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PEOPLE: Lifestyle and comorbidities as risk factors for pelvic organ prolapse —a systematic review and meta-analysis PEOPLE: PElvic Organ Prolapse Lifestyle comorbiditiEs
ConclusionsBMI< 25 kg/m2 is protective while BMI> 30 kg/m2 is a risk factor for POP. Large waist circumference, dyslipidemia, HT, constipation, occupation, persistent cough, and varicose veins are also determinants for POP. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 31, 2023 Category: OBGYN Source Type: research

Prevalence and factors associated with sexual dysfunction in brazilian women: a cross-sectional study
ConclusionsA high prevalence of FSD was observed among Brazilian women in this study. Physically active women are less likely to have FSD. Menopause and the presence of urinary incontinence can negatively impact female sexual function. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 24, 2023 Category: OBGYN Source Type: research

Midterm comparison of laparoscopic high uterosacral ligament suspension and sacrocolpopexy in the treatment of moderate to severe apical prolapse
ConclusionsThe midterm curative effect of laparoscopic HUS is similar to that of SC in the treatment of moderate to severe apical prolapse. The former has the advantages of less intraoperative blood loss, shorter postoperative hospital stay, lower cost, fewer new defecation abnormalities, and there were no complications related to mesh. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 24, 2023 Category: OBGYN Source Type: research

Pessary management practices for pelvic organ prolapse among Australian health care practitioners: a cross-sectional study
ConclusionsDoctors, nurses and physiotherapists provided PM in Australia. HCPs had variable training and experience in PM, with rural and remote HCPs particularly wanting further training. This study highlights the need for accessible PM services, standardised and competency-based training for HCPs, and governance structures ensuring safe care. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 24, 2023 Category: OBGYN Source Type: research

Impact of chronic pelvic pain and painful bladder syndrome on the Pittsburgh Sleep Quality Index on women with deep endometriosis: a cross-sectional study
ConclusionsThe addition of PBS to CPP in women with DE is devastating for overall sleep quality, probably because it impacts some sleep dimensions unaffected by CPP and amplifies the problem in those already affected by pain. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 20, 2023 Category: OBGYN Source Type: research

Robot-assisted vesicovaginal fistula repair: comparison of the extravesical and transvesical techniques
ConclusionsThe present series, one of the largest R-VVF reported to date, is consistent with the few series already published with a 100% cure rate. Systematic excision of the fistulous tract and the high rate of flap interposition may explain the high success rate. The transvesical and extravesical approaches yielded similar outcomes. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 19, 2023 Category: OBGYN Source Type: research

Return to work and normal activities after mid-urethral sling: secondary analysis of the Trial of Mid-Urethral Slings
ConclusionsLess than half of patients returned to work and normal activities within 2  weeks of a mid-urethral sling surgery and took many fewer paid days off. The timing of return to work was not associated with significant differences in treatment failure or adverse outcomes. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 18, 2023 Category: OBGYN Source Type: research

Prevalence and risk factors for urinary incontinence up to 2 years postpartum: a cross-sectional population-based study
ConclusionsDuring the first 2 years postpartum 43.5% of women report UI, with relatively stable prevalence over this period. This high prevalence supports screening for UI after delivery regardless of risk factors. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 18, 2023 Category: OBGYN Source Type: research

Italian validation of the Pelvic Floor Distress Inventory (PFDI-20) questionnaire
ConclusionsThe PFDI-20 allows a comprehensive assessment of the effect of pelvic floor disorders on the quality of life of women. Moreover, the PFDI-20 represents a very solid QoL tool, since it has been extensively used in literature, and its use is highly recommended by the International Consultation on Incontinence. The present study demonstrated good features for the Italian version of the PFDI-20 questionnaire. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 17, 2023 Category: OBGYN Source Type: research

Patient perceptions of urgency of their pelvic floor disorders during the COVID-19 pandemic
ConclusionThe majority of women did not view their conditions as urgent during the COVID-19 pandemic and were amenable to a telehealth appointment. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 16, 2023 Category: OBGYN Source Type: research

Surgeon estimation of retropubic trocar position in blind 3D space
ConclusionsNovices were similar to expert surgeons in their estimation of the trocar ’s location and may have relied more heavily on anticipatory mechanisms to compensate for lack of experience. Teaching surgeons should make sure the novice surgeon trocar pass starts posterior to the bone. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 11, 2023 Category: OBGYN Source Type: research

Prevalence of pelvic floor dysfunction in recreational athletes: a cross-sectional survey
ConclusionHigh levels of all PFD were reported but no significant association was found between recreational exercise and symptoms. However, data suggest that women modify their exercise regimes as required. Few symptomatic women sought professional help. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 10, 2023 Category: OBGYN Source Type: research

A novel sacral neuromodulation protocol is associated with reduction in removal for device infection
ConclusionsUtilization of a novel SNM infection protocol tailored to a patient ’s preoperative MRSA colonization is associated with a reduction in the overall incidence of explant for device infection while avoiding prolonged postoperative antibiotic regimens.Clinical trial registrationThe study was initiated prior to January 18, 2017 and does not meet the definition of an applicable clinical trial (ACT) as defined in section 402 (J) of the US PHS Act. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 8, 2023 Category: OBGYN Source Type: research

Comparative anatomy of the ovine and human pelvis for laparoscopic sacrocolpopexy: evaluating the effectiveness of the ovine model
ConclusionsThe ovine model is a valuable tool for surgeons in their learning curve for LSC, allowing for safe and effective practice prior to performing the procedure on patients. The use of the OM can help to improve the quality of life for women affected by pelvic organ prolapse. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 8, 2023 Category: OBGYN Source Type: research

Could infiltration anesthesia decrease anchor-fixation quality of midurethral slings in the obturator complex?
ConclusionsThe local infiltrative anesthesia decreases anchor fixation in the porcine obturator complex. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - May 3, 2023 Category: OBGYN Source Type: research