...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 18, 2021 Category: OBGYN Source Type: research

Synthetic mid-urethral slings for the treatment of stress urinary incontinence in women with neurogenic lower urinary tract dysfunction: a systematic review
ConclusionsThis review suggests that sMUS might offer interesting success rates and acceptable morbidity and could be considered for the treatment of SUI in women with NLUTD. Further studies are required to define which patients would be more likely to benefit from this intervention, as well as its place among the other surgical treatments for SUI. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 17, 2021 Category: OBGYN Source Type: research

Efficacy and safety of electrical stimulation for stress urinary incontinence in women: a systematic review and meta-analysis
This study included 9 RCTs, involving a total of 982 patients, of whom 520 received ES. Our results showed that in the short term (
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - August 17, 2021 Category: OBGYN Source Type: research