Urogynecology (Hagerstown, Md.)最新文献_第6页

Barbed Suture Strength in Sacrocolpopexy: Does Pattern Matter?

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-20 DOI: 10.1097/SPV.0000000000001664

José J Lázaro Weiss, Andrew A Tomaschke, Jennifer J Hamner, Douglass S Hale, Patrina O Agosta, Oluwakemi Ogunmuko, Olivia Reul, J Ryan Stewart

{"title":"Barbed Suture Strength in Sacrocolpopexy: Does Pattern Matter?","authors":"José J Lázaro Weiss, Andrew A Tomaschke, Jennifer J Hamner, Douglass S Hale, Patrina O Agosta, Oluwakemi Ogunmuko, Olivia Reul, J Ryan Stewart","doi":"10.1097/SPV.0000000000001664","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001664","url":null,"abstract":"Importance: Although barbed suture in sacrocolpopexy is becoming increasingly common, an accepted vaginal attachment pattern for barbed suture has not been established.Objective: This study aimed to compare the structural properties of 3 different barbed suture attachment patterns used to fixate mesh to the vagina during sacrocolpopexy.Study design: Segments of type 1 polypropylene mesh (Restorelle; Coloplast, Humlebaek, Denmark) measuring 6 × 3 cm were affixed to rectus abdominis fascia from 5 fresh-frozen female cadavers. Barbed 6-inch 2-0 polydioxanone (Stratafix; Ethicon, Raritan, NJ) with 3 different attachment patterns and nonbarbed 2-0 polydioxanone were used for fixation. Barbed suture attachment patterns included circular, horizontal, and vertical patterns. Mechanical testing was carried out using a uniaxial tensile test to failure.Results: Tensile testing resulted in similar mechanical properties across all suture attachment pattern groups. Analyses found no significant effect of suture attachment pattern stiffness or the extension at failure. One-way ANOVAs revealed a global effect of suture attachment pattern on the load at failure (P = 0.0188) and energy at failure (P = 0.0435), but this significance was eliminated after controlling for multiple comparisons. A significant (P = 0.0459) increase in ultimate load was found when comparing the horizontal attachment pattern to the vertical attachment pattern.Conclusions: No difference was observed when comparing suture attachment patterns (circular, horizontal, and vertical). However, a statistically significant difference in ultimate load favored the horizontal attachment over the vertical attachment. Furthermore, there was no difference observed when comparing nonbarbed interrupted suture attachment to the 3 barbed suture attachment patterns.","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451189","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

Knowledge of Pelvic Floor Disorders in English- and Spanish-Speaking Postpartum Patients.

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-19 DOI: 10.1097/SPV.0000000000001665

Moiuri Siddique, Emily Passarelli, Carol Shi, Deborah Myers

{"title":"Knowledge of Pelvic Floor Disorders in English- and Spanish-Speaking Postpartum Patients.","authors":"Moiuri Siddique, Emily Passarelli, Carol Shi, Deborah Myers","doi":"10.1097/SPV.0000000000001665","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001665","url":null,"abstract":"Importance: Postpartum patients generally have limited knowledge of urinary incontinence (UI) and pelvic organ prolapse (POP). However, it is unclear what differences exist in knowledge level between English- and Spanish-speaking postpartum patients for each condition.Objective: The objective of this study was to report rates of knowledge proficiency on UI and POP in English- and Spanish-speaking postpartum patients.Study design: In this cross-sectional study of postpartum patients at a tertiary care center, knowledge was assessed using the English and Spanish language-validated Prolapse and Incontinence Knowledge Questionnaire. Knowledge proficiency on UI was defined as answering correctly ≥80% of the questions and for POP as answering correctly ≥50% of the questions, based on cutoffs implemented by Geynisman-Tan et al previously. Pelvic floor disorder symptom severity was assessed using the Pelvic Floor Distress Inventory-20 and the Pelvic Floor Impact Questionnaire-7.Results: Fifty English- and 50 Spanish-speaking patients completed the survey questionnaires. Spanish-speaking patients had lower rates of UI proficiency compared to English-speaking patients (10.0% vs 40.0%, P < 0.001) and were less likely to identify childbirth to be a risk factor for UI compared to English-speaking patients. For POP, proficiency levels were low but similar between English and Spanish speakers. Pelvic floor disorder symptom severity and impact on quality of life were low, did not differ between the 2 groups, and did not correlate with knowledge scores.Conclusion: English- and Spanish-speaking postpartum patients have low knowledge of both UI and POP. Postpartum patients need educational resources to understand the risks and treatments for pelvic floor disorders.","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494698","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

Can Pharmacogenetics Be Used to Predict the Response to Fesoterodine Fumarate?

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-14 DOI: 10.1097/SPV.0000000000001668

Jennifer M Wu, Nazema Y Siddiqui, Tim Wiltshire, Deepak Voora, Kenneth Schmader

{"title":"Can Pharmacogenetics Be Used to Predict the Response to Fesoterodine Fumarate?","authors":"Jennifer M Wu, Nazema Y Siddiqui, Tim Wiltshire, Deepak Voora, Kenneth Schmader","doi":"10.1097/SPV.0000000000001668","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001668","url":null,"abstract":"Importance: Pharmacogenetics could address the challenge of predicting an individual's response to anticholinergic medications for urgency urinary incontinence (UUI).Objectives: Our objectives were to evaluate whether the metabolizer status of cytochrome p450 2D6 (CYP2D6), the drug metabolizing enzyme for fesoterodine, is associated with effectiveness or moderate/severe adverse events (AEs) from fesoterodine fumarate in women with UUI.Study design: In this pilot pharmacogenetics study, 58 women aged ≥50 with ≥3 UUI episodes on a 3-day bladder diary were treated with fesoterodine. Participants were categorized as normal metabolizers (NM), intermediate (IM), or poor metabolizers (PM) based on their genetic CYP2D6 sequence. Effectiveness was measured by Treatment Benefit Scale (responders were \"improved\" or \"greatly improved\" versus nonresponders were \"not changed\" or \"worsened\"). Moderate and severe AEs were defined by the National Cancer Institute Common Terminology Criteria for Adverse Events.Results: Among 58 women, 34 (58.6%) were NM, 22 (37.9%) were IM, and 2 (3.4%) were PM. Given the small proportion of PM, we compared the NM and IM groups. Regarding effectiveness for UUI, there was no significant difference between metabolizer cohorts at 4 weeks (82.8% vs 94.4%, P = 0.38 for NM vs IM, respectively). Metabolizer status was also not associated with moderate-severe AEs (14.7% vs 13.6% for NM vs IM, P = 1.0).Conclusions: In this pilot study with limited sample size, CYP2D6 normal and IM metabolizer status was not associated with effectiveness or moderate-severe AEs to fesoterodine fumarate. The proportion of poor metabolizers was low; thus, further investigation in this population is warranted.","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659984","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

URPS Fellowship Learning Objectives for Patient Care, Medical Knowledge, and Scholarly Activity: Erratum.

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-14 DOI: 10.1097/SPV.0000000000001671

引用次数: 0

Adverse Events Associated With Female External Urinary Collection Devices.

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-10 DOI: 10.1097/SPV.0000000000001656

Mahgol Golshani, Aaron Tverye, Taylor Bate, Jennifer T Anger, Colby P Souders

{"title":"Adverse Events Associated With Female External Urinary Collection Devices.","authors":"Mahgol Golshani, Aaron Tverye, Taylor Bate, Jennifer T Anger, Colby P Souders","doi":"10.1097/SPV.0000000000001656","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001656","url":null,"abstract":"Importance: Female external urinary collection devices were designed with the goal of decreasing the risk of catheter-associated urinary tract infections, which can have significant clinical complications. The BD PureWick urinary collection system, C. R. Bard, Inc., a wholly owned subsidiary of BD, Franklin Lakes, NJ, was the first device to enter the market and has had a widespread distribution. There is a lack of clinical data evaluating the safety of the PureWick device.Objectives: This study aimed to evaluate adverse events associated with the PureWick device using reports from the U.S. Food and Drug Administration Manufacturer and User Device Experience database.Study design: A retrospective case series was conducted of adverse events from the database, which includes the adverse events and patient demographics from mandatory and voluntary reporters. Grounded theory was applied, utilizing inductive reasoning to identify salient keywords in the analysis of adverse events.Results: A total of 1,406 reports were submitted to the database from January 2016 to October 2023, with each report having at least 1 adverse event complaint. Report complaints were classified by patient injury (n = 1412, 67.6%), device malfunction (n = 459, 22.1%), user error (n = 125, 6.0%), device instructions (n = 83, 4.0%) and death (n = 6, 0.29%). Salient keywords include urinary tract infection, skin irritation, and device leakage.Conclusions: There are adverse events associated with the PureWick external urinary collection device in reports from the U.S. Food and Drug Administration database. These findings warrant additional studies to assess the safety of the PureWick for patients using the device in the hospital and at home.","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412064","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

The Effect of Concomitant Hysterectomy Route on Robotic Sacrocolpopexy Outcomes.

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-06 DOI: 10.1097/SPV.0000000000001659

Christina Swallow, Metehan Imamoglu, Aysegul Gizem Imamoglu, Xiao Xu, Oz Harmanli

{"title":"The Effect of Concomitant Hysterectomy Route on Robotic Sacrocolpopexy Outcomes.","authors":"Christina Swallow, Metehan Imamoglu, Aysegul Gizem Imamoglu, Xiao Xu, Oz Harmanli","doi":"10.1097/SPV.0000000000001659","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001659","url":null,"abstract":"Importance: Sacrocolpopexy is essential in the surgical management of advanced pelvic organ prolapse, and selecting the appropriate route for concomitant hysterectomy is critical.Objectives: The aim of this study was to evaluate the effect of the hysterectomy route at the time of robot-assisted laparoscopic sacrocolpopexy (RA-SCP) on mesh exposure. Secondary outcomes were perioperative complications and prolapse recurrence.Study design: This was a retrospective cohort study of 405 patients who underwent an RA-SCP at our institution from January 2013 to July 2019 with at least 6 month follow-up; the patients were grouped with respect to hysterectomy route as robot-assisted supracervical hysterectomy (SCH), total vaginal hysterectomy (VH), and posthysterectomy (PH). The primary outcome measure was mesh exposure. Short-term complications and anatomic failure were also analyzed.Results: Two hundred three of our patients (50.1%) had a concomitant SCH, 93 (23.0%) had a concomitant VH, and 109 (26.9%) were PH at the time of their robotic sacrocolpopexy. Sacrocolpopexy mesh exposure occurred in 4 patients (1%), with an additional 6 patients (1.5%) with midurethral sling mesh exposure. Mesh exposure rates did not differ significantly between groups. At 6 months after surgery, anatomic failure rates did not differ significantly between groups (P = 0.69).Intraoperative and postoperative complication rates were low (bowel obstruction, 2.0%; bladder injury, 1.2%, after excluding those caused by sling trocars; venous thromboembolism, 0.7%; transfusion, 0.5%). Postoperative infection and readmission rates did not differ significantly between groups.Conclusions: Patients with different routes of hysterectomy at the time of RA-SCP have similar mesh exposure and prolapse recurrence rates. Serious complications are rare in all groups.","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412069","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

Urinary Incontinence and Care Seeking Among Wisconsin Women. 威斯康星州妇女尿失禁和护理寻求。

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-01 Epub Date: 2024-11-14 DOI: 10.1097/SPV.0000000000001599

Kristina J Warner, Amy A Schultz, Jodi H Barnet, Heidi W Brown

{"title":"Urinary Incontinence and Care Seeking Among Wisconsin Women.","authors":"Kristina J Warner, Amy A Schultz, Jodi H Barnet, Heidi W Brown","doi":"10.1097/SPV.0000000000001599","DOIUrl":"10.1097/SPV.0000000000001599","url":null,"abstract":"Importance: Women who identify as Black or African American are underrepresented in research about pelvic floor disorders.Objectives: The objectives of this study were to describe the prevalence of and factors associated with urinary incontinence (UI) and UI care-seeking among adult women in a Wisconsin household survey.Study design: This was a cross-sectional analysis of data collected by the Survey of the Health of Wisconsin (SHOW). Using community engagement, individuals who identified as Black or African American were purposively oversampled in the 2018-2019 wave. Descriptive analyses compared women with and without UI, and those who had and had not sought care.Results: Among 237 study participants, 46% (110) had UI: 46% mild, 36% moderate, and 18% severe. Most participants (84%) self-identified as non-Hispanic Black (84%), with a mean age of 49 ± 16 years and mean body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) of 34 ± 9; 62% were insured by Medicaid. The prevalence of UI was 44% among women who identified as non-Hispanic Black versus 59% (P = 0.085) among other women. Older age, obesity, needing help to read medical instructions, and identifying as a race other than non-Hispanic Black were significantly associated with UI. Among 110 women with UI, 53% had previously sought care. Rates of UI care seeking were similar (P = 0.32) among women who identified as non-Hispanic Black (55%) and those who identified as another race or ethnicity (43%).Conclusion: Needing help to read medical instructions emerged as a factor associated with UI diagnosis in this sample that included almost 200 women who identified as non-Hispanic Black.","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":"31 2","pages":"139-146"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017763","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

Surgical Recovery Among Patients With Chronic Pain Undergoing Pelvic Reconstructive Surgery. 接受盆腔重建手术的慢性疼痛患者的手术恢复情况。

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-01 Epub Date: 2024-11-08 DOI: 10.1097/SPV.0000000000001597

Adrienne J Werth, Victoria Abalyan, Elena Tunitsky-Bitton, David O'Sullivan, Elisabeth Sappenfield

{"title":"Surgical Recovery Among Patients With Chronic Pain Undergoing Pelvic Reconstructive Surgery.","authors":"Adrienne J Werth, Victoria Abalyan, Elena Tunitsky-Bitton, David O'Sullivan, Elisabeth Sappenfield","doi":"10.1097/SPV.0000000000001597","DOIUrl":"10.1097/SPV.0000000000001597","url":null,"abstract":"Importance: Limited data exist on postoperative recovery among patients with chronic pain undergoing pelvic reconstructive surgical procedures.Objective: The objective of this study was to evaluate if patients with versus without self-reported chronic pain experience different recovery after pelvic reconstructive surgery.Study design: From September 2022 to May 2023, this prospective cohort study enrolled patients with and without chronic pain, who were undergoing vaginal or laparoscopic procedures for pelvic organ prolapse. Preoperative pain was assessed using the Brief Pain Inventory (BPI) and Pepper Assessment Tool for Disability (PAT-D). Postoperative recovery was evaluated at 2, 4, and 12 weeks using the Postdischarge Surgical Recovery (PSR) scale, Global Surgical Recovery (GSR) index, and PAT-D questionnaire. The primary outcome was PSR scores at 4 weeks postoperatively.Results: Ninety patients were recruited, with 43 reporting chronic pain and 47 without. Demographics were similar. Patients with chronic pain had higher preoperative BPI and PAT-D scores. Perioperative outcomes and hospital stay were similar. Patients with chronic pain used more postoperative opioids in the hospital (27.0 ± 27.8 vs 24.3 ± 60.3 morphine milligram equivalents [MME]; P = 0.03) and at home (40.1 ± 54.7 vs 19.9 ± 39.0 MME; P = 0.03). The PSR scores at 4 weeks were not significantly different. No differences were observed in PSR or GSR scores at all time points. Patients with chronic pain had a higher PAT-D score at 12 weeks. Fewer chronic pain patients returned to work by 12 weeks and desired more time off work.Conclusions: Patients with and without chronic pain had similar surgical outcomes and recovery. However, chronic pain patients required more postoperative opioid pain medication and preferred more time off work.","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"115-122"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607628","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

Development and Validation of a Laparoscopic Sacrocolpopexy Training Model. 腹腔镜骶尾部结肠切除术训练模型的开发与验证

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-01 Epub Date: 2024-10-14 DOI: 10.1097/SPV.0000000000001583

Heather M Winn, Elena Tunitsky-Bitton, Amanda O'Meara, Erinn M Myers, Brittany L Anderson-Montoya, Megan E Tarr

{"title":"Development and Validation of a Laparoscopic Sacrocolpopexy Training Model.","authors":"Heather M Winn, Elena Tunitsky-Bitton, Amanda O'Meara, Erinn M Myers, Brittany L Anderson-Montoya, Megan E Tarr","doi":"10.1097/SPV.0000000000001583","DOIUrl":"10.1097/SPV.0000000000001583","url":null,"abstract":"Importance: Proper training is necessary to develop the highly specialized skills required to safely perform laparoscopic sacrocolpopexy. Currently, there is no validated training model for laparoscopic sacrocolpopexy that includes dissection of the presacral space, both vaginal and presacral mesh attachments, and peritoneal closure.Objectives: This study aimed to create a procedure specific hierarchical task analysis for laparoscopic sacrocolpopexy and then develop and validate a corresponding laparoscopic sacrocolpopexy pelvic training model for the simulation environment.Study design: This was an observational simulation study that was divided into 5 phases: (1) development of hierarchical task analysis, (2) model construction, (3) participant recruitment and simulation testing, (4) reliability and validity testing, and (5) creation of a standard passing performance measure.Results: Construct, face, and content validity were established for this model. According to the participating experts, the model was able to replicate the steps of presacral dissection, anterior vaginal and sacral mesh attachment, and peritoneal closure. Thirteen trainees and 5 experts completed the simulation, and all \"agreed\" or \"strongly agreed\" that the model seemed useful for improving suturing technique and learning the procedure. Additionally, a passing performance measure was determined through contrasting groups methodology.Conclusions: We developed a novel, reusable, and validated training model that can be utilized as a training resource for the many critical skills necessary to safely and efficiently perform laparoscopic sacrocolpopexy.","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"123-130"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482719","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

Joint Terminology Report: Terminology Standardization for Female Bladder Pain Syndrome. 联合术语报告：女性膀胱疼痛综合征术语标准化。

IF 0.8

Urogynecology (Hagerstown, Md.) Pub Date : 2025-02-01 Epub Date: 2025-01-06 DOI: 10.1097/SPV.0000000000001591

{"title":"Joint Terminology Report: Terminology Standardization for Female Bladder Pain Syndrome.","authors":"","doi":"10.1097/SPV.0000000000001591","DOIUrl":"10.1097/SPV.0000000000001591","url":null,"abstract":"Abstract: Female bladder pain syndrome (FBPS), previously known as interstitial cystitis/bladder pain syndrome, is a life-altering and morbid condition that occurs primarily in female patients and can be variable in presentation. Given the absence of pathognomonic symptoms and sensitive diagnostic tests, significant symptomatic overlap with numerous other pelvic conditions (such as pelvic floor tension myalgia or endometriosis) occurring in women makes diagnosis of FBPS challenging. The frequent co-occurrence of FBPS with other pain conditions and functional somatic syndromes further complicates diagnosis and management. The challenges have limited the progress made in understanding the pathophysiology of the condition and improving approaches to treatment and prevention. Improvement in standardization of the terminology used to describe this unique condition is needed to improve the accuracy of diagnosis and the clinical care for affected patients. Given the variability in presentation and the differing definitions for the condition world-wide, the American Urogynecologic Society and the International Urogynecologic Association convened a joint writing group to standardize terminology around common signs and symptoms of the condition and to clarify the diagnosis as it pertains to female patients with the condition. After careful consideration of a broad range of available data and clinical experiences, consensus opinion recommended adopting the term \"FBPS\" instead of the misleading \"interstitial cystitis\" to describe a chronic, intermittent condition of at least 3 months' duration affecting women involving symptoms of pain or discomfort localized to the bladder, often with bladder filling, which are not attributed to other pathology. This term will allow clinicians, researchers, and learners alike to standardize their understanding of FBPS.","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"74-85"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924283","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