Publications by authors named "Jacqueline Chavez"
Introduction And Hypothesis: To evaluate how women with uncomplicated antibiotic-recalcitrant recurrent urinary tract infections (RUTIs) and extensive inflammatory bladder lesions on office cystoscopy responded to electro-fulguration (EF) to eliminate these chronic bladder sites.
Methods: After IRB approval, a retrospective study of non-neurogenic women with RUTIs, inflammatory lesions on cystoscopy, and who underwent EF was performed. Lesions were classified through a simplified staging system based on the extent of bladder wall involvement.
Objectives: To assess if urine acidity may be preventative against urinary tract infection (UTIs) and affected by diet. Our goal was to evaluate the effect of urine pH on the rate of recurrent UTIs (RUTIs) after electrofulguration (EF) in 3 groups of women with different urine pH ranges as well as the relation between their diet composition and urine pH.
Methods: In a prior IRB-approved prospective study, women recorded urinary pH 4 times a day and diet for a week.
Objective: To review the rates of persistent and de novo stress urinary incontinence (SUI) following urethral diverticulum (UD) repairs performed without concomitant SUI surgical procedures.
Methods: Following IRB approval, charts of women who underwent UD excision by three FPMRS surgeons were reviewed. Data collected from the electronic medical record included demographic information, preoperative symptoms and evaluation (validated questionnaires [UDI-6, QoL]), imaging studies, operative details, post-operative symptoms, and subsequent surgical interventions.
Objectives: Acidic urine pH may be protective against recurrent urinary tract infections (RUTIs). After reviewing the literature, we primarily analyzed urine pH fluctuations and secondarily compared them with diet in older women with RUTIs.
Methods: After IRB approval, postmenopausal women with documented RUTIs were enrolled.
Objective: To evaluate the efficacy of repeat endoscopic electrofulguration in women with antibiotic-refractory, recurrent urinary tract infections (RUTIs) with persistent symptoms after 1 electrofulguration.
Methods: An institutional review board-approved, prospectively maintained database of non-neurogenic women with RUTIs, persistent symptoms and endoscopic findings of bladder wall inflammation after 1 electrofulguration, and minimum 6 months follow-up was reviewed. Endoscopic success was defined as complete resolution of previous lesions without new lesions seen during office cystoscopy 6 months after second electrofulguration.
Introduction: We compared the patient self reported assessment of dryness after an anti-incontinence procedure in women with 3 simple, office based questionnaire items.
Methods: Following institutional review board approval electronic medical records of non-neurogenic women who underwent anterior vaginal wall suspension alone for stress urinary incontinence associated with early stage anterior compartment prolapse were reviewed. Using last visit assessment, responses to Urogenital Distress Inventory-short form question 3 related to stress urinary incontinence, global quality of life score using visual analog scale and Incontinence Impact Questionnaire-short form question 7 related to frustration were compared to self reported dry (no/rare leakage) status.
Introduction: We report on the management of intraoperative vaginal cuff perforation during robotic-assisted mesh recto-sacrocolpopexy for vaginal vault prolapse with defecatory dysfunction.
Case Presentation: A 75-year-old woman with vaginal bulge and constipation was to undergo a joint robotic mesh recto-sacrocolpopexy. Intraoperatively, mesh was secured to the left posterior vaginal wall following dissection.