A5050780398- Pelvic floor disorders treatments
- Urinary Bladder and Prostate Research
- Anorectal Disease Treatments and Outcomes
- Urinary Tract Infections Management
- Diverticular Disease and Complications
- Pelvic and Acetabular Injuries
- Pressure Ulcer Prevention and Management
- Hernia repair and management
- Enhanced Recovery After Surgery
- Bladder and Urothelial Cancer Treatments
- Clinical practice guidelines implementation
- Gastrointestinal motility and disorders
- Endometriosis Research and Treatment
- Uterine Myomas and Treatments
- Sexual function and dysfunction studies
- Anesthesia and Pain Management
- Ovarian cancer diagnosis and treatment
- Patient Satisfaction in Healthcare
- Endometrial and Cervical Cancer Treatments
- Intraperitoneal and Appendiceal Malignancies
- Healthcare Policy and Management
- Health and Wellbeing Research
- Intestinal and Peritoneal Adhesions
- Minimally Invasive Surgical Techniques
- Female Genital Mutilation/Cutting Issues
University of Pennsylvania
2016-2025
Hospital of the University of Pennsylvania
2015-2024
California University of Pennsylvania
2022-2024
Institute for Female Pelvic Medicine and Reconstructive Surgery
2019-2023
Philadelphia University
2016-2023
University of Michigan
2023
Kaiser Permanente
2021
University of Pennsylvania Health System
2017-2020
Institute of Aging
2020
National Institutes of Health
2019
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...
To compare perioperative and postoperative surgical outcomes between among open minimally invasive sacrocolpopexies (MISCs).We performed a multicenter retrospective cohort study comparing abdominal sacrocolpopexy (ASC) MISC from January 1999 to December 2010.A total of 1124 subjects underwent sacrocolpopexy, with 589 ASCs 535 MISCs. Within the group, 273 were laparoscopic (LSC) 262 robotic (RSC). Abdominal was associated greater overall complication rate compared (20.0% vs 12.7%; P = 0.001)....
Objectives To estimate the prevalence of constipation, fecal incontinence ( FI ), and combined symptoms to identify shared factors associated with bowel in older U.S. men women Design Population‐based cross‐sectional study. Setting National Health Nutrition Examination Survey (2005–2010). Participants Women aged 50 older. Measurements Constipation was defined as hard stool consistency on validated Bristol Stool Form Scale or frequency fewer than three movements per week. at least monthly...
Body image (a woman's perceptions and attitudes about her body) likely plays a role in pelvic organ prolapse treatment satisfaction post-operative sexual function. The primary aim of this study was to describe changes body after surgical repair vaginal vault prolapse. secondary evaluate whether function are correlated with image. This planned analysis randomized three-arm trial comparing approaches for Women symptomatic post-hysterectomy were to: transvaginal native tissue (NTR), mesh placed...
This study aimed to determine the effect of a run-in period on fecal incontinence (FI) symptom severity. conducted planned secondary analysis evaluating 12-week treatment with percutaneous tibial nerve stimulation versus sham in reducing FI severity women. All participants completed 4-week designed exclude from randomization women whose symptoms reduced below eligibility threshold after receiving education and completing bowel diaries. Change St Mark's (Vaizey) score weekly episodes during...
The aim of this study was to describe real-world outcomes in women treated for pelvic organ prolapse (POP) with pessary or surgery over 36 months. We report patients a multicenter, prospective registry who opted treatment POP either (discontinuation retreatment rates and subjective improvement) (retreatment improvement). Among 1,153 patients, follow-up available 248 (84%), 123 (42%), 98 (33%) the group 717 (93%), 407 (53%), 331 (43%) at 12, 24, months, respectively. In group, discontinuation...
To evaluate whether preoperative markers of functional status predict postoperative outcomes in older women undergoing surgery for pelvic organ prolapse (POP).Prospective cohort study aged 60 years or who underwent prolapse. Preoperative was measured using number limitations (such as difficulty walking climbing), American Society Anesthesiologists class, anemia, and history recent weight loss. Our primary outcome the secondary were failure to return baseline length stay after surgery. We...
We determined the association of urinary symptoms with fall risk and physical limitations in older community dwelling women incontinence.We performed an in-depth assessment daytime nighttime symptoms, risk, function, performance tests mental function incontinence who had not sought care for symptoms. All assessments were participant homes. used univariable multivariable linear regression to examine relationship performance.Of 37 a mean ± SD age 74 8.4 years 48% at high falls. Nocturnal...
Abstract Background Standardized training and clinical protocols using biofeedback for the treatment of fecal incontinence ( FI ) are important care. Our primary aims were to develop, implement, evaluate adherence a standardized protocol manometric treat . Methods In Pelvic Floor Disorders Network PFDN trial, participants enrolled from eight centers across United States. A team equipment experts developed software on novel tablet computer platform conducting anorectal manometry with separate...
Objectives To determine if patient satisfaction of virtual clinical encounters is noninferior to traditional in-office for postoperative follow-up after reconstructive surgery pelvic organ prolapse. Methods This was a randomized controlled noninferiority trial women undergoing Women were recruited and during their preoperative counseling visit via video conference technology or 30-day visits. The primary outcome measured by the validated Patient Satisfaction Questionnaire-18 (score range,...
Abstract Objective To develop a patient‐centered text message‐based platform that promotes self‐management of symptoms interstitial cystitis/bladder pain syndrome (IC/BPS). Methods Adult women with IC/BPS interested in initiating first‐ or second‐line treatments per American Urological Association guidelines (recategorized as “behavioral/non‐pharmacologic treatments” and “oral medicines” the 2022 version) participated rapid cycle innovation consisting iterative cycles contextual inquiry,...
Objective To determine if categorizing fecal incontinence (FI) as urgency or passive FI is clinically meaningful, we compared clinical severity, quality of life, physical examination findings, and functional anatomic deficits between women with FI. Methods This study a prospective cross-sectional at least monthly All completed the St Mark’s Vaizey Fecal Incontinence Quality Life questionnaires underwent anorectal manometry endoanal ultrasound. We to Results Forty-six were enrolled, 21 (46%)...
The aim of this study was to characterize clinical success, impact on quality life, and durability up 1 year in women with fecal incontinence (FI) responsive an initial test period a trial vaginal bowel control system. This prospective open-label subjects FI successfully fit who underwent 2-week period. Those achieving 50% or greater reduction episodes were provided the long-term Primary outcome success at 3 months defined as baseline episodes, also assessed 6 12 months. Secondary outcomes...
Objectives The aim of this study was to assess willingness women with pelvic floor disorders adopt nontraditional mobile communication methods health care providers. Methods This is a cross-sectional disorders. Women completed survey regarding what technology they owned, how utilized it, and their use communicate Results Overall ownership high; however, older were significantly less likely own smartphone (75%) compared younger (100%) middle-aged (98%; P < 0.01). On univariable analysis,...