Cost-effectiveness Analysis: Autologous Rectus Fascial Sling Versus Retropubic Midurethral Sling for Female Stress Urinary Incontinence.

Importance: There are limited data on the economic comparison between retropubic midurethral sling and autologous fascial sling.

Objective: This study aims to evaluate the cost-effectiveness of autologous rectus fascial sling compared with retropubic midurethral sling from both hospital and health care perspectives.

Study Design: A decision tree model was developed with 1 year of follow-up.

The Effect of Preoperative Fiber on Postoperative Bowel Function After Pelvic Reconstructive Surgery: A Randomized Controlled Trial.

Importance: There are limited studies evaluating the effect of preoperative interventions on postoperative bowel function after prolapse surgery.

Objective: The objective of this study was to evaluate if preoperative fiber intake reduces time to first bowel movement after surgery for pelvic organ prolapse.

Study Design: We performed a randomized controlled trial of women undergoing pelvic organ prolapse surgery between July 2019 and May 2021.

Evaluation of Uroflowmetry Curve Patterns and Nomogram Construct in Healthy Nulliparous Female Adults.

Objective: The aims of the study were to construct uroflowmetry nomograms, evaluate uroflowmetry flow rate patterns, and graphically illustrate overlaid uroflowmetry curves in nulliparous female adult volunteers.

Methods: We performed a prospective cross-sectional study evaluating uroflowmetry curve and flow rate patterns on a cohort of nulliparous female adult volunteers. Primary outcome was construction of uroflowmetry maximum and average flow rate nomograms.

Effect of Pudendal Blockade on Bladder Emptying After Midurethral Sling: A Randomized Controlled Trial.

Objectives: To evaluate the effect of bilateral pudendal nerve blockade on immediate postoperative bladder emptying after midurethral sling.

Methods: We performed a double-blinded, randomized, placebo-controlled trial of women undergoing a midurethral sling procedure between October 2017 and February of 2019. Women older than 18 years were eligible if they were undergoing a midurethral sling with no concomitant procedures and had no preoperative urinary retention.

Pharmacist-Led Chronic Care Management for Medically Underserved Rural Populations in Florida During the COVID-19 Pandemic.

Medically underserved patients in rural areas are more vulnerable to poor health outcomes, including the risks associated with coronavirus disease 2019 (COVID-19). Pharmacists, student pharmacists, and other health care professionals are working together to implement new, innovative ways to deliver the same standard of care during the COVID-19 pandemic to these vulnerable patients. These services include telehealth with virtual and telephone medication therapy management sessions led by ambulatory care pharmacists and student pharmacists.

Satisfaction With Telephone Versus In-Person Interpretation Services in Limited English-Proficient Urogynecology Patients: A Randomized Controlled Trial.

Objective: The objective of this study was to determine if in-person interpreters improve patient satisfaction scores compared with phone interpreters for urogynecology office visits in limited English proficient (LEP) patients.

Methods: Portuguese and Spanish LEP subjects were randomized to phone or in-person interpreter, and a 14-item questionnaire was administered with 3 subscales assessing the primary outcome of patient satisfaction with the interpreter, physician, and nursing. Subject demographics, English proficiency, overall health status, and yearly household income were recorded.

The Effect of Phenazopyridine on Immediate Postoperative Voiding After Prolapse Surgery: A Randomized Controlled Trial.

Objectives: The objective of our study was to determine if phenazopyridine reduces void trial (VT) failure rates after prolapse surgery.

Methods: A single-institution randomized controlled trial was conducted comparing a second dose of phenazopyridine 200 mg on postoperative day 1 versus no additional phenazopyridine in women undergoing prolapse surgery. All subjects (including controls) received 200 mg of phenazopyridine preoperatively for ureteral patency verification.

Accuracy of Bladder Scanner for the Assessment of Postvoid Residual Volumes in Women With Pelvic Organ Prolapse.

Objectives: The aim of the study was to evaluate the accuracy of the bladder scanner in assessing postvoid residual (PVR) volumes in patients with pelvic organ prolapse (POP).

Methods: We performed a prospective parallel cohort study evaluating the accuracy of the BVI 3000 bladder scanner in patients with POP. Patients with POP to the hymen were offered inclusion.

The Effect of Oral Phenazopyridine on Perioperative Voiding After Midurethral Slings (EPIPhANy Study).

Objective: To determine the effect of preoperative oral phenazopyridine on postoperative voiding dysfunction in women undergoing a retropubic midurethral sling.

Methods: A single-institution randomized clinical trial was performed from September 2015 to March 2017, comparing 200 mg of oral phenazopyridine versus no phenazopyridine in patients undergoing a retropubic midurethral sling under general anesthesia with no concomitant procedures. A power calculation indicated that we required at least 40 subjects per arm.

The Effect of Preoperative Phenazopyridine on Urinary Retention Following Midurethral Sling.

Objective: The aim of this study was to determine the effect of preoperative oral phenazopyridine on short-term voiding dysfunction in patients undergoing a retropubic midurethral sling.

Methods: We conducted a retrospective cohort study in subjects undergoing a retropubic midurethral sling comparing those who received preoperative oral phenazopyridine with those who did not. We included all women who underwent a retropubic midurethral sling without concomitant procedures under general anesthesia at our institution.

Early Revision of Suburethral Sling for Persistent Stress Incontinence.

Background: Midurethral slings are an effective treatment method for stress urinary incontinence (SUI). Although success rates can be as high as 90%, the remaining patients with disappointing results may require further surgical intervention. In particular, those patients with persistent SUI may need further revision of the existing sling.

Pharmacological Agents to Decrease New Episodes of Recurrent Lower Urinary Tract Infections in Postmenopausal Women. A Systematic Review.

Objectives: The purpose of this systematic review was to evaluate and summarize pharmacological interventions evaluated in randomized clinical trials designed to prevent recurrent episodes of urinary tract infections (UTIs) in postmenopausal women.

Methods: Excerpta Medica dataBASE, Pubmed, Medline, and Cochrane Library were accessed to search for nonexperimental drugs evaluated in randomized clinical trials published in peer reviewed journals from January 1, 1970, to August 1, 2015, to reduce the number of recurrent UTIs in postmenopausal women.

Results: A systematic search yielded 9 articles that met eligibility criteria.

Use of a tissue expander to aid in a second urethrolysis: a case report.

To describe a novel approach of retropubic urethrolysis using placement of a tissue expander to prevent rescarring after previously failed vaginal urethrolysis in a patient with known extensive scar tissue.

A Web-based program to ensure compliance of medical staff providers with mandated health care facility requirements.

Background: We designed a Web-based program for educating medical staff providers on infection control and prevention measures and for ensuring that such providers comply with mandated immunizations, influenza vaccination, and tuberculin skin testing.

Methods: Our program was designed in a health care system employing approximately 2,699 medical staff providers and 9,700 other health care workers in 3 hospitals; a skilled nursing care facility; and a large, multisite, faculty practice plan. We developed a program for educating medical staff providers on infection control and antibiotic stewardship and ensuring compliance with institutional immunization, tuberculin skin testing, and influenza immunization requirements.

Use of a mandatory declination form in a program for influenza vaccination of healthcare workers.

Objective: To evaluate the utility and impact of using a declination form in the context of an influenza immunization program for healthcare workers.

Methods: A combined form for documentation of vaccination consent, medical contraindication(s) for vaccination, or vaccination declination was used during the 2006-2007 influenza season in a healthcare system employing approximately 9,200 nonphysician employees in 3 hospitals; a skilled nursing care facility; a large, multisite, faculty-practice plan; and an administrative building. Responses were entered into a database that contained files from human resources departments, which allowed correlation with job category and work location.

Biologic and synthetic graft use in pelvic surgery: a review.

Unlabelled: Urinary incontinence and pelvic organ prolapse are some of the most commonly treated conditions in postmenopausal women. Surgical cure rates vary greatly depending on surgical technique and the type of materials used, if any, to supplement the native tissue. Traditional colporrhaphy relies on adequate tissue for a successful repair.

Special considerations for the geriatric population.

Health care providers can be the eyes and ears of patient safety when it comes to medication administration. Simply asking questions about the medication and dose can avert a drug-drug interaction or save the patient's life. When caring for the older adult, question if the drug is right for this patient; if the dose is correct or if it has been adjusted to start at a lower dose; if the patient has renal or kidney dysfunctions that may further affect dosing; and if the patient has been thoroughly assessed for swallowing, cognitive, and physical disorders [22].