International Urogynecology Journal最新文献_第7页

The Long-Term Rate of Reoperation After Midurethral Sling Insertion Among Women With Urinary Incontinence: A Population-Based Study. 尿失禁女性中尿道吊带置入后再手术的长期发生率：一项基于人群的研究。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-27 DOI: 10.1007/s00192-025-06212-z

Il Woo Park, Jaeyoung Cho, Mina Kim, Dae-Sung Kyoung, Sang Hoon Song, Juhyun Park

{"title":"The Long-Term Rate of Reoperation After Midurethral Sling Insertion Among Women With Urinary Incontinence: A Population-Based Study.","authors":"Il Woo Park, Jaeyoung Cho, Mina Kim, Dae-Sung Kyoung, Sang Hoon Song, Juhyun Park","doi":"10.1007/s00192-025-06212-z","DOIUrl":"https://doi.org/10.1007/s00192-025-06212-z","url":null,"abstract":"Introduction and hypothesis: This study evaluated the reoperation rate and risk factors among women who underwent midurethral sling (MUS) insertion for stress urinary incontinence (SUI). Reoperation was defined as an additional incontinence procedure due to insufficient benefit from the initial MUS, excluding surgeries for mesh-related complications or device removal.Methods: We analyzed 221,082 women aged ≥ 20 years who received MUS between 2009 and 2015 in South Korea. Data from the National Health Insurance Service were used to determine reoperation rates, and Cox regression identified independent risk factors.Results: Reoperation rates were 0.8% at 1 year, 2.7% at 5 years, and 4.8% at 12 years. Younger age (< 60 years) was associated with a higher likelihood of reoperation (hazard ratio [HR] 1.957, p < 0.001). Overactive bladder (HR 2.308, p < 0.001), neurogenic bladder (HR 2.308, p < 0.001), and diabetes were also significant risk factors. However, diagnoses were based on claims data, potentially leading to misclassification. Variability in surgical expertise and evolving medical practices may further limit generalizability.Conclusions: Among 221,082 women undergoing MUS, the long-term reoperation rate was 4.8%. Younger age, overactive bladder, neurogenic bladder, and diabetes were key risk factors. Preoperative assessment of these factors is essential for optimizing patient selection.","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":"144954310","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 "A Prospective Study of the Impact of Persistent Nocturnal Enuresis on Female Sexual Function". 致编辑的信“持续性夜间遗尿对女性性功能影响的前瞻性研究”。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-26 DOI: 10.1007/s00192-025-06267-y

Ziling Qin, Yiting Zhao, Dianrong Song

引用次数: 0

Prevalence and Predictors of Anal Incontinence 9-12 Months Postpartum in Primipara with Vacuum-Assisted Deliveries. 真空辅助分娩初产妇产后9-12个月肛门失禁的患病率及预测因素。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-26 DOI: 10.1007/s00192-025-06290-z

Søren Gräs, Marianne Starck, Hanna Jangö, Gunnar Lose, Niels Klarskov

{"title":"Prevalence and Predictors of Anal Incontinence 9-12 Months Postpartum in Primipara with Vacuum-Assisted Deliveries.","authors":"Søren Gräs, Marianne Starck, Hanna Jangö, Gunnar Lose, Niels Klarskov","doi":"10.1007/s00192-025-06290-z","DOIUrl":"https://doi.org/10.1007/s00192-025-06290-z","url":null,"abstract":"Introduction and hypothesis: We have examined prospectively a large cohort of primipara with VA deliveries and previously reported that approximately one in five had an anal sphincter injury of which one quarter were clinically unrecognized. In this paper, we examine the development and potential predictors of postpartum anal incontinence (AI) in the cohort. We hypothesized that both clinically recognized and unrecognized anal sphincter injuries would be associated with AI development.Methods: The participants were interviewed 9-12 months postpartum using the St. Marks incontinence score (SMIS). The primary outcome was the prevalence of de novo AI development defined as SMIS > 0. Logistic regression analysis was used to calculate the odds ratios for selected variables.Results: Of 334 eligible women, 271 (81%) were initially included in the study and 248 of them (92%) completed the interview. The prevalence of de novo AI was 21.8% (95% CI 16.4-28.4). Both clinically recognized and unrecognized anal sphincter injuries increased the odds significantly about threefold. Only 35.2% of the symptomatic women had a sphincter injury, and we identified no predictors in the rest.Conclusions: Approximately one in five primipara undergoing a VA delivery developed AI. About one third of them were associated with either a clinically recognized or unrecognized anal sphincter injury. Thus, the combination of the two provides the most clinically relevant distinction between anal sphincter injury dependent and independent predictors of AI development. In the symptomatic women with no sphincter injuries, we found no predictive variables.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954379","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 Long-Term Effects of Pessary Treatment on Quality of Life, Symptoms, Sexual Function, and the Urinary System in Women with Pelvic Organ Prolapse. 盆腔器官脱垂妇女必要治疗对生活质量、症状、性功能和泌尿系统的长期影响

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-26 DOI: 10.1007/s00192-025-06291-y

Ozgen Nahya Ozdogar, Ibrahim Egemen Ertas

{"title":"The Long-Term Effects of Pessary Treatment on Quality of Life, Symptoms, Sexual Function, and the Urinary System in Women with Pelvic Organ Prolapse.","authors":"Ozgen Nahya Ozdogar, Ibrahim Egemen Ertas","doi":"10.1007/s00192-025-06291-y","DOIUrl":"https://doi.org/10.1007/s00192-025-06291-y","url":null,"abstract":"Introduction and hypothesis: Although pessary treatment is widely used to treat pelvic organ prolapse (POP), there is currently no clear information on its impact on long-term quality of life. The aim of this study was to examine the effects of pessary treatment on quality of life (QoL), symptoms, sexual function, and the urinary system in women with POP.Methods: Patients who presented to our clinic due to POP and were treated with a pessary were evaluated. To examine the effects of pessary treatment on QoL, the urinary system, and sexual function, validated questionnaires, including the Pelvic Floor Distress Inventory-20 (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ), and the Female Sexual Function Index (FSFI), were completed by those who continued to receive pessary treatment. The patients' gynecological examinations were performed.Results: Seventy patients were enrolled in the study. Four patients died owing to systemic comorbidities. Among the remaining patients, 12 discontinued pessary use (mean duration 27.36 months), while 54 continued the treatment (mean duration 25.43 months). The pessary size, total vaginal length (TVL), and genital hiatus (GH) of women with POP who discontinued treatment were greater than those who continued treatment. Previous gynecological operations and increased TVL were effective predictors for discontinuation of treatment. The total score and subheadings of the PFDI-20; PFIQ total score and subheadings, with the exception of the Colorectal-Anal Impact Questionnaire (CRAIQ-7); and FSFI scores improved after pessary treatment. Among patients who discontinued treatment, pain was the most common reason (41.6%).Conclusions: Pessary treatment was associated with improvements in pelvic floor-related quality of life and sexual function; however, pain emerged as the primary reason for treatment discontinuation.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954342","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 "Comparison of Perioperative and Postoperative Outcomes between Single-Port Robotic Sacrocolpopexy and Multi-Port Approaches". 致编辑的信“单孔机器人骶colpop固定术与多孔入路围术期和术后疗效的比较”。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-25 DOI: 10.1007/s00192-025-06265-0

Ziling Qin, Ranran Chen, Dianrong Song

引用次数: 0

Risk Factors of Diabetic Bladder Dysfunction in Patients with Type 2 Diabetes Mellitus: A Case-Control Study in Shenzhen, China. 2型糖尿病患者膀胱功能障碍的危险因素：中国深圳的一项病例对照研究

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-23 DOI: 10.1007/s00192-025-06282-z

Fengming Hao, Senying Luo, Ying Wang, Laifu Wang, Wei Ren, Wenzhi Cai, Yingjie Hu

{"title":"Risk Factors of Diabetic Bladder Dysfunction in Patients with Type 2 Diabetes Mellitus: A Case-Control Study in Shenzhen, China.","authors":"Fengming Hao, Senying Luo, Ying Wang, Laifu Wang, Wei Ren, Wenzhi Cai, Yingjie Hu","doi":"10.1007/s00192-025-06282-z","DOIUrl":"https://doi.org/10.1007/s00192-025-06282-z","url":null,"abstract":"Introduction and hypothesis: Diabetic bladder dysfunction (DBD) is a prevalent but underrecognized complication of type 2 diabetes mellitus (T2DM), affecting 25 to 87% of patients and significantly impairing quality of life. The specific risk factors for DBD remain poorly understood due to inconsistent findings in prior studies. This study aims to systematically identify the risk factors associated with DBD among Chinese T2DM patients.Methods: A case-control study was conducted in Shenzhen, China, spanning from March 2019 to January 2024, involving T2DM patients from two tertiary comprehensive hospitals. Patients were categorized into DBD and non-DBD groups based on DBD presence or absence. Comparative analysis utilized the Mann-Whitney U test and χ2 test, with significant variables subsequently subjected to logistic regression analysis.Results: In this study, 35.5% of patients with T2DM experienced the outcome of DBD. Comparative analysis between DBD and non-DBD groups revealed that 11 of 60 candidate variables demonstrated significant associations with DBD development (P < 0.05). Significant predictors identified in logistic regression included age (OR 1.03, 95% CI 1.01-1.04), gender (OR 0.47, 95% CI 0.31-0.72), duration of T2DM (OR 1.08, 95% CI 1.04-1.11), urine microalbumin/creatinine ratio (UA/CR) (OR 1.01, 95% CI 1.01-1.01), and insulin use (OR 2.27, 95% CI 1.30-3.96).Conclusions: This study identified a total of five significant risk factors, offering robust evidence for DBD intervention and providing critical insights for reducing its incidence and enhancing patient quality of life.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954285","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

Barriers to Effective Treatment of Genitourinary Syndrome of Menopause: A Qualitative Study on Patient Perspectives on Vaginal Estrogen. 绝经期泌尿生殖系统综合征有效治疗的障碍：对患者阴道雌激素观点的定性研究。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-23 DOI: 10.1007/s00192-025-06246-3

Helen Y Zhang, Sarah E Andiman, Antonella M D'Ascanio, Cara L Grimes, Dominique Malacarne Pape

{"title":"Barriers to Effective Treatment of Genitourinary Syndrome of Menopause: A Qualitative Study on Patient Perspectives on Vaginal Estrogen.","authors":"Helen Y Zhang, Sarah E Andiman, Antonella M D'Ascanio, Cara L Grimes, Dominique Malacarne Pape","doi":"10.1007/s00192-025-06246-3","DOIUrl":"https://doi.org/10.1007/s00192-025-06246-3","url":null,"abstract":"Introduction and hypothesis: Vaginal estrogen therapy is widely accepted as a safe and effective treatment for symptoms of genitourinary syndrome of menopause (GSM), yet it is likely underutilized owing to various factors relating to patient perceptions, barriers to access, and health care system outreach. The aim of our study is to explore patient beliefs and opinions regarding its use.Methods: A qualitative study was conducted with patients prescribed vaginal estrogen at an ambulatory urogynecology office between October 2022 and August 2023. Participants completed a symptom inventory followed by a 1:1 in-depth interview based on a structured guide designed to elicit candid insights and detailed responses into perceptions and experiences with vaginal estrogen. Data were analyzed using grounded theory methods in a three-phase coding process to identify key themes.Results: Twenty-two participants were interviewed. Six major themes emerged: knowledge base, barriers to health care access, motivation for symptom relief, concerns regarding side effects, physician-patient relationship, and barriers to compliance. Although participants understood the connection between GSM and aging, they often felt unclear about which symptoms vaginal estrogen targeted, how to apply it, and how it differed from systemic hormone replacement therapy. Barriers such as cost, lack of insurance coverage, and concerns about cancer were frequently reported. Physician education helped to alleviate fears, improving patient confidence in using vaginal estrogen.Conclusions: This study identified key beliefs and barriers affecting the use of vaginal estrogen for GSM. These findings highlight the need for improved patient education, better physician counseling, and enhanced communication to support adherence to this beneficial therapy.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954124","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 Outcomes and Recurrence Rates of TVT versus TVTO in Female Stress Urinary Incontinence: A Systematic Review of Studies with ≥5-Year Follow-Up. TVT与TVTO治疗女性压力性尿失禁的长期预后和复发率：一项≥5年随访研究的系统综述

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-22 DOI: 10.1007/s00192-025-06222-x

Mahmod Hasan, Bilal Sarhan, Mosa Zubedat, Amjad Sheikh Ahmad, Basel Sheikh Ahmad, Mohammad Ghadir, Nedonya Abreek Sarhan, Muhammad Khatib

{"title":"Long-Term Outcomes and Recurrence Rates of TVT versus TVTO in Female Stress Urinary Incontinence: A Systematic Review of Studies with ≥5-Year Follow-Up.","authors":"Mahmod Hasan, Bilal Sarhan, Mosa Zubedat, Amjad Sheikh Ahmad, Basel Sheikh Ahmad, Mohammad Ghadir, Nedonya Abreek Sarhan, Muhammad Khatib","doi":"10.1007/s00192-025-06222-x","DOIUrl":"https://doi.org/10.1007/s00192-025-06222-x","url":null,"abstract":"Introduction and hypothesis: Midurethral slings (MUS), including retropubic (tension-free vaginal tape [TVT]) and transobturator tape (TVTO) approaches, are commonly used surgical treatments for female stress urinary incontinence (SUI). Although both techniques have demonstrated high short-term success rates, long-term durability and recurrence remain critical concerns. This systematic review was aimed at comparing long-term outcomes of TVT and TVTO based on studies with a minimum of 5 years of follow-up.Methods: A systematic search of PubMed and Embase was conducted for studies published between 2000 and 2024. Eligible studies included those reporting long-term clinical outcomes, recurrence rates, and complications following TVT or TVTO procedures with ≥5 years of follow-up. Data extraction included cure or improvement rates, recurrence, adverse events, and reoperation rates. Study selection followed PRISMA guidelines.Results: Both TVT and TVTO showed sustained effectiveness in treating female SUI over long-term follow-up. However, recurrence appeared more common following TVTO, particularly beyond 10 years. TVT was associated with higher long-term durability, whereas TVTO demonstrated a slightly lower rate of pain and erosion-related complications. Reintervention rates varied across studies, and inconsistency in outcome definitions limited direct comparison in some cases.Conclusions: Both TVT and TVTO remain effective options for the surgical management of female SUI. TVT may offer greater long-term durability and lower recurrence, whereas TVTO may be associated with a more favorable short-term complications profile. These findings highlight the importance of individualized surgical planning and underscore the need for standardized long-term outcome reporting in future research.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954335","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

Effects of Obstetric Anal Sphincter Injuries (OASIS) on Incidence of Urinary and Anal Incontinence After Childbirth in Nigeria: A Prospective Cohort Study. 产科肛门括约肌损伤（OASIS）对尼日利亚分娩后尿失禁和肛门失禁发生率的影响：一项前瞻性队列研究。

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-22 DOI: 10.1007/s00192-025-06231-w

Emmanuel Onyebuchi Ugwu, Peter Ndidi Ebeigbe, Cyril Chukwudi Dim, George Uchenna Eleje

{"title":"Effects of Obstetric Anal Sphincter Injuries (OASIS) on Incidence of Urinary and Anal Incontinence After Childbirth in Nigeria: A Prospective Cohort Study.","authors":"Emmanuel Onyebuchi Ugwu, Peter Ndidi Ebeigbe, Cyril Chukwudi Dim, George Uchenna Eleje","doi":"10.1007/s00192-025-06231-w","DOIUrl":"https://doi.org/10.1007/s00192-025-06231-w","url":null,"abstract":"Introduction and hypothesis: Obstetric anal sphincter injuries (OASIS) are serious complications of vaginal birth. The burden is expected to be high in Nigeria due to high fertility and aversion to caesarean section (C/S); however, the incidence, effects on urinary incontinence (UI)/anal incontinence (AI), and quality of life (QoL) are largely unknown. This study determined the incidence of and risk factors for OASIS, as well as the effects of OASIS on UI/AI after childbirth, and QoL.Methods: A prospective cohort study of post-partum women in Nigeria over a 16-month period, from January 2022 to April 2023. The study consisted of three groups-the OASIS group (group A) and two comparison groups (groups B and C). Group A had OASIS, group B had episiotomy/2nd degree spontaneous perineal tear (SPT), while group C had intact perineum/1st degree SPT. The women were followed-up for 3 months to determine incidence of and risk factors for OASIS, as well as the effects of OASIS on UI/AI, and QoL using validated questionnaires.Results: There were 3027 vaginal births with 60 OASIS (1.98%). Incidence of UI/AI was higher with group A than B (p = 0.026 and 0.005, respectively) and C (p = 0.011 and 0.003, respectively). There were no differences between groups B and C (p > 0.05). Risk factors for OASIS were age ≥ 35 years, low social class, nulliparity, previous C/S, prolonged labor, and macrosomia. QoL mean scores were lower in group A than group B (p = 0.027) and group C (p = 0.009).Conclusions: Approximately two in every 100 Nigerian women experience OASIS following vaginal birth in a hospital setting, which is associated with increased risks of UI, AI, and reduced QoL, underscoring the need for preventive strategies and appropriate postpartum care.","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954184","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

Commentary on "Twenty-Seven Years After Sex Reassignment Surgery in Female Transgender Patients: Is Prolapse of the Neovagina an Issue?" 评论“女性变性患者变性手术27年后：新阴道脱垂是一个问题吗？”

IF 1.8 3区医学

International Urogynecology Journal Pub Date : 2025-08-21 DOI: 10.1007/s00192-025-06293-w

Andrea Lombisani, Michele Pierro, Giuseppe Campagna

引用次数: 0