Urogynecology (Hagerstown, Md.)最新文献

{"title":"Sociodemographic Factors and Overactive Bladder Treatment and Follow-up Patterns.","authors":"Julia K Shinnick, Ghazal Aghagoli, Tess Cersonsky, Anne Bocage, Spandana Jarmale, Lauren E Schlichting, Vivian W Sung","doi":"10.1097/SPV.0000000000001710","DOIUrl":"10.1097/SPV.0000000000001710","url":null,"abstract":"<p><strong>Importance: </strong>Loss to follow-up for overactive bladder (OAB) care is common and inadequately understood.</p><p><strong>Objectives: </strong>The objective of this study was to estimate the association between race, ethnicity, socioeconomic advantage, and loss to follow-up in women initiating OAB treatment. Secondary objectives included comparing treatment patterns.</p><p><strong>Study design: </strong>This study included a retrospective cohort of patients initiating OAB treatment at an academic, tertiary referral center, September 1, 2016, to March 1, 2022. Women with baseline OAB symptom severity data who self-reported language, race, and ethnicity were included. The underrepresented cohort was defined as those self-identifying as Black or Spanish-speaking, Hispanic. Socioeconomic advantage was quantified using the area deprivation index (ADI). To detect a relative risk of 1.3 for loss to follow-up (no follow-up within 13 months of initiating treatment, α= 0.05, β=0.2, 1:3 ratio), 632 patients were needed.</p><p><strong>Results: </strong>Six hundred thirty-two patients (mean age 60.48 ± 15.57 y) were included; 159/632 (25%) were underrepresented. Underrepresented patients had an increased risk of loss to follow-up on regression analysis adjusted for socioeconomic advantage, insurance, symptom impact, and menopause status (adjusted risk ratio [aRR] 6.91, 95% CI: 1.69-28.26). The ADI was associated with loss to follow-up on models adjusted for insurance, prolapse stage, symptoms and menopause status (aRR 1.03, 95% CI: 1.004-1.07, P =0.03). There were differences related to initial treatment with anticholinergic medication (34.1% Black, 50.7% Hispanic, 24.9% White, P <0.01), first follow-up (26.3 + 40.9 wk Black, 12.8 + 19.3 wk Hispanic, and 17.1 + 17 wk White, P <0.01), and receipt of advanced therapies (8.0% Black, 2.8% Hispanic, 12.9% White, P =0.02).</p><p><strong>Conclusion: </strong>Sociodemographic variables may be associated with treatment patterns after initiating care for OAB.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"668-676"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147966007","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}

{"title":"Preoperative Urinary Tract Infection and Outcomes After Prolapse Surgery.","authors":"Iris Burgard, Sarah Ashmore, Jinxuan Shi, Margaret G Mueller, Kimberly Kenton","doi":"10.1097/SPV.0000000000001735","DOIUrl":"10.1097/SPV.0000000000001735","url":null,"abstract":"<p><strong>Importance: </strong>Preoperative urinary tract infection (UTI) has been associated with worse 30-day perioperative outcomes in certain surgical specialties. Literature is limited regarding patients undergoing reconstructive pelvic surgery.</p><p><strong>Objective: </strong>The objective of this study was to evaluate the effect of preoperative UTI on 30-day postoperative outcomes of patients undergoing prolapse surgery.</p><p><strong>Study design: </strong>This was a retrospective cohort study using the 2014 to 2021 American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. Patients undergoing prolapse surgery with and without preoperative UTI were compared with standard bivariate and multivariate logistic regression analysis as appropriate.</p><p><strong>Results: </strong>In total, 86,619 patients underwent prolapse surgery: 273 (0.3%) patients had preoperative UTI. These patients were more likely to be older ( P <0.001), have a higher body mass index (BMI) ( P =0.009), have a higher American Society of Anesthesiologists (ASA) class ( P <0.001), undergo reoperation ( P =0.004) and readmission ( P <0.001). While the overall 30-day postoperative complication rate was similar between cohorts (7.0% vs. 6.1%, P =0.66), preoperative UTI was associated with a higher likelihood of deep/organ space surgical site infection ( P <0.001), perioperative transfusion ( P =0.01), and sepsis ( P <0.001). On multivariable logistic regression, preoperative UTI remained associated with increased odds of both readmission (adjusted odds ratio [aOR]: 4.8) and reoperation (aOR: 2.9).</p><p><strong>Conclusions: </strong>Preoperative UTI was associated with an increased risk of deep/organ space surgical site infection, perioperative transfusion, sepsis, readmission, and reoperation in the 30 days after surgery. However, overall 30-day complication rates were similar between groups. Postponing elective prolapse surgery for patients with a UTI may improve perioperative outcomes.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"753-760"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147966022","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}

{"title":"Overactive Bladder 5 Years After the Mid-Urethral Sling Tensioning (MUST) Trial.","authors":"Taylor Hughes, Amy Metcalfe, Miranda Fidler-Benaoudia, Kirsten Fiest, Erin A Brennand","doi":"10.1097/SPV.0000000000001725","DOIUrl":"10.1097/SPV.0000000000001725","url":null,"abstract":"<p><strong>Importance: </strong>The midurethral sling (MUS) procedure is the gold standard surgical treatment for stress urinary incontinence; however, it can significantly affect symptoms of overactive bladder (OAB).</p><p><strong>Objectives: </strong>This study aimed to evaluate the burden of OAB 5 years after MUS insertion by analyzing medication prescriptions, surgical intervention and patient-reported data, with comparisons by sling tensioning technique.</p><p><strong>Study design: </strong>This prospective cohort study followed participants of the Mid-Urethral Sling Tensioning trial for 5 years post-MUS surgery. Participants completed validated OAB questionnaires before and 5 years post-MUS surgery. Linked administrative health data measured postoperative OAB medication use, and incidence of bladder onabotulinumtoxinA (Botox) procedures.</p><p><strong>Results: </strong>Of the 318 participants, 260 had complete questionnaire data; among them, 225 (86.9%) had baseline OAB symptoms and at 5 years post-MUS surgery, 211 (81.5%) had symptoms. Approximately 1 in 5 reported clinically significant worsening in OAB symptoms; 19.0% in daily urination, 22.5% in urgency, and 18.1% in urine leakage. Conversely, 38.7%, 40.3%, and 47.6% showed significant improvement in these respective symptoms. In the 5 years after MUS surgery, 21.4% trialed OAB medication with 5.3% persisting at study end, and 2.2% (n=7) underwent a Botox procedure. The Babcock clamp tensioning technique provided less OAB burden compared with Mayo Scissor; however, the study was underpowered to detect statistical significance.</p><p><strong>Conclusions: </strong>After MUS surgery, twice the proportion of patients experienced improved OAB symptoms than the proportion reporting worsening. Trials of OAB medications after MUS surgery were common, but most patients discontinued use long term. This study advises surgeons and patients of realistic OAB expectations after MUS surgery.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"697-705"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147966037","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}

{"title":"Inflammatory Bowel Disease and Complications After Pelvic Organ Prolapse Repair.","authors":"Margot Le Neveu, Jessica Abou Zeki, Natalie N Chakraborty, Lauren Saulsbury, Stephen Rhodes, David Sheyn","doi":"10.1097/SPV.0000000000001713","DOIUrl":"10.1097/SPV.0000000000001713","url":null,"abstract":"<p><strong>Importance: </strong>Inflammatory bowel disease (IBD) affects 1.5% of women and results in relapsing inflammation affecting the gastrointestinal (GI) tract, which can lead to intra-abdominal adhesive disease, malnutrition, and immunosuppression, factors associated with adverse surgical outcomes. Whether patients with IBD undergoing pelvic organ prolapse (POP) surgery are at an increased risk of postoperative complications is unknown.</p><p><strong>Objective: </strong>The objective of this study was to compare postoperative complication rates up to 12 months after POP surgery between patients with and without IBD.</p><p><strong>Study design: </strong>This was a retrospective cohort study of patients who underwent POP surgery between 2000 and 2020 using the Premier Healthcare Database. Postoperative complications were compared between patients with and without IBD, with a subanalysis of surgical approach and IBD subtype.</p><p><strong>Results: </strong>Among 173,489 POP repairs, 6,349 patients (3.7%) had IBD. Patients with IBD had higher 3-month GI complication rates than those without IBD (1.4% vs 0.99%, P =0.029), which persisted for 12 months (2.9% vs 1.7%, P <0.001). Patients with IBD had a higher risk of ileus (OR: 1.8; 95% CI: 1.2-2.6), small bowel obstruction (OR: 1.8; 95% CI: 1.2-2.1), and wound infection (OR: 2.1; 95% CI: 1.1-4.3) at 12 months. IBD subtype was not associated with increased 3-month GI complications ( P >0.05). GI complications were higher among patients with IBD undergoing intraperitoneal repair at 3 months (2.1% vs 1.0%, P =0.003) and 12 months (3.4% vs 1.7%, P ≤0.001). Multivariable logistic regression revealed IBD was independently associated with increased GI complications (OR: 2.06; 95% CI: 1.67-2.53).</p><p><strong>Conclusion: </strong>Patients with IBD have increased GI complication risks after prolapse surgery compared with patients without IBD.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"677-686"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977410","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}

{"title":"Chinese American Women's Overactive Bladder Care Experience: A Qualitative Study.","authors":"Tsung Mou, Grace S Su, John B Wong, Sarah Collins, Kimberly Kenton, Michael K Paasche-Orlow","doi":"10.1097/SPV.0000000000001732","DOIUrl":"10.1097/SPV.0000000000001732","url":null,"abstract":"<p><strong>Importance: </strong>Chinese American women often express dissatisfaction with their health care experiences, which have been linked to negative health outcomes. To our knowledge, their experiences and outcomes when seeking care for overactive bladder (OAB) remain undescribed.</p><p><strong>Objectives: </strong>The objective of this study was to investigate the patient experiences of Chinese American women seeking OAB care.</p><p><strong>Study design: </strong>This was a qualitative study that utilized one-on-one semi-structured interviews and employed inductive analysis to identify themes pertinent to OAB care experiences.</p><p><strong>Results: </strong>The 25 Chinese American women participating in the study had a mean age of 59 (SD 15) years. Most described having poor experiences with OAB care (21/25, 84%) and reported a lack of symptom improvement since seeking care (22/25, 88%). Personal, interpersonal, and social factors negatively affected participants' care experiences and led to persistent ongoing symptoms. Specific challenges included difficulties in accessing care due to language barriers, dismissive attitudes from health care professionals, and a lack of knowledge about OAB treatments within women's social circles. These obstacles were further compounded by systemic drivers of health disparities, including socioeconomic disadvantage, age-related stereotypes, and gender bias. As a result, participants experienced feelings of futility regarding OAB care and acceptance of their symptoms.</p><p><strong>Conclusions: </strong>This study highlighted personal, interpersonal, and social factors that adversely affected Chinese American women's OAB care experiences and contributed to their persistent OAB symptoms. This study also provided insights into developing interventions to improve the care experience for patients with OAB.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"735-744"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13186102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Intraperitoneal Bupivacaine After Prolapse Surgery: A Double-Blind RCT.","authors":"José J Lázaro Weiss, Verónica A Santana-Ufret, Jennifer J Hamner, Douglass S Hale, Krystine Gulbrand, Patrina O Agosta, Kevin L Moss, J Ryan Stewart","doi":"10.1097/SPV.0000000000001729","DOIUrl":"10.1097/SPV.0000000000001729","url":null,"abstract":"<p><strong>Importance: </strong>Despite evidence that intraperitoneal local anesthetics can have a positive effect on patients' postoperative recovery, such use in urogynecology remains underinvestigated.</p><p><strong>Objective: </strong>The purpose of this study was to evaluate the effects of intraperitoneal bupivacaine without epinephrine on postoperative pain control in patients undergoing surgery for pelvic organ prolapse (POP).</p><p><strong>Study design: </strong>This double-blind randomized controlled trial compared intraperitoneal bupivacaine versus placebo for postoperative pain control in patients undergoing POP surgery. The primary outcome was pain scores based on a 10-point numeric rating scale and visual analog scale (NRS-VAS) at 4 hours after surgery. Secondary outcomes included pain scores based on the NRS-VAS collected at 8, 12, and 24 hours after surgery, postoperative opiate consumption during inpatient stay, time to first narcotic dose, and hospital length of stay.</p><p><strong>Results: </strong>Ninety-one participants were randomized into treatment (n = 44) or placebo (n= 47) groups. No differences in demographic or baseline characteristics, surgical time, estimated blood loss, or intraoperative complications were observed between groups. The primary outcome, NRS-VAS pain scores at 4 hours after surgery, showed no statistically significant difference between groups. Similarly, no significant differences were found in NRS-VAS scores at 8, 12, or 24 hours after surgery, total postoperative opiate consumption, time to first narcotic dose during inpatient stay, or hospital length of stay.</p><p><strong>Conclusions: </strong>No differences in pain scores, opiate consumption, time to first narcotic dose, or hospital length of stay were observed between the treatment and placebo groups. The routine use of intraperitoneal bupivacaine following POP surgery appears to have limited clinical utility.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"726-734"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147966012","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}

{"title":"Anatomic Zone of Safety of the Presacral Space.","authors":"Sonia Bhandari Randhawa, Lauren A King, Maria E Florian-Rodriguez, John M Shelton, Jessica S Williams, Jessica E Pruszynski, Joseph I Schaffer, Clifford Y Wai","doi":"10.1097/SPV.0000000000001736","DOIUrl":"10.1097/SPV.0000000000001736","url":null,"abstract":"<p><strong>Importance: </strong>As the trend toward minimally invasive sacrocolpopexy grows, the effect of reduced haptic feedback on facilitating safe dissection and suture placement has become more apparent. Knowledge of neurovascular anatomy and how the anterior longitudinal ligament (ALL) thickness varies in the presacral space may help guide suture and mesh placement as well as depth of tissue purchase.</p><p><strong>Objectives: </strong>The objectives of this observational study were to characterize the key vascular anatomy of the presacral space, assess variations in ALL thickness in the mediolateral direction and seek a \"safe zone\" for suture placement.</p><p><strong>Study design: </strong>The key vascular anatomy of the presacral space, below the aortic bifurcation to the S2 vertebra level, was examined in unembalmed female cadavers. Distances of key vascular structures from the midline were also determined. After histologic processing, ALL thickness was measured, and its variation in the mediolateral axis evaluated.</p><p><strong>Results: </strong>Fourteen cadavers were dissected. Descending craniocaudally, iliac arteries and veins diverged from midline. The iliac vessels, aorta, and inferior vena cava did not cross a zone in the presacral space 1 cm above and below, 1 cm right, and 1.2 cm left of the midsacral promontory. The middle sacral artery , confined to a 1.5 cm wide vertical channel, was the most common vascular structure traversing the midline. The ALL appeared to gradually attenuate in the mediolateral axis, although not statistically significant.</p><p><strong>Conclusions: </strong>An approximate 1 cm radius around the midsacral promontory may be a safer and potentially more substantive location for suture placement when compared with the lateral aspects of the ALL.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"745-752"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936075","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}

{"title":"Laparoscopic Assistance Overestimates Resident Exposure to Vaginal Hysterectomy.","authors":"Reece Burns, Angeline Veronikis, Hayrettin Okut, Katerina Woods, Jennifer Keomany, Simon Patton","doi":"10.1097/SPV.0000000000001884","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001884","url":null,"abstract":"<p><strong>Importance: </strong>Total vaginal hysterectomy (TVH) has long been the recommended route for benign hysterectomy, though its use has been on the decline. One possibility for the decline is a decrease in resident experience during training. Since 2013, laparoscopically assisted vaginal hysterectomy (LAVH) cases have been included within the TVH minimum category reported by residency programs despite being a much different procedure.</p><p><strong>Objectives: </strong>Our study sought to describe resident TVH experience nationally and describe a single program's experience with TVH without laparoscopic assistance.</p><p><strong>Study design: </strong>This was a retrospective study, which utilized publicly available case log data from the Accreditation Council for Graduate Medical Education to evaluate national hysterectomy case trends by graduating residency class from 2013 through 2025. Residency program case log data from a single institution were utilized to discern local trends, and the proportion of TVHs that were completed without laparoscopic assistance.</p><p><strong>Results: </strong>Our results demonstrate a national decline in TVH use but stable program TVH cases. Despite stability, our results identified that only 44% of TVHs are performed without laparoscopic assistance.</p><p><strong>Conclusions: </strong>At our institution, TVH without laparoscopic assistance represented a minority of TVH cases. Further study is needed to determine what effect this has on resident preparedness and comfort with posttraining TVH and the effect on the route of hysterectomy selection.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159318","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}

{"title":"Readability of Patient-Reported Outcome Measures in Urogynecology.","authors":"Skiey Hardin, Madeline Burds, Fareesa Raza-Khan, Lisa Sharp, Kristin M Jacobs, Cynthia Brincat, Michele O'Shea","doi":"10.1097/SPV.0000000000001868","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001868","url":null,"abstract":"<p><strong>Importance: </strong>Given the role of patient-reported outcome measures in evaluating pelvic floor symptoms, concerns have been raised regarding whether their required reading levels are appropriate for diverse patient populations. It is important to ensure patients of varying health literacy are able to read them to ensure accurate symptom reporting.</p><p><strong>Objective: </strong>Patient-reported outcome measures (PROMs) are invaluable in health care to guide clinical practice and measure outcomes in clinical trials. Studies of PROM readability have been limited by variability in readability formulas, calculators, and handling of PROM-specific syntax. Our objective was to assess the readability of validated PROMs for pelvic organ prolapse (POP) and urinary incontinence (UI) using 3 validated formulas of readability utilizing a reproducible methodology for handling PROM syntax.</p><p><strong>Study design: </strong>Validated English-language PROMs assessing POP and UI were identified. Questionnaires were analyzed using the Readability Studio software using 3 formulas: (1) Flesh-Kincaid Grade Level, (2) FORCAST, and (3) Gunning-Fog Index.</p><p><strong>Results: </strong>Forty-three PROMs were assessed. For the 6 PROMs assessing both POP and UI, average readability scores per the Flesh-Kincaid, FORCAST, and Gunning-Fog indices were 1.1, 11.0, and 14.1, respectively. For the 3 POP PROMs, average readability scores per the Flesh-Kincaid, FORCAST, and Gunning-Fog indices were 6.6, 9.8, and 9.4, respectively. Average readability scores for 34 UI PROMs were 9.8, 10.8, and 11.7, respectively. Seven of the PROMs for UI (21%) met the recommended sixth-grade reading level according to at least one of the 3 applied readability formulas. Overall, 81% (N=35) of all PROMs evaluated didn't meet the American Medical Association's (AMA) recommended reading level according to at least one of the 3 formulas.</p><p><strong>Conclusions: </strong>Most PROMs for UI and POP were not written at the AMA recommended reading level. The limitations of PROMs and their effect on clinical care and research among patients with limited health literacy should be considered. Future studies should focus on improving the accessibility of PROMs among educationally diverse populations.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159336","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}

{"title":"Combined Urogynecology and Gynecologic Oncology Surgery Complications.","authors":"Gini Ikwuezunma, Taryn Kedzior, Aleeza Abbasi, Christine Aboseif, Adam Hare, Laura L Holman, Lieschen Quiroz","doi":"10.1097/SPV.0000000000001864","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001864","url":null,"abstract":"<p><strong>Importance: </strong>Concomitant urogynecology and gynecologic oncology procedures have demonstrated feasibility with low short-term morbidity; however, complications beyond 30 days remain poorly defined.</p><p><strong>Objective: </strong>The objective of this study was to compare 90-day complications between combined and gynecologic oncology surgery alone.</p><p><strong>Study design: </strong>A retrospective 1:1 matched cohort study was conducted from January 2010 to April 2024 at a tertiary academic center. Combined cases were matched by surgery type, age (nearest decade), and final pathology. The primary outcome was postoperative complications within 90 days. Complications were analyzed by timing (0-90 d; 30-90 d) and graded using the Clavien-Dindo classification. Categorical variables were compared using χ² or Fisher exact tests and continuous variables using Mann-Whitney U tests (P<0.05).</p><p><strong>Results: </strong>A total of 122 participants were included and matched (61 combined; 61 gynecologic oncology only). Baseline characteristics were similar. Estimated blood loss was higher in combined procedures (181.2±17.0 mL vs 123.1±14.0 mL, P<0.001). Median length of stay was similar between groups (1.0 d; P=0.18). The majority of malignancies in the combined urogynecology and gynecologic oncology surgery group were endometrial cancer. Time from oncology consultation to surgery was longer for combined cases (32 vs 17 d, P<0.001). Ninety-day complication rates were higher in the combined group (84% vs 41%; P<0.001), attributed primarily to urinary tract infections in the first 30 days. However, 30- to 90-day complications were low; comparable (15% vs 13%, P=0.80), with no difference in severity.</p><p><strong>Conclusions: </strong>Combined surgery increased transient urinary complications without prolonging hospitalization, supporting the safety of a multidisciplinary approach in patients with early-stage endometrial cancer.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159325","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}