International Urogynecology Journal最新文献_第3页

Norwegian Translation and Validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA Revised (PISQ-IR). 挪威语翻译和验证盆腔器官脱垂/失禁性问卷- iuga修订（PISQ-IR）。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-19 DOI: 10.1007/s00192-025-06106-0

Tone Prøsch-Bilden, Signe Nilssen Stafne, Silje Kristine Sveen Ulven, Susan Saga

{"title":"Norwegian Translation and Validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA Revised (PISQ-IR).","authors":"Tone Prøsch-Bilden, Signe Nilssen Stafne, Silje Kristine Sveen Ulven, Susan Saga","doi":"10.1007/s00192-025-06106-0","DOIUrl":"https://doi.org/10.1007/s00192-025-06106-0","url":null,"abstract":"Introduction: The Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA revised (PISQ-IR) measures sexual function in women with pelvic floor dysfunctions (PFD). The aim of this study was to translate the PISQ-IR to Norwegian and to assess its psychometric properties.Methods: The instrument was translated and reviewed through cognitive interviews with women from the target group and multidisciplinary clinical experts to establish face/content validity and cultural equivalence. Thereafter, a cross-sectional study of women with PFD from two Norwegian University hospitals was conducted. Floor and ceiling effects and internal consistency were calculated for all subscales. Construct validity was assessed through exploratory factor analysis (EFA) and by testing 19 theoretically derived hypotheses.Results: Of 157 respondents, 111 (71%) women considered themselves sexually active (SA) and 46 (29%) non-sexually active (NSA). Item nonresponse rate varied from 4 to 36% in the subscales. For the NSA subscales, both floor and ceiling effect was detected. EFA mainly supported the original structure for both the SA and NSA subscales, although not completely consistent and with many cross-loadings. Unidimensional factors were assessed and confirmed the presence of one factor within all subscales for SA women and three for NSA women (except NSA-PR). Construct validity confirmed 16 of the 19 predefined hypotheses (84%). All subscales exhibited good internal consistency.Conclusions: The Norwegian PISQ-IR demonstrated good face/content validity, internal consistency and construct validity, and can be used to assess sexual function among sexually active women with PFD. A small sample size of NSA women precludes drawing firm conclusions regarding structural validity for NSA subscales.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663294","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

Hungarian Translation and Validation of the Pelvic Organ Prolapse Symptom Score. 盆腔器官脱垂症状评分的匈牙利语翻译与验证。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-19 DOI: 10.1007/s00192-025-06090-5

Szilard Kolumban, Nelli Farkas, Istvan Tiringer, Kalman Kovacs, Zoltan Nemeth, Balint Farkas

{"title":"Hungarian Translation and Validation of the Pelvic Organ Prolapse Symptom Score.","authors":"Szilard Kolumban, Nelli Farkas, Istvan Tiringer, Kalman Kovacs, Zoltan Nemeth, Balint Farkas","doi":"10.1007/s00192-025-06090-5","DOIUrl":"https://doi.org/10.1007/s00192-025-06090-5","url":null,"abstract":"Introduction and hypothesis: Pelvic organ prolapse (POP) significantly affects women's quality of life, making the availability of validated, culturally adapted tools for reliable symptom evaluation essential. In this study, the Pelvic Organ Prolapse Symptom Score (POP-SS) was translated into Hungarian and validated, with the assessment of its psychometric properties for clinical and research use.Methods: In total, 125 women diagnosed with symptomatic POP (Pelvic Organ Prolapse Quantification Score-POP-Q stage ≥ 2) completed the Hungarian POP-SS (POP-SS-H), the Hungarian version of the Australian Pelvic Floor Questionnaire (AFPQ-H), and the short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF). Exploratory factor analysis was performed, McDonald's ω was used to assess internal consistency, and intraclass correlation coefficients (ICCs) were used to examine test-retest reliability over a 2-week interval.Results: The POP-SS-H demonstrated strong psychometric properties (overall ICC = 0.96, p < 0.001). Item ICCs were 0.69-0.99, with \"difficulty in emptying the bladder\" being the most stable. The scale has a two-factor (\"prolapse and urinary distress\" and \"abdominal strain and bowel discomfort\") structure. McDonald's ω was 0.75, confirming its good internal consistency. The scale's convergent validity was demonstrated through correlations with AFPQ-H and WHOQOL-BREF subscale scores.Conclusions: The POP-SS-H is a reliable and valid instrument for the assessment of prolapse-related symptoms. Its high degrees of test-retest reliability and internal consistency make it suitable for clinical follow-up and research. The tool addresses a significant gap in pelvic-floor disorder management in Hungary, although further research is recommended to assess its sensitivity in the tracking of symptom changes after treatment.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663269","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 Paper Perineum Model: An Accessible Three-Dimensional Model for Obstetric Laceration Simulation and Surgical Education. 会阴模型：一个可访问的三维模型，用于产科撕裂模拟和外科教育。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-18 DOI: 10.1007/s00192-025-06111-3

Christopher X Hong, Beth Shrosbree, Pamela J Levin, Deborah M Rooney, Payton C Schmidt

{"title":"The Paper Perineum Model: An Accessible Three-Dimensional Model for Obstetric Laceration Simulation and Surgical Education.","authors":"Christopher X Hong, Beth Shrosbree, Pamela J Levin, Deborah M Rooney, Payton C Schmidt","doi":"10.1007/s00192-025-06111-3","DOIUrl":"https://doi.org/10.1007/s00192-025-06111-3","url":null,"abstract":"Introduction and hypothesis: Existing models for obstetric laceration repair often require specialized materials and are time-consuming to construct. We created the Paper Perineum model, a paper template that can be printed, cut, and folded into a three-dimensional representation of the vagina, perineum, and anal sphincter complex. The model is designed as an accessible and low-cost educational tool specifically for nascent learners. Our objective was to assess the model's effectiveness in improving medical students' understanding of obstetric laceration repair.Methods: We conducted a prospective pilot study with a cohort of fourth-year medical students matriculating into obstetrics and gynecology residency training. In a workshop environment, students assembled printed model templates and simulated obstetric lacerations to learn the basic steps and surgical techniques involved in repairing lacerations. Students completed surveys to self-assess their knowledge before and after the workshop.Results: Of the 31 participants, the proportion of students who self-rated their knowledge as \"moderate\" or \"significant\" regarding the basic steps of a second-degree perineal laceration repair rose from 2/31 (6.5%) to 31/31 (P < .01); for knowledge of suture planes, the proportion increased from 1/31 (3.2%) to 31/31 (P < .01). Over 90% of students rated the model as either \"very helpful\" or \"extremely helpful\" in enhancing their understanding of vaginal and perineal anatomy, anatomical relationships, steps of a perineal laceration repair, and suture planes relevant to such repairs.Conclusions: The Paper Perineum model is a readily accessible three-dimensional model that enables basic simulation of obstetric laceration repair and requires minimal advanced preparation from clinician educators. The model is freely available at www.paperperineum.com .","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657053","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

Analysis of Various Surgical Approaches to Supratrigonal Vesicovaginal Fistula Repair: A Tertiary Care Centre Experience. 膀胱阴道上瘘修补的各种手术方法分析：三级医疗中心的经验

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-17 DOI: 10.1007/s00192-025-06104-2

Shivani Madhuchandra Iyer, Sanjeet Singh, Alok Srivastav

{"title":"Analysis of Various Surgical Approaches to Supratrigonal Vesicovaginal Fistula Repair: A Tertiary Care Centre Experience.","authors":"Shivani Madhuchandra Iyer, Sanjeet Singh, Alok Srivastav","doi":"10.1007/s00192-025-06104-2","DOIUrl":"https://doi.org/10.1007/s00192-025-06104-2","url":null,"abstract":"Introduction and hypothesis: Vesicovaginal fistula (VVF) is a devastating obstetric complication. Transvaginal, transabdominal, laparoscopic and robotic repairs have been proposed. This study was carried out to compare peri-operative and post-operative parameters of supratrigonal VVF repair to find out the best surgical approach among vaginal, abdominal and laparoscopic approaches.Methods: A quasi-experimental study was carried out from January 2015 to January 2021. A total of 175 women suffering from VVF were screened and 150 women with supratrigonal VVF were recruited. VVF repair was performed using transvaginal, transabdominal and laparoscopic approaches (50 repairs using each approach). Parameters such as success rate, operative time, blood loss, post-operative complications and hospital stay were recorded. Statistical analysis was carried out using SPSS Version 21. Written informed consent was taken before the recruitment of subjects.Results: Lower (uterine) segment Caesarean section, open or laparoscopic hysterectomy and obstructed labour were the common causes. Statistical analysis showed that mean operative time was significantly lower in vaginal repair, whereas analgesic requirement, hospital stay and blood loss were significantly lower in vaginal and laparoscopic repair. Urinary tract infection was seen in all three approaches, and was resolved by administration of antibiotics post-operatively. Minor wound infection was seen only in the transabdominal repair group, which resolved with the regular application of dressings. None of the patients developed recurrence during follow-up.Conclusions: Transvaginal and laparoscopic repairs are safe and effective approaches for VVF repair. However, laparoscopic repair requires a steep learning curve. Transvaginal repair has a significantly shorter operative time. Hence, in simple supratrigonal VVF, a transvaginal repair can be a preferred option.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648270","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

Relationship Between Abdominal Muscle and Pelvic Floor Muscle Activation in Elderly Individuals with Urinary Incontinence. 尿失禁老人腹肌和盆底肌激活之间的关系

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-17 DOI: 10.1007/s00192-025-06114-0

Buket Şevval Dönbak, Melda Başer Seçer, Melahat Aktaş, Özge Çeliker Tosun, Bilge Kara, Gökhan Tosun

{"title":"Relationship Between Abdominal Muscle and Pelvic Floor Muscle Activation in Elderly Individuals with Urinary Incontinence.","authors":"Buket Şevval Dönbak, Melda Başer Seçer, Melahat Aktaş, Özge Çeliker Tosun, Bilge Kara, Gökhan Tosun","doi":"10.1007/s00192-025-06114-0","DOIUrl":"https://doi.org/10.1007/s00192-025-06114-0","url":null,"abstract":"Introduction and hypothesis: The aim of our study is to examine the relationship between abdominal muscles and pelvic floor muscles (PFM) activation in elderly individuals with urinary incontinence (UI).Methods: This cross-sectional study was conducted with 43 elderly individuals (27 women, 16 men) with UI in a nursing home. Superficial electromyography (EMG) was used to assess the contraction and relaxation activities of the PFM and abdominal muscles (rectus abdominis, transversus abdominis, internal obliques, external obliques). The Overactive Bladder Awareness Questionnaire (OAB-V8) and the Urogenital Distress Inventory Short Form (UDI-6) were used to assess incontinence symptoms and severity. The Geriatric Self-Efficacy Index for Urinary Incontinence (GSE-UI) was used to evaluate the level of self-efficacy. Quality of life was assessed using the Incontinence Impact Questionnaire Short Form (IIQ-7) and the Incontinence Quality of Life Scale (I-QOL). Chi-square test, Mann-Whitney U test, Kruskal-Wallis test, and Spearman correlation analysis were used for statistical analysis.Results: A moderate positive correlation was found between PFM work MVC and RA work MVC (r 0.540, p 0.001), IO work MVC (r 0.485, p 0.002), and RA rest MVC (r 0.441, p 0.006). When analyzed by gender, significant differences were found in the average activity of RA contraction, average activity of EO contraction, and normalized MVC values (p 0.035, p 0.048, p 0.001). When analyzed by incontinence type, significant differences were found in the TA relaxation MVC and average activity of IO contraction (p 0.006, p 0.011).Conclusions: There is a relationship between the functions of PFM and abdominal muscles in individuals with UI. Additionally, EMG data during both abdominal and PFM contractions are higher in men at this age. Incontinence type may affect abdominal muscle function.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648244","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

Long-Term Outcome of Anterior-Apical Mesh (Surelift) Versus Anterior Colporrhaphy and Sacrospinous Ligament Fixation in Advanced Pelvic Organ Prolapse Surgery. 在晚期盆腔器官脱垂手术中，前根尖补片（Surelift）与前阴道破裂和骶棘韧带固定的远期疗效。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-15 DOI: 10.1007/s00192-025-06105-1

Tsia-Shu Lo, Louiza Erika Rellora, Eyal Rom, Huan-Ka Chiung, Chia-Hsuan Yang, Yi-Hao Lin

{"title":"Long-Term Outcome of Anterior-Apical Mesh (Surelift) Versus Anterior Colporrhaphy and Sacrospinous Ligament Fixation in Advanced Pelvic Organ Prolapse Surgery.","authors":"Tsia-Shu Lo, Louiza Erika Rellora, Eyal Rom, Huan-Ka Chiung, Chia-Hsuan Yang, Yi-Hao Lin","doi":"10.1007/s00192-025-06105-1","DOIUrl":"https://doi.org/10.1007/s00192-025-06105-1","url":null,"abstract":"Objective: This study first aims to compare the outcomes of Surelift (anterior-apical transvaginal mesh) and sacrospinous ligament fixation (SSF) with anterior repair using objective and subjective cure rates. Second, to compare the quality of life and its major and minor complications.Material and methods: A retrospective study was conducted between December 2011 and January 2020. Patients with symptomatic stage ≥ 3 anterior or apical prolapse were included. Those who had prior POP mesh and who were unfit for surgery were excluded. Preoperative evaluation included history and physical exam, urodynamic studies, and validated questionnaires (IIQ-7, UDI-6, POPDI-6) at baseline, 1, 3, and 5 years later.Results: One hundred eighty-one patients were included: 98 underwent anterior-apical transvaginal mesh and 83 had SSF with anterior colporrhaphy (SSF+A). Anterior-apical transvaginal mesh and SSF+A patients had mean follow-up periods of 83.5 ± 6.1 and 91.6 ± 39 months, respectively. At 1 year, no statistically significant difference was noted in objective and subjective cure rates between anterior-apical transvaginal mesh (96.8% and 94.7%) and SSF+A (89.9% and 88.6%). However, after 3 and 5 years, anterior-apical transvaginal mesh showed superior results with objective cure rates of 94.1% and 89.1%, respectively, compared to 80% and 64.4% for SSF+A (p = 0.008). At 3 and 5 years, anterior-apical transvaginal mesh had 92.9% and 85.9% subjective cure rates compared to SSF's 77.1% and 60%, respectively (p = 0.005).Conclusions: The long-term follow-up showed that native tissue repair was strongly associated with increased risk of recurrence compared to the anterior-apical mesh with minor complications in both groups.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633946","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

Inhibition of PDE-4 and PDE-5 Differentially Modulates Isolated Porcine Urethral Contractility. 抑制PDE-4和PDE-5对离体猪尿道收缩性的差异调节

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-13 DOI: 10.1007/s00192-025-06102-4

Eriq Burovski, Donna Sellers, Russ Chess-Williams, Iris Lim

{"title":"Inhibition of PDE-4 and PDE-5 Differentially Modulates Isolated Porcine Urethral Contractility.","authors":"Eriq Burovski, Donna Sellers, Russ Chess-Williams, Iris Lim","doi":"10.1007/s00192-025-06102-4","DOIUrl":"https://doi.org/10.1007/s00192-025-06102-4","url":null,"abstract":"Purpose/objective: This study explores the role of phosphodiesterase (PDE) inhibitors (specifically PDE-4, PDE-5 and PDE-1) in modulating the contractility of the porcine urethral smooth muscle and mucosal layers.Methods: Using an organ bath setup, the effects of PDE inhibitors rolipram, roflumilast, sildenafil, tadalafil and vinpocetine (0.1 nM to 10 μm) on isolated porcine urethral mucosa-intact smooth muscle, mucosa-denuded smooth muscle and mucosal layers were investigated.Results: Our results demonstrate that PDE-4 inhibitors (rolipram and roflumilast) significantly relaxed mucosa-intact urethral smooth muscle and reduced spontaneous contraction rates in the mucosal strips. Conversely, PDE-5 inhibitors (sildenafil and tadalafil) relaxed smooth muscle tissues denuded of mucosa but required exogenous source of nitric oxide (sodium nitroprusside) for effectiveness in relaxing the mucosa-intact tissues. PDE-1 inhibitor vinpocetine exhibited negligible effects.Conclusion: The results from the study suggest a potential role of the cAMP pathway in modulating spontaneous contractions within the urethral mucosa, while the NO/cGMP pathway appears to be important in modulating urethral smooth muscle tonic contractions. These findings suggest differential roles of PDE isoenzymes in urethral tissues.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624727","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

Pelvic Floor Muscle Strength and Bothersome Urinary Incontinence After Pregnancy: A Cohort Study. 盆底肌力与妊娠后尿失禁：一项队列研究。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-13 DOI: 10.1007/s00192-025-06085-2

Sónia Cristóvão, Emelie Asplén, Josefin Borssén, Maria E H Larsson, Sabine Vesting

{"title":"Pelvic Floor Muscle Strength and Bothersome Urinary Incontinence After Pregnancy: A Cohort Study.","authors":"Sónia Cristóvão, Emelie Asplén, Josefin Borssén, Maria E H Larsson, Sabine Vesting","doi":"10.1007/s00192-025-06085-2","DOIUrl":"https://doi.org/10.1007/s00192-025-06085-2","url":null,"abstract":"Introduction and hypothesis: Postpartum urinary incontinence (UI) is prevalent, and women with bothersome UI tend to seek more help. This study was aimed at evaluating the association between pelvic floor muscle (PFM) strength and bothersome UI in the 1st year postpartum.Methods: A prospective cohort study was conducted with 504 participants. UI was evaluated by the International Consultation on Incontinence Questionnaire Short Form (online) and PFM strength was assessed via vaginal palpation (Modified Oxford Scale, MOS), at 3, 6, 9, and 12 months postpartum. Logistic regression analysis was used to analyze the data.Results: At 3 months postpartum, 52% of women had a PFM strength of ≥ 3 MOS, increasing to 84% at 12 months. 42% of women reported UI at 3 months, which remained unchanged by 12 months. PFM strength ≥ 3 MOS was moderately associated with less UI at 3 months (OR = 0.63, 95% CI 0.42-0.94) and at timepoints 6, 9, and 12 months. Antepartum UI was strongly associated with postpartum UI at all time points: 3 months (OR = 10.23, 95% CI 4.90-21.37), 6 months (OR = 7.75, 95% CI 3.95-15.21), 9 months (OR = 9.95, 95% CI 4.61-21.47), and 12 months (OR = 4.55, 95% CI 2.29-9.04). Grade 2 perineal tears were moderately associated with UI at 9 months postpartum (OR = 1.82, 95% CI 1.11-3.0).Conclusions: A stronger pelvic floor was associated with less bothersome UI in the 1st year postpartum. UI during pregnancy was most strongly associated with bothersome UI after childbirth. Antenatal screening for UI and promoting PFM training may be warranted to support postpartum recovery and minimize UI.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624729","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

Vaginal Erbium Laser Versus Pelvic Floor Muscle Training for Stress Urinary Incontinence: A Randomised Controlled Trial. 阴道铒激光与盆底肌肉训练治疗压力性尿失禁：随机对照试验

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-13 DOI: 10.1007/s00192-025-06091-4

Ann-Sophie Page, Eline Borowski, Emma Bauters, Susanne Housmans, Frank Van der Aa, Jan Deprest

{"title":"Vaginal Erbium Laser Versus Pelvic Floor Muscle Training for Stress Urinary Incontinence: A Randomised Controlled Trial.","authors":"Ann-Sophie Page, Eline Borowski, Emma Bauters, Susanne Housmans, Frank Van der Aa, Jan Deprest","doi":"10.1007/s00192-025-06091-4","DOIUrl":"https://doi.org/10.1007/s00192-025-06091-4","url":null,"abstract":"Introduction and hypothesis: Current studies on vaginal laser therapy for the management of stress urinary incontinence (SUI) are inconclusive, and many lack comparison with another conservative treatment. Therefore, we compared the efficacy of Er:YAG laser for SUI with that of pelvic floor muscle training (PFMT).Methods: Single-centre, randomised controlled trial comparing laser treatment (3-6 applications) with PFMT (9-18 sessions) in women with mild to moderate SUI. Main outcome measures included subjective change in urinary incontinence symptoms by change from baseline to 4 months after randomisation by Urogenital Distress Inventory-6 (UDI-6; primary), adverse events, and other subjective and objective outcomes up to 24 months. A priori sample size calculation for a non-inferiority study resulted in 28 patients per arm. Because of a higher than expected dropout early in the study, we increased our sample size from 56 to 60, without unblinding of the data.Results: Sixty women were enrolled. Two participants discontinued their allocated treatment (one in each group). At 4 months, mean difference in change in UDI-6 scores was -6.99 (95% CI = -22.34; 8.37), demonstrating non-inferiority of laser to PFMT (p = 0.023). Within groups, most patients improved, yet subjective cure was reached in only a minority (laser: 11% [3 out of 28]; PFMT: 8% [2 out of 26]). The mean number of treatment visits was 4.25 (SD 1.17) in the laser group and 10.04 (SD 6.36) in the PFMT group. There were no subjective or objective inter-group differences. At 24 months, the majority of patients requested additional, yet alternative treatment. There were no serious adverse events at any time point.Conclusions: Treatment effect of vaginal laser and PFMT in patients with mild and moderate SUI were comparable, limited and short lasting. No adverse events were reported.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624733","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

Comment on "Gestational Diabetes Mellitus Affects the Risk of Obstetric Anal Sphincter Injury: A Systematic Review and Meta-Analysis of Cohort Studies". 《妊娠期糖尿病影响产科肛门括约肌损伤的风险：队列研究的系统回顾和荟萃分析》

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-03-11 DOI: 10.1007/s00192-025-06064-7

Lakshmi T

引用次数: 0