Publications by authors named "Sarah A Huber"
Understanding Your Online Ratings: A Methodological Analysis Using Urogynecologists in the United States.
Female Pelvic Med Reconstr Surg
June 2019
Objective: The influence of online physician ratings is growing, yet their interpretation remains difficult. Our aim was to analyze the online content of urogynecologists on 1 website to transform these ratings into practical tools for care improvement.
Methods: This cross-sectional analysis studied the ratings and reviews of every board-certified urogynecologist listed on Healthgrades.
Although midurethral mesh tape slings are considered the standard of care in the treatment of female stress urinary incontinence (SUI), complications such as pain, dyspareunia, or erosion are known to occur in addition to persistent incontinence. The management of these types of mesh sling complications can be very complex, especially when the pain is not just isolated to the vagina but extends into other areas, such as the abdomen which requires a much more extensive dissection. Additionally, if a mesh sling needs to be removed, the patient will most likely have a return of her SUI that often necessitates subsequent treatment.
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- The study investigates the rate of apical suspensory procedures in women with anterior vaginal wall prolapse undergoing surgery in 2011, finding that only 31.9% received such procedures despite their importance in reducing reoperation rates.
- Analyzing data from 2,900 women, the research identifies factors associated with the likelihood of receiving these procedures, such as age over 50, being Caucasian, having a concomitant hysterectomy, and being treated in an urban teaching hospital.
- The findings suggest that while surgical restoration of apical support is crucial for recovery, many women do not receive it, indicating an opportunity to enhance the quality of care in treating anterior vaginal prolapse
Article Synopsis
- The presacral space is rich in nerves that impact the pelvic organs and is often involved in surgery for pelvic floor issues like sacrocolpopexy and rectopexy.
- Various procedures in this area, including presacral neurectomy and tumor resections, can lead to complications such as constipation and urinary problems.
- A review revealed insufficient quality data on the rates of bowel and bladder dysfunction after surgeries in the presacral space, highlighting the need for further research.