Scholars@Duke
John E Jelovsek

John E Jelovsek

F. Bayard Carter Distinguished Professor of Obstetrics and Gynecology
Obstetrics and Gynecology, Urogynecology
1200 Navaho Dr., Raleigh, NC 27609-7443
1200 Navaho Dr., Raleigh, NC 27609-7443

Selected Publications

Surgical retreatment after native-tissue apical prolapse surgery with hysterectomy vs hysteropexy.

Journal Article Am J Obstet Gynecol · March 8, 2025 BACKGROUND: Interest in uterine-sparing procedures has increased due to the potential for lower blood loss and shorter operative time. Surgical efficacy of hysteropexy relative to traditional hysterectomy-based prolapse procedure remains uncertain over the ... Full text Link to item Cite

Validation and Recalibration of a Model for Predicting Surgical-Site Infection After Pelvic Organ Prolapse Surgery.

Journal Article Int Urogynecol J · February 2025 INTRODUCTION AND HYPOTHESIS: The objective was to externally validate and recalibrate a previously developed model for predicting postoperative surgical-site infection (SSI) after pelvic organ prolapse (POP) surgery. METHODS: This study utilized a previous ... Full text Link to item Cite

Correlation of Digital Rectal Examination and Anorectal Manometry with Patient-Reported Outcomes Among Women with Fecal Incontinence.

Journal Article International urogynecology journal · December 2024 Introduction and hypothesisStandardized digital rectal examination (DRE) correlates with anorectal manometry (ARM) measures. However, less is known about the relationship between DRE/ARM measures and patient-reported outcomes (PROs), especially am ... Full text Cite

Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN): An introduction to the Urinary Urgency Phenotyping Protocol LURN II.

Journal Article Neurourology and urodynamics · November 2024 AimsThe Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) is undertaking a new cohort study in LURN II including cases and controls.MethodsThis new cohort was enrolled to specifically study urinary urgency and urgency ur ... Full text Cite

Ectopic Prostatic Tissue in Female Urethral Diverticulum.

Journal Article Obstet Gynecol · August 1, 2024 BACKGROUND: Ectopic prostatic tissue in female patients is rare. It is theorized that the presence of prostatic tissue in female patients is likely a Wolffian remnant or transformation of hormonally mediated tissue of the uterus, cervix, Skene's gland, and ... Full text Link to item Cite

Structural Changes in Brain White Matter Tracts Associated With Overactive Bladder Revealed by Diffusion Tensor Magnetic Resonance Imaging: Findings From a Symptoms of Lower Urinary Tract Dysfunction Research Network Cross-Sectional Case-Control Study.

Journal Article The Journal of urology · August 2024 PurposeOur objective was to investigate structural changes in brain white matter tracts using diffusion tensor imaging (DTI) in patients with overactive bladder (OAB).Materials and methodsTreatment-seeking OAB patients and matched control ... Full text Cite

External Validation of Postpartum Hemorrhage Prediction Models Using Electronic Health Record Data.

Journal Article Am J Perinatol · April 2024 OBJECTIVE: A recent study leveraging machine learning methods found that postpartum hemorrhage (PPH) can be predicted accurately at the time of labor admission in the U.S. Consortium for Safe Labor (CSL) dataset, with a C-statistic as high as 0.93. These C ... Full text Link to item Cite

Translating ethical and quality principles for the effective, safe and fair development, deployment and use of artificial intelligence technologies in healthcare.

Journal Article J Am Med Inform Assoc · February 16, 2024 OBJECTIVE: The complexity and rapid pace of development of algorithmic technologies pose challenges for their regulation and oversight in healthcare settings. We sought to improve our institution's approach to evaluation and governance of algorithmic techn ... Full text Link to item Cite

Longitudinal Fluctuations in Treatment Response After OnabotulinumToxinA and Sacral Neuromodulation for Refractory Urgency Incontinence.

Journal Article J Urol · January 2024 PURPOSE: We compared fluctuations in treatment response after onabotulinumtoxinA and sacral neuromodulation for urgency incontinence using Markov models. MATERIALS AND METHODS: We fit data from a randomized trial to Markov models to compare transitions of ... Full text Link to item Cite

Reply by Authors.

Journal Article The Journal of urology · January 2024 Full text Cite

Postpartum readmission for hypertension and pre-eclampsia: development and validation of a predictive model.

Journal Article BJOG · November 2023 OBJECTIVE: To develop a model for predicting postpartum readmission for hypertension and pre-eclampsia at delivery discharge and assess external validation or model transportability across clinical sites. DESIGN: Prediction model using data available in th ... Full text Link to item Cite

Adherence to Perioperative Behavioral Therapy With Pelvic Floor Muscle Training in Women Receiving Vaginal Reconstructive Surgery for Pelvic Organ Prolapse.

Journal Article Phys Ther · September 1, 2023 OBJECTIVE: The objective of this study was to describe adherence to behavioral and pelvic floor muscle training in women undergoing vaginal reconstructive surgery for organ prolapse and to examine whether adherence was associated with 24-month outcomes. ME ... Full text Link to item Cite

Intraoperative Predictors of Sacral Neuromodulation Implantation and Treatment Response: Results From the ROSETTA Trial.

Journal Article J Urol · August 2023 PURPOSE: We determined the utility of intraoperative data in predicting sacral neuromodulation outcomes in urgency urinary incontinence. MATERIALS AND METHODS: Intraoperative details of sacral neuromodulation stage 1 were recorded during the prospective, r ... Full text Link to item Cite

Reply by Authors.

Journal Article J Urol · August 2023 Full text Link to item Cite

Development and validation of models predicting treatment patterns in women with urinary urgency and/or urgency incontinence: A Symptoms of Lower Urinary Tract Dysfunction Research Network observational cohort study.

Journal Article Neurourol Urodyn · August 2023 PURPOSE: To develop a tool to predict a woman's treatment pattern for bothersome urinary urgency (UU) and/or UU incontinence over 1 year after presenting for care at urology or urogynecology clinics. METHODS: The Symptoms of Lower Urinary Tract Dysfunction ... Full text Link to item Cite

Treatment patterns in women with urinary urgency and/or urgency urinary incontinence in the symptoms of Lower Urinary Tract Dysfunction Research Network Observational Cohort Study.

Journal Article Neurourol Urodyn · January 2023 BACKGROUND: Limited epidemiological data exist describing how patients engage with various treatments for overactive bladder (OAB). To improve care for patients with OAB, it is essential to gain a better understanding of how patients interface with OAB tre ... Full text Open Access Link to item Cite

Natural history of lower urinary tract symptoms in treatment-seeking women with pelvic organ prolapse; the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN).

Journal Article Am J Obstet Gynecol · December 2022 BACKGROUND: The association of pelvic organ prolapse with overactive bladder and other lower urinary tract symptoms, and the natural history of those symptoms are not well characterized. Previous cross-sectional studies demonstrated conflicting relationshi ... Full text Open Access Link to item Cite

Risk of obstetric anal sphincter injuries at the time of admission for delivery: A clinical prediction model.

Journal Article BJOG · November 2022 OBJECTIVE: To develop and validate a model to predict obstetric anal sphincter injuries (OASIS) using only information available at the time of admission for labour. DESIGN: A clinical predictive model using a retrospective cohort. SETTING: A US health sys ... Full text Open Access Link to item Cite

Development and Validation of a Model for Predicting Surgical Site Infection After Pelvic Organ Prolapse Surgery.

Journal Article Urogynecology (Phila) · October 1, 2022 IMPORTANCE: Surgical site infection (SSI) is a common and costly complication. Targeted interventions in high-risk patients may lead to a reduction in SSI; at present, there is no method to consistently identify patients at increased risk of SSI. OBJECTIVE ... Full text Open Access Link to item Cite

A framework for the oversight and local deployment of safe and high-quality prediction models.

Journal Article J Am Med Inform Assoc · August 16, 2022 Artificial intelligence/machine learning models are being rapidly developed and used in clinical practice. However, many models are deployed without a clear understanding of clinical or operational impact and frequently lack monitoring plans that can detec ... Full text Link to item Cite

Quantifying the Added Value of 2 Common Frailty Measures for Predicting Adverse Outcomes After Elective Hysterectomy.

Journal Article Urogynecology (Phila) · August 1, 2022 IMPORTANCE: Although frailty is predictive of adverse outcomes in predominantly male general and orthopedic surgical populations, the utility of American College of Surgeons National Surgical Quality Improvement Program-based frailty measurement for hyster ... Full text Link to item Cite

Trends in Performance of Anti-Incontinence Treatment at the Time of Pelvic Organ Prolapse Repair From 2011 to 2019.

Journal Article Urogynecology (Phila) · August 1, 2022 IMPORTANCE: There are no publications on national trends in performance of concomitant stress urinary incontinence (SUI) treatment with pelvic organ prolapse surgery over the past decade. OBJECTIVES: The objective of this study was to describe trends in th ... Full text Link to item Cite

Development and Validation of a Model for Opioid Prescribing Following Gynecological Surgery.

Journal Article JAMA network open · July 2022 ImportanceOverprescription of opioid medications following surgery is well documented. Current prescribing models have been proposed in narrow patient populations, which limits their generalizability.ObjectiveTo develop and validate a mod ... Full text Open Access Cite

Changes in Performance of Apical Suspension at the Time of Surgery for Prolapse: Assessment of the Influence of the American Urogynecologic Society and American College of Obstetricians and Gynecologists Practice Bulletin.

Journal Article Female Pelvic Med Reconstr Surg · June 1, 2022 OBJECTIVES: To assess the association of publication of the American Urogynecologic Society (AUGS)/American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin on pelvic organ prolapse and performance of an apical suspension at the time of ... Full text Link to item Cite

Frequency and prediction of persistent urinary tract dilation in third trimester and postnatal urinary tract dilation in infants following diagnosis in second trimester.

Journal Article Ultrasound Obstet Gynecol · April 2022 OBJECTIVE: To determine the frequency, associated characteristics and prognostic value of the current risk stratification system for prenatal urinary tract dilation (UTD) for predicting persistent UTD in the third trimester and subsequent postnatal UTD in ... 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

Subtyping of common complex diseases and disorders by integrating heterogeneous data. Identifying clusters among women with lower urinary tract symptoms in the LURN study.

Journal Article PLoS One · 2022 We present a methodology for subtyping of persons with a common clinical symptom complex by integrating heterogeneous continuous and categorical data. We illustrate it by clustering women with lower urinary tract symptoms (LUTS), who represent a heterogene ... 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

Subgroups of failure after surgery for pelvic organ prolapse and associations with quality of life outcomes: a longitudinal cluster analysis.

Conference Am J Obstet Gynecol · November 2021 BACKGROUND: Treatment outcomes after pelvic organ prolapse surgery are often presented as dichotomous "success or failure" based on anatomic and symptom criteria. However, clinical experience suggests that some women with outcome "failures" are asymptomati ... 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

Clinical prediction is at the heart of preventing birth trauma and pelvic floor disorders for individual women.

Journal Article Int Urogynecol J · July 2021 INTRODUCTION AND HYPOTHESIS: The purpose of this article is to understand that the majority of studies investigating the role of risk factors for maternal birth trauma and pelvic floor disorders are designed using causal inferential statistical methods and ... Full text Link to item Cite

Reliability of Symptoms and Dipstick for Postoperative Catheter-Associated Urinary Tract Infections.

Journal Article Female Pelvic Med Reconstr Surg · June 1, 2021 OBJECTIVE: The aim of the study was to determine the diagnostic reliability of patient symptoms and urine dipstick results, including blood, leukocyte esterase, and nitrite, in diagnosing postoperative catheter-associated urinary tract infections (CAUTIs) ... Full text Link to item Cite

Risk factors for postpartum readmission for preeclampsia or hypertension before delivery discharge among low-risk women: a case-control study.

Journal Article Am J Obstet Gynecol MFM · May 2021 BACKGROUND: Postpartum hypertension or preeclampsia is one of the most frequent reasons for readmission after delivery discharge, and risk factors for readmission remain poorly characterized. OBJECTIVE: This study aimed to determine risk factors of postpar ... Full text Link to item Cite

Success and failure are dynamic, recurrent event states after surgical treatment for pelvic organ prolapse.

Journal Article Am J Obstet Gynecol · April 2021 BACKGROUND: The ideal measure of success after surgery for pelvic organ prolapse has long been debated. Historically, strict definitions based on anatomic perfection have dominated the literature. However, the importance of patient-centered perception of o ... Full text Link to item Cite

Comparison of 100 U With 200 U of Intradetrusor OnabotulinumToxinA for Nonneurogenic Urgency Incontinence.

Journal Article Female Pelvic Med Reconstr Surg · March 1, 2021 OBJECTIVES: The objective of this study was to compare efficacy and adverse events between 100 U and 200 U of onabotulinumtoxinA for 6 months in women with nonneurogenic urgency incontinence. METHODS: This is a secondary analysis of 2 multicenter randomize ... Full text Link to item Cite

Prevalence of childhood trauma and its association with lower urinary tract symptoms in women and men in the LURN study.

Conference Neurourol Urodyn · February 2021 AIMS: To describe the association between childhood traumas (death of a family member, severe illness, sexual trauma, parental separation) reported by women and men and lower urinary tract symptoms (LUTS). METHODS: In this secondary analysis of the Lower U ... Full text Link to item Cite

Design of a Study to Measure Patient-Perspectives in Adverse Event Reporting (the PPAR Study): Supplementary Study to the ASPIRe Trial.

Journal Article Female Pelvic Med Reconstr Surg · January 1, 2021 OBJECTIVES: The primary objective of this study is to compare patient versus physician rankings of adverse event (AE) and adverse symptom (AS) severity after pelvic reconstructive surgery. Secondary objectives include to estimate the association between pa ... Full text Link to item Cite

Analysis of antepartum obstetric triage utilization at 24 weeks and beyond

Conference AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY · 2021 Open Access Cite

A prediction model for postpartum readmission for hypertension or preeclampsia

Conference AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY · 2021 Cite

Risk Factors for Surgical Failure and Worsening Pelvic Floor Symptoms Within 5 Years After Vaginal Prolapse Repair.

Journal Article Obstet Gynecol · November 2020 OBJECTIVE: To assess independent risk factors for surgical failure and worsening pelvic floor symptoms within 5 years after vaginal prolapse surgery. METHODS: This secondary analysis includes OPTIMAL (Operations and Pelvic Muscle Training in the Management ... Full text Link to item Cite

Response to Letter.

Journal Article Obstet Gynecol · July 2020 Full text Link to item Cite

Impact of treatment for fecal incontinence on constipation symptoms.

Journal Article Am J Obstet Gynecol · June 2020 OBJECTIVE: Defecatory symptoms, such as a sense of incomplete emptying and straining with bowel movements, are paradoxically present in women with fecal incontinence. Treatments for fecal incontinence, such as loperamide and biofeedback, can worsen or impr ... Full text Open Access Link to item Cite

Machine Learning and Statistical Models to Predict Postpartum Hemorrhage.

Journal Article Obstet Gynecol · April 2020 OBJECTIVE: To predict a woman's risk of postpartum hemorrhage at labor admission using machine learning and statistical models. METHODS: Predictive models were constructed and compared using data from 10 of 12 sites in the U.S. Consortium for Safe Labor St ... Full text Link to item Cite

Association between adjuvant posterior repair and success of native tissue apical suspension.

Journal Article Am J Obstet Gynecol · February 2020 BACKGROUND: Posterior repairs and perineorrhaphies are often performed in prolapse surgery to reduce the size of the genital hiatus. The benefit of an adjuvant posterior repair at the time of sacrospinous ligament fixation or uterosacral ligament suspensio ... Full text Link to item Cite

Reference data on in vitro anatomy and indentation response of tissue layers of musculoskeletal extremities.

Journal Article Sci Data · January 15, 2020 The skin, fat, and muscle of the musculoskeletal system provide essential support and protection to the human body. The interaction between individual layers and their composite structure dictate the body's response during mechanical loading of extremity s ... Full text Open Access Link to item Cite

A New Brief Clinical Assessment of Lower Urinary Tract Symptoms for Women and Men: LURN SI-10.

Journal Article J Urol · January 2020 PURPOSE: Lower urinary tract symptoms are common in men and women. Members of the LURN (Lower Urinary Tract Dysfunction Research Network) sought to create a brief, clinically relevant tool to improve existing measurements of lower urinary tract symptoms in ... Full text Link to item Cite

Characteristics Associated With Clinically Important Treatment Responses in Women Undergoing Nonsurgical Therapy for Fecal Incontinence.

Journal Article Am J Gastroenterol · January 2020 OBJECTIVE: To identify baseline clinical and demographic characteristics associated with clinically important treatment responses in a randomized trial of nonsurgical therapies for fecal incontinence (FI). METHODS: Women (N = 296) with FI were randomized t ... Full text Link to item Cite

256: Machine learning-based prediction models for postpartum hemorrhage

Conference American Journal of Obstetrics and Gynecology · January 2020 Full text Cite

Recruitment and retention: A randomized controlled trial of video-enhanced versus standard consent processes within the E-OPTIMAL study.

Journal Article Clin Trials · October 2019 BACKGROUND/AIMS: In this study, we compared two research consent techniques: a standardized video plus usual consent and usual consent alone. METHODS: Individuals who completed 24-month outcomes (completers) in the Operations and Pelvic Muscle Training in ... Full text Link to item Cite

Tracking-A Flexible Obstetrics and Gynecology Residency Curriculum.

Journal Article Obstet Gynecol · October 2019 Residency programs across the United States are searching for ways to improve surgical skills and operative experiences in obstetrics and gynecology residencies. We developed an obstetrics and gynecology residency program that offers a flexible curriculum, ... 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

Patient Characteristics Associated with More Bother from Lower Urinary Tract Symptoms.

Journal Article J Urol · September 2019 PURPOSE: Some patients continue to have bothersome lower urinary tract symptoms despite treatment. We examined characteristics associated with bother from lower urinary tract symptoms in a prospective cohort. MATERIALS AND METHODS: In this 1-year prospecti ... Full text Link to item Cite

RISK FACTORS FOR WORSENING OUTCOMES 5 YEARS AFTER VAGINAL PROLAPSE REPAIR

Conference INTERNATIONAL UROGYNECOLOGY JOURNAL · September 1, 2019 Link to item Cite

A MODEL TO PREDICT POSTOPERATIVE URINARY RETENTION AFTER UROGYNECOLOGIC SURGERY

Conference INTERNATIONAL UROGYNECOLOGY JOURNAL · September 1, 2019 Link to item Cite

A new outcome measure for LUTS: Symptoms of Lower Urinary Tract Dysfunction Research Network Symptom Index-29 (LURN SI-29) questionnaire.

Journal Article Neurourol Urodyn · August 2019 AIMS: To develop a representative, self-report assessment of lower urinary tract symptoms (LUTS) for men and women, the symptoms of Lower Urinary Tract Dysfunction Research Network Symptom Index-29 (LURN SI-29). METHODS: Women and men seeking treatment for ... Full text Link to item Cite

Gaining the Patient Perspective on Pelvic Floor Disorders' Surgical Adverse Events

Journal Article Obstetrical and Gynecological Survey · June 1, 2019 Full text Cite

Are prediction models for vaginal birth after cesarean accurate?

Journal Article Am J Obstet Gynecol · May 2019 BACKGROUND: The use of trial of labor after cesarean delivery calculators in the prediction of successful vaginal birth after cesarean delivery gives physicians an evidence-based tool to assist with patient counseling and risk stratification. Before deploy ... Full text Open Access Link to item Cite

Validation of a Model Predicting De Novo Stress Urinary Incontinence in Women Undergoing Pelvic Organ Prolapse Surgery.

Journal Article Obstet Gynecol · April 2019 OBJECTIVE: To validate a previously developed prediction model for de novo stress urinary incontinence (SUI) after undergoing vaginal surgery for pelvic organ prolapse (POP). METHODS: Model performance was determined using a cohort of women who participate ... Full text Open Access Link to item Cite

03: Posterior repair does not affect the success of transvaginal repair of apical prolapse

Conference American Journal of Obstetrics and Gynecology · March 2019 Full text Cite

Gaining the patient perspective on pelvic floor disorders' surgical adverse events.

Journal Article Am J Obstet Gynecol · February 2019 BACKGROUND: The Institute for Healthcare Improvement defines an adverse event as an unintended physical injury resulting from or contributed to by medical care that requires additional monitoring, treatment, or hospitalization or that results in death. The ... Full text Link to item Cite

Instrumentation of off-the-shelf ultrasound system for measurement of probe forces during freehand imaging.

Journal Article J Biomech · January 23, 2019 Ultrasound is a popular and affordable imaging modality, but the nature of freehand ultrasound operation leads to unknown applied loads at non-quantifiable angles. The purpose of this paper was to demonstrate an instrumentation strategy for an ultrasound s ... Full text Link to item Cite

Relationship Between Central Obesity, General Obesity, Overactive Bladder Syndrome and Urinary Incontinence Among Male and Female Patients Seeking Care for Their Lower Urinary Tract Symptoms.

Journal Article Urology · January 2019 OBJECTIVES: To describe the relationship between metabolic factors and lower urinary tract symptoms, overactive bladder syndrome (OAB) and urinary incontinence (UI). METHODS: Adult male and female patients who presented to a clinician from the symptoms of ... Full text Link to item Cite

The impact of surgeon volume on perioperative adverse events in women undergoing minimally invasive hysterectomy for the large uterus.

Conference Am J Obstet Gynecol · November 2018 BACKGROUND: There are currently sparse data on the relationship between surgeon- and patient-related factors and perioperative morbidity in the setting of elective hysterectomy for the larger uterus. OBJECTIVE: We sought to evaluate the impact of surgeon c ... Full text Link to item Cite

Predicting non-home discharge in epithelial ovarian cancer patients: External validation of a predictive model.

Journal Article Gynecol Oncol · October 2018 OBJECTIVE: To externally validate a model predicting non-home discharge in women undergoing primary cytoreductive surgery (CRS) for epithelial ovarian cancer (EOC). METHODS: Women undergoing primary CRS via laparotomy for EOC at three tertiary medical cent ... Full text Open Access Link to item Cite

Reference data on thickness and mechanics of tissue layers and anthropometry of musculoskeletal extremities.

Journal Article Sci Data · September 25, 2018 Musculoskeletal extremities exhibit a multi-layer tissue structure that is composed of skin, fat, and muscle. Body composition and anthropometric measurements have been used to assess health status and build anatomically accurate biomechanical models of th ... Full text Open Access Link to item Cite

A model to predict risk of postpartum infection after Caesarean delivery.

Journal Article J Matern Fetal Neonatal Med · September 2018 PURPOSE: The purpose of this study is to build and validate a statistical model to predict infection after caesarean delivery (CD). METHODS: Patient and surgical variables within 30 d of CD were collected on 2419 women. Postpartum infection included surgic ... Full text Open Access Link to item Cite

Open sacrocolpopexy and vaginal apical repair: retrospective comparison of success and serious complications.

Journal Article Int Urogynecol J · August 2018 INTRODUCTION AND HYPOTHESIS: We compared treatment success and adverse events between women undergoing open abdominal sacrocolpopexy (ASC) vs vaginal repair (VAR) using data from women enrolled in one of three multicenter trials. We hypothesized that ASC w ... Full text Link to item Cite

Models for Predicting Recurrence, Complications, and Health Status in Women After Pelvic Organ Prolapse Surgery.

Journal Article Obstet Gynecol · August 2018 OBJECTIVE: To develop statistical models predicting recurrent pelvic organ prolapse, surgical complications, and change in health status 12 months after apical prolapse surgery. METHODS: Logistic regression models were developed using a combined cohort fro ... Full text Open Access Link to item Cite

Surgical outcomes after apical repair for vault compared with uterovaginal prolapse

Journal Article Obstetrical and Gynecological Survey · June 1, 2018 The incidence of posthysterectomy prolapse ranges from 6% to 8%. Many surgeons treat posthysterectomy or vault prolapse differently than uterovaginal prolapse in women planning to undergo surgery for apical pelvic organ prolapse (POP), because they believe ... Full text Cite

Effect of Uterosacral Ligament Suspension vs Sacrospinous Ligament Fixation With or Without Perioperative Behavioral Therapy for Pelvic Organ Vaginal Prolapse on Surgical Outcomes and Prolapse Symptoms at 5 Years in the OPTIMAL Randomized Clinical Trial.

Journal Article JAMA · April 2018 ImportanceUterosacral ligament suspension (ULS) and sacrospinous ligament fixation (SSLF) are commonly performed pelvic organ prolapse procedures despite a lack of long-term efficacy data.ObjectiveTo compare outcomes in women randomized t ... Full text Open Access Cite

Surgical Outcomes After Apical Repair for Vault Compared With Uterovaginal Prolapse.

Journal Article Obstet Gynecol · March 2018 OBJECTIVE: To retrospectively compare surgical success and complications between vaginal vault prolapse compared with uterovaginal prolapse in women who underwent apical prolapse repair for stage II-IV prolapse. METHODS: Women in one of three Pelvic Floor ... Full text Link to item Cite

Robotic surgery

Chapter · February 15, 2018 Full text Cite

Metabolites and microbial composition of stool of women with fecal incontinence: Study design and methods.

Journal Article Neurourol Urodyn · February 2018 AIMS: This paper aims to report the rationale, design, and the specific methodology of an ongoing nested observational study that will determine the association of the metabolite and microbial composition of stool with fecal incontinence (FI). METHODS: Eli ... Full text Link to item Cite

Predicting risk of pelvic floor disorders 12 and 20 years after delivery.

Journal Article Am J Obstet Gynecol · February 2018 BACKGROUND: Little progress has been made in the prevention of pelvic floor disorders, despite their significant health and economic impact. The identification of women who are at risk remains a key element in targeting prevention and planning health resou ... Full text Open Access Link to item Cite

58: Prediction model for conversion of minimally invasive hysterectomy to laparotomy for large uteri

Conference American Journal of Obstetrics and Gynecology · February 2018 Full text Cite

Incorporating simulation into gynecologic surgical training.

Journal Article Am J Obstet Gynecol · November 2017 Today's educational environment has made it more difficult to rely on the Halstedian model of "see one, do one, teach one" in gynecologic surgical training. There is decreased surgical volume, but an increased number of surgical modalities. Fortunately, su ... Full text Open Access 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

Characteristics Associated with Treatment Response and Satisfaction in Women Undergoing OnabotulinumtoxinA and Sacral Neuromodulation for Refractory Urgency Urinary Incontinence.

Journal Article The Journal of urology · October 2017 PurposeWe sought to identify clinical and demographic characteristics associated with treatment response and satisfaction in women undergoing onabotulinumtoxinA and sacral neuromodulation therapies.Materials and methodsWe analyzed data fr ... Full text Open Access Cite

Surgical Pain After Transobturator and Retropubic Midurethral Sling Placement

Journal Article Obstetrical and Gynecological Survey · October 1, 2017 Full text Cite

Automated problem list generation and physicians perspective from a pilot study.

Journal Article Int J Med Inform · September 2017 OBJECTIVE: An accurate, comprehensive and up-to-date problem list can help clinicians provide patient-centered care. Unfortunately, problem lists created and maintained in electronic health records by providers tend to be inaccurate, duplicative and out of ... Full text Open Access Link to item Cite

Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women With Pelvic Floor Disorders.

Journal Article Female Pelvic Med Reconstr Surg · July 20, 2017 PURPOSE: To establish validity for the Pelvic Floor Disorders Network (PFDN) self-administered Adaptive Behavior Index (ABI) and to assess whether ABI assesses known discordance between severity of pelvic floor symptoms and self-reported bother. METHODS: I ... Full text Link to item Cite

Surgical Pain After Transobturator and Retropubic Midurethral Sling Placement.

Conference Obstet Gynecol · July 2017 OBJECTIVE: To compare prevalence and severity of any surgical pain between transobturator and retropubic slings; secondary aims were to compare pain at anatomic locations, pain medication use, and pain resolution between transobturator and retropubic sling ... Full text Open Access Link to item Cite

A model to predict risk of blood transfusion after gynecologic surgery.

Journal Article Am J Obstet Gynecol · May 2017 BACKGROUND: A model that predicts a patient's risk of receiving a blood transfusion may facilitate selective preoperative testing and more efficient perioperative blood management utilization. OBJECTIVE: We sought to construct and validate a model that pre ... Full text Open Access Link to item Cite

Irritable Bowel Syndrome and Quality of Life in Women With Fecal Incontinence.

Journal Article Female Pelvic Med Reconstr Surg · 2017 OBJECTIVES: The objectives of this work were to determine the prevalence of irritable bowel syndrome (IBS) and IBS subtypes in women presenting for fecal incontinence (FI) treatment and to assess the impact of IBS on FI symptoms and quality of life (QOL). ... Full text Open Access Link to item Cite

Long-Term Effectiveness of Uterosacral Colpopexy and Minimally Invasive Sacral Colpopexy for Treatment of Pelvic Organ Prolapse.

Journal Article Female Pelvic Med Reconstr Surg · 2017 OBJECTIVES: The objective of this study was to estimate rates of recurrent pelvic organ prolapse (POP) 6 years after patients underwent transvaginal uterosacral colpopexy, or laparoscopic or robotic sacral colpopexy at a large tertiary care center. We hypo ... Full text Open Access Link to item Cite

Improving biofeedback for the treatment of fecal incontinence in women: implementation of a standardized multi-site manometric biofeedback protocol.

Journal Article Neurogastroenterol Motil · January 2017 BACKGROUND: Standardized training and clinical protocols using biofeedback for the treatment of fecal incontinence (FI) are important for clinical care. Our primary aims were to develop, implement, and evaluate adherence to a standardized protocol for mano ... Full text Open Access Link to item Cite

Methods for a multicenter randomized trial for mixed urinary incontinence: rationale and patient-centeredness of the ESTEEM trial.

Journal Article Int Urogynecol J · October 2016 INTRODUCTION AND HYPOTHESIS: Mixed urinary incontinence (MUI) can be a challenging condition to manage. We describe the protocol design and rationale for the Effects of Surgical Treatment Enhanced with Exercise for Mixed Urinary Incontinence (ESTEEM) trial ... Full text Open Access Link to item Cite

The effect of major depression on quality of life after surgery for stress urinary incontinence: a secondary analysis of the Trial of Midurethral Slings.

Conference Am J Obstet Gynecol · October 2016 BACKGROUND: Depression has been associated with symptom amplification, functional impairment, and lower incontinence-specific quality of life in women with urinary incontinence. Although depression has been shown to impact both subjective and objective out ... Full text Link to item Cite

Predicting urinary incontinence after surgery for pelvic organ prolapse.

Journal Article Curr Opin Obstet Gynecol · October 2016 PURPOSE OF REVIEW: Many women choosing to have surgery for pelvic organ prolapse also choose to undergo continence surgery. This review focuses on available evidence that clinicians may use to counsel patients when choosing whether to perform continence su ... Full text Open Access Link to item Cite

Assessing ureteral patency using 10% dextrose cystoscopy fluid: evaluation of urinary tract infection rates.

Journal Article Am J Obstet Gynecol · July 2016 BACKGROUND: Intravenous indigo carmine has routinely been used to confirm ureteral patency after urogynecologic surgery. Recent discontinuation of the dye has altered clinical practice. In the absence of indigo carmine, we have used 10% dextrose in sterile ... Full text Open Access Link to item Cite

A WATSON GENERATED PROBLEM LIST: RESTORING ORDER TO THE EMR ENTROPY?

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · May 1, 2016 Link to item Cite

Predicting Risk of Urinary Incontinence and Adverse Events After Midurethral Sling Surgery in Women.

Journal Article Obstet Gynecol · February 2016 OBJECTIVE: To construct and validate models that predict a patient's risk of developing stress and urgency urinary incontinence and adverse events 12 months after sling surgery. METHODS: This was a secondary analysis of four randomized trials. Twenty-five ... Full text Open Access 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

Assessment of Long-Term Bowel Symptoms After Segmental Resection of Deeply Infiltrating Endometriosis: A Matched Cohort Study.

Journal Article J Minim Invasive Gynecol · 2016 STUDY OBJECTIVE: To assess long-term bowel symptoms in women who underwent segmental bowel resection for deep-infiltrating endometriosis (DIE) compared with women who underwent resection of severe endometriosis without bowel resection. DESIGN: Cohort study ... Full text Open Access 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

Incidence of adverse events after uterosacral colpopexy for uterovaginal and posthysterectomy vault prolapse.

Journal Article Am J Obstet Gynecol · May 2015 OBJECTIVE: We sought to describe perioperative and postoperative adverse events associated with uterosacral colpopexy, to describe the rate of recurrent pelvic organ prolapse (POP) associated with uterosacral colpopexy, and to determine whether surgeon tec ... Full text Open Access Link to item Cite

Assessment of voiding after sling: a randomized trial of 2 methods of postoperative catheter management after midurethral sling surgery for stress urinary incontinence in women.

Conference Am J Obstet Gynecol · May 2015 OBJECTIVE: The objective of this study was to compare the backfill standard voiding trial (SVT) that relies on the assessment of voided volume to subjective patients' evaluation of their voiding based on the assessment of the force of stream (FOS) after an ... Full text Link to item Cite

Symptom improvement in women after fecal incontinence treatments: a multicenter cohort study of the pelvic floor disorders network.

Journal Article Female Pelvic Med Reconstr Surg · 2015 OBJECTIVES: The study aims were to characterize women with fecal incontinence (FI) and measure changes in FI severity and quality of life 3 and 12 months after treatment. METHODS: This study is a secondary analysis of a multicenter study measuring adaptive ... Full text Link to item Cite

Incidence and Predictors of Anal Incontinence After Obstetric Anal Sphincter Injury in Primiparous Women.

Journal Article Female Pelvic Med Reconstr Surg · 2015 OBJECTIVE: This study aimed to describe the incidence of fecal incontinence (FI) at 6, 12, and 24 weeks postpartum; anal incontinence (AI) and fecal urgency at 24 weeks; and identify predictors of AI in women with obstetric anal sphincter injury (OASI). ME ... Full text Link to item Cite

Removing a misplaced retropubic midurethral sling from the urethra and bladder neck using ear, nose, and throat instruments.

Conference Obstet Gynecol · January 2015 BACKGROUND: The retropubic tension-free vaginal tape (TVT) procedure is a common procedure with complications attributed to voiding dysfunction, bladder perforation, and bleeding. We present a case of successful removal of a retropubic midurethral sling fr ... Full text Link to item Cite

Perioperative adverse events after minimally invasive abdominal sacrocolpopexy.

Conference Am J Obstet Gynecol · November 2014 OBJECTIVE: Our first objective was to compare peri- and postoperative adverse events between robotic-assisted laparoscopic sacrocolpopexy (RSC) and conventional laparoscopic sacrocolpopexy (LSC) in a cohort of women who underwent these procedures at a tert ... Full text Link to item Cite

Assessing intraoperative judgment using script concordance testing through the gynecology continuum of practice.

Journal Article Med Teach · August 2014 OBJECTIVE: To measure surgical judgment across the Obstetrics and Gynecology (OBGYN) continuum of practice and identify factors that correlate with improved surgical judgment. METHODS: A 45-item written examination was developed using script concordance th ... Full text Open Access Link to item Cite

Ureterovaginal fistula: a case series.

Journal Article Int Urogynecol J · May 2014 INTRODUCTION AND HYPOTHESIS: We describe the presentation, diagnosis, and management of ureterovaginal fistula over a 7-year period at a tertiary care center. METHODS: A retrospective review of ureterovaginal fistula cases between 2003 and 2011 was perform ... Full text Link to item Cite

Fecal incontinence: the role of the urologist.

Journal Article Curr Urol Rep · March 2014 Fecal incontinence is the involuntary loss of solid or liquid stool. While the true prevalence of fecal incontinence is difficult to discern, it is estimated that almost 9 % of non-institutionalized women in the US experience this condition. Disorders lead ... Full text Link to item Cite

A model for predicting the risk of de novo stress urinary incontinence in women undergoing pelvic organ prolapse surgery.

Journal Article Obstet Gynecol · February 2014 OBJECTIVE: To construct and validate a prediction model for estimating the risk of de novo stress urinary incontinence (SUI) after vaginal pelvic organ prolapse (POP) surgery and compare it with predictions using preoperative urinary stress testing and exp ... Full text Open Access Link to item Cite

Minimum important differences for scales assessing symptom severity and quality of life in patients with fecal incontinence.

Journal Article Female Pelvic Med Reconstr Surg · 2014 OBJECTIVES: The objective of this study was to estimate the minimum important difference (MID) for the Fecal Incontinence Severity Index (FISI), the Colorectal-Anal Distress Inventory (CRADI) scale of the Pelvic Floor Distress Inventory, the Colorectal-Ana ... Full text Open Access Link to item 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

Development and validation of a laparoscopic sacrocolpopexy simulation model for surgical training.

Journal Article J Minim Invasive Gynecol · 2014 STUDY OBJECTIVE: To develop a valid laparoscopic sacrocolpopexy simulation model for use as an assessment and learning tool for performing this procedure. DESIGN: Simulation study (Canadian Task Force classification II-2). SETTING: Two tertiary academic ce ... Full text Link to item Cite

Reply: To PMID 23395927.

Journal Article Am J Obstet Gynecol · December 2013 Full text Link to item Cite

Reply.

Journal Article American journal of obstetrics and gynecology · December 1, 2013 Cite

Tools for the direct observation and assessment of psychomotor skills in medical trainees: a systematic review.

Journal Article Med Educ · July 2013 CONTEXT: The Accreditation Council for Graduate Medical Education (ACGME) Milestone Project mandates programmes to assess the attainment of training outcomes, including the psychomotor (surgical or procedural) skills of medical trainees. The objectives of ... Full text Link to item Cite

Adherence to behavioral interventions for stress incontinence: rates, barriers, and predictors.

Journal Article Phys Ther · June 2013 BACKGROUND: First-line conservative treatment for stress urinary incontinence (SUI) in women is behavioral intervention, including pelvic-floor muscle (PFM) exercise and bladder control strategies. OBJECTIVE: The purposes of this study were: (1) to describ ... Full text Link to item Cite

A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy.

Journal Article Am J Obstet Gynecol · May 2013 OBJECTIVE: The purpose of this study was to compare operative time and intra- and postoperative complications between total laparoscopic hysterectomy and robotic-assisted total laparoscopic hysterectomy. STUDY DESIGN: This study was a blinded, prospective ... Full text Link to item Cite

Development and validation of a ureteral anastomosis simulation model for surgical training.

Journal Article Female Pelvic Med Reconstr Surg · 2013 OBJECTIVE: To develop and validate a new ureteral anastomosis simulation model. METHODS: We designed a training model to simulate the task of ureteral anastomosis required for ureteroneocystostomy that is suitable for robotic and laparoscopic approaches. F ... Full text Link to item Cite

Prediction models for postpartum urinary and fecal incontinence in primiparous women.

Journal Article Female Pelvic Med Reconstr Surg · 2013 OBJECTIVES: This study aimed to develop and internally validate a nomogram that facilitates decision making between patient and physician by predicting a woman's individual probability of developing urinary (UI) or fecal incontinence (FI) after her first d ... Full text Open Access Link to item Cite

Attitudes toward hysterectomy in women undergoing evaluation for uterovaginal prolapse.

Journal Article Female Pelvic Med Reconstr Surg · 2013 OBJECTIVES: To investigate attitudes toward hysterectomy in women seeking care for pelvic organ prolapse. METHODS: Two hundred twenty women referred for evaluation of prolapse without evidence of previous hysterectomy were surveyed with the Pelvic Organ Pr ... Full text Link to item Cite

Accuracy of the digital anal examination in women with fecal incontinence.

Journal Article Int Urogynecol J · June 2012 INTRODUCTION AND HYPOTHESIS: This study aims to determine the accuracy of digital rectal examination (DRE) to detect anal sphincter defects when compared to endoanal ultrasound (US) in women with fecal incontinence (FI). METHODS: Seventy-four patients iden ... 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 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

Bladder pain syndrome/interstitial cystitis in twin sisters.

Journal Article J Urol · January 2012 PURPOSE: We determined the genetic contribution of and associated factors for bladder pain syndrome using an identical twin model. MATERIALS AND METHODS: Multiple questionnaires were administered to adult identical twin sister pairs. The O'Leary-Sant Inter ... Full text Link to item Cite

Nomogram to predict successful placement in surgical subspecialty fellowships using applicant characteristics.

Journal Article J Surg Educ · 2012 PURPOSE: The purpose of the study was to develop a model that predicts an individual applicant's probability of successful placement into a surgical subspecialty fellowship program. METHODS: Candidates who applied to surgical fellowships during a 3-year pe ... Full text Link to item Cite

Reply

Journal Article American Journal of Obstetrics and Gynecology · January 1, 2012 Full text Cite

Laparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial.

Journal Article Obstet Gynecol · November 2011 OBJECTIVE: To compare conventional laparoscopic and robotic-assisted laparoscopic sacrocolpopexy for vaginal apex prolapse. METHODS: This single-center, blinded randomized trial included participants with stage 2-4 posthysterectomy vaginal prolapse. Partic ... Full text Open Access Link to item Cite

Perioperative gastrointestinal complications after abdominal and intraperitoneal vaginal surgery for pelvic organ prolapse

Journal Article Journal of Gynecologic Surgery · September 1, 2011 Objective: The purpose of this study was to compare the incidence of perioperative gastrointestinal complications following sacral colpopexy and vaginal vault suspension for pelvic organ prolapse. Design: This is a retrospective study of patients who exper ... Full text Cite

Lower abdominal and pelvic pain with advanced pelvic organ prolapse: a case-control study.

Conference Am J Obstet Gynecol · June 2011 OBJECTIVE: The objective of the study was to compare the relative frequencies of pain in women with and without pelvic organ prolapse (POP). STUDY DESIGN: This was an ancillary analysis of a case-control study investigating functional bowel disorders in wo ... Full text Link to item Cite

Assessment of intraoperative judgment during gynecologic surgery using the Script Concordance Test.

Conference Am J Obstet Gynecol · September 2010 OBJECTIVE: We sought to develop a valid, reliable assessment of intraoperative judgment by residents during gynecologic surgery based on Script Concordance Theory. STUDY DESIGN: This was a multicenter prospective study involving 5 obstetrics and gynecology ... Full text Link to item Cite

Objective assessment of vaginal surgical skills.

Journal Article Am J Obstet Gynecol · July 2010 OBJECTIVE: To develop and validate an instrument to assess surgical skills during vaginal surgery. STUDY DESIGN: Trainees from 2 institutions were directly assessed in the operating room by supervising surgeons while performing a vaginal hysterectomy using ... Full text Open Access Link to item Cite

Establishing cutoff scores on assessments of surgical skills to determine surgical competence.

Journal Article Am J Obstet Gynecol · July 2010 OBJECTIVE: The aim of this study was to establish minimum cutoff scores on intraoperative assessments of surgical skills to determine surgical competence for vaginal hysterectomy. STUDY DESIGN: Two surgical rating scales, the Global Rating Scale of Operati ... Full text Open Access Link to item Cite

Functional bowel disorders and pelvic organ prolapse: a case-control study.

Journal Article Female Pelvic Med Reconstr Surg · July 2010 OBJECTIVES: : To compare the relative frequencies of constipation and other functional bowel disorders between patients with and without pelvic organ prolapse (POP). METHODS: : This was a case-control study design. Cases were patients with stage 3-4 POP pr ... Full text Open Access Link to item Cite

Measuring surgical trainee perceptions to assess the operating room educational environment.

Journal Article J Surg Educ · 2010 OBJECTIVE: To determine measurable differences in the perception of learning between junior and senior residents in the operating rooms of an obstetrics and gynecology (OBGYN) residency program. DESIGN, SETTING, AND PARTICIPANTS: Using a cross-sectional de ... Full text Open Access Link to item Cite

Accuracy of endometrial thickness in detecting benign endometrial pathology in postmenopausal women.

Journal Article Menopause · 2010 OBJECTIVE: The aim of this study was to determine whether an endometrial thickness less than 5 mm on transvaginal ultrasound (TVUS) is sufficient to exclude benign endometrial lesions in postmenopausal women with bleeding and to determine a cutoff value be ... Full text Link to item Cite

Assessing vaginal surgical skills using video motion analysis.

Conference Obstet Gynecol · August 2009 OBJECTIVE: To demonstrate the feasibility of using video motion analysis to quantitate a key step of vaginal hysterectomy and define measurable differences between novice and experienced surgical trainees during vaginal hysterectomy. METHODS: Analyses focu ... 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

Complication and reoperation rates after apical vaginal prolapse surgical repair: a systematic review.

Journal Article Obstet Gynecol · February 2009 OBJECTIVE: To compare postoperative complication and reoperation rates for surgical procedures correcting apical vaginal prolapse. DATA SOURCES: Eligible studies were selected through an electronic literature search covering January 1985 to January 2008 us ... Full text Link to item Cite

Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review.

Journal Article BJOG · January 2009 BACKGROUND: Vaginal mesh kits are being used to surgically treat apical vaginal prolapse; however, their safety and efficacy are currently unknown. OBJECTIVES: To summarise success and complication rates for commonly used vaginal mesh kits in the treatment ... Full text Link to item Cite

Early experience with mesh excision for adverse outcomes after transvaginal mesh placement using prolapse kits.

Conference Am J Obstet Gynecol · December 2008 OBJECTIVE: The purpose of this study was to determine the complications, treatments, and outcomes in patients choosing to undergo removal of mesh previously placed with a mesh procedural kit. STUDY DESIGN: This was a retrospective review of all patients wh ... Full text Link to item Cite

Incidence and risk factors for surgical intervention after uterine artery embolization.

Conference Am J Obstet Gynecol · December 2008 OBJECTIVE: To determine the incidence and risk factors for surgical intervention after uterine artery embolization for symptomatic uterine fibroids. STUDY DESIGN: Electronic medical records of all patients who underwent uterine artery embolization for symp ... Full text Link to item Cite

First-trimester and second-trimester screening at a community hospital: experience from the first year of implementation.

Conference Obstet Gynecol · August 2008 OBJECTIVE: To review the first-year experience implementing a new early screening during pregnancy program for aneuploidy in a community hospital and compare this program with the screening program immediately preceding its implementation. METHODS: The ele ... Full text Link to item Cite

Seven years after laparoscopic radical nephrectomy: oncologic and renal functional outcomes.

Journal Article Urology · June 2008 OBJECTIVES: To compare the long-term oncologic and renal function outcomes in patients undergoing laparoscopic (LRN) versus open radical nephrectomy (ORN). METHODS: The medical records of 116 patients undergoing radical nephrectomy for pathologically confi ... Full text Link to item Cite

Psychosocial impact of chronic vulvovagina conditions.

Journal Article J Reprod Med · February 2008 OBJECTIVE: To describe the degree of psychosocial impairment resulting from chronic vulvovaginal disorders (VVDs). STUDY DESIGN: Seventy-five consecutive women suffering from a chronic VVD were recruited and classified using current International Society f ... Link to item Cite

Randomised trial of laparoscopic Burch colposuspension versus tension-free vaginal tape: long-term follow up.

Journal Article BJOG · January 2008 OBJECTIVE: To compare the long-term efficacy of laparoscopic Burch colposuspension with tension-free vaginal tape (TVT) for the treatment of urodynamic stress urinary incontinence (SUI). DESIGN: Long-term follow up from a prospective randomised trial. SETT ... Full text Link to item Cite

Anatomic relationships of the tension-free vaginal mesh trocars.

Journal Article Am J Obstet Gynecol · December 2007 OBJECTIVE: The objective of the study was to describe the distances between the major anatomic structures to the path of the tension-free vaginal mesh (TVM) trocars. STUDY DESIGN: Four anterior transobturator and 2 posterior ischiorectal TVM trocars were i ... Full text Link to item Cite

Complications of laparoscopic surgery for urological cancer: a single institution analysis.

Journal Article J Urol · September 2007 PURPOSE: We determined the incidence of and risk factors for perioperative complications associated with laparoscopic oncological surgery for urological malignancy. MATERIALS AND METHODS: All records of patients undergoing laparoscopic surgery for urologic ... Full text Link to item Cite

De novo rectal prolapse after obliterative and reconstructive vaginal surgery for urogenital prolapse.

Conference Am J Obstet Gynecol · July 2007 OBJECTIVE: The purpose of this study was to compare the incidence of de novo rectal prolapse after obliterative vaginal surgery with the incidence that was seen after reconstructive vaginal surgery for urogenital prolapse. STUDY DESIGN: A chart review was ... Full text Link to item Cite

Bowel symptoms 1 year after surgery for prolapse: further analysis of a randomized trial of rectocele repair.

Journal Article Am J Obstet Gynecol · July 2007 OBJECTIVE: The purpose of this study was to analyze change in bowel function and its relationship to vaginal anatomy 1 year after rectocele repair and pelvic reconstruction in a randomized trial of 3 techniques of rectocele repair. STUDY DESIGN: The study ... Full text Link to item Cite

Pelvic organ prolapse.

Journal Article Lancet · March 24, 2007 Pelvic organ prolapse is downward descent of female pelvic organs, including the bladder, uterus or post-hysterectomy vaginal cuff, and the small or large bowel, resulting in protrusion of the vagina, uterus, or both. Prolapse development is multifactorial ... Full text Link to item Cite

Incidence of lower urinary tract injury at the time of total laparoscopic hysterectomy.

Journal Article JSLS · 2007 OBJECTIVES: To determine the incidence of and risk factors for injury to the lower urinary tract during total laparoscopic hysterectomy. METHODS: All patients who underwent total laparoscopic hysterectomy for benign disease from January 1, 2002 to December ... Open Access Link to item Cite

Complications in laparoscopic surgery for urological cancer

Conference JOURNAL OF ENDOUROLOGY · August 1, 2006 Link to item Cite

Accuracy of the 7-8-9 Rule for endotracheal tube placement in the neonate.

Journal Article J Perinatol · June 2006 OBJECTIVE: To determine accuracy of the 7-8-9 Rule in a cohort of neonates. STUDY DESIGN: This study was cross-sectional in design. Seventy-five consecutive neonates who required oral intubation from June 2004 to November 2004 for cardiopulmonary failure, ... Full text Link to item Cite

The incidence of ureteral obstruction and the value of intraoperative cystoscopy during vaginal surgery for pelvic organ prolapse.

Journal Article Am J Obstet Gynecol · May 2006 OBJECTIVE: The objective of the study was to determine the incidence of ureteral obstruction during vaginal surgery for pelvic organ prolapse and the accuracy and efficacy of intraoperative cystoscopy. STUDY DESIGN: The study was a retrospective review of ... Full text Link to item Cite

Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life.

Journal Article Am J Obstet Gynecol · May 2006 OBJECTIVE: Women who seek treatment for pelvic organ prolapse strive for an improvement in quality of life. Body image has been shown to be an important component of differences in quality of life. To date, there are no data on body image in patients with ... Full text Link to item Cite

Psychosocial Impact of Chronic Vulvovaginal Disorders

Conference Obstetrics & Gynecology · April 2006 Full text Cite

Constipation

Chapter · January 1, 2006 Full text Cite

Functional bowel and anorectal disorders in patients with pelvic organ prolapse and incontinence.

Journal Article Am J Obstet Gynecol · December 2005 OBJECTIVE: The purpose of this study was 1) to determine the prevalence of functional bowel and anorectal disorders as defined by the Rome II criteria in patients with advanced pelvic organ prolapse (POP) and urinary incontinence (UI), and (2) to determine ... Full text Link to item Cite

Anatomic relationships of infracoccygeal sacropexy (posterior intravaginal slingplasty) trocar insertion.

Journal Article Am J Obstet Gynecol · December 2005 OBJECTIVE: The purpose of this study was to describe the distances of the major bony, vascular, neurologic, and visceral structures to the path of the infracoccygeal sacropexy trocar and to determine the point of trocar entry into the vagina. STUDY DESIGN: ... Full text Link to item Cite

Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery.

Journal Article Am J Obstet Gynecol · May 2005 OBJECTIVES: The purpose of this study was to describe the time to adequate voiding, incidence of urinary retention, and predictors of voiding efficiency and urinary retention after tension-free vaginal tape (TVT) with and without concurrent prolapse surger ... Full text Link to item Cite

Endometriosis of the liver containing mullerian adenosarcoma: case report.

Journal Article Am J Obstet Gynecol · November 2004 We present a case of a liver endometrioma in a postmenopausal woman. After failed management with leuprolide acetate, the mass was resected and contained focal areas of mullerian adenosarcoma. This is a rare case of mullerian adenosarcoma that appeared to ... Full text Open Access Link to item Cite