Female pelvic medicine & reconstructive surgery
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Female Pelvic Med Reconstr Surg · Mar 2019
Randomized Controlled Trial Comparative StudyA Cross-sectional Pilot Cohort Study Comparing Standard Urine Collection to the Peezy Midstream Device for Research Studies Involving Women.
The expanded quantitative urine culture protocol was used to compare the microbial abundance and diversity of voided urines obtained using a standard urine collection or using the Peezy midstream device versus paired periurethral specimens. ⋯ Compared with standard clean catch method, the Peezy urine collection device with and without the castile soap wipe resulted in urine with lower bacterial abundance that was distinct from the periurethra. Voided urine collected by Peezy may reduce postbladder microbial contribution.
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Female Pelvic Med Reconstr Surg · Mar 2019
Randomized Controlled Trial Comparative StudyPredictive Factors of Postdischarge Narcotic Use After Female Pelvic Reconstructive Surgery.
The aim of the study was to evaluate the association of patient factors, amount of in-hospital postoperative narcotics, and pain scores on postdischarge narcotic use (PDNU). ⋯ Amount of postoperative in-hospital use of narcotic medications and BPI scores can be valuable predictors of PDNU in patients undergoing pelvic reconstructive surgery.
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Female Pelvic Med Reconstr Surg · Sep 2013
Randomized Controlled Trial Comparative StudyRobotic virtual reality simulation plus standard robotic orientation versus standard robotic orientation alone: a randomized controlled trial.
The objective of this study was to compare the effect of virtual reality simulation training plus robotic orientation versus robotic orientation alone on performance of surgical tasks using an inanimate model. ⋯ Standard robotic orientation and/or robotic virtual reality simulation improve surgical skills on an inanimate model, although this may be a function of the initial "practice" on the inanimate model and repeat testing of a known task. However, robotic virtual reality simulation training increases GRS pass rates consistent with improved robotic technical skills learned in a virtual reality environment.
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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.
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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.