Bladder Symptoms and Attitudes in an Ethnically Diverse Population.

Objective: The aim of the study was to assess pelvic floor symptoms and attitudes in an ethnically diverse population.

Methods: We conducted a cross-sectional survey of women presenting to 2 community-based, ethnically diverse gynecology clinics. Before being seen by a provider, participants were asked to complete a questionnaire.

Pelvic Floor Physical Therapy as Primary Treatment of Pelvic Floor Disorders With Urinary Urgency and Frequency-Predominant Symptoms.

Objective: To assess the efficacy of pelvic floor physical therapy (PFPT) as primary treatment of urinary urgency and frequency symptoms

Methods: We conducted a prospective cohort study of women with urinary urgency and frequency symptoms. Participants underwent PFPT once or twice per week for 10 weeks. Symptom improvement was assessed by validated questionnaires (Pelvic Floor Distress Inventory-Short Form 20 and Patient Global Impression of Improvement), voiding diaries, and subjective measures.

Surgical privileging in gynecology: a Fellows' Pelvic Research Network study.

Objectives: This study aimed to describe the criteria used by US hospitals to grant surgical privileges for select gynecologic procedures and to compare the privileging processes between university-based and community-based hospitals.

Methods: We conducted a cross-sectional study from January 2011 to December 2012 that included institutions represented by Fellows' Pelvic Research Network members. A 5-page, anonymous survey was distributed to hospitals to determine the hospital criteria used for initial surgical privileges and for renewal of privileges for 13 gynecologic procedures.

Ergonomics in the operating room: protecting the surgeon.

Study Objective: To review elements of an ergonomic operating room environment and describe common ergonomic errors in surgeon posture during laparoscopic and robotic surgery.

Design: Descriptive video based on clinical experience and a review of the literature (Canadian Task Force classification III).

Setting: Community teaching hospital affiliated with a major teaching hospital.

Microlaparoscopy in urogynecology: LSH and sacrocervicopexy.

Study Objective: To determine the feasibility of using only microlaparoscopic (3.5 mm) accessory instruments for performing laparoscopic supracervical hysterectomy (LSH) and sacrocervicopexy with the aid of a transcervically placed cannula for introduction of mesh and needles.

Design: Retrospective evaluation of the first five cases of microlaparoscopic LSH with sacrocervicopexy (Canadian Task Force classification III).

Musculoskeletal pain in gynecologic surgeons.

Objective: To describe the prevalence of musculoskeletal pain and symptoms in gynecologic surgeons.

Design: Prospective cross-sectional survey study (Canadian Task Force classification II-2).

Setting: Virtual.

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.

Postnatal outcome of fetuses with the prenatal diagnosis of gastroschisis.

Objectives: The purpose of this study was to assess the postnatal outcome and complications that arise in infants with the prenatal diagnosis of gastroschisis.

Methods: Prenatal sonograms with the diagnosis of gastroschisis were identified. Maternal age, indication for sonography, gestational age at diagnosis, other sonographic abnormalities, and postnatal outcome were recorded.

Informed consent for sacrocolpopexy: is counseling effective in achieving patient comprehension?

Objectives: The purpose of the informed consent process is to reinforce a patient's understanding of her condition and treatment alternatives and to thoroughly review the chosen procedure with its risks and benefits. We aimed to evaluate how well women who consented to undergo sacrocolpopexy understood their planned procedure.

Study Design: We prospectively studied women who had undergone detailed informed consent in preparation for laparoscopic or robotic sacrocolpopexy.

Accuracy of sonography to predict estimated weight in fetuses with gastroschisis.

Objectives: The purpose of this study was to determine whether sonographic formulas for estimating fetal weight are as accurate for fetuses affected with gastroschisis as they are for healthy fetuses. We hypothesized that because the most commonly used Hadlock formulas rely on the abdominal circumference as a biometric variable, estimates of birth weight are less reliable in fetuses with gastroschisis than in healthy fetuses.

Methods: We performed a chart review of all fetuses with a prenatal diagnosis of gastroschisis at 3 tertiary care institutions from 1990 to 2008.

Do patient goals vary with stage of prolapse?

Objectives: To assess the relationship between stage of pelvic organ prolapse and self-expressed patient goals at initial urogynecologic evaluation.

Study Design: From February to December of 2010, women presenting for evaluation of pelvic floor disorders were asked to identify up to 5 goals for treatment. Charts were reviewed for demographics.

Bladder calculus presenting as recurrent urinary tract infections: a late complication of cervical cerclage placement: a case report.

Background: A cervical cerclage is often placed for women with cervical shortening or insufficiency. There are early and late complications of cervical cerclage placement, but they rarely involve the lower urinary tract. We present a case of a lower urinary tract complication from this procedure presenting as recurrent urinary tract infections.