Postoperative Opioid Prescribing After Female Pelvic Medicine and Reconstructive Surgery.

Objective: This study aimed to provide female pelvic medicine and reconstructive surgery (FPMRS) providers with evidence-based guidance on opioid prescribing following surgery.

Methods: A literature search of English language publications between January 1, 2000, and March 31, 2021, was conducted. Search terms identified reports on opioid prescribing, perioperative opioid use, and postoperative pain after FPMRS procedures.

Pelvic Floor Disorders Registry: Study Design and Outcome Measures.

Pelvic floor disorders affect up to 24% of adult women in the United States, and many patients with pelvic organ prolapse (POP) choose to undergo surgical repair to improve their quality of life. While a variety of surgical repair approaches and techniques are utilized, including mesh augmentation, there is limited comparative effectiveness and safety outcome data guiding best practice. In conjunction with device manufacturers, federal regulatory organizations, and professional societies, the American Urogynecologic Society developed the Pelvic Floor Disorders Registry (PFDR) designed to improve the quality of POP surgery by facilitating quality improvement and research on POP treatments.

Using the Brink score to predict postpartum anal incontinence.

Objective: To evaluate whether antepartum pelvic floor muscle strength, as measured by the Brink scale, predicts postpartum anal incontinence.

Study Design: This prospective cohort study of primigravid women used validated questionnaires and standardized pelvic examinations to evaluate subjects during the third trimester and at 2 postpartum time points.

Results: Of the initial 129 subjects, 102 and 81 completed 2 week and 6 month postpartum visits.

Effect of mode of delivery on the incidence of urinary incontinence in primiparous women.

Objective: To estimate the effect of mode of delivery on the incidence of urinary incontinence in primiparous women.

Methods: A population-based survey was mailed to all Oregon women who delivered a liveborn neonate in a 1-year period. Data were collected on urinary incontinence, childbirth experience, and other risk factors for incontinence at 3-6 months postpartum.

Does cesarean protect against fecal incontinence in primiparous women?

The objective of this study was to identify factors associated with new onset of postpartum fecal incontinence in primiparous women. A population-based study was conducted that surveyed all women delivering between 2002 and 2003 in Oregon. Factors associated with fecal incontinence were identified using logistic regression analysis.

The presacral space and its impact on sacral neuromodulator implantation.

Purpose: We describe the presacral space and its potential impact on sacral neuromodulator implantation and bowel injury.

Materials And Methods: Parasagittal images containing bilateral sacral foramina (S2-S4) were examined on 45 pelvic magnetic resonance images. Images were excluded from analysis if they were poor quality or had any history causing distortion of normal anatomy.

Reoperation 10 years after surgically managed pelvic organ prolapse and urinary incontinence.

Objective: This study measured the 10-year risk of reoperation for surgically treated pelvic organ prolapse and urinary incontinence (POPUI) in a community population.

Study Design: We conducted a prospective cohort analysis of 374 women who were > 20 years old and who underwent surgery for POPUI in 1995.

Results: The 10-year reoperation rate was 17% by Kaplan Meier analysis.

Validating a clinical measure of levator hiatus size.

Objective: We evaluate the interrater reliability of levator hiatus (LH) size and correlate size to other measures of muscle function.

Study Design: Participants were examined independently by 2 examiners. During maximal contraction of the levator ani, the muscle was assessed by using Brink's scale.

Complications associated with transobturator sling procedures.

This study aims to determine the complications associated with trans-obturator slings as reported to a national database. We required "MAUDE", a database that collects reports of complications associated with medical devices and which is maintained by the Food and Drug Administration. We searched for complications associated with three different, commercially available trans-obturator slings.

Suprapubically assisted operative cystoscopy in the management of intravesical TVT synthetic mesh segments.

The tension-free vaginal tape (TVT) sling has become one of the most common procedures performed for the treatment of female stress incontinence. Perforations of the bladder during the TVT placement are relatively common, but are usually noted on cystoscopy and corrected at the time of the procedure. Undetected perforation may result in several complications including recurrent urinary tract infections, bladder stone formation, and pelvic pain.

Ambulatory procedures for urinary incontinence in the United States, 1994-1996.

Objective: The objective of our study was to describe the national rates of ambulatory surgery for urinary incontinence in women.

Study Design: We used the National Survey of Ambulatory Surgery, a federal database that samples outpatient surgery in the United States. Data from 1994 to 1996 were analyzed for diagnoses and procedures coded using the International Classification of Diseases, 9th revision, Clinical Modification, classification system.

Procedures for urinary incontinence in the United States, 1979-1997.

Objective: The objective of our study was to describe the national rates of surgery for urinary incontinence in women.

Study Design: We used the National Hospital Discharge Survey, a federal database that samples inpatient hospitals in the United States. Data from 1979 to 1997 were analyzed for diagnoses and procedures coded by using the International Classification of Diseases, 9th revision, Clinical Modification, classification system.

Procedures for pelvic organ prolapse in the United States, 1979-1997.

Objective: The objective of our study was to describe national rates of surgery for pelvic organ prolapse.

Study Design: We used the National Hospital Discharge Survey, a federal database that samples inpatient hospitals in the United States. Data from 1979 to 1997 were analyzed for diagnoses and procedures coded with the ICD-9-CM classification system.