International Urogynecology Journal最新文献_第6页

Multiplex Polymerase Chain Reaction vs Standard Urine Culture in Women Presenting with Symptoms of Acute Cystitis. 多重聚合酶链反应与标准尿培养在出现急性膀胱炎症状的妇女中的作用

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-09-05 DOI: 10.1007/s00192-025-06295-8

Hope H Bauer, Melissa A Jarvis, Emily A Hoffberg, Ali F Batur, Leila S Hojat, Adonis K Hijaz, David Sheyn

{"title":"Multiplex Polymerase Chain Reaction vs Standard Urine Culture in Women Presenting with Symptoms of Acute Cystitis.","authors":"Hope H Bauer, Melissa A Jarvis, Emily A Hoffberg, Ali F Batur, Leila S Hojat, Adonis K Hijaz, David Sheyn","doi":"10.1007/s00192-025-06295-8","DOIUrl":"https://doi.org/10.1007/s00192-025-06295-8","url":null,"abstract":"Introduction and hypothesis: Prior studies suggest that acute cystitis diagnosis using standard urine culture (SUC) may be suboptimal compared to multiplex polymerase chain reaction (mPCR). mPCR is hypothesized to deliver faster and more accurate results.Methods: This was a prospective, paired, within-subject study of female patients ≥ 60 years presenting with symptoms of acute cystitis. For all patients, urine samples were collected and SUC and mPCR results using the Vikor Urine-ID™ platform were obtained. Initial treatment was based on the results of the first available test, either SUC or mPCR. The primary outcome was time from initial presentation to correct antibiotic therapy. Secondary outcomes included patient perception of symptoms, antibiotic regimen changes, and discordance between the test results.Results: A total of 87 patients were eligible for analysis. Overall, there were 36 positive SUC (41.4%) and 71 positive mPCR (81.6%) results. Discordant results were noted in 43.7% of patients, which lead to treatment changes in 33.3% of patients. The time to correct antibiotic therapy was not significantly different based on initial treatment choice test (mPCR 67.0 h vs SUC 78.2 h, p = 0.16). However, in the case of positive SUC, the time to correct antibiotic therapy was significantly shorter for mPCR (mPCR 64.8 h vs SUC 79.5 h, p = 0.02). Non-Escherichia coli species, specifically Enterococcus faecalis, were more likely to be identified on mPCR (43.7%) than on SUC (8.3%), p < 0.001.Conclusions: mPCR may be an effective method of identifying urinary pathogens in symptomatic patients, particularly those with non-Escherichia coli species.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000555","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

Letter to the Editor: Preoperative Ultrasound Predictors of Treatment Failure After 24 Months of Transobturator Midurethral Sling. 致编辑的信：术前超声预测24个月后经闭锁中尿道吊带治疗失败。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-09-05 DOI: 10.1007/s00192-025-06314-8

Chen-Ling Chin, Cheng-Yu Long

引用次数: 0

Expanded Commentary on Physical Activity, Quality of Life, and Pelvic Floor Disorders Before and After Hysterectomy for Gynecological Cancer. 妇科癌症子宫切除术前后的身体活动、生活质量和盆底疾病的扩展评论。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-09-03 DOI: 10.1007/s00192-025-06276-x

Efrem Kentiba

引用次数: 0

On the Origin of Urogynecology. 论泌尿妇科的起源。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-09-02 DOI: 10.1007/s00192-025-06207-w

Mark Vierhout

引用次数: 0

Letter Regarding "Cardiometabolic Index and Stress Urinary Incontinence". 关于“心脏代谢指数与压力性尿失禁”的信函。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-09-01 DOI: 10.1007/s00192-025-06313-9

Ali Furkan Batur

引用次数: 0

Comment on "The Relationship Between the Distance of Common Iliac Artery Bifurcation to the Sacral Promontory and Sacropelvic Parameters: Implications for Sacropexy Operations". “髂总动脉分叉至骶岬的距离与骶盆腔参数的关系：对骶骨固定术的启示”一文评论。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-09-01 DOI: 10.1007/s00192-025-06225-8

Tatiana Pfiffer, Giovanni Favero

引用次数: 0

Comparison of Arcus Tendineus Fascia Pelvis Versus Sacrospinous Ligament Suspension at the Time of Hysterectomy for Apical Pelvic Organ Prolapse. 盆腔顶端器官脱垂子宫切除术时骨盆腱弓筋膜与骶棘韧带悬吊的比较。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-30 DOI: 10.1007/s00192-025-06250-7

Dorsa Sohaei, Christie Zhang, Eric Belzile, Taylor Morganstein, Nicole Koenig, Adi Reuveni-Salzman, Lisa Merovitz, Jens-Erik Walter, Roxana Geoffrion, Maryse Larouche

{"title":"Comparison of Arcus Tendineus Fascia Pelvis Versus Sacrospinous Ligament Suspension at the Time of Hysterectomy for Apical Pelvic Organ Prolapse.","authors":"Dorsa Sohaei, Christie Zhang, Eric Belzile, Taylor Morganstein, Nicole Koenig, Adi Reuveni-Salzman, Lisa Merovitz, Jens-Erik Walter, Roxana Geoffrion, Maryse Larouche","doi":"10.1007/s00192-025-06250-7","DOIUrl":"https://doi.org/10.1007/s00192-025-06250-7","url":null,"abstract":"Introduction and hypothesis: This retrospective cohort study was aimed at comparing two native tissue suspension techniques for correcting apical pelvic organ prolapse (POP): sacrospinous ligament suspension (SSLS) and arcus tendineus fascia pelvis suspension (ATFPS).Methods: Medical charts of 145 patients who underwent one of the two techniques for symptomatic uterine prolapse at two academic centers from 2017 to 2022 were reviewed. The success rate of each surgery, along with the risks of complications, pain, and urinary and bowel symptoms were evaluated.Results: Mean postoperative follow-up time was 42.4 ± 9.1 weeks. No significant differences in baseline characteristics were noted. Anatomical objective recurrence (POP-Q ≥ stage 2 POP in any compartment) was more prevalent following SSLS (SSLS 49.0%, AFTPS 23.4%; p = 0.005), with nearly all recurrences being anterior. There were no differences in resolution of apical prolapse. Subjective recurrence, defined as prolapse symptoms of vaginal bulge and pressure, also occurred at a higher rate post-SSLS (SSLS 22.4%, AFTPS 8.2%; p = 0.019). Postoperative buttock pain at 6 weeks was more common post-SSLS (SSLS 18.2%, AFTPS 1.6%; p = 0.006). Overall, reoperation for POP recurrence and/or incontinence occurred in 8.2% of SSLS and 3.1% of ATFPS (p = 0.222).Conclusions: In the short term, ATFPS exhibited lower subjective and objective POP recurrence rates and less early postoperative pain compared with standard SSLS at the time of hysterectomy for POP.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954258","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

Obstetric Anal Sphincter Injuries: A Urogynecologic Perspective on Detection and Diagnosis. 产科肛门括约肌损伤：泌尿妇科的检测和诊断。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-28 DOI: 10.1007/s00192-025-06255-2

Katarzyna Borycka, Diaa E E Rizk

引用次数: 0

Comment on Letter to the Editor "A Prospective Study of the Impact of Persistent Nocturnal Enuresis on Female Sexual Function". 致编辑信“持续性夜间遗尿对女性性功能影响的前瞻性研究”的评论。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-27 DOI: 10.1007/s00192-025-06281-0

Kubilay Sarikaya

引用次数: 0

A Randomized Comparison of Transobturator Tape with the Plication of Urethral Ligaments in the Treatment of Stress Urinary Incontinence. 经闭锁带与尿道韧带扩张术治疗压力性尿失禁的随机比较。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-27 DOI: 10.1007/s00192-025-06193-z

Alev Esercan, Ahmet Akin Sivaslioglu, Peter Petros

{"title":"A Randomized Comparison of Transobturator Tape with the Plication of Urethral Ligaments in the Treatment of Stress Urinary Incontinence.","authors":"Alev Esercan, Ahmet Akin Sivaslioglu, Peter Petros","doi":"10.1007/s00192-025-06193-z","DOIUrl":"https://doi.org/10.1007/s00192-025-06193-z","url":null,"abstract":"Introduction and hypothesis: The new urethral ligament plication (ULP) operation for curing SUI is tape free. Instead of using a tape, the pubourethral ligament (PUL) is prevented from lengthening to cause urine loss on effort by a single collagen-creating polyester suture that confines all four branches of the PUL and adds new collagen to strengthen the ligaments. Its anatomical basis is identical to that for the midurethral sling (MUS).Methods: The 108 patients were randomized by computer, 54 in each arm. Informed consent was obtained. The transobturator tape (TOT) technique was standard outside/in. The ULP technique is a bilateral operation. Two 4-cm full-thickness vaginal incisions were made in the paraurethral anterolateral vaginal sulci extending from the bladder neck to the lateral external urethral meatus on each side of the urethra. The incisions were opened up to reveal the PULs. A No. 2 collagen-creating polyester suture was inserted into the four PUL attachment points: midurethra; retropubic; external urethral ligament; pubococcygeus muscle.Results: The ULP was found to be superior to conventional TOT in all measures. Cure rates were 90.7% vs 81.5% (p < 0.05), Urinary Distress Inventory-6 (UDI-6) scores were 0.61 vs 1.17 (p < 0.05), and operating time was 18 min vs 26 min (p > 0.06) respectively. Complications of the TOT were pain (7.4%), mesh erosion/extrusion (7.4%). The ULP had no significant complications. Results were independently confirmed by an external reviewer.Conclusions: The ULP is low-cost ($2 for the polyester sutures), safe, direct-vision surgery (no blind insertion instruments to damage organs, vessels, or nerves) with a shallow learning curve. Minimal facilities are required, with a local anesthetic option.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954152","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