- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Pelvic and Acetabular Injuries
- Hernia repair and management
- Diverticular Disease and Complications
- Ureteral procedures and complications
- Urinary Bladder and Prostate Research
- Urinary Tract Infections Management
- Uterine Myomas and Treatments
- Minimally Invasive Surgical Techniques
- Urological Disorders and Treatments
- Surgical Simulation and Training
- Endometriosis Research and Treatment
- Gynecological conditions and treatments
- Colorectal Cancer Surgical Treatments
- Bladder and Urothelial Cancer Treatments
- Reconstructive Surgery and Microvascular Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Enhanced Recovery After Surgery
- Surgical Sutures and Adhesives
- Pregnancy-related medical research
- Endometrial and Cervical Cancer Treatments
- Maternal and Perinatal Health Interventions
- Menopause: Health Impacts and Treatments
- Sexual function and dysfunction studies
Cleveland Clinic
2015-2024
Foundation Center
2024
Radiation Oncology Institute
2024
Cleveland Clinic Lerner College of Medicine
2013-2022
Case Western Reserve University
2008-2022
Women’s Health Care
2020-2021
Magee-Womens Research Institute
2020
University of New Mexico
2020
Duke University Hospital
2020
The University of Texas at Austin
2020
To compare conventional laparoscopic and robotic-assisted sacrocolpopexy for vaginal apex prolapse.This single-center, blinded randomized trial included participants with stage 2-4 posthysterectomy prolapse. Participants were to or robotic sacrocolpopexy. The primary outcome was total operative time from incision closure. Secondary outcomes postoperative pain, functional activity, bowel bladder symptoms, quality of life, anatomic support, cost a health care system perspective.A 78 patients...
Importance Transvaginal surgery is commonly performed to treat pelvic organ prolapse. Little research focuses on how sexual function relates clitoral anatomy after vaginal despite the clitoris’ role in response. Objective To determine postoperative associated with features (size, position, shape). Design, Setting, and Participants This was a cross-sectional ancillary study of magnetic resonance imaging (MRI) data from Defining Mechanisms Anterior Vaginal Wall Descent (DEMAND) study. The...
In Brief OBJECTIVE: To compare the safety and efficacy of transobturator tape to tension-free vaginal (TVT) in treatment stress urinary incontinence patients with without concurrent pelvic organ prolapse. METHODS: One-hundred seventy women urodynamic incontinence, including those prolapse, from three academic medical centers were randomized receive TVT or tape. Subjects detrusor overactivity previous sling surgery excluded. The primary outcome was presence absence abnormal bladder function,...
Anticholinergic medications and onabotulinumtoxinA are used to treat urgency urinary incontinence, but data directly comparing the two types of therapy needed.
To investigate attitudes toward hysterectomy in women seeking care for pelvic organ prolapse.Two hundred twenty referred evaluation of prolapse without evidence previous were surveyed with the Pelvic Organ Prolapse Distress Inventory; Control Preferences Scale; and questions regarding patients' perception impact on health, social life, emotional well-being. Additional items presented hypothetical scenarios. Surveys distributed small batches until 100 responses obtained from patients who met...
Abstract Objective: The aim of the study was to compare 6-month efficacy and safety for treatment vaginal dryness/genitourinary syndrome menopause in women undergoing fractionated CO 2 laser therapy using estrogen cream. Methods: This multicenter, randomized trial compared cream at 6 institutions. We included menopausal with significant atrophy symptoms we excluded prolapse below stage 2, recent pelvic surgery, prior mesh active genital infection, history sensitive malignancy, other...
<h3>Importance</h3> Vaginal hysterectomy with suture apical suspension is commonly performed for uterovaginal prolapse. Transvaginal mesh hysteropexy an alternative option. <h3>Objective</h3> To compare the efficacy and adverse events of vaginal transvaginal hysteropexy. <h3>Design, Setting, Participants</h3> At 9 clinical sites in US Pelvic Floor Disorders Network, 183 postmenopausal women symptomatic prolapse were enrolled a randomized superiority trial between April 2013 February 2015....
In Brief OBJECTIVE: To compare the laparoscopic Burch colposuspension with tension-free vaginal tape procedure (TVT) for efficacy. METHODS: Seventy-two women from 2 institutions were randomized: 36 to and TVT. Multichannel urodynamic tests performed preoperatively 1 year after surgery. A research nurse administered Urogenital Distress Inventory, Incontinence Impact Questionnaire, pelvic examinations using organ prolapse quantification system preoperatively, at 6 months, year, years Voiding...
Pelvic organ prolapse is a vaginal protrusion of female pelvic organs. It has high prevalence worldwide and represents great burden to the economy. The pathophysiology multifactorial includes genetic predisposition, aberrant connective tissue, obesity, advancing age, delivery other risk factors. Owing long course prior patients becoming symptomatic ethical questions surrounding human studies, animal models are necessary useful. These can mimic different characteristics - histological,...