Urogynecology (Hagerstown, Md.)最新文献

{"title":"Pessary-related Content on TikTok: A Cross-Sectional Quality Assessment.","authors":"Mika Rabinovich, Hila Rosenberg, Atar Ben-Shmuel, Adi Y Weintraub, Reut Rotem","doi":"10.1097/SPV.0000000000001843","DOIUrl":"10.1097/SPV.0000000000001843","url":null,"abstract":"<p><strong>Importance: </strong>TikTok is increasingly used as a source of health information, yet the quality of pessary-related content has not been evaluated.</p><p><strong>Objectives: </strong>The purpose of this study was to assess the reliability, accuracy, and educational quality of pessary-related TikTok videos using validated tools.</p><p><strong>Study design: </strong>This was a cross-sectional quality assessment of TikTok videos that were identified using the search term \"#pessary.\" Key engagement metrics, including likes, views, and comments, were extracted, and content creators were categorized as health care professionals (HCP) or non-HCP creators. To minimize algorithmic bias, a new TikTok account was used for data collection. Two independent reviewers assessed the videos using 4 validated tools: (1) modified DISCERN (mDISCERN), (2) Global Quality Scale (GQS), (3) Video Information and Quality Index (VIQI), and (4) the Patient Education Materials Assessment Tool for Audio-Visual Content (PEMAT A/V).</p><p><strong>Results: </strong>Of 467 videos screened, 59 met inclusion criteria: 43 (72.9%) produced by HCPs and 16 (27.1%) by non-HCPs. HCP videos scored higher across most quality measures, including mDISCERN (median 3 vs 2, P =0.01), PEMAT A/V (median 10 vs 9, P =0.36), and VIQI (median 13.5 vs 11.5, P =0.33). Only 25.4% of videos achieved a GQS score ≥3. No significant differences were observed in views, likes, or shares between HCP and non-HCP videos, though HCP videos received more comments.</p><p><strong>Conclusions: </strong>Pessary-related TikTok content is generally of low quality. Although videos created by HCPs perform better, substantial gaps remain, highlighting the need for more accurate, accessible, and patient-centered information on social media.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1211-1217"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596756","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":"Self-care Pessary Management and Factors Associated With Long-Term Pessary Use.","authors":"Lucy Olson, Heather Winn, Irene Morcuende, Rene R Genadry, Joseph T Kowalski, Catherine S Bradley","doi":"10.1097/SPV.0000000000001839","DOIUrl":"10.1097/SPV.0000000000001839","url":null,"abstract":"<p><strong>Importance: </strong>There is limited evidence on predictors and complications of long-term pessary use and how outcomes vary by management strategy.</p><p><strong>Objectives: </strong>The objectives of this study were to compare outcomes of pessary self-care (SC) versus office-based care (OC) and identify factors associated with long-term pessary use in patients with pelvic organ prolapse (POP).</p><p><strong>Study design: </strong>We conducted a retrospective cohort study of patients fitted with a pessary for POP and with >3 months of use between 2008 and 2017. Patients were classified by pessary management strategy (SC vs. OC) and duration of use. Patient characteristics, complications, and reasons for discontinuation were compared between groups using bivariable and multivariable analyses.</p><p><strong>Results: </strong>The study included 275 patients who used a pessary for a median of 17.1 (range: 3-110) months. Of 268 with follow-up, 89 (33%), 107 (40%), and 72 (27%) used the pessary for <1 year, 1-<3 years, and ≥3 years, respectively. Most (77%) performed SC. SC users were healthier, younger, more sexually active, and had less advanced POP than OC users (all P ≤0.01). SC users had fewer space-occupying pessaries (61 (28.6%) vs 40 (64.5%), P <0.001), though many self-managed Gellhorn (n=50), cube (n=10) and donut (n=1) pessaries. SC users had a similar duration of use to OC users but fewer vaginal erosions and office visits (both P <0.001). Duration of use was not associated with management. In multivariable models, increasing age predicted longer use, and pulmonary disease predicted shorter use.</p><p><strong>Conclusions: </strong>In this cohort, the majority of patients were able to self-manage a pessary. Duration of use was associated with patient characteristics but not with management type.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1190-1198"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679278","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":"The Role of EMMPRIN Levels in Uterine Ligaments in Pelvic Organ Prolapse.","authors":"Ayşe Ceren Yildiz, Zelal Aydin, Kübra Keskin Toptaş, Fatma Sağlam Karaoğlan, Hande Soyer Somunsu, Berna Aslan Çeti̇n, Kubra Bozali, Eray Metin GuleR","doi":"10.1097/SPV.0000000000001829","DOIUrl":"10.1097/SPV.0000000000001829","url":null,"abstract":"<p><strong>Importance: </strong>Collagen cannot be underestimated in maintaining the structural integrity of the ligaments and connective tissue, as it plays a crucial role in pelvic organ support.</p><p><strong>Objective: </strong>In this study, extracellular matrix metalloproteinase inducer (EMMPRIN) levels in the uterosacral ligament, cardinal ligament, and ligamentum rotundum tissues of women with pelvic organ prolapse (POP) were compared with women without POP. The aim was to investigate the role of EMMPRIN in the etiopathogenesis of POP.</p><p><strong>Study design: </strong>Our study was planned as a prospective cohort study between August and November 2023. Women who underwent vaginal hysterectomy for POP and women with similar demographic data who underwent hysterectomy for benign reasons other than POP were included in the study. Tissue samples were taken from the cardinal ligament, uterosacral ligament, and ligamentum rotundum; total protein was analyzed, EMMPRIN levels were measured, and the 2 groups were compared.</p><p><strong>Results: </strong>A total of 85 patients, including 41 with POP and 44 without, were included in the study. Uterosacral ligament, cardinal ligament, and ligamentum rotundum EMMPRIN values were found to be significantly lower in the POP group compared with the control group. In the multiple regression model, uterosacral-rotundum EMMPRIN, body mass index, and parity were found to have a statistically significant effect on the development of POP.</p><p><strong>Conclusion: </strong>EMMPRIN levels in the uterosacral ligament, cardinal ligament and ligamentum rotundum were significantly lower in patients with POP. EMMPRIN deficiency may be one mechanism underlying the development of POP, but multicenter studies with larger patient numbers are needed.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1158-1164"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700886","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":"Training and Comfort in the Management of Fecal Incontinence.","authors":"Lei A Qin, Melissa A Ardizzone, Uduak U Andy","doi":"10.1097/SPV.0000000000001855","DOIUrl":"10.1097/SPV.0000000000001855","url":null,"abstract":"<p><strong>Importance: </strong>Fecal incontinence (FI) is common, underdiagnosed, and often undertreated. Understanding gaps in training, comfort, and confidence in managing FI among urogynecology fellows and attending physicians (attendings) may improve patient access to high-quality care.</p><p><strong>Objective: </strong>The objective of this study was to assess clinical exposure, didactic training, and self-reported comfort with FI management among urogynecology fellows and fellowship-trained attendings in the United States.</p><p><strong>Study design: </strong>A cross-sectional, anonymous electronic survey was distributed to physician members of the American Urogynecologic Society (AUGS) in 2025. The survey evaluated demographic characteristics, exposure to FI during fellowship and current practice, availability of diagnostic and procedural tools, didactic education, and comfort with medical and procedural management. Responses were summarized using descriptive statistics, and 1-way analyses of variance (ANOVA) were used to assess associations between level of training and overall comfort.</p><p><strong>Results: </strong>A total of 202 respondents completed the survey (35 fellows, 167 attendings; response rate 14.3%). More than half of fellows (54.3%) and two thirds of attendings (66.5%) completed a colorectal surgery rotation, while gastroenterology rotations were less common. Most respondents evaluated patients with FI weekly (60.0% of fellows; 51.5% of attendings). Fewer than half felt comfortable performing or interpreting anorectal manometry or endoanal ultrasound. Only 8.6% of fellows and 31.1% of attendings reported feeling very comfortable with FI management. Overall comfort increased with advancing training stage and years in practice ( P <0.001) but was not associated with colorectal or gastroenterology rotations. Most respondents (80.0% of fellows; 63.5% of attendings) believed that improving clinician comfort would enhance patient outcomes and access to care.</p><p><strong>Conclusions: </strong>Clinical and didactic exposure to FI varies widely across urogynecology training and practice. Despite frequent encounters, limited procedural experience contributes to persistent discomfort with FI management. Standardizing fellowship education and expanding interdisciplinary, longitudinal training may improve clinician confidence and patient care.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1251-1258"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679311","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":"Use of Spanish-Validated Patient-Reported Outcome Measures in Urogynecology.","authors":"Lucie Lefbom, Shreya Venkat, Monique Vaughan","doi":"10.1097/SPV.0000000000001858","DOIUrl":"10.1097/SPV.0000000000001858","url":null,"abstract":"<p><strong>Importance: </strong>Latinas experience pelvic floor disorders at disproportionately high rates yet remain underrepresented in urogynecologic research. Patient-reported outcome measures (PROMs) are central to urogynecologic research, but their lack of bilingual validation or use may present a barrier to inclusion for Spanish-speaking participants.</p><p><strong>Objectives: </strong>The objectives of this study were to quantify the availability and use of PROMs validated in both English and Spanish in urogynecologic research and to evaluate their association with Latina representation.</p><p><strong>Study design: </strong>We conducted a retrospective review of all studies published in Urogynecology from April 2020 to March 2024 that were performed in the United States and included at least 1 PROMs. Validation status was determined by a structured literature search. Representation quotients were used to assess proportional inclusion of Hispanic/Latina participants. We compared studies exclusively using bilingually validated instruments with those that did not and separately analyzed studies explicitly reporting administration of both English and Spanish versions.</p><p><strong>Results: </strong>Among 123 eligible studies, 98 unique PROMs were identified, 64 (65%) of which were known to be validated in Spanish. Across all instances of use, PROMs that were bilingually validated made up 85% of the measures used, although only 9 studies (7%) explicitly reported use of Spanish versions. Studies reporting use of Spanish versions achieved a representation quotient of 0.95, compared with 0.63 for studies that didn't ( P =0.002).</p><p><strong>Conclusions: </strong>Most urogynecologic PROMs are validated in Spanish, but Spanish versions are underutilized. Administering both English and Spanish PROMs is associated with more adequate Latina representation, highlighting their importance for inclusive research practices.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1266-1273"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679268","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":"Methodological Considerations in Postpartum Urinary Incontinence: Addressing Occupational and Clinical Confounders.","authors":"Animesh Upadhyay","doi":"10.1097/SPV.0000000000001902","DOIUrl":"10.1097/SPV.0000000000001902","url":null,"abstract":"","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1297-1298"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148321095","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":"Travel Time and Treatment Choice in Pelvic Organ Prolapse.","authors":"Laura A Denman, Seth K Ramin, Marina Predovic, Anne C Cooper, Kris Strohbehn","doi":"10.1097/SPV.0000000000001845","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001845","url":null,"abstract":"<p><strong>Importance: </strong>Demographic shifts within the United States have led to an increased proportion of older adults living in rural areas, which brings additional challenges to accessing urogynecologic care. As a rural tertiary care center, we sought to explore how travel time affects a patient's treatment choice for pelvic organ prolapse.</p><p><strong>Objectives: </strong>The objective of this study was to assess if patient choice of conservative versus surgical treatment of pelvic organ prolapse differs across travel time and whether travel time affects the decision to transition to surgery among patients who initially opted for pessary treatment.</p><p><strong>Study design: </strong>We conducted a retrospective cohort study of 1,511 patients diagnosed with pelvic organ prolapse who were seen at a single institution between October 2015 and December 2023. We examined initial treatment choice at baseline for the full cohort, and subsequent conversion to surgical management for those who initially chose pessary care. Travel time was calculated with geospatial mapping to the patient's census tract.</p><p><strong>Results: </strong>Of the 1,511 patients included, 598 (39.6%) deferred treatment, 360 (23.8%) initially chose pessary care, and 553 (36.7%) underwent surgical management. For patients who chose treatment, longer travel times were significantly associated with higher odds of selecting surgical treatment over pessary care, even after multivariable adjustment (P-trend <0.0001). Travel time was not associated with conversion to surgical management from pessary care (P value = 0.84).</p><p><strong>Conclusions: </strong>In this cohort of patients with pelvic organ prolapse who elected for treatment, longer travel times were associated with an increased likelihood of selecting surgical treatment over pessary care.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":"32 10","pages":"1224-1232"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083287","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":"Uterosacral Versus Sacrospinous Ligament Suspension in Pelvic Organ Prolapse: An RCT.","authors":"Sangam Jha, Vikas Chandra Jha, Supriya Subhi, Garima Goyal","doi":"10.1097/SPV.0000000000001830","DOIUrl":"10.1097/SPV.0000000000001830","url":null,"abstract":"<p><strong>Importance: </strong>Pelvic organ prolapse is a major cause of morbidity in women, affecting quality of life. The ideal surgical technique for apical support with minimal complications remains debated.</p><p><strong>Objectives: </strong>This study aimed to compare the anatomic and surgical success rates between 2 vaginal apical suspension techniques, sacrospinous ligament fixation (SSF) and high uterosacral ligament suspension (HUSLS), in preventing recurrence of pelvic organ prolapse (POP).</p><p><strong>Study design: </strong>A randomized controlled trial was conducted in women undergoing vaginal hysterectomy for POP. Participants were randomly assigned to receive either HUSLS or unilateral SSF. The primary outcomes were anatomic success (Pelvic Organ Prolapse Quantification [POP-Q] stage 0/1) and surgical success (symptom relief without re-surgery) at 1, 6, and 12 months. Secondary outcomes included functional improvement assessed by Pelvic Organ Prolapse Distress Inventory-6 (POPDI-6) and Female Sexual Function Index (FSFI) scores.</p><p><strong>Results: </strong>Of 228 enrolled patients, 204 completed follow-up (HUSLS, 103; SSF, 101). Baseline characteristics and mean POP-Q stage (3.1±0.6 vs 3.2±0.59, P =0.36) were comparable. Operative time was longer in the SSF group (198±18.8 vs 168±21.7 min, P =0.04), but other perioperative outcomes were similar. At 12 months, POP-Q stage 0 was achieved in 75.7% (HUSLS) and 79.2% (SSF), with overall surgical success rates of 84.4% and 85.1%, respectively. POPDI-6 scores improved significantly (72.2±12.8 to 17.3±9.7 in HUSLS; 72.7±14.4 to 19.1±9.2 in SSF, P <0.001). FSFI scores also improved markedly (17.4±4.8 to 25.5±4.6 in HUSLS; 17.5±2.9 to 25.2±3.4 in SSF).</p><p><strong>Conclusion: </strong>Both HUSLS and SSF are safe and effective for apical prolapse repair, offering comparable anatomic and functional outcomes at 1-year follow-up.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1165-1172"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379983","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":"In Silico Evaluation of an Elastomeric Membrane for Prolapse Repairs.","authors":"Sydnei Lewis, Katrina Knight, Teseo Schneider, Zachary Ferguson, Daniele Panozzo, Denis Zorin, Pamela Moalli, Steven Abramowitch","doi":"10.1097/SPV.0000000000001840","DOIUrl":"10.1097/SPV.0000000000001840","url":null,"abstract":"<p><strong>Importance: </strong>Pain and mesh exposure in polypropylene mesh augmented pelvic organ prolapse repairs are linked to stiffness mismatches and mesh deformations (pore collapse and wrinkling). To overcome these limitations, we are developing novel elastomeric membranes (EMs) that are macroporous and fabricated from a material that is softer than polypropylene (eg, polycarbonate urethane) and more closely matches the stiffness of the vagina.</p><p><strong>Objectives: </strong>This study assessed how pore geometry (auxetic-bowtie vs nonauxetic square or diamond) and material distribution affect the elongation, wrinkling, and porosity of EMs in response to tensile loads using finite element (FE) simulations.</p><p><strong>Study design: </strong>Nine models with varied strut dimensions were designed maintaining constant total volume, device length, and device width. FE analysis based on a Neo-Hookean material model was used to apply 15 N uniaxial tensile loads in flat clamped and suture-like configurations.</p><p><strong>Results: </strong>For both configurations, diamond-pore membranes showed the greatest elongation and porosity loss, and square pore membranes showed the least. The suture-like configurations caused wrinkling that was most pronounced in bowtie-pore membranes, especially near attachment points, and least in square-pore membranes. The elongation of bowtie-pore membranes was most sensitive to material distribution, which also directly corresponded to the degree of wrinkling.</p><p><strong>Conclusions: </strong>Square pore geometry offered superior stability in response to uniaxial tension. Auxetic bowtie models showed porosity advantages, but material distribution affected their elongation and corresponding propensity to wrinkle. These findings are critical for optimizing membrane design to minimize complications.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1199-1210"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517389","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":"Enhancing Voiding Trial Adherence Using QR Code-Based Video Education.","authors":"Ramzy Burns, Leah Frischmann, Emma Wittman, José Lázaro Weiss, Patrina Agosta, Douglass Hale, Jennifer Hamner, Ryan Stewart, Krystine Gulbrand","doi":"10.1097/SPV.0000000000001844","DOIUrl":"10.1097/SPV.0000000000001844","url":null,"abstract":"<p><strong>Importance: </strong>Voiding trials are critical for identifying postoperative urinary retention following pelvic surgery. However, inconsistent nursing execution due to confusing protocols or complex electronic order sets can lead to poor adherence, patient harm, and unnecessary catheter use.</p><p><strong>Objective: </strong>The objective of this study was to determine whether providing nursing staff with quick response (QR) code-linked instructional videos improves adherence to postoperative voiding trial protocols.</p><p><strong>Study design: </strong>A pre-post quality improvement study was conducted over 3 months at 2 tertiary care hospitals. QR codes linked to video tutorials for active, passive, and suprapubic tube voiding trials were attached to patient charts, catheter bags, and placed throughout clinical areas. Adherence to voiding trial protocols was assessed by accurate and complete documentation in the electronic medical record. Adherence rates before and after the intervention were compared using the Fisher exact test and one-way ANOVA.</p><p><strong>Results: </strong>A total of 150 patients were included (61 preintervention, 89 postintervention). Overall adherence improved from 44.3% to 76.4% ( P < 0.001). Significant improvements were observed in passive voiding trials (51.9% vs 85.0%, P = 0.005), active voiding trials (30.8% vs 66.6%, P = 0.046), and trials completed in both the postanesthesia care unit ( P = 0.006) and inpatient floor settings ( P = 0.008).</p><p><strong>Conclusions: </strong>QR code-linked instructional videos significantly improved nursing adherence to voiding trial protocols across multiple trial types and care locations. This low-cost intervention may enhance postoperative care quality and offers a practical model for improving nursing protocol adherence in pelvic floor surgery.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1218-1223"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517377","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}