Are there age-related changes in the measurements of the urethral sphincter complex in nulliparous women? A three-dimensional ultrasound assessment
ConclusionOther than width of SMS, urethral length, and distance of SUS from urethrovesical junction, the dimensions of urethral sphincter complex components, as visualized by 3D endovaginal ultrasound, do not vary with age. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 23, 2021 Category: OBGYN Source Type: research

Urinary incontinence during pregnancy: prevalence, experience of bother, beliefs, and help-seeking behavior
AbstractIntroduction and hypothesisPregnancy and delivery are thought to induce urinary incontinence (UI), but its clinical impact is less known. Therefore, we investigated the prevalence of self-reported UI, level of experience of bother, and beliefs to gain a greater understanding of help-seeking behavior in adult pregnant women.MethodsA digital survey shared on social media was used for recruitment. The survey consists of: (1) demographic variables, (2) International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), (3) ICIQ Lower Urinary Tract Symptoms Quality of Life (ICIQ-LUTSqo...
Source: International Urogynecology Journal - February 23, 2021 Category: OBGYN Source Type: research

Prolapsing bladder neck polyp in a female: an innocuous pathology with unusual presentation
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 23, 2021 Category: OBGYN Source Type: research

Midurethral sling surgery for stress urinary incontinence: an Asian perspective footnote from the Pan-Asia meeting
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 23, 2021 Category: OBGYN Source Type: research

Meatal-sparing dorsal onlay vaginal graft urethroplasty: widening the surgical horizons of female urethral stricture
ConclusionFemale urethroplasty provides excellent cure rates. Meatal-sparing dorsal onlay vaginal graft urethroplasty can be considered in mid- and proximal urethral strictures. This simple and effective approach can widen the surgical horizons in the treatment of female urethral stricture and reduce its complications. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 23, 2021 Category: OBGYN Source Type: research

A commentary on “Short-, mid-, and long-term incontinence outcomes in women undergoing mid-urethral sling procedures: a retrospective cohort study”
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 23, 2021 Category: OBGYN Source Type: research

Commentary on “Is antibiotic prophylaxis necessary in mid-urethral sling surgery”?
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 23, 2021 Category: OBGYN Source Type: research

AUGS/IUGA 45th Virtual Annual Meeting
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 21, 2021 Category: OBGYN Source Type: research

Lower urinary tract symptoms in female prison inmates: prevalence and impact on quality of life
ConclusionsThe high prevalence of LUTS in female inmates, together with unhealthy toileting behaviors within the prison units, indicate that incarceration might play a role in the occurrence of these symptoms, while also affecting quality of life. The acknowledgement and investigation of these symptoms is important for improving health care in prisons. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 20, 2021 Category: OBGYN Source Type: research

Cognitive components of behavioral therapy for overactive bladder: a systematic review
ConclusionsBehavioral therapy for OAB appears useful, but its cognitive components are not well described, their relative importance has not been evaluated or ascertained, nor have they been rigorously studied. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 20, 2021 Category: OBGYN Source Type: research

Commentary: ESTROgen use on complications for women treating pelvic organ prolapse with vaginal PESSaries (ESTRO-PESS) —a randomized clinical trial
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 20, 2021 Category: OBGYN Source Type: research

Effect of the COVID-19 pandemic and social distancing measures on the sexual functions of women treated for vaginismus (genitopelvic pain/penetration disorder)
ConclusionAlthough frequency of sexual intercourse was not affected and pain scores and FSFI total and subscale scores improved, satisfaction and orgasm were adversely affected, which may be attributed to increased stress and anxiety during the pandemic. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 19, 2021 Category: OBGYN Source Type: research

Surgical Repair of the Genital Hiatus: A Narrative Review
ConclusionsGH size and prolapse appear to be strongly associated. Because GH size appears to be a risk factor for pelvic organ prolapse, the GH size should be carefully considered at the time of surgery. Surgeons should discuss with their patients the risks and potential benefits of additional procedures designed to reduce GH size. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 19, 2021 Category: OBGYN Source Type: research

Ultrasound imaging of maternal birth trauma
ConclusionsTranslabial and exo-anal ultrasound allows the assessment of maternal birth trauma in routine clinical practice and the utilization of avulsion and sphincter trauma as key performance indicators of maternity services. It is hoped that this will lead to a greater awareness of maternal birth trauma among maternity caregivers and improved outcomes for patients, both in the short term and in the decades to come. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 17, 2021 Category: OBGYN Source Type: research

Correction to: Modified Lefort partial colpocleisis
A Correction to this paper has been published:https://doi.org/10.1007/s00192-021-04707-z (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 17, 2021 Category: OBGYN Source Type: research

Commentary: The effect of preoperative phenazopyridine on short-term urinary retention following urogynecologic surgery
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 17, 2021 Category: OBGYN Source Type: research

Antibiotic regimen and route of administration do not alter rates of urinary tract infection after intravesical botulinum toxin injection for overactive bladder
ConclusionsIn this cohort, no route of antibiotic administration was more effective in the prevention of UTI. Antibiotic prophylaxis did not lower the rate of post-procedural UTI compared to no antibiotics. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 16, 2021 Category: OBGYN Source Type: research

Acute urinary retention with a missed bladder neck leiomyoma
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 16, 2021 Category: OBGYN Source Type: research

Is robotic-assisted sacrocolpo(hystero)pexy safe and effective in women over 65 years of age?
ConclusionsAnatomical outcomes and adverse events are similar in elderly patients undergoing open sacrocolpo(hystero)pexy and robotic-assisted sacrocolpo(hystero)pexy. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 15, 2021 Category: OBGYN Source Type: research

The effect of preoperative pelvic floor muscle training on urinary and colorectal-anal distress in women undergoing pelvic organ prolapse surgery —a randomized controlled trial
AbstractIntroduction and hypothesisPelvic floor muscle training (PFMT) improves urinary incontinence and mild pelvic organ prolapse (POP). We aimed to investigate the effect of preoperative PFMT on urinary and colorectal-anal distress and related quality of life (QoL) in women with severe POP scheduled for surgery.MethodsRandomized controlled trial of 159 women scheduled for POP surgery (intervention  = 81, controls = 78). Intervention consisted of daily PFMT from inclusion to the day of surgery. Symptoms and QoL were assessed at inclusion, day of surgery and 6 months postoperatively using the U...
Source: International Urogynecology Journal - February 13, 2021 Category: OBGYN Source Type: research

Female pelvic medicine and reconstructive surgery challenges on behalf of the Collaborative Research in Pelvic Surgery Consortium: managing complicated cases
AbstractThis case presents the work-up and management of a patient experiencing acute kidney injury, urinary retention, and neuropathy following surgery for pelvic organ prolapse and stress urinary incontinence. Four international experts provide their evaluation of and approach to this complex case. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 13, 2021 Category: OBGYN Source Type: research

The effect of preoperative phenazopyridine on short-term urinary retention following urogynecologic surgery
ConclusionsPreoperative administration of oral phenazopyridine does not decrease short-term urinary retention following urogynecologic surgery. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 13, 2021 Category: OBGYN Source Type: research

Urinary and anal incontinence among female gymnasts and cheerleaders —bother and associated factors. A cross-sectional study
ConclusionsUI and AI were prevalent in female gymnasts and cheerleaders, and SUI negatively influenced sport performance. The athletes ’ knowledge about the PFM was limited. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 13, 2021 Category: OBGYN Source Type: research

Pelvic organ prolapse and Japanese lifestyle: prevalence and risk factors in Japan
AbstractIntroduction and hypothesisLittle is known about the prevalence of pelvic organ prolapse (POP). We aimed to evaluate the prevalence of POP and identify its risk factors in Japan.MethodsThis was a single-centre, cross-sectional study. We recruited Japanese women seen for a Pap smear from July 2018 through May 2019. After providing their informed consent, subjects were asked to complete questionnaires. Pelvic organ support was assessed using the POP quantification (POP-Q) system by an examiner. Logistic regression analyses were conducted to identify risk factors for POP.ResultsThere were 1032 women aged 21 to 84 &nbs...
Source: International Urogynecology Journal - February 12, 2021 Category: OBGYN Source Type: research

Involuntary reflexive pelvic floor muscle training in addition to standard training versus standard training alone for women with stress urinary incontinence: a randomized controlled trial
This study was designed as a triple-blind prospective randomized controlled trial with women suffering from stress urinary incontinence with two physiotherapy intervention groups (control group: standard physiotherapy,n = 48, experimental group: standard physiotherapy plus involuntary reflexive pelvic floor muscle training triggered by whole-body movements such as jumpsn = 48). Both interventions lasted 16 weeks (9 personal physiotherapy consultations and 78 home training sessions). Group differences and development over time were analyzed concerning the primary outcome International Consul...
Source: International Urogynecology Journal - February 10, 2021 Category: OBGYN Source Type: research

Urinary retention is rare after colpocleisis and concomitant midurethral sling: a 10-year experience
ConclusionsPlacement of an MUS at the time of colpocleisis is a safe and effective therapy. This appears to be unaffected by preoperative urinary retention status. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 6, 2021 Category: OBGYN Source Type: research

Upregulation of PTK7 and β-catenin after vaginal mechanical dilatation: an examination of fibulin-5 knockout mice
ConclusionOur findings suggest that these proteins are involved in elastogenesis via fibulin-5, and the impairment of these proteins might be the underlying cause of POP manifestation. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 6, 2021 Category: OBGYN Source Type: research

Impact of COVID-19 on management of urogynaecology patients: a rapid review of the literature
ConclusionsUrogynaecological patients face particular challenges owing to inherent vulnerabilities of these populations. Behavioural and medical therapies should be recommended as first line options and initiated via virtual or remote clinics, which are integral to management during the COVID-19 pandemic. Expanding the availability and accessibility of technology will be increasingly required. The majority of outpatient and inpatient procedures can be deferred, but the longer-term effects of such practices are unclear. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 3, 2021 Category: OBGYN Source Type: research

Can patients independently identify their urinary incontinence symptoms?
ConclusionThere is a discrepancy between patient-reported urinary incontinence symptoms on the ICIQ-SF and physician-assessed symptoms. Symptomatology entered into electronic medical records by patients is often inaccurate. Physician validation is essential in understanding the underlying the precise symptomatology. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Media coverage of the 2019 United States Food and Drug Administration ordered withdrawal of vaginal mesh products for pelvic organ prolapse
ConclusionsInternet search patterns and social media behavior following the April 2019 ordered withdrawal on transvaginal mesh for pelvic organ prolapse reveal that some of the most disseminated information did not accurately or thoroughly distinguish the type of mesh discussed. This could lead to negative consequences for other mesh indications in female pelvic medicine and reconstructive surgery. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Comparison of stress urinary incontinence between urban women and women of indigenous origin in the Brazilian Amazon
ConclusionsNo significant difference in SUI was observed between the groups, despite significantly higher risk factors for SUI in the indigenous origin group. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Embryology of the urogenital tract; a practical overview for urogynecologic surgeons
ConclusionPatients with urinary tract anomalies can present with vague complaints often encountered by urogynecologists. It is crucial to understand the embryologic development of urinary tract anomalies to help facilitate diagnosis and guide care within the office and operating room setting. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Incidence of postoperative cognitive dysfunction in older women undergoing pelvic organ prolapse surgery
ConclusionIn this cohort, one in three women manifested POCD 2 weeks after prolapse surgery. Preoperative counseling should include discussions on POCD given its detrimental impact on postoperative recovery and independence. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

The prevalence of urinary incontinence symptoms among multiparous women: a survey of Saudi health-care centers
ConclusionUI symptoms are common among grand multiparas. Unlike urgency UI, stress UI is associated with previous obstetric events. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Proper assembly of a self-retaining, vaginal Magrina-Bookwalter retractor and demonstration of its use during a vaginal hysterectomy
ConclusionThe self-retaining, vaginal Magrina-Bookwalter retractor is a helpful tool to optimize the visualization and workspace while reducing the need for handheld retractors during vaginal procedures deeper into the pelvis. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Rare subpubic cartilaginous cyst presenting with lower urinary tract symptoms
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

McIndoe neovagina creation for the management of vaginal agenesis
AbstractThis video reviews technical considerations for performing a modified McIndoe vaginoplasty with skin graft. A 24-year-old female was referred for management of vaginal agenesis. She had unsuccessfully tried vaginal dilation and was interested in vaginal canal creation. A 10  × 20-cm split-thickness skin graft was harvested from the buttock and secured to a condom-covered rubber-sponge mold. The vaginal dissection was initially performed with electrocautery and sharp dissection to enter the plane between the bladder anteriorly and the rectum posteriorly. Then, blun t dissection using a finger, su...
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Delayed presentation of mons pubis abscess formation following MUS —case report and surgical video
ConclusionsUnusual long-term complications of MUS should be considered and recognized. Thorough evaluation is crucial for informed decision-making related to treatment strategies. The vaginal approach to mesh removal is safe and should be practised by experienced surgeons. Patients should be informed regarding the possibility of incontinence after sling removal. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Fundal pressure in the second stage of labor (Kristeller maneuver) and levator ani avulsion
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Commentary: The effect of modified Pilates based positions on pelvic floor electromyographic (EMG) activity; a pilot study
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 26, 2021 Category: OBGYN Source Type: research

Animal models for pelvic organ prolapse: systematic review
ConclusionIn several species there are measurable effects of pregnancy, delivery and iatrogenic menopause. Squirrel monkeys can develop spontaneous prolapse. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 23, 2021 Category: OBGYN Source Type: research

Urinary incontinence 6  weeks to 1 year post-partum: prevalence, experience of bother, beliefs, and help-seeking behavior
ConclusionsMore than half of all post-partum women in the Netherlands from 6  weeks to one year post childbirth experience UI (57.1%), 38% classified their UI as bothersome. In total 25% of UI women sought professional help. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 23, 2021 Category: OBGYN Source Type: research

Differential diagnosis of middle compartment pelvic organ prolapse with transperineal ultrasound
ConclusionA difference of ≥15 mm in the pubis–uterine fundus distance at rest and with the Valsalva maneuver is useful for differentiating UP from CE without UP by ultrasound. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 23, 2021 Category: OBGYN Source Type: research

Feasibility of a deep learning-based method for automated localization of pelvic floor landmarks using stress MR images
ConclusionsWe demonstrated the feasibility of a deep learning-based approach for accurate and fast fully automated localization of bony and soft-tissue landmarks. This sped up the MR interpretation process for fast POP screening and treatment planning. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 21, 2021 Category: OBGYN Source Type: research

Women ’s experiences of the OASI Care Bundle; a package of care to reduce severe perineal trauma
ConclusionThis study contributes to the literature through its exploration of women ’s experiences of perineal protection techniques and diagnosis of perineal trauma. Interviewed women indicated that they did not experience any of the care bundle elements as an intrusion of their physical integrity. Additionally, an urgent need was identified for more information about perineal t rauma in terms of risk, prevention and recovery. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 21, 2021 Category: OBGYN Source Type: research

Letter to the editor: Impact of the EPISCISSORS-60 mediolateral episiotomy scissors on obstetric anal sphincter injuries: a 2-year data review in the United Kingdom
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 21, 2021 Category: OBGYN Source Type: research

A prospective randomized trial comparing Restorelle ® Y mesh and flat mesh for laparoscopic and robotic-assisted laparoscopic sacrocolpopexy: 24-month outcomes
ConclusionsAt 24  months, there were no differences in subjective outcomes and prolapse recurrence in patients who underwent sacrocolpopexy with the Restorelle® Y mesh versus dual flat mesh. One in five patients experienced an objective recurrence; however, there were no apical recurrences and the majority were as ymptomatic. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 20, 2021 Category: OBGYN Source Type: research

Exploration of the safe suture area of the presacral space in sacrocolpopexy by 3-dimensional (3D) models reconstructed from CT
ConclusionsTo preserve important vasculature, we recommend a 30  × 20-mm (L × W) avascular rectangular-shaped area, 10 mm below the SP and alongside the MSA, for safe graft or mesh attachment during sacrocolpopexy. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - January 20, 2021 Category: OBGYN Source Type: research

Risk factors associated with stress urinary incontinence 12  years after first delivery
This study was aimed at investigating risk factors involved in stress urinary incontinence (SUI) 12  years after first delivery. We also evaluated cumulative incidence, severity, and impact on quality of life (QoL) of SUI. We hypothesized that changes during the first pregnancy might be associated with SUI long after delivery.MethodsA longitudinal cohort study was undertaken including primigravid women who delivered in our hospital during 2007. SUI was assessed following definitions of the International Continence Society. Severity was evaluated using the Incontinence Severity Index and impact on QoL with the Internat...
Source: International Urogynecology Journal - January 20, 2021 Category: OBGYN Source Type: research

Do patients with central sensitivity syndromes have poor subjective outcomes despite anatomical cure from pelvic organ prolapse surgery?
AbstractIntroductionPelvic organ prolapse(POP) has an adverse impact on quality of life with lifetime risk of surgery varying from 11 to 20%. Conditions such as fibromyalgia (FMS), chronic fatigue syndrome (CFS/ME) and irritable bowel syndrome (IBS), collectively known as central sensitivity syndromes (CSS), may affect the outcome of POP surgery. The aim of this article is to compare the outcomes of vaginal POP surgery between women with and without CSS.MethodThis was a prospective cohort study. The validated Central Sensitisation Inventory (CSI) was used to identify women with CSS. Subjective and objective outcomes were c...
Source: International Urogynecology Journal - January 18, 2021 Category: OBGYN Source Type: research