The Latest Urogynaecology Journal Articles

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Keep up to date with the latest in urogynaecology. Check out the latest urogynaecology articles from leading medical journals in a single view, helping you discover relevant articles quickly and easily

  • Role of carbon nanoparticle suspension in sentinel lymph node biopsy for early-stage cervical cancer: a prospective study.
    To evaluate the clinical diagnostic validity of carbon nanoparticle suspension (CNS) in sentinel lymph node biopsy (SLNB) for assessing lymphatic spread of early-stage cervical cancer.A prospective study.356 cases.We enrolled 356 stage Ia2-IIa2 cervical cancer patients to undergo SLNB using CNS, followed by systematic pelvic lymphadenectomy. All lymph node specimens were assessed using conventional histopathologic ± […]
  • Cochrane Review Summaries-October 2020.
    With the current issue, the journal continues to bring new insights from Cochrane Systematic Reviews to the readers of Obstetrics & Gynecology. This month, we focus on potential interventions to improve pregnancy outcomes for women with recurrent pregnancy loss and antiphospholipid antibodies, the utility of pelvic floor muscle training in the perinatal period to prevent […]
  • Management of Fecal Incontinence.
    Nine percent of adult women experience episodes of fecal incontinence at least monthly. Fecal incontinence is more common in older women and those with chronic bowel disturbance, diabetes, obesity, prior anal sphincter injury, or urinary incontinence. Fecal incontinence negatively affects quality of life and mental health and is associated with increased risk of nursing home […]
  • Immediate Postoperative Pelvic Organ Prolapse Quantification Measures and 2-Year Risk of Prolapse Recurrence.
    To assess whether resting genital hiatus, perineal body, and total vaginal length measured intraoperatively at the conclusion of surgery are associated with prolapse recurrence 2 years after native tissue pelvic organ prolapse reconstruction.This ancillary analysis of the OPTIMAL (Operations and Pelvic Muscle Training in the Management of Apical Support Loss) trial included women who had […]
  • Cochrane Review Summaries-October 2020.
    With the current issue, the journal continues to bring new insights from Cochrane Systematic Reviews to the readers of Obstetrics & Gynecology. This month, we focus on potential interventions to improve pregnancy outcomes for women with recurrent pregnancy loss and antiphospholipid antibodies, the utility of pelvic floor muscle training in the perinatal period to prevent […]
  • Management of Fecal Incontinence.
    Nine percent of adult women experience episodes of fecal incontinence at least monthly. Fecal incontinence is more common in older women and those with chronic bowel disturbance, diabetes, obesity, prior anal sphincter injury, or urinary incontinence. Fecal incontinence negatively affects quality of life and mental health and is associated with increased risk of nursing home […]
  • Immediate Postoperative Pelvic Organ Prolapse Quantification Measures and 2-Year Risk of Prolapse Recurrence.
    To assess whether resting genital hiatus, perineal body, and total vaginal length measured intraoperatively at the conclusion of surgery are associated with prolapse recurrence 2 years after native tissue pelvic organ prolapse reconstruction.This ancillary analysis of the OPTIMAL (Operations and Pelvic Muscle Training in the Management of Apical Support Loss) trial included women who had […]
  • Chronic pelvic pain: importance of compatible clinical trial outcomes.
    Chronic pelvic pain (CPP), often defined as non-cyclical pelvic pain lasting for 6 months or longer, affects approximately 2-24% of women, depending on the CPP definition used (Daniels et al. BMJ 2010;341:c4834). While CPP can be a symptom associated with a variety of health conditions (including endometriosis, irritable bowel syndrome, and interstitial cystitis), at least […]
  • A RCT addressing the impact of delivery mode after asymptomatic obstetric anal sphincter injury.
    An obstetric anal sphincter injury poses an important clinical dilemma for subsequent vaginal deliveries, which may be complicated by recurrent obstetric anal sphincter injury and / or worsening or de novo anal incontinence. Get PDF with LibKey View the article @ BJOG : an international journal of obstetrics and gynaecology (sign-in may be required)
  • A RCT addressing the impact of delivery mode after asymptomatic obstetric anal sphincter injury.
    An obstetric anal sphincter injury poses an important clinical dilemma for subsequent vaginal deliveries, which may be complicated by recurrent obstetric anal sphincter injury and / or worsening or de novo anal incontinence. Get PDF with LibKey View the article @ BJOG : an international journal of obstetrics and gynaecology (sign-in may be required)
  • Subspecialty care for peripartum pelvic floor disorders.
    Obstetrical perineal and anal sphincter lacerations can be associated with significant sequelae. Diagnosis of short-term bowel, bladder and healing problems can be delayed if patients are not seen until the traditional postpartum visit at 4-6 weeks. Specialized peripartum clinics create a unique opportunity to collaborate with obstetric specialists in order to provide early, individualized care […]
  • Proteinuria during pregnancy: definition, pathophysiology, methodology and clinical significance.
    Qualitative and/or quantitative measurement of urine protein excretion is one of the most common tests performed during pregnancy. For more than 100 years, proteinuria was necessary for the diagnosis of preeclampsia, but recent guidelines recommend that proteinuria is sufficient but not necessary for the diagnosis. Still, in clinical practice, the majority of patients with gestational […]
  • Symptoms of fecal incontinence two decades after one and two obstetric anal sphincter injuries.
    The long-term effects of one or two consecutive obstetric anal sphincter injuries on bowel continence are still inadequately investigated and published results remain contradictory.The aim was to present detailed descriptive measures of current bowel incontinence 20 years after the first birth in two-para women with and without sphincter injuries.Birth register data were used prospectively and […]
  • Multimodal physical therapy versus topical lidocaine for provoked vestibulodynia: a prospective, multicentre, randomized trial.
    Provoked vestibulodynia is the most common subtype of chronic vulvar pain. This highly prevalent and debilitating condition is characterized by acute recurrent pain located at the entry of the vagina in response to pressure application or attempted vaginal penetration. Physical therapy is advocated as a first-line treatment for provoked vestibulodynia but evidence supporting its efficacy […]
  • EARLY POSTPARTUM PHYSICAL ACTIVITY AND PELVIC FLOOR SUPPORT AND SYMPTOMS ONE YEAR POSTPARTUM.
    Risks of pelvic organ prolapse and urinary incontinence rise after the first vaginal delivery. During the early postpartum period, a time of active regeneration and healing of the pelvic floor, women may be particularly vulnerable to greater pelvic floor loading.This prospective cohort study aimed to determine whether objectively measured moderate-to-vigorous physical activity (MVPA) in the […]
  • Prevalence of Endometriosis: how close are we to the truth?
    Endometriosis is a common health condition affecting women of reproductive age who often present with chronic pelvic pain and/or infertility. There is wide variation in the estimates of endometriosis prevalence. Accurate reporting of the disease prevalence is hampered by multiple factors including long delay in diagnosis due to natural fluctuation in symptoms severity, lack of […]
  • Vaginal Estrogen Therapy Is Associated with Increased Lactobacillus in the Urine of Post-Menopausal Women with Overactive Bladder Symptoms.
    Previous work has shown that the vaginal microbiome decreases in Lactobacillus predominance and becomes more diverse following menopause. It has also been shown that estrogen therapy restores Lactobacillus-dominance in the vagina, and that topical estrogen is associated with OAB symptom improvement. We now know that the bladder contains a unique microbiome, and increased bladder microbiome […]
  • The concordance rate of non-chromosomal congenital malformations in twins based on zygosity: a retrospective cohort study.
    To examine the concordance rate of non-chromosomal congenital malformations in twin pairs based on zygosity DESIGN: Retrospective cohort study.A tertiary hospital in Korea.Twin pairs born at Seoul National University Hospital between 2001 and 2019 METHODS: Congenital malformations were diagnosed by postnatal work-ups of neonates or autopsy in cases of stillborn. Zygosity was confirmed by sex, […]
  • Cesarean section in the second delivery to prevent anal incontinence after asymptomatic obstetrical anal sphincter injury: the EPIC multicenter randomized trial.
    To determine whether planned cesarean section (CS) for a second delivery protects against anal continence in women with obstetrical anal sphincter lesions.Randomized trial SETTING: 6 maternity units in the Paris area.Women at high risk of sphincter lesions (first delivery with 3d degree laceration and/or forceps) but no symptomatic anal incontinence.Endoanal ultrasound was performed in the […]
  • Gynecologic Care in Women With Down Syndrome: Findings From a National Registry.
    To estimate receipt of recommended gynecologic care, including cancer screening and menstrual care, among women with Down syndrome in the United States.We conducted a retrospective cohort study of women participating in DS-Connect, the National Institute of Health’s registry of women with Down syndrome. Using 2013-2019 survey data, we estimated the proportion of women receiving recommended […]
  • Characteristics Associated With Treatment Failure 1 Year After Midurethral Sling in Women With Mixed Urinary Incontinence.
    To evaluate characteristics associated with treatment failure 1 year after midurethral sling in women with mixed urinary incontinence.Four hundred three women who participated in a randomized trial that compared midurethral sling and behavioral and pelvic floor muscle therapy (combined group) against midurethral sling alone for mixed incontinence with 1 year of follow-up data were eligible […]
  • Botulinum Toxin A as a Treatment for Provoked Vestibulodynia: A Randomized Controlled Trial.
    To evaluate pain reduction after two injections of 50 units botulinum toxin A compared with placebo for provoked vestibulodynia.We conducted a double-blinded, placebo-controlled randomized trial of 50 units botulinum toxin A or placebo injected in the bulbocavernosus muscles twice, 3 months apart, in women with provoked vestibulodynia. Primary outcome was self-reported dyspareunia or pain at […]
  • Two Intraoperative Techniques for Midurethral Sling Tensioning: A Randomized Controlled Trial.
    To evaluate whether the use of a Mayo Scissor as a suburethral spacer compared with a Babcock clamp holding a loop of tape under the urethra results in different rates of abnormal bladder outcomes 12 months after retropubic midurethral sling surgery.The MUST (Mid-Urethral Sling Tensioning) trial was a block-randomized, double-blind, multicenter clinical trial that allocated […]
  • Sexual Activity and Dyspareunia 1 Year After Surgical Repair of Pelvic Organ Prolapse.
    To describe sexual activity and risks for dyspareunia after pelvic organ prolapse surgery.This was a secondary analysis of data from four randomized trials conducted between 2002 and 2018. Standard assessments and validated measures of sexual function were assessed at baseline and at 12 months postoperatively. Anterior apical surgeries were grouped by approach: transvaginal native tissue […]
  • Comparison of Two Single Incision Slings on the Vagina in an Ovine Model.
    Stress Urinary Incontinence carries a significant healthcare burden for women worldwide. Single incision slings are minimally invasive mesh devices designed to treat stress urinary incontinence. For prolapse repair, meshes with higher porosity and lower structural stiffness have been associated with improved outcomes.We compared the higher stiffness, lower porosity Altis sling (SIS-B; Coloplast, Humlebaek, Denmark) to […]
  • Racial differences in urinary incontinence prevalence and associated bother: The Multi-Ethnic Study of Atherosclerosis.
    Urinary incontinence is influenced by multiple factors, and prevalence of urinary incontinence subtypes may differ by race/ethnicity.To determine prevalence of urinary incontinence subtypes and associated bother among women by race/ethnicity.This cross-sectional analysis utilized data from the Multi-Ethnic Study of Atherosclerosis (MESA) , an observational cohort study of four racial/ethnic groups recruited from six U.S. communities. […]
  • Improving Management of the Genitourinary Syndrome of Menopause: Evaluation of a Health-system Based, Cluster-Randomized Intervention.
    Genitourinary symptoms are common in postmenopausal women and adversely impact quality of life. National surveys and data collected from our health care system demonstrate that postmenopausal women with the genitourinary syndrome of menopause often fail to receive appropriate diagnosis or treatment.To promote greater detection and treatment of the genitourinary syndrome of menopause, we created and […]
  • Intrapartum ultrasound during rotational forceps delivery: a novel tool for safety, quality control and teaching.
    Operative vaginal delivery and in particular rotational forceps delivery require extensive training, specific skills and dexterity. Performed correctly, it can reduce the need for difficult late second stage cesarean section and its associated complications. When rotation to occiput anterior position is achieved pelvic trauma and anal sphincter injury commonly associated with direct delivery from occiput […]
  • A systematic review on the use of Misoprostol at the time of open myomectomy.
    Leiomyomata are common benign pelvic masses that occur in up to 77% of reproductive aged women (Flyckt et al Clin Obstet Gynecol 2017;60(2):252-272). Myomectomies are frequently performed for symptomatic leiomyoma unresponsive to non-surgical treatments and can be performed via laparotomy (open) or minimally invasive approaches. Open myomectomies are often performed because of lack of access […]
  • Post-mortem micro-CT for non-invasive autopsies: Experience in > 250 human fetuses.
    Non-invasive ‘imaging’ autopsy alternatives for fetuses weighing <500g are limited. Micro-CT has been reported as a viable option in small case series with the potential to avoid an invasive autopsy. Implementation of post-mortem micro-CT in a large cohort, as part of routine clinical service has yet been unreported and realistic ‘autopsy prevention rates’ are unknown.To […]
  • Female underweight and risk of ectopic pregnancy.
    Ectopic pregnancy (EP) is most frequently located in the fallopian tube. Risk factors that have been identified so far include a history of pelvic inflammatory disease, a smoking habit, genital/pelvic surgery, previous ectopic pregnancy, endometriosis and infertility (Hendriks et al. Am Fam Physician.2020;101:599-606). These factors act through anatomical or functional (motility) alterations caused by mechanical […]
  • A systematic review on reported outcomes and outcome measures in female idiopathic chronic pelvic pain for the development of a core outcome set.
    A core outcome set (COS) is required to address inconsistencies in outcome reporting in chronic pelvic pain (CPP) trials.Evaluation of reported outcomes and selected outcome measures in CPP trials by producing a comprehensive inventory to inform a COS.Systematic review of RCT identified from Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE and MEDLINE databases.RCT assessing […]
  • Perioperative opioid prescriptions associated with stress incontinence and pelvic organ prolapse surgery.
    There is an opioid epidemic in the United States with a contributing factor being opioids prescribed for post-operative pain following surgery.Among women who underwent stress incontinence and pelvic organ prolapse surgeries, our primary objective was to determine the proportion of women who filled perioperative opioid prescriptions and to compare factors associated with these opioid prescriptions. […]
  • Prevalence of Inadequate and Excessive Iodine Intake in a US Pregnancy Cohort.
    US iodine intake, estimated from the median urinary iodine concentration of population representative data, has declined by half since the 1970s which is problematic because maternal iodine intake is critical for fetal neurodevelopment. Relying on median urinary concentrations to assess iodine intake of populations is standard practice but does not describe the number of individuals […]
  • Low-Grade Endometrial Stromal Sarcoma Diagnosed 8 Years After Hysterectomy With Morcellation.
    Morcellation at the time of minimally invasive hysterectomy or myomectomy for presumed benign indications carries a risk of disseminating undiagnosed uterine malignancies.A 57-year-old woman with a remote history of laparoscopic hysterectomy with morcellation of a cellular leiomyoma presented with a newly diagnosed complex pelvic mass. Owing to adherence of the mass to the rectum and […]
  • Permanent Compared With Absorbable Suture for Vaginal Mesh Fixation During Total Hysterectomy and Sacrocolpopexy: A Randomized Controlled Trial.
    To compare mesh and permanent suture exposure rates in the first year after minimally invasive total hysterectomy and sacrocolpopexy with a light-weight polypropylene mesh using permanent or delayed absorbable sutures.Across five centers in the United States, women were randomized to permanent or delayed absorbable suture for vaginal attachment of a Y-mesh during hysterectomy and sacrocolpopexy […]
  • Sacrocolpopexy tends to be superior to transvaginal mesh surgery.
    The use of synthetic mesh prostheses to treat pelvic organ prolapse (POP) remains highly controversial. Despite complete restriction on vaginally placed mesh in Australia and New Zealand (2017), the UK (2018), and the USA (2019), transvaginal mesh (TVM) prolapse repair remain widely in many countries, including China and most of East Asia. Sacrocolpopexy (SC) is […]
  • Vitamin D: Another puzzle piece in pelvic floor protection.
    Pelvic floor protection strategies have become are an important area of research. Our knowledge and understanding of such strategies continue to increase with the growing body of research in this area. Urinary incontinence is the most common pelvic floor disorder with prevalences up to 67% in parous women (Wesnes, S. L. et al.; Obstet Gynecol […]
  • Diagnosis and Management of Vulvar Skin Disorders: ACOG Practice Bulletin, Number 224.
    Vulvar skin disorders include a variety of inflammatory conditions of the vulva that also may affect the extragenital area. Pruritus and pain are two of the most common presenting symptoms in vulvar clinics (). Vulvovaginal symptoms often are chronic and can adversely affect sexual function and sense of well-being. The purpose of this Practice Bulletin […]
  • Diagnosis and Management of Vulvar Skin Disorders: ACOG Practice Bulletin Summary, Number 224.
    Vulvar skin disorders include a variety of inflammatory conditions of the vulva that also may affect the extragenital area. Pruritus and pain are two of the most common presenting symptoms in vulvar clinics (). Vulvovaginal symptoms often are chronic and can adversely affect sexual function and sense of well-being. The purpose of this Practice Bulletin […]
  • ‘What research was carried out on this vaginal mesh?’ Health-related concerns in women following mesh-augmented prolapse surgery: a thematic analysis.
    To understand health-related issues in women following mesh-augmented prolapse surgery.Inductive thematic analysis of free-text comments from participants in a cross-sectional study of laparoscopic mesh sacrohysteropexy.Tertiary urogynaecology centres, United Kingdom.Women who underwent laparoscopic mesh sacrohysteropexy by surgeons based at two tertiary urogynaecology centres between 2010 and 2018.A total of 1766 potential participants were contacted by post […]
  • A COST-EFFECTIVENESS ANALYSIS OF VAGINAL CO2 LASER THERAPY COMPARED TO STANDARD MEDICAL THERAPIES FOR GENITOURINARY SYNDROME OF MENOPAUSE-ASSOCIATED DYSPAREUNIA.
    Topical vaginal estrogen is considered the gold standard therapy for GSM-associated dyspareunia, but early investigations of energy-based devices show promise for patients with contraindications or who are refractory to vaginal estrogen cream. While evaluating safety, efficacy and long-term outcomes for novel technologies is critically important when new technologies become available to treat unmet healthcare needs, […]
  • Female Sexual Dysfunction: Pharmacologic and Therapeutic Interventions.
    Female sexual dysfunction is associated with personal distress and includes female sexual interest and arousal disorder (including former hypoactive sexual desire disorder), female orgasmic disorder, genitopelvic pain and penetration disorder, and substance- or medication-induced sexual dysfunction. These disorders are remarkably common among women, with an estimated prevalence of 20-40%. It is our responsibility as obstetrician-gynecologists […]
  • Pinning down the evidence for acupuncture for recurrent urinary tract infection (UTI).
    UTI is among the most common bacterial infections, accounting for around one quarter of all antibiotic prescriptions. At least one quarter of women who experience a UTI will also go on to have a confirmed recurrence within six months, thereby meeting the definition for recurrent UTI [Foxman B. Am J Public Health. 1990;80:331-3]. While antibiotics […]
  • Creating a Bundled Care Payment Model for Treatment of Pelvic Floor Disorders: Introducing Value into Urogynecology.
    Ineffective healthcare delivery and expenditures associated with traditional fee for service in-person models have turned attention towards alternative payment models as a means of enhancing healthcare quality in the United States. Bundled Care Payment Models are a form of alternate payment models that provide a single reimbursement for all services rendered for an episode of […]
  • Hysterectomy as a treatment of endometriosis associated chronic pelvic pain.
    Endometriosis related pain syndromes are associated with a reduction in the quality of life and an increase in the economic burden. (Simoens S et al Hum Reprod. 2012 May;27(5):1292-9) The relief from pelvic pain, following pelvic surgery for endometriosis associated with chronic pelvic pain which does not include hysterectomy, is often short term. For example, […]
  • Better studies needed on LASER use in urinary incontinence.
    LASERs are frequently marketed as a complication-free treatment for vaginal atrophy (genital syndrome of menopause [GSM]) and urinary incontinence (UI). At the same time, the disadvantages and risks of the standard options are overemphasized (i.e. topical oestrogens and risk of breast cancer; mid-urethral slings and risk of erosion, etc.). Less often, LASER is offered as […]
  • A Multicenter Retrospective Cohort Study Comparing Urethral Diverticulectomy with and without Pubovaginal Sling.
    The objective of this study was to compare the clinical presentation, outcomes, complications and diverticulum recurrence rates in women who underwent urethral diverticulectomy with versus without a concurrent pubovaginal sling.This multi-center retrospective cohort study included women who underwent urethral diverticulectomy between Jan 1, 2000 – Dec 31, 2016. Subjects were identified by Current Procedure Terminology […]
  • How often do we incidentally find a fetal abnormality at the routine third-trimester growth scan? A population-based study.
    Third-trimester scans are increasingly used to try to prevent adverse outcomes associated with abnormalities of fetal growth. Unexpected fetal malformations detected at third-trimester growth scans are rarely reported.To determine the incidence and type of fetal malformations detected in women attending a routine third-trimester growth scan.This was a population-based study of all women with singleton pregnancy […]
  • Optimal timing of a second post-operative voiding trial in women with incomplete bladder emptying after vaginal reconstructive surgery: A randomized trial.
    We aimed to compare the outcomes of a second voiding trial (VT) performed 2-4 days (earlier group) versus 7 days (later group) post-operatively in women with incomplete bladder emptying following vaginal prolapse surgery. Secondary aims included post-operative urinary tract infection (UTI) rates, total days with a catheter, and patient reported catheter bother between groups.Across two […]
  • D-mannose vs other agents for recurrent urinary tract infection prevention in adult women: a systematic review and meta-analysis.
    We performed a systematic review and meta-analysis to determine whether D-mannose reduces urinary tract infection (UTI) recurrence (i.e. cumulative incidence) in adult women with recurrent UTI compared to other prevention agents. Secondary outcomes included side effects and compliance with D-mannose use.Ovid Medline 1946-, Embase 1947-, Scopus 1823-, Cochrane Library, Web of Science 1900-, and Clinicaltrial.gov […]
  • Vitamin D and stress urinary incontinence in pregnancy: a cross-sectional study.
    To assess the association between levels of vitamin D and urinary incontinence (UI) in pregnancy.A cross-sectional study. Secondary analysis of a randomised controlled trial. Setting Two university hospitals in Norway. Population 851 healthy, pregnant women >18 years in gestational week 18-22 with a singleton live fetus.Data on UI were collected from a questionnaire at inclusion […]
  • Comparison of 30-Day Readmission After Same-Day Compared With Next-Day Discharge in Minimally Invasive Pelvic Organ Prolapse Surgery.
    To compare the effect of same-day discharge on 30-day readmission risk after minimally invasive pelvic reconstructive surgery.This retrospective cohort study included all minimally invasive pelvic reconstructive procedures with and without concomitant hysterectomy performed within a large managed care organization of 4.5 million members from 2008 to 2018. We queried the system-wide medical record for Current […]
  • Adverse events associated with gender affirming vaginoplasty surgery.
    There is an abundance of reports on surgical technique for vaginoplasty surgery. However, careful review reveals a paucity of evidence-based data as well as few reports on outcomes related to all of the varying techniques.To describe perioperative adverse events related to vaginoplasty surgery for transgender women and to determine a threshold case number needed to […]
  • Effect of hysterectomy on pain in patients with endometriosis: A population-based registry study.
    To assess pain symptoms before and after hysterectomy in women with endometriosis.A population-based registry study.Sweden.Women aged 18-45 years who underwent hysterectomy for endometriosis between 2010 and 2015.Pain symptoms before hysterectomy and 12 months after surgery were collected from the Swedish National Quality Register for Gynaecological Surgery (GynOp). Pain symptoms were also assessed by follow-up surveys […]
  • Sacrocolpopexy compared with transvaginal mesh surgery: a systematic review and meta-analysis.
    The use of mesh is controversial in the treatment of female pelvic organ prolapse.To systematically review the outcomes of sacrocolpopexy compared with transvaginal mesh surgery and to provide evidence-based suggestions.The MEDLINE, EMBASE, Cochrane Library and clinicaltrials.gov databases were searched on 21 November 2018.Randomised controlled trials and prospective and retrospective cohort studies were included.Data were extracted […]
  • Glycosylated fibronectin point-of-care test for diagnosis of preeclampsia in a low-resource setting: a prospective Southeast Asian population study.
    To determine the performance of a glycosylated fibronectin (GlyFn) point-of-care (POC) test for preeclampsia (PE) in a large Southeast Asian cohort (India) in comparison to previously described biomarkers.798 pregnant women at 20+ weeks of gestation were enrolled in a prospective case-control study. Study participants included 469 normotensive women with urinary mg protein/mmol creatinine ratio <0.3, […]
  • Evolution and risk factors of anal incontinence during the first six years after first delivery: A prospective cohort study.
    To explore changes in prevalence of anal incontinence (AI) from late first pregnancy to six years postpartum, and to evaluate possible risk factors for changes in AI during the six-year period.Prospective longitudinal cohort study SETTING: Two Norwegian health regions POPULATION OR SAMPLE: Women with first deliveries between May 2009 and December 2010 METHODS: Participants reported […]
  • A comprehensive model for pain management in patients undergoing pelvic reconstructive surgery: A prospective clinical practice study.
    Postoperative opioid prescription patterns play a crucial role in driving the opioid epidemic. A comprehensive system towards pain management for surgical patients is necessary to minimize overall opioid consumption.To evaluate the efficacy of a pain management model in patients undergoing pelvic reconstructive surgery by measuring post discharge narcotic use in morphine equivalents (milligrams of morphine, […]
  • Anchor versus Suture for Attachment of Vaginal Mesh in Robotic-Assisted Sacrocolpopexy: A Randomized Clinical Trial.
    Vaginal mesh attachment can be one of the most time intensive components of minimally invasive sacrocolpopexy.To assess the impact on the duration of surgery of using absorbable anchors compared to interrupted sutures for vaginal mesh attachment in robotic-assisted sacrocolpopexy.This is a single-masked, randomized clinical trial at 2 clinical sites in women with pelvic organ prolapse […]