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Linguistic Differences by Gender in Letters of Recommendation for Female Pelvic Medicine and Reconstructive Surgery Fellowship Applicants From 2010 to 2020
Conclusions No linguistic differences, suggestive of gender bias, were found between female and male applicants to FPMRS fellowship. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: Original Research Source Type: research

Centering Group Treatment for Women With Interstitial Cystitis/Bladder Pain Syndrome: A Qualitative Analysis
Conclusions Women with ICBPS treatment note that Centering group visits provide a sense of learning and community that opens them to a wider variety of options. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: Original Research Source Type: research

Comparing Minimally Invasive Sacrocolpopexy With Vaginal Uterosacral Ligament Suspension: A Multicenter Retrospective Cohort Study Through the Fellows' Pelvic Research Network
The objective of this study is to compare anatomic outcomes after minimally invasive sacrocolpopexy (MISC) and vaginal uterosacral ligament suspension (vUSLS). Study Design This was a multicenter, retrospective cohort study through the Fellows' Pelvic Research Network. Patients with ≥ stage II pelvic organ prolapse (POP) who underwent MISC or vUSLS from January 2013 to January 2016, identified through the Current Procedural Terminology codes, with 1 year or longer postoperative data were included. Patients with prior POP surgery or history of connective tissue disorders were excluded. Anatomic success was defined ...
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: Original Research Source Type: research

Synchronous Telemedicine Model in Urogynecology: Are Patients Willing to Continue Telemedicine in the Post–COVID-19 Pandemic Era?
Conclusions We found that most women presenting for synchronous telemedicine urogynecology care had a positive visit experience and would continue to use telemedicine for their care. Further developmental work needs to be done on improving the ease of technology as well as availability of telemedicine in the care of women affected by pelvic floor disorders. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: Original Research Source Type: research

Preemptive Infiltration of Local Anesthetics During Vaginal Hysterectomy: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Importance Vaginal hysterectomy (VH) is the preferred route of choice for women desiring hysterectomy to treat uterine pathology, including premalignant conditions and fibroids. Objective The aim of this study was to evaluate the impact of the use of preemptive local analgesia (LA) on postoperative pain and perioperative outcomes for women undergoing VH. Study Design A systematic search of 4 electronic databases (MEDLINE, Scopus, Cochrane CENTRAL Register of Controlled Trials, and Clinicaltrials.gov) was performed for articles published up to January 2021. All randomized controlled trials that presented o...
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: Review Article Source Type: research

Development and Validation of a Model for Predicting Surgical Site Infection After Pelvic Organ Prolapse Surgery
Conclusions This model provides estimates of probability of SSI within 90 days after pelvic organ prolapse surgery and demonstrates net benefit when considering prevention strategies to reduce SSI. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: Original Research Source Type: research

Determining the Ideal Intraoperative Resting Genital Hiatus Size—Balancing Surgical and Functional Outcomes
Conclusions Intraoperative GH size may not reliably predict composite prolapse recurrence at 1 year, although there was an association between intraoperative resting GH size with prolapse beyond the hymen. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: Original Research Source Type: research

Clinical Consensus Statement: Vaginal Energy-Based Devices
This clinical consensus statement on vaginal energy-based devices (EBDs) reflects an update by content experts from the American Urogynecologic Society’s EBD writing group. In 2019, the American Urogynecologic Society’s EBD writing group used a modified Delphi process to assess statements that were evaluated for consensus after a structured literature search. A total of 40 statements were assessed and divided into 5 categories: (1) patient criteria, (2) health care provider criteria, (3) efficacy, (4) safety, and (5) treatment considerations. Of the 40 statements that were assessed, 28 reached consensus and the remaini...
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: AUGS Update Source Type: research

“You Need More Than a Hammer”
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: Commentary Source Type: research

Peer Review: Privilege and Duty
No abstract available (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - September 25, 2022 Category: OBGYN Tags: Editorial Source Type: research

Effect of Nrf2 on Phenotype Changes of Macrophages in the Anterior Vaginal Wall of Women With Pelvic Organ Prolapse
Objective The aim of this study was to observe the effect of nuclear factor-erythroid 2-related factor 2 (Nrf2) on the phenotype changes of macrophages in the anterior vaginal wall of patients with pelvic organ prolapse (POP). Methods The tissues of the anterior vaginal wall of the control group (n = 30) and POP groups (n = 60) were collected during operation. The expressions of Nrf2, iNOS (representative factor of M1 macrophages), and CD206 (representative factor of M2 macrophages) were determined by immunohistochemical staining and Western blot. Morphological changes and collagen distribution of the anterior v...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 25, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Health Care Disparities Among Latina Patients Presenting With Pelvic Organ Prolapse
This study identifies barriers, including language and insurance status, Latina patients may face in accessing urogynecology care. Objective The aim of the study was to determine differences in objective prolapse severity at the time of presentation between Latina and non-Latina patients and the effect socioeconomic disparities may have on these differences. Study Design This is a retrospective cohort study of patients visiting urogynecology clinics at 2 academic institutions (1 private, 1 public). Patients with symptomatic> stage II prolapse were included. Initial Pelvic Organ Prolapse Quantification examina...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 25, 2022 Category: OBGYN Tags: Original Articles Source Type: research

The Relationship Between Perineal Body Size, Total Vaginal Length, Apical Prolapse, and Prolapse Symptoms
Conclusions The study results showed that the TVL and GH were more strongly associated with apical prolapse than PB. The GH, C, and Ba were also associated with prolapse symptoms, but PB and TVL were not. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 25, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Are Formal Voiding Trials Necessary After Posterior Compartment Reconstructive Surgery?
Importance Posterior compartment surgery is considered a risk factor for postoperative urinary retention because of the impact of postoperative pain on the pelvic floor; however, few studies have examined the association between posterior compartment reconstructive surgery and urinary retention. Objective The aim of the study was to compare rates of urinary retention in patients undergoing vaginal reconstructive surgery, without hysterectomy, in the posterior compartment only versus any apical and/or anterior compartment (with or without posterior compartment). Study Design In this retrospective cohort st...
Source: Female Pelvic Medicine and Reconstructive Surgery - August 25, 2022 Category: OBGYN Tags: Original Articles Source Type: research

Postoperative Utilization of Opioids After Midurethral Sling Surgery: A Prospective Clinical Practice Study
Conclusions Most patients undergoing MUS surgery used no more than 2 oxycodone (5 mg) tablets during their 6-week postoperative course, with almost a third not requiring any narcotics. Low pain scores and high patient satisfaction rates were noted. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - August 25, 2022 Category: OBGYN Tags: Original Articles Source Type: research