Publications by authors named "Kimberly S Kenton"
Article Synopsis
- - The Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) is starting a new study (LURN II) to investigate urinary urgency and incontinence by comparing cases and controls.
- - The study aims to improve the understanding of these difficult-to-treat symptoms by enhancing the phenotyping process.
- - The paper will discuss the reasons for this new research initiative and identify existing knowledge gaps related to the treatment of lower urinary tract symptoms, particularly urinary urgency.
Article Synopsis
- Routine screening for urinary incontinence (UI) by primary care providers (PCPs) is recommended, yet the study found that screening rates and detection were notably low in a large population of female patients.
- Over a 2-year period, only 3.4% of women received a new diagnosis of UI during their primary care visits, and only 16% of annual wellness visits included any documentation related to UI screening.
- Despite 42% of PCPs claiming they screen for UI at least half the time, none felt completely confident in their screening abilities, highlighting an area for improvement in primary care practices.
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.
The purpose of this analysis was to explore adolescent and adult women's preferences for the content and delivery of public health messaging around bladder health. This was a directed content analysis of focus group data from the Study of Habits, Attitudes, Realities, and Experiences, which explored adolescent and adult women's experiences, perceptions, beliefs, knowledge, and behaviors related to bladder health and function across the life course. This article reports an analysis of the "Public Health Messaging" code, which includes participants' views on what information is needed about bladder health, attributes of messaging, and preferred locations and delivery methods.
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- Physical and psychological health can significantly influence lower urinary tract symptoms (LUTS), which are common in women and can be modified over time.
- In a study involving 545 adult women, those with higher levels of depression and sleep disturbances reported more severe urinary symptoms, while better physical functioning correlated with milder symptoms.
- Although all urinary symptoms decreased during the study, initial psychological factors did not predict the changes in LUTS over time.
Article Synopsis
- The study aimed to improve and validate the Surgical Preparedness Assessment (SPA) scale for measuring how ready patients are for urogynecological surgery.
- Researchers conducted an analysis within a randomized controlled trial to see if a preoperative telehealth call influenced patient preparedness, using various questionnaires to gather data.
- Results showed that the SPA scale is reliable, with three key domains identified, and that patients who received the telehealth call reported lower preparedness scores compared to those who didn’t.
Article Synopsis
- - The analysis focused on how adolescent and adult women feel about public health messaging related to bladder health, emphasizing the need for better education and resources across all age groups.
- - Participants from 44 focus groups (360 women, ages 11-93) reported a strong desire for more reliable information about bladder health to help prevent negative changes and improve overall well-being.
- - The study highlighted the importance of targeting specific audiences at higher risk for bladder issues, but also stressed educating the general public, including parents and teachers who influence bathroom access.
Article Synopsis
- The study aimed to analyze changes in hospital length of stay and same-day discharges (SDDs) for minimally invasive hysterectomy (MIH) over the past decade and estimate future trends up to 2029.
- Data was gathered from the American College of Surgeons National Surgical Quality Improvement Program, focusing on benign MIH cases from 2011 to 2019, excluding surgeries combined with non-gynecologic procedures.
- Results showed a 10.7% increase in SDDs over the years, with only 29.8% of discharges being same-day in 2019; forecasts indicate that this rate could rise to 48.5% by the end of 2029.
Article Synopsis
- The study aimed to analyze 30-day postoperative complications in women undergoing abdominoplasty either alone or with a concurrent hysterectomy, using data from the American College of Surgeons National Surgical Quality Improvement Program from 2014 to 2018.
- Results showed no significant difference in complication rates between abdominoplasty alone (11.5%) and abdominoplasty with hysterectomy (14.1%), although the latter had a longer hospital stay and operating time.
- The findings suggest that concomitant hysterectomy does not increase the risk of postoperative complications in the month following surgery, indicating it may be a safe option for selected patients.
Incidence of and Risk Factors for Postoperative Venous Thromboembolism in Benign Hysterectomy.
J Minim Invasive Gynecol
February 2022
Article Synopsis
- The study aimed to assess the incidence and risk factors of postoperative venous thromboembolism (VTE) in women who underwent hysterectomy for non-cancerous reasons, focusing on the type of surgical approach used.
- Analyzing data from nearly 95,000 patients, the research found that VTE occurred in 0.4% of cases, with a higher incidence in abdominal hysterectomy (0.7%) compared to laparoscopic (0.3%) and vaginal (0.2%) methods.
- The study concluded that while VTE is uncommon after hysterectomy, patients undergoing abdominal surgery face a greater risk, and other factors like age, body mass index, and smoking
Article Synopsis
- The study aimed to identify factors influencing satisfaction with the Axonics sacral neuromodulation system after one year of use among participants with urgency urinary incontinence.
- The analysis involved data from the ARTISAN-SNM study, focusing on satisfaction ratings and symptom reductions measured through bladder diaries at several intervals post-implant.
- Results showed that 94.3% of participants expressed satisfaction, with a strong correlation between improvement in UUI symptoms and satisfaction level, even among some non-responders who reported ongoing benefits over time.
Early Secondary Repair of Obstetric Anal Sphincter Injury Breakdown: Contemporary Surgical Techniques and Experiences From a Peripartum Subspecialty Clinic.
Christina Lewicky-Gaupp Margaret G Mueller Sarah A Collins Meera Tavathia Julia Geynisman-Tan Kimberly S Kenton
Female Pelvic Med Reconstr Surg
February 2021
Article Synopsis
- The objective of the study was to evaluate the surgical technique and outcomes for early secondary repair of obstetric anal sphincter injury (OASIS) breakdown in women.
- The study involved a series of 18 women who presented to a peripartum clinic after experiencing OASIS, with all surgeries performed by the same experienced urogynecologists, focusing on demographic data, delivery modes, and surgical results.
- The results showed high success rates, with no instances of wound breakdown or recurrent fistulas at three months post-surgery, indicating that early surgical intervention is effective for treating OASIS complications.
Article Synopsis
- The study aimed to evaluate the rates of both symptomatic and asymptomatic urinary retention in women receiving an initial injection of onabotulinumtoxinA (BnTA) for urgency urinary incontinence (UUI).
- A retrospective chart review of 187 women revealed that 10% experienced urinary retention after the injection, with 2% having asymptomatic and 8% having symptomatic retention.
- Women who had previous procedures for stress urinary incontinence were significantly more likely to experience retention compared to those who hadn’t, highlighting a potential increased risk in this population.
Mind the Gap: Changes in Levator Dimensions After Sacrocolpopexy.
Female Pelvic Med Reconstr Surg
January 2021
Article Synopsis
- The study aimed to compare levator hiatus (LH) and levator area (LA) measured by transvaginal 3D ultrasound with genital hiatus (GH) sizes using Pelvic Organ Prolapse Quantification (POP-Q) before and after minimally invasive surgery for pelvic organ prolapse (POP).
- The study involved 43 women, primarily postmenopausal and white, who underwent sacrocolpopexy; results showed significant improvement in GH size and PFDI scores post-surgery, while LH size remained unchanged and LA increased.
- The findings suggest that while sacrocolpopexy effectively reduces GH size, it does not alter the underlying LH size on ultrasound.
Article Synopsis
- * Traditional treatments like physical therapy and medications fail to address the emotional aspects of these symptoms, prompting a study on cognitive-behavioral therapy (CBT) for affected women.
- * The study involves women with urinary symptoms and anxiety participating in either a CBT or supportive therapy for 12 weeks, with various assessments done before, during, and after treatment to evaluate the effectiveness of these interventions.
Article Synopsis
- The study focused on analyzing changes in lower urinary tract symptoms (LUTS) over a year, using data from the LURN Observational Cohort study to identify symptom clusters and treatment impacts.
- Results showed that a significant percentage of both men and women experienced symptom improvement over time, but the extent of improvement varied depending on the symptom cluster.
- The findings suggest that different treatment responses among LUTS subtypes could inform future targeted treatments for patients, highlighting the need for personalized approaches.
Article Synopsis
- The study investigates factors affecting individuals who still experience bothersome lower urinary tract symptoms (LUTS) despite receiving treatment.
- Conducted over a year with 756 participants from six care centers, the research utilized the AUA-SI tool to measure symptom bother levels at the beginning and after 12 months.
- Results indicated that factors like race, diabetes, prior treatments, depression, and psychological stress significantly impacted symptom bother, suggesting these insights could improve clinical care for patients dealing with LUTS.
Article Synopsis
- The document provides guidelines for evaluating and managing recurrent urinary tract infections (rUTI) in women, focusing on reducing unnecessary antibiotic use and its associated risks.
- It presents a systematic review of relevant literature, leading to evidence-based recommendations categorized by strength (A, B, or C) and additional guidance when evidence is insufficient.
- The conclusions highlight advancements in understanding rUTI, the importance of considering the risks of frequent antibiotic use, and the need for ongoing updates to the guidance as new research emerges.
Approach to Ureterovaginal Fistula: Examining 13 Years of Experience.
Female Pelvic Med Reconstr Surg
June 2019
Article Synopsis
- The study examines the management and outcomes of ureterovaginal fistulas over a 13-year period, assessing demographic data, diagnostic processes, and treatment effectiveness.
- Out of 19 cases identified, most fistulas occurred post-hysterectomy, with a primary focus on conservative treatments like ureteral stenting and reimplantation, achieving an 83% success rate in conservative management.
- The findings suggest that ureteral stenting is effective for select patients, while more complex cases might require ureteral reimplantation as the preferred treatment option.
Article Synopsis
- The study investigated the relationship between mental health, sleep, physical function, and urinary incontinence in women seeking treatment for lower urinary tract symptoms.
- Researchers analyzed data from 510 women, finding that a large majority reported urinary incontinence, with different types noted (stress, urgency, mixed).
- Results indicated that while higher urinary incontinence severity was linked to increased depression and anxiety, it did not significantly affect sleep or physical function among these women.
Article Synopsis
- The study aimed to investigate pelvic floor symptoms in women with lower urinary tract symptoms (LUTS), comparing those with urinary incontinence (UI) to those without.
- Researchers collected data from 510 women at several healthcare centers, using specific questionnaires to assess various pelvic floor issues like bowel symptoms and sexual dysfunction.
- Results showed that women with UI reported more bowel issues and worse sexual function, particularly those with mixed urinary incontinence (MUI) who had the most severe symptoms compared to other types of UI.
Reliability and validity of the Tigrigna version of the Pelvic Floor Distress Inventory-Short Form 20 (PFDI-20) and Pelvic Floor Impact Questionnaire-7 (PFIQ-7).
Gelila K Goba Awol Yeman Legesse Yibrah Berhe Zelelow Mussie Alemayehu Gebreselassie Rebecca G Rogers Kimberly S Kenton
Int Urogynecol J
January 2019
Article Synopsis
- * Methods included expert translation, cognitive and patient interviews, and statistical analyses to measure correlation and reliability, resulting in good face validity and test-retest reliability (ICC values between 0.765 and 0.969).
- * The results demonstrated significant differences in scores between women with and without pelvic floor disorders, alongside strong internal consistency in the translated questionnaires (Cronbach's alpha values ranged from 0.891 to 0.956).
What impacts patient satisfaction with reconstructive pelvic surgery?
Am J Obstet Gynecol
August 2017