2022
Voided Volume for Assessment of Bladder Emptying After Female Pelvic Floor Surgery: A Randomized Controlled Trial
Popiel P, Getaneh F, Yeh J, Rickey L, Bercik R, Harmanli O. Voided Volume for Assessment of Bladder Emptying After Female Pelvic Floor Surgery: A Randomized Controlled Trial. Urogynecology 2022, 28: 811-818. PMID: 36409638, DOI: 10.1097/spv.0000000000001230.Peer-Reviewed Original ResearchConceptsUrogynecologic surgeryRF groupVoided volumeSV groupUrinary tract infection rateAssessment of bladderUrinary tract infectionML of salinePelvic floor surgerySpontaneous VTVoid trialBaseline characteristicsCatheter removalPrimary outcomePrior hysterectomyTract infectionsUrinary incontinenceControlled TrialsFemale pelvic floor surgeryPatient satisfactionUrogynecologic proceduresFailure rateSurgeryInfection rateGroup SV
2010
Vaginal Evisceration During Pessary Fitting and Treatment With Immediate Colpocleisis
Rubin R, Jones K, Harmanli O. Vaginal Evisceration During Pessary Fitting and Treatment With Immediate Colpocleisis. Obstetrics And Gynecology 2010, 116: 496-498. PMID: 20664431, DOI: 10.1097/aog.0b013e3181da371d.Peer-Reviewed Original ResearchDoes obesity affect the vaginal hysterectomy outcomes?
Harmanli O, Dandolu V, Isik E, Panganamamula U, Lidicker J. Does obesity affect the vaginal hysterectomy outcomes? Archives Of Gynecology And Obstetrics 2010, 283: 795-798. PMID: 20237934, DOI: 10.1007/s00404-010-1422-4.Peer-Reviewed Original ResearchConceptsNon-obese womenVaginal hysterectomyPerioperative outcomesPerioperative hemoglobin changePrevious pelvic surgeryRetrospective cohort studyEffect of obesityHospital stayPerioperative complicationsTransfusion rateCohort studyObese womenPerioperative indexesSurgical complicationsSurgical indicationsUterine weightHysterectomy outcomesOperative timeBenign disorderPelvic surgeryHemoglobin changeMedical conditionsHysterectomyWomenObese
2009
A comparison of short-term outcomes between laparoscopic supracervical and total hysterectomy
Harmanli O, Tunitsky E, Esin S, Citil A, Knee A. A comparison of short-term outcomes between laparoscopic supracervical and total hysterectomy. American Journal Of Obstetrics And Gynecology 2009, 201: 536.e1-536.e7. PMID: 19879396, DOI: 10.1016/j.ajog.2009.07.048.Peer-Reviewed Original ResearchConceptsPerioperative outcome measuresUrinary tract injuryTotal hysterectomyLaparoscopic supracervicalTract injuryOutcome measuresMultivariate logistic regression modelShort-term morbidityTertiary medical centerShort-term outcomesLogistic regression modelsSerious complicationsRetrospective analysisMedical CenterSupracervicalHysterectomyLaparotomyInjuryRegression modelsRiskLargest comparisonMorbidityComplicationsGroupLidocaine Jelly and Plain Aqueous Gel for Urethral Straight Catheterization and the Q-tip Test
Harmanli O, Okafor O, Ayaz R, Knee A. Lidocaine Jelly and Plain Aqueous Gel for Urethral Straight Catheterization and the Q-tip Test. Obstetrics And Gynecology 2009, 114: 547-550. PMID: 19701033, DOI: 10.1097/aog.0b013e3181b43808.Peer-Reviewed Original ResearchConceptsPostvoid residual volumeQ-tip testResidual volumePain scoresBaseline characteristicsLidocaine groupLidocaine jellyPain perceptionMedian pain scoreRelevant baseline characteristicsStraight catheterizationGel armWong-BakerValsalva maneuverUrethrovesical junctionCatheterLidocaineCotton swabsSwabsWomenScoresGroupCatheterizationPainJelly
2008
Laparoscopic Vecchietti procedure: improving on an indispensable method Novel variations on an essential technique may benefit surgeons and their patients
Harmanli O, Grody M. Laparoscopic Vecchietti procedure: improving on an indispensable method Novel variations on an essential technique may benefit surgeons and their patients. American Journal Of Obstetrics And Gynecology 2008, 199: 713.e1-713.e2. PMID: 19084104, DOI: 10.1016/j.ajog.2008.10.006.Peer-Reviewed Original ResearchNew-onset pelvic organ prolapse after Novasure endometrial ablation
Tunitsky E, Dardano K, Harmanli Ö. New-onset pelvic organ prolapse after Novasure endometrial ablation. Archives Of Gynecology And Obstetrics 2008, 278: 187-189. PMID: 18196256, DOI: 10.1007/s00404-007-0546-7.Peer-Reviewed Original ResearchConceptsEndometrial ablationNovaSure endometrial ablationDysfunctional uterine bleedingPelvic organ prolapseGravida threePara twoUterine bleedingBipolar radiofrequency energyOrgan prolapseAblation proceduresAdditional casesCausal associationRadiofrequency energyAblationFurther investigationBleedingNovaSureProlapse
2007
Can We Use a Catheter to Do the Q-Tip Test?
LeBrun E, Harmanli O, Lidicker J, Dandolu V. Can We Use a Catheter to Do the Q-Tip Test? Obstetrics And Gynecology 2007, 110: 1297-1300. PMID: 18055723, DOI: 10.1097/01.aog.0000290694.76678.fe.Peer-Reviewed Original ResearchConceptsQ-tip testPelvic organ prolapseUrethral hypermobilityUrinary incontinenceValsalva maneuverOrgan prolapseQ-tipPostvoid residual urineResidual urineConsecutive womenMean changePositive testCatheterAngle of excursionSignificant decreaseIncontinenceProlapseSignificant reductionHypermobilityWomenValsalvaPatientsUrethraUrine
2006
Vaginal Hysterectomy for the Enlarged Uterus
Harmanli O, Byun S, Dandolu V, Gaughan J, Grody M. Vaginal Hysterectomy for the Enlarged Uterus. Gynecologic And Obstetric Investigation 2006, 61: 4-8. PMID: 16110241, DOI: 10.1159/000087563.Peer-Reviewed Original ResearchConceptsPostoperative febrile morbidityBenign gynecological conditionsVaginal hysterectomyUterine weightOperative timeFebrile morbidityUteri weighingGynecological conditionsPerioperative hemoglobin changePostoperative hospital stayPrevious pelvic surgeryLength of stayTemple University HospitalAdnexal removalEnlarged uterusHospital stayPerioperative changesPerioperative complicationsPerioperative outcomesConsecutive womenMajor complicationsPelvic surgeryReadmission riskUniversity HospitalMedical recordsGynecologists' attitudes toward hysterectomy: is the sex of the clinician a factor?
Brummitt K, Harmanli O, Gaughan J, Dandolu V, Chatwani A, Hernandez E. Gynecologists' attitudes toward hysterectomy: is the sex of the clinician a factor? The Journal Of Reproductive Medicine 2006, 51: 21-5. PMID: 16482772.Peer-Reviewed Original ResearchResident education regarding technical aspects of cesarean section.
Dandolu V, Raj J, Harmanli O, Lorico A, Chatwani A. Resident education regarding technical aspects of cesarean section. The Journal Of Reproductive Medicine 2006, 51: 49-54. PMID: 16482777.Peer-Reviewed Original ResearchConceptsCesarean sectionSingle-layer closurePatient's requestPatient choiceElective cesarean deliveryElective cesarean sectionEmergency cesarean sectionTrial of laborDouble-layer closureMidline vertical incisionReported practice patternsUncomplicated primigravidaeUterine incisionUterine rupturePercent of respondentsPrior cesareanCesarean deliveryPfannenstiel incisionVaginal birthRepeat cesareanPractice patternsCesareanPatientsVertical incisionGynecologic residentsIs severe perineal damage increased in women with prior anal sphincter injury?
Edwards H, Grotegut C, Harmanli O, Rapkin D, Dandolu V. Is severe perineal damage increased in women with prior anal sphincter injury? The Journal Of Maternal-Fetal & Neonatal Medicine 2006, 19: 723-727. PMID: 17127495, DOI: 10.1080/14767050600921307.Peer-Reviewed Original ResearchConceptsAnal sphincter lacerationObstetric anal sphincter lacerationGroup of patientsSphincter lacerationTemple University HospitalChart reviewVaginal deliveryUniversity HospitalSubsequent deliverySevere perineal damageAnal sphincter injuryRetrospective chart reviewOperative vaginal deliveryRate of recurrenceRisk of recurrenceUse of episiotomyAugmentation of laborMedical record databaseThird-degree lacerationsInitial lacerationSphincter injuryDegree lacerationsInstrumental deliverySphincter tearsMaternal diabetes
2005
Trends in the rate of shoulder dystocia over two decades
Dandolu V, Lawrence L, Gaughan J, Grotegut C, Harmanli O, Jaspan D, Hernandez E. Trends in the rate of shoulder dystocia over two decades. The Journal Of Maternal-Fetal & Neonatal Medicine 2005, 18: 305-310. PMID: 16390789, DOI: 10.1080/14767050500312730.Peer-Reviewed Original ResearchConceptsShoulder dystociaVaginal deliveryOverall episiotomy ratePresence of diabetesInduction of laborUse of episiotomyOccurrence of dystociaInstrumental deliverySpontaneous deliveryEpisiotomy rateVacuum deliveryRisk factorsEpisiotomyDystociaStudy periodOverall rateHigh rateDeliveryFive-year intervalsDiabetesAdenomyosis interferes with accurate ultrasonographic detection of uterine leiomyomas
Harmanli O, Bevilacqua S, Dandolu V, Chatwani A, Hernandez E. Adenomyosis interferes with accurate ultrasonographic detection of uterine leiomyomas. Archives Of Gynecology And Obstetrics 2005, 273: 146-149. PMID: 16001190, DOI: 10.1007/s00404-005-0037-7.Peer-Reviewed Original ResearchConceptsBody mass indexUterine leiomyomaCharacteristics of womenPelvic ultrasonographyHigher body mass indexTransvaginal pelvic ultrasonographyPrevious pelvic surgeryCommon final diagnosisPostoperative pathologic findingsAccuracy of ultrasonographyNegative predictive valueFalse-negative resultsPelvic painMass indexPathologic findingsPelvic surgeryFinal diagnosisUltrasonographic detectionUltrasonographic diagnosisUltrasound reportsLeiomyomaPredictive valueUltrasonographyAdenomyosisWomenRisk factors for obstetrical anal sphincter lacerations
Dandolu V, Chatwani A, Harmanli O, Floro C, Gaughan J, Hernandez E. Risk factors for obstetrical anal sphincter lacerations. International Urogynecology Journal 2005, 16: 304-307. PMID: 15809773, DOI: 10.1007/s00192-005-1297-2.Peer-Reviewed Original ResearchConceptsInstrumental vaginal deliveryAnal sphincter lacerationVaginal deliveryRisk factorsSphincter lacerationSphincter tearsObstetrical anal sphincter lacerationLarge population-based databaseFourth-degree perineal lacerationsVacuum-assisted vaginal deliveryRisk of lacerationAnal sphincter injuryModifiable risk factorsAnal sphincter tearsAssisted vaginal deliveryDegree perineal lacerationsPopulation-based databaseFourth-degree lacerationsUse of episiotomyImportant risk factorSphincter injuryCesarean sectionDegree lacerationsInstrumental deliveryPerineal lacerationsRisk of Recurrence of Anal Sphincter Lacerations
Dandolu V, Gaughan J, Chatwani A, Harmanli O, Mabine B, Hernandez E. Risk of Recurrence of Anal Sphincter Lacerations. Obstetrics And Gynecology 2005, 105: 831-835. PMID: 15802413, DOI: 10.1097/01.aog.0000154160.87325.77.Peer-Reviewed Original ResearchConceptsAnal sphincter lacerationFourth-degree lacerationsRate of recurrenceSphincter lacerationRisk factorsInitial lacerationVaginal deliverySubsequent pregnancyPennsylvania Health Care Cost Containment CouncilFourth-degree perineal lacerationsSubsequent vaginal deliveryOperative vaginal deliveryRisk of recurrenceSignificant risk factorsThird-degree lacerationsGroup of womenSphincter tearsPerineal lacerationsHigh riskLower riskLacerationRecurrenceEpisiotomyPregnancyPatient statistics
2004
A Case of Adenomyosis per se with a Uterine Weight of 475 g
Harmanli O, Shen T, Zhu S, Chatwani A. A Case of Adenomyosis per se with a Uterine Weight of 475 g. Gynecologic And Obstetric Investigation 2004, 58: 216-218. PMID: 15331854, DOI: 10.1159/000080360.Peer-Reviewed Original ResearchConceptsPelvic reconstructive surgerySignificant uterine enlargementCases of adenomyosisPelvic organ prolapseUterine weightVaginal hysterectomyUterine enlargementHistopathologic findingsLarge uterusOrgan prolapseReconstructive surgeryAdenomyosisUterusExtreme enlargementEnlargementHysterectomyProlapseSurgeryWomenIs Prior Uterine Surgery a Risk Factor for Adenomyosis?
Panganamamula U, Harmanli O, Isik-Akbay E, Grotegut C, Dandolu V, Gaughan J. Is Prior Uterine Surgery a Risk Factor for Adenomyosis? Obstetrics And Gynecology 2004, 104: 1034-1038. PMID: 15516398, DOI: 10.1097/01.aog.0000143264.59822.73.Peer-Reviewed Original ResearchConceptsPrior uterine surgeryUterine surgeryRisk of adenomyosisSpecific surgical proceduresUnivariable analysisRisk factorsSurgical proceduresMultivariable logistic regression modelSmaller uterine sizeLogistic regression modelsHigher gravidityCesarean deliveryEndometrial ablationUterine sizeUterine weightMean ageMedical recordsAdenomyosisSurgeryBenign conditionsSignificant associationRace distributionWomenSignificant differencesRegression modelsNarrow Pubic Arch and Increased Risk of Failure for Vaginal Hysterectomy
Harmanli O, Khilnani R, Dandolu V, Chatwani A. Narrow Pubic Arch and Increased Risk of Failure for Vaginal Hysterectomy. Obstetrics And Gynecology 2004, 104: 697-700. PMID: 15458888, DOI: 10.1097/01.aog.0000139945.14591.70.Peer-Reviewed Original ResearchConceptsNarrow pubic archVaginal hysterectomyPubic archRisk factorsAnterior lower uterine segmentLength of cervixPresence of leiomyomataPrevious pelvic surgeryLower uterine segmentPelvic floor repairSuccessful vaginal hysterectomyAdnexal removalVisceral injuryIntraoperative bleedingIntraoperative complicationsSurgical indicationsUterine segmentUterine sizeAbdominal approachVaginal approachPelvic surgeryHysterectomyStudy groupBody weightGynecologic surgeonsHysterectomy in Obese Women: A Comparison of Abdominal and Vaginal Routes
Isik-Akbay E, Harmanli O, Panganamamula U, Akbay M, Gaughan J, Chatwani A. Hysterectomy in Obese Women: A Comparison of Abdominal and Vaginal Routes. Obstetrics And Gynecology 2004, 104: 710-714. PMID: 15458890, DOI: 10.1097/01.aog.0000140685.30899.24.Peer-Reviewed Original ResearchConceptsUrinary tract infectionVaginal hysterectomyObese womenShorter operative timeHospital stayOperative timePostoperative feverAbdominal hysterectomyTract infectionsLower incidencePerioperative outcome measuresBenign gynecologic conditionsLength of hospitalizationVaginal hysterectomy groupComparison of AbdominalHysterectomy groupAbdominal groupPerioperative changesPostoperative complicationsPatient characteristicsAbdominal surgeryUterine weightGynecologic conditionsWound infectionVaginal route