Laurel Carbone, Kathryn Seymour, Rodger Rothenberger, Stacy M Lenger, Sean Francis, Ankita Gupta
{"title":"Indocyanine Green Ureteral Mapping in Complex Pelvic Surgery.","authors":"Laurel Carbone, Kathryn Seymour, Rodger Rothenberger, Stacy M Lenger, Sean Francis, Ankita Gupta","doi":"10.1007/s00192-025-06129-7","DOIUrl":"10.1007/s00192-025-06129-7","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Visual feedback using retrograde ureteral indocyanine green (ICG) instillation and near-infrared (NIR) fluorescence is an effective and reproducible option for ureteral identification in robotic pelvic surgeries. The purpose of this video is to discuss risks for intraoperative ureteral injury, demonstrate ICG ureteral mapping, review pelvic and ureteral anatomy, and common sites of ureteral injury during complex hysterectomies and reconstructive surgeries.</p><p><strong>Methods: </strong>Three robotic pelvic surgeries are presented with ICG and NIR fluorescent live ureteral mapping. Steps for ICG ureteral mapping and surgical technique are demonstrated.</p><p><strong>Results: </strong>Cases included a 51-year-old with enlarged uterine leiomyomata and adhesive disease undergoing a total robotic hysterectomy (TRH), a 54-year-old with leiomyomata and stage 2 uterovaginal prolapse undergoing TRH with uterosacral ligament suspension, and a 61-year-old with stage 2 post-hysterectomy prolapse undergoing a robotic sacrocolpopexy. Procedure duration ranged from 116 to 183 min. Patients were discharged home the day of surgery and remained complication-free at their 6-week postoperative appointment.</p><p><strong>Conclusion: </strong>Bilateral ureters were demonstrated via ICG with NIR fluorescence throughout the duration of all cases. ICG ureteral mapping complements careful surgical techniques to reduce iatrogenic ureteral injury. More data with larger prospective studies are needed to determine if ICG ureteral mapping significantly reduces iatrogenic ureteral injury.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1109-1111"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966873","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":"10.1007/s00192-025-06095-0","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1119-1120"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","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":"About \"Association of Urinary Incontinence with Sensory-Motor Performance in Women with Multiple Sclerosis\".","authors":"Ali Furkan Batur, Hale Zeynep Batur Caglayan","doi":"10.1007/s00192-024-05951-9","DOIUrl":"10.1007/s00192-024-05951-9","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1113-1114"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400255","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":"The Effect of Health Fatalism and Health-Seeking Behaviors on the Frequency of Non-Medication Coping Strategy Use in Women with Urinary Incontinence in Türkiye.","authors":"Şükran Başgöl, Burcu Küçükkaya","doi":"10.1007/s00192-025-06054-9","DOIUrl":"10.1007/s00192-025-06054-9","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Health-seeking behavior is habitual among people in a society, resulting from the interaction and balance between health needs, health resources, and socioeconomic factors. This study seeks to investigate the influence of health fatalism and health-seeking behaviors on the frequency of non-medication coping strategy use among women with urinary incontinence in Türkiye.</p><p><strong>Methods: </strong>This cross-sectional study was conducted between 8 August 2024, and 22 September 2024. A total of 354 women voluntarily participated in the study, which was disseminated via social media platforms and online forums. Data collection involved the use of a Personal Information Form, the Health Fatalism Scale (HFS), the Health-Seeking Behaviour Scale (HSBS), and the Non-Medication Coping Strategies for Urinary Incontinence Frequency of Use Scale (NMCS-UIFUS).</p><p><strong>Results: </strong>The mean total HFS score was 50.39 ± 29.70, the mean total HSBS score was 38.76 ± 20.48, and the mean NMCS-UIFUS score was 35.69 ± 17.31. A statistically significant, strong negative correlation was found between health fatalism and health-seeking behavior, whereas a significant, strong positive correlation was observed between health fatalism and the frequency of non-medication coping strategy use for urinary incontinence (p < 0.001). Regression analysis revealed that health fatalism explained 37% of the variance in the frequency of non-medication coping strategy use for urinary incontinence, whereas health-seeking behavior accounted for 30% of the variance (p < 0.001).</p><p><strong>Conclusions: </strong>Our study demonstrated that women with urinary incontinence exhibit moderate levels of health fatalism, health-seeking behaviors, and the frequency of non-medication coping strategy use; further, as health fatalism increases, health-seeking behavior decreases, whereas the frequency of non-medication coping strategy use rises.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1003-1010"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065625","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":"Overactive Bladder Syndrome Following Cesar ean Hysterectomy for Placenta Accreta Spectrum, A Cohort Study.","authors":"Atiyeh Vatanchi, Mahdieh Mottaghi, Ensieh PeivandiNajar, Leila Pourali, Asieh Maleki, Hassan Mehrad-Majd","doi":"10.1007/s00192-025-06116-y","DOIUrl":"10.1007/s00192-025-06116-y","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The increasing incidence of placenta accreta spectrum (PAS) has emerged as a significant concern in obstetrics. This cohort study is aimed at assessing the overactive bladder and other lower urinary tract symptoms (LUTS) in women who underwent cesarean hysterectomy for PAS.</p><p><strong>Methods: </strong>Between 2022 and 2023, a total of 84 consecutive patients with pathologically confirmed diagnosis of PAS at our academic hospital, Mashhad, Iran, were enrolled and compared with a control group of 42 women who had cesarean section (CS) without hysterectomy, matched for age, gravidity, and number of prior CSs. Symptoms were evaluated using a questionnaire 6-30 months postoperatively.</p><p><strong>Results: </strong>The median age of the cohort was 35 years (interquartile range, 31-38). In the cesarean hysterectomy group, cystotomy occurred in 17 (20.2%), ureteral injury in 5 (6.0%), and bladder fistula in 1 (1.2%), whereas none was observed in the cesarean group. In women who underwent cesarean hysterectomy, urinary urgency was the most prevalent symptom (48.8%), with the highest frequency and bother scores. Comparing patients who had cesarean hysterectomy with those in the control group, the urinary frequency was significantly more prevalent (34.5% vs 14.3%; p = 0.02), with higher frequency and bother scores (p = 0.017 and 0.005, respectively). Subgroup analysis within the cesarean hysterectomy group revealed that urinary frequency was significantly more prevalent in women who had placenta accreta with bladder invasion and experienced cystotomy compared to those without urinary tract injuries (p = 0.03).</p><p><strong>Conclusions: </strong>Approximately half of patients undergoing cesarean hysterectomy for PAS experienced symptoms suggestive of overactive bladder 6-30 months postoperatively.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1077-1084"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009278","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":"The Fluid Connection: Balancing Hydration and Overactive Bladder Symptoms in Women.","authors":"Ahmed El-Zawahry, Diaa E E Rizk","doi":"10.1007/s00192-025-06154-6","DOIUrl":"10.1007/s00192-025-06154-6","url":null,"abstract":"<p><p>In recent years, excessive fluid intake by women has emerged as a well-being misconception without robust scientific support but may have an adverse impact on treatment outcome of overactive bladder (OAB) syndrome. Excessive fluid intake may have potential disadvantages as overhydration leads to exacerbation of symptoms of OAB particularly frequency, nocturia, and urgency. Fluid management by recommending daily intake levels is the integral, yet underutilized, component of the treatment plan and should be the initial therapeutic approach in all women suffering from OAB. This strategy will reduce the need for pharmacotherapy and other expensive interventions in women with OAB.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"965-967"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966902","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 \"Virtual Reality: A Proposal for Pelvic Floor Muscle Training\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1007/s00192-025-06138-6","DOIUrl":"https://doi.org/10.1007/s00192-025-06138-6","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987862","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":"Global Trends in Prevalence and Future Projections of Pelvic Organ Prolapse: A 30-year Epidemiological Study.","authors":"Peipei Li, Hongyun Ma, Jiao Zhang, Qiaorui Zhang","doi":"10.1007/s00192-025-06049-6","DOIUrl":"10.1007/s00192-025-06049-6","url":null,"abstract":"<p><strong>Introduction: </strong>Pelvic organ prolapse (POP) is a widespread disease in women. Despite its significant prevalence, there is a lack of comprehensive global studies, emphasizing the urgent need for tailored prevention and treatment approaches. This study aims to examine the global burden of POP from 1990 to 2021 and project future trends using the GBD data.</p><p><strong>Methods: </strong>Data were collected from the GBD 2021 database. A Bayesian age-period-cohort (BAPC) model was used to analyze the trends and predict future burden, with age-standardized prevalence rate (ASPR) and years lived with disability (YLD) as key metrics.</p><p><strong>Results: </strong>In 2021, the global ASPR and age-standardized YLD rate of POP were 2769.4 (95% UI 2299.2-3298.2) and 8.5 (95% UI 4.1-16.2) per 100,000 people, respectively. Both ASPR and YLD rate decreased between 1990 and 2021. The burden of POP is highest in low-SDI regions. The global prevalence of POP was highest in the 80+ age group, while the absolute number of cases reached its peak in the 55-59 age group. By 2036, the global population of POP patients will reach 156 million. Additionally, both the ASPR and AS-YLD rates of POP will continue to decline over the next 15 years.</p><p><strong>Conclusion: </strong>While the global burden of POP decreased between 1990 and 2021, ASPRs in regions with low SDI remained high. With the gradual aging population, POP will continue to pose a significant burden on women's health and the social economy in the future. Strengthening global surveillance and prevention efforts for POP remains a critical challenge.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"991-1002"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005291","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":"Reply to the Editor: \"Association of Urinary Incontinence with Sensory-Motor Performance in Women with Multiple Sclerosis\".","authors":"Fatih Özden","doi":"10.1007/s00192-024-05963-5","DOIUrl":"10.1007/s00192-024-05963-5","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1117-1118"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521914","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":"Relationship Between A Body Shape Index and Self-Reported Stress Urinary Incontinence Among US Women: A Cross-Sectional Analysis.","authors":"Xingyun He, Fenxiong Liang, Yuewen Guo, Guiyu Hou, Xiting Chen, Lixin Li","doi":"10.1007/s00192-024-06001-0","DOIUrl":"10.1007/s00192-024-06001-0","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Stress urinary incontinence (SUI) is common among women, but its link with A Body Shape Index (ABSI) is not well understood. This study investigates the association between ABSI and SUI risk in women, exploring variations across different subgroups.</p><p><strong>Methods: </strong>Data from National Health and Nutrition Examination Survey (2001-2020) were analyzed. A weighted multivariable logistic regression was performed to examine the relationship between ABSI and SUI risk, calculating odds ratios and 95% confidence intervals. A restricted cubic spline (RCS) analysis was used to assess any nonlinear associations. Subgroup analyses and interaction tests were conducted to explore the influence of factors on the ABSI-SUI relationship. Sensitivity analyses were also performed to ensure the robustness of the findings.</p><p><strong>Results: </strong>The analysis, after adjusting for potential confounders, showed a significant association between ABSI and SUI risk (p < 0.001). The RCS analysis indicated a nonlinear relationship (p for nonlinear = 0.02) with a turning point at an ABSI of 0.081. Subgroup analyses revealed that the association between ABSI and SUI was stronger in women with lower BMI, non-Mexican ethnicity, and those without hypertension (p for interaction < 0.05). Sensitivity analyses confirmed the consistency of these findings, supporting their robustness.</p><p><strong>Conclusion: </strong>Higher ABSI is associated with an increased risk of SUI in US women, particularly in specific subgroups. This suggests that ABSI could be a valuable measure for identifying women at higher risk of SUI.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"981-989"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846558","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}