2025
Emergency Department Visits for Pelvic Organ Prolapse in the United States.
Markowitz M, St Martin B, Lundsberg L, Ringel N. Emergency Department Visits for Pelvic Organ Prolapse in the United States. Urogynecology 2025 PMID: 40454707, DOI: 10.1097/spv.0000000000001703.Peer-Reviewed Original ResearchEmergency department visitsEmergency department useEmergency department presentationsDepartment visitsPelvic organ prolapseDepartment useUtilization Project Nationwide Emergency Department SampleReduce emergency department useOrgan prolapseEmergency departmentHousehold incomeAnnual emergency department visitsNationwide Emergency Department SampleIncidence of emergency department visitsInternational Classification of DiseasesLower household incomeHealth care systemEmergency Department SampleClinical Modification codesCommunity outreach effortsClassification of diseasesCross-sectional studyDiagnosis of pelvic organ prolapseOutpatient workflowUnited States
2024
Patient Views and Values Placed on the Uterus
Chang O, Huynh A, Ringel N, Hudson P, Halder G, Winkleman W, Ton J, Davidson E, Meriwether K. Patient Views and Values Placed on the Uterus. O&G Open 2024, 1: 048. DOI: 10.1097/og9.0000000000000048.Peer-Reviewed Original ResearchGynecologic conditionsHysterectomy proceduresBenign gynecologic conditionsPelvic organ prolapseProspective cohort studyTreatment of gynecological disordersUterine preservationPelvic painOrgan prolapseMedian agePatient ageUrinary incontinenceChart reviewGynecological disordersCohort studyUterusPatient questionnaireWhite racePatientsMedical CenterHysterectomyPerson-centered careMulticenterGrounded theory approachPhysiological rolePreventing the Next Neglected Pessary: A Quality Improvement Initiative.
Popiel P, Maggi M, Dalal S, Curran M, Rickey L. Preventing the Next Neglected Pessary: A Quality Improvement Initiative. Urogynecology 2024 PMID: 39331811, DOI: 10.1097/spv.0000000000001578.Peer-Reviewed Original ResearchQuality improvement initiativesPelvic organ prolapseFollow-upImprovement initiativesOrgan prolapsePatients lost to follow-upIncreased risk of complicationsRisk of complicationsImprove patient careElectronic medical recordsPessary complicationsPessary placementVaginal ulcerPessary managementPessaryIncreased riskPrevent complicationsPatient carePatientsMedical recordsComplicationsMedical professionalsProlapseImplantationOB/GYNEffects of Obesity on Urogynecologic Prolapse Surgery Outcomes: A Systematic Review and Meta-Analysis
Ringel N, Lenger S, High R, Alas A, Houlihan S, Chang O, Pennycuff J, Singh R, White A, Lipitskaia L, Behbehani S, Sheyn D, Kudish B, Nihira M, Sleemi A, Grimes C, Gupta A, Balk E, Antosh D. Effects of Obesity on Urogynecologic Prolapse Surgery Outcomes: A Systematic Review and Meta-Analysis. Obstetrical & Gynecological Survey 2024, 79: 409-411. DOI: 10.1097/ogx.0000000000001302.Peer-Reviewed Original ResearchTikTok misinformation and user engagement in female pelvic floor conditions
Stephan A, Hauc S, Marks V, Bercik R, Rickey L. TikTok misinformation and user engagement in female pelvic floor conditions. Neurourology And Urodynamics 2024, 43: 1956-1961. PMID: 38828831, PMCID: PMC11496003, DOI: 10.1002/nau.25519.Peer-Reviewed Original ResearchFemale pelvic floorUser engagementDistributing medical informationConsumer health informationHealth informationPelvic floor conditionsPelvic organ prolapseUrinary tract infectionSocial media platformsContent creationQuality of consumer health informationTikTok videosQuality of informationVideoUsersCross-sectional studyOrgan prolapseOveractive bladderPelvic floorTract infectionsHigher engagementMedical informationMedia platformsPoor qualityInclusion criteriaEffects of Obesity on Urogynecologic Prolapse Surgery Outcomes
Ringel N, Lenger S, High R, Alas A, Houlihan S, Chang O, Pennycuff J, Singh R, White A, Lipitskaia L, Behbehani S, Sheyn D, Kudish B, Nihira M, Sleemi A, Grimes C, Gupta A, Balk E, Antosh D. Effects of Obesity on Urogynecologic Prolapse Surgery Outcomes. Obstetrics And Gynecology 2024, 143: 539-549. PMID: 38330397, DOI: 10.1097/aog.0000000000005525.Peer-Reviewed Original ResearchBody mass indexPelvic organ prolapseProlapse recurrenceProlapse repairSurgical outcomesSurgical approachSurgery outcomesOutcomes of pelvic organ prolapseMeta-analysisCategories of body mass indexPelvic organ prolapse repairVaginal prolapse repairAssociated with increased likelihoodFull-text screeningEffect of obesityPOP repairOrgan prolapseMesh exposureObese categoryMesh complicationsMass indexNonrandomized studiesIncreased oddsSubjective outcomesCochrane Database
2021
Success of Concomitant Versus Interval Slings for Prevention and Treatment of Bothersome de Novo Stress Urinary Incontinence
Fitzgerald J, Soriano A, Panza J, Hoke T, Desai S, Artsen A, Andiman S, Antosh D, Gutman R. Success of Concomitant Versus Interval Slings for Prevention and Treatment of Bothersome de Novo Stress Urinary Incontinence. Urogynecology 2021, 28: 194-200. PMID: 35443255, PMCID: PMC9021539, DOI: 10.1097/spv.0000000000001092.Peer-Reviewed Original ResearchConceptsBothersome stress urinary incontinenceStress urinary incontinence symptomsStress urinary incontinencePelvic organ prolapseUrogenital Distress Inventory Short-Form 6Pelvic organ prolapse repairConcomitant slingSling groupUrinary incontinenceTime of pelvic organ prolapseHigher pelvic organ prolapseTime of POP surgeryIntrinsic sphincter deficiencyMulticenter retrospective cohortPatient Global ImpressionProportion of patientsProspective Follow-upApical surgerySling placementSphincter deficiencyPOP surgeryProlapse repairOrgan prolapseContinence proceduresPostoperative visitOptimal treatment policies for pelvic organ prolapse in women
Zhuo Y, Solak S, Harmanli O, Jones K. Optimal treatment policies for pelvic organ prolapse in women. Decision Sciences 2021, 54: 154-176. DOI: 10.1111/deci.12521.Peer-Reviewed Original ResearchPelvic organ prolapseOptimal treatment policyTreatment optionsOrgan prolapsePOP patientsTreatment policyCommon gynecological disorderQuality of lifePOP symptomsCoital functionConservative treatmentPatient ageWatchful waitingObliterative surgeryGynecological disordersReconstructive surgeryClinical practicePatientsMedical interventionsPOP treatmentQoLClinical literatureTreatment costsProlapseSurgery
2020
Perioperative, postoperative and anatomical outcomes of robotic sacrocolpopexy
Kilic G, Lee T, Lewis K, Demirkiran C, Dursun F, Unlu B. Perioperative, postoperative and anatomical outcomes of robotic sacrocolpopexy. Journal Of Obstetrics And Gynaecology 2020, 41: 651-654. PMID: 33045854, DOI: 10.1080/01443615.2020.1789958.Peer-Reviewed Original ResearchConceptsRobotic-assisted sacrocolpopexyPelvic organ prolapseTreatment of pelvic organ prolapseAnterior compartment defectsOrgan prolapseCompartment defectsComplication rateCase seriesStage II pelvic organ prolapseOutcomes of robotic sacrocolpopexyIMPACT STATEMENT<b>WhaGold standard treatment optionAnatomical success rateStandard treatment optionBladder wall injuryTertiary care centreFollow-up timeRetrospective case seriesMinimally invasive approachMedium-term outcomesBurch colposuspensionAnatomical outcomesMidurethral slingInstitutional review boardRobotic sacrocolpopexy
2019
Pain and activity after vaginal reconstructive surgery for pelvic organ prolapse and stress urinary incontinence
Barber M, Brubaker L, Nygaard I, Wai C, Dyer K, Ellington D, Sridhar A, Gantz M, Network N, Dickersin K, Jiang L, Lavender M, O’Dell K, Ryan K, Tulikangas P, Kong L, McClish D, Rickey L, Shade D, Tuteja A, Yount S. Pain and activity after vaginal reconstructive surgery for pelvic organ prolapse and stress urinary incontinence. American Journal Of Obstetrics And Gynecology 2019, 221: 233.e1-233.e16. PMID: 31201809, PMCID: PMC7250460, DOI: 10.1016/j.ajog.2019.06.004.Peer-Reviewed Original ResearchConceptsPelvic organ prolapseVaginal vault suspensionSacrospinous vaginal vault suspensionActivity Assessment ScaleMidurethral slingVault suspensionOrgan prolapseReconstructive surgeryPain medicationPostoperative painSurgical groupUrinary incontinenceBodily painFunctional activityPhysical functioningForm Health Survey bodily painBaseline levelsAssessment ScaleImmediate postoperative painNarcotic pain medicationNonnarcotic pain medicationRole-physical subscaleSurgical Pain ScalesSynthetic midurethral slingsTransvaginal prolapse repair
2017
Long-term outcomes and predictors of failure after surgery for stage IV apical pelvic organ prolapse
Linder BJ, El-Nashar SA, Mukwege AA, Weaver AL, McGree ME, Rhodes DJ, Gebhart JB, Klingele CJ, Occhino JA, Trabuco EC. Long-term outcomes and predictors of failure after surgery for stage IV apical pelvic organ prolapse. International Urogynecology Journal 2017, 29: 803-810. PMID: 28921036, DOI: 10.1007/s00192-017-3482-5.Peer-Reviewed Original ResearchConceptsUterosacral ligament suspensionApical pelvic organ prolapsePelvic organ prolapseProlapse recurrencePrior hysterectomyProlapse symptomsOrgan prolapseCox proportional hazards modelRecurrent prolapse symptomsMethodsThe medical recordsKaplan-Meier methodType of surgeryLong-term outcomesPredictors of failureApical prolapse repairProportional hazards modelConclusionsYounger agePrimary outcomeSurgical retreatmentApical prolapseProlapse repairExcellent survivalMedical recordsSurgical techniqueSurvival time5: Long-term outcomes and predictors of failure after surgery for stage iv apical pelvic organ prolapse
Linder B, El-Nashar S, Mukwege A, Weaver A, Mcgree M, Rhodes D, Gebhart J, Klingele C, Occhino J, Trabuco E. 5: Long-term outcomes and predictors of failure after surgery for stage iv apical pelvic organ prolapse. American Journal Of Obstetrics And Gynecology 2017, 216: s577. DOI: 10.1016/j.ajog.2016.12.129.Peer-Reviewed Original Research
2016
The Effect of Vertical Versus Horizontal Vaginal Cuff Closure on Vaginal Length After Laparoscopic Hysterectomy
Hill AM, Davis KM, Clark-Donat L, Hammons LM, Azodi M, Silasi DA. The Effect of Vertical Versus Horizontal Vaginal Cuff Closure on Vaginal Length After Laparoscopic Hysterectomy. Journal Of Minimally Invasive Gynecology 2016, 24: 108-113. PMID: 27702701, DOI: 10.1016/j.jmig.2016.09.015.Peer-Reviewed Original ResearchConceptsVaginal cuff closureLaparoscopic hysterectomyVaginal lengthCuff closureVaginal cuffTotal hysterectomyUniversity-affiliated community hospitalLaparoscopic total hysterectomyPOP-Q evaluationPostoperative vaginal lengthTotal laparoscopic hysterectomyPOP-Q scoresPOP-Q measurementsPelvic organ prolapseTraditional laparoscopic techniquePelvic floor proceduresRadical hysterectomyIntraoperative complicationsClosure groupLaparoscopic techniqueMalignant diseaseOrgan prolapseUterine manipulatorLaparoscopic closureCommunity hospitalHysterectomy at the Time of Colpocleisis
Jones K, Zhuo Y, Solak S, Harmanli O. Hysterectomy at the Time of Colpocleisis. Obstetrical & Gynecological Survey 2016, 71: 218-219. DOI: 10.1097/ogx.0000000000000310.Peer-Reviewed Original ResearchVulvovaginal symptoms prevalence in postmenopausal women and relationship to other menopausal symptoms and pelvic floor disorders
Erekson EA, Li FY, Martin DK, Fried TR. Vulvovaginal symptoms prevalence in postmenopausal women and relationship to other menopausal symptoms and pelvic floor disorders. Menopause The Journal Of The North American Menopause Society 2016, 23: 368-375. PMID: 26645820, PMCID: PMC4814326, DOI: 10.1097/gme.0000000000000549.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAtrophyDysuriaEmotionsFecal IncontinenceFemaleHumansLife StyleMiddle AgedPelvic Floor DisordersPelvic Organ ProlapsePostmenopauseSexual BehaviorSexual Dysfunction, PhysiologicalSexual Dysfunctions, PsychologicalSurveys and QuestionnairesUrinary Incontinence, UrgeVaginaVaginal DiseasesVulvaVulvar DiseasesConceptsVulvovaginal Symptoms QuestionnairePostmenopausal womenVulvovaginal symptomsPelvic floor disordersSexual impactPrimary care physician's officeUrgency urinary incontinenceSenior centersPrimary care officesPelvic organ prolapsePercent of womenLocal senior centersUrinary frequencyAnal incontinenceSolid stoolUrinary incontinenceCommon symptomsMenopausal symptomsCare officesSymptom questionsOrgan prolapseSymptom questionnaireActive womenPhysician's officeMore symptomsThe Effect of Body Mass Index on Pelvic Floor Support 1 Year Postpartum
Chen Y, Johnson B, Li F, King WC, Connell KA, Guess MK. The Effect of Body Mass Index on Pelvic Floor Support 1 Year Postpartum. Reproductive Sciences 2016, 23: 234-238. PMID: 26494698, DOI: 10.1177/1933719115602769.Peer-Reviewed Original ResearchConceptsBody mass indexPelvic organ prolapseMass indexYear postpartumOrgan prolapsePelvic organ prolapse quantification systemElevated body mass indexPostpartum weight reductionUnlabored cesarean deliveryTrial of laborCesarean deliveryNulliparous womenThird trimesterFetal weightHigher oddsWomenProlapsePostpartumWeight reductionBaselineQuantification systemDeliveryTrimesterPOP assessmentPrevalence
2015
Are Demographic and Clinical Characteristics of Women Presenting With Advanced Pelvic Organ Prolapse Different Compared With Women Presenting in Earlier Stages? [374]
Mukwege A, El-Nashar S, Rhodes D, Dowdy S, Trabuco E. Are Demographic and Clinical Characteristics of Women Presenting With Advanced Pelvic Organ Prolapse Different Compared With Women Presenting in Earlier Stages? [374]. Obstetrics And Gynecology 2015, 125: 116s-117s. DOI: 10.1097/01.aog.0000463727.72514.8f.Peer-Reviewed Original ResearchApical pelvic organ prolapsePelvic organ prolapseOrgan prolapseClinical characteristicsOdds ratioStage 4Prior cerebrovascular accidentAdjusted odds ratioMayo Clinic RochesterConnective tissue disordersLow education levelStage 2Evacuation symptomsFecal urgencyOveractive bladderUrinary incontinenceCerebrovascular accidentIndependent predictorsSurgical treatmentSurgical interventionPatients' perceptionsHernia repairObservational studyTissue disordersProlapseTransforming Growth Factor &bgr;1 and Extracellular Matrix Protease Expression in the Uterosacral Ligaments of Patients With and Without Pelvic Organ Prolapse
Leegant A, Zuckerwise LC, Downing K, Brouwer-Visser J, Zhu C, Cossio MJ, Strube F, Xie X, Banks E, Huang GS. Transforming Growth Factor &bgr;1 and Extracellular Matrix Protease Expression in the Uterosacral Ligaments of Patients With and Without Pelvic Organ Prolapse. Urogynecology 2015, 21: 53-58. PMID: 25185601, PMCID: PMC4344824, DOI: 10.1097/spv.0000000000000130.Peer-Reviewed Original ResearchConceptsPelvic organ prolapseTGF-β1 expressionMMP-9 expressionTGF-β1Uterosacral ligamentsMMP-9Vaginal hysterectomyOrgan prolapseSmooth muscleFibrous tissueGreater pelvic organ prolapseGrowth factor-β1 expressionInstitutional review board approvalMatrix metalloproteinase-9Review board approvalAge-related alterationsGrowth factor-β1Benign indicationsMetalloproteinase-9Clinical dataImmunohistochemical stainingBoard approvalTrichrome stainingFactor-β1Β1 expression
2013
The recovery of pelvic organ support during the first year postpartum
Chen Y, Li F, Lin X, Chen J, Chen C, Guess M. The recovery of pelvic organ support during the first year postpartum. BJOG An International Journal Of Obstetrics & Gynaecology 2013, 120: 1430-1437. PMID: 23815232, DOI: 10.1111/1471-0528.12369.Peer-Reviewed Original ResearchConceptsStage II pelvic organ prolapseTrial of laborWeeks of gestationPelvic organ prolapseFirst trimester body mass indexBody mass indexFirst year postpartumYear postpartumOrgan prolapseMass indexPelvic organ prolapse quantification systemPostpartum pelvic organ prolapseProspective observational cohort studyObservational cohort studyThird People's HospitalSingle-center designPelvic organ supportException of agePOPQ measurementsCohort studyNulliparous womenIndependent predictorsSmoking statusOrgan supportPeople's HospitalCost-effectiveness of endometrial evaluation prior to morcellation in surgical procedures for prolapse
McPencow AM, Erekson EA, Guess MK, Martin DK, Patel DA, Xu X. Cost-effectiveness of endometrial evaluation prior to morcellation in surgical procedures for prolapse. American Journal Of Obstetrics And Gynecology 2013, 209: 22.e1-22.e9. PMID: 23545164, DOI: 10.1016/j.ajog.2013.03.033.Peer-Reviewed Original ResearchConceptsIncremental cost-effectiveness ratioEndometrial biopsyTransvaginal ultrasoundCost-effectiveness ratioPostmenopausal womenEndometrial cancerEndometrial evaluationScreening optionsInvasive sacral colpopexyRisk of upstagingPelvic organ prolapseCancer upstagingSupracervical hysterectomySacral colpopexyCancer prevalenceOrgan prolapsePatient costsPreoperative detectionSurgical proceduresUniversal screeningBiopsyMorcellationCancerUltrasoundUpstaging
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