The importance of considering a wide range of differential diagnoses forpatients presenting with complaints of urinary incontinence: Acase report.

Urinary incontinence (UI) is common in women and is often associated with decreased quality of life. It is important to consider a range of wide differential diagnoses when evaluating a patient presenting with presumed with UI. This case describes a patient referred to urogynecology for urinary incontinence caused by a common, benign and usually asymptomatic gynecologic condition: nabothian cysts.

Oral Ketorolac for Pain Relief During Intrauterine Device Insertion: A Double-Blinded Randomized Controlled Trial.

Objective: To evaluate if oral ketorolac provides effective pain relief during placement of an IUD for contraception.

Methods: We conducted a double-blinded randomized controlled trial in a community hospital in Columbus, Ohio. Participants that met eligibility criteria were consented and randomized to receive either oral ketorolac 20 mg or placebo 40 to 60 minutes before IUD placement.

Twenty-Four-Hour Voiding Diaries Versus 3-Day Voiding Diaries: A Clinical Comparison.

Objective: This study aimed to determine if 24-hour versus 3-day voiding diary affects medical decision making for women with urinary incontinence.

Methods: A retrospective chart review was conducted of patients presenting to the OhioHealth Urogynecology Physician group for urinary incontinence from 2009 to 2011. Practice protocol includes patient completion of a 3-day voiding diary before their appointment.

Body Image, Regret, and Satisfaction 24 Weeks After Colpocleisis: A Multicenter Study.

Objective: To evaluate the impact of colpocleisis on body image, regret, satisfaction, and pelvic floor symptoms 24 weeks after surgery.

Methods: This was a prospective multicenter study conducted through the Society of Gynecologic Surgeons' Fellows' Pelvic Research Network with 7 sites across the United States. Women undergoing colpocleisis were enrolled.

Practice patterns regarding management of rectovaginal fistulae: a multicenter review from the Fellows' Pelvic Research Network.

Objectives: Rectovaginal fistulae (RVFs) are often debilitating and there are no established treatment algorithms. We sought to describe current diagnosis and management strategies for RVFs across the United States.

Methods: This institutional review board-approved multicenter retrospective study included 12 sites.

Management of vesicovaginal fistulae: a multicenter analysis from the Fellows' Pelvic Research Network.

Objectives: Vesicovaginal fistulae (VVF) are the most commonly acquired fistulae of the urinary tract, but we lack a standardized algorithm for their management. The purpose of this multicenter study was to describe practice patterns and treatment outcomes of VVF in the United States.

Methods: This institutional review board-approved multicenter review included 12 academic centers.

Patient preferences for uterine preservation and hysterectomy in women with pelvic organ prolapse.

Objective: The purpose of this study was to describe patient preferences for uterine preservation and hysterectomy in women with pelvic organ prolapse symptoms and to describe predictors of preference for uterine preservation.

Study Design: This multicenter, cross-sectional study evaluated patient preferences for uterine preservation vs hysterectomy in women with prolapse symptoms who were being examined for initial urogynecologic evaluation. Before meeting the physician, the women completed a questionnaire that asked them to indicate their prolapse treatment preference (uterine preservation vs hysterectomy) for scenarios in which the efficacy of treatment varied.

Prolapse-related knowledge and attitudes toward the uterus in women with pelvic organ prolapse symptoms.

Objective: The objective of the study was to describe the basic knowledge about prolapse and attitudes regarding the uterus in women seeking care for prolapse symptoms.

Study Design: This was a cross-sectional study of English-speaking women presenting with prolapse symptoms. Patients completed a self-administered questionnaire that included 5 prolapse-related knowledge items and 6 benefit-of-uterus attitude items; higher scores indicated greater knowledge or more positive perception of the uterus.

Body image, regret, and satisfaction following colpocleisis.

Objective: Colpocleisis is a definitive surgical treatment for prolapse resulting in vaginal obliteration. We sought to evaluate body image, regret, satisfaction, and pelvic floor symptoms following this procedure.

Study Design: This was a prospective multicenter study through the Fellows' Pelvic Research Network.

Postoperative voiding dysfunction following posterior colporrhaphy.

Objective: The primary objective of this study was to evaluate the rate of postoperative urinary retention in patients undergoing posterior colporrhaphy. This is compared with the rate of postoperative urinary retention in patients undergoing suburethral sling placement.

Methods: A retrospective analysis of women treated surgically for either a symptomatic posterior compartment defect or stress urinary incontinence was performed.

The association between post-void leakage and coital incontinence and intrinsic sphincter deficiency among women with urinary incontinence.

Objective: : To identify whether an association exists between post-void urinary leakage and/or coital incontinence and the diagnosis of intrinsic sphincter deficiency (ISD) among women with urinary incontinence.

Methods: : Ninety women presenting to a tertiary urogynecology office with complaints of urinary incontinence were included in this retrospective chart review. All patients underwent a complete history and physical examination, including direct questioning about the symptoms of post-void leakage and coital incontinence.

Spontaneous second-trimester uterine rupture in the absence of known risk factors: a case report.

Background: Uterine rupture is a rare, catastrophic event in obstetrics. When it occurs, it is usually associated with prior uterine surgery, trauma, abnormal placentation, or induction of labor. Spontaneous rupture during the second trimester is exceptionally rare.

Sexual dysfunction in perimenopause a review.

Unlabelled: Sexual dysfunction is a common problem for women and often impairs their quality of life. Many women are reluctant to discuss these issues with their physicians. The perimenopause presents unique changes in sexual function.