Scholars@Duke
Anthony Gabriele Visco

Anthony Gabriele Visco

Professor of Obstetrics and Gynecology
Obstetrics and Gynecology, Urogynecology
anthony.visco@duke.edu
5324 McFarland Drive Suite 310, Box 3192, Durham, NC 27617
5324 McFarland Drive Suite 310, Box 3192, Durham, NC 27617

Selected Publications

Characteristics associated with subjective and objective measures of treatment success in women undergoing percutaneous tibial nerve stimulation vs sham for accidental bowel leakage.

Journal Article Int Urogynecol J · August 2023 INTRODUCTION AND HYPOTHESIS: In randomized trials both percutaneous tibial nerve stimulation (PTNS) and sham result in clinically significant improvements in accidental bowel leakage (ABL). We aimed to identify subgroups who may preferentially benefit from ... Full text Link to item Cite

Association Between Enlarged Genital Hiatus and Composite Surgical Failure After Vaginal Hysterectomy With Uterosacral Ligament Suspension.

Journal Article Urogynecology (Phila) · May 1, 2023 IMPORTANCE: The impact of a persistently enlarged genital hiatus (GH) after vaginal hysterectomy with uterosacral ligament suspension on prolapse outcomes is currently unclear. OBJECTIVES: This secondary analysis of the Study of Uterine Prolapse Procedures ... Full text Link to item Cite

Information and Guidance on the Adoption of Surgical Innovation and Technology in Urogynecology.

Journal Article Urogynecology (Phila) · March 1, 2023 The development of new technology and techniques (NTT) is an integral component of contemporary medicine. In surgery, rapidly advancing technology offers opportunities to innovate and study new approaches to help improve the quality and effectiveness of th ... Full text Link to item Cite

Characteristics associated with composite surgical failure over 5 years of women in a randomized trial of sacrospinous hysteropexy with graft vs vaginal hysterectomy with uterosacral ligament suspension.

Journal Article Am J Obstet Gynecol · January 2023 BACKGROUND: Among women with symptomatic uterovaginal prolapse undergoing vaginal surgery in the Vaginal hysterectomy with Native Tissue Vault Suspension vs Sacrospinous Hysteropexy with Graft Suspension (Study for Uterine Prolapse Procedures Randomized Tr ... Full text Link to item Cite

Percutaneous Tibial Nerve Stimulation vs Sham Stimulation for Fecal Incontinence in Women: NeurOmodulaTion for Accidental Bowel Leakage Randomized Clinical Trial.

Journal Article Am J Gastroenterol · April 1, 2022 INTRODUCTION: To determine whether percutaneous tibial nerve stimulation (PTNS) is superior to sham stimulation for the treatment of fecal incontinence (FI) in women refractory to first-line treatments. METHODS: Women aged 18 years or older with ≥3 months ... Full text Link to item Cite

Long-term Urinary Outcomes After Transvaginal Uterovaginal Prolapse Repair With and Without Concomitant Midurethral Slings.

Journal Article Female Pelvic Med Reconstr Surg · March 1, 2022 IMPORTANCE: Many health care providers place concomitant midurethral slings during pelvic organ prolapse repair, yet growing evidence supports staged midurethral sling placement. OBJECTIVES: The aim of this study was to compare urinary function after trans ... Full text Link to item Cite

Predicting outcomes after intradetrusor onabotulinumtoxina for non-neurogenic urgency incontinence in women.

Journal Article Neurourol Urodyn · January 2022 AIMS: Develop models to predict outcomes after intradetrusor injection of 100 or 200 units of onabotulinumtoxinA in women with non-neurogenic urgency urinary incontinence (UUI). METHODS: Models were developed using 307 women from two randomized trials asse ... Full text Open Access Link to item Cite

Design of a Randomized Controlled Trial of Percutaneous Posterior Tibial Nerve Stimulation for the Treatment of Refractory Fecal Incontinence in Women: The NeurOmodulaTion for Accidental Bowel Leakage Study.

Journal Article Female Pelvic Med Reconstr Surg · December 1, 2021 OBJECTIVES: High-level evidence for second-line noninvasive treatments for fecal incontinence in women is limited. We present the rationale for and design of the NeuromOdulaTion for Accidental Bowel Leakage trial, a randomized controlled trial of percutane ... Full text Link to item Cite

Defining mechanisms of recurrence following apical prolapse repair based on imaging criteria.

Journal Article Am J Obstet Gynecol · November 2021 BACKGROUND: Prolapse recurrence after transvaginal surgical repair is common; however, its mechanisms are ill-defined. A thorough understanding of how and why prolapse repairs fail is needed to address their high rate of anatomic recurrence and to develop ... Full text Link to item Cite

Assessing pelvic organ prolapse recurrence after minimally invasive sacrocolpopexy: does mesh weight matter?

Conference Int Urogynecol J · August 2021 INTRODUCTION AND HYPOTHESIS: There has been a trend toward the use of ultra-lightweight mesh types for minimally invasive sacrocolpopexy. We hypothesized that ultra-lightweight mesh would have a greater proportion of composite anatomical pelvic organ prola ... Full text Link to item Cite

Effect of sacrospinous hysteropexy with graft vs vaginal hysterectomy with uterosacral ligament suspension on treatment failure in women with uterovaginal prolapse: 5-year results of a randomized clinical trial.

Journal Article Am J Obstet Gynecol · August 2021 BACKGROUND: Vaginal hysterectomy with suture apical suspension is commonly performed for uterovaginal prolapse. Sacrospinous hysteropexy with graft (vaginal mesh hysteropexy) is an alternative, although in 2019 the Food and Drug Administration removed this ... Full text Link to item Cite

Does a recent urinary tract infection increase the risk of postprocedure urinary tract infection after onabotulinum toxin a?

Journal Article Obstetrical and Gynecological Survey · May 1, 2021 Onabotulinum toxin A (BTX-A) is commonly used as treatment for refractory overactive bladder (OAB) but is associated with postprocedural urinary tract infection (UTI) in up to 35% of cases despite antibiotic prophylaxis. In women with recent UTI, it is unc ... Full text Cite

Does a Recent Urinary Tract Infection Increase the Risk of Postprocedure Urinary Tract Infection After Onabotulinum Toxin A?

Journal Article Female Pelvic Med Reconstr Surg · February 1, 2021 OBJECTIVES: The objective of this study was to evaluate the risk of postprocedure urinary tract infection (UTI) after injection of onabotulinum toxin A (BTX-A) in women who had a UTI within 30 days before procedure. METHODS: This was a retrospective cohort ... Full text Link to item Cite

Performance, acceptability, and validation of a phone application bowel diary.

Conference Neurourol Urodyn · November 2020 AIMS: To assess performance, acceptability, external validity, and reliability of a phone application electronic bowel diary (PFDN Bowel eDiary). METHODS: Women reporting refractory accidental bowel leakage (ABL) were enrolled in a randomized, crossover tr ... Full text Link to item Cite

Outcomes of native tissue transvaginal apical approaches in women with advanced pelvic organ prolapse and stress urinary incontinence.

Journal Article Int Urogynecol J · October 2020 INTRODUCTION AND HYPOTHESIS: Limited data exist comparing different surgical approaches in women with advanced vaginal prolapse. This study compared 2-year surgical outcomes of uterosacral ligament suspension (ULS) and sacrospinous ligament fixation (SSLF) ... Full text Link to item Cite

Does Mesh Weight Affect Time to Failure After Robotic-Assisted Laparoscopic Sacrocolpopexy?

Journal Article Female Pelvic Med Reconstr Surg · September 2020 OBJECTIVE: The objective of this study was to compare time to anatomic failure after robotic sacrocolpopexy with use of ultralightweight versus heavier weight mesh types. METHODS: We performed a retrospective cohort study of women who underwent robotic sac ... Full text Link to item Cite

The MARBLE Study Protocol: Modulating ApoE Signaling to Reduce Brain Inflammation, DeLirium, and PostopErative Cognitive Dysfunction.

Journal Article J Alzheimers Dis · 2020 BACKGROUND: Perioperative neurocognitive disorders (PND) are common complications in older adults associated with increased 1-year mortality and long-term cognitive decline. One risk factor for worsened long-term postoperative cognitive trajectory is the A ... Full text Open Access Link to item Cite

Effect of Vaginal Mesh Hysteropexy vs Vaginal Hysterectomy With Uterosacral Ligament Suspension on Treatment Failure in Women With Uterovaginal Prolapse: A Randomized Clinical Trial.

Journal Article JAMA · September 17, 2019 IMPORTANCE: Vaginal hysterectomy with suture apical suspension is commonly performed for uterovaginal prolapse. Transvaginal mesh hysteropexy is an alternative option. OBJECTIVE: To compare the efficacy and adverse events of vaginal hysterectomy with sutur ... Full text Link to item Cite

Controlling faecal incontinence in women by performing anal exercises with biofeedback or loperamide: a randomised clinical trial.

Journal Article Lancet Gastroenterol Hepatol · September 2019 BACKGROUND: Well designed, large comparative effectiveness trials assessing the efficacy of primary interventions for faecal incontinence are few in number. The objectives of this study were to compare different combinations of anorectal manometry-assisted ... Full text Open Access Link to item Cite

Responsiveness and minimally important difference of SF-6D and EQ-5D utility scores for the treatment of pelvic organ prolapse.

Journal Article Am J Obstet Gynecol · March 2019 BACKGROUND: Utility preference scores are standardized, generic, health-related quality of life (HRQOL) measures that quantify disease severity and burden and summarize morbidity on a scale from 0 (death) to 1 (optimal health). Utility scores are widely us ... Full text Link to item Cite

Concomitant Anterior Repair, Preoperative Prolapse Severity, and Anatomic Prolapse Outcomes After Vaginal Apical Procedures.

Journal Article Female Pelvic Med Reconstr Surg · 2019 OBJECTIVE: The aim of the study was to compare anterior and overall prolapse prevalence at 1 year in surgical participants with or without concomitant anterior repair (AR) at the time of sacrospinous ligament fixation (SSLF) or uterosacral ligament suspens ... Full text Link to item Cite

Randomized Controlled Trial to Assess the Impact of Intraurethral Lidocaine on Urodynamic Voiding Parameters.

Journal Article Female Pelvic Med Reconstr Surg · 2019 OBJECTIVES: The aim of the study was to determine whether intraurethral anesthesia decreases voiding efficiency (VE; voided volume/(voided volume + residual volume)) and impacts other urodynamic parameters in healthy female volunteers during urodynamic stu ... Full text Link to item Cite

Same-Day Discharge After Robotic-Assisted Sacrocolpopexy.

Journal Article Female Pelvic Med Reconstr Surg · 2019 OBJECTIVE: The aim of the study was to compare unplanned postoperative encounters in women discharged same day versus later after robotic-assisted sacrocolpopexy (RA-SCP). METHODS: This is a retrospective cohort study of women who underwent RA-SCP at a ter ... Full text Link to item Cite

Surgical Alteration of Genital Hiatus Size and Anatomic Failure After Vaginal Vault Suspension.

Journal Article Obstet Gynecol · June 2018 OBJECTIVE: To compare anatomic outcomes after native tissue vaginal vault suspension among women categorized by their preoperative and 6-week postoperative genital hiatus size. METHODS: We performed a retrospective cohort study in women who underwent nativ ... Full text Link to item Cite

Robotic-assisted sacrocolpopexy: early postoperative outcomes after surgical reduction of enlarged genital hiatus.

Journal Article Am J Obstet Gynecol · May 2018 BACKGROUND: Currently, the decision to perform a concurrent posterior repair/perineoplasty at the time of robotic-assisted sacrocolpopexy is not standardized. OBJECTIVE: We sought to compare anatomic failure after robotic-assisted sacrocolpopexy among 3 gr ... Full text Link to item Cite

Refractory urgency urinary incontinence treatment in women: impact of age on outcomes and complications.

Journal Article Am J Obstet Gynecol · January 2018 BACKGROUND: Women with refractory urgency urinary incontinence (ie, unresponsive to behavioral and pharmacological interventions) are treated with onabotulinumtoxinA or sacral neuromodulation. OBJECTIVE: The objective of the study was to compare treatment ... Full text Link to item Cite

Correlation of Virtual Reality Simulation and Dry Lab Robotic Technical Skills.

Journal Article J Minim Invasive Gynecol · 2018 STUDY OBJECTIVE: To examine whether a set of virtual reality (VR) surgical simulation drills have correlative validity when compared with the validated Robotic Objective Structured Assessment of Technical Skills (R-OSATS) dry lab drills. DESIGN: A prospect ... Full text Link to item Cite

American Urogynecologic Society Prolapse Consensus Conference Summary Report.

Journal Article Female Pelvic Med Reconstr Surg · 2018 OBJECTIVES: The 2016 American Urogynecologic Society Prolapse Consensus Conference brought together thought leaders in the field of pelvic organ prolapse (POP). The goal was to identify critical areas of need for future research. This article summarizes th ... Full text Link to item Cite

Perioperative Behavioral Therapy and Pelvic Muscle Strengthening Do Not Enhance Quality of Life After Pelvic Surgery: Secondary Report of a Randomized Controlled Trial.

Journal Article Phys Ther · November 1, 2017 BACKGROUND: There is significant need for trials evaluating the long-term effectiveness of a rigorous program of perioperative behavioral therapy with pelvic floor muscle training (BPMT) in women undergoing transvaginal reconstructive surgery for prolapse. ... Full text Link to item Cite

Future Directions of Research and Care for Urinary Incontinence: Findings from the National Institute of Diabetes and Digestive and Kidney Diseases Summit on Urinary Incontinence Clinical Research in Women.

Journal Article J Urol · July 2017 PURPOSE: Female urinary incontinence is prevalent, costly and morbid. Participants in a NIDDK (National Institute of Diabetes and Digestive and Kidney Diseases) sponsored summit reviewed findings from NIH (National Institutes of Health) funded clinical res ... Full text Link to item Cite

Pelvic Floor Disorders Registry: Study Design and Outcome Measures (vol 22, pg 70, 2016)

Journal Article FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY · November 1, 2016 Link to item Cite

Pelvic Floor Disorders Registry: Purpose and Development (vol 22, pg 77, 2016)

Journal Article FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY · November 1, 2016 Link to item Cite

Polyethylene Glycol 3350 and Docusate Sodium Compared With Docusate Sodium Alone After Urogynecologic Surgery: A Randomized Controlled Trial.

Journal Article Obstet Gynecol · September 2016 OBJECTIVE: To compare time to first bowel movement and additional gastrointestinal outcomes between women receiving polyethylene glycol 3350 (PEG3350) and docusate sodium and docusate sodium alone after urogynecologic surgery. METHODS: Participants receive ... Full text Link to item Cite

What is the role of combination drug therapy in the treatment of overactive bladder? ICI-RS 2014.

Journal Article Neurourol Urodyn · February 2016 AIMS AND METHODS: The role of combination therapy using oral antimuscarinic medications for the treatment of overactive bladder was proposed at the 2014 International Consultation on Incontinence-Research Society in Bristol, UK to identify key factors to c ... Full text Link to item Cite

Adherence to Oral Therapy for Urgency Urinary Incontinence: Results from the Anticholinergic Versus Botox Comparison (ABC) Trial.

Journal Article Female Pelvic Med Reconstr Surg · 2016 OBJECTIVES: Medication adherence with urgency urinary incontinence (UUI) treatment is challenging and the best assessment methodology is uncertain. We sought to describe adherence with anticholinergic (AC) versus placebo (P) by comparing pill counts and ME ... Full text Link to item Cite

The Pelvic Floor Disorders Registry: Purpose and Development.

Journal Article Female Pelvic Med Reconstr Surg · 2016 Pelvic organ prolapse (POP) is a common problem that negatively impacts women's quality of life. A variety of surgeries exist for POP treatment, including procedures performed with and without mesh augmentation. The growing use of mesh in prolapse surgerie ... Full text Link to item Cite

Pelvic Floor Disorders Registry: Study Design and Outcome Measures.

Journal Article Female Pelvic Med Reconstr Surg · 2016 Pelvic floor disorders affect up to 24% of adult women in the United States, and many patients with pelvic organ prolapse (POP) choose to undergo surgical repair to improve their quality of life. While a variety of surgical repair approaches and techniques ... Full text Link to item Cite

The Design of a Randomized Trial of Vaginal Surgery for Uterovaginal Prolapse: Vaginal Hysterectomy With Native Tissue Vault Suspension Versus Mesh Hysteropexy Suspension (The Study of Uterine Prolapse Procedures Randomized Trial).

Journal Article Female Pelvic Med Reconstr Surg · 2016 OBJECTIVES: We present the rationale for and design of a randomized controlled superiority trial comparing 2 vaginal surgical approaches for the treatment of uterovaginal prolapse. The Study of Uterine Prolapse Procedures Randomized Trial (SUPeR) trial com ... Full text Link to item Cite

Cost-Effectiveness Analysis of Anticholinergics Versus Botox for Urgency Urinary Incontinence: Results From the Anticholinergic Versus Botox Comparison Randomized Trial.

Journal Article Female Pelvic Med Reconstr Surg · 2016 OBJECTIVES: This study aimed to compare the cost-effectiveness of Botox and anticholinergic (AC) medications for the management of urgency urinary incontinence (UUI). METHODS: Cost and effectiveness data were analyzed from participants in the Anticholinerg ... Full text Link to item Cite

Role of salpingectomy at the time of urogynecologic surgery.

Journal Article Curr Opin Obstet Gynecol · October 2015 PURPOSE OF REVIEW: This article reviews the current literature about prophylactic bilateral salpingectomy and provides guidelines for clinicians in regard to the inclusion of salpingectomy at the time of urogynecologic surgery. RECENT FINDINGS: After the N ... Full text Link to item Cite

The female urinary microbiome in urgency urinary incontinence.

Journal Article Am J Obstet Gynecol · September 2015 OBJECTIVE: The purpose of this study was to characterize the urinary microbiota in women who are planning treatment for urgency urinary incontinence and to describe clinical associations with urinary symptoms, urinary tract infection, and treatment outcome ... Full text Link to item Cite

Controlling anal incontinence in women by performing anal exercises with biofeedback or loperamide (CAPABLe) trial: Design and methods.

Journal Article Contemp Clin Trials · September 2015 The goals of this trial are to determine the efficacy and safety of two treatments for women experiencing fecal incontinence. First, we aim to compare the use of loperamide to placebo and second, to compare the use of anal sphincter exercises with biofeedb ... Full text Open Access Link to item Cite

Vaginal native tissue repair versus transvaginal mesh repair for apical prolapse: how utilizing different methods of analysis affects the estimated trade-off between reoperation for mesh exposure/erosion and reoperation for recurrent prolapse.

Journal Article Int Urogynecol J · May 2015 INTRODUCTION AND HYPOTHESIS: Informed decision-making about optimal surgical repair of apical prolapse with vaginal native tissue (NT) versus transvaginal mesh (TVM) requires understanding the balance between the potential "harm" of mesh-related complicati ... Full text Link to item Cite

Urinary bacteria in adult women with urgency urinary incontinence.

Journal Article Int Urogynecol J · September 2014 INTRODUCTION AND HYPOTHESIS: This study's aims were to detect and quantify bacterial DNA in the urine of randomized trial participants about to undergo treatment for urinary urgency incontinence (UUI) without clinical evidence of urinary tract infection (U ... Full text Link to item Cite

Oral antibiotics to prevent postoperative urinary tract infection: a randomized controlled trial.

Journal Article Obstet Gynecol · January 2014 OBJECTIVE: To evaluate whether nitrofurantoin prophylaxis prevents postoperative urinary tract infection (UTI) in patients receiving transurethral catheterization after pelvic reconstructive surgery. METHODS: In a randomized, double-blind, placebo-controll ... Full text Link to item Cite

The impossible voyage.

Journal Article Female Pelvic Med Reconstr Surg · 2014 Full text Link to item Cite

Urinary bacteria in adult women with urgency urinary incontinence

Journal Article Obstetrical and Gynecological Survey · January 1, 2014 Full text Cite

What happens to the posterior compartment and bowel symptoms after sacrocolpopexy? evaluation of 5-year outcomes from E-CARE.

Journal Article Female Pelvic Med Reconstr Surg · 2014 OBJECTIVES: The objective of this study was to describe posterior prolapse (pPOP) and obstructed defecation (OD) symptoms 5 years after open abdominal sacrocolpopexy (ASC). METHODS: We grouped the extended colpopexy and urinary reduction efforts trial part ... Full text Link to item Cite

Long-Term Outcomes of Vaginal Mesh vs. Native Tissue Repair for Anterior Vaginal Wall Prolapse

Journal Article PHARMACOEPIDEMIOLOGY AND DRUG SAFETY · October 1, 2013 Link to item Cite

Long-term outcomes of vaginal mesh versus native tissue repair for anterior vaginal wall prolapse.

Journal Article Int Urogynecol J · August 2013 INTRODUCTION AND HYPOTHESIS: To estimate the risk of repeat surgery for recurrent prolapse or mesh removal after vaginal mesh versus native tissue repair for anterior vaginal wall prolapse. METHODS: We utilized longitudinal, adjudicated, healthcare claims ... Full text Link to item Cite

Long-term outcomes following abdominal sacrocolpopexy for pelvic organ prolapse.

Journal Article JAMA · May 15, 2013 IMPORTANCE: More than 225 000 surgeries are performed annually in the United States for pelvic organ prolapse (POP). Abdominal sacrocolpopexy is considered the most durable POP surgery, but little is known about safety and long-term effectiveness. OBJECTIV ... Full text Link to item Cite

Comparing the risk of urethrolysis for the treatment of voiding dysfunction between two retropubic mesh slings: a case-control study.

Journal Article Int Urogynecol J · April 2013 INTRODUCTION AND HYPOTHESIS: Long-term outcome data exist with Gynecare TVT tension-free support for incontinence (TVT), yet few comparisons have been made to newer retropubic sling delivery systems, especially with regards to urethrolysis for postoperativ ... Full text Link to item Cite

Anticholinergic therapy vs. OnabotulinumtoxinA for urgency urinary incontinence

Journal Article Obstetrical and Gynecological Survey · February 1, 2013 Full text Cite

Trends in use of surgical mesh for pelvic organ prolapse.

Journal Article Am J Obstet Gynecol · January 2013 OBJECTIVE: Limited data exist on the rates of pelvic organ prolapse procedures utilizing mesh. The objective of this study was to examine trends in vaginal mesh prolapse procedures (VMs), abdominal sacrocolpopexy (ASC), and minimally invasive sacrocolpopex ... Full text Link to item Cite

Pelvic floor disorders clinical trials: participant recruitment and retention.

Journal Article Int Urogynecol J · January 2013 INTRODUCTION AND HYPOTHESIS: We used a focus-group methodology to gather information about women's knowledge and attitudes regarding research participation. METHODS: Two in-person focus groups at seven clinical sites were conducted in women with pelvic flo ... Full text Link to item Cite

Anticholinergic therapy vs. onabotulinumtoxina for urgency urinary incontinence.

Journal Article N Engl J Med · November 8, 2012 BACKGROUND: Anticholinergic medications and onabotulinumtoxinA are used to treat urgency urinary incontinence, but data directly comparing the two types of therapy are needed. METHODS: We performed a double-blind, double-placebo-controlled, randomized tria ... Full text Link to item Cite

Matrix metalloproteinase-9 genetic polymorphisms and the risk for advanced pelvic organ prolapse.

Journal Article Obstet Gynecol · September 2012 OBJECTIVE: Matrix metalloproteinase-9 (MMP9) is a protease associated with degradation of collagen and elastin. Because increased MMP9 activity in vaginal tissue has been associated with pelvic organ prolapse (POP), we sought to comprehensively estimate MM ... 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

Symptomatic and anatomic 1-year outcomes after robotic and abdominal sacrocolpopexy.

Journal Article Am J Obstet Gynecol · May 2012 Featured Publication OBJECTIVE: The purpose of this study was to compare symptomatic and anatomic outcomes 1 year after robotic vs abdominal sacrocolpopexy. STUDY DESIGN: Our retrospective cohort study compared women who underwent robotic sacrocolpopexy (RSC) with 1 surgeon to ... Full text Link to item Cite

Anticholinergic versus botulinum toxin A comparison trial for the treatment of bothersome urge urinary incontinence: ABC trial.

Journal Article Contemp Clin Trials · January 2012 Featured Publication This trial compares the change in urgency urinary incontinence episodes over 6 months, tolerability and cost effectiveness between women receiving daily anticholinergic therapy plus a single intra-detrusor injection of saline versus a single intra-detrusor ... 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

Characterizing the phenotype of advanced pelvic organ prolapse.

Journal Article Female Pelvic Med Reconstr Surg · 2012 OBJECTIVE: Genetic studies require a clearly defined phenotype to reach valid conclusions. Our aim was to characterize the phenotype of advanced prolapse by comparing women with stage III to IV prolapse with controls without prolapse. METHODS: Based on the ... Full text Link to item Cite

Quantification of vaginal support: are continuous summary scores better than POPQ stage?

Journal Article Am J Obstet Gynecol · November 2010 OBJECTIVE: This analysis compared 3 continuous variables as summary support loss (SL) scores with pelvic organ prolapse (POP) quantification (POPQ) ordinal stages. STUDY DESIGN: We used pooled baseline data from 1141 subjects in 3 randomized trials (CARE, ... Full text Link to item Cite

Maternal outcomes associated with planned vaginal versus planned primary cesarean delivery.

Journal Article Am J Perinatol · October 2010 Featured Publication We compared maternal morbidity between planned vaginal and planned cesarean delivery. A university hospital's database was queried for delivery outcomes. Between 1995 and 2005, 26,356 deliveries occurred. Subjects were divided into two groups: planned vagi ... Full text Link to item Cite

Neonatal outcomes associated with planned vaginal versus planned primary cesarean delivery.

Journal Article J Perinatol · April 2010 Featured Publication OBJECTIVE: To determine whether planned route of delivery leads to differences in neonatal morbidity. STUDY DESIGN: Analysis was based on planned route of delivery, not actual route of delivery. A total of 4048 subjects were divided into two groups: planne ... Full text Link to item Cite

Cost-minimization analysis of robotic-assisted, laparoscopic, and abdominal sacrocolpopexy.

Journal Article J Minim Invasive Gynecol · 2010 Featured Publication STUDY OBJECTIVE: To perform a cost-minimization analysis comparing robotic-assisted, laparoscopic, and abdominal sacrocolpopexy. DESIGN: Cost-minimization analysis using a micro-costing approach (Canadian Task Force classification III). MEASUREMENTS AND MA ... 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

One disease, two lives.

Journal Article Clin J Oncol Nurs · August 2009 Featured Publication Because breast cancer risk increases with age and women in the United States continue to delay childbirth, the incidence of breast cancer during pregnancy will rise. About 10% of patients younger than age 40 diagnosed with breast cancer are pregnant. Histo ... Full text Link to item Cite

In Reply

Journal Article Obstetrics and Gynecology · July 1, 2009 Full text 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

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

Journal Article Clin Trials · April 2009 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

Robotic gynecologic surgery.

Journal Article Obstet Gynecol · December 2008 Featured Publication The objective of this article is to review the recent adoption, experience, and applications of robot-assisted laparoscopy in gynecologic surgery. The use of robotics in gynecologic surgery is increasing in the United States. Robotic-assisted laparoscopic ... Full text Link to item Cite

Risk factors for mesh/suture erosion following sacral colpopexy.

Journal Article Am J Obstet Gynecol · December 2008 Featured Publication OBJECTIVE: The purpose of this study was to identify risks for mesh/suture erosions following abdominal sacral colpopexy (ASC). STUDY DESIGN: We analyzed demographic, perioperative variables, and erosion status in 322 participants in the Colpopexy and Urin ... Full text Link to item Cite

Short-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy.

Journal Article Obstet Gynecol · December 2008 Featured Publication OBJECTIVE: To compare short-term outcomes of robotic sacrocolpopexy with abdominal sacrocolpopexy for vaginal vault prolapse. METHODS: We conducted a retrospective cohort study comparing robotic to abdominal sacrocolpopexy with placement of permanent mesh. ... Full text Link to item Cite

Pelvic support, pelvic symptoms, and patient satisfaction after colpocleisis.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · December 2008 The objective was to study the effect of colpocleisis on pelvic support, symptoms, and quality of life and report-associated morbidity and postoperative satisfaction. Women undergoing colpocleisis for treatment of pelvic organ prolapse (POP) were recruited ... Full text Link to item Cite

Two-year outcomes after sacrocolpopexy with and without burch to prevent stress urinary incontinence.

Journal Article Obstet Gynecol · July 2008 OBJECTIVES: To report anatomic and functional outcomes 2 years after sacrocolpopexy in stress-continent women with or without prophylactic Burch colposuspension. METHODS: In the Colpopexy and Urinary Reduction Efforts (CARE) trial, stress-continent women u ... Full text Link to item Cite

Refractory idiopathic urge urinary incontinence and botulinum A injection.

Journal Article J Urol · July 2008 PURPOSE: We compared 200 U intradetrusor botulinum toxin A vs placebo in women with refractory idiopathic urge incontinence. MATERIALS AND METHODS: This institutional review board approved, multicenter registered trial randomized women with refractory urge ... Full text Link to item Cite

UIJ - Refractory idiopathic urge urinary incontinence and botulinum a injection

Journal Article UroToday International Journal · June 1, 2008 Full text Cite

The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · May 2008 Featured Publication The aim of this study is to describe results of reduction testing in stress-continent women undergoing sacrocolpopexy and to estimate whether stress leakage during urodynamic testing with prolapse reduction predicts postoperative stress incontinence. Three ... Full text Link to item Cite

Gene expression in the rectus abdominus muscle of patients with and without pelvic organ prolapse.

Journal Article Am J Obstet Gynecol · February 2008 Featured Publication OBJECTIVE: The objective of the study was to compare gene expression in a group of actin and myosin-related proteins in the rectus muscle of 15 patients with pelvic organ prolapse and 13 controls. STUDY DESIGN: Six genes previously identified by microarray ... Full text Link to item Cite

The correlation of voiding variables between non-instrumented uroflowmetery and pressure-flow studies in women with pelvic organ prolapse.

Journal Article Neurourol Urodyn · 2008 AIMS: To (1) correlate peak and maximum flow rates from non-instrumented flow (NIF) and pressure-flow studies (PFS) in women with pelvic organ prolapse (POP); (2) measure the impact of voided volume and degree of prolapse on correlations. METHODS: We compa ... Full text Link to item Cite

Validation of telephone administration of 2 condition-specific quality-of-life questionnaires.

Journal Article Am J Obstet Gynecol · December 2007 Featured Publication OBJECTIVE: To validate telephone-administered versions of 2 condition-specific quality of life questionnaires: Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire. STUDY DESIGN: Between December 2005 and September 2006, 55 women were recr ... Full text Link to item Cite

Hysterectomy rates in the United States, 2003.

Journal Article Obstet Gynecol · November 2007 Featured Publication OBJECTIVE: To estimate hysterectomy rates by type of hysterectomy and to compare age, length of stay, and regional variation in type of hysterectomy performed for benign indications. METHODS: We conducted a cross-sectional analysis of national discharge da ... Full text Link to item Cite

Risk factors for fecal and urinary incontinence after childbirth: the childbirth and pelvic symptoms study.

Journal Article Am J Gastroenterol · September 2007 Featured Publication OBJECTIVE: To identify risk factors for postpartum FI and UI. METHODS: Secondary analysis of data from the CAPS study, which estimated the prevalence of postpartum FI and UI in primiparous women with clinically recognized anal sphincter tears after vaginal ... Full text Link to item Cite

Adequacy of urine cytology specimens: an assessment of collection techniques.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · September 2007 Featured Publication The objective of this study was to determine whether the method of urine collection impacts the adequacy and cell counts of cytology specimens in a low-risk population. Voided, post-cystometrogram (CMG), and bladder irrigant specimens were collected and ev ... Full text Link to item Cite

A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery.

Journal Article Am J Obstet Gynecol · July 2007 Featured Publication OBJECTIVE: The purpose of this study was to compare the risk of significant bacteruria between clean intermittent self-catheterization (CISC) and suprapubic catheterization (SPC) after urogynecologic surgery. STUDY DESIGN: Patients were randomized to CISC ... Full text Link to item Cite

Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse.

Journal Article Am J Obstet Gynecol · July 2007 Featured Publication OBJECTIVE: The aims of this secondary analysis of the "Colpopexy And Urinary Reduction Efforts" (CARE) study were to estimate the incidence of postoperative gastrointestinal complications and identify risk factors. STUDY DESIGN: We prospectively identified ... Full text Link to item Cite

Is Burch colposuspension ever cost-effective compared with tension-free vaginal tape for stress incontinence?

Journal Article Am J Obstet Gynecol · July 2007 Featured Publication OBJECTIVE: This study was undertaken to evaluate the cost-effectiveness of Burch colposuspension compared with tension-free vaginal tape. STUDY DESIGN: A Markov decision model was developed to compare costs (2005 US dollars) and effectiveness (quality-adju ... Full text Link to item Cite

Anal sphincter laceration at vaginal delivery: is this event coded accurately?

Journal Article Obstet Gynecol · May 2007 OBJECTIVE: To determine the error rate for discharge coding of anal sphincter laceration at vaginal delivery in a cohort of primiparous women. METHODS: As part of the Childbirth and Pelvic Symptoms study performed by the National Institutes of Health Pelvi ... Full text Link to item Cite

Non-surgical management of stress urinary incontinence: ambulatory treatments for leakage associated with stress (ATLAS) trial.

Journal Article Clin Trials · 2007 Featured Publication BACKGROUND: Non-surgical treatment for stress urinary incontinence (SUI) is recommended as first-line therapy, yet few prospective studies and no randomized trials compare the most common non-surgical treatments for SUI. PURPOSE: To present the design and ... Full text Link to item Cite

Does urethral competence affect urodynamic voiding parameters in women with prolapse?

Journal Article Neurourol Urodyn · 2007 AIMS: To (1) compare voiding parameters and (2) correlate symptoms and urodynamic findings in women with pelvic organ prolapse (POP) and varying degrees of urethral competence. METHODS: We compared three groups of women with stages II-IV POP. Groups 1 and ... Full text Link to item Cite

Cesarean delivery on maternal request: maternal and neonatal outcomes.

Journal Article Obstet Gynecol · December 2006 Featured Publication OBJECTIVE: To review systematically the evidence about maternal and infant outcomes of cesarean delivery on maternal request and planned vaginal delivery. DATA SOURCES: We searched MEDLINE, Cochrane Collaboration resources, and Embase and identified 1,406 ... Full text Link to item Cite

Endoanal ultrasound findings and fecal incontinence symptoms in women with and without recognized anal sphincter tears.

Journal Article Obstet Gynecol · December 2006 OBJECTIVE: To estimate whether endoanal ultrasound findings are more prevalent in primiparous women with a history of anal sphincter tear than in women without this history and whether the findings are associated with fecal incontinence symptoms. METHODS: ... Full text Link to item Cite

Fecal and urinary incontinence in primiparous women.

Journal Article Obstet Gynecol · October 2006 Featured Publication OBJECTIVE: To prospectively investigate the relationship between anal sphincter tears and postpartum fecal and urinary incontinence. METHODS: The Childbirth and Pelvic Symptoms study was a prospective cohort study performed by the Pelvic Floor Disorders Ne ... Full text Link to item Cite

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Journal Article American Journal of Obstetrics and Gynecology · October 1, 2006 Full text Cite

A multicentered comparison of measurements obtained with microtip and external water pressure transducers.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · June 2006 Featured Publication This study compared simultaneous intravesical pressure readings obtained with catheter-mounted microtip transducers and external water pressure transducer catheters during filling cystometry. Women undergoing multichannel urodynamic testing were randomly a ... Full text Link to item Cite

Skeletal muscle heavy-chain polypeptide 3 and myosin binding protein H in the pubococcygeus muscle in patients with and without pelvic organ prolapse.

Journal Article Am J Obstet Gynecol · May 2006 Featured Publication OBJECTIVE: The purpose of this study was to compare gene expression of skeletal muscle heavy-chain polypeptide 3 (MYH3) and myosin binding protein H (MyBP-H) in the pubococcygeus muscle of patients with pelvic organ prolapse and controls. STUDY DESIGN: Gen ... Full text Link to item Cite

Mesh erosion in abdominal sacral colpopexy with and without concomitant hysterectomy.

Journal Article Am J Obstet Gynecol · May 2006 Featured Publication OBJECTIVE: The purpose of this study was to examine risk factors for mesh erosion, including concomitant hysterectomy, in abdominal sacral colpopexies. STUDY DESIGN: We conducted a retrospective cohort study of 313 women who underwent an abdominal sacral c ... Full text Link to item Cite

Microscopic hematuria as a predictive factor for detecting bladder cancer at cystoscopy in women with irritative voiding symptoms.

Journal Article Am J Obstet Gynecol · May 2006 Featured Publication OBJECTIVE: The purpose of this study was to assess microscopic hematuria as a predictive factor for detecting bladder cancer at cystoscopy in women with irritative voiding symptoms. STUDY DESIGN: We conducted a retrospective cohort analysis of women with i ... Full text Link to item Cite

Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence.

Journal Article N Engl J Med · April 13, 2006 Featured Publication BACKGROUND: We designed this trial to assess whether the addition of standardized Burch colposuspension to abdominal sacrocolpopexy for the treatment of pelvic-organ prolapse decreases postoperative stress urinary incontinence in women without preoperative ... Full text Link to item Cite

Cesarean delivery on maternal request.

Journal Article Evid Rep Technol Assess (Full Rep) · March 2006 Featured Publication OBJECTIVES: The RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center (RTI-UNC EPC) systematically reviewed the evidence on the trend and incidence of cesarean delivery (CD) in the United States and in other developed ... Link to item Cite

Occiput posterior fetal head position increases the risk of anal sphincter injury in vacuum-assisted deliveries.

Journal Article Am J Obstet Gynecol · August 2005 Featured Publication OBJECTIVE: The purpose of this study was to determine whether an occiput posterior (OP) fetal head position increases the risk for anal sphincter injury when compared with an occiput anterior (OA) position in vacuum-assisted deliveries. STUDY DESIGN: We co ... Full text Link to item Cite

Prior cesarean and the risk for placenta previa on second-trimester ultrasonography.

Journal Article Obstet Gynecol · May 2005 Featured Publication OBJECTIVE: To determine whether the increased risk of placenta previa at delivery in patients with a prior cesarean results from an increased risk of abnormal implantation or a lower likelihood of resolution. METHODS: A hospital-based, case-control study w ... Full text Link to item Cite

A comparison of perineometer to brink score for assessment of pelvic floor muscle strength.

Journal Article Am J Obstet Gynecol · May 2005 Featured Publication OBJECTIVE: The Brink scale is a commonly used digital assessment of pelvic floor muscle strength. The Peritron perineometer, a compressible vaginal insert that records pressure in centimeters of water, offers an objective method for this evaluation. This s ... Full text Link to item Cite

The impact of occiput posterior fetal head position on the risk of anal sphincter injury in forceps-assisted vaginal deliveries.

Journal Article Am J Obstet Gynecol · May 2005 Featured Publication OBJECTIVE: A forceps-assisted vaginal delivery is a well-recognized risk factor for anal sphincter injury. Some studies have shown that occiput posterior (OP) fetal head position is also associated with an increased risk for third- or fourth-degree lacerat ... Full text Link to item Cite

Validity and reliability of the Modified Manchester Health Questionnaire in assessing patients with fecal incontinence.

Journal Article Dis Colon Rectum · February 2005 Featured Publication PURPOSE: To date, no measures of fecal incontinence severity or its impact on quality of life have been validated for telephone interview. This study was designed to 1) compare responses of a self-administered and a telephone-administered Fecal Incontinenc ... Full text Link to item Cite

Elective primary cesarean delivery: attitudes of urogynecology and maternal-fetal medicine specialists.

Journal Article Obstet Gynecol · February 2005 Featured Publication OBJECTIVE: To compare the attitudes of urogynecology and maternal-fetal medicine specialists in the United States regarding elective primary cesarean delivery. METHODS: A Web-based questionnaire was sent by e-mail to members of the American Urogynecologic ... Full text Link to item Cite

Evaluation of Aa point and cotton-tipped swab test as predictors of urodynamic stress incontinence.

Journal Article Obstet Gynecol · January 2005 Featured Publication OBJECTIVE: To compare the predictive abilities of the Aa point of the pelvic organ prolapse quantification examination and the cotton-tipped swab test straining angle to diagnose urodynamic stress incontinence. METHODS: A case-control study was conducted b ... Full text Link to item Cite

Comparison of measurements obtained with microtip and external water pressure transducers.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · 2004 Featured Publication The aim of this study was to compare pressure readings obtained with catheter-mounted microtip and external water pressure transducers using a mechanical model for vesical pressure during Valsalva straining and coughing. The two catheter-mounted pressure t ... Full text Link to item Cite

A randomized trial of colpopexy and urinary reduction efforts (CARE): design and methods.

Journal Article Control Clin Trials · October 2003 The primary aim of this randomized clinical trial is to evaluate whether a standardized modified Burch colposuspension, when added to planned abdominal sacrocolpopexy for the treatment of pelvic organ prolapse, improves the rate of urinary stress continenc ... Full text Link to item Cite

Differential gene expression in pubococcygeus muscle from patients with pelvic organ prolapse.

Journal Article Am J Obstet Gynecol · July 2003 Featured Publication OBJECTIVE: This study was undertaken to compare differential gene expression in the pubococcygeus muscle in patients with pelvic organ prolapse and controls. STUDY DESIGN: We performed microarray analysis on individual pubococcygeus muscle biopsy specimens ... Full text Link to item Cite

Effects of examination technique modifications on pelvic organ prolapse quantification (POP-Q) results.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · June 2003 Featured Publication The pelvic organ prolapse quantification system (POP-Q) is currently the most quantitative, site-specific system for describing pelvic organ prolapse. To ensure that anatomic outcomes can be optimally assessed, investigators in the Pelvic Floor Disorders N ... Full text Link to item Cite

Early physician experience with laparoscopically assisted vaginal hysterectomy and rates of surgical complications and conversion to laparotomy.

Journal Article Am J Obstet Gynecol · October 2002 Featured Publication OBJECTIVE: Our purpose was to determine whether the rates of conversion to laparotomy and surgical complication rate decrease with increasing physician experience with laparoscopically assisted vaginal hysterectomies (LAVH) in a large population-based admi ... Full text Link to item Cite

Sexual function in women with urinary incontinence and pelvic organ prolapse.

Journal Article Obstet Gynecol · February 2002 Featured Publication OBJECTIVE: To compare sexual function in women with urinary incontinence and pelvic organ prolapse and to determine the effects of therapy on sexual function. METHODS: 343 community-dwelling women older than 45 years with urinary incontinence or advanced p ... Full text Link to item Cite

Hormone replacement therapy did not reduce the risk of urinary tract infection in postmenopausal women

Journal Article Evidence-based Obstetrics and Gynecology · January 1, 2002 Full text Cite

Cost-effectiveness of universal cystoscopy to identify ureteral injury at hysterectomy.

Journal Article Obstet Gynecol · May 2001 Featured Publication OBJECTIVE: To evaluate the cost-effectiveness of routine cystoscopy at the time of abdominal, vaginal, and laparoscopically assisted vaginal hysterectomy in terms of cost per ureteral injury identified and treated. METHODS: Using a hospital-based perspecti ... Full text Link to item Cite

Effectiveness of laparoscopic cadaveric dissection in enhancing resident comprehension of pelvic anatomy.

Journal Article J Am Coll Surg · April 2001 Featured Publication BACKGROUND: Anatomic instruction during preclinical years of medical school has been in decline recently. There is evidence that residents already lose a considerable portion of basic anatomic knowledge in the transition from student to clinician, and this ... Full text Link to item Cite

Vaginal mesh erosion after abdominal sacral colpopexy.

Journal Article Am J Obstet Gynecol · February 2001 Featured Publication OBJECTIVE: Our goal was to compare the prevalence of vaginal mesh erosion between abdominal sacral colpopexy and various sacral colpoperineopexy procedures. STUDY DESIGN: We undertook a retrospective analysis of all sacral colpopexies and colpoperineopexie ... Full text Link to item Cite

Which women with stress incontinence require urodynamic evaluation?

Journal Article Am J Obstet Gynecol · January 2001 Featured Publication OBJECTIVE: This study was undertaken to determine the predictive value of the symptom of stress urinary incontinence and to evaluate the ability of other factors suggested by a published Agency for Health Care Policy and Research guideline for the discrimi ... 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

Pelvic muscle electromyography of levator ani and external anal sphincter in nulliparous women and women with pelvic floor dysfunction.

Journal Article Am J Obstet Gynecol · December 2000 Featured Publication OBJECTIVE: The purpose of this study was to compare results of electromyographic assessment of muscular recruitment between nulliparous control subjects without pelvic floor dysfunction and parous subjects with genuine stress urinary incontinence and with ... 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

Effect of patient position on clinical evaluation of pelvic organ prolapse.

Journal Article Obstet Gynecol · July 2000 Featured Publication OBJECTIVE: To compare the severity of pelvic organ prolapse between examinations performed in dorsal lithotomy position and examinations performed upright in a birthing chair using the Pelvic Organ Prolapse Quantification System (POPQ). METHODS: One hundre ... Full text Link to item Cite

A survey of pessary use by members of the American urogynecologic society.

Journal Article Obstet Gynecol · June 2000 Featured Publication OBJECTIVE: To describe trends in pessary use for pelvic organ prolapse. METHODS: An anonymous survey administered to the membership of the American Urogynecologic Society covered indications, management, and choice of pessary for specific support defects. ... Full text Link to item Cite

Effects of menstrual cycle and urinary tract instrumentation on uroflowmetry.

Journal Article Neurourol Urodyn · 2000 Featured Publication We sought to compare bladder emptying function in normal women during the proliferative and secretory phases of the menstrual cycle and to evaluate whether urethral catheterization affected uroflowmetry parameters. Forty-nine normal volunteers (ages 19-42 ... Full text Link to item Cite

A survey of pessary use by members of the american urogynecologic society

Journal Article Obstetrics and Gynecology · January 1, 2000 To describe trends in pessary use for pelvic organ prolapse. © 2000 Lippincott Williams & Wilkins, Inc. ... Full text Cite

An anatomic and functional assessment of the discrete defect rectocele repair

Journal Article International Urogynecology Journal · January 1, 2000 Cite

Observed patient compliance with a structured outpatient bladder retraining program.

Journal Article Am J Obstet Gynecol · December 1999 Featured Publication OBJECTIVE: Our purpose was to determine patient compliance with a telephone-based retraining program. STUDY DESIGN: This was a retrospective study of 123 women with urinary urgency or urge incontinence who were offered bladder retraining with facsimile mac ... Full text Link to item Cite

Collagen cross-linking in patients with urinary incontinence.

Journal Article Am J Obstet Gynecol · August 1999 Featured Publication Full text Link to item Cite

An anatomic and functional assessment of the discrete defect rectocele repair.

Journal Article Am J Obstet Gynecol · December 1998 Featured Publication OBJECTIVE: The aim of this study was to describe the anatomic and functional results of the discrete fascial defect rectocele repair. STUDY DESIGN: Sixty-nine women underwent rectocele repair at Duke University Medical Center during a 3-year period beginni ... Full text Link to item Cite

Nonsurgical management of pelvic floor dysfunction.

Journal Article Obstet Gynecol Clin North Am · December 1998 Featured Publication In the 50 years since pelvic muscle exercises were introduced for the nonsurgical management of pelvic floor dysfunction related to parturition, a variety of approaches have been introduced and the scope of indications has grown. This article describes the ... Full text Link to item Cite

Postmenopausal bartholin gland enlargement: a hospital-based cancer risk assessment.

Journal Article Obstet Gynecol · February 1996 Featured Publication OBJECTIVE: To assess the risk of Bartholin gland carcinoma in postmenopausal women. METHODS: A referral patient population from a tertiary care cancer center and a hospital-based regional tumor registry was used in a case-control and retrospective cohort s ... Full text Link to item Cite

Postmenopausal bartholin gland enlargement a hospital-based cancer risk assessment

Journal Article Obstetrics and Gynecology · January 1, 1996 Objective: To assess the risk of Bartholin gland carcinoma in postmenopausal women. Methods: A referral patient population from a tertiary care cancer center and a hospital-based regional tumor registry was used in a case-control and retrospective cohort s ... Full text Cite