Female pelvic medicine & reconstructive surgery
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Female Pelvic Med Reconstr Surg · Sep 2013
Defining patients' knowledge and perceptions of vaginal mesh surgery.
Given recent government investigations and media coverage of the controversy regarding mesh surgery, we sought to define patients' knowledge and perceptions of vaginal mesh surgery. ⋯ Nearly two thirds of new patients had knowledge of vaginal mesh surgery. We identified considerable misinformation and aversion to future mesh surgery among these women.
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Female Pelvic Med Reconstr Surg · Jan 2013
Comparative StudyEvaluation of pelvic floor symptoms and sexual function in primiparous women who underwent operative vaginal delivery versus cesarean delivery for second-stage arrest.
This study aimed to compare the prevalence and severity of pelvic floor symptoms and sexual function at 1 year postpartum in women who underwent either operative vaginal delivery (OVD) or cesarean delivery (CD) for second-stage arrest. ⋯ In this sample of primiparous women with second-stage arrest, mode of delivery did not significantly impact pelvic floor function 1 year after delivery, except for bulge symptoms in the OVD group and sexual satisfaction in the planned CD group.
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Female Pelvic Med Reconstr Surg · Jan 2013
Third sacral foramina morphometry for sacral neuromodulation.
This study is aimed to define the geometry and location of the human S3 foramen, with respect to bony landmarks visible on ultrasound. ⋯ Clinical localization of the S3 foramen for sacral neuromodulator needle placement is best obtained when the needle tip is positioned 15 to 25 mm lateral to the sacral spinous processes and 0.0 cm to 25 mm caudad to the SI line, at the level of the dorsal sacrum surface. The findings presented in this study may be applied to improve the efficacy and accuracy of neuromodulator lead placement into the S3 foramen. This study provides rationale for the effectiveness of the crosshair placement technique and demonstrates the best location for needle repositioning when this technique is not initially successful.
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Female Pelvic Med Reconstr Surg · Nov 2012
Age effects on pelvic floor symptoms in a cohort of nulliparous patients.
This study aimed to investigate the effects of age on pelvic floor symptoms (PFSs) in nulliparous women. ⋯ In this population of community-dwelling nulliparous women, age was associated with worsening sexual function and slightly increased odds of reporting symptoms of pelvic floor disorders.
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Female Pelvic Med Reconstr Surg · Jul 2012
Randomized Controlled Trial Multicenter StudyValidation of the activities assessment scale in women undergoing pelvic reconstructive surgery.
The Activities Assessment Scale (AAS) is a 13-item postoperative functional activity scale validated in men who underwent hernia surgery. We evaluated the psychometric characteristics of the AAS in women who underwent vaginal surgery for pelvic organ prolapse (POP) and stress urinary incontinence (SUI). ⋯ The AAS is a valid, reliable, and responsive measure for evaluation of physical function in women after pelvic reconstructive surgery.