March 8th 2023
In study findings published in Obstetrics & Gynecology, leva Pelvic Health System (Renovia) achieved significantly greater urinary incontinence symptom improvement than a standard home pelvic floor muscle training program at 6 and 12 months.
Preventing and recognizing urinary tract injuries in pelvic surgery
October 1st 2010Urinary tract injuries complicate approximately 1% of all gynecologic procedures, with a ratio of 5 bladder injuries to each ureteral injury. Additionally, urinary tract injuries occur in 0.28% of all cesarean deliveries with a 3-fold risk in repeat cesarean delivery.
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Diagnosing chronic pelvic pain
August 1st 2010Chronic pelvic pain is common in women. The broad differential diagnosis for chronic pelvic pain and overlap in symptoms among etiologies makes diagnosis challenging but underscores the need to conduct a detailed history and careful examination that considers the full spectrum of cases, according to one expert.
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Stress incontinence surgeries are not equivalent in all ways
August 1st 2010Although retropubic and transobturator midurethral slings may be objectively equivalent in their treatment of stress incontinence, women do not find them subjectively so, and complication rates can difer, according to a randomized trial.
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Dynamic magnetic resonance imaging advised to detect pelvic organ prolapse
February 1st 2010Dynamic magnetic resonance imaging (MRI) of the urethra, along with static MRI, may benefit women who are experiencing lower urinary tract symptoms by helping to detect pelvic organ prolapse, according to researchers at New York University Medical Center's Department of Radiology.
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Cranberry juice may prevent urinary symptoms in pregnancy
November 7th 2008Cranberry juice may protect against asymptomatic bacteriuria and symptomatic urinary tract infections in pregnant women, although more research is needed to confirm the findings, according to a report in the October issue of the Journal of Urology.
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Controversies in OB/GYN: Should all varicoceles be repaired?
January 1st 2008Dr. Chan argues that repairing all clinically significant varicoceles can at least enhance semen parameters-and at best might enhance fertility. Dr. Schiff, on the other hand, says repair only those of men to benefit the most.
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Improving survival in twin-twin transfusion syndrome
December 1st 2006Although serial amnioreduction is still widely used to treat this dangerous condition, a recent randomized trial found that when compared to amnioreduction at 15 to 26 weeks, overall perinatal survival is higher with laser ablation, which tries to reverse the disease process.
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Infertility risk higher after ulcerative colitis surgery
December 1st 2006Women with severe ulcerative colitis who undergo colectomy with ileal pouch-anal anastomosis (IPAA) are about three times more likely to experience infertility than women treated with medical management, according to study findings published in the November issue of Gut.
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Leveling with patients about the risks of ART
November 1st 2006Be frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations-and much more.
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Leveling with patients about the risks of ART
November 1st 2006Be frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations-and much more.
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Sexual activity a UTI risk factor for older women
October 1st 2006A postmenopausal woman is more likely to develop a urinary tract infection if she has recently had intercourse. Although sexual intercourse is a known risk factor for UTI in younger women, this is the first study to examine postmenopausal women. Using daily diaries, women recorded episodes of vaginal intercourse. Dr. Elya Prystowsky and colleagues from the University of Washington explored the relationship between intercourse and the development of symptoms of culture-proven urinary tract infections. After controlling for diabetes, the risk for UTI was increased 3.4-fold in the 48 hours following intercourse.
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Office-based hysteroscopy: getting started now
September 15th 2006What's holding you back? Cost? Worries about managing pain or complications? An expert debunks common excuses for not doing more office-based procedures and explains why you need both U/S and diagnostic hysteroscopy-and the rewards you can reap from taking your practice in this direction.
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Grand Rounds: An update on hysteroscopic tubal sterilization
August 1st 2006Now that the device has been available in the United States for several years, there are more clinical data to look at. Here's a brief review of the literature on its indications, benefits, contraindications, and complications.
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Burch colposuspension decreases postop SUI
July 1st 2006Adding Burch colposuspension to abdominal sacrocolpopexy for the treatment of pelvic-organ prolapse approximately halves the incidence of postoperative stress urinary incontinence (SUI) in women who do not have SUI preoperatively and does so without increasing other lower urinary tract symptoms, according to the results of a randomized controlled trial.
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Grand Rounds: Managing future pregnancies after a severe perineallaceration
May 1st 2006What do you tell a pregnant patient with a previous third- orfourth-degree tear, for whom another vaginal delivery raises therisk of further injury? Can some women safely have a trial oflabor? Diagnose occult tears with ultrasound, advise theseexperts-and use it to assess the anal sphincters of allincontinent women.
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