Urology

Health literacy is an integral part of a patient’s ability to make informed health decisions, especially when it comes to chronic pelvic pain (CPP).

The use of dynamic MRI for pelvic organ prolapse is essential for properly counseling patients and interpreting radiographic findings.

During the poster session of the AUGS and IUGA 2022 Scientific Meeting, investigators showed how pelvic floor physical therapy (PFPT) can help pregnant women who suffer from obstetric anal sphincter injury (OASI).

Cheryl Iglesia, MD, discusses varying treatments for overactive bladder at the 2022 American College of Obstetricians & Gynecologists' Annual Clinical & Scientific Meeting held in San Diego, California from May 6-8.

Although percutaneous tibial nerve stimulation (PTNS) is commonly used to treat overactive bladder, investigators continue to assess whether this neuromodulation technique is beneficial for patients with other urologic conditions.

The American Urogynecologic Society (AUGS) published an executive summary on the pelvic floor and associated musculoskeletal system assessment.

Women are less likely to be diagnosed with bladder cancer, but that does not make the disease any less fatal for this population of patients.

"These results may have a direct impact on health care delivery if used to develop screening for women at higher risk and to prepare providers to treat women suffering from PFD," researchers said.

The American Urogynecologic Society (AUGS) has issued guidelines on cystoscopy at the time of prolapse repair.

Results presented at the 2019 AAGL Congress demonstrated a higher rate of UTI among younger patients with increased estimated blood loss (EBL) following the procedure.

Although many researchers have recommended cystoscopy as a universal screening tool to detect injury at the time of hysterectomy, new research recommends selective use of cystoscopy based on the low absolute risk of urinary tract injury.

Osteoporosis, pelvic organ prolapse, and incontinence are common in postmenopausal women. Basic research has also implicated collagen and extracellular matrix abnormalities in these conditions.

Women taking atypical antipsychotic medications (AAPs) have about a 3-fiold higher prevalence of lower urinary tract symptoms (LUTS) compared with nonusers, a study on the presence of LUTS among users of psychoactive medications has found.

A study funded by the National Institute Child Health and Human Development shows that anticholinergic drugs and onabotulinumtoxinA injections produce comparable results in women with urgency urinary incontinence. Choice of therapy, say the researchers, should take into consideration route of administration and adverse effect profiles.

Cranberry-containing products may be more than just a folk remedy for urinary tract infections (UTIs). A systematic review and meta-analysis published in the Archives of Internal Medicine concludes that cranberry-containing products offer women protection against UTIs, particularly those prone to recurrent infections.

Trimethoprim-sulfamethoxazole 480 mg once daily is more effective than cranberry capsules 500 mg twice daily for the prevention of recurrent urinary tract infection in premenopausal women, but it exacerbates the problem of emerging antibiotic resistance.

Overactive bladder and nocturia have a significant impact on the lives of middle-aged American women, affecting sleep patterns, relationships, intimacy, and social and physical activity, according to a recent study.

In an effort to develop an improved blood test for early detection of ovarian cancer, a rigorous landmark validation study of 49 potential markers shows that blood levels of CA-125 protein remain the best bet.

Stress urinary incontinence, defined by the International Continence Society as the complaint of involuntary leakage on effort or exertion or on sneezing and coughing, affects 23% to 38% of the female population in the United States over the age of 20 years.

Urinary tract injuries complicate approximately 1% of all gynecologic procedures, with a ratio of 5 bladder injuries to each ureteral injury. Additionally, urinary tract injuries occur in 0.28% of all cesarean deliveries with a 3-fold risk in repeat cesarean delivery.

Chronic pelvic pain is common in women. The broad differential diagnosis for chronic pelvic pain and overlap in symptoms among etiologies makes diagnosis challenging but underscores the need to conduct a detailed history and careful examination that considers the full spectrum of cases, according to one expert.

Although retropubic and transobturator midurethral slings may be objectively equivalent in their treatment of stress incontinence, women do not find them subjectively so, and complication rates can difer, according to a randomized trial.

Approximately one-quarter of all nonpregnant women older than age 20 report having at least 1 pelvic floor disorder; most of these women also have vitamin D levels below 30 ng/mL, according to new NHANES findings.

Dynamic magnetic resonance imaging (MRI) of the urethra, along with static MRI, may benefit women who are experiencing lower urinary tract symptoms by helping to detect pelvic organ prolapse, according to researchers at New York University Medical Center's Department of Radiology.

A 67-year-old woman who had surgery for ovary removal experiences ureter injury.

A woman undergoes a tension-free vaginal tape (TVT) procedure for stress urinary incontinence and inadvertently the bladder and urethra is injured.

A 1-day regimen of nitrofurantoin is markedly less effective than a 7-day regimen to treat asymptomatic bacteriuria in pregnant women.

Cranberry juice may protect against asymptomatic bacteriuria and symptomatic urinary tract infections in pregnant women, although more research is needed to confirm the findings, according to a report in the October issue of the Journal of Urology.

Dr. Chan argues that repairing all clinically significant varicoceles can at least enhance semen parameters-and at best might enhance fertility. Dr. Schiff, on the other hand, says repair only those of men to benefit the most.

Is waking repeatedly to void robbing your patient of a good night's sleep? An expert discusses causes and treatment options that can banish her daytime fatigue-and lower her risk of nighttime falls.