Patient Preferences and Knowledge Regarding Hysterectomy: A Study from the Fellows' Pelvic Research Network (FPRN)®.

Objective: The purpose of this study was to describe preference for and knowledge of hysterectomy routes in women presenting to urogynecology/gynecology clinics throughout the United States and to determine association with health literacy. Our primary aim was preference for hysterectomy route, and secondary aims were knowledge of basic pelvic structures and function, knowledge of various hysterectomy routes, and baseline health literacy level.

Methods: This multicenter, cross-sectional study was conducted through the Fellows' Pelvic Research Network.

Inappropriate oophorectomy at time of benign premenopausal hysterectomy.

Objective: We assessed rates of oophorectomy during benign hysterectomy around the release of the American College of Obstetricians and Gynecologists 2008 practice bulletin on prophylactic oophorectomy, and evaluated predictors of inappropriate premenopausal oophorectomy.

Methods: A cross-sectional administrative database analysis was performed utilizing the California Office of Statewide Health Planning Development Patient Discharge Database for years 2005 to 2011. After identifying all premenopausal women undergoing hysterectomy for benign conditions, International Classification of Diseases (ICD)-9 diagnosis codes were reviewed to create a master list of indications for oophorectomy.

Management of cesarean scar pregnancy in the second trimester: a report of three cases.

Background: A modern entity of the cesarean scar pregnancy with or without uterine dehiscence has been described and is increasing in incidence. Early diagnosis is difficult, and management in the second trimester poses a significant clinical challenge. The best options for management are unclear due to lack of data in this area.

Necrotizing postsurgical infection complicating midurethral sling procedure with unrecognized cystotomy.

A 39-year-old woman with stress urinary incontinence underwent a retropubic midurethral sling procedure. On postoperative day 1, she presented with persistent abdominal pain and fever. A computed tomographic scan showed subcutaneous lower abdominal wall edema and gas above the fascia suggesting a necrotizing soft tissue infection.