Publications by authors named "Mamta Mamik"
Article Synopsis
- The study aimed to find the best hysterectomy method for large uteri, focusing on the risks and complications associated with different surgical approaches for benign conditions.
- Researchers analyzed 25 studies, including various types of trials, and found that total vaginal hysterectomy generally had shorter operating times and lower risks of ureteral injury compared to laparoscopic methods.
- Results indicated that total vaginal hysterectomy is preferable for reducing hospital stay and risk of complications, while robotic-assisted methods showed a lower likelihood of blood transfusion compared to traditional abdominal approaches.
Article Synopsis
- The study aimed to determine whether midurethral sling mesh should be partially or totally removed in case of complications.
- A systematic review and meta-analysis of 45 studies found that partial mesh removal resulted in lower rates of postoperative stress urinary incontinence (SUI) compared to total removal.
- Both methods showed similar outcomes in terms of pain, bladder obstruction, and other symptoms, with infrequent adverse events reported.
Article Synopsis
- * The review analyzed studies from databases like MEDLINE and Embase that evaluated sexual function outcomes post-surgery, including activity levels and dyspareunia (pain during intercourse).
- * A total of 77 studies met the criteria, showing moderate to high-quality evidence; key comparisons involved transvaginal synthetic mesh against native tissue repairs, sacrocolpopexy against native tissue repairs, among others, but no significant differences were found for some comparisons.
Article Synopsis
- The study focused on analyzing sexual function outcomes related to pelvic organ prolapse (POP) surgery by examining pre- and postoperative vaginal anatomy.
- Researchers reviewed data from multiple databases and included 67 original studies in their analysis.
- Results showed no clear link between vaginal anatomy and sexual function, except for a significant correlation between preoperative total vaginal length and changes in sexual function scores.
Objective: We aimed to systematically review the literature to describe sexual activity and function before and after prolapse surgery.
Data Sources: We searched MEDLINE, EMBASE, and ClinicalTrials.gov databases from inception to April 2018.
Aim: To compare the safety protocols and operative outcomes of women undergoing laparoscopic-assisted myomectomy (LAM) by the same surgeons at a freestanding ambulatory surgery center (ASC) versus a hospital outpatient setting.
Methods: Retrospective chart review of all women ≥18 years old with symptomatic leiomyoma, who underwent LAM with uterine artery occlusion or ligation for blood loss control, at a freestanding ASC between 2013 and 2017, and an outpatient hospital setting between 2011 and 2013, both serving the metropolitan Washington, DC area. The procedures were performed by two minimally invasive gynecologic surgical specialists from a single practice.
American Urogynecologic Society Systematic Review: The Impact of Weight Loss Intervention on Lower Urinary Tract Symptoms and Urinary Incontinence in Overweight and Obese Women.
Female Pelvic Med Reconstr Surg
May 2021
Objective: Obesity can contribute to urinary symptoms such as urgency, frequency, and incontinence. In addition to classic treatments, weight loss interventions offer a unique clinical opportunity to improve these symptoms.
Study Design: The American Urogynecologic Society Systematic Review Group conducted a review of articles on the impact of surgical and behavioral weight loss (BWL) interventions on urinary symptoms in overweight and obese women.
Microscopic Hematuria as a Screening Tool for Urologic Malignancies in Women.
Female Pelvic Med Reconstr Surg
January 2021
Introduction: Most causes of microscopic hematuria (MH) are benign but may indicate an underlying malignancy. Current MH evaluation guidelines are reflective of male urologic malignancy risks. The objective of this systematic review was to evaluate whether the finding of MH predicts subsequent urologic malignancy in women.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to develop clinical guidelines for vaginal hysterectomy by reviewing evidence from various studies on the associated risks and benefits during preoperative, intraoperative, and postoperative phases.
- A comprehensive literature search was conducted across multiple databases, screening over 4,200 abstracts to identify 60 relevant studies, which were then analyzed for systematic review methodology and guideline recommendations.
- The findings highlighted 16 perioperative factors, such as patient characteristics and technical interventions, organized into four categories: patient selection, preoperative, intraoperative, and postoperative, concluding that certain antiseptic measures and techniques can optimize outcomes.
Objective: The objective of the study was to investigate the effectiveness of preemptive analgesia at pain control in women undergoing total abdominal hysterectomy.
Data Sources: Eligible studies, published through May 31, 2016, were retrieved through Medline, Cochrane Central Register for Controlled Trials, and Cochrane Database of Systematic Reviews.
Study Eligibility: We included randomized controlled trials with the primary outcome of pain control in women receiving a preemptive medication prior to total abdominal hysterectomy.
Objective: To comprehensively review and critically assess the literature on vaginal estrogen and its alternatives for women with genitourinary syndrome of menopause and to provide clinical practice guidelines.
Data Sources: MEDLINE and Cochrane databases were searched from inception to April 2013. We included randomized controlled trials and prospective comparative studies.
Introduction And Hypothesis: Risk of pelvic floor disorders increases after menopause and may be linked to estrogen deficiency. We aimed to systematically and critically assess the literature on vaginal estrogen in the management of pelvic floor disorders in postmenopausal women and provide evidence-based clinical practice guidelines.
Methods: MEDLINE and Cochrane databases were searched from inception to July 2014 for randomized controlled trials of commercially available vaginal estrogen products compared with placebo, no treatment, or any medication for overactive bladder or urinary incontinence.
Introduction: Interstitial pregnancy is a rare and life-threatening condition. Diagnosis and appropriate management are critical in preventing morbidity and death.
Case Description: Four cases of interstitial pregnancy are presented.
Objective: Understanding the long-term comparative effectiveness of competing surgical repairs is essential as failures after primary interventions for stress urinary incontinence (SUI) may result in a third of women requiring repeat surgery.
Study Design: We conducted a systematic review including English-language randomized controlled trials from 1990 through April 2013 with a minimum 12 months of follow-up comparing a sling procedure for SUI to another sling or Burch urethropexy. When at least 3 randomized controlled trials compared the same surgeries for the same outcome, we performed random effects model metaanalyses to estimate pooled odds ratios (ORs).
Objectives: To identify risk factors associated with lower urinary tract injury at the time of performing hysterectomy for benign indications.
Methods: We conducted a multi-center case-control study of women undergoing hysterectomy for benign disease. Cases were identified via ICD-9 codes for lower urinary tract injury at the time of hysterectomy from 2007 to 2011: controls were two subsequent hysterectomies following the index case in the same institution that did not have lower urinary tract injury.
Goal attainment after treatment in patients with symptomatic pelvic organ prolapse.
Am J Obstet Gynecol
November 2013
Objective: The objectives of this study were to: (1) assess differences in goal attainment of self-described goals after treatment of symptomatic pelvic organ prolapse (POP) for women who chose surgery compared to women who chose pessary; and (2) compare patient global improvement between groups.
Study Design: Women who had symptomatic stage ≥II prolapse presenting for care of POP to the urogynecology clinic at the University of New Mexico were recruited. Patients listed up to 3 goals they had for their treatment.
Objective: To compare the effectiveness of nonsurgical abnormal uterine bleeding treatments for bleeding control, quality of life (QOL), pain, sexual health, patient satisfaction, additional treatments needed, and adverse events.
Data Sources: MEDLINE, Cochrane databases, and Clinicaltrials.gov were searched from inception to May 2012.
Risk factors for mesh extrusion after prolapse surgery: a case-control study.
Female Pelvic Med Reconstr Surg
January 2013
Objectives: To identify risk factors for mesh extrusion in women undergoing pelvic organ prolapse repair by abdominal sacral colpopexy (ASC) or vaginal mesh procedure (VMP).
Methods: A multicenter case-control study of patients who underwent ASC or VMP from 2006 to 2009 identified using diagnosis and procedure coding. Cases were defined as women who underwent eligible index procedure with synthetic mesh and had mesh visible through the vaginal epithelium at postoperative evaluation; controls were matched in an approximate 1:3 ratio by date and type of procedure.
Objective: To comprehensively review and critically assess the available gynecologic surgery venous thromboembolism prophylaxis literature and provide clinical practice guidelines.
Data Sources: MEDLINE and Cochrane databases from inception to July 2010. We included randomized controlled trials in gynecologic surgery populations.