The American Urogynecologic Society (AUGS) Podcast is an educational forum and will feature renowned FPMRS speakers throughout the year. Each episode will focus on scientific meeting presentations, recent journal articles and more.
#augs #FPMRS #gynecology #gynecological #urogynecology #urogynecological #urogyn #pelvichealth #medical #health #science
Distribution of the AUGS NOW Risk Calculator Scores for De Novo Stress Urinary Incontinence After Prolapse Surgery
The AUGS NOW calculator was developed to predict postoperative de novo stress urinary incontinence (SUI) risk following pelvic organ prolapse surgery. The aim of this study was to evaluate distribution and variance of calculator scores in our patient population. Secondary outcomes were to compare calculator scores with actual incidence of SUI during the first postoperative year, and evaluate risk scores based on whether continence surgery was performed
Jennifer Joy Hamner, D.O. [UT Southwestern Medical Center, Dallas, TX]
University of Alabama at Birmingham: K P Norris
UT Southwestern Medical Center: D McIntire, C Y Wai, S Balgobin
Ergonomic Robotic Console Configuration in Gynecologic Surgery: An Interventional Study
Robotic usage in gynecologic surgery continues to expand along with reports of musculoskeletal discomfort among robotic surgeons. The objectives of this study were to 1) design a robot console configuration methodology to optimize posture and 2) determine the effect of this ergonomic intervention on surgeon posture and musculoskeletal discomfort
Erik D Hokenstad, MD [Mayo Clinic, Rochester, MN]
Mayo Clinic, Rochester, MN: S Hallbeck, M M Morrow, A L Weaver, J A Occhino
University of Nebraska Medical Center: B R Lowndes
Asymptomatic Microscopic Hematuria Screening: A Cost Effectiveness Analysis
Asymptomatic microscopic hematuria (AMH) is often incidental and innocuous; however, blood in the urine can be a sign of an underlying malignancy. The 2012 American Urological Association (AUA) guidelines for the evaluation of AMH advised all patients over the age of 35 to be evaluated with CT urography and cystoscopy, despite the incidence and mortality from urological cancer being significantly lower in women. Recently, American Urogynecologic Society (AUGS) and American College of Obstetricians and Gynecologists (ACOG) released a Committee Opinion1 advocating for strategic, gender specific screening. We therefore sought to perform a cost effectiveness analysis to quantify the cost savings of the decreased number of imaging tests and radiation with the gender specific protocol.
Sonia Dutta, MD [University of California, Irvine]
Southern California Permanente Medical Group: N M Guaderrama
Kaiser Permanente Southern California: E Whitcomb
The Impact of Health Literacy on Utilization of PFDI_20 and PFIQ_7
Approximately one-third of the US population has basic or below basic health literacy skills. Lower health literacy has been associated with poor health outcomes and poor compliance with care plans. Pelvic floor disorder questionnaires are commonly utilized in clinical care and research. Our aim was to evaluate the performance of two commonly used measures, Pelvic Floor Distress Inventory–Short Form 20 (PFDI-20) and Pelvic Floor Impact Questionnaire–Short Form 7 (PFIQ-7) in a low health literacy population.
Jordan Elise Spencer [University of Arkansas for Medical Sciences, Little Rock, AR]
University of Arkansas for Medical Sciences: K Hadden, S S Oliphant
Bacterial Biofilms A Potential Mechanism for Mesh Related Complications
In the US, ~350,000 urogyenoclogic meshes are implanted in women annually. ~ 5% are removed for mesh related complications, most commonly mesh exposure and pain. In biofilms, bacteria are less active and less sensitive to antibiotics and human immune system due to the formation of an “exopolysaccharide shield” on the implant surface. Biofilms induce subclinical infection characterized by chronic inflammation at the site of implantation and pain - a paradigm that is compatible with the findings for mesh complications. Here we aimed to: 1. Test the susceptibility of commonly used polypropylene meshes to bacterial biofilm formation; 2. Examine mesh-tissue complexes removed from women who experienced mesh complications for the presence of biofilms.
Rui Liang, MD [Magee-Womens Research Institute, University of Pittsburgh, Pittsburgh, PA]
University of Pittsburgh: S L Palcsey, G E King, P A Moalli
Hypnotherapy or Pharmacotherapy for Urgency Urinary Incontinence Treatment in Women: The Hyp-Hop Randomized Clinical Trial
Determining whether hypnotherapy effectively treats urgency urinary incontinence (UUI) compared to pharmacotherapy.
Yuko M. Komesu, M.D [University of New Mexico, Albuquerque, NM]
University of New Mexico: R Schrader, R Sapien, L H Ketai
University of Texas at Austin: R G Rogers