Scholars@Duke
Cindy Louise Amundsen

Cindy Louise Amundsen

Roy T. Parker, M.D. Distinguished Professor of Obstetrics and Gynecology, in the School of Medicine
Obstetrics and Gynecology, Urogynecology
cindy.amundsen@duke.edu
5324 McFarland Drive Suite 310, Box 3192, Durham, NC 27617
5324 McFarland Drive Suite 310, Box 3192, Durham, NC 27617

Featured Works

Impact of staged InterStim implantation on the postoperative activities of daily living and pain.

Journal article Int Urogynecol J · July 2013 Featured Publication OBJECTIVES: To evaluate the short-term effects of staged InterStim implantation on activities of daily living (ADL) and pain. METHODS: This prospective study assessed women undergoing staged InterStim implantation. The Older Americans Resources and Service ... Full text Link to item Cite

Comparison of diary-derived bladder and sleep measurements across OAB individuals, primary insomniacs, and healthy controls.

Journal article Int Urogynecol J · March 2013 Featured Publication INTRODUCTION AND HYPOTHESIS: Can diary-derived bladder and sleep measurements differentiate individuals with overactive bladder syndrome (OAB) from individuals with primary insomnia and healthy controls? METHODS: Bladder- and sleep-diary data were compared ... Full text Link to item Cite

Vaginal prolapse recurrence after uterosacral ligament suspension in normal-weight compared with overweight and obese women.

Journal article Obstet Gynecol · March 2013 Featured Publication OBJECTIVE: To compare recurrent prolapse after vaginal uterosacral ligament suspension in normal-weight compared with overweight or obese women. METHODS: We performed a retrospective cohort study of the risk of recurrent prolapse after uterosacral ligament ... Full text Link to item Cite

Sling revision/removal for mesh erosion and urinary retention: long-term risk and predictors.

Journal article Am J Obstet Gynecol · January 2013 Featured Publication OBJECTIVE: The objective of the study was to estimate the long-term risk of sling revision/removal after an initial sling and to assess indications (mesh erosion and urinary retention) and predictors of sling revision/removal. STUDY DESIGN: Using a populat ... Full text Link to item Cite

The efficacy of posterior tibial nerve stimulation for the treatment of overactive bladder in women: a systematic review.

Journal article Int Urogynecol J · November 2012 Featured Publication INTRODUCTION AND HYPOTHESIS: Posterior tibial nerve stimulation (PTNS) is a percutaneous method of peripheral, sacral neuromodulation. Its current use is limited; however, published data suggest PTNS may be an effective treatment for overactive bladder (OA ... Full text Link to item Cite

Do urodynamic parameters predict persistent postoperative stress incontinence after midurethral sling? A systematic review.

Journal article Int Urogynecol J · July 2012 Featured Publication INTRODUCTION AND HYPOTHESIS: It is unclear whether preoperative urodynamic study (UDS) values are predictive of outcomes after midurethral sling. MATERIALS AND METHODS: We systematically reviewed multiple databases from January 1989 to October 2011 for Eng ... Full text Link to item Cite

A midurethral sling to reduce incontinence after vaginal prolapse repair.

Journal article N Engl J Med · June 21, 2012 Featured Publication BACKGROUND: Women without stress urinary incontinence undergoing vaginal surgery for pelvic-organ prolapse are at risk for postoperative urinary incontinence. A midurethral sling may be placed at the time of prolapse repair to reduce this risk. METHODS: We ... Full text Link to item Cite

A randomized trial of urodynamic testing before stress-incontinence surgery.

Journal article N Engl J Med · May 24, 2012 Featured Publication BACKGROUND: Urodynamic studies are commonly performed in women before surgery for stress urinary incontinence, but there is no good evidence that they improve outcomes. METHODS: We performed a multicenter, randomized, noninferiority trial involving women w ... Full text Link to item Cite

Comprehensive analysis of LAMC1 genetic variants in advanced pelvic organ prolapse.

Journal article Am J Obstet Gynecol · May 2012 Featured Publication OBJECTIVE: We sought to comprehensively evaluate the association of laminin gamma-1 (LAMC1) and advance pelvic organ prolapse. STUDY DESIGN: We conducted a candidate gene association of patients (n = 239) with stages III-IV prolapse and controls (n = 197) ... Full text Link to item Cite

Single-incision mini-sling compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial.

Journal article Obstet Gynecol · February 2012 Featured Publication OBJECTIVE: To compare the efficacy of a single-incision mini-sling, placed in the "U" position, with tension-free vaginal tape (TVT) in the treatment of stress urinary incontinence. METHODS: Women with urodynamic stress incontinence with or without genital ... Full text Link to item Cite

Treatment for urinary tract infection after midurethral sling: a retrospective study comparing patients who receive short-term postoperative catheterization and patients who pass a void trial on the day of surgery.

Journal article Female Pelvic Med Reconstr Surg · 2012 Featured Publication INTRODUCTION: This is a retrospective cohort study comparing the risk of treatment for postoperative urinary tract infection (UTI) in patients who receive short-term postoperative catheterization versus those who pass a void trial on the day of surgery aft ... Full text Link to item Cite

Does obesity impact the success of an InterStim test phase for the treatment of refractory urge urinary incontinence in female patients?

Journal article Female Pelvic Med Reconstr Surg · 2012 Featured Publication OBJECTIVES: Some providers believe obesity may be a relative contraindication for InterStim; however, the relationship between obesity and treatment outcome has not been evaluated. Our objectives were to compare the test phase (stage 1) success and complic ... Full text Link to item Cite

Pelvic floor symptoms improve similarly after pessary and behavioral treatment for stress incontinence.

Journal article Female Pelvic Med Reconstr Surg · 2012 Featured Publication OBJECTIVE: The objective of this study was to determine if differences exist in pelvic symptom distress and impact on women randomized to pessary versus behavioral therapy for treatment of stress urinary incontinence (SUI). METHODS: Change in symptom and c ... Full text Link to item Cite

Patient preferences for different severities of and treatments for overactive bladder.

Journal article Female Pelvic Med Reconstr Surg · July 2011 Featured Publication OBJECTIVE: : Symptoms of overactive bladder (OAB) can have profound effects on women's quality of life. However, quantitative data on how women value these symptoms and their treatments are limited. We sought to assess women's preferences, which are referr ... Full text Link to item Cite

Lead migration after sacral neuromodulation: surgical revision in fascial versus tined anchoring systems.

Journal article Int Urogynecol J · April 2011 Featured Publication INTRODUCTION AND HYPOTHESIS: Our objective was to compare risk of surgical revision after sacral neuromodulator lead migration based on the type of anchoring system. METHODS: We performed a retrospective cohort study of patients receiving sacral neuromodul ... Full text Link to item Cite

Multiple pudendal sensory pathways reflexly modulate bladder and urethral activity in patients with spinal cord injury.

Journal article J Urol · February 2011 Featured Publication PURPOSE: Electrical stimulation of pudendal afferents can evoke reflex bladder contractions with relaxation of the external urethral sphincter in cats. This voiding reflex is mediated by pudendal sensory fibers innervating the penile and prostatic urethra ... Full text Link to item Cite

AUTONOMIC NERVOUS SYSTEM ACTIVITY PRECEDING NOCTURIA IN OLDER ADULTS

Conference SLEEP · January 1, 2011 Featured Publication Link to item Cite

Detrusor overactivity persisting at night and preceding nocturia in patients with overactive bladder syndrome: a nocturnal cystometrogram and polysomnogram study.

Journal article J Urol · August 2010 Featured Publication PURPOSE: Nocturia, a common symptom of overactive bladder syndrome, is associated with substantial adverse consequences and yet its pathophysiology has hardly been studied and the capacity to treat it remains limited. We established methods to study the ph ... Full text Link to item Cite

Conditional and continuous electrical stimulation increase cystometric capacity in persons with spinal cord injury.

Journal article Neurourol Urodyn · March 2010 Featured Publication AIMS: Individuals with spinal cord injury (SCI) exhibit neurogenic detrusor overactivity (NDO) causing high intravesicle pressures and incontinence. The first aim was to measure changes in maximum cystometric capacity (MCC) evoked by electrical stimulation ... Full text Link to item Cite

Efficacy and adverse events of sacral nerve stimulation for overactive bladder: A systematic review.

Journal article Neurourol Urodyn · 2010 Featured Publication AIMS: To systematically review the literature regarding efficacy and adverse events of sacral nerve stimulation (SNS) via the InterStim device for treatment of women with refractory overactive bladder (OAB). METHODS: We searched MEDLINE, Embase, Web of Sci ... Full text Link to item Cite

Cost-effectiveness of sacral neuromodulation versus intravesical botulinum A toxin for treatment of refractory urge incontinence.

Journal article J Urol · December 2009 Featured Publication PURPOSE: We determined the cost-effectiveness of sacral neuromodulation vs intravesical botulinum toxin A for the treatment of refractory urge incontinence. MATERIALS AND METHODS: We developed a Markov decision model using a societal perspective to compare ... Full text Link to item Cite

Design of the Value of Urodynamic Evaluation (ValUE) trial: A non-inferiority randomized trial of preoperative urodynamic investigations.

Journal article Contemp Clin Trials · November 2009 Featured Publication BACKGROUND AND PURPOSE: Urodynamic studies (UDS) are routinely obtained prior to surgery for stress urinary incontinence (SUI) despite a lack of evidence that UDS information has an actual impact on outcome. The primary aim of this non-inferiority randomiz ... Full text Link to item Cite

Outcome of a randomized, double-blind, placebo controlled trial of botulinum A toxin for refractory overactive bladder.

Journal article J Urol · June 2009 Featured Publication PURPOSE: We determined the effectiveness of cystoscopic administration of botulinum-A toxin compared to placebo for the treatment of urinary incontinence in subjects with idiopathic overactive bladder. MATERIALS AND METHODS: Subjects were recruited from th ... Full text Link to item Cite

Cost-effectiveness of botulinum toxin a versus anticholinergic medications for idiopathic urge incontinence.

Journal article J Urol · May 2009 Featured Publication PURPOSE: We assessed the cost-effectiveness of botulinum toxin A injection compared to anticholinergic medications for the treatment of idiopathic urge incontinence. MATERIALS AND METHODS: A Markov decision analysis model was developed to compare the costs ... Full text Link to item Cite

Early vs late midline sling lysis results in greater improvement in lower urinary tract symptoms.

Journal article Am J Obstet Gynecol · May 2009 Featured Publication OBJECTIVE: Lower urinary tract symptoms (LUTS) occur in 5-20% of women after antiincontinence procedures. Symptoms include complete urinary retention or storage, voiding, and postmicturition symptoms. The goal of this study was to determine the effect of t ... Full text Link to item Cite

Outcomes following vaginal prolapse repair and mid urethral sling (OPUS) trial--design and methods.

Journal article Clin Trials · April 2009 Featured Publication BACKGROUND: The primary aims of this trial are to determine whether the use of a concomitant prophylactic anti-incontinence procedure may prevent stress urinary incontinence symptom development in women undergoing vaginal prolapse surgery and to evaluate t ... Full text Link to item Cite

Intraurethral activation of excitatory bladder reflexes in persons with spinal cord injury.

Journal article Annu Int Conf IEEE Eng Med Biol Soc · 2009 Featured Publication Electrical activation of an excitatory reflex between sensory fibers in the pudendal nerve and the bladder has been demonstrated in cats and is a potential means of restoring micturition function in persons with spinal cord injury. We investigated the clin ... Full text Link to item Cite

Complications of Vaginal Surgery

Journal article · December 1, 2008 Featured Publication Full text Cite

Dorsal genital nerve stimulation for the treatment of overactive bladder symptoms.

Journal article Neurourol Urodyn · 2008 Featured Publication AIM: To evaluate percutaneous placement of electrodes adjacent to the dorsal genital nerve (DGN) and measure the effects of electrical stimulation on symptoms of urge incontinence during 1 week of home use. METHODS: Prospective, multicenter study. Subjects ... Full text Link to item Cite

Bladder diary measurements in asymptomatic males: frequency, volume per void, and 24-hr volume.

Journal article Neurourol Urodyn · 2008 Featured Publication AIMS: To collect bladder diary frequency and volume measurements from asymptomatic males and to use these data to develop clinical reference values. MATERIALS AND METHODS: Computer processed three-day bladder diaries were collected from 92 males (median ag ... Full text Link to item Cite

Detrusor overactivity does not predict outcome of sacral neuromodulation test stimulation.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · December 2007 Featured Publication The aim of this study is to determine if urodynamic findings in patients with urge incontinence predicts response to sacral neuromodulation test stimulation. One hundred four patients with refractory urinary urge incontinence who had undergone sacral neuro ... Full text Link to item Cite

Surgical excision of eroded mesh after prior abdominal sacrocolpopexy.

Journal article Am J Obstet Gynecol · December 2007 Featured Publication OBJECTIVE: We previously described an endoscopic-assisted transvaginal mesh excision technique. This study compares surgical outcomes after transvaginal mesh excision vs endoscopic-assisted transvaginal mesh excision. In addition, we reviewed our postopera ... Full text Link to item Cite

Pelvic organ prolapse: a review of the current literature.

Journal article Minerva Ginecol · December 2007 Featured Publication Pelvic organ prolapse has afflicted women since the beginning of mankind. Even though we have been faced with this problem for so many centuries, we still have not found a way to overcome gravity and prevent prolapse. We continue to make efforts to manage ... Link to item Cite

A randomized, controlled trial evaluating 2 techniques of postoperative bladder testing after transvaginal surgery.

Journal article Am J Obstet Gynecol · December 2007 Featured Publication OBJECTIVE: The purpose of this pilot study was to compare the efficacy of 2 techniques for evaluating bladder function after transvaginal surgery. STUDY DESIGN: Subjects scheduled for transvaginal, outpatient surgery were consecutively enrolled and randomi ... Full text Link to item Cite

Current and future techniques of neuromodulation for bladder dysfunction

Journal article Current Bladder Dysfunction Reports · December 1, 2007 Featured Publication Recent increase in the use of neuromodulation for the treatment of urinary urgency and frequency, urge incontinence, and nonobstructive urinary retention has coincided with an improved knowledge of micturition physiology and concurrent technologic advances ... Full text Cite

Current and future techniques of neuromodulation for bladder dysfunction.

Journal article Curr Urol Rep · November 2007 Featured Publication Recent increase in the use of neuromodulation for the treatment of urinary urgency and frequency, urge incontinence, and nonobstructive urinary retention has coincided with improved knowledge of micturition physiology and concurrent technologic advances in ... Full text Link to item Cite

Lack of psychological resilience: an important correlate for urinary incontinence.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · October 2007 Featured Publication Our study evaluated medical conditions, level of physical functioning, and psychological health as correlates of urinary continence (UI) for four different age groups of women. Survey questions from the 1996 MIDUS survey were used in three domains of healt ... Full text Link to item Cite

Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · July 2007 Featured Publication The objective of this study was to determine if obliterative and reconstructive vaginal surgery for advanced pelvic organ prolapse improve quality of life in elderly women. Women age 65 years or older with stage 3 or 4 pelvic organ prolapse who desired sur ... Full text Link to item Cite

A prospective assessment of overactive bladder symptoms in a cohort of elderly women who underwent transvaginal surgery for advanced pelvic organ prolapse.

Journal article Am J Obstet Gynecol · July 2007 Featured Publication OBJECTIVE: The objective of this study was to evaluate the impact of transvaginal prolapse surgery on overactive bladder symptoms in elderly women. STUDY DESIGN: Women (> or = 65 years old) with stage III or IV prolapse who enrolled in a prospective study ... Full text Link to item Cite

The PESSRI study: symptom relief outcomes of a randomized crossover trial of the ring and Gellhorn pessaries.

Journal article Am J Obstet Gynecol · April 2007 Featured Publication OBJECTIVE: The aim of this randomized crossover trial was to compare symptom relief and change in life impact for women using the ring with support and Gellhorn pessaries. STUDY DESIGN: Subjects were randomized to use each pessary for 3 months. Outcome dat ... Full text Link to item Cite

The utility of magnetic resonance imaging for diagnosis and surgical planning before transvaginal periurethral diverticulectomy in women.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · March 2007 Featured Publication The objective of this paper is to report the value of magnetic resonance imaging (MRI) in the evaluation of urethral diverticulum in women. Medical records were identified by a query of urethral diverticulectomy billing data from January 1, 2000 through De ... Full text Link to item Cite

Bladder diary patterns in detrusor overactivity and urodynamic stress incontinence.

Journal article Neurourol Urodyn · 2007 Featured Publication AIMS: Our aims were: (1) to describe and compare frequency-volume and incontinence episode patterns in patients with urodynamic stress incontinence (USI) and detrusor overactivity (DO) as measured by a hand-written and computer-analyzed bladder diary and ( ... Full text Link to item Cite

Predicting implantation with a neuromodulator using two different test stimulation techniques: A prospective randomized study in urge incontinent women.

Journal article Neurourol Urodyn · 2007 Featured Publication AIMS: The purpose of this study was to determine whether a percutaneous needle electrode (PNE) technique or a surgical first stage lead placement (FSLP) better predicted whether a patient would progress to implantation of a pulse generator (IPG) in older u ... Full text Link to item Cite

In patients undergoing neuromodulation for intractable urge incontinence a reduction in 24-hr pad weight after the initial test stimulation best predicts long-term patient satisfaction.

Journal article Neurourol Urodyn · 2007 Featured Publication AIMS: To evaluate long-term patient satisfaction of sacral neuromodulation and to correlate satisfaction with incontinence parameters. METHODS: Patients at least 1-year remote from sacral neuromodulation were mailed a questionnaire to evaluate satisfaction ... Full text Link to item Cite

A statistical comparison of pad numbers versus pad weights in the quantification of urinary incontinence.

Journal article Neurourol Urodyn · 2007 Featured Publication AIMS: Pad per day (PPD) usage is a frequently utilized measure of urinary incontinence. The 24-hour pad weight test (24PWT) is a reproducible test for quantifying incontinence volumes. We investigated whether PPD validly reports the magnitude of urinary in ... Full text Link to item Cite

Bladder diary measurements in asymptomatic females: functional bladder capacity, frequency, and 24-hr volume.

Journal article Neurourol Urodyn · 2007 Featured Publication AIMS: To study the effects of age and 24-h volume (V(24)) on bladder diary measurements of voiding frequency (F(24)) and functional bladder capacity (FBC) from an asymptomatic female population. Also, to use these data to develop clinical reference values. ... Full text Link to item Cite

Normative bladder diary measurements: night versus day.

Journal article Neurourol Urodyn · 2007 Featured Publication AIMS: To investigate bladder diary measurements from asymptomatic subjects in separate night and day periods, including their relationships to age and total volume voided. A major objective of this study was to generate age-adjusted reference values agains ... Full text Link to item Cite

Pudendal nerve stimulation evokes reflex bladder contractions in persons with chronic spinal cord injury.

Journal article Neurourol Urodyn · 2007 Featured Publication AIMS: Although electrical stimulation of the pudendal nerve has been shown to evoke reflex micturition-like bladder contractions in both intact and spinalized cats, there is little evidence to suggest that an analogous excitatory reflex exists in humans, p ... Full text Link to item Cite

Dorsal genital nerve stimulation for the treatment of refractory overactive bladder symptoms

Conference NEUROUROLOGY AND URODYNAMICS · January 1, 2007 Featured Publication Link to item Cite

Bladder diary volume per void measurements in detrusor overactivity.

Journal article J Urol · December 2006 Featured Publication PURPOSE: We investigated the clinical usefulness of adjusting reference volume per void values for a recently reported strong tendency for volume per void to increase with increasing 24-hour volume in asymptomatic individuals. Our approach was to 1) test w ... Full text Link to item Cite

Sensory nerve injury after uterosacral ligament suspension.

Journal article Am J Obstet Gynecol · December 2006 Featured Publication OBJECTIVE: Uterosacral ligament suspension is a technique that is performed commonly to suspend the prolapsed vaginal apex. This case series describes our experience with the clinical evaluation and management of lower extremity sensory nerve symptoms afte ... Full text Link to item Cite

Diagnosis of Pelvic Organ Prolapse

Journal article · December 1, 2006 Featured Publication Full text Cite

Obstruction after Burch colposuspension: a return to retropubic urethrolysis.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · September 2006 Featured Publication We compare our postoperative outcomes of a vaginal vs abdominal urethrolysis after an obstructed Burch colposuspension. We performed a retrospective review of all women who had undergone a Burch urethrolysis from 1997 through 2003. Data collected included ... Full text Link to item Cite

Sacral neuromodulation for the treatment of refractory urinary urge incontinence after stress incontinence surgery.

Journal article Am J Obstet Gynecol · December 2005 Featured Publication OBJECTIVE: This study was undertaken to evaluate the response to sacral neuromodulation in women with refractory, nonobstructive urinary urge incontinence after stress incontinence surgery. STUDY DESIGN: We reviewed the medical records of women in whom sac ... Full text Link to item Cite

The 1-hour pad test is a valuable tool in the initial evaluation of women with urinary incontinence

Journal article Journal of Pelvic Medicine and Surgery · November 25, 2005 Featured Publication Aim: The urinary pad weight test is an objective measure of severity of urine loss. The purpose of this study was an attempt to determine the correlation among the 1-hour pad weight test, number of pads used per day, reported magnitude of incontinence, 24- ... Full text Cite

Sacral neuromodulation for intractable urge incontinence: are there factors associated with cure?

Journal article Urology · October 2005 Featured Publication OBJECTIVES: To determine the variables that affect the cure rate in patients with urge incontinence treated with sacral neuromodulation. METHODS: This prospective analysis of patients with refractory urinary urge incontinence who underwent placement of a n ... Full text Link to item Cite

Vascular anatomy of the presacral space: a fresh tissue cadaver dissection.

Journal article Am J Obstet Gynecol · May 2005 Featured Publication OBJECTIVE: To assess variability in the vascular structures of the presacral space and to estimate the risk of injury because of blind suture placement during sacral colpopexy. STUDY DESIGN: Ten fresh frozen female cadavers were evaluated. Three 0-polyeste ... Full text Link to item Cite

Nocturnal polyuria in women with overactive bladder symptoms and nocturia.

Journal article Am J Obstet Gynecol · May 2005 Featured Publication OBJECTIVE: This study was undertaken to determine the prevalence of nocturnal polyuria in women complaining of nocturia and overactive bladder (OAB) symptoms and to identify clinical and health characteristics associated with nocturnal polyuria. STUDY DESI ... Full text Link to item Cite

Abdominal sacral colpopexy with allograft fascia lata: one-year outcomes.

Journal article Am J Obstet Gynecol · May 2005 Featured Publication OBJECTIVE: The purpose of this study was to assess 1-year outcomes of sacral colpopexy with the use of allograft fascia lata. STUDY DESIGN: Records of all subjects who underwent sacral colpopexy with allograft fascia lata from May 1, 2001, to April 30, 200 ... Full text Link to item Cite

Patient characteristics and management of dermal allograft extrusions.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · 2005 Featured Publication The objective of this study was to describe our rate of extrusion of dermal allograft material when used in anterior or posterior colporrhaphy and to review our success in treating extrusions with conservative management. A retrospective review of all subj ... Full text Link to item Cite

The effect of botulinum-A toxin on patients with severe urge urinary incontinence.

Journal article J Urol · December 2004 Featured Publication PURPOSE: We determined the effect of 150 units of botulinum-A toxin (Botox, Allergan, Irvine, California) on subjects with severe urge urinary incontinence (UUI). MATERIALS AND METHODS: This was an open label uncontrolled clinical trial. Subjects were recr ... Full text Link to item Cite

Transvaginal endoscopic removal of eroded mesh after abdominal sacral colpopexy.

Journal article Obstet Gynecol · May 2004 Featured Publication BACKGROUND: Abdominal sacral colpopexy with permanent mesh has become the preferred abdominal technique for correcting posthysterectomy vaginal vault prolapse. Although rare, mesh erosion after sacral colpopexy is often challenging to manage. We report on ... Full text Link to item Cite

Delayed presentation and successful repair of a recurrent vesicovaginal fistula after hysterectomy and primary abdominal repair.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · 2004 Featured Publication Urogenital fistulae are an uncommon consequence of gynecologic surgery. Vesicovaginal fistulae due to gynecologic surgery generally appear 1-6 weeks after surgery and recurrent fistulae within 3 months of their repair. The pathogenesis of vesicovaginal fis ... Full text Link to item Cite

Functional outcomes of primary and secondary repairs of vesicovaginal fistulae via vaginal cuff scar excision.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · 2004 Featured Publication Hospital and office charts of patients who underwent vaginal cuff scar excision for vesicovaginal fistula (VVF) repair from February 1998 to December 2002 at our institution were reviewed. Preoperative demographics and fistula characteristics were gathered ... Full text Link to item Cite

Urethral erosion after synthetic and nonsynthetic pubovaginal slings: differences in management and continence outcome.

Journal article J Urol · July 2003 Featured Publication PURPOSE: We present a series of urethral erosion following a pubovaginal sling procedure due to synthetic and nonsynthetic materials and discuss their management and continence outcome. MATERIALS AND METHODS: During a 3-year period 57 patients underwent ur ... Full text Link to item Cite

Preoperative urodynamic evaluation may predict voiding dysfunction in women undergoing pubovaginal sling.

Journal article J Urol · June 2003 Featured Publication PURPOSE: We determine which urodynamic parameters can best predict postoperative voiding dysfunction following pubovaginal sling surgery. MATERIALS AND METHODS: The records of 98 consecutive women who had undergone pubovaginal sling surgery with allograft ... Full text Link to item Cite

Anatomical correction of vaginal vault prolapse by uterosacral ligament fixation in women who also require a pubovaginal sling.

Journal article J Urol · May 2003 Featured Publication PURPOSE: We describe the anatomical and functional outcome in patients who underwent vaginal vault fixation to the proximal uterosacral ligaments for the treatment of vault prolapse and who also required a concomitant pubovaginal sling for associated stres ... Full text Link to item Cite

Sacral neuromodulation in an older, urge-incontinent population.

Journal article Am J Obstet Gynecol · December 2002 Featured Publication OBJECTIVE: The success of sacral neuromodulation in the treatment of urge incontinence has been reported in young populations. Herein we report the success in an older, urge-incontinent population. STUDY DESIGN: A cohort of 25 patients older than 55 years ... Full text Link to item Cite

Outcome in 104 pubovaginal slings using freeze-dried allograft fascia lata from a single tissue bank.

Journal article Urology · December 4, 2000 Featured Publication We describe our experience with the use of allograft fascia lata for the treatment of stress urinary incontinence. One hundred and four patients underwent allograft fascia lata pubovaginal slings. Preoperatively, all were evaluated by a detailed urogynecol ... Full text Link to item Cite

Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia defect repair for treatment of pelvic organ prolapse.

Journal article Am J Obstet Gynecol · December 2000 Featured Publication OBJECTIVE: The anatomic and functional success of suspension of the vaginal cuff to the proximal uterosacral ligaments is described. STUDY DESIGN: Forty-six women underwent vaginal site-specific repair of endopelvic fascia defects with suspension of the va ... Full text Link to item Cite

Variations in strategy for the treatment of urethral obstruction after a pubovaginal sling procedure.

Journal article J Urol · August 2000 Featured Publication PURPOSE: We evaluated the success of several techniques for treating urethral obstruction and erosion after a pubovaginal sling procedure. MATERIALS AND METHODS: Between April 1998 and June 1999, 32 women 33 to 79 years old (average age 62) who underwent a ... Link to item Cite

Do urinary symptoms correlate with urodynamic findings?

Journal article J Urol · June 1999 Featured Publication PURPOSE: We determined whether urinary symptomatology correlates with video urodynamic findings. MATERIALS AND METHODS: A total of 115 women with complaints of urinary incontinence completed a 27-item questionnaire. Pelvic examination and video urodynamic ... Link to item Cite

Bladder neck competency at rest in women with incontinence.

Journal article J Urol · February 1999 Featured Publication PURPOSE: We determine the presence of an open bladder neck during video urodynamic studies and relate that finding to the presence of stress urinary incontinence. MATERIALS AND METHODS: Patients presenting with urinary incontinence, voiding dysfunction or ... Link to item Cite

Management of female genitourinary fistulas: transvesical or transvaginal approach?

Journal article J Urol · December 1998 Featured Publication PURPOSE: We reviewed 25 female genitourinary fistula repairs performed at our institution from 1993 to 1997. MATERIALS AND METHODS: Our series comprised 7 primary vesicovaginal, 6 recurrent vesicovaginal, 7 complex, 1 ureterovaginal and 4 urethrovaginal fi ... Full text Link to item Cite