First reported case of incidental complete passage of multiple vesical calculi after vaginal packing of edematous and ulcerated procidentia
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - October 18, 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)
Source: International Urogynecology Journal - 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)
Source: International Urogynecology Journal - 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)
Source: International Urogynecology Journal - 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 - September 21, 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)
Source: International Urogynecology Journal - September 21, 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)
Source: International Urogynecology Journal - September 21, 2021 Category: OBGYN Source Type: research

Transvaginal repair of vesicouterine fistulae: our experience of three cases
ConclusionTransvaginal repair of VUF in the prone jackknife position is a feasible and effective procedure for restoring the anatomy. However, there is still a need for well-designed studies with a large number of patients to identify the most promising approach. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 20, 2021 Category: OBGYN Source Type: research

Efficacy and patient acceptability of the continence dish
ConclusionThese new data showing strong objective benefits of the continence dish should be further validated by randomized trials, but this information should be made available to women seeking treatment options for SUI/MUI (particularly in view of concerns regarding mesh mid-urethral slings). (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 14, 2021 Category: OBGYN Source Type: research

Pentosan associated retinal pigmentary changes: FDA ’s perspective on an emerging postmarketing safety finding
ConclusionHere, we provide our perspective on the available evidence the agency weighed when retinal pigmentary changes were added to pentosan labeling. It is important for urogynecologists prescribing pentosan to be aware of this potential association and be vigilant about assessing eye health in pentosan users. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 10, 2021 Category: OBGYN Source Type: research

Mid-term results of the Remeex ® readjustable sling for female complex stress urinary incontinence and sonographic hypomobile urethra
ConclusionsIn patients with complex SUI and sonographic hypomobile urethra, use of a readjustable sling (Remeex ® system) led to improvement of SUI. Patients with a greater BMI and pre-surgical 24-h PT showed worse results after surgery. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 10, 2021 Category: OBGYN Source Type: research

Consensus definitions and interpretation templates for magnetic resonance imaging of Defecatory pelvic floor disorders
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 10, 2021 Category: OBGYN Source Type: research

Impact factor and the IUJ
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 10, 2021 Category: OBGYN Source Type: research

A randomized trial comparing continence pessary to continence device (Poise Impressa ®) for stress incontinence
ConclusionsMost women fitted with a CP/DICD experienced treatment success after 4  weeks without serious adverse events. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 9, 2021 Category: OBGYN Source Type: research

Youssef ’s syndrome: diagnosis on MRI
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 9, 2021 Category: OBGYN Source Type: research

The effect of vitamin D deficiency and supplementation on urinary incontinence: scoping review
ConclusionsThe existing literature supports an association between low levels of serum vitamin D and UI. Initial evidence regarding the effect of vitamin D supplementation on UI is accumulating, yet additional, comprehensive research is warranted to establish these findings. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 7, 2021 Category: OBGYN Source Type: research

Practice pattern variation: treatment of pelvic organ prolapse in The Netherlands
AbstractIntroduction and hypothesisGreat variety in clinical management of pelvic organ prolapse (POP) has been described over the last years. Practice pattern variation (PPV) reflects differences in care that cannot be explained by the underlying condition. We aim to explore whether PPV in management of POP in The Netherlands has changed between 2011 and 2017.MethodsWe conducted a multicenter cohort study, using prospective routinely collected benchmark data from LOGEX, a healthcare analytics company (Amsterdam, The Netherlands). Data of patients with a diagnosis POP from 50 hospitals (16 teaching and 34 non-teaching hosp...
Source: International Urogynecology Journal - September 6, 2021 Category: OBGYN Source Type: research

Ultrasonography and clinical outcomes following anti-incontinence procedures (Solyx ™ tape): a 3-year post-operative review
AbstractIntroduction and hypothesisOur primary objective was to study objective and subjective outcomes of patients with urodynamic stress incontinence (USI) following Solyx ™ at 3-year follow-up. Our secondary objective was to evaluate ultrasonographic tape and bladder neck position and mobility.MethodsRecords of 88 women who received Solyx ™ surgery between September 2015 and December 2017 were reviewed. Ultrasonographic sling evaluation was performed at 6 months and 3 years postoperatively. Primary outcomes were objective and subjective cure of stress incontinence, defined as no involuntary urine leakag...
Source: International Urogynecology Journal - September 6, 2021 Category: OBGYN Source Type: research

What improvements in levator ani motor function lead to improvement in stress urinary incontinence signs and symptoms in females?
ConclusionImprovements in bladder neck support and elevation show weak associations with improvement in SUI signs and symptoms. LAM function as measured by the PERFECT Scheme is not associated with SUI severity in women, and improvements in LAM function when measured by the PERFECT Scheme are not associated with improvements in SUI signs and symptoms. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 3, 2021 Category: OBGYN Source Type: research

Randomized trial of an enhanced consultation versus standard consultation for prolapse: impact on patient satisfaction
ConclusionsIn Spanish-speaking women, an EC using a 2-D prolapse animation did not increase prolapse knowledge satisfaction of disease understanding compared with an SC. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 3, 2021 Category: OBGYN Source Type: research

Is perineal hypermobility an independent predictor of obstructive defecation?
ConclusionsWe found no evidence of an independent association between perineal hypermobility and obstructed defecation. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 1, 2021 Category: OBGYN Source Type: research

Regenerative medicine for anal incontinence: a review of regenerative therapies beyond cells
ConclusionThere are viable regenerative medicine therapies for anal sphincter injuries beyond cellular therapy. CXCL12 shows promise as a focus of therapeutic research in this field. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 1, 2021 Category: OBGYN Source Type: research

Transvesical laparoscopy for bladder leiomyoma excision: a novel surgical technique
ConclusionsTransvesical laparoscopy may be considered for excision of bladder leiomyomas. This approach is feasible for trained surgeons as it requires a small working space. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 1, 2021 Category: OBGYN Source Type: research

Pyometra secondary to colouterine fistula as a complication of diverticulitis
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 1, 2021 Category: OBGYN Source Type: research

Sacral neuromodulation: sacral anatomy and optimal lead placement
ConclusionsThis video demonstrates how achieving optimal foramen needle placement within the S3 foramen is key to optimal lead placement. Understanding the relationship of the bony landmarks on fluoroscopy to the S3 nerve and foramen, seen in the cadaveric dissections, are important in understanding how to achieve optimal lead placement. This optimization should lead to decreased operating room time, maximization of programming options, and decreased amplitude requirements. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 1, 2021 Category: OBGYN Source Type: research

Commentary on ‘Microbiome diversity predicts surgical success in patients with rectovaginal fistula’
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 1, 2021 Category: OBGYN Source Type: research

Reply to letter to the editor for UJO-D-21-00137R1
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - 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 - 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)
Source: International Urogynecology Journal - August 30, 2021 Category: OBGYN Source Type: research

The effectiveness of group-based pelvic floor muscle training in preventing and treating urinary incontinence for antenatal and postnatal women: a systematic review
AbstractIntroduction and hypothesisUrinary incontinence (UI) is prevalent in antenatal and postnatal women. Pelvic floor muscle training (PFMT) is the first-line treatment for UI. Group-based PFMT provides a way for professionals to deliver this intervention to more women who need to prevent and/or treat UI. This review aims to (1) assess the effectiveness of group-based PFMT in preventing and treating UI in antenatal and postnatal women and (2) explore the characteristics of group-based intervention and factors which had an impact on the success of group-based PFMT.MethodsRandomized controlled trials (RCTs) were included ...
Source: International Urogynecology Journal - August 28, 2021 Category: OBGYN Source Type: research

Immediate postpartum assessment of the anal sphincter by endovaginal ultrasound: a new technical approach
ConclusionImmediate postpartum endovaginal ultrasound could be a promising technique to improve the management of perineal traumas after vaginal delivery. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 28, 2021 Category: OBGYN Source Type: research

The effectiveness of group-based pelvic floor muscle training in preventing and treating urinary incontinence for antenatal and postnatal women: a systematic review
AbstractIntroduction and hypothesisUrinary incontinence (UI) is prevalent in antenatal and postnatal women. Pelvic floor muscle training (PFMT) is the first-line treatment for UI. Group-based PFMT provides a way for professionals to deliver this intervention to more women who need to prevent and/or treat UI. This review aims to (1) assess the effectiveness of group-based PFMT in preventing and treating UI in antenatal and postnatal women and (2) explore the characteristics of group-based intervention and factors which had an impact on the success of group-based PFMT.MethodsRandomized controlled trials (RCTs) were included ...
Source: International Urogynecology Journal - August 28, 2021 Category: OBGYN Source Type: research

Immediate postpartum assessment of the anal sphincter by endovaginal ultrasound: a new technical approach
ConclusionImmediate postpartum endovaginal ultrasound could be a promising technique to improve the management of perineal traumas after vaginal delivery. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 28, 2021 Category: OBGYN Source Type: research

Urodynamic and questionnaire findings in urinary incontinent women with and without diabetes. Data from a health study
ConclusionsWomen with diabetes complained more about UI, had a higher ICIQ score, and had a positive ICS Uniform cough stress test more often than women without diabetes. Based on these findings, we recommend to include the history of urinary incontinence in the care of women with diabetes. This sample consists of women from a comprehensive health study with different severity of UI. Therefore, it can serve as a reference cohort for future studies. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 27, 2021 Category: OBGYN Source Type: research

Improved body image after uterovaginal prolapse surgery with or without hysterectomy
ConclusionsBody image improves following prolapse surgery whether or not hysterectomy is performed or transvaginal mesh is used at the time of repair; sexual activity status changes over time following prolapse surgery. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 25, 2021 Category: OBGYN Source Type: research

Commentary on “Are there differences in short-term pelvic floor muscle function after cesarean section or vaginal delivery in primiparous women? A systematic review with meta-analysis”
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 25, 2021 Category: OBGYN Source Type: research

Improved body image after uterovaginal prolapse surgery with or without hysterectomy
ConclusionsBody image improves following prolapse surgery whether or not hysterectomy is performed or transvaginal mesh is used at the time of repair; sexual activity status changes over time following prolapse surgery. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 25, 2021 Category: OBGYN Source Type: research

Commentary on “Are there differences in short-term pelvic floor muscle function after cesarean section or vaginal delivery in primiparous women? A systematic review with meta-analysis”
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 25, 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 - August 23, 2021 Category: OBGYN Source Type: research

Correction to: Abdelmageed Abdelrahman MBBCh BAO DIPM DFSRH MRCOG MSc (clinical education)
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - 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)
Source: International Urogynecology Journal - 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 - 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)
Source: International Urogynecology Journal - 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 - August 17, 2021 Category: OBGYN Source Type: research

Comparison of postpartum incontinence outcomes after vacuum-assisted and forceps-assisted deliveries in a tertiary maternity unit
ConclusionIn our maternity unit, we observed that type of operative vaginal  delivery was not associated with significant differences in urinary incontinence and pelvic floor muscle strength outcomes. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 12, 2021 Category: OBGYN Source Type: research

Characterizing the physical function decline and disabilities present among older adults with fecal incontinence: a secondary analysis of the health, aging, and body composition study
ConclusionsFecal incontinence symptoms are associated with clinically important declines in physical performance in older adults. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 11, 2021 Category: OBGYN Source Type: research

Reply to Letter to the Editor by Dr. Petros about “The pathophysiology of stress urinary incontinence: a systematic review and meta-analysis”
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 11, 2021 Category: OBGYN Source Type: research

Vesicouterine Fistula: A Robotic Approach
ConclusionRepair of a vesicouterine fistula may be safely completed via a minimally invasive approach without need for routine hysterectomy. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 10, 2021 Category: OBGYN Source Type: research

Women ’s experiences of the injury, recovery and desire for rehabilitation after a second-degree vaginal tear—a qualitative study
ConclusionWomen who suffer from a second-degree vaginal tear after pregnancy can feel safe when needs are met but uncertainty is also common when available healthcare and information are perceived as insufficient. The women also feel uncertainty about what is normal after the tear and how to perform pelvic floor exercises.Trial registrationThis trial was registered in “FoU in Sweden” (Research and Development in Sweden). Registration number:214591. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 9, 2021 Category: OBGYN Source Type: research