Female pelvic medicine & reconstructive surgery
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Female Pelvic Med Reconstr Surg · Mar 2012
Quality of life is markedly improved in patients with fecal incontinence after sacral nerve stimulation.
The aim of the present analysis was to report on the relationship between long-term improvement in quality of life (QOL) and fecal incontinence (FI) severity and long-term reduction in FI episodes after sacral nerve stimulation (SNS) or sacral neuromodulation. ⋯ Sacral nerve stimulation not only restores or improves continence in treated patients with chronic FI but also improves their quality of life and symptom severity.
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Female Pelvic Med Reconstr Surg · Mar 2012
Randomized Controlled TrialBowel function after minimally invasive urogynecologic surgery: a prospective randomized controlled trial.
The goals of this study were to assess the effect of a standardized postoperative bowel regimen of over-the-counter medications on (1) time to first bowel movement (BM) and (2) pain level associated with first BM in subjects undergoing minimally invasive urogynecologic surgery. ⋯ Mean time to first postoperative BM after minimally invasive urogynecologic surgery is more than 3.5 days with use of docusate sodium alone and is only slightly shorter when combination therapy is used. First BM after surgery is considered to be painful despite the use of medications. Future studies targeting postoperative discomfort/pain with defecation could target preoperative bowel regimens or more aggressive postoperative interventions. Regimens should remain simple to increase compliance.
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Female Pelvic Med Reconstr Surg · Mar 2012
Conflicts-of-interest disclosures at the 2010 AUGS Scientific Meeting.
To describe authors' trends in reporting conflicts of interest in their research at the 2010 Annual Scientific Meeting of the American Urogynecologic Society. ⋯ Despite instructions to the contrary, 13% of presentations in 2010 did not address potential influence by a financial subsidy. Explicit instructions, a streamlined reporting process, and prioritization by our scientific community may improve the consistency and uniformity of financial disclosure reporting.
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Female Pelvic Med Reconstr Surg · Mar 2012
Randomized Controlled Trial Comparative StudyA randomized comparison of bupivacaine versus saline during placement of tension-free vaginal tape.
To compare postoperative urinary retention and pain control when bupivacaine versus saline for hydrodissection is used while placing tension-free vaginal tape midurethral slings. ⋯ Bupivacaine was not seen to improve immediate postoperative pain after placement of a tension-free vaginal tape. It did not increase the risk of failing a postoperative voiding trial. Without an obvious benefit, the use of an additional medicine is not supported. We suggest saline alone be used for hydrodissection.
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Female Pelvic Med Reconstr Surg · Jul 2010
A Valid Form of the PISQ-12, the PISQ-9, for Use in Comparative Studies of Women With and Without Pelvic Organ Prolapse and/or Urinary Incontinence.
: To test the validity and reliability of a modified short-form Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-9) in a general female population. ⋯ : PISQ-9 scores strongly correlate with PISQ-12 scores as well as scores of a general sexual-function questionnaire and Cronbach's alpha statistics are acceptable. The PISQ-9 can be reliably used in comparative studies assessing pelvic floor function in women with and without prolapse or incontinence.