Importance: Improving patients' recall and understanding of their planned surgery is essential for fully informed consent.
Objective: The objective of this study was to assess if the addition of an information handout to the standard preoperative consent process for the transobturator midurethral sling procedure improved patient understanding, recall, and satisfaction.
Study Design: This is a randomized controlled trial of adult women undergoing a transobturator midurethral sling procedure for the treatment of stress urinary incontinence.
Female Pelvic Med Reconstr Surg
February 2022
Objectives: This study aimed to compare the incidence of mesh exposure based on route of hysterectomy at the time of minimally invasive sacrocolpopexy. Secondary outcomes included perioperative outcomes and prolapse recurrence.
Methods: This was a multicenter, retrospective cohort study.
Background: Antenatal hospitalization for pregnancy complications can result in significant stress for pregnant women and their families. Prenatal yoga has been investigated in the outpatient setting as a method to alleviate stress. This study was designed to investigate the feasibility of incorporating prenatal yoga into the inpatient environment for women hospitalized with pregnancy complications.
View Article and Find Full Text PDFObjectives: The objective of this study was to assess long-term outcomes after the transobturator postanal sling (TOPAS) procedure for the treatment of fecal incontinence. Long-term recurrence, satisfaction and regret after transobturator postanal sling procedure support the ongoing use of this procedure for patients with fecal incontinence.
Methods: Both a retrospective review of medical records and a prospective telephone survey were conducted.
Female Pelvic Med Reconstr Surg
June 2019
Objectives: Health state utility values are a unique representation of an individual's valuation for being in a particular health state. Depending on the method of evaluation, group of patients, and setting, these values vary significantly. To date, majority of the available estimates for the health-related state utility values for urinary tract infection (UTI) has been in men with comorbid conditions such as benign prostatic hyperplasia and bladder cancer or with spinal cord abnormalities.
View Article and Find Full Text PDFObesity is a well-known risk factor for increased perioperative morbidity. As surgeons see higher volumes of obese patients, it is important to recognize how an elevated body mass index can impact even the most basic surgical steps, such as patient positioning. This case report describes an iatrogenic injury to the external iliac artery in a morbidly obese patient caused by an abdominal trocar during suprapubic catheter insertion secondary to malrotation of the bony pelvis.
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