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Patient experiences following prolapse surgery implementing a same-day discharge model: a prospective study
ConclusionsIn this sample of women receiving same-day discharge following vaginal hysterectomy with pelvic reconstruction, we present a unique insight into the most common patient concerns postoperatively. Rates of satisfaction and comfort were high. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 25, 2023 Category: OBGYN Source Type: research

Letter to the Editor: “Concurrent multi-session anodal trans-cranial direct current stimulation enhances pelvic floor muscle training effectiveness for female patients with multiple sclerosis suffering from urinary incontinence and pelvic floor dysfunction: a randomized clinical trial study”
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 25, 2023 Category: OBGYN Source Type: research

Perineal resuturing versus conservative treatment for dehisced perineal wounds and episiotomies: a systematic review and meta-analysis
ConclusionWe found no significant differences in the healing time between the resuturing group and the conservative treatment group. However, the sample sizes of the studies were small. A well-designed, large, and prospective randomized controlled trial is needed to evaluate the optimal treatment modality for dehisced perineal wounds. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 23, 2023 Category: OBGYN Source Type: research

International Urogynecology consultation chapter 2 committee 3: the clinical evaluation of pelvic organ prolapse including investigations into associated morbidity/pelvic floor dysfunction
ConclusionsThe clinical pelvic examination remains the central tool for evaluation of POP and a system such as the POP-Q or S-POP should be used to describe and quantify. The value of investigation for urinary tract dysfunction was discussed and findings presented. The routine addition of GI radiographic or physiological testing is currently not recommended. There are no data on the role of the routine assessment of pain or sexual function, and this area needs more study. Imaging studies alone cannot replace clinical examination for the assessment of POP. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 22, 2023 Category: OBGYN Source Type: research

A randomized trial comparing perioperative pelvic FLOor physical therapy to current standard of care in transgender Women undergoing vaginoplasty for gendER affirmation: the FLOWER Trial
ConclusionsIn this study, routine postoperative PFPT did not improve outcomes in patients undergoing vaginoplasty. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 9, 2023 Category: OBGYN Source Type: research

Why urogynaecology???
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 9, 2023 Category: OBGYN Source Type: research

Quality of life and sexual function after tension-free vaginal tape and polyacrylamide hydrogel injection for primary stress urinary incontinence: 3-year follow-up from a randomized clinical trial
ConclusionsBoth TVT and PAHG improve QoL and sexual function in primary SUI with better incontinence and health-related QoL scores in the TVT group compared to the PAHG group at 3  years. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 6, 2023 Category: OBGYN Source Type: research

Patient experience of pain during vaginal pessary removal and insertion: a service evaluation study
ConclusionsPessary removal causes most women moderate pain, which should be communicated to patients beforehand. Ring pessaries are significantly less painful to change than other pessary types. Clinicians should consider pain as a factor in their decision-making surrounding pessary choice and when counselling patients. Future research should focus on ways to reduce pain during pessary removal. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 2, 2023 Category: OBGYN Source Type: research

A population-based cross-sectional survey on the prevalence, severity, risk factors, and self-perception of female urinary incontinence in rural Fujian, China
ConclusionUI affects more than one-fifth of women in rural Fujian, and several factors are thought to be associated with its development. Rural women have a poor self-perception of UI, which is exacerbated by older age, lower levels of education, and lower income. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 1, 2023 Category: OBGYN Source Type: research

A 10- to 20-year follow-up after tension-free vaginal tape for stress urinary incontinence
ConclusionThe efficacy of TVT is demonstrated up to 20 years. The presence of bothersome OAB symptoms in the population may be an indicator of multimorbidity. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 1, 2023 Category: OBGYN Source Type: research

Surgical management of rectovaginal fistula after stapled transanal rectal resection for prolapsed hemorrhoids
ConclusionsThe procedure was successful in obtaining anatomical repair and relieving symptoms. This approach represents a valid procedure for the surgical management of this severe condition. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 1, 2023 Category: OBGYN Source Type: research

Surgical correction of the genital hiatus at the time of sacrocolpopexy — a 7-year Markov analysis: a cost-effectiveness analysis
ConclusionsIn this 7-year Markov cost-effectiveness analysis, SCPwithout concurrent PR was the dominant strategy. SCP+PR costs more with lower effectiveness than SCP alone, due to higher surgical cost of SCP+PR and higher probability of dyspareunia after SCP+PR. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 31, 2023 Category: OBGYN Source Type: research

The relationship between vaginal microenvironment and pelvic dysfunctional diseases in Chinese women: a systematic review and meta-analysis
ConclusionThis review indicates that the vaginal microenvironment has an impact on the development of PFD in Chinese women.Trial registrationThe protocol of this systematic review (SR) and meta-analysis (MA) has been registered in PROSPERO databases with the Registration number of CRD42023407251 (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 31, 2023 Category: OBGYN Source Type: research

Projecting future prolapse outcomes with induction of labor at 39 weeks: a decision analysis
ConclusionWhile routine induction of labor at 39 weeks results in a meaningfully higher vaginal delivery rate, there was no increase in POP, possibly due to the protective effect of lower birthweight. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 30, 2023 Category: OBGYN Source Type: research

Validation study of new clinical scoring — “Apollo Clinical Scoring system” for bladder pain syndrome/interstitial cystitis and comparison of outcome with standard “O’Leary–Sant score”
ConclusionThe present study suggests that the recently devised Apollo Clinical Scoring (ACS) system for patients of BPS/IC is internally consistent and a reliable scoring system. When compared with OLS in parallel setting, the newer ACS appeared to be marginally better. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - August 29, 2023 Category: OBGYN Source Type: research