International Urogynecology Journal最新文献

{"title":"The Influence of Successful Apical Defect Repair in Laparoscopic Sacrocolpopexy on Quality of Sexual Life.","authors":"Magdalena Ziętarska-Cisak, Ewa Barcz, Andrzej Pomian, Paweł Tomasik, Wojciech Majkusiak, Maja Horosz, Franciszek Barcz, Edyta Horosz","doi":"10.1007/s00192-025-06198-8","DOIUrl":"https://doi.org/10.1007/s00192-025-06198-8","url":null,"abstract":"<p><strong>Objective: </strong>Pelvic organ prolapse (POP) is a common health problem that significantly impairs quality of life, particularly in terms of sex. Our study aimed to assess the quality of sexual life of women after successful POP repair with laparoscopic sacrocolpopexy (LSC).</p><p><strong>Methods: </strong>This prospective cohort study was aimed at assessing the influence of successful laparoscopic sacrocolpopexy on the quality of sexual life after the surgery. Pre- and postoperative examinations included the Pelvic Organ Prolapse Quantification (POPQ) scale and validated quality-of-life questionnaires. PFDI-20 and PFIQ were used to choose patients who were satisfied with the results of the surgery. The quality of sexual life of sexually active and nonactive patients was subsequently evaluated via the PISQ-IR questionnaire. Post-surgery evaluation was planned 8-12 months after the procedure.</p><p><strong>Results: </strong>A total of 181 patients were included in the study. The mean age of the patients was 58.2±9.6 years. Patients in the sexually active group were significantly younger (55.5±9.5) than were those in the nonactive group (63.4±7.7). Follow-up visits took place 10±2.34 months after surgery. We achieved statistically significant improvements in the PFDI-20 questionnaire, particularly in the POPDI-6 section, the PFIQ-7 questionnaire, and the POPQ scale. Among sexually active women, improvements in sexual function were observed across most domains, including global quality (p = 0.003), arousal and orgasm (p < 0.001), condition impact (CI, feelings of sexual inferiority, embarrassment, or anger during sexual activity, p < 0.001), and condition-specific (CS, feelings of fear or shame during sexual activity, p < 0.001). A notable finding was the significant reduction in dyspareunia, which decreased from 12.7% to 3.3%. The study also revealed that sexual inactivity was correlated with negative self-perception, which improved significantly following surgery (CS, p = 0.04; CI, p < 0.001).</p><p><strong>Conclusion: </strong>These findings suggest that laparoscopic sacrocolpopexy improves the quality of sexual life and leads to a reduction in dyspareunia and distress related to POP symptoms.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784290","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 \"Standing Postural Balance Control in Women with and Without Urinary Incontinence: A Systematic Review\".","authors":"Benoit Steenstrup","doi":"10.1007/s00192-025-06264-1","DOIUrl":"https://doi.org/10.1007/s00192-025-06264-1","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784288","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 \"Addressing Commonly Asked Questions in Urogynecology: Accuracy and Limitations of ChatGPT\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1007/s00192-025-06269-w","DOIUrl":"https://doi.org/10.1007/s00192-025-06269-w","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775359","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":"Impact of a Urogynecology Telehealth Consultation on Genital Self-Image and Sexual Function After Obstetric Anal Sphincter Injury.","authors":"Kyra Bonasia, Susan Luong, Jocelyn Stairs, Aisling Clancy","doi":"10.1007/s00192-025-06234-7","DOIUrl":"https://doi.org/10.1007/s00192-025-06234-7","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Obstetric anal sphincter injuries (OASIs) are associated with increased risk of postpartum complications, including short- and long-term dyspareunia and sexual dysfunction. The primary aim of this analysis is to evaluate whether engagement in a telehealth urogynecology consultation was associated with decreased sexual health concerns after OASIs.</p><p><strong>Methods: </strong>This is an analysis of sexual health data, secondary outcomes from a prospective study comparing standard postpartum care versus standard postpartum care plus a telehealth urogynecology consultation. The analyzed outcomes were Female Genital Self-Image Scale (FGSI) and Female Sexual Function Index (FSFI-6) scores at 16 weeks postpartum. Chi-squared and t tests were used to compare groups.</p><p><strong>Results: </strong>A total of 119 participants with OASIs completed the study (control group n = 62, intervention group n = 57). The intervention group had significantly improved FGSI scores (18.9 vs 20.4, p = 0.02). There was no significant difference on the FSFI-6 (12.0 vs 12.1, p = 0.90), with 77% of the control group and 81% of the intervention group (p = 0.66) classified as having female sexual dysfunction by the FSFI-6. In the telehealth consult group, only 28% of participants (n = 16) had resumed sexual activity, with 88% of those participants endorsing dyspareunia. Interventions reviewed during the telehealth consult included vaginal estrogen, use of lubricants, and pelvic floor physiotherapy.</p><p><strong>Conclusions: </strong>A postpartum telehealth urogynecology consultation was associated with improved genital self-image but did not reduce sexual dysfunction as measured on the FSFI. These results highlight the significant impact that OASIs can have on sexual function, and the importance of postpartum evaluation and care to support patients after severe obstetric perineal trauma.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144768651","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":"Twenty-Seven Years After Sex Reassignment Surgery in Female Transgender Patients: Is Prolapse of the Neovagina an Issue?","authors":"Ramona Osswald, Anna-Sophie Villiger, Giovanni Ruggeri, Diana Hoehn, Michael Mueller, Annette Kuhn","doi":"10.1007/s00192-025-06251-6","DOIUrl":"10.1007/s00192-025-06251-6","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Various techniques for neovagina creation have been developed and refined. The aim of this study was to evaluate the incidence of prolapse and possible consecutive therapies in transfemale patients who have received a neovagina as part of their sex reassignment surgery (SRS).</p><p><strong>Methods: </strong>This prospective single-centre case control study was performed at Bern University Hospital (Department of Gynaecology) between 2017 and 2023. Sixty-eight patients who had received SRS (all male to female) were undergoing regular gynaecologic examinations assessing the ICS-Pelvic Organ Prolapse Staging (POP-Q score) and VAS score for symptom burden. Appropriate management for prolapse correction was initiated. Linear and logistic regression were employed for the average comparison of the parameters in correlation to the type of sex reassignment surgery applied.</p><p><strong>Results: </strong>Fifty-four of the 68 participant patients had undergone penis-scrotum inversion technique, six had a neovagina created by peritoneum and seven had an intestinal neovagina. Mean follow-up was 27.5 years. Thirteen patients (19.4%) experienced genital prolapse in this cohort. The group after peritoneal neovagina surgery demonstrated the highest odds ratio for rectocele (OR 4.9, p = 0.17 95% CI 0.71-33.78) and vaginal prolapse (OR 16.67, p = 0.005 95% CI 2.3-120.65). Statistically significant differences in all POP-Q parameters for the penile inversion group indicate smaller vaginal prolapse. Prolapse surgery significantly decreased the VAS score (p < 0.001; 95% CI 5.92-8.38).</p><p><strong>Conclusions: </strong>One in five transfemale patients who have undergone sex reassignment surgery experience genital prolapse. The prevalence of prolapse was found to be highest in the peritoneum reconstruction group, followed by the patients with intestinal neovagina and penile inversion. Surgical intervention for prolapse appears to significantly alleviate symptoms.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144768652","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":"Postoperative Management of Bladder Perforation During Mid-Urethral Sling Procedures.","authors":"Emir Gurbuz, E Cansu Cevik, Savci Bekir Telek, Oz Harmanli","doi":"10.1007/s00192-025-06185-z","DOIUrl":"10.1007/s00192-025-06185-z","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>There is no clear consensus on managing bladder perforation after mid-urethral sling placement. Traditional use of an indwelling catheter can be frustrating. This study evaluates the difference in fistula rates between patients managed with and without continuous bladder drainage.</p><p><strong>Methods: </strong>A retrospective chart review of women who underwent mid-urethral sling procedures in an academic center between the years 2017 and 2023 was completed. All cases of bladder perforation detected upon intraoperative cystoscopy were included in this cohort. Patient information, including demographics, clinical data, and perioperative factors, including operation type and postoperative catheter use, were extracted from electronic medical records. Descriptive statistics were performed.</p><p><strong>Results: </strong>Out of a total of 1702 women who underwent mid-urethral sling procedures, 97 had bladder perforations confirmed by cystoscopy. Of these, 96 had retropubic slings, and 1 had a transobturator sling. There were 67 patients who also had concomitant pelvic organ prolapse repair, whereas 30 patients did not have any concomitant procedures. Of the cohort, 61 patients were discharged on the same day as the surgery without a catheter, whereas 36 had continuous bladder drainage with an indwelling catheter postoperatively. None of the patients developed fistulas in our study cohort. Postoperative adverse outcomes, including recurrent urinary tract infection, mesh exposure, and urinary retention were similar in the two groups (p > 0.05).</p><p><strong>Conclusions: </strong>Immediate postoperative catheter removal does not appear to be an unsafe practice compared with continuous postoperative urinary catheterization following bladder perforation as a result of sling trocar placement.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1679-1683"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316894","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 \"Comparison of Perioperative and Postoperative Outcomes between Single-Port Robotic Sacrocolpopexy and Multi-Port Approaches\".","authors":"Bavurothu Sharanya Kumar, Raparthi Aishwarya","doi":"10.1007/s00192-025-06260-5","DOIUrl":"https://doi.org/10.1007/s00192-025-06260-5","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764876","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":"A Decade-Old Giant Urinoma Following Ureteric Injury.","authors":"Deeksha Pandey, Vinu Gopinath, Sirisha V, Alla Mounika, Pranadeep Reddy Inukollu, Lilarani Vijayaraghavan, Rema V Nair","doi":"10.1007/s00192-025-06152-8","DOIUrl":"10.1007/s00192-025-06152-8","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urinoma, a collection of urine outside the urinary tract, is an uncommon entity typically associated with trauma, obstruction, or iatrogenic injury. We report a case of a giant urinoma in a 55-year-old woman that posed a diagnostic challenge until surgical exploration. She presented with progressive abdominal distension and nonspecific pain 10 years following a left ovariotomy. Initial clinical evaluation and imaging suggested a large intra-abdominal mass with characteristics mimicking a cystic neoplasm. Despite extensive diagnostic workup, including ultrasonography, contrast-enhanced CT and MR, the precise diagnosis remained elusive.</p><p><strong>Methods: </strong>Given the diagnostic uncertainty and worsening symptoms, surgical exploration was undertaken. Intraoperatively, a massive urinoma, measuring approximately 25 cm in diameter, was identified. Exploration of the cyst revealed an opening traced to the left ureter. The urinoma was drained, the cyst wall excised and definitive ureteric repair was performed successfully.</p><p><strong>Results: </strong>Histology confirmed the diagnosis of urinoma.</p><p><strong>Conclusion: </strong>This case highlights the diagnostic challenges posed by giant urinomas, particularly when the presentation is atypical and imaging is equivocal. It underscores the importance of considering delayed complications from prior pelvic surgeries and the critical role of surgical exploration in resolving diagnostic dilemmas.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1707-1710"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965393","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":"Development and Validation of Risk Assessment Model for Pelvic Organ Prolapse Based on A Retrospective Study with Machine Learning Algorithms.","authors":"Ling Mei, Linbo Gao, Tao Wang, Dong Yang, Weixing Chen, Xiaoyu Niu","doi":"10.1007/s00192-025-06046-9","DOIUrl":"10.1007/s00192-025-06046-9","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>We aimed to develop and validate a clinically applicable risk assessment model for identifying women at a high risk of pelvic organ prolapse (POP) based on a retrospective practice.</p><p><strong>Methods: </strong>This study enrolled patients with and without POP between January 2019 and December 2021. Clinical data were collected and machine learning models were applied, such as multilayer perceptron, logistic regression, random forest (RF), light gradient boosting machine and extreme gradient boosting. Two datasets were constructed, one comprising all variables and the other excluding physical examination variables. Two versions of the machine learning model were developed. One was for professional doctors, and the other was for community-health providers. The area under the curve (AUC) and its confidence interval (CI), accuracy, F1 score, sensitivity, and specificity were calculated to evaluate the model's performance. The Shapley Additive Explanations method was used to visualize and interpret the model output.</p><p><strong>Results: </strong>A total of 16,416 women were recruited, with 8,314 and 8,102 in the POP and non-POP groups respectively. Eighty-seven variables were recorded. Among all candidate models, the RF model with 13 variables showed the best performance, with an AUC of 0.806 (95% CI 0.793-0.817), accuracy of 0.723, F1 of 0.731, sensitivity of 0.742, and specificity of 0.703. Excluding the physical examination variables, the RF model with 11 variables showed an AUC, accuracy, F1 score, sensitivity, and specificity of 0.716, 0.652, 0.688, 0.757, and 0.545 respectively.</p><p><strong>Conclusions: </strong>We constructed a clinically applicable risk warning system that will help clinicians to identify women at a high risk of POP.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1591-1599"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pelvic Floor Muscle Strength and Bothersome Urinary Incontinence After Pregnancy: A Cohort Study.","authors":"Sónia Cristóvão, Emelie Asplén, Josefin Borssén, Maria E H Larsson, Sabine Vesting","doi":"10.1007/s00192-025-06085-2","DOIUrl":"10.1007/s00192-025-06085-2","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Postpartum urinary incontinence (UI) is prevalent, and women with bothersome UI tend to seek more help. This study was aimed at evaluating the association between pelvic floor muscle (PFM) strength and bothersome UI in the 1st year postpartum.</p><p><strong>Methods: </strong>A prospective cohort study was conducted with 504 participants. UI was evaluated by the International Consultation on Incontinence Questionnaire Short Form (online) and PFM strength was assessed via vaginal palpation (Modified Oxford Scale, MOS), at 3, 6, 9, and 12 months postpartum. Logistic regression analysis was used to analyze the data.</p><p><strong>Results: </strong>At 3 months postpartum, 52% of women had a PFM strength of ≥ 3 MOS, increasing to 84% at 12 months. 42% of women reported UI at 3 months, which remained unchanged by 12 months. PFM strength ≥ 3 MOS was moderately associated with less UI at 3 months (OR = 0.63, 95% CI 0.42-0.94) and at timepoints 6, 9, and 12 months. Antepartum UI was strongly associated with postpartum UI at all time points: 3 months (OR = 10.23, 95% CI 4.90-21.37), 6 months (OR = 7.75, 95% CI 3.95-15.21), 9 months (OR = 9.95, 95% CI 4.61-21.47), and 12 months (OR = 4.55, 95% CI 2.29-9.04). Grade 2 perineal tears were moderately associated with UI at 9 months postpartum (OR = 1.82, 95% CI 1.11-3.0).</p><p><strong>Conclusions: </strong>A stronger pelvic floor was associated with less bothersome UI in the 1st year postpartum. UI during pregnancy was most strongly associated with bothersome UI after childbirth. Antenatal screening for UI and promoting PFM training may be warranted to support postpartum recovery and minimize UI.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"1617-1624"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}