Publications by authors named "E R Geller"
Importance: The Neomedic Knotless Incontinence Mesh (KIM) sling with sterilizable trocars decreases medical waste versus midurethral slings with disposable trocars. Limited comparative data exist.
Objective: The aim of the study was to assess to the success of the retropubic KIM sling compared to the Gynecare TVT Exact sling.
Comparison of Diagnostic Accuracies of Commonly Used Trial of Void Parameters.
Urogynecology (Phila)
November 2024
Importance: Understanding the diagnostic accuracy of postoperative trial of void (TOV) parameters is important for decision making related to postoperative catheterization.
Objective: The aim of the study was to compare the diagnostic accuracies of common postoperative TOV parameters.
Design: The study population comprised a prospective cohort undergoing outpatient urogynecologic procedures at a tertiary referral center from September 2018 to June 2021.
Introduction And Hypothesis: Sacrocolpopexy (SCP) is the gold standard surgical management of apical pelvic organ prolapse (POP), and increasingly, minimally invasive SCP is being adopted as a primary treatment for advanced uterovaginal prolapse. Patients undergoing surgery for POP consider postoperative improvement in sexual function to be a highly important outcome, and sexual dysfunction and dyspareunia severe adverse events. Therefore, it is crucial to understand the impact of minimally invasive SCP on postoperative sexual function.
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- Leiomyomas can cause lower urinary tract symptoms (LUTS), but this study aimed to better understand their specific effects by comparing patients undergoing hysterectomy for leiomyomas to those with abnormal uterine bleeding.
- The study found no significant difference in baseline LUTS prevalence between the two groups, but larger leiomyomas (greater than 6 cm) were linked to a higher prevalence of LUTS, including issues like difficulty passing urine and frequent urination.
- The research indicates that patients with larger or multiple leiomyomas are more likely to experience LUTS, warranting further studies to assess how these symptoms change after hysterectomy.
Article Synopsis
- The study aimed to evaluate long-term complications related to mesh after total hysterectomy and sacrocolpopexy, focusing on risks like mesh exposure and surgical success over time.
- It involved a follow-up of 82 women from an earlier trial, with a mean follow-up of 5.3 years, revealing a 9.9% incidence of mesh or suture exposure and a high surgical success rate of 95%.
- While the risk of mesh exposure increased over time, no serious complications were found, indicating that surgery remains effective with manageable side effects.