The impact of verbal goal setting on operating room turnover time: a randomized trial
ConclusionOur academic center achieved goal turnover times in only 39.8% of cases. Although verbal prompting did not significantly improve the likelihood of meeting institutional goals in the group as a whole, some subgroups were significantly improved. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 14, 2023 Category: OBGYN Source Type: research

Retropubic slings repair two key ligaments, pubourethral and pubovesical, TOT only one
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 13, 2023 Category: OBGYN Source Type: research

Bacteriology and clinical outcomes of urine mixed bacterial growth in pregnancy
ConclusionsMixed bacterial growth might represent a true urinary tract infection in a considerable proportion of women who are symptomatic and have an abnormal dipstick urinalysis. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 8, 2023 Category: OBGYN Source Type: research

Antibiotic prophylaxis for onabotulinum toxin A injections: systematic review and meta-analysis
ConclusionsAlthough there are insufficient data to support the use of a specific antibiotic regimen, available studies favor the use of prophylactic antibiotics for 2 –3 days in idiopathic OAB patients undergoing BTX injection. Future trials are needed to determine the optimal regimens to prevent UTI in patients undergoing BTX for OAB. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 8, 2023 Category: OBGYN Source Type: research

Maintaining the apex: a novel technique for vault suspension during vaginal hysterectomy
ConclusionOur novel approach to vault suspension provides an uncomplicated, easily impartible, surgical procedure utilizing standard sutures. We believe that this approach is both enduring and safe. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 8, 2023 Category: OBGYN Source Type: research

The effect of sugammadex on postoperative urinary retention post-laparoscopic and robotic hysterectomy with and without concomitant procedures
ConclusionsOur findings suggest that sugammadex decreases the odds of TPOUR after laparoscopic hysterectomies with and without slings compared with the combination of GN. Additional prospective trials are required to confirm this finding. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 6, 2023 Category: OBGYN Source Type: research

Recurrent urinary tract infection genetic risk: a systematic review and gene network analysis
ConclusionsThis systematic review uncovered gene expression variations in several candidate genes and identified a number of underlying biological pathways associated with rUTIs. These findings could shift the treatment and prevention strategies for rUTIs. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - November 2, 2023 Category: OBGYN Source Type: research

Pelvic floor symptoms among premenopausal women with pelvic organ prolapse in the Democratic Republic of the Congo
ConclusionsThis study represents one of the largest prospective series of patients with premenopausal POP. Our results highlight the severity of pelvic floor symptoms and the negative effects on sexual function among this patient population with POP. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 28, 2023 Category: OBGYN Source Type: research

Positive predictive value of urine analysis with reflex criteria at a large community hospital
ConclusionsFurther optimization is needed for URTC criteria and the appropriateness of ordering UAs to reduce operational laboratory costs and inappropriate antibiotic treatment. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 27, 2023 Category: OBGYN Source Type: research

Efficacy of methenamine with methylthioninium in the treatment of dysuria: a randomized clinical study
ConclusionsThe association of methenamine with methylthioninium is superior to phenazopyridine in the treatment of dysuria. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 18, 2023 Category: OBGYN Source Type: research

Microbiologist in the clinic: coitally related symptoms with negative urine cultures
AbstractIn this first episode of the Microbiologist in the Clinic series, clinicians and laboratory scientists share their perspectives about a 30 y/o woman, who is seeking specialty consultation for frequent episodes of urinary urgency, frequency, and dysuria, which respond to short courses of antibiotics. Although her home dipsticks suggest that she has a UTI, and her urinalysis typically has a moderate number of white blood cells, her urine cultures are always negative. The challenges of this clinical presentation are discussed with evidence for evaluation and treatment. (Source: International Urogynecology Journal and ...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 14, 2023 Category: OBGYN Source Type: research

Impact of microbiota and host immunologic response on the efficacy of anticholinergic treatment for urgency urinary incontinence
ConclusionsOur pilot study suggests factors in addition to the urinary microbiome and local immune responses may be involved in patients ’ response to anticholinergics for UUI. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 14, 2023 Category: OBGYN Source Type: research

Complete labia majora fusion after obliterative surgical procedure: a video case report
We present the case of an 80  year-old woman with a history of progressive difficulty on voiding onset and sensation of incomplete bladder emptying. She reported an obliterative procedure to correct her pelvic organ prolapse (POP) 10 years earlier. On physical examination, complete fusion of labia majora was observed, causing abnormal urinary drainage. Perineal reconstructive surgery was performed without complications and the application of topical Promestriene was prescribed. Optimal genital re-epithelization was observed during follow-up. As observed, patients undergoing obliterative surgery who present with genital a...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 14, 2023 Category: OBGYN Source Type: research

Factors associated with health-seeking for urinary incontinence in Hong Kong Chinese women: a cross-sectional study
ConclusionsHong Kong Chinese women ’s knowledge toward UI is not sufficient, and the consultation rate is low. Besides symptom severity, the knowledge level of UI is the other independent factor affecting patients’ help-seeking behavior. Community education on UI may encourage women to seek early help. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 13, 2023 Category: OBGYN Source Type: research