Surgical journal clubs: Navigating the post-pandemic landscape.

Pandemic-related distancing regulations gave medical educators at our college an opportunity to reimagine and expand our evidenced-based medicine curriculum to an asynchronous, virtual format. We share the experience of course directors, faculty, and students with our new surgical journal club format. Our goal was to support learners' critical appraisal skills of the surgical literature through active learning modalities such as visual abstract generation and audio-synopsis creation.

Recommended standardized terminology of the anterior female pelvis based on a structured medical literature review.

Background: The use of imprecise and inaccurate terms leads to confusion amongst anatomists and medical professionals.

Objective: We sought to create recommended standardized terminology to describe anatomic structures of the anterior female pelvis based on a structured review of published literature and selected text books.

Study Design: We searched MEDLINE from its inception until May 2, 2016, using 11 medical subject heading terms to identify studies reporting on anterior female pelvic anatomy; any study type published in English was accepted.

Demographic and delivery characteristics associated with obstetric fistula in Kigali, Rwanda.

Objective: To assess the characteristics of Rwandan women undergoing surgical correction of obstetric fistula.

Methods: A retrospective, cross-sectional study was conducted of women undergoing surgery to repair obstetric fistula as part of a program run by the International Organization for Women and Development in Kigali, Rwanda, between April 1, 2010, and February 28, 2011. Data were collected from medical records, including demographics, obstetric history, and results of the physical examination.

Effect of intrinsic sphincter deficiency on midurethral sling outcomes in women with mixed urinary incontinence.

Objective: The objective of this study was to estimate the effect of intrinsic sphincter deficiency (ISD) on frequency and urge incontinence after midurethral sling (MUS) in women with mixed urinary incontinence (MUI).

Methods: We performed a retrospective study of 137 women with MUI who underwent MUS placement. We defined MUI as an affirmative response to the urge incontinence item (no.

Variables impacting care-seeking for pelvic floor disorders among African American women.

Objectives: This study aimed to identify variables impacting care-seeking for pelvic floor disorders (PFDs) among (1) a general population of professional African American (AA) women and (2) professional AA women with prevalent PFD symptoms.

Methods: A cross-sectional survey of women registered for the 37th National Assembly of the Links, Inc, a volunteer service organization of professional AA women, was conducted. Our de-identified questionnaire addressed several domains including PFD symptoms, history of PFD diagnoses, attitudes regarding PFDs, and help-seeking.

Unrecognized bladder perforation leading to severe progressive cellulitis and candidal infection.

Background: Retropubic midurethral slings are a minimally invasive surgical procedure used in the treatment of stress urinary incontinence and are typically associated with high cure rates and low complication rates. Bladder perforation is a known intraoperative complication that, if left unrecognized, can have significant morbidity.

Case: A 47-year-old underwent a retropubic midurethral sling, anterior colporrhaphy, and cystoscopy.

Venous thromboembolism prophylaxis in gynecologic surgery: a systematic review.

Objective: To comprehensively review and critically assess the available gynecologic surgery venous thromboembolism prophylaxis literature and provide clinical practice guidelines.

Data Sources: MEDLINE and Cochrane databases from inception to July 2010. We included randomized controlled trials in gynecologic surgery populations.

Barriers to pelvic floor physical therapy utilization for treatment of female urinary incontinence.

Objective: The purpose of this study was to estimate the effect of insurance status on pelvic floor physical therapy (PFPT) nonparticipation for the treatment of urinary incontinence.

Study Design: A cross-sectional study of women referred to PFPT for urinary incontinence between January 2009 and June 2010 was conducted. A telephone questionnaire was administered.

The association between obesity and stage II or greater prolapse.

Objective: We sought to evaluate the association between obesity and vaginal prolapse as well as pelvic organ prolapse symptoms.

Study Design: This was a cross-sectional study of women referred for urogynecologic care. The exposure was obesity and outcome, stage>or=II prolapse.

The Association Between Stage II or Greater Posterior Prolapse and Bothersome Obstructive Bowel Symptoms.

Objective: : The primary objective of this study was to estimate the association between stage II or greater posterior prolapse and individual obstructive bowel symptoms.

Methods: : We conducted a cross-sectional study of all women presenting for initial visit at a tertiary center for pelvic floor disorders. Exposure was defined as stage II or greater posterior vaginal prolapse as measured by pelvic organ prolapse quantification measurements.

New considerations in the use of vaginal mesh for prolapse repair.

The proliferation of mesh-based transvaginal prolapse surgical repair methods and products has generated increased scrutiny of the evidence-based foundation in support of these techniques. Recent developments in this arena include the publication of the Society of Gynecologic Surgeons Systematic Review Group, which concluded that supportive evidence for transvaginal mesh is limited, and a Public Health Notification from the Food and Drug Administration (FDA), regarding "serious complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence." This article reviews available literature regarding transvaginal mesh use, specifically regarding material, technique, and patient characteristics that may influence the rates of iatrogenic complications of transvaginal mesh prolapse repairs.

Implant infection after two-stage sacral nerve stimulator placement.

To report our experience with implant infection after two-stage sacral nerve stimulator placement. We reviewed the records of all patients who underwent implantation with a sacral nerve stimulator for the management of refractory cases of urge urinary incontinence, urinary frequency, and non-obstructive urinary retention. Baseline demographic data, interval to the development of infection, and the organism cultured are reported.