Patient Satisfaction After Sling Revision for Voiding Dysfunction After Sling Placement.

Objective: The aim of this study was to evaluate patient-reported outcomes after sling release for obstructive voiding after sling operation for female stress urinary incontinence.

Methods: All female patients who had sling release for obstructive voiding at Mayo Clinic in Rochester, Minnesota, from January 1, 2000, through October 31, 2008, were identified and mailed a survey including validated questions for voiding symptoms. A composite outcome for surgical success was chosen in which participants reported global improvement (at least "much better") and complete satisfaction on a 7-point Likert scale.

Mesh sacrocolpopexy compared with native tissue vaginal repair: a systematic review and meta-analysis.

Objective: To systematically review outcomes after mesh sacrocolpopexy compared with native tissue vaginal repairs in women with apical prolapse.

Data Sources: We searched MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov through June 4, 2012.

Utility of intraoperative cystoscopy in detecting ureteral injury during vaginal hysterectomy.

Objectives: The aim of this study was to determine the utility of intraoperative cystoscopy in detecting and managing ureteral injury among women undergoing vaginal hysterectomy.

Methods: We performed a secondary analysis of a retrospective cohort study of 593 patients who underwent vaginal hysterectomy for benign indications, with or without additional pelvic floor reconstructive surgery, from January 2, 2004, through December 30, 2005. A logistic regression model determining the propensity to undergo intraoperative cystoscopy was constructed.

Risk of oophorectomy after hysterectomy.

Objective: To compare the risk of subsequent oophorectomy among women who underwent hysterectomy for benign indications and those who did not.

Methods: Using Rochester Epidemiology Project resources, we compared the risk of oophorectomy through December 31, 2008, among 4,931 women in Olmsted County, Minnesota, who underwent ovary-sparing hysterectomy for benign indications (case group) between 1965 and 2002, with 4,931 age-matched women who did not undergo hysterectomy (referent group). The cumulative incidence of subsequent oophorectomy was estimated by the Kaplan-Meier method, and comparisons were evaluated by Cox proportional hazard models using age as the time scale to allow for complete age adjustment.

The learning curve of robotic hysterectomy.

Objective: To evaluate the learning curve of robotic hysterectomy using objective, patient-centered outcomes and analytic methods proposed in the literature.

Methods: All cases of robotic hysterectomy performed at Mayo Clinic, Rochester, Minnesota, from January 1, 2007, through December 31, 2009, were collected. Experience was analyzed in 6-month periods.

Ureteral injury during vaginal mesh excision: role of prevention and treatment options.

Vaginal mesh kits are increasingly used in vaginal prolapse repair. Mesh erosion, infection, and pain may necessitate removal, which can lead to urinary tract injury. We describe 2 cases of ureteral injury at the time of mesh excision.

A three-incision approach to treat persistent vaginal exposure and sinus tract formation related to ObTape mesh insertion.

Mentor Corporation's ObTape has been associated with considerable morbidity. An unacceptably high exposure rate has been noted, and in some cases, multiple procedures may be necessary for complete mesh removal.We evaluated a patient who had prior ObTape placement complicated with persistent vaginal discharge and granulation tissue formation related to persistent mesh exposure (3Bc-T2-S2) followed by sinus tract formation (6Cd-T3-S3) according to the International Urogynecological Association Classification.

Urogynecology training and practice patterns after residency.

Objective: The perspective of recent graduates is important in assessing the adequacy of training and for improving clinical and surgical education. The objective of this study was to evaluate the urogynecology experience of recent Obstetrics and Gynecology residency graduates, to examine perceived and actual surgical load during and after residency, and to assess comfort level with diagnosing and treating urinary incontinence and pelvic organ prolapse.

Design: Questionnaire assessing satisfaction with urogynecology rotation, perceived surgical load in residency, estimates of surgical procedures in current practice, and comfort level with diagnosing and treating incontinence and prolapse.

A three-incision approach to treat persistent vaginal exposure and sinus tract formation related to ObTape mesh insertion.

Mentor Corporation's ObTape has been associated with considerable morbidity. An unacceptably high exposure rate has been noted, and in some cases, multiple procedures may be necessary for complete mesh removal. We evaluated a patient who had prior ObTape placement complicated with persistent vaginal discharge and granulation tissue formation related to persistent mesh exposure (3Bc-T2-S2) followed by sinus tract formation (6Cd-T3-S3) according to the International Urogynecological Association Classification.

Does concomitant prolapse repair at the time of midurethral sling affect recurrent rates of incontinence?

Introduction And Hypothesis: We compared outcomes after midurethral sling (MUS) with and without concomitant repair for prolapse.

Methods: Women who underwent MUS with or without concomitant repair for prolapse completed a follow-up survey. Outcomes were assessed with validated questionnaires and medical record review.

Hysterectomy and perioperative morbidity in women who have undergone renal transplantation.

Objective: The purpose of this study was to compare complications from vaginal hysterectomy with abdominal hysterectomy in renal transplant recipients.

Study Design: Women who underwent renal transplantation then hysterectomy from 1966-2008 at Mayo Clinic, Rochester, MN, were identified. Data were collected about preoperative, intraoperative, and postoperative events.