Urinary and sexual impact of pelvic reconstructive surgery for genital prolapse by surgical route. A randomized controlled trial
ConclusionsBothersome de novo SUI and de novo dyspareunia occurred in approximately 15% and 23% of our study cohorts, with no significant difference between sacrocolpopexy/hysteropexy and anterior/apical vaginal mesh surgery. However, these results should be interpreted with caution owing to the small sample size. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 19, 2022 Category: OBGYN Source Type: research

Continuing research after training: perspectives from the IUGA fellows session 2021
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 19, 2022 Category: OBGYN Source Type: research

External kinesiology tape for improvement in fecal incontinence symptom bother in women: a pilot study
ConclusionsIn this small pilot study, the use of the anal tape was safe and effective. The primary outcome of significant improvement in quality of life was achieved (ClinicalTrials.gov ID:NCT02989545).Public trial registryClinicalTrials.gov identifier NCT02989545.https://clinicaltrials.gov/ct2/show/NCT02989545 (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 18, 2022 Category: OBGYN Source Type: research

Female urethral stricture: which one is stronger? Labial vs buccal graft
ConclusionsIn female urethral strictures, especially in long segments and recurrent strictures, graft urethroplasty is a successful and safe method. Dorsal buccal onlay mucosal graft and labia major grafts show similar results in the early period to complications and success. In the long term, buccal onlay mucosal graft gives better results. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 18, 2022 Category: OBGYN Source Type: research

Comparison of retropubic tension-free vaginal tape inserted on two different height positions
ConclusionsThe height of the tape position, with the T/U not exceeding 0.375, has no impact on the subjective assessment of the surgical anti-incontinence treatment in 1-month control. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 17, 2022 Category: OBGYN Source Type: research

Technical features, perioperative and anatomical outcomes of a standardized suturing pattern for robotic sacrocolpopexy
ConclusionsOur suturing technique is safe and effective, with negligible risk of complications and good medium-term results. It is plausible that robotic systems may facilitate precise, accurate and reproducible placement of the stitches, thereby favoring wider diffusion of minimally invasive treatment of advanced prolapse. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 17, 2022 Category: OBGYN Source Type: research

A Cost-Effectiveness Analysis of Post-Void Residual Bladder Scan Thresholds in the Postoperative Setting
ConclusionA PVR threshold of 100  ml created a healthcare system burden due to increased office voiding trials. Both PVR thresholds of 150 ml and 200 ml were cost-effective strategies; however, ED utilization for POUR increased with 200 ml. Utilizing 150 ml as the PVR cut-off proved the most cost-effective strategy, avoiding P OUR under-detection and undue health costs. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 17, 2022 Category: OBGYN Source Type: research

Three-year follow-up of a self-administered Australian pelvic floor questionnaire validated in Chinese pregnant and postpartum women
ConclusionsThe Chinese version of the self-administered APFQ is reliable and valid and can monitor the changes in symptoms over time. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 17, 2022 Category: OBGYN Source Type: research

Parameters associated with unsuccessful pessary fitting for pelvic organ prolapse up to three months follow-up: a systematic review and meta-analysis
ConclusionDuring counselling for pessary treatment a higher risk of failure due to the aforementioned parameters should be discussed and modifiable parameters should be addressed. More research is needed on the association between anatomical parameters and specific reasons for unsuccessful pessary fitting. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 17, 2022 Category: OBGYN Source Type: research

Path-related pain after implantation of anterior transvaginal mesh: perspective from anatomical study
ConclusionThe path of the obturator externus muscle branch of the obturator nerve ran close to the mesh arm. It may provide a clinical anatomical basis explaining the observed postoperative pain. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 16, 2022 Category: OBGYN Source Type: research

The evolution of levator ani muscle trauma over the first 9  months after vaginal birth
ConclusionsLevator ani muscle trauma can reliably be diagnosed during all assessment periods. However, the agreement between A1 and A2 was only moderate to good. This can be explained by hematomas inside the LAM that were only observed early postpartum. We observed some anatomical improvement at A3, but no complete avulsion improved to an intact LAM. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 16, 2022 Category: OBGYN Source Type: research

Predictors of postoperative complications from stress urinary incontinence procedures: a NSQIP database study
ConclusionPostoperative complications following MUS are rare. Factors associated with complications following MUS for SUI include age, ASA class, and women of “other” race. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 14, 2022 Category: OBGYN Source Type: research

Psychological intervention in women with Mayer-Rokitansky-K üster-Hauser syndrome after artificial vaginoplasty: a prospective study
ConclusionsMRKH patients are at a great risk of depression and anxiety problems after artificial vaginoplasty. Early psychological intervention can alleviate these symptoms. Ongoing psychological support was needed to eliminate emotional burden during MRKH treatment, and further study is sorely needed to identify its appropriate timing and method. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 14, 2022 Category: OBGYN Source Type: research

The effect of pelvic floor exercises performed with EMG biofeedback or a vaginal cone on incontinence severity, pelvic floor muscle strength, and quality of life in women with stress urinary incontinence: a randomized, 6-month follow-up study
ConclusionIt was concluded that both EMG biofeedback assisted PFME and PFME with a vaginal cone had curative effects on incontinence in patients with SUI. We believe that both protocols can be used as acceptable and effective conservative therapy methods in the treatment of women with SUI considering their preference. (Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 14, 2022 Category: OBGYN Source Type: research

Commentary on “How do women with interstitial cystitis/bladder pain syndrome make treatment choices?”
(Source: International Urogynecology Journal and Pelvic Floor Dysfunction)
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - January 14, 2022 Category: OBGYN Source Type: research