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Fecal Microbiota Transfer for Clostridium difficile Infection and Its Effects on Recurrent Urinary Tract Infection.
Urogynecology (Phila)
October 2023
Women's Health Institute, Department of FPMRS, Cleveland Clinic Foundation, Cleveland, OH.
Importance: Recurrent urinary tract infection (rUTI) poses a significant management challenge, and fecal microbiota transfer (FMT) has been shown in a limited manner to positively effect rUTI.
Objectives: The objective of this study was to compare UTI rates after FMT for Clostridium difficile infection (CDI) in patients with previously diagnosed rUTI and patients without a previous diagnosis of rUTI.
Study Design: This was a retrospective cohort study of female patients who underwent FMT between 2015 and 2020 and were identified from a database at a tertiary care referral center.
Current state of bladder diary: a survey and review of the literature.
Int Urogynecol J
April 2023
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, 310 Cedar Street, FMB 329, New Haven, CT, 06510, USA.
Introduction And Hypothesis: The objectives of this study are (1) to assess practice patterns among urogynecology/female pelvic medicine and reconstructive surgery (FPMRS) providers regarding the use of bladder diaries (BD) and (2) to review the literature regarding BD.
Methods: For the first objective, a survey was emailed to United States-based urogynecology providers in 2019 querying frequency of use of bladder diaries (F), indications, problems, patient education methods, and perception of utility. Chi-square tests and multiple logistic regression were performed.
Article Synopsis
- The study analyzes pelvic fracture urethral injury (PFUI) in children and adolescents, examining various surgical techniques and their outcomes over an 11-year period.
- Patients included 192 children (181 boys and 11 girls), with an average age of 14 years for boys and 9 years for girls, and the results were broken down by gender and age group.
- The primary surgical technique used was transperineal anastomotic urethroplasty in boys, achieving an 81.2% overall success rate, while girls had a 100% success rate with the transpubic approach, and follow-up showed comparable success rates between age groups.
Role of Office-Based Vaginoscopy in a Tertiary Care Center.
Urol Pract
January 2022
Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas.
Introduction: The detection of vaginal mesh/suture exposure can be challenging due to pain and varied location. We reviewed our experience with office-based vaginoscopy to evaluate these women.
Methods: An IRB-approved review of an electronic medical record database at a tertiary care center provided the list of all vaginoscopy procedures performed by a single FPMRS (Female Pelvic Medicine and Reconstructive Surgery) specialist.
Patient and Provider Experience with Telemedicine in a Urology Practice: Identifying Opportunities for Improvement.
Urol Pract
May 2021
Adjunct Assistant Professor of Urology, UCLA, Los Angeles, California.
Introduction: As a result of COVID-19, several clinics have adopted telemedicine to safely deliver care. However, the introduction of a new technology into an already complex system creates new challenges that have the potential to negatively impact patient and provider experience. We aimed to use a human factors approach (the science concerned with understanding the interactions between humans and other elements in a complex system) to identify where systemic vulnerabilities may exist throughout the patient/provider experience with telemedicine.
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