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

  • Complications of Pelvic Organ Prolapse Surgery in the 2015 Finnish Pelvic Organ Prolapse Surgery Survey Study.
    To describe the major complications of pelvic organ prolapse (POP) surgery in Finland.The Finnish Pelvic Organ Prolapse Surgery Survey 2015 study is a prospective cohort of POP surgeries performed in Finland in 2015. Perioperative, postoperative, and late complications during 1 year of follow-up were compared among native tissue repair, transvaginal mesh, and abdominal mesh surgery. […]
  • Timing of diagnosis of complex lower urinary tract injury in the 30-day postoperative period following benign hysterectomy.
    Complex lower urinary tract injury (cLUTI) resulting from hysterectomy is a rare but highly morbid complication. While intraoperative recognition reduces risk of serious sequelae, observational studies have shown that the majority of cLUTI are recognized in the postoperative period. To date, limited research exists describing the timing of cLUTI diagnosis or risk factors associated with […]
  • Using the Novel Pelvic Organ Prolapse Histology Quantification System to Identify Phenotypes in Uterosacral Ligaments in Women with Pelvic Organ Prolapse.
    Pelvic organ prolapse is common, but the underlying etiologies are poorly understood which limits our current prevention and treatment options.Our primary objective was to compare uterosacral ligament histologic features in women with and without prolapse using the novel, Pelvic Organ Prolapse Histologic Quantification System. Our secondary aim was to determine if composite histologic findings in […]
  • Mind/Body (Hypnotherapy) Treatment of Women with Urgency Urinary Incontinence: Changes in Brain Attentional Networks.
    Prior study of patients with urgency urinary incontinence by functional magnetic resonance imaging showed altered function in areas of the brain associated with interoception and salience and with attention. Our randomized controlled trial of hypnotherapy for urgency urinary incontinence demonstrated marked improvement in urgency urinary incontinence symptoms at two months. A sub-sample of these urgency […]
  • Bacterial Vaginosis and Its Association with Infertility, Endometritis, and Pelvic Inflammatory Disease.
    Bacterial vaginosis (BV), pelvic inflammatory disease (PID), and endometritis are infections of the genital tract that can lead to many adverse health outcomes, including infertility. BV is characterized by a lower prevalence of lactobacilli and a higher prevalence of anaerobic bacteria, including Gardnerella vaginalis, Megasphaera spp., and Atopobium vaginae. Endometritis and PID are caused by […]
  • An evolution in sentinel node mapping for cervical cancer.
    The technique of sentinel lymph node (SLN) biopsy has emerged as an alternative to complete pelvic lymphadenectomy to establish lymph node status in early stage cervical cancers. Traditional lymph node stripping techniques are associated with high rates of patient morbidity, such as lymphedema. For the majority of patients who are free of lymph node metastases […]
  • Success and failure are dynamic, recurrent event states after surgical treatment for pelvic organ prolapse.
    The ideal measure of success after surgery for pelvic organ prolapse (POP) has long been debated. Historically, strict definitions based on anatomic perfection have dominated the literature. However, the importance of patient-centered perception of outcomes are equally or more important when comparing the success of various prolapse surgeries. Understanding the limitations of existing outcome definitions […]
  • The Gynecologic Exam of the Transfeminine Person Following Penile Inversion Vaginoplasty.
    As more transfeminine patients (transgender and gender diverse persons, sex assigned male at birth, who identify on the feminine spectrum of gender) are undergoing gender-affirming penile inversion vaginoplasty, gynecologists, as providers of vaginal care for both native and neovaginas, should be prepared to welcome these patients into their practice and offer long term pelvic health […]
  • Risk Factors for Surgical Failure and Worsening Pelvic Floor Symptoms Within 5 Years After Vaginal Prolapse Repair.
    To assess independent risk factors for surgical failure and worsening pelvic floor symptoms within 5 years after vaginal prolapse surgery.This secondary analysis includes OPTIMAL (Operations and Pelvic Muscle Training in the Management of Apical Support Loss) (n=374) and E-OPTIMAL (Extended) (n=285) trial participants. Surgical failure was defined as apical descent greater than one third of […]
  • Changes in Sexual Activity and Function After Pelvic Organ Prolapse Surgery: A Systematic Review.
    We aimed to systematically review the literature to describe sexual activity and function before and after prolapse surgery.We searched MEDLINE, EMBASE, and ClinicalTrials.gov databases from inception to April 2018.Prospective, comparative studies of reconstructive pelvic organ prolapse (POP) surgeries that reported sexual function outcomes were included. Studies were extracted for population characteristics, sexual function outcomes, and […]
  • Identification of Juvenile Cystic Adenomyoma Using High-Resolution Imaging.
    Juvenile cystic adenomyoma is a rare condition that is often misdiagnosed as a noncommunicating uterine horn or adnexal mass during adolescence.We describe two patients who presented with dysmenorrhea unresponsive to standard management with oral contraceptives. Both patients were initially misdiagnosed as having endometriotic cysts. Juvenile cystic adenomyoma was suspected on standard pelvic ultrasound scan and […]
  • A Framework Proposal for Quality and Safety Measurement in Gynecologic Emergency Care.
    To define and assess the prevalence of potentially life-threatening gynecologic emergencies among women presenting for acute pelvic pain for the purpose of developing measures to audit quality of care in emergency departments.We conducted a mixed-methods multicenter study at gynecologic emergency departments in France and Belgium. A modified Delphi procedure was first conducted in 2014 among […]
  • Primary Dysmenorrhea: Diagnosis and Therapy.
    Primary dysmenorrhea is defined as pain during the menstrual cycle in the absence of an identifiable cause. It is one of the most common causes of pelvic pain in women. Dysmenorrhea can negatively affect a woman’s quality of life and interfere with daily activities. The pathophysiology of primary dysmenorrhea is likely a result of the […]
  • Immediate Repair of a Complete Uterine Transection After Motor Vehicle Collision.
    Traumatic separation of the cervix from the uterine corpus is rare. We describe a case in which this injury was identified and surgically repaired at initial presentation to preserve fertility.An 18-year-old woman presented with a pelvic crush injury after a motor vehicle accident. Imaging revealed pelvic fractures and bladder rupture. Complete transection of the uterine […]
  • Complement Activation and Regulation in Preeclampsia and HELLP Syndrome.
    The complement system is critical to human health due its central role in host defense and innate immunity. During pregnancy, the complement system must be appropriately regulated to allow for immunologic tolerance to the developing fetus and placenta. While some degree of complement activation can be seen in normal pregnancy, the fetus appears to be […]
  • Hydroxychloroquine early in Pregnancy and Risk of Birth Defects.
    Hydroxychloroquine (HCQ) is generally considered safe in pregnancy for the treatment of rheumatic conditions, but studies have been too small to evaluate teratogenicity. Quantifying the risk of congenital malformations associated with early pregnancy exposure to HCQ is important both in the context of its ongoing use for rheumatological disorders as well as its potential future […]
  • 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 ± […]
  • 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 […]
  • 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 […]
  • 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, […]
  • 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 […]
  • 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 […]
  • 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 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 […]
  • 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 […]
  • ‘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 […]