International Urogynecology Journal最新文献_第3页

Assessing the Use of a Training Model Using Immersive Virtual Reality for Sacrospinous Fixation Surgery: A Pilot Study. 使用沉浸式虚拟现实技术评估骶棘固定手术培训模型的使用情况：试点研究。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-12 DOI: 10.1007/s00192-024-05984-0

Manon Guirand, Manon Tréhard, Anthony Côte, Stéphanie Moret, Adrian Leonide, Gery Lamblin

{"title":"Assessing the Use of a Training Model Using Immersive Virtual Reality for Sacrospinous Fixation Surgery: A Pilot Study.","authors":"Manon Guirand, Manon Tréhard, Anthony Côte, Stéphanie Moret, Adrian Leonide, Gery Lamblin","doi":"10.1007/s00192-024-05984-0","DOIUrl":"https://doi.org/10.1007/s00192-024-05984-0","url":null,"abstract":"Introduction and hypothesis: Sacrospinous fixation (SSF) is a surgical complex procedure for uterovaginal prolapse that may result in pudendal plexus and vascular damage. The objective was to evaluate a training model using virtual reality to perform SSF.Methods: We conducted a prospective single-center pilot study in the university's academic innovation department in November 2023. We recruited 20 participants, 10 gynecology resident surgeons (group 1) and 10 experienced gynecology surgeons (group 2).Results: The mean age was 26.6 ± 0.6 years in group 1 and 39.7 ± 3.1 years in group 2. The satisfaction rate reached 90% in both groups. A scale from 1 to 4 (1 = not-at-all, 4 = completely) was used to assess participants' perceptions. The realism of the simulation was rated at 3.3 ± 0.1 in group 1 and 3.5 ± 0.2 in group 2 (p = 0.41), the haptic feedback was rated at 2.0 ± 0.3 and 1.8 ± 0.3 (p = 0.66), the mean exercise time was 6.4 ± 1.3 min and 4.8 ± 0.7 min (p = 0.58), and the mean success rate was 70.8 ± 3.2% and 83.5 ± 6.8% (p = 0.14). In group 2, left and right instruments were placed at 2.6 ± 0.8 mm and 2.9 ± 0.7 mm from the target respectively, and in group 1 at 4.8 ± 0.7 mm and 3.8 ± 0.5 mm respectively. Participants reported greater comfort in performing sacrospinous fixation after simulation training (3.0 ± 0.2 versus 2.3 ± 0.3, p = 0.17).Conclusion: Our virtual reality simulation model is feasible and accurate for SSF training for both residents and experienced surgeons with a high level of satisfaction. Virtual reality simulation improves technical skills and promotes surgical comfort.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620469","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}

引用次数: 0

Do Women with Urinary Incontinence and Pelvic Organ Prolapse Receive Optimal First-Line Treatment? 患有尿失禁和盆腔器官脱垂的女性是否接受了最佳的一线治疗？

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-11 DOI: 10.1007/s00192-024-05990-2

Kari Bø, Marie Ellstrøm Engh, Catherine Joyce Teig, Merete Kolberg Tennfjord

{"title":"Do Women with Urinary Incontinence and Pelvic Organ Prolapse Receive Optimal First-Line Treatment?","authors":"Kari Bø, Marie Ellstrøm Engh, Catherine Joyce Teig, Merete Kolberg Tennfjord","doi":"10.1007/s00192-024-05990-2","DOIUrl":"https://doi.org/10.1007/s00192-024-05990-2","url":null,"abstract":"Introduction and hypothesis: There is scant knowledge on previous pelvic floor muscle training (PFMT) in women with urinary incontinence (UI) and pelvic organ prolapse (POP) referred to hospitals. We hypothesized that women with predominately UI and POP had not received optimal primary care conservative management.Methods: This was a descriptive, cross-sectional survey among women attending a gynecological outpatient's clinic. The questionnaire included questions about demographics, PFMT dosage, whether ability to contract had been assessed and whether the patients had used precontraction before increase in intra-abdominal pressure (\"the knack\").Results: One hundred two women, mean age 52.5 (SD 13.4) years, responded; 37.3% had never been treated previously. There was no statistically significant difference in age, BMI, level of education, parity, time since last birth, SUI, or POP between the women who had been treated conservatively or not before the hospital visit. Thirty-three percent had trained with a physiotherapist and > 35% reported that their ability to contract had not been assessed or were unsure whether it had been assessed; 37% were not able to stop their urine stream; 52% reported that they performed \"the knack,\" with 15.7% reporting it to be effective. Reasons for not having trained the PFM before visiting the hospital included not being motivated, not knowing how to do PFMT, not being told/advised to do PFMT and not believing PFMT would help.Conclusion: The results of this study indicated that there is a need for improvement within first-line health care service for women with predominately UI and POP.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620549","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}

引用次数: 0

Use of the Martius Flap for Tethered Vagina Syndrome After a Single-Incision Mini-Sling Procedure. 使用马氏瓣治疗单切口微型吊带术后的拴系阴道综合征。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-09 DOI: 10.1007/s00192-024-05979-x

Mahmut Kuntay Kokanalı, Melike Doganay

引用次数: 0

A New Combined Urogynecology and Colorectal Surgery Pelvic Floor Clinic-1 Year On. 泌尿妇科与结肠直肠外科盆底联合诊所成立一年。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-09 DOI: 10.1007/s00192-024-05968-0

Su-Wen Anne Mak, Sharmini Su Sivarajah, Simone Meiqi Ong, Cheryl Xi Zi Chong, Hong Liang Chua, Jill Cheng Sim Lee

{"title":"A New Combined Urogynecology and Colorectal Surgery Pelvic Floor Clinic-1 Year On.","authors":"Su-Wen Anne Mak, Sharmini Su Sivarajah, Simone Meiqi Ong, Cheryl Xi Zi Chong, Hong Liang Chua, Jill Cheng Sim Lee","doi":"10.1007/s00192-024-05968-0","DOIUrl":"https://doi.org/10.1007/s00192-024-05968-0","url":null,"abstract":"Introduction and hypothesis: This study is aimed at characterizing patients seen at a new combined pelvic floor clinic (CPFC) established at a tertiary women's hospital in Singapore. Study goals include identifying patterns of symptom clusters and reviewing management strategies compared with international care standards, improving understanding of complex female pelvic floor dysfunction, and guiding future development of clinical and ancillary support.Methods: This is a single-center, retrospective cohort study of medical case record review for all patients seen at the CPFC between 1 September 2020 and 31 August 2021. All patients seen at CPFC during this study period were included for analysis. Data were deidentified and aggregated, with analysis performed for descriptive and summary statistics. Institutional Review Board approval was obtained with waiver of informed consent.Results: Sixty-six referrals were made to the CPFC, with 57 patients seen in 11 clinic sessions across the 12-month period. The most common reasons for referral were fecal or flatus incontinence (30, 52.6%), severe constipation or defecatory dysfunction (21.1%), and rectal prolapse (17.5%). Most patients (78.9%) had multiple symptoms.Conclusions: Our patient demographic profile aligns with known risk factors for pelvic floor dysfunction, presenting with gastrointestinal symptoms-similar to PFCs worldwide. The new workflow and services were well positioned to address patients' needs, including those left previously untreated, or received uncoordinated care. Conservative approaches were first employed, like with other global PFCs. The combined multidisciplinary model of care resulted in good outcomes for patients managed both conservatively and surgically. Future studies to analyze patient satisfaction are planned.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620465","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}

引用次数: 0

Assessing the Work Productivity Impact of Overactive Bladder Syndrome Among Employees at a Brazilian Hospital. 评估膀胱过度活动症对巴西一家医院员工工作效率的影响。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-09 DOI: 10.1007/s00192-024-05985-z

Marta Q S Fontenele, Janaina M O Nunes, Fuad A Hazime, Silvio H M de Almeida

{"title":"Assessing the Work Productivity Impact of Overactive Bladder Syndrome Among Employees at a Brazilian Hospital.","authors":"Marta Q S Fontenele, Janaina M O Nunes, Fuad A Hazime, Silvio H M de Almeida","doi":"10.1007/s00192-024-05985-z","DOIUrl":"https://doi.org/10.1007/s00192-024-05985-z","url":null,"abstract":"Introduction and hypotheses: Few studies have investigated the relationship between work productivity (WP) and overactive bladder syndrome (OABS). The majority of those that do use generic productivity questionnaires or only include WP as a secondary outcome. We evaluated the impact of OABS on specific domains of WP, with the hypothesis that OABS has an impact on the domains of efficiency, concentration, vigor, and irritability, lost working hours, interruptions, and impairment to the work schedule.Methods: An observational, cross-sectional study with 576 female employees (without SBH 447, dry OABS 63, wet OABS 66) was carried out. The 8-item Overactive Bladder Questionnaire (OAB-V8), International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB), and a WP questionnaire developed by the authors were used. Non-parametric tests were adopted to associate OABS with productivity. The correlation between the instruments was performed using the Spearman test, adopting a value of p = 0.05.Results: There was a significant impact of urinary symptoms on WP (p = 0.03) in the domains of productivity/efficiency (p = 0.03), restlessness (p < 0.05), and interruptions to go to the bathroom (p = 0.03), which was higher among employees with wet OABS. Urgency and urge urinary incontinence (UUI) were the symptoms with the greatest productive impact (p = 0.01, p < 0.001). A significant correlation was found between WP scores and OAB-V8 and ICIQ-AOB scores in both groups (p < 0.05).Conclusion: OABS impacted WP, in the domains of efficiency, restlessness, and interruptions to go to the bathroom, with urgency and UUI being the symptoms with the greatest impact on productivity.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620471","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}

引用次数: 0

Predictive Factors for Clean Intermittent Catheterization after Intravesical OnabotulinumtoxinA Injections in Women with Overactive Bladder: a Danish Retrospective Cohort Study. 丹麦一项回顾性队列研究：膀胱过度活动症妇女膀胱内注射奥诺布曲辛 A 后进行清洁间歇性导尿的预测因素。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-07 DOI: 10.1007/s00192-024-05960-8

Meryam El Issaoui, Sophia Elissaoui, Marlene Elmelund, Niels Klarskov

{"title":"Predictive Factors for Clean Intermittent Catheterization after Intravesical OnabotulinumtoxinA Injections in Women with Overactive Bladder: a Danish Retrospective Cohort Study.","authors":"Meryam El Issaoui, Sophia Elissaoui, Marlene Elmelund, Niels Klarskov","doi":"10.1007/s00192-024-05960-8","DOIUrl":"https://doi.org/10.1007/s00192-024-05960-8","url":null,"abstract":"Introduction and hypothesis: We aimed to evaluate the clean intermittent catheterization (CIC) rate in women undergoing their first OnabotulinumtoxinA (BTX-A) treatment and to investigate factors predictive of initiating CIC.Methods: This was a retrospective cohort of women, who had their first BTX-A treatment for symptoms of overactive bladder (OAB) syndrome, with a pretreatment urodynamic study (UDS). We reviewed demographic, medical and gynecological history, UDS, pretreatment bladder diaries, objective examinations, BTX-A treatment details, and post-void residual (PVR) reports in the electronic medical record. Botox® Allergan 100 International Units were injected into the detrusor at 10-20 sites. Statistical analyses included univariate and multivariate logistic regression analyses.Results: We included 397 women. Median age was 68 (Q1-Q3: 54-76) years. CIC rate was 8.6% (n = 34) following the first BTX-A treatment. Urgency urinary incontinence (UUI) reduced the risk of undergoing CIC (OR 0.30, 95% CI 0.09-0.97). A bladder capacity of 500 ml or greater in the bladder diary increased the risk of CIC (OR 2.46, 95% CI 1.06-5.70), whereas reported leakages were associated with a decreased risk of CIC (OR 0.24, 95% CI 0.10-0.57). Multivariate logistic regression analysis showed that anterior colporrhaphy (OR 3.71, 95% CI 1.52-9.06) and 10-ml increments in median maximum cystometric capacity (OR 1.03, 95% CI 1.00-1.06) predicted CIC, whereas UUI was a protective factor for CIC (OR 0.23, 95% CI 0.07-0.79).Conclusions: A history of anterior colporrhaphy, large bladder capacity, and absence of incontinence episodes in bladder diary or UDS were risk factors for CIC after the first BTX-A treatment.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604086","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}

引用次数: 0

The Effect of Vaginal Tightening Surgery on Sexual Function: A Systematic Review. 阴道紧缩手术对性功能的影响：系统回顾

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-07 DOI: 10.1007/s00192-024-05969-z

Fatemeh Alavi-Arjas, Michael P Goodman, Masoumeh Simbar, Hamid Alavi Majd, Fatemeh Nahidi, Fereshteh Rastegar

{"title":"The Effect of Vaginal Tightening Surgery on Sexual Function: A Systematic Review.","authors":"Fatemeh Alavi-Arjas, Michael P Goodman, Masoumeh Simbar, Hamid Alavi Majd, Fatemeh Nahidi, Fereshteh Rastegar","doi":"10.1007/s00192-024-05969-z","DOIUrl":"https://doi.org/10.1007/s00192-024-05969-z","url":null,"abstract":"Introduction and hypothesis: Lifetime physiological or pathological events, such as vaginal delivery and menopause, may change vaginal structure and appearance, owing to local tissue expansion and separation of the pelvic floor muscles, which can affect a woman's sexual relationships. This systematic review was aimed at exploring the effect of vaginal tightening surgery on female sexual function.Methods: Articles that had measured female sexual function after vaginal tightening were considered eligible. Articles on vaginal tightening surgeries conducted only for cosmetic and/or sexual and/or functional reasons (not for medical indications) and which evaluated postoperative sexual function by a quantitative tool were included. A literature review was conducted by searching databases such as PubMed, Web of Science, Scopus, PsycINFO, Embase, the Cochrane Library, and ClinicalTrials.gov from the beginning of 2000 until 1 February 2024.Results: The authors identified 11 studies that had evaluated sexual function after vaginal reconstructive procedures designed to adjudicate sexual issues involving loss of friction, orgasmic, and aesthetic concerns. Although most of the studies implied that vaginal tightening could improve sexual function, more meticulous assessment of the studies' methodology challenged the robustness of these findings in clinical decision making.Conclusions: Although on the surface, it can be concluded that vaginal tightening surgery improves women's sexual function, the conclusion is severely restricted owing to the absence of the precise measurement of vaginal laxity, as well as the inconsistency in surgical techniques, methods, and tools employed in the research.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604090","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}

引用次数: 0

Evaluation of Comprehensive Documentation After Obstetric Anal Sphincter Injury. 产科肛门括约肌损伤后综合文件的评估。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-06 DOI: 10.1007/s00192-024-05986-y

Sunny K Lee, Catherine Keller, Meng Yao, Katie Propst, Cecile A Ferrando

{"title":"Evaluation of Comprehensive Documentation After Obstetric Anal Sphincter Injury.","authors":"Sunny K Lee, Catherine Keller, Meng Yao, Katie Propst, Cecile A Ferrando","doi":"10.1007/s00192-024-05986-y","DOIUrl":"https://doi.org/10.1007/s00192-024-05986-y","url":null,"abstract":"Introduction and hypothesis: The incidence of obstetric anal sphincter injuries (OASI) has increased in recent years, which may be due to improved recognition and documentation. There is limited evidence regarding the effects of thorough documentation of obstetric anal sphincter injury repairs on postpartum clinical outcomes. Our objectives were to (1) compare the incidence of perineal wound complications between documentation groups, (2) compare other adverse events, and (3) to describe factors associated with adequate documentation. We hypothesized that better documentation would be associated with improved clinical outcomes.Methods: This was a retrospective cohort study of 599 patients with OASI at a tertiary care referral center between January 2015 and December 2020. A priori definitions of documentation adequacy were utilized to stratify delivery notes. On the basis of these criteria, there were preferred, adequate, and inadequate documentation groups. Maternal characteristics, outcomes, and peripartum factors were compared between the groups.Results: There were no significant differences in clinical outcomes between the groups. A higher degree of perineal laceration (p < 0.001), greater blood loss (p = 0.002), and the need for repairs in the operating room (p = 0.019) were significant factors associated with adequate documentation. Clinicians who were comprehensive in their documentation were more likely to refer patients to Urogynecology (p < 0.001) and to add OASI to the electronic medical record problem list (p = 0.005).Conclusions: While certain factors are associated with adequate documentation, this did not improve clinical outcomes for OASI and further research is warranted to explore the importance of medical documentation surrounding OASI.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583020","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}

引用次数: 0

Sacrospinous Hysteropexy-Video Tutorial of Construction and Application of a Feasible and Inexpensive Teaching Model for Simulation. 骶棘肌子宫切除术--构建和应用可行且廉价的模拟教学模型视频教程。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-05 DOI: 10.1007/s00192-024-05965-3

Greta Lisa Carlin, Wolfgang Umek, Barbara Bodner-Adler, Fanny Carolina Mikula, Sören Lange

{"title":"Sacrospinous Hysteropexy-Video Tutorial of Construction and Application of a Feasible and Inexpensive Teaching Model for Simulation.","authors":"Greta Lisa Carlin, Wolfgang Umek, Barbara Bodner-Adler, Fanny Carolina Mikula, Sören Lange","doi":"10.1007/s00192-024-05965-3","DOIUrl":"https://doi.org/10.1007/s00192-024-05965-3","url":null,"abstract":"Introduction and hypothesis: Sacrospinous hysteropexy is one of the preeminent uterus-preserving surgical techniques for treating pelvic organ prolapse supported by level one evidence. As training on models greatly improves surgical skills and outcomes, we developed a simple and inexpensive model to simulate sacrospinous hysteropexy.Methods: A step-by-step instruction for the production of the model is available to be viewed online. To keep production costs low, readily available materials were used, with a total cost per model of about 2 EUR (Austria, August 2023). All important anatomical landmarks (prolapsing uterus, vagina, ischial spine and sacrospinous ligament) were all represented. We present a detailed instructional video on how to construct the model and the practical training, detailing the individual steps of a successful sacrospinous hysteropexy, available online. Thus, trainees are able to practice the individual movements of the entire surgical procedure on this simulator model guided by the tutorial video. In this way, trainees will be able to practice the entire surgical procedure.Results: An introduction to the model with explanation of all anatomical landmarks and a standardised explanation of the surgery with its individual steps (handout distributed).Conclusion: The presented video showcases the feasibility of the easy construction and application of a model for the surgical skill training of sacrospinous hysteropexy. Easily accessible, inexpensive material and its simple build make this a reproducible model regardless of geographic or socioeconomic resources.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583046","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}

引用次数: 0

Racial/Ethnic Impact on Obstetric Anal Sphincter Injuries: A Multicentric Retrospective Study. 产科肛门括约肌损伤的种族/族裔影响：多中心回顾性研究

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2024-11-04 DOI: 10.1007/s00192-024-05966-2

Marco La Verde, Marco Torella, Mario Fordellone, Luciana Pace, Libera Troìa, Valentino Remorgida

{"title":"Racial/Ethnic Impact on Obstetric Anal Sphincter Injuries: A Multicentric Retrospective Study.","authors":"Marco La Verde, Marco Torella, Mario Fordellone, Luciana Pace, Libera Troìa, Valentino Remorgida","doi":"10.1007/s00192-024-05966-2","DOIUrl":"https://doi.org/10.1007/s00192-024-05966-2","url":null,"abstract":"Introduction and hypothesis: Obstetric anal sphincter injuries (OASIs), third- and fourth-degree lacerations, represent a severe obstetric complication. Previous studies reported a higher incidence of OASIs in Asian women in non-Asian countries. This study was aimed at establishing a different OASIs prevalence among the racial/ethnic groups in Southern European centers.Methods: A multicenter retrospective study that included pregnant women who had vaginal singleton delivery between January 2019 and September 2022 in two Italian University hospitals, Naples and Novara, was conducted. We excluded cesarean sections, nonvertex presentation, preterm delivery, multiple pregnancies, congenital malformations, or stillbirths. Statistical analysis with an independent association of ethnicity to the risk of OASIs using clinical characteristics-adjusted multivariate logistic regression was performed.Results: A total of 3,049 pregnant women were included. 2.33% (71 patients) had an OASI. The median age was 31 years (IQR 7.00) and median gestational age was 39 weeks (IQR 1.40). Mean birth weight was 3,300 g (IQR 580.00). 1' and 5' Apgar scores were 9 and 9. The univariate logistic regression was not statistically significant. Multivariate logistic regression model adjusted for baseline clinical characteristics showed an OR 2.540 (p value 0.01) for OASIs in Asian women. Primiparous and secondiparous were protective factors for OASIs with OR 0.224 (p value < 0.001) and OR 0.209 (p value 0.01).Conclusions: Our results confirm racial/ethnic disparities regarding OASIs, with an elevated risk for Asian women in Southern Europe. Prevention strategies and obstetric care in developed countries should be modulated to offset the risk of OASIs in this population. Additional research is needed to explain the specific mechanisms of these disparities.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567913","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}

引用次数: 0