International Urogynecology Journal最新文献

{"title":"Motor Factors Associated with Psychosocial Aspects in Women with Deep Endometriosis.","authors":"Germana Mesquita Magalhães, Mario Vinícyus Santos Alves, Emilie Ferreira Braga, Isabella Alves Ramos, Maria Júlia Almeida Mapurunga Evaristo de Paiva, Mairton de Figueiredo Hortêncio, Pedro Olavo de Paula Lima, Simony Lira Nascimento, Leonardo Robson Pinheiro Sobreira Bezerra","doi":"10.1007/s00192-026-06919-7","DOIUrl":"https://doi.org/10.1007/s00192-026-06919-7","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Deep endometriosis (DE) may be associated with chronic pelvic pain, pelvic floor dysfunction, sexual dysfunction, psychological distress, and impaired quality of life, though relationships remain poorly characterized. We investigated associations between pelvic floor and lumbopelvic musculoskeletal impairments and psychosocial outcomes in women with DE.</p><p><strong>Methods: </strong>This cross-sectional study included women aged 18-45 years with DE. Questionnaires assessed quality of life (SF-12), depression (BDI), sexual function (FSFI), kinesiophobia (TSK), and disability (Roland-Morris). Musculoskeletal assessments included vaginal palpation, pain intensity, pressure pain threshold (PPT), flexibility, and functionality. Associations were assessed using Spearman's rho (p < 0.05).</p><p><strong>Results: </strong>Increased resting pelvic floor muscle tone was observed in 51.1% of participants and myofascial trigger points in 75.6%, more on the left side (71.1%); only 26.7% achieved complete relaxation. PPT was reduced across all muscles, and range of motion was reduced particularly in the hamstrings and iliopsoas. Mean SF-12 scores were 43.92 ± 9.0 (physical) and 54.58 ± 13.61 (mental); 98% had severe depressive symptoms (BDI); mean FSFI score was 24.2 ± 5.6, below the cutoff for sexual dysfunction; kinesiophobia and disability scores were elevated. Higher hypogastric pain was associated with depressive symptoms (ρ = 0.599; p < 0.001); greater disability with worse physical quality of life (ρ = -0.494; p = 0.009); higher kinesiophobia with worse sexual pain (ρ = -0.584; p < 0.001) and depressive symptoms (ρ = 0.438; p = 0.035); and older age with lower mental quality of life (ρ = -0.434; p = 0.038).</p><p><strong>Conclusions: </strong>Women with DE presented musculoskeletal impairments closely associated with psychosocial impacts, supporting interdisciplinary management addressing pain, motor dysfunction, and psychological support.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Fistula Development in Gynaecologic Malignancies: Aetiology, Diagnosis and Treatment Advances.","authors":"Ratri Wulandari, Devina Yudistiarta, Nurida Khasanah, Addin Trirahmanto, Muhammad Nurhadi Rahman","doi":"10.1007/s00192-026-06912-0","DOIUrl":"https://doi.org/10.1007/s00192-026-06912-0","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Fistulas related to gynaecological cancer may develop as a result of direct tumour invasion or as complications of treatment, including surgery and radiotherapy. These conditions are serious and can significantly affect patients' quality of life. This paper aims to review the aetiology, diagnostic approaches and management strategies for pelvic fistulas associated with gynaecological malignancies.</p><p><strong>Methods: </strong>This article synthesises current evidence and clinical experience regarding the causes, diagnostic evaluation and therapeutic options for fistulas occurring in the context of gynaecological cancer. Emphasis is placed on comprehensive evaluation of the nature, location, course and complexity of a fistula to establish the appropriate diagnosis and management.</p><p><strong>Results: </strong>Fistulas in gynaecological malignancies present diverse aetiologies and clinical courses. Diagnostic evaluation requires careful imaging and clinical examination to determine the extent and complexity. Management strategies range from conservative approaches to surgical intervention, depending on individual patient characteristics, fistula type and disease status.</p><p><strong>Conclusion: </strong>Pelvic fistulas associated with gynaecological cancer represent a challenging clinical entity. Accurate diagnosis and personalised management are essential to optimise patient outcomes and improve quality of life.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Risk of Prolapse Retreatment After Hysterectomy for Prolapse.","authors":"Kyle Richard Latack, Kristen Palframan Hassett, Gabrielle Schweitzer, Neil Kamdar, Daniel McBurney Morgan","doi":"10.1007/s00192-026-06906-y","DOIUrl":"https://doi.org/10.1007/s00192-026-06906-y","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Data on prolapse retreatment related to surgical approach and concurrent use of colporrhaphy or colpopexy at time of hysterectomy for prolapse repair are needed. This study sought to quantify prolapse retreatment as it relates to surgical approach for hysterectomy and use of concurrent procedures.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of deidentified private payor insurance claims data for services for hysterectomies for prolapse from October 2015-2024. The primary outcome was prolapse retreatment defined as either a subsequent prolapse procedure or pessary fitting following the index hysterectomy. Data were analyzed using crude incidence rates as well as multivariable Cox proportional hazards models. The adjusted model included patient attributes-e.g., age, comorbidities, concurrent gynecologic diagnoses- geographic factors, and concurrent prolapse procedure(s).</p><p><strong>Results: </strong>We identified 7017 patients who underwent hysterectomy with a prolapse diagnosis with a mean age of 51.3. A concurrent prolapse procedure was performed in 82% of the hysterectomies. Within the study period, there were 24,129 person-years at risk and 399 patients (5.7%) were retreated. The overall incidence rate of retreatment was 16.5 per 1000 person-years (95% CI 14.9, 18.2). With adjustment for patient and surgical characteristics, including concurrent colporrhaphy and colpopexy, there was no difference in retreatment with a laparoscopic approach compared to vaginal (aHR 1.39, 95% CI 0.95, 2.04). With concurrent colpopexy and colporrhaphy, an abdominal approach was associated with increased retreatment compared to both laparoscopic (aHR 4.8, 95% CI 2.79, 8.25) and vaginal (aHR 6.7, 95% CI 3.8, 11.8) approaches.</p><p><strong>Conclusions: </strong>In this cohort of commercially insured women undergoing hysterectomy with a prolapse diagnosis, there was no association between prolapse retreatment and a vaginal versus laparoscopic approach.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic vs Laparoscopic Sacrocolpopexy During the Early Training Phase: A Single Center Study.","authors":"Margot Chommeloux, Alicia Blondeau, Camille Haudebert, Krystel Nyangoh Timoh, Juliette Hascoet, Benoit Peyronnet","doi":"10.1007/s00192-026-06924-w","DOIUrl":"https://doi.org/10.1007/s00192-026-06924-w","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Pelvic organ prolapse (POP) affects up to two-thirds of parous women. Surgical repair is commonly offered to patients with symptomatic POP. Sacrocolpopexy is considered the reference surgical approach for most patients. While laparoscopy has long been the standard, robotic assistance has gained popularity, particularly for its potential educational advantages. However, comparative studies have largely involved highly experienced surgeons, limiting conclusions regarding outcomes during the learning curve. This study aimed to compare robotic and laparoscopic sacrocolpopexy performed by surgeons in training.</p><p><strong>Methods: </strong>We conducted a retrospective single-center study including all consecutive patients who underwent minimally invasive sacrocolpopexy between 2011 and 2023 by surgeons with fewer than 20 prior procedures. Patients were divided into laparoscopic and robotic groups. The co-primary endpoints were anatomical success (Baden-Walker grade 0) and subjective success (PGI-I score 1-2) at 3 months and last follow-up.</p><p><strong>Results: </strong>One hundred thirty-one patients were included (39 laparoscopic, 92 robotic), with comparable baseline characteristics. At a median follow-up of 12 months, anatomical success rates were similar between groups (92.3% vs 84.8%; p = 0.39), as were subjective success rates (100% vs 94.4%; p = 0.65). The robotic approach was associated with a significantly shorter operative time (202.6 vs 229.3 min; p = 0.02) and shorter hospital stay (2 vs 3 days; p = 0.04). Rates of intraoperative complications (10.2% vs 9.7%; p = 0.78) and postoperative complications (22.9% vs 16.7%; p = 0.42) were similar. No mesh-related complications were observed.</p><p><strong>Conclusions: </strong>In this retrospective cohort, robotic sacrocolpopexy performed during the early training phase was associated with shorter operative time, while achieving similar short-term anatomical and functional outcomes. Further studies are warranted to confirm these findings.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urethrovaginal Fistula Repair with Vaginal Reconstruction: A Complex Post-Traumatic Case.","authors":"Liang Qian, Xiangjuan Li","doi":"10.1007/s00192-026-06866-3","DOIUrl":"https://doi.org/10.1007/s00192-026-06866-3","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Complex urethrovaginal fistula after childhood pelvic trauma is rare and may be compounded by severe vaginal stenosis, scarring, and difficult fistula localization. This video demonstrates a multimodal strategy for restoring vaginal access, identifying a urethral fistula near the bladder neck, and performing layered repair with vaginal reconstruction.</p><p><strong>Methods: </strong>A 27-year-old woman presented with a 10-year history of cyclic hematuria after a childhood pelvic crush injury and previous urethral and vaginal repair. Examination revealed a blind-ending, stenotic vagina, and magnetic resonance imaging suggested a fistulous tract from the bladder neck to the scarred upper vagina. The operation combined laparoscopic exploration, ultrasound-guided vaginal puncture, cystoscopy with methylene blue localization, Foley balloon-assisted creation of vaginal access, urethrovaginal space dissection, three-layer fistula repair, and vaginal reconstruction.</p><p><strong>Results: </strong>The repair was completed with restoration of vaginal continuity. A transurethral Foley catheter was maintained for 2 weeks, and vaginal dilation was initiated on postoperative day 5. At 1-month follow-up, cyclic hematuria had resolved. Repeat cystoscopy showed complete closure of the urethral fistula without residual leakage, and vaginoscopy demonstrated circumferential healing of the reconstructed vaginal canal without stenosis.</p><p><strong>Conclusions: </strong>Image-guided access, dye-assisted cystoscopic localization, careful urethrovaginal dissection, and layered closure can facilitate repair of selected complex post-traumatic urethrovaginal fistulas with concurrent vaginal reconstruction.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pelvic Floor Symptoms and Functional Status in Women With and Without Risk of Dysphagia After Stroke: A Cross-Sectional Comparative Study.","authors":"Merve Öztürk, Özgü İnal Özün, Eda Gurcay, Esra Üzelpasacı, Serdar Kesikburun","doi":"10.1007/s00192-026-06871-6","DOIUrl":"https://doi.org/10.1007/s00192-026-06871-6","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Dysphagia is associated with pelvic floor dysfunction and poor functional outcomes after stroke. We hypothesized that pelvic floor symptoms and functional status differ according to dysphagia risk in women with stroke.</p><p><strong>Methods: </strong>This study included 71 women aged 18-65 years with a diagnosis of a stroke. Individuals scoring 3 or higher on the Turkish Eating Assessment Tool-10 were classified as being at risk of dysphagia (n = 31), whereas individuals scoring below 3 were classified as not at risk of dysphagia (n = 40). Assessments included the Pelvic Floor Distress Inventory-20 (PFDI-20), Short Physical Performance Battery (SPPB), Timed Up and Go Test (TUG), Jamar hand dynamometer, Fugl-Meyer Upper Extremity Assessment, and the Modified Barthel Index.</p><p><strong>Results: </strong>The PFDI-20 total was significantly higher in women with stroke who were at risk of dysphagia (p = 0.013 and p < 0.001 respectively). Participants at risk of dysphagia demonstrated lower, but not statistically significantly, SPPB subtests. Additionally, TUG test completion times were significantly longer in the dysphagia risk group (p = 0.002). In addition, dysphagia risk was independently associated with post-stroke urinary incontinence after adjustment for parity, post-stroke constipation, and physical performance.</p><p><strong>Conclusions: </strong>This study addresses an important gap in the literature by examining the relationship between pelvic floor symptoms, functional status, and dysphagia in women after stroke. Pelvic floor symptoms were more common in individuals at risk of dysphagia, and physical performance, hand-grip strength, functional mobility, and independence in activities of daily living were lower. Given the risk of dysphagia after a stroke, holistic assessment including evaluation of pelvic symptoms and physical performance is important.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Risk Factors for Incidental Pathology After Uterovaginal Surgery for Apical Prolapse: Systematic Review and Global Expert Consensus Statements.","authors":"Marie E Sullivan, Agustina Vendramini, Laura Cattani, Roxana Geoffrion, Ann-Sophie Page, Vinita Gottipati, Mackenzie Wood, Kaidi Kang, Kirsten Kluivers, Ankita Gupta, Catherine A Matthews, John O L DeLancey, Carolyn Swenson, Maryse Larouche, Annika Sinha, Julia Geynisman-Tan, Fernanda Pipitone, Cara L Grimes","doi":"10.1007/s00192-026-06849-4","DOIUrl":"https://doi.org/10.1007/s00192-026-06849-4","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Uterus preservation is increasingly used for uterovaginal prolapse (U-POP) repair despite ongoing concerns regarding future uterine, cervical, and adnexal pathology. We evaluated incidental pathology rates, associated risk factors, and created global consensus statements.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we searched for studies including women undergoing U-POP surgery with uterus present in ≥ 50% and cohorts of ≥ 30 participants exploring risk factors for pathology. Risk of bias was assessed using Risk Of Bias In Non-randomized Studies of Interventions and evidence certainty using the Grading of Recommendations, Assessment, Development, and Evaluation framework. Meta-analyses were performed on the proportions of incidental pathology. Findings informed a modified Delphi process resulting in consensus statements on best practice.</p><p><strong>Results: </strong>Of 4,148 screened records, 33 studies met the eligibility criteria. Meta-analysis showed that the pooled prevalence of malignant pathology at the time of surgery was 0.6% (95% CI 0.0-1.0%; I² = 93.5%, p < 0.05), ranging from 0% to 3.2%. Most studies excluded patients with known malignancy risk factors. Among six uterus-preserving studies, meta-analysis showed that malignancy rates did not differ between screened and unscreened populations (0.50% vs 0.58%, p = 0.88). Six retrospective cohort studies identified risk factors for incidental endometrial malignancy: older age, higher uterine weight, and abnormal preoperative ultrasound each emerged in two studies, with no factor consistent across them. Three consensus statements were supported by high-quality evidence and three were accepted through Delphi consensus.</p><p><strong>Conclusions: </strong>Incidental pathology in U-POP surgery is rare (< 1%), and no single risk factor reliably predicts malignancy. Preoperative screening does not show significant reduced malignancy rates in uterus-preserving surgery. Global consensus statements offer guidance on when hysterectomy should be considered over uterus preservation.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Readability and Understandability of Spanish Language Urogynecology Questionnaires.","authors":"Elizabeth J Geller, Jazmine Perez, Beatriz Vega, Christina Kunycky","doi":"10.1007/s00192-026-06876-1","DOIUrl":"https://doi.org/10.1007/s00192-026-06876-1","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The objective was to evaluate the readability and understandability of Spanish-language Urogynecology questionnaires.</p><p><strong>Methods: </strong>We identified five common Spanish-language questionnaires assessing pelvic floor function: the Pelvic Floor Distress Inventory Questionnaire-20 (PFDI-20), the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-revised (PISQ-IR), the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12, the Pelvic Floor Impact Questionnaire-7 (PFIQ-7), and the Prolapse and Inconsistence Knowledge Questionnaire. Readability was assessed with the Fernandez-Huerta readability tool and Indice de Legibilidad de Flesch-Szigriszt (INFLESZ) readability scale based on the American Medical Association 6th grade readability standard. Understandability was measured with the Health Education Materials Assessment Tool, defining understandability as a score of ≥ 80%. Scores were calculated by two native Spanish-speaking reviewers and referenced against an online Spanish readability calculator.</p><p><strong>Results: </strong>Readability of the questionnaires was generally suboptimal, scoring above a 6th grade reading level. The PFIQ-7 had the worst mean reading level of 11th to 12th grade, whereas the PISQ-IR had the best mean reading level of 6th grade-the only one meeting the readability standard of ≤ 6th grade. The variability of reading levels was widest for the PFDI-20 and narrowest for the PFIQ-7. For understandability, the PISQ-IR scored the lowest at 42%, whereas the PFD1-20 scored the highest at 71%, with none meeting the goal of ≥ 80%.</p><p><strong>Conclusions: </strong>Readability and understandability for these Spanish-language questionnaires assessing pelvic floor dysfunction were generally low. These materials could be optimized for our Spanish-only patients to improve both research and direct patient care in this population.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Preoperative Diagnostic Testing in Patients Undergoing Uterovaginal Prolapse Repair: A Systematic Review.","authors":"Annika Sinha, Fernanda Pipitone, Julia Geynisman-Tan, Amy Sisson, Cara L Grimes, Catherine Matthews, Jaromir Masata, Ankita Gupta","doi":"10.1007/s00192-026-06885-0","DOIUrl":"10.1007/s00192-026-06885-0","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The clinical value of preoperative laboratory testing for women with primary uterovaginal prolapse (U-POP) is not well-established. Our primary objective was to evaluate the role of preoperative laboratory testing for women undergoing U-POP repair.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), we retrieved studies from MEDLINE, EMBASE, and clinicaltrials.gov through January 2026 to perform a systematic review. Our population included women undergoing surgery for U-POP where preoperative laboratory testing was evaluated. Owing to limited evidence specific to U-POP, we broadened our search to all prolapse procedures. Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria were used to assess the quality of the articles included. Consensus statements were developed and presented in-person at the U-POP consensus conference in Winston Salem, NC, USA.</p><p><strong>Results: </strong>We screened 4,870 abstracts and reviewed 63 full-text articles yielding 15 studies, with 5 studies specific to U-POP. All the studies included were Grades B-C. Routine preoperative blood testing in patients undergoing surgical intervention for prolapse did not impact perioperative or postoperative outcomes. Preoperative or intraoperative positive urine cultures were associated with postoperative urinary tract infections.</p><p><strong>Conclusions: </strong>Clinicians should not order routine preoperative blood studies for low-risk patients undergoing surgery for primary U-POP but should consider treating positive urine cultures, depending on symptoms.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pelvic Organ Prolapse with Concomitant Short Total Vaginal Length and Outcomes of Laparoscopic Mesh Sacrocolpopexy.","authors":"Lubos Karasek, Vladimir Kalis, Matej Vidoman, Martin Smazinka, Zdenek Rusavy, Khaled M Ismail","doi":"10.1007/s00192-026-06873-4","DOIUrl":"https://doi.org/10.1007/s00192-026-06873-4","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Total vaginal length (TVL) is an important parameter in pelvic organ prolapse (POP) assessment and is significantly associated with POP symptoms. Short TVL (STVL) has been associated with pessary failure and dyspareunia. There is no consensus regarding optimal management of patients with STVL and symptomatic POP. This study was aimed at comparing patient-reported and clinical urogynecological outcomes following laparoscopic sacrocolpopexy (LSC) in patients with short versus normal TVL.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted in a tertiary urogynecology center. Patients with a history of total hysterectomy who underwent LSC for symptomatic POP between January 2015 and January 2023 were included. Patients were grouped according to preoperative TVL into STVL and normal TVL (NTVL) cohorts, using cut-off values of ≤ 6 cm and ≥ 8 cm respectively. Clinical, patient-reported, and imaging outcomes were assessed preoperatively and 12 months postoperatively.</p><p><strong>Results: </strong>A total of 166 patients were included, with 89 (53.6%) in the STVL group and 77 (46.6%) in the NTVL group. Postoperatively, TVL significantly increased in the STVL group compared with the NTVL group (2.3 ± 0.9 vs - 0.2 ± 0.8; p < 0.0001). The proportions of patients reporting the highest satisfaction (Patient Global Impression of Improvement ≤ 2) in the groups were comparable (97.5% vs 94.0%; p = 0.279). No significant differences between groups were observed in postoperative quality-of-life improvement measured by the Pelvic Floor Distress Inventory and the International Consultation on Incontinence Questionnaire-Urinary incontinence Short Form.</p><p><strong>Conclusions: </strong>Patient-reported and clinical outcomes following LSC were comparable in patients with short and normal TVL, indicating that laparoscopic sacrocolpopexy may be a feasible option for apical patients with symptomatic POP with a short vagina after a previous hysterectomy.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}