International Urogynecology Journal最新文献

{"title":"Readability of Online Patient-Directed Content About Cystoscopy and Urodynamic Testing.","authors":"Mehr Jain, Jocelyn Stairs, Alana Sorgini, Aisling Clancy","doi":"10.1007/s00192-025-06100-6","DOIUrl":"https://doi.org/10.1007/s00192-025-06100-6","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The objective was to assess the readability of commonly accessed patient-focused websites about cystoscopy or urodynamic studies (UDS).</p><p><strong>Methods: </strong>Keywords related to cystoscopy and UDS were searched in three commonly accessed search engines in 2024 and compared with a search from 2022. The top 25 search results from each search engine were assessed against the study inclusion/exclusion criteria. Readability scores (Flesch Reading Ease score [FRES], Flesch-Kincaid Grade Level [FKGL], Gunning Frequency of Gobbledygook [FOG], Simple Measure of Gobbledygook [SMOG]) were calculated for the websites included. Mean readability scores of websites were compared by procedure type and publisher using the Mann-Whitney test.</p><p><strong>Results: </strong>In 2024, a total of 75 patient-oriented websites were identified, 33 (44.0%) of which were about cystoscopy and 42 (56.0%) websites were about UDS. Cystoscopy websites were difficult to read (FRES median 56 [55-69]), requiring grade 8-11 reading level (Gunning FOG median 11.3 [10.3-12.3]; FKGL median 8 [7.11-8.84]) and 8 years of education to read (SMOG median 8.06 [7.41-8.71]). UDS websites were difficult to read (FRES median 56 [41-66]), requiring grade 9-11 reading level (Gunning FOG median 11.45 [9.5-13.7]; FKGL median 8.85 [6.93-10.88]) and 8 years of education to read (SMOG median 8.49 [7.11-9.98]). Websites in 2024 were significantly easier to read than websites in 2022 based on Gunning FOG (p value 0.0079), FKGL (p value 0.0001), and SMOG scores (p value 0.0001), but still did not meet the recommendation of grade 6 reading level.</p><p><strong>Conclusions: </strong>Patient-focused online information about cystoscopy and UDS was harder to read than the American Medical Association-recommended grade 6 reading level of patient information. Readability of cystoscopy and UDS online information has improved over 2 years.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605107","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":"Differences in Pelvic Muscular Shape and Thickness in Women With and Without Significant Bladder Descent.","authors":"Liam Christopher Martin, Alireza Hadizadeh, Henry H Chill, Durwash Badr, Steven D Abramowitch, Ghazaleh Rostaminia","doi":"10.1007/s00192-025-06101-5","DOIUrl":"https://doi.org/10.1007/s00192-025-06101-5","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Pelvic organ prolapse (POP) is the descent of pelvic organs, causing patient discomfort. Despite its increasing prevalence, agreement in the field as to the cause is elusive. Weakness in pelvic floor muscles is implicated, but specific structural changes remain unclear. This study aimed to identify such differences in the levator ani, hypothesizing differences in pelvic muscle shape between greater and lesser bladder descent.</p><p><strong>Methods: </strong>We reviewed our patient database for cystocele diagnoses via MR defecography, including patients with static axial MRIs and dynamic midsagittal defecography. Patients were divided into two groups based on bladder descent relative to the genital hiatus (a measure our group had previously used). We used a statistical shape model of levator shapes to compare the groups. Additionally, we conducted MRI-based measurements (thickness of the obturator internus and anterior pelvic area) which have previously shown differences in similar groups.</p><p><strong>Results: </strong>Among 67 cystocele patients, 28 had greater bladder descent. The shape model identified significant variation in pelvic floor shape, specifically near the arcus tendineus levator ani (ATLA). The MRI-based measurements showed an increase in anterior pelvic area (53.8 ± 6.0 vs. 58.0 ± 5.3 cm², p < 0.001) with increased prolapse severity and thinning of obturator's along the ATLA (16.2 ± 2.7 vs. 13.9 ± 2.2 mm, p < 0.001), specifically in the region around the insertion of the levators and obturators.</p><p><strong>Conclusions: </strong>Patients with greater bladder descent exhibited a larger anterior pelvic area, thinner obturators, and greater pelvic floor muscle descent, potentially due to muscle detachment at DeLancey's level II support.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605106","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":"Comment on: Letter to the Editor: The Association between Depression and Overactive Bladder: A Cross-Sectional Study of NHANES 2011-2018.","authors":"Tianyue Li, Kunjie Wang","doi":"10.1007/s00192-025-06097-y","DOIUrl":"https://doi.org/10.1007/s00192-025-06097-y","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596968","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":"Rectocervical Fistula Repair After Laparoscopic Supracervical Hysterectomy and Laparoscopic Sacrocervicopexy.","authors":"Martin Havir, Khaled M Ismail, Martin Smazinka, Vladimir Kalis, Zdenek Rusavy","doi":"10.1007/s00192-025-06108-y","DOIUrl":"10.1007/s00192-025-06108-y","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Rectocervical fistula after a urogynecological surgery has never been described. In this video article, we present occurrence of this complication after laparoscopic supracervical hysterectomy and laparoscopic sacrocervicopexy (LSCH + LSC) and how it was treated.</p><p><strong>Methods: </strong>This was a case of a 47-year-old patient who had a laparoscopic supracervical hysterectomy and laparoscopic sacrocervicopexy (LSCH + LSC) for stage two pelvic organ prolapse. Within 3 months after the surgery, the patient complained of an odorous brownish vaginal discharge. On examination, this discharge was identified to be from the cervical canal. A provisional diagnosis of a rectocervical fistula was postulated and later confirmed by ultrasonography and colonoscopy. Consequently, a laparoscopic fistula repair with concomitant partial explantation of the mesh followed by removal of the cervix and transposition of an omental flap between the vaginal and rectal suture lines. The patient made an uneventful recovery. The resulting rectocele was repaired by a colpoperineorrhaphy 2 years after the surgery.</p><p><strong>Conclusion: </strong>Rectocervical fistula is a rare complication after laparoscopic sacrocervicopexy with concomitant supracervical hysterectomy. We demonstrated the feasibility of repairing this fistula laparoscopically. We opted for mesh explantation and removal of the cervix at the time of the fistula repair to mitigate the risk of recurrence.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582250","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":"Cross-Cultural Adaptation and Validation of the Portuguese Version of the \"Australian Pelvic Floor Questionnaire\".","authors":"Marina Mesquita, Luís Cavalheiro, Pedro Ferreira, Rui Soles Gonçalves, Sónia Vicente","doi":"10.1007/s00192-025-06087-0","DOIUrl":"10.1007/s00192-025-06087-0","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Pelvic floor dysfunction (PFD) is a common problem that occurs among women and increases with age and weight. This study was aimed at cross-culturally adapting and validating the original version of the Australian Pelvic Floor Questionnaire (APFQ) into Portuguese.</p><p><strong>Methods: </strong>The process of cultural and linguistic adaptation and validation followed the guidelines. The obtained Portuguese version was assessed by an expert panel of physiotherapists specialized in women's health. Women with pelvic floor dysfunction also participated in a cognitive pre-test (n = 9). A sample of 50 women with PFD completed the questionnaire to evaluate internal consistency, construct validity, reproducibility, floor/ceiling effects assessment, and standard error of measurement. Test-retest was assessed with a 2-week interval. The study was approved by the Ethics Commission and all participants signed an informed consent form.</p><p><strong>Results: </strong>Fifty women with a mean age of 53.90 (± 18.57) years, BMI of 27.5 (± 4.2), 55.6% with a bachelor's degree, and all with at least one child, participated in the study. The psychometric properties of the APFQ showed a high Cronbach's alpha for the four domains: bladder (0.837), bowel and sexual function (0.756), pelvic organ prolapse (0.840), and total score (0.714). In terms of reproducibility, intraclass coefficient domain values ranged from 0.934 to 0.976, with a total score of 0.948.</p><p><strong>Conclusions: </strong>The APFQ was cultural and linguistically adapted and validated for Portuguese. The Portuguese version of the APFQ (APFQ_P) showed acceptable values of validity and good reliability. It can be used in both clinical evaluation and in research on pelvic floor dysfunction.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582248","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":"Comment on \"Gestational Diabetes Mellitus Affects the Risk of Obstetric Anal Sphincter Injury: A Systematic Review and Meta-Analysis of Cohort Studies\".","authors":"Ella Eg Fabricius, Thomas Bergholt, Hanna Jangö","doi":"10.1007/s00192-025-06095-0","DOIUrl":"https://doi.org/10.1007/s00192-025-06095-0","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567003","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":"Does a Linear Array of Pressure Sensors Placed within the Vagina Really Measure the Ability of the Pelvic Floor to Respond to Increases in Intra-abdominal Pressure During High-Impact Activities?","authors":"Marina Petter Rodrigues, Sabine Vesting, Linda McLean","doi":"10.1007/s00192-025-06103-3","DOIUrl":"https://doi.org/10.1007/s00192-025-06103-3","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567005","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":"Enhancing Mesh-Tissue Integration in Menopausal Models Using a Platelet-Rich Plasma-Decellularized Amnion Scaffold Sandwich: A Study on Mesh Contraction, Inflammatory Infiltrate, IL-17, CD31, and Collagen Deposition.","authors":"Alfa Putri Meutia, Pribakti Budinurdjaja, Amir Fauzi, Arief Boediono, Suskhan Djusad, Joedo Prihartono, Puspita Eka Wuyung, Andon Hestiantoro, Budi Iman Santoso","doi":"10.1007/s00192-025-06084-3","DOIUrl":"https://doi.org/10.1007/s00192-025-06084-3","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Mesh-augmented surgery in urogynecology involves the use of surgical mesh to support and reinforce weakened pelvic tissue. Although it can be effective, there are potential complications, including mesh extrusion and dyspareunia related to excessive inflammatory response. One possible approach to preventing excessive inflammation and promoting mesh-tissue integration is to utilize a mesh sandwiched between two layers of platelet-rich plasma-decellularized amnion scaffold (PRP-DAS).</p><p><strong>Methods: </strong>This experimental study was performed on 24 menopausal rabbit models. The treatment group consisted of a polypropylene (PP) mesh coated with PRP-DAS on both sides, whereas the control group included a PP mesh without PRP-DAS. Mesh-tissue integration was evaluated through macroscopic, histological, and immunohistochemical analyses. Macroscopic assessment focused on mesh extrusion and contraction, whereas histology and immunohistochemistry were done by assessing inflammatory response (inflammatory infiltrates [ININ] and interleukin-17 [IL-17] expression), neovascularization (angiogenesis score and cluster of differentiation 31/CD31 expression) and collagen deposition using image J on days 14, 28, and 90 following mesh implantation. Data were analyzed using one-way ANOVA followed by Tukey post hoc test.</p><p><strong>Results: </strong>Results demonstrated that no mesh extrusion was found in either group; however, mesh contraction was significantly lower in the PRP-DAS group than in controls. On days 28 and 90, ININ was significantly lower (p < 0.01; p = 0.011) and IL-17 expression was markedly elevated (p < 0.01) in the PRP-DAS group compared with the controls. Moreover, collagen deposition was significantly higher (p < 0.01) in the PRP-DAS group by day 90.</p><p><strong>Conclusion: </strong>The PRP-DAS sandwich prevents excessive inflammatory response and enhanced mesh-tissue integration in the menopausal rabbit model.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556914","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 Outcomes of Transvaginal Sacrospinous Ligament Suture Rectopexy.","authors":"Henry H Chill, Alireza Hadizadeh, Angela Leffelman, Claudia Paya Ten, Cecilia Chang, Roger P Goldberg, Ghazaleh Rostaminia","doi":"10.1007/s00192-025-06099-w","DOIUrl":"https://doi.org/10.1007/s00192-025-06099-w","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Obstructed defecation syndrome (ODS) is characterized by a combination of straining, incomplete evacuation, and the use of digital manipulation with defecation. Transvaginal sacrospinous ligament suture rectopexy has been shown to effectively improve obstructed defecation symptoms caused by rectal partial prolapse and lack of support during first year postoperatively. This study aimed to investigate the long-term clinical and anatomical outcomes of this novel and minimally invasive surgery.</p><p><strong>Materials and methods: </strong>This longitudinal prospective cohort study was performed at a tertiary, university-affiliated pelvic health clinic. Women who underwent transvaginal sacrospinous rectopexy for treatment of ODS and for whom time since their surgery was at least 12 months were eligible for inclusion. Patients were contacted via telephone and were offered to come for an in-person evaluation, including symptom assessment (ODS symptoms, PFDI-20 and PGI-I questionnaires), POP-Q evaluation, and 3D dynamic ultrasound for assessment of rectal hypermobility. Clinical success was defined as not having any ODS symptoms (straining, incomplete emptying, or need to splint) in over 50% of bowel movements. Anatomical success was defined as not having rectal prolapse and compression ratio on ultrasound assessment of less than 50%.</p><p><strong>Results: </strong>A total of 135 patients were eligible for inclusion, out of which 65 patients, averaging 63.3 ± 13.3 years in age and 27.1 ± 5.6 in body mass index (BMI), were recruited. Median follow-up time was 29 months. Subjective failure was noted in 18 patients (28.1%) who experienced symptoms in more than 50% of bowel movements. Anatomical failure, defined as having a compression ratio of more than 50% or rectal prolapse, was noted in seven patients (12.7%). Three patients failed treatment with a recurrence of rectal prolapse and two patients underwent ventral mesh rectopexy within 1 year after surgery. Ultrasound measurements revealed that compression ratio significantly reduced from 52.9% ± 24.7 to 17.7% ± 12.3 (p < 0.001), indicating substantial anatomical improvements during the follow-up period.</p><p><strong>Conclusion: </strong>In conclusion, this study indicates that transvaginal sacrospinous ligament rectopexy is a safe, feasible, and minimally invasive effective alternative for treating ODS.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556918","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":"Response to Comment on \"Short-Term Complications of Concomitant Pelvic Organ Prolapse and Rectal Prolapse Repair: A Systematic Review and Meta-Analysis\".","authors":"Alireza Hadizadeh, Henry H Chill, Angela Leffelman, Claudia Paya-Ten, Cecilia Chang, Roger P Goldberg, Steven D Abramowitch, Ghazaleh Rostaminia","doi":"10.1007/s00192-025-06092-3","DOIUrl":"https://doi.org/10.1007/s00192-025-06092-3","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556930","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}