Publications by authors named "Marjorie Pilkinton"
Aim: To determine the prevalence of stress urinary incontinence (SUI) and intrinsic sphincter deficiency (ISD) in women with stage IV pelvic organ prolapse.
Methods: Retrospective analysis of women with stage IV prolapse who underwent multichannel urodynamic testing. Abdominal leak point pressures (ALPP) and maximum urethral closure pressures (MUCP) were recorded.
Objective: The purpose of this study was to describe preference for and knowledge of hysterectomy routes in women presenting to urogynecology/gynecology clinics throughout the United States and to determine association with health literacy. Our primary aim was preference for hysterectomy route, and secondary aims were knowledge of basic pelvic structures and function, knowledge of various hysterectomy routes, and baseline health literacy level.
Methods: This multicenter, cross-sectional study was conducted through the Fellows' Pelvic Research Network.
Objective: The aim of the study was to determine the rate of return to baseline functional status 3 months after surgery for pelvic organ prolapse (POP) in women 65 years or older.
Methods: This is a multicenter prospective cohort study of women older than 65 years undergoing POP surgery. Functional status was determined by the Activities Assessment Scale at the preoperative visit and 3 months after surgery.
Article Synopsis
- The study aimed to determine if the urinary force of stream method is as effective as a standard fill voiding trial in reducing the need for catheterization after apical prolapse surgery.
- Patients undergoing the surgery were randomly assigned to either the force of stream or standard fill group, and their successful voiding metrics were measured post-operation.
- Results showed no significant differences in catheterization rates between the two groups, indicating that the force of stream method may be a viable alternative to the standard trial.
Article Synopsis
- This study aimed to compare the Force of Stream (FOS) voiding trial with the standard voiding trial (SVT) after patients undergo outpatient midurethral sling (MUS), regardless of colporrhaphy being performed.
- Researchers conducted a randomized controlled trial with 102 patients, assessing unexpected postoperative visits due to voiding dysfunction or urinary tract infection as the primary outcome.
- The results indicated no significant difference in the number of unexpected visits between FOS and SVT groups, highlighting the need for larger studies to fully evaluate FOS efficacy in this surgical context.
Patients' Knowledge of and Attitude Toward Robotic Surgery for Pelvic Organ Prolapse.
Female Pelvic Med Reconstr Surg
January 2020
Objectives: Robotic sacrocolpopexy for pelvic organ prolapse (POP) has increased, along with marketing and media coverage. It is unknown whether this exposure influences patients' opinions on POP repair. This study describes the preference for and knowledge of robotic surgery in women with POP.
View Article and Find Full Text PDFIntroduction And Hypothesis: We aimed to assess the pull-out strength of barbed and nonbarbed sutures used in sacrocolpopexy mesh fixation. We hypothesized there are no differences in the force needed to dislodge mesh from tissue using barbed and nonbarbed sutures of similar size.
Methods: Using the rectus fascia of three unembalmed cadavers, a 6 × 3 cm strip of polypropylene mesh was anchored to the fascia with sutures.
Inflammatory Urinary Cytokine Expression and Quality of Life in Patients With Overactive Bladder.
Female Pelvic Med Reconstr Surg
April 2019
Objective: The aims of this study were to analyze levels of selected inflammatory urinary cytokines/chemokines in subjects with overactive bladder (OAB) and to determine if cytokine/chemokine levels correlate with quality of life and symptom distress.
Methods: This prospective, case-control pilot analysis included 23 women with OAB and 22 control subjects. Overactive bladder subjects were enrolled if they had symptoms of urinary frequency, urgency, or urge incontinence for more than 3 months and urodynamic evidence of detrusor overactivity.
Introduction And Hypothesis: We investigated the correlation between calculated cervical length (CCL) and gross specimen cervical length (GCL) after total vaginal hysterectomy (TVH) at the time of surgery for pelvic organ prolapse (POP).
Methods: This was a retrospective chart review of patients who had undergone TVH with reconstructive surgery for POP between 2013 and 2015. Patients without an intact specimen or documented cervical length in the pathology report were excluded.
Article Synopsis
- A recent survey shows that concerns about the spread of undetected cancer cells during gynecologic surgery have led to a significant decline in the use of power morcellators among surgeons.
- Among the surveyed gynecologic surgeons, 61% reported not using morcellators, with many citing hospital bans or unavailability as reasons, especially among less experienced surgeons.
- Despite the decreased use of morcellators, most surgeons continue to favor minimally invasive techniques, performing laparotomy in fewer than 25% of their cases.