Yugo Sawada, Yasuhide Kitagawa, Kojiro Nishio, Tokumasa Hayashi, Shino Tokiwa, Mika Nagae, Masayoshi Jimmy Nomura
{"title":"Hybrid Surgery for Urethral Diverticulum Penetrating the Bladder.","authors":"Yugo Sawada, Yasuhide Kitagawa, Kojiro Nishio, Tokumasa Hayashi, Shino Tokiwa, Mika Nagae, Masayoshi Jimmy Nomura","doi":"10.1007/s00192-026-06581-z","DOIUrl":"10.1007/s00192-026-06581-z","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Urethral diverticula have various morphological patterns, and in complex cases, a transvaginal approach can be difficult.</p><p><strong>Methods: </strong>Here, we report a case in which a urethral diverticulum originating from the ventral (posterior) side of the urethra penetrated the bladder through the diverticular wall. A 54-year-old premenopausal woman was diagnosed with a urethral diverticulum on the ventral side of the urethra and a communicating branch penetrating from the diverticular wall to the bladder, triggered by recurrent cystitis. Surgical treatment consisted of transvaginal excision of the urethral diverticulum and laparoscopic open bladder surgery to remove as much of the fistula as possible and repair the bladder penetration.</p><p><strong>Results: </strong>Voiding urethrography on the 7th day after surgery and magnetic resonance imaging 1 year after surgery revealed the disappearance of the fistula, and no recurrence of the urethral diverticulum was observed.</p><p><strong>Conclusion: </strong>This suggests that a hybrid approach combining the transvaginal and laparoscopic approaches might be useful for the surgery of complex urethral diverticula that affect the bladder.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"3119-3122"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633554","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}
Daniela Caramazza, Monia Marturano, Vittoria Rizzitelli, Lediana Kamberaj, Lorenzo Vacca, Andrea Lombisani, Alfredo Ercoli, Giuseppe Campagna
{"title":"TECAR Therapy in Pelvic Floor Rehabilitation for Women with Pelvic Pain: A Case-Control Study.","authors":"Daniela Caramazza, Monia Marturano, Vittoria Rizzitelli, Lediana Kamberaj, Lorenzo Vacca, Andrea Lombisani, Alfredo Ercoli, Giuseppe Campagna","doi":"10.1007/s00192-026-06537-3","DOIUrl":"10.1007/s00192-026-06537-3","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Chronic pelvic pain (CPP) with pelvic floor muscle hypertonicity (PFMH) significantly impacts women's quality of life. The hypothesis is that TECAR therapy in standard pelvic floor rehabilitation would enhance pain reduction.</p><p><strong>Methods: </strong>This retrospective case-control study included 138 women with CPP and PFMH treated between January and December 2022. Cases (n = 72) received multimodal rehabilitation with bipolar radiofrequency TECAR therapy; controls (n = 66) received standard rehabilitation alone (Kegel exercises, myofascial stretching, low-frequency electrical stimulation). Pain was measured using the Visual Analogue Scale (VAS) at baseline and 1 month after completion of the rehabilitation program. Multivariable logistic regression and receiver operating characteristic (ROC) analyses identified predictors and optimal treatment thresholds for clinically relevant pain reduction (ΔVAS ≥ 2).</p><p><strong>Results: </strong>Both groups showed significant VAS reduction (p < 0.001), but the TECAR group achieved greater pain reduction (median VAS 8.0 → 3.0 vs 8.0 → 4.0; p < 0.001) and required fewer electrical stimulation sessions (7 vs 10, p < 0.001). In cases, the number of TECAR sessions was significantly associated with ΔVAS ≥ 2 in univariate (OR 1.36, 95%CI 1.01-1.83; p = 0.042) and multivariate models adjusted for baseline VAS, age, and BMI (OR 1.40, 95%CI 1.01-1.93; p = 0.041). No variables predicted response in controls. In cases, ROC analysis identified ≥ 6 TECAR sessions as the optimal threshold for meaningful improvement (AUC 0.80, sensitivity 66.7%, specificity 100%). No adverse events occurred.</p><p><strong>Conclusions: </strong>TECAR therapy enhances pelvic floor rehabilitation effectiveness in women with CPP and PFMH, providing superior pain relief with fewer invasive procedures. The six-session threshold may provide evidence-based guidance on treatment. These findings support the integration of TECAR into standard pelvic rehabilitation protocols.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"2923-2933"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771327","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 of a Pelvic Organ Prolapse Misconceptions Scale for Hispanic Women.","authors":"Alyse Victor, Joshua Fogel, Roshaye Graham, Neha Doddipalli, Errol Thompson","doi":"10.1007/s00192-026-06653-0","DOIUrl":"10.1007/s00192-026-06653-0","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Misconceptions about pelvic organ prolapse occur among Hispanic women. We develop and validate a novel scale measuring misconceptions about pelvic organ prolapse (POP) among Hispanic women.</p><p><strong>Methods: </strong>A cross-sectional survey of 406 Hispanic women was conducted. Participants completed 11 items about POP misconceptions, the Prolapse and Incontinence Knowledge Questionnaire (PIKQ-POP), and the Short Acculturation Scale for Hispanics (SASH). Principal component analysis was used.</p><p><strong>Results: </strong>The Pelvic Organ Prolapse Misconceptions Scale (POPMS) had two subscales: personal habits and sequelae (PHS) and treatment approaches (TA), with high internal reliability (KR-20 = 0.90 and 0.81, respectively). The POPMS PHS and TA subscales were each positively correlated (both r = 0.25, p < 0.001) with general POP knowledge of the PIKQ-POP. College-educated women had higher mean scores on the PHS (p < 0.001) and TA (p = 0.01) than those not college educated. The correlations and mean scores indicate acceptable criterion validity. Misconceptions were common: 44% answered all PHS items incorrectly, and 56% answered all TA items incorrectly. The PIKQ-POP was positively associated with three SASH acculturation subscales (all p < 0.001). The POPMS was not associated with any of the three SASH acculturation subscales.</p><p><strong>Conclusions: </strong>In conclusion, the POPMS is a valid and reliable instrument to measure misconceptions about POP in Hispanic women. Importantly, while general POP knowledge correlates with acculturation, misconceptions do not. This shows that misinformation may persist even in more acculturated individuals. We recommend that clinicians consider administering the POPMS scale to their Hispanic patients. This will allow clinicians to better understand their patients' misconceptions about POP.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"2935-2940"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771229","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}
Kathryn A Edmonds, Christine M Vaccaro, Candice E Jones-Cox, Katherine L Dengler, Thuan H Le, Scott P Endicott
{"title":"Apical Support After Benign Laparoscopic Hysterectomy: A Randomized Controlled Trial Comparing Vaginal Cuff Closure Techniques.","authors":"Kathryn A Edmonds, Christine M Vaccaro, Candice E Jones-Cox, Katherine L Dengler, Thuan H Le, Scott P Endicott","doi":"10.1007/s00192-026-06609-4","DOIUrl":"10.1007/s00192-026-06609-4","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The route of vaginal cuff closure after laparoscopic hysterectomy has not been standardized. This study was designed to compare pelvic floor support after vaginal or laparoscopic cuff closure. The authors hypothesized that laparoscopic closure would be superior.</p><p><strong>Methods: </strong>This randomized controlled trial included women undergoing a benign total laparoscopic hysterectomy. Exclusion criteria included concurrent prolapse procedure, malignancy, and a pelvic organ prolapse quantitation system (POPQ) point C greater than -4. Preoperative POPQ exams were performed by blinded Urogynecologists. Patients were randomized to vaginal or laparoscopic cuff closure on the day of surgery. POPQ exams were repeated by blinded Urogynecologists at 6-8 weeks and 1 year postoperatively. Using a corrected alpha of 0.05 and power 0.8 to detect a 1.75 cm difference, the required sample size was 62 with 31 patients per group. Categorical variables were compared using the chi-squared or Fisher exact tests. Continuous variables were compared using a two-tailed t-test.</p><p><strong>Results: </strong>Fifty-seven patients were enrolled. Forty-four patients completed 6-8 week follow-up, and 33 patients were evaluated at 1 year. The calculated sample size was not obtained as patient enrollment and retention were impacted by the COVID-19 pandemic. The mean difference of point C between laparoscopic and vaginal closure was 0.98 cm and 1.24 cm, respectively, at 6-8 weeks (p = .55), and 1.22 cm and 1.63 cm, respectively, at 1 year (p = .48). Mean differences for all other POPQ exam points and complication rates were nonsignificant.</p><p><strong>Conclusions: </strong>For up to 1 year postop, there is no significant difference in apical support when comparing laparoscopic to vaginal cuff closure.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"2799-2806"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147493684","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}
Laura Murphy, Gemma Morcombe, Divya Subramaniam, Madeleine Walker, Rob Waller, Michelle Franklin, Marissa Joseph, Amy Tinetti
{"title":"What is the Journey to Physiotherapy Care for Women over 60 Years with Pelvic Floor Dysfunction: Scoping Review.","authors":"Laura Murphy, Gemma Morcombe, Divya Subramaniam, Madeleine Walker, Rob Waller, Michelle Franklin, Marissa Joseph, Amy Tinetti","doi":"10.1007/s00192-026-06544-4","DOIUrl":"10.1007/s00192-026-06544-4","url":null,"abstract":"<p><strong>Background: </strong>Pelvic floor dysfunction (PFD) impacts 20% of adult women with prevalence increasing with age. Physiotherapy is considered first-line care and can greatly improve quality of life for those experiencing symptoms. However, few women over 60 seek professional help. Little is known regarding how this population receives care for their PFD, including if, and when, they are referred to physiotherapy. The aim of this study is to review the current literature on the journey of women over 60 years with PFD to accessing physiotherapy.</p><p><strong>Methods: </strong>A search of electronic databases was completed to inform the scoping review. Articles were included if they were in English and analysed the journey to physiotherapy for women 60 years or over with PFD. Analysis of the studies were completed by reviewers and organised into key themes.</p><p><strong>Results: </strong>Four articles met inclusion criteria and were included in the scoping review. Four themes were identified: the General Practitioner (GP) as gatekeepers to pelvic care, timely initiation of physiotherapy care, bias towards passive care for women over 60 with PFD and lack of awareness around the benefits of physiotherapy for PFD in women over 60.</p><p><strong>Conclusions: </strong>Given the limited literature found on this topic it is difficult to draw conclusions about the current pathway to physiotherapy for women over 60 years with PFD. However, the available literature suggests this population is less likely to be referred to physiotherapy and more likely to be prescribed passive care, which differs from international guideline recommendations and younger age groups.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"2743-2753"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306030","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}
Chiara Cassani, Arsenio Spinillo, Mattia Dominoni, Barbara Gardella
{"title":"Revisiting Urological Injury Risks in Minimally Invasive Hysterectomy for Benign Indications: A Rare-Events Network Meta-Analysis with Sensitivity Analyses.","authors":"Chiara Cassani, Arsenio Spinillo, Mattia Dominoni, Barbara Gardella","doi":"10.1007/s00192-026-06566-y","DOIUrl":"10.1007/s00192-026-06566-y","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The surgical approach to hysterectomy influences the risk of urological injuries, but the optimal technique for minimizing this risk remains unclear. Our objective was to evaluate, through a network meta-analysis (NMA) of randomized controlled trials (RCTs), the risk of intraoperative bladder and ureteral injuries among different hysterectomy techniques.</p><p><strong>Methods: </strong>We systematically searched Cochrane Central Register of Controlled Trials, MEDLINE, Embase, Google Scholar, ClinicalTrials.gov, World Health Organization International Clinical Trials Registry Platform, and European Clinical Trials Register (inception to 15 January 2025) for RCTs. NMA and pairwise meta-analyses were performed using penalized logistic regression and Bayesian models, accounting for rare events.</p><p><strong>Results: </strong>Out of 170 screened records, 63 RCTs involving 7470 women were included. Sixty-nine bladder injuries (9.2 out of 1000), 23 ureteral injuries (3.1 out of 1000), and 96 combined injuries (12.9 out of 1000) were reported. Compared with abdominal hysterectomy (AH), total laparoscopic hysterectomy (LH) showed a significantly higher risk of ureteral injury (odds ratio [OR] 7.74; 95% confidence interval [CI] 2.46-24.37), as did LH/laparoscopically assisted vaginal hysterectomy (LAVH; OR 7.73; 95% CI 2.42-24.7). LH and LH/LAVH also carried a higher risk of any urological injury than AH (OR 2.66 and 2.34 respectively). Estimated injury rates per 1000 were 9.5 (ureteral) and 18.1 (combined) for LH, versus 0.5 and 7.5 for AH. Meta-regression showed that the elevated risk with LH persisted over time.</p><p><strong>Conclusions: </strong>Laparoscopic hysterectomy and LH/LAVH are associated with a higher risk of ureteral/bladder injuries than AH. This increased risk has not declined over time, suggesting that the standardization and broader adoption of LH have not mitigated urological complications.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"2791-2798"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512016","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}
Krystine Gulbrand, Amanda Chapa, Mariana Masteling, Jordan Swensson, Anne Sammarco, Ramzy Burns, Douglass Hale, John D E Lancey, Jennifer Hamner
{"title":"Patient Factors Associated with Presacral Space Depth: A Pelvic MRI Study.","authors":"Krystine Gulbrand, Amanda Chapa, Mariana Masteling, Jordan Swensson, Anne Sammarco, Ramzy Burns, Douglass Hale, John D E Lancey, Jennifer Hamner","doi":"10.1007/s00192-026-06645-0","DOIUrl":"10.1007/s00192-026-06645-0","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Sacrocolpopexy is the most durable surgical repair for advanced pelvic organ prolapse, but dissection of the presacral space can be technically challenging. Variation in presacral space depth may affect surgical exposure and operative risk. Limited data exist regarding patient-specific factors associated with variation in presacral anatomy and presacral space depth. We hypothesized that body mass index (BMI) would not meaningfully predict variation in presacral space depth.</p><p><strong>Methods: </strong>This retrospective cohort study evaluated presacral anatomic measurements using pelvic magnetic resonance imaging (MRI) in women. Presacral anatomic measurements, including presacral depth, anterior longitudinal ligament thickness, and sacral vertebral dimensions, were obtained between L5 and S3 using a standardized midsagittal MRI technique. Patient demographics, clinical characteristics, and medical history were collected. Descriptive statistics, correlation analyses, and effect sizes were calculated.</p><p><strong>Results: </strong>A total of 209 pelvic MRIs were reviewed, of which 167 had complete data. BMI demonstrated only weak correlations with presacral space depth. A history of hysterectomy was associated with increased presacral depth at S1 compared with women with an intact uterus (24% increase; p = 0.01). Postmenopausal status and exogenous estrogen use were associated with increased L5-S1 disc space height (p = 0.03 and p = 0.02, respectively). Presacral space depth was significantly shallower at the sacral promontory than at more caudal levels, while anterior longitudinal ligament thickness was greatest at the promontory. Presacral depth was also moderately correlated with sacral vertebral body height.</p><p><strong>Conclusions: </strong>Presacral space depth was not associated with BMI but was modestly increased in women with a history of hysterectomy. These findings suggest that prior pelvic surgery, rather than BMI, may influence presacral anatomy and could be relevant for surgical planning.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"2855-2860"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698475","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":"Comparative Analysis of Kegel Exercise Knowledge, Application, and Recommendation Between Physical Therapy and Rehabilitation and Nursing Students.","authors":"Esra Özer, Ebru Durusoy, Mahruk Güneyli, Dilara Cengizli, Sultan Çakmak Tanriver","doi":"10.1007/s00192-026-06607-6","DOIUrl":"10.1007/s00192-026-06607-6","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Pelvic floor muscle exercises are widely recommended as an evidence-based, noninvasive, and cost-effective approach, particularly for the prevention and management of urinary incontinence. This study was conducted to compare the knowledge levels, application habits and recommendation behaviors of Physiotherapy and Rehabilitation and Nursing department students regarding Kegel exercises.</p><p><strong>Methods: </strong>This cross-sectional study included 250 undergraduate students (150 from Physiotherapy and Rehabilitation, 100 from Nursing) at a Turkish university. Data were collected via a structured questionnaire evaluating students' sociodemographic characteristics, knowledge, practice frequency, recommendation behaviors, and perceived effectiveness of Kegel exercises. Group comparisons were analyzed using independent t-tests and chi-square tests, with statistical significance set at p < 0.05.</p><p><strong>Results: </strong>Physiotherapy and Rehabilitation students showed significantly higher scores in knowledge (p = 0.032), more frequent application (p = 0.008), and greater likelihood of recommending Kegel exercises (p = 0.001). They also reported higher effectiveness and overall engagement (p < 0.001).</p><p><strong>Conclusions: </strong>The findings indicate that Physiotherapy and Rehabilitation students possess higher levels of knowledge, are more likely to apply Kegel exercises themselves, and more frequently recommend them to others compared to Nursing students. This disparity may be attributed to curriculum differences, particularly the greater emphasis on musculoskeletal and pelvic health training within physiotherapy education. Integrating structured pelvic floor muscle training modules into nursing curricula may enhance students' competence and confidence, ultimately contributing to improved pelvic health awareness and patient care outcomes.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"2815-2820"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503754","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}
Wan-Ru Yu, Jia-Fong Jhang, Yuan-Hong Jiang, Hann-Chorng Kuo
{"title":"Effects of Different Cystoscopic Bladder Conditions on the Therapeutic Outcomes of Intravesical Platelet-Rich Plasma Injections in Patients with Interstitial Cystitis/Bladder Pain Syndrome.","authors":"Wan-Ru Yu, Jia-Fong Jhang, Yuan-Hong Jiang, Hann-Chorng Kuo","doi":"10.1007/s00192-026-06651-2","DOIUrl":"10.1007/s00192-026-06651-2","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Patients with interstitial cystitis/bladder pain syndrome (IC/BPS) may present with different cystoscopic bladder conditions. The current study investigated the treatment outcomes of repeated intravesical platelet-rich plasma (PRP) injections for various bladder conditions.</p><p><strong>Methods: </strong>This study included 66 patients with IC/BPS, including five with Hunner's IC and 61 with non-Hunner's IC, who were not successfully managed with conventional treatments. The eligible patients underwent videourodynamic studies, completed voiding diaries, and received intravesical PRP injections once a month for a total of four treatments. Cystoscopic hydrodistention was performed, and the maximal bladder capacity and glomerulation grade were recorded. Treatment outcomes were examined using the global response assessment (GRA), and patients with a GRA score of 2 or 3 were considered to have achieved treatment success.</p><p><strong>Results: </strong>In total, 33 (50%) patients, including 20 (30.3%) who had an excellent outcome (GRA score of 3) and 13 (19.7%) who had moderate improvement (GRA score of 2), reported a successful outcome. The bladder pain visual analog score of 23 (34.8%) patients reduced by ≥ 3, and the functional bladder capacity of 15 (25.9%) patients increased to ≥ 350 mL. The glomerulation grade of 20 (32.8%) patients decreased by ≥ 1. All patients did not report adverse events such as urinary tract infection and urination difficulty. Patients with a baseline MBC of ≥ 760 mL and glomerulation grade of 0 or 1 had relatively higher success rates.</p><p><strong>Conclusions: </strong>In 50% of patients with IC/BPS, including the non-Hunner's and Hunner's IC subtypes, intravesical PRP injections were effective in reducing bladder pain, increasing bladder capacity, and improving glomerulation grade after cystoscopic hydrodistention. Moreover, patients with reduced bladder inflammation who exhibited a low glomerulation grade and a larger maximal bladder capacity at baseline had a relatively higher treatment success rate.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"2999-3007"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837830","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":"Commentary: Beyond the Apnea-Hypopnea Index in the Interpretation of the Obstructive Sleep Apnea-Overactive Bladder Relationship.","authors":"Ali Furkan Batur, Elif Balevi Batur","doi":"10.1007/s00192-026-06769-3","DOIUrl":"10.1007/s00192-026-06769-3","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":"3133-3134"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148404658","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}