International Urogynecology Journal最新文献

{"title":"Nontyphoidal Salmonella as a Rare Cause of UTI: A Case Report, Systematic Review, and Analysis of Surveillance Data.","authors":"Diana Hamdan, J Tyrone Adcock","doi":"10.1007/s00192-025-06279-8","DOIUrl":"https://doi.org/10.1007/s00192-025-06279-8","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urinary tract infections (UTIs) associated with nontyphoidal Salmonella (NTS; NTS-UTI) are uncommon. Although NTS infections typically result in gastroenteritis, cases of isolated UTIs have been documented. This report examines over 300 NTS-UTI cases described since 1980, highlighting trends in patient demographics, clinical presentation, and environmental exposure.</p><p><strong>Methods: </strong>A search of the PubMed database was conducted for NTS-UTI reports published between 1980 and 2025. Urine isolate data reported by the Centers for Disease Control and Prevention (CDC) across the USA between 2020 and 2024 were analyzed to estimate the incidence of Salmonella Bareilly (S. Bareilly) UTI. Correlation between S. Bareilly incidence and both chicken and egg production was assessed to explore potential associations.</p><p><strong>Results: </strong>A total of 321 patients with NTS-UTI were identified in our systematic review. The cohort had an average age of 54.5 ± 24.0 years and an approximate male-to-female ratio of 8:10. Contributing factors for NTS-UTI included comorbidities, such as diabetes and hypertension, and underlying urological conditions, including urolithiasis and recurrent UTI. Analysis of CDC surveillance data revealed a higher incidence of S. Bareilly UTI in the Four-State Area (Arkansas, Kansas, Missouri, Oklahoma) compared with the national average.</p><p><strong>Conclusions: </strong>Our findings highlight the importance of considering nontyphoidal Salmonella (NTS) in the differential diagnosis of UTI. Environmental exposure, comorbid conditions, and genitourinary abnormalities appear to play a role in the pathogenesis of NTS-UTI. A better understanding of these contributing factors may help to identify at-risk populations in regions where enhanced surveillance may be warranted.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080587","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 Reconstruction Using Mesh Versus Campbell Uterosacral Ligament Suspension: 2-Year Clinical Outcome.","authors":"Ting-Ting Zhao, Yan-Qin Chen, Shao-Jie Zhao, Yi-Juan Huang, De-Hui Yan","doi":"10.1007/s00192-025-06296-7","DOIUrl":"https://doi.org/10.1007/s00192-025-06296-7","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The present study is aimed at comparing the clinical outcome and patient satisfaction between transvaginal modified pelvic floor reconstruction using the titanized polypropylene lightweight mesh (MPFR-mesh) and transvaginal Campbell uterosacral ligaments suspension (C-USLS) in women with apical and anterior prolapse.</p><p><strong>Methods: </strong>We performed a single-center retrospective cohort study including women who underwent a vaginal hysterectomy with concomitant MPFR-mesh or C-USLS from January 2018 and December 2020 with a 2-year follow-up. The primary outcome was composite surgical successful rate (retreatment of prolapse, Ba or Bp beyond 1 cm above the hymen, the C point above total vaginal length/2, or prolapse symptoms), and the secondary outcome included Pelvic Organ Prolapse Quantification (POP-Q) data (Ba、Bp、C, and TVL), adverse events, and patient satisfaction.</p><p><strong>Results: </strong>A total of 175 patients were determined according to our study's inclusion criteria: 78 patients underwent MPFR-mesh, whereas 97 patients had C-USLS. With regard to cystocele, in the MPFR-mesh group, 68 (87.2%) had stage III, 10 (12.8%) had stage IV, and in the C-USLS group, 76 (78.4%) had stage III, 1 (1.0%) had stage IV; a significant difference was noted (p < 0.05). No differences were observed among women who underwent MPFR-mesh vs C-USLS with regard to the composite surgical success rate (88.5% vs 85.6%; p = 0.573). Consistent with multivariate analysis, after controlling for age, preoperative points Ba and C, body mass index, vaginal deliveries, posterior colporrhaphy, and perineorrhaphy, there was no discernable difference in recurrence rates between the two procedures. In addition, it was interesting to find that there was a difference in TVL and point C between the two groups after surgery (p < 0.05), but that there was no statistically significant difference in the Ba and Bp points (p > 0.05). Patient satisfaction was equally high in the MPFR-mesh group as in the C-USLS group (94.9% vs 96.9%; p = 0.768). Adverse events in the MPFR-mesh group vs the C-USLS group included mesh exposure (3.8% vs 0%), and ureteral kinking (0% vs 2.1%).</p><p><strong>Conclusions: </strong>Modified pelvic floor reconstruction with mesh and C-USLS both have high composite surgical successful rates and patient satisfaction throughout 2 years. The C-USLS group may have longer vaginal length than the MPFR-mesh group after surgery. For patients with POP-Q stage III anterior prolapse and concurrent apical prolapse who are worried about potential mesh complications, this C-USLS could be an alternative.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080665","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":"Genetically Predicted ESR1 Expression Protects Against Pelvic Organ Prolapse: Complementary and Divergent Findings from Mendelian Randomization.","authors":"Ya-Jing Huang, Huai-Fang Li, Yang Yang","doi":"10.1007/s00192-025-06261-4","DOIUrl":"https://doi.org/10.1007/s00192-025-06261-4","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064649","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":"Antenatal and Postnatal Screening for Pelvic Floor Dysfunction Using an Electronic Patient Reported Outcome Measure.","authors":"Thomas James Curtis, Jenna Sweeney, Thomas Giles Gray","doi":"10.1007/s00192-025-06302-y","DOIUrl":"https://doi.org/10.1007/s00192-025-06302-y","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Pregnancy and childbirth are established causes of pelvic floor dysfunction (PFD), but screening for antenatal and postnatal PFD is not routine in the United Kingdom. This study aimed to identify antenatal and postnatal women with PFD using a validated electronic patient reported outcome measure (PROM) and provide targeted intervention based on symptom scores.</p><p><strong>Methods: </strong>During the evaluation period, 15,093 patients across three NHS hospitals were invited to complete ePAQ-Pelvic Floor. Invites were sent electronically after ultrasound confirmed viable pregnancy and 16 weeks postnatal. Respondents with scores 50-79 in any domain were triaged to review by a therapy assistant practitioner; scores > 80 to a specialist physiotherapist or urogynaecologist. Responses were divided into antenatal and postnatal cohorts. Mann-Whitney tests were used to assess differences in mean domain scores, with odds ratios calculated for symptom presence (domain score > 0).</p><p><strong>Results: </strong>A total of 3366 PROMs were completed (response rate 22.3%); 1804 antenatal and 806 postnatal respondents gave consent to data analysis. Mean ages, BMI and parity were 30.3, 27.1 and 0.7 (antenatal) and 31.2, 27.8 and 1.7 (postnatal). Six hundred one patients were triaged to physiotherapy assistants and 150 to specialist review based on symptom scores. Mean domain scores for stress urinary incontinence, bowel continence, pelvic organ prolapse, dyspareunia, body image and general sex life were all significantly worse in postnatal women (p < 0.0001).</p><p><strong>Conclusions: </strong>Antenatal and postnatal patients are at risk of PFD and using electronic PROMs may aid identification of affected women. Further research is needed into optimal instruments, acceptability and improving response rates.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145053496","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-Assisted Excision of Intravesical Burch Urethropexy Staples and Mesh.","authors":"Courtney K Pfeuti, Brian J Linder","doi":"10.1007/s00192-025-06331-7","DOIUrl":"https://doi.org/10.1007/s00192-025-06331-7","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Use of synthetic mesh material in urogynecology for anti-incontinence surgery risks complications such as vaginal exposure and erosion. Although intravesical erosion is rare, management is complex with limited existing guidance, specifically following retropubic urethral suspension procedures.</p><p><strong>Methods: </strong>This is a 78-year-old female patient referred for management of intravesical mesh and staples. Prior surgical history included a retropubic urethral suspension and laparoscopic Burch urethropexy with Prolene mesh. Following years of persistent urinary symptoms, cystoscopy identified intravesical mesh. Imaging revealed multiple tacking device staples in the retropubic space. Robotic-assisted excision of the intravesical mesh and staples was performed. After identification of the retropubic Burch mesh and dissection to the bladder, an intentional cystotomy was made. Circumferential dissection along the mesh permitted complete excision. The cystotomy was closed in two layers and reinforced with a urachal flap.</p><p><strong>Results: </strong>The patient was discharged on postoperative day one. After two weeks of Foley catheter use, a cystogram showed no extravasation. The patient passed a voiding trial.</p><p><strong>Conclusions: </strong>Robotic-assisted excision of intravesical mesh from a retropubic urethropexy is safe and feasible. Complete surgical excision helps achieve a tension-free closure and prevent recurrence. Surgical techniques demonstrated here may be helpful for managing such cases of intravesical mesh.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145053574","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 \"The Influence of Successful Apical Defect Repair in Laparoscopic Sacrocolpopexy on Quality of Sexual Life\".","authors":"Ömer Faruk Öz","doi":"10.1007/s00192-025-06329-1","DOIUrl":"https://doi.org/10.1007/s00192-025-06329-1","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033215","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":"Translation and Validation of the Persian ICIQ Nocturia and Nocturia Quality of Life.","authors":"Elham Jahantabi, Golsa Alamdari, Armin Attar, Mahdi Hemmati, Sona Tayebi, Mohammad Amin Tapak, Hanieh Salehi-Pourmehr, Sakineh Hajebrahimi","doi":"10.1007/s00192-025-06306-8","DOIUrl":"https://doi.org/10.1007/s00192-025-06306-8","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>We aimed to translate and validate the International Consultation on Incontinence Questionnaire Nocturia (ICIQ-N) and Nocturia Quality of Life (ICIQ-Nqol) into Persian by assessing the validity and reliability of the translated versions.</p><p><strong>Methods: </strong>The English versions of the ICIQ-N and ICIQ-Nqol were translated into Persian using a forward-backward translation method. Content validity was assessed quantitatively using the Content Validity Index (CVI) and Content Validity Ratio (CVR) by ten urologists. Construct validity was evaluated using exploratory factor analysis (EFA) on data from 208 female patients with at least one lower urinary tract symptom. Internal consistency was determined using Cronbach's alpha, and test-retest reliability was assessed over a 14-day interval using the intraclass correlation coefficient (ICC).</p><p><strong>Result: </strong>The Persian translations demonstrated high content validity, with all items achieving acceptable CVI and CVR values. Exploratory factor analysis revealed a single dominant component for both questionnaires. Cronbach's alpha for the ICIQ-N was 0.888 and for the ICIQ-Nqol was 0.986, indicating excellent internal consistency. Test-retest reliability was also high, with ICC values of 0.869 (95% CI 0.817-0.905) for the ICIQ-N and 0.974 (95% CI 0.968-0.979) for the ICIQ-Nqol.</p><p><strong>Conclusion: </strong>The Persian ICIQ Nocturia and Nocturia Quality of Life were valid and efficiently adapted for use in various settings.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033208","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-Sectional Associations of Depressive Symptoms, Anxiety Symptoms, and Emotional Support Seeking with Lower Urinary Tract Symptoms and Bladder Health.","authors":"Sonya S Brady, Deepa R Camenga, Tamera Coyne-Beasley, Chloe Falke, Colleen M Fitzgerald, Bernard L Harlow, Kimberly Kenton, Heather Klusaritz, Cora E Lewis, Dulce P Rodriguez-Ponciano, Kyle D Rudser, Abigail R Smith, Ariana L Smith, Siobhan Sutcliffe, Eliza Wilson-Powers, Shayna D Cunningham","doi":"10.1007/s00192-025-06270-3","DOIUrl":"https://doi.org/10.1007/s00192-025-06270-3","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Depressive and anxiety symptoms are known risk factors for lower urinary tract symptoms (LUTS). To inform prevention and treatment strategies, this research examined whether greater emotional support seeking weakened associations of affective symptoms with LUTS and poorer bladder health.</p><p><strong>Methods: </strong>Data were collected from women in the USA who participated in the RISE FOR HEALTH study of bladder health. In this cross-sectional analysis (analytic sample n = 1444), self-reported LUTS, perceived bladder health, and perceived impact of bladder health on five domains of living (social and occupational activities, travel, physical activities, intimacy, and emotions) were separately regressed on depressive symptoms, anxiety symptoms, and emotional support seeking. Interaction tests examined whether emotional support seeking modified associations of affective symptoms with LUTS and bladder health.</p><p><strong>Results: </strong>Report of worse depressive symptoms, worse anxiety symptoms, and lower levels of engagement in emotional support seeking were associated with more frequent LUTS, poorer perceived bladder health, and lower perceived positive impact of bladder health on each domain of living. Emotional support seeking was not associated with LUTS and bladder health outcomes when adjusting for affective symptoms, and did not modify associations of affective symptoms with LUTS and bladder health outcomes.</p><p><strong>Conclusions: </strong>Intervention research to prevent LUTS and promote bladder health can test strategies that include screening and providing timely treatment of affective symptoms. Health care providers treating women for LUTS can screen for affective symptoms and make referrals to ensure that both the physical health and the mental health needs of patients are being met.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029716","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":"Turkish Translation and Cross-Cultural Adaptation of the Pelvic Floor Dysfunction-SENTINEL Screening Tool: A Methodological Study.","authors":"Seyda Toprak Celenay, Elif Sena Dusgun, Mesut Arslan, Derya Ozer Kaya","doi":"10.1007/s00192-025-06311-x","DOIUrl":"https://doi.org/10.1007/s00192-025-06311-x","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>To translate and perform cultural adaptation of the Pelvic Floor Dysfunction-SENTINEL (PFD-SENTINEL) screening tool into Turkish and to establish its reliability and validity for female athletes.</p><p><strong>Methods: </strong>The study included 200 female athletes (mean age 22 ± 4 years). The translation of the PFD-SENTINEL, which comprised the symptoms related to PFD and item sections related to general risk factors and sports-related risk factors, was performed in accordance with international recommendations. The severity of PFD symptoms was assessed with the Pelvic Floor Distress Inventory-20 (PFDI-20). Psychometric analyses consisted of assessing the following: internal consistency reliability using the Kuder-Richardson-20 (KR-20) coefficient, construct validity using confirmatory factor analysis, and criterion validity.</p><p><strong>Results: </strong>The reliability was acceptable for the PFD-SENTINEL items assessed using the KR-20, at 0.581, indicating moderate internal consistency. All fit indices except standardized root mean square residual indicated a perfect fit for the final models. Criterion validity was supported by positive correlations between the PFD-SENTINEL symptom score and the PFDI-20 score (r = 0.724, p < 0.001) and between the PFD-SENTINEL item score and the PFIQ-20 scores (r = 0.334; p < 0.001).</p><p><strong>Conclusions: </strong>The Turkish version of the PFD-SENTINEL is a reliable and valid instrument to screen for PFD in female athletes.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023313","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":"Randomized Comparison of Video Demonstration, Simulation-Based Training, and Combination Using Silicone-Latex Simulation for Anal Sphincter Injury Repair in Obstetrics and Gynecology Residents.","authors":"Riska Wahyuningtyas, Eighty Mardiyan Kurniawati, Gatut Hardianto, Hari Paraton, Tri Hastono Setyo Hadi, Djoko Kuswanto","doi":"10.1007/s00192-025-06299-4","DOIUrl":"https://doi.org/10.1007/s00192-025-06299-4","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Our aim was to compare residents' skill for anal sphincter injury repair in a silicone-latex simulation anal sphincter injury model after video demonstration, simulation-based training, and a combination of both.</p><p><strong>Methods: </strong>We randomized obstetrics and gynecology residents to video demonstration by an expert (group 1), simulation-based training (group 2) and a combination training model (group 3) using a validated silicone-latex simulation anal sphincter injury model. We tested the anal sphincter injury repair skills of the residents using the global rating scale (GRS) and the objective structured assessment of technical skills (OSATS) scoring system. We assessed the validity of the GRS and OSATS scoring system in Bahasa using this anal sphincter injury model.</p><p><strong>Results: </strong>Thirty-three residents were randomized into the three groups. Group 3 had the largest different in GRS scores (9.82 95% CI (8.45-11.19)). Group 2 (9.45 95% CI (7.85-11.05)) followed and the lowest different GRS score was in group 1 (7.18 95% CI (5.95-8.41)). There was a significant difference amongst the three group (p = 0.018). The highest OSATS score difference was in group 3 (8.91 95% CI (7.49-10.33)), followed by group 2 (6.82 95% CI (5.55-8.09)), and the lowest score difference was in group 1 (5.45 95% CI (3.39-7.52)). There was a significant difference amongst the three groups (p = 0.007).</p><p><strong>Conclusions: </strong>Combination training is the most superior training for improving anal sphincter injury repair in a simulation model.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023220","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}