International urogynecology journal
-
Randomized Controlled Trial Comparative Study
Combined spinal and general anesthesia vs general anesthesia for robotic sacrocervicopexy: a randomized controlled trial.
Gynecologic laparoscopic surgery is frequently accompanied by early postoperative pain. This study assessed the effect of combined general and spinal anesthesia on postoperative pain score, analgesic use, and patient satisfaction following robotic surgeries. ⋯ Reported levels of pain and analgesic use during the first 24 h following robotic gynecologic surgery were significantly lower following general and spinal anesthesia compared to general anesthesia alone.
-
Randomized Controlled Trial
Warm-up on a simulator improves residents' performance in laparoscopic surgery: a randomized trial.
Our aim was to assess the impact of immediate preoperative laparoscopic warm-up using a simulator on intraoperative laparoscopic performance by gynecologic residents. ⋯ Performing a brief warm-up exercise before a major or minor laparoscopic procedure significantly improved the intraoperative performance of residents irrespective of the difficulty of the case.
-
Mesh complications, both erosions and extrusions, are becoming more common in the practice of urology. We present the case of a 58-year-old woman who presented with lower urinary tract symptoms (LUTS) and recurrent urinary tract symptoms following treatment for stress urinary incontinence and who was found to have two slings eroded into her urethral lumen. The slings were debulked in the urethra using the holmium laser, thereby avoiding a more complex urethral reconstruction.
-
This study evaluates the effect of baseline pelvic organ prolapse (POP) severity on improvement in overactive bladder (OAB) symptoms after pelvic reconstructive surgery. ⋯ Women with coexisting POP and OAB who undergo surgical correction of POP experience improvement in OAB symptoms after surgery, although women with more severe POP may be at a higher risk of persistent frequency or urge incontinence.
-
Multicenter Study Clinical Trial
A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR).
The objective of this study was to create a valid, reliable, and responsive sexual function measure in women with pelvic floor disorders (PFDs) for both sexually active (SA) and inactive (NSA) women. ⋯ The PISQ-IR is a valid, reliable, and responsive measure of sexual function.