Publications by authors named "Zhijing Sun"

Purpose: To assess the health related quality of life (HRQoL) and sexual function related to urinary incontinence (UI) severity among women with overweight or obesity.

Methods: From September 2023 to January 2024, a cross-sectional was conducted among women seeking weight loss with overweight or obesity focusing on the symptoms and effects of UI. The degree of UI severity, UI-specific HRQoL, sexual function, and generic HRQoL were detected via Incontinence Modular Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF), Incontinence Impact Questionnaire-Short Form (IIQ-7), Short-form Prolapse Incontinence Sexual Questionnaire (PISQ-12), and European Quality of Life-5 Dimensions 5-Level questionnaire (EQ-5D-5 L) respectively.

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Article Synopsis
  • The study aimed to identify types of urinary incontinence (UI) among women seeking weight loss and assess their impacts on quality of life (QoL) and sexual function.
  • A total of 564 women with UI symptoms were analyzed, revealing that mixed UI was the most common and had the most severe effects on QoL and sexual function compared to stress and urgency UI.
  • The findings suggest that while mixed UI presented the worst impacts, overall QoL and sexual function did not significantly differ among the UI subtypes when severity was controlled.
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Importance: Supervised pelvic floor muscle training (PFMT) has been recommended as the first-line treatment for women with stress urinary incontinence (SUI), but more evidence on whether adjunctive methods would provide additional benefits is needed.

Objective: To compare the efficacy of PFMT with or without a home-based pressure-mediated biofeedback (BF) device.

Design, Setting, And Participants: This multicenter assessor-blinded randomized clinical trial was conducted in the obstetric clinics of 5 participating tertiary hospitals in China.

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  • Surgeries using synthetic mesh for pelvic organ prolapse can cause complications like mesh erosion and pain, prompting research to improve outcomes with a modified mesh featuring a nanofibrous membrane made of polyurethane and gelatin.* -
  • In laboratory studies, the modified mesh showed better cell growth and tissue interactions and was tested in a rat model, where it did not expose the mesh or penetrate surrounding tissues, demonstrating improved biocompatibility compared to standard polypropylene mesh.* -
  • Results indicated that the modified mesh increased collagen content and tissue elasticity while reducing collagen breakdown, suggesting it promotes healthier tissue repair and has potential benefits for patients undergoing such surgeries.*
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  • The study investigates the link between adverse childhood experiences (ACEs) and anxiety in adulthood, focusing on the impact of verbal abuse from parents, specifically cursing and insulting.* -
  • A national survey with over 30,000 adults was conducted to analyze the correlation between ACEs and anxiety levels, employing network analysis and simulation techniques to identify causal relationships.* -
  • Findings reveal that being cursed or insulted as a child is a significant contributor to adult anxiety, suggesting that addressing and preventing such verbal abuse can be crucial for reducing anxiety later in life.*
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  • * In a study at Peking Union Medical College Hospital between 2013 and 2024, 6 women with AT deficiency had 17 pregnancies, where 7 of those were treated with low-molecular-weight heparin (LMWH) and closely monitored.
  • * The findings indicated that proper management using LMWH improved pregnancy outcomes, with live births mainly occurring in women receiving this anticoagulant, highlighting the need for thorough risk assessments and tailored anticoagulation therapy during pregnancy for those with AT
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  • * Analyzing data from over 20,000 participants, the findings indicate optimal sleep durations are around 9 hours for adolescents, 8 hours for early/middle-aged adults, and 7 hours for older adults, with adolescents being more affected by sleep duration extremes.
  • * Results suggest that while mental health is a significant mediator for the sleep-quality of life relationship across all age groups, its influence varies, being less significant for older adults with less sleep and middle-aged adults with more sleep.
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Background: Colpocleisis is one of traditional surgical procedures for elderly and frail women with advanced pelvic organ prolapse. The occurrence of de novo urinary incontinence following colpocleisis was considered to impair the postoperative quality of life. The incidence of de novo urinary incontinence after colpocleisis has been reported to be ranging from 6.

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  • Recent studies suggest that non-surgical weight loss and pelvic floor muscle training should be the first treatment options for obese patients dealing with urinary incontinence, but there's less research on how weight loss affects other pelvic floor dysfunctions and quality of life.
  • The "Weight Loss on Pelvic Floor Dysfunction" (WLPFD) study plans to follow 200 patients over six months, collecting data through questionnaires to evaluate the effects of weight loss on pelvic floor issues and overall quality of life.
  • The study has ethical approval from Peking Union Medical College Hospital and aims to share its findings through international journals and conferences (Trial Registration Number: NCT05987085).
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Background: Studies on the changes of extracellular matrix (ECM) in pelvic organ prolapse (POP) are still controversial.

Objective: To identify the changes in the ECM in POP patients.

Search Strategy: Comprehensive searching in Embase, PubMed, Web of Science and the Cochrane Library was carried out until 23 February 2023.

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Objective: To assess pelvic floor muscle (PFM) strength and influencing factors among healthy women at different life stages.

Design: Multicentre cross-sectional study.

Setting: Fourteen hospitals in China.

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With high temporal resolution, high dynamic range, and low latency, event cameras have made great progress in numerous low-level vision tasks. To help restore low-quality (LQ) video sequences, most existing event-based methods usually employ convolutional neural networks (CNNs) to extract sparse event features without considering the spatial sparse distribution or the temporal relation in neighboring events. It brings about insufficient use of spatial and temporal information from events.

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Introduction: Bariatric surgery alleviates certain aspects of pelvic floor disorder, but the effect on pelvic organ prolapse (POP) is unclear. To assess the effect of bariatric surgery on POP we conducted the present meta-analysis and firstly performed a subgroup analysis based on the duration of follow-up.

Methods: Four databases including PubMed, The Cochrane Library, Web of Science, and Embase were searched to identify relevant studies published before February 24, 2023.

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Background: No conclusions have been reached on whether female stress urinary incontinence (SUI) and related treatments affect male partners' sexual function.

Aim: To assess the effects of female SUI and related treatments on male partners' sexual function.

Methods: A comprehensive search of the PubMed, Embase, Web of Science, Cochrane, and Scopus databases was performed up to September 6, 2022.

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  • Supervised pelvic floor muscle training (PFMT) is recommended for women with stress urinary incontinence (SUI) for at least 3 months, but it's unclear if combining it with biofeedback is more effective for postpartum women.
  • A randomized controlled trial will compare the efficacy of PFMT with a biofeedback device versus PFMT alone in 500 postpartum women experiencing new-onset SUI or SUI-predominant mixed urinary incontinence.
  • The primary outcome will evaluate self-reported urinary incontinence severity, while secondary outcomes include muscle strength, quality of life, and adherence to treatment protocols, with ethical approval obtained for the study.
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The widespread prevalence of Pelvic Organ Prolapse (POP) and the paucity of ongoing treatments prompted us to develop a unique rat model combining ovariectomy and simulated vaginal delivery. We hypothesized that the tissue changes caused by low hormone levels and mechanical stretch could complement each other. Thus, the combined model can potentially mimic the collagen metabolism of vaginal wall tissue as well as mechanical stretch properties to complement disease progression in POP.

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Background: Previous prediction models for postoperative stress urinary incontinence (SUI) cannot be applied to patients receiving transvaginal mesh (TVM) surgery and colpocleisis or those with preoperative subject urinary incontinence. This study aimed to develop and validate a new machine learning model and compare it to previous models.

Methods: Female patients who underwent prolapse surgeries for stage 2-4 anterior or apical prolapse between January 1, 2015, and December 31, 2019, at Peking Union Medical College Hospital were enrolled.

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Background: Extracellular matrix (ECM) remodeling is the most important pathomechanism of pelvic organ prolapse (POP). Fibroblasts are the key to ECM regulation. The passaging capacity of human vaginal wall fibroblasts (hVWFs) is limited in vitro .

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Objective: To evaluate the long-term efficacy and quality of life concerning sacrospinous ligament fixation (SSLF) using conventional instruments for Chinese women with symptomatic stage 2 and 3 apical prolapse.

Methods: This single-arm prospective cohort study was conducted at our hospital between October 2011 and December 2018. Eligible participants were followed up over 3 years after surgery.

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This study aims to explore the protective effects of 17 β-estradiol on the human uterosacral ligament fibroblasts (hUSLFs) under static or stretched conditions. The experiments were performed on hUSLFs derived from pelvic organ prolapse (POP) and non-POP patients. Fibroblasts were cultured after collagenase digestion and identified by morphological observation and immunocytochemical methods.

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We aimed to evaluate the long-term effectiveness and safety of Burch colposuspension (BC) for stress urinary incontinence (SUI). In this prospective cohort study, 84 patients with SUI undergoing BC were enrolled from February 2004 to January 2010. Data on long-term subjective success and postoperative complications were collected at clinic visits and by telephone follow-up.

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Introduction And Hypothesis: Extracellular matrix (ECM) synthesis and metabolism abnormalities may influence the pelvic supporting system and lead to the occurrence and development of pelvic organ prolapse (POP). Genetic polymorphisms of such related genes have been increasingly studied. This study aims to explore the association between the single-nucleotide polymorphisms (SNPs) of genes encoding ECM processing enzymes (a disintegrin and metalloproteinase with thrombospondin motifs [ADAMTSs]), ECM degrading enzymes (matrix metalloproteinases [MMPs]) and their tissue inhibitors of metalloproteinase (TIMPs), and POP.

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Introduction And Hypothesis: This study aimed to investigate the evaluation and management of complications after pelvic floor reconstructive surgery for pelvic organ prolapse in China.

Methods: Complications of pelvic floor reconstructive surgery for pelvic organ prolapses from 27 institutions were reported from November 2017 to October 2019. All complications were coded according to the category-time-site system proposed by the International Urogynecological Association (IUGA) and the International Continence Society (ICS).

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