Urogynecology最新文献

The Effect of a Physician Consultation on Patient Reported Outcomes in Urogynecology 医生会诊对泌尿妇科患者报告结果的影响

Urogynecology Pub Date : 2024-07-01 DOI: 10.1097/SPV.0000000000001439

Emily Edwards, Sarah Boyles, Claire Gould, Blake Osmundsen

{"title":"The Effect of a Physician Consultation on Patient Reported Outcomes in Urogynecology","authors":"Emily Edwards, Sarah Boyles, Claire Gould, Blake Osmundsen","doi":"10.1097/SPV.0000000000001439","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001439","url":null,"abstract":"Importance It has not yet been determined whether there is an effect of the initial urogynecologic consultation and resultant management plan on the patient’s bother from her pelvic floor condition. Objective The aim of the study was to see whether patient-reported outcomes of bother were different before and after consultation with a specialist. Study Design Fifty patients completed both preconsultation and postconsultation Pelvic Floor Distress Inventory (PFDI-20) and Pelvic Floor Impact Questionnaire (PFIQ-7). Patients were eligible if they were naive to urogynecology care and had never had treatment for the chief complaint in the past. They were not eligible if they received treatment at their consultation visits. A paired t test was used for comparison. A linear model determined whether baseline PFDI-20 and PFIQ-7 scores as explanatory variables had an effect on the pre-post delta as outcome variable. Results There was no statistically significant difference between PFDI-20 scores before (mean, 86.5) and after (mean, 83.1) consultation. There was additionally no difference between PFIQ-7 scores before (mean, 61.1) and after (mean, 65.4) consultation. There was, however, a greater degree of change in scores if the patient presented with little bother versus large bother at the initial consultation. Conclusions For the new urogynecologic patients, those with lower baseline bother showed higher change (improvement) in scores after the consultation.","PeriodicalId":517282,"journal":{"name":"Urogynecology","volume":"31 3","pages":"637 - 641"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Staged Versus Concomitant Stress Incontinence Procedures With Prolapse Repairs 压力性尿失禁手术与脱垂修复术的分期与同期治疗

Urogynecology Pub Date : 2024-07-01 DOI: 10.1097/spv.0000000000001550

J. Shepherd

引用次数: 0

16th EUGA Annual Congress 19-21 October 2023, Varese – Palais des Congrès 第 16 届欧盟会计师协会年度大会 2023 年 10 月 19-21 日，瓦雷泽 - 会议宫

Urogynecology Pub Date : 2024-06-01 DOI: 10.1097/spv.0000000000001521

引用次数: 0

Access to Urogynecologic Care in Federally Qualified Health Centers: A Mystery Caller Study. 联邦合格医疗中心的泌尿妇科医疗服务：神秘来电研究。

Urogynecology Pub Date : 2024-04-25 DOI: 10.1097/SPV.0000000000001514

Micah G Pascual, Atieh Novin, M. Corbisiero, S. Unciano, Y. Hachicha, N. Shelden, Wyanet Bresnitz, Tanaz R. Ferzandi, Tyler M Muffly

{"title":"Access to Urogynecologic Care in Federally Qualified Health Centers: A Mystery Caller Study.","authors":"Micah G Pascual, Atieh Novin, M. Corbisiero, S. Unciano, Y. Hachicha, N. Shelden, Wyanet Bresnitz, Tanaz R. Ferzandi, Tyler M Muffly","doi":"10.1097/SPV.0000000000001514","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001514","url":null,"abstract":"IMPORTANCE\u0000Federally Qualified Health Centers (FQHCs) play an important role in providing care to underserved populations. However, little is known about the availability of urogynecology services at FQHCs.\u0000\u0000\u0000OBJECTIVES\u0000This study aimed to assess the availability of appointments for urogynecology care and to determine the prevalence of FQHCs offering urogynecologic services.\u0000\u0000\u0000STUDY DESIGN\u0000A total of 362 FQHCs across the United States were randomly selected from the Health Resources and Services Administration website, based on specific inclusion criteria. Researchers called the FQHCs and requested the earliest available appointment for pelvic organ prolapse. The availability of urogynecologic services such as pessary fittings, pelvic floor physical therapy, and urodynamic studies was also inquired.\u0000\u0000\u0000RESULTS\u0000A total of 362 FQHCs located in 46 states and the District of Columbia were called. On average, the 362 FQHCs had been established for 19.9 (SD ±15) years, were located in urban areas, and served a median county population of 24,573. Of the 220 FQHCs successfully contacted, 81% (180/220) reported that they could provide care for a patient with pelvic organ prolapse at an appointment 29.1 business days (SD ±30 days) from the date of the call, on average. However, only a small percentage of these FQHCs offered in-office pessary fittings (11%), complex multichannel urodynamics testing (8.6%), or pelvic floor physical therapy (5%).\u0000\u0000\u0000CONCLUSION\u0000The availability of treatments for pelvic floor disorders at FQHCs is limited. These findings highlight a potential disparity in access to urogynecology services for individuals with public insurance.","PeriodicalId":517282,"journal":{"name":"Urogynecology","volume":"48 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Laser and Pelvic Floor Muscle Training for Urinary Incontinence: A Randomized Clinical Trial. 激光和盆底肌肉训练治疗尿失禁：随机临床试验

Urogynecology Pub Date : 2024-04-25 DOI: 10.1097/SPV.0000000000001516

Samantha Conde Rocha-Rangel, Gláucia Miranda Varella Pereira, C. Juliato, L. G. O. Brito

{"title":"Laser and Pelvic Floor Muscle Training for Urinary Incontinence: A Randomized Clinical Trial.","authors":"Samantha Conde Rocha-Rangel, Gláucia Miranda Varella Pereira, C. Juliato, L. G. O. Brito","doi":"10.1097/SPV.0000000000001516","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001516","url":null,"abstract":"IMPORTANCE\u0000Pelvic floor muscle training (PFMT) is considered the first option as a conservative treatment for female stress urinary incontinence (SUI). However, there is still debate whether energy-based devices are effective for treating SUI.\u0000\u0000\u0000OBJECTIVE\u0000The objective of this study was to assess whether PFMT and fractional CO2 laser therapy may improve symptoms in women with SUI.\u0000\u0000\u0000STUDY DESIGN\u0000A parallel, randomized, nonblinded, noninferiority trial included 94 of 144 women 18 years or older with SUI randomized into 2 groups. The CO2 laser group (n = 47) received 3 vaginal applications at monthly intervals. The PFMT group (n = 47) underwent 2 weekly sessions. Primary outcome was the mean difference of International Consultation on Incontinence Questionnaire-Urinary Incontinence Short-Form (ICIQ-UI-SF) total scores between groups after 3 and 6 months. Main secondary outcomes were questionnaires for assessment of pelvic floor symptoms (Pelvic Floor Impact Questionnaire-Short Form 7 [PFIQ-7]), sexual function (Female Sexual Function Index [FSFI]), and improvement after treatment (Patient Global Impression of Improvement [PGI-I]).\u0000\u0000\u0000RESULTS\u0000A reduction in the ICIQ-UI-SF total score, PFIQ total score, and the Urinary Impact Questionnaire score was perceived between baseline and 3-6 months in both groups. CO2 laser did not reach the noninferiority margin when compared with PFMT in both follow-up periods and analyses. Pelvic floor muscle training has improved the FSFI desire domain between baseline and 3-6 months, whereas CO2 laser improved the FSFI orgasm, pain, and total score after 3 months and FSFI orgasm and total score after 6 months. PGI-I assessment has shown an improvement in both groups.\u0000\u0000\u0000CONCLUSION\u0000Fractional CO2 laser therapy was noninferior to PFMT after 3-6 months of treatment. Both groups presented a reduction in the ICIQ-UI-SF scores, and both methods could be considered for women with SUI.","PeriodicalId":517282,"journal":{"name":"Urogynecology","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140652830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Suture-Needle Management Device and Novel Port Configuration for Robotic Sacrocolpopexy. 用于机器人骶尾部结肠切除术的缝合针管理装置和新型端口配置。

Urogynecology Pub Date : 2024-04-24 DOI: 10.1097/SPV.0000000000001517

Deepanjana Das, Natalie Squires, Margaret G. Mueller, Sarah Collins, C. Lewicky-Gaupp, C. Bretschneider, J. Geynisman-Tan, Kimberly S Kenton

{"title":"Suture-Needle Management Device and Novel Port Configuration for Robotic Sacrocolpopexy.","authors":"Deepanjana Das, Natalie Squires, Margaret G. Mueller, Sarah Collins, C. Lewicky-Gaupp, C. Bretschneider, J. Geynisman-Tan, Kimberly S Kenton","doi":"10.1097/SPV.0000000000001517","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001517","url":null,"abstract":"IMPORTANCE\u0000Robot-assisted sacrocolpopexy (SCP) is a commonly performed procedure for the repair of apical pelvic organ prolapse; therefore, novel devices and techniques to improve safety and efficacy of this procedure should be explored.\u0000\u0000\u0000OBJECTIVE\u0000The objective of this study was to assess safety and efficacy of 8-mm trocar site for use of a disposable suture/needle management device (StitchKit; Origami Surgical, Madison, NJ) for robot-assisted SCP with a 4-arm configuration and no assistant port.\u0000\u0000\u0000STUDY DESIGN\u0000This is a retrospective case series of patients undergoing robot-assisted SCP at a tertiary center from 2018 to 2021. All surgical procedures were performed using four 8-mm robotic trocars and StitchKit device. Our objective was to review all cases in which this technique was used to determine whether the approach resulted in a safely completed procedure and any complications or adverse events. Secondary objectives were to describe patient and operative characteristics.\u0000\u0000\u0000RESULTS\u0000In total, 422 patients underwent robot-assisted SCP for pelvic organ prolapse. The mean age was 60 ± 10 years, and mean body mass index was 27 ± 6 (calculated as weight in kilograms divided by height in meters squared). Most patients had stage 3 prolapse (73%) and underwent concomitant hysterectomy (70%). Ninety-nine percent (n = 416) of cases were completed robotically. StitchKit was successfully inserted and removed in all robotic cases with correct needle counts. All patients had postoperative visits, and 80% followed up at 3 months. No umbilical/port site hernias, operative site infections, or adverse events were reported.\u0000\u0000\u0000CONCLUSIONS\u0000Robot-assisted SCP can be performed safely using a 4-arm robotic configuration and suture kit device. This setup eliminates incisions greater than 8 mm and an assistant port, allowing for surgical efficiency without compromising patient outcomes.","PeriodicalId":517282,"journal":{"name":"Urogynecology","volume":"33 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140660716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pudendal Block at the Time of Transvaginal Prolapse Repair: A Randomized Controlled Trial. 经阴道脱垂修复术时的阴道阻滞：随机对照试验。

Urogynecology Pub Date : 2024-04-19 DOI: 10.1097/SPV.0000000000001448

Michele Torosis, Morgan Fullerton, Daniela Kaefer, Victor Nitti, A. L. Ackerman, T. Grisales

{"title":"Pudendal Block at the Time of Transvaginal Prolapse Repair: A Randomized Controlled Trial.","authors":"Michele Torosis, Morgan Fullerton, Daniela Kaefer, Victor Nitti, A. L. Ackerman, T. Grisales","doi":"10.1097/SPV.0000000000001448","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001448","url":null,"abstract":"IMPORTANCE\u0000The utility of pudendal nerve blocks (PNBs) at the time of transvaginal surgery is mixed in the literature. No published study has evaluated the efficacy of PNB since the widespread adoption of Enhanced Recovery After Surgery (ERAS) pathways.\u0000\u0000\u0000OBJECTIVE\u0000This study aimed to determine if PNB, in addition to ERAS measures, at the time of vaginal reconstructive surgery reduces opioid use in the immediate postoperative period.\u0000\u0000\u0000STUDY DESIGN\u0000In this randomized, blinded, controlled trial, women scheduled for transvaginal multicompartment prolapse repair were randomized to bilateral PNB before incision with 20 mL of 0.5% bupivacaine versus usual care. Primary outcome was opioid use in morphine milligram equivalents (MME) for the first 24 hours. The study was powered to detect a 5.57-MME difference in opioid use in the first 24 hours between groups.\u0000\u0000\u0000RESULTS\u0000Forty-four patients were randomized from January 2020 to April 2022. The PNB and control groups were well matched in demographic and surgical data. There was no difference in opioid use in first 24 hours between the control and PNB groups (8 [0-20] vs 6.7 [0-15]; P = 0.8). Median pain scores at 24 and 48 hours did not differ between groups (4 ± 2 vs 3 ± 3; P = 0.44) and 90% of participants were satisfied with pain control across both groups. Time to return to normal activities (median, 10 days) was also not different between the groups.\u0000\u0000\u0000CONCLUSIONS\u0000Because pain satisfaction after transvaginal surgery in the era of ERAS is high, with overall low opioid requirements, PNB provides no additional benefit.","PeriodicalId":517282,"journal":{"name":"Urogynecology","volume":" 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Specialty-Specific Trends in Surgery for Apical Pelvic Organ Prolapse Post Vaginal Mesh. 阴道网片术后顶端盆腔器官脱垂手术的专科趋势。

Urogynecology Pub Date : 2024-04-15 DOI: 10.1097/SPV.0000000000001458

Rahul Dutta, Raymond Xu, D. Wolff, Gopal Badlani, C. Matthews

{"title":"Specialty-Specific Trends in Surgery for Apical Pelvic Organ Prolapse Post Vaginal Mesh.","authors":"Rahul Dutta, Raymond Xu, D. Wolff, Gopal Badlani, C. Matthews","doi":"10.1097/SPV.0000000000001458","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001458","url":null,"abstract":"IMPORTANCE\u0000Since transvaginal mesh (VM) kits for apical pelvic organ prolapse (APOP) were labeled \"high-risk\" in 2016 and subsequently banned in 2019 by the U.S. Food and Drug Administration, the most common remaining surgical options include abdominal mesh-augmented sacrocolpopexy (AS) and transvaginal native tissue suspension (VN).\u0000\u0000\u0000OBJECTIVE\u0000The objective of this study was to determine temporal trends in APOP procedures for urologists and gynecologists.\u0000\u0000\u0000STUDY DESIGN\u0000Between 2011 and 2020, the American College of Surgeons National Surgical Quality Improvement Program database was queried for AS, VM, and VN.\u0000\u0000\u0000RESULTS\u0000There were 26,477 cases of APOP repair (32% AS, 6% VM, 62% VN) included, 9% by urologists. Urologists operated on older (65 vs 61 years) patients with more medical comorbidities. Urologists performed significantly higher proportion of AS (65% vs 29%) and VM (8% vs 6%) relative to VN (27% vs 65%) than gynecologists (P < 0.0001). Transvaginal mesh utilization has decreased over time for both specialties (P < 0.05); nonsignificant trends toward increasing AS (P = 0.1646) in urologists and VN (P = 0.0913) in gynecologists concurrently occurred. Significant independent predictors of the operating surgeon being a urologist were surgery being performed in the latter half of the cohort (2016-2020; odds ratio [OR], 1.22), non-White patient race (OR < 1 for all), a concomitant sling being placed (OR = 0.89), the surgery being VM (OR = 2.95) or AS (OR = 4.36), the patient being older (OR > 1 for each age range), and having a higher frailty index score (OR = 1.16).\u0000\u0000\u0000CONCLUSIONS\u0000Significant differences in APOP repair choices exist between specialties. Urologists operate on older, more medically complex patients while demonstrating a strong preference for mesh-augmented compared with transvaginal native tissue repairs.","PeriodicalId":517282,"journal":{"name":"Urogynecology","volume":"319 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140703515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diet Intake After Diet Modification Intervention in Women With Fecal Incontinence. 对大便失禁妇女进行饮食调整干预后的饮食摄入量。

Urogynecology Pub Date : 2024-04-11 DOI: 10.1097/SPV.0000000000001480

Jaclyn M Muñoz, Molly Groskreutz, Charlene Compher, U. Andy

{"title":"Diet Intake After Diet Modification Intervention in Women With Fecal Incontinence.","authors":"Jaclyn M Muñoz, Molly Groskreutz, Charlene Compher, U. Andy","doi":"10.1097/SPV.0000000000001480","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001480","url":null,"abstract":"IMPORTANCE\u0000Older women with fecal incontinence (FI) who underwent diet modification intervention (DMI) showed significant improvement in FI symptoms. It is unclear whether improvement in symptoms was associated with objective changes in dietary intake quality.\u0000\u0000\u0000OBJECTIVES\u0000The primary aim was to determine if improvement in overall dietary intake quality was associated with improvement in FI symptoms. Our secondary aim was to evaluate whether individual food group consumption changes were associated with changes in FI symptoms.\u0000\u0000\u0000STUDY DESIGN\u0000This was an ancillary analysis of a prospective cohort study of women aged 65 years and older with FI who underwent DMI. Seven-day diet-and-bowel diaries at baseline and 6 weeks after DMI were examined for how frequently participants consumed food categories and FI triggers. Adherence to recommended dietary guidelines was assessed between 2 and 4 weeks using a 24-hour diet recall. Baseline and postintervention consumption were compared using the Wilcoxon signed rank test. Spearman correlation was used to compare dietary intake changes with FI symptom changes.\u0000\u0000\u0000RESULTS\u0000Twenty-four women completed the 24-hour diet recalls, and 17 women completed the 7-day diet-and-bowel diaries at baseline and 6 weeks. More participants who were adherent had clinically significant improvement in symptoms compared with those who were not adherent (70% vs 30%, P=0.57). Decreased consumption of saturated fats (P=0.01) and fried foods (P<0.001) was associated with improvement in FI symptoms.\u0000\u0000\u0000CONCLUSIONS\u0000In this small population, overall dietary intake quality was not associated with change in FI symptom improvement. Decreased intake of saturated fat and fried food was associated with FI symptom improvement.","PeriodicalId":517282,"journal":{"name":"Urogynecology","volume":"48 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient Perspectives Following Obstetric Anal Sphincter Injury. 产科肛门括约肌损伤后患者的观点。

Urogynecology Pub Date : 2024-04-10 DOI: 10.1097/SPV.0000000000001506

Alexandra C Nutaitis, Cecile A Ferrando, Katie Propst

{"title":"Patient Perspectives Following Obstetric Anal Sphincter Injury.","authors":"Alexandra C Nutaitis, Cecile A Ferrando, Katie Propst","doi":"10.1097/SPV.0000000000001506","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001506","url":null,"abstract":"IMPORTANCE\u0000An obstetric anal sphincter injury can significantly affect patients. Support for these patients is both limited and not well understood.\u0000\u0000\u0000OBJECTIVE\u0000The aim of this study was to describe patient experiences after an obstetric anal sphincter injury.\u0000\u0000\u0000STUDY DESIGN\u0000This is a prospective cross-sectional qualitative study of patients who experienced an obstetric anal sphincter injury within a tertiary care network between May and June of 2022. Demographic data, clinical data regarding the delivery, and the Edinburgh Postnatal Depression Scale were collected. Prospective semistructured interviews were conducted approximately 5-12 weeks postpartum to address opportunities to improve obstetric anal sphincter injury care. Qualitative analysis was performed using a grounded theory approach.\u0000\u0000\u0000RESULTS\u0000Fifteen women with a mean age of 31 (±3.93) years participated. The majority identified as White (93.3%) and non-Hispanic (100%). All participants identified as being married to men and completing undergraduate education; 9 (60%) also received postgraduate education. Five participants (33.3%) screened positive (score of 10 or greater) for postnatal depression on the Edinburgh Postnatal Depression Scale. Thematic saturation was reached with 3 major themes identified: (1) pain control, (2) desire for multifactorial support, and (3) obstetric anal sphincter injury knowledge and awareness.\u0000\u0000\u0000CONCLUSIONS\u0000Experiencing an obstetric anal sphincter injury represents a great unknown to most women. This study identifies opportunities for improved postpartum care through education, pain control, and patient support. Interventions are needed to improve the postpartum experience for women who experience an obstetric anal sphincter injury with childbirth.","PeriodicalId":517282,"journal":{"name":"Urogynecology","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0