Publications by authors named "R B Rothenberger"
Importance: There are limited data to guide practices to reduce surgical site infections following sacral neuromodulation; however, many surgeons prescribe prophylactic postoperative antibiotics after device implantation.
Objective: The aim of the study was to compare the proportion of patients with sacral neuromodulation device-associated surgical site infections after use of prophylactic postoperative antibiotics versus none.
Study Design: This was a multicenter retrospective cohort study of patients undergoing sacral neuromodulation device implantation at 11 institutions from January 2014 to December 2023, comparing outcomes in patients who did versus did not receive prophylactic postoperative antibiotic treatment.
Background: Genitourinary syndrome of menopause (GSM) is a prevalent condition with a constellation of symptoms including burning, dryness, dyspareunia, and irritative lower urinary tract symptoms that result from vulvovaginal atrophic changes. Though hormonal therapy is a mainstay of treatment in GSM, some patients may pursue nonhormonal therapies.
Aim: To determine the efficacy of radiofrequency ablation of the vaginal canal with the MorpheusV applicator in reducing the symptoms of GSM.
Article Synopsis
- Pelvic organ prolapse after radical cystectomy is difficult to treat, with high chances of recurrence due to weakened pelvic floor support and tissue quality, particularly after colpocleisis procedures.
- A 64-year-old woman with a history of radical cystectomy faced recurrent stage IV vaginal prolapse and underwent a novel robotic-assisted vaginal hernia repair using a polypropylene-reinforced tissue matrix due to unsuitable vaginal tissue for traditional repairs.
- The surgery resulted in no complications, improved her prolapse severity, and enhanced her overall health and quality of life post-recovery, indicating it as a viable treatment option for similar cases.
Background: Percutaneous tibial nerve stimulation is a third-line treatment for overactive bladder and urgency urinary incontinence. During the procedure, a needle is inserted cephalad to the medial malleolus and posterior to the tibia. In recent years, permanent implants and leads have been developed for insertion into the medial ankle via a small incision.
View Article and Find Full Text PDFIntroduction: Vulvodynia is a difficult condition to treat due to both the uncertain etiology of the disorder and poorly available therapies. This difficulty leads to a disproportionately high prevalence and cost of treatment for this condition. Candida vulvovaginitis is a frequent co-present diagnosis in vulvodynia patients.
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