Journal of Pelvic Medicine and Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Perioperative Complications and Cost of Vaginal, Open Abdominal, and Robotic Surgery for Apical Vaginal Vault Prolapse
Objectives: To determine the rate of perioperative complications and cost associated with Mayo-McCall culdoplasty (MMC), open abdominal sacrocolpopexy (ASC), and robotic sacrocolpopexy (RSC) for posthysterectomy vaginal vault prolapse. Methods: We retrospectively searched for the records of patients undergoing posthysterectomy apical vaginal prolapse surgery (MMC, ASC, or RSC) between January 1, 2000, and June 30, 2012, at our institution. For all patients identified, perioperative complications, length of hospital stay, and inpatient costs to patients were abstracted from the medical records and compared by procedure. In...
Source: Journal of Pelvic Medicine and Surgery - December 20, 2016 Category: Surgery Tags: Original Articles Source Type: research

Obliterative Versus Reconstructive Prolapse Repair for Women Older than 70: Is There an Optimal Approach?
Conclusions: The majority of women 70 years and older do not have high-grade complications after pelvic organ prolapse repair, but women who undergo reconstructive procedures are more likely to experience high-grade complications and recurrent prolapse compared with women who undergo obliterative procedures. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - December 20, 2016 Category: Surgery Tags: Original Articles Source Type: research

Effect of a New Risk Calculator on Patient Satisfaction With the Decision for Concomitant Midurethral Sling During Prolapse Surgery: A Randomized Controlled Trial
Conclusions: Use of the de novo SUI risk calculator did not increase patient satisfaction with the decision regarding MUS placement during POP surgery. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - December 20, 2016 Category: Surgery Tags: Original Articles Source Type: research

Outcomes of Robotic Sacrocolpopexy Using Only Absorbable Suture for Mesh Fixation
Conclusions: With a median follow-up of 33 months, the use of absorbable suture for both vaginal and sacral attachments during RSC is effective. Further studies evaluating suture selection and mesh attachment techniques for RSC are needed. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - December 20, 2016 Category: Surgery Tags: Original Articles Source Type: research

Outcomes of Sacral Neuromodulation in Patients with Prior Surgical Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse
Conclusion: Sacral neuromodulation improves bladder symptoms in women with prior SUI/POP surgery, but response may be slightly less in those with prior surgery due to underlying bladder or pelvic floor issues. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - December 20, 2016 Category: Surgery Tags: Original Articles Source Type: research

The Use of Mechanical Bowel Preparation in Pelvic Reconstructive Surgery: A Randomized Controlled Trial
Objective: To compare mechanical bowel preparation (MBP) using oral magnesium citrate with sodium phosphate enema to sodium phosphate (NaP) enema alone during minimally invasive pelvic reconstructive surgery. Methods: We conducted a single-blind, randomized controlled trial of MBP versus NaP in women undergoing minimally invasive pelvic reconstructive surgery. The primary outcome was intraoperative quality of the surgical field. Secondary outcomes included surgeon assessment of bowel handling and patient-reported tolerability symptoms. Results: One hundred fifty-three participants were enrolled; 148 completed the study (...
Source: Journal of Pelvic Medicine and Surgery - December 20, 2016 Category: Surgery Tags: Original Articles Source Type: research

Early Revision of Suburethral Sling for Persistent Stress Incontinence
Conclusions: Our patients did benefit from this method of sling revision. Further information on sling revisions with increased patient populations would allow us to make appropriate recommendations. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - June 24, 2016 Category: Surgery Tags: Case Series Source Type: research

Validation of the Fecal Incontinence Severity Index in a Turkish Population
Conclusions: The Turkish-translated version of the FISI is a reliable, consistent, and valid instrument for assessing the patient-rated symptom severity among women with anal incontinence in a Turkish-speaking population. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - June 24, 2016 Category: Surgery Tags: Original Articles Source Type: research

Is Occult Stress Urinary Incontinence a Reliable Predictive Marker?
Conclusions: In our series, occult stress urinary incontinence is a poor urodynamic marker to predict the development of postoperative SI. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - June 24, 2016 Category: Surgery Tags: Original Articles Source Type: research

Breakdown of Perineal Laceration Repair After Vaginal Delivery: A Case-Control Study
Conclusions: Smoking, nulliparity, episiotomy, operative delivery, third- or fourth-degree laceration, repair by a midwife, and use of chromic suture are independent risk factors for breakdown of perineal laceration repair after vaginal delivery. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - June 24, 2016 Category: Surgery Tags: Original Articles Source Type: research

Long-Term Outcomes After Repair of Transurethral Perforation of Midurethral Sling
Conclusions: Urethral perforation represents a significant complication after MUS placement. Many patients continue to have incontinence despite the use of physical therapy/salvage sling placement. Furthermore, subjective outcomes and quality of life do not seem to improve over time. Because of the rarity of urethral perforation, our small series is notable given the absence of reported data that include prospective, long-term follow-up with validated questionnaire evaluation. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - June 24, 2016 Category: Surgery Tags: Original Articles Source Type: research

Outcomes in 450 Women After Minimally Invasive Abdominal Sacrocolpopexy for Pelvic Organ Prolapse
Conclusions: Minimally invasive ASC without concomitant vaginal repair is an effective and safe procedure for the surgical management of POP with low rates of reoperation and complications. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - June 24, 2016 Category: Surgery Tags: Original Articles Source Type: research

Pessary Practices of Nurse-Providers in the United States
Conclusions: This exploratory study provides data related to the pessary-care practices of nurse providers in the United States. The range of responses emphasizes a need for evidence-based guidelines for optimal care, based on patient outcomes, satisfaction, and costs of care. Findings also illustrate a need for effective, evidence-based educational programs and clinical mentorship options with experienced providers. A cohort of expert providers was identified to continue work toward these goals. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - June 24, 2016 Category: Surgery Tags: Original Articles Source Type: research

Combined Tolterodine and Vaginal Estradiol Cream for Overactive Bladder Symptoms After Randomized Single-Therapy Treatment
Conclusions: Significant within-group improvement in OAB-q symptom bother was noted in both the intravaginal estradiol and tolterodine groups for OAB symptoms, with no difference between groups. Greater improvement from 12-week single therapy to 24 and 52 weeks of combined therapy was noted in the group originally assigned to intravaginal estradiol. The role of combined medical therapy for OAB symptoms needs further investigation. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - June 24, 2016 Category: Surgery Tags: Original Articles Source Type: research

A Novel Cystometric Model of Pelvic Floor Dysfunction After Rabbit Pelvic Floor Noxious Electrical Stimulation
Conclusions: Using noxious electrical stimulation of the pelvic musculature, we were able to produce an animal model of pelvic floor dysfunction in most rabbits as hallmarked by a larger bladder capacity, an increased intercontractile interval, and prolonged contraction duration. (Source: Journal of Pelvic Medicine and Surgery)
Source: Journal of Pelvic Medicine and Surgery - June 24, 2016 Category: Surgery Tags: Original Articles Source Type: research