Publications by authors named "Marjorie Jean-Michel"
Article Synopsis
- The FDA's 2016 ban on transvaginal mesh has increased scrutiny over synthetic mesh slings for treating female stress urinary incontinence (SUI), prompting a growing interest in biological alternatives like autologous fascial slings (AFSs).
- This article reviews 20 years of data comparing the effectiveness of AFSs and synthetic slings, analyzing multiple factors such as success rates, recurrence, and complications.
- Results from the review of 1382 articles revealed that both AFSs and synthetic slings have similar success rates and low recurrence, but AFSs require more operative time and hospital stay, while synthetic slings have a higher incidence of bladder perforation.
The purpose of this review is to provide an in-depth overview of the role of pelvic floor muscle (PFM) training in the management of stress urinary incontinence (SUI). The definition, epidemiology, and pathogenesis of SUI are described. We review the anatomy of the PFM and the importance of PFM strength in maintaining urinary continence and establishing normal voiding function.
View Article and Find Full Text PDFUrinary Incontinence in Pregnant Young Women and Adolescents: An Unrecognized At-Risk Group.
Female Pelvic Med Reconstr Surg
February 2019
Objectives: The aims of this study were to determine the prevalence of urinary incontinence (UI) in pregnant young women and adolescents, characterize UI subtype, and identify characteristics associated with UI.
Methods: This was a cross-sectional study of pregnant females aged 25 years or below, presenting for routine obstetrical care at a New York City community hospital. Subjects were stratified into 2 groups: adolescents (age, ≤19 years) and young adults (age, >19 years).
Objective: To evaluate the use and effect of early administration of vaginal estrogen via a continuous low-dose estradiol vaginal ring placed immediately after pelvic reconstructive surgery.
Methods: This was a randomized controlled trial of 65 postmenopausal women undergoing vaginal reconstructive surgery. The subjects were randomly assigned to receive an estradiol-releasing vaginal ring, placebo vaginal ring, or control without vaginal ring for 12 weeks immediately after vaginal reconstructive surgery.
Introduction And Hypothesis: We describe differences in sexual activity and function in women with and without pelvic floor disorders (PFDs).
Methods: Heterosexual women ≥40 years of age who presented to either urogynecology or general gynecology clinics at 11 clinical sites were recruited. Women were asked if they were sexually active with a male partner.
Article Synopsis
- The study aimed to compare visual estimation versus measurement in assessing pelvic organ prolapse using the Pelvic Organ Prolapse Quantification (POP-Q) method.
- Women with pelvic organ prolapse were examined by two trained professionals using both estimation and measurement techniques in a randomized order.
- The results showed that both methods produced highly correlated POP-Q stage results, indicating no significant difference in accuracy between visual estimation and measurement among experienced examiners.
Introduction And Hypothesis: The aim of this study is to compare the Colpexin pull test (CPT) with the Oxford muscle grading scale (OMGS) in assessing pelvic floor muscle strength.
Methods: In phase 1, 15 asymptomatic women underwent OMGS and CPT using three different spheres to select the ideal size. CPT values as well as patient/examiner comfort and ease of CPT performance were recorded.
Introduction And Hypothesis: This study seeks to determine if total vaginal length (TVL) or genital hiatus (GH) impact sexual activity and function.
Methods: Heterosexual women >or= 40 years were recruited from urogynecology and gynecology offices. TVL and GH were assessed using the Pelvic Organ Prolapse Quantification exam.