A5090524247- Pelvic floor disorders treatments
- Urinary Bladder and Prostate Research
- Urinary Tract Infections Management
- Anorectal Disease Treatments and Outcomes
- Hernia repair and management
- Anatomy and Medical Technology
- Diversity and Career in Medicine
- Surgical Simulation and Training
- Pelvic and Acetabular Injuries
- Health and Wellbeing Research
- Diabetes Management and Research
- Mobile Health and mHealth Applications
- Global Health Workforce Issues
- Bladder and Urothelial Cancer Treatments
- Diverticular Disease and Complications
- Ureteral procedures and complications
- Innovations in Medical Education
- Obesity, Physical Activity, Diet
- Healthcare Decision-Making and Restraints
- Breastfeeding Practices and Influences
- Sympathectomy and Hyperhidrosis Treatments
- Medical Education and Admissions
- Cardiovascular Function and Risk Factors
- Health, psychology, and well-being
- Patient-Provider Communication in Healthcare
Yale University
2016-2025
Institute for Female Pelvic Medicine and Reconstructive Surgery
2006-2020
Yale New Haven Hospital
2020
Women’s Health Care
2017
Ochsner Medical Center
2016
University of Maryland, Baltimore
2007-2014
University of New Haven
2014
University of Baltimore
2011-2014
University of Maryland Medical Center
2007-2011
University of Alabama at Birmingham
2010
Urodynamic studies are commonly performed in women before surgery for stress urinary incontinence, but there is no good evidence that they improve outcomes.
Few studies have characterized longer-term outcomes after retropubic and transobturator mid urethral slings.Women completing 2-year participation in a randomized equivalence trial who had not undergone surgical re-treatment for stress urinary incontinence were invited to participate 5-year observational cohort. The primary outcome, treatment success, was defined as no or self-reported symptoms. Secondary included symptoms quality of life, satisfaction, sexual function adverse events.Of 597...
In Brief OBJECTIVE: To identify clinical and demographic factors predictive of midurethral sling failure. METHODS: Overall treatment failure was defined by one or more the following objective outcomes: a positive stress test, 24-hour pad test retreatment for urinary incontinence (SUI); subjective self reported SUI Medical, Epidemiologic Social Aspect Aging questionnaire, incontinent episodes 3-day diary, SUI, combination these. Logistic regression models adjusting type site were used to...
Lower urinary tract symptoms (LUTS) are highly prevalent in women, and expected to impose a growing burden individuals society as the population ages. The predominance of research related LUTS has focused on underlying pathology, disease mechanisms, or efficacy treatments for women with LUTS. Although this been vital helping reduce ameliorate conditions, it done little prevent onset Health promotion prevention require an expansion scientific inquiry beyond traditional paradigm studying...
We evaluated the influence of preoperative urodynamic studies on diagnoses, global treatment plans and outcomes in women treated with surgery for uncomplicated stress predominant urinary incontinence.We performed a secondary analysis from multicenter, randomized trial value studies. Physicians provided diagnoses before after plans, defined as proceeding surgery, type, surgical modification nonoperative therapy. Treatment plan changes between office evaluation plus were compared by McNemar...
This applied paper is intended to serve as a “how to” guide for public health researchers, practitioners, and policy makers who are interested in building conceptual models convey their ideas diverse audiences. Conceptual can provide visual representation of specific research questions. They also show key components programs, practices, policies designed promote health. may improved guidance prevention intervention efforts if they based on frameworks that integrate social ecological...
Importance Postoperative activity restrictions can affect patient satisfaction after midurethral sling (MUS) surgery. Objective The aim of the study was to assess effect a duration postoperative on and surgical outcomes MUS surgery for stress urinary incontinence. Study Design Women undergoing alone incontinence were enrolled in this provider-blinded, randomized clinical trial. Randomization either 3- or 6-weeks’ assigned. Restrictions included abstaining from lifting greater than 20 pounds,...
You have accessJournal of UrologyAdult Urology4 May 2024Lower Urinary Tract Symptoms in US Women: Contemporary Prevalence Estimates from the RISE FOR HEALTH Study Siobhan Sutcliffe, Chloe Falke, Cynthia S. Fok, James W. Griffith, Bernard L. Harlow, Kimberly A. Kenton, Cora E. Lewis, Lisa Kane Low, Jerry Lowder, Emily Lukacz, Alayne D. Markland, Gerald McGwin, Melanie R. Meister, Elizabeth Mueller, Diane K. Newman, Ratna Pakpahan, Leslie M. Rickey, Todd Rockwood, Melissa Simon, Abigail Smith,...
To identify factors that may contribute to patient satisfaction with outcome in women who received retropubic and transobturator midurethral slings.Satisfaction was assessed 12 months postsurgery as a planned analysis 597 participants from multicenter randomized trial comparing slings using the Incontinence Surgery Satisfaction Questionnaire. Significantly related variables associated univariable analyses were entered into multivariable logistic regression models test their independent...
To report research terminology and definitions for describing healthy bladder function among women girls.
Abstract Importance Social media platforms are increasingly utilized to distribute medical information. Our study emphasizes the need for accuracy in pelvic health education on social and involvement of female floor (FPF) specialists content creation. Aims In this cross‐sectional study, we assessed FPF TikTok videos with highest engagement quality information misinformation investigated relationship between user engagement. Methods We collected all US app hashtags related conditions,...
The spectrum of bladder health and the factors that promote prevent lower urinary tract symptoms (LUTS) among women are not well understood. This manuscript describes rationale, aims, study design, sampling strategy, data collection for RISE FOR HEALTH (RISE) study, a novel in conducted by Prevention Lower Urinary Tract Symptom (PLUS) Research Consortium.
Little research to date has focused on lower urinary tract symptom (LUTS) prevention and bladder health promotion in women. To address this gap, the Prevention of LUTS Research Consortium developed following working definition: "A complete state physical, mental, social well-being related function [that] permits daily activities [and] allows optimal well-being." begin inform quantify definition, we used data from Boston Area Community Health Survey, drawing upon its rare collection...
Objective: The purpose of this analysis was to explore adolescent and adult women's interest in public health messaging around bladder perceptions its usefulness. Materials Methods: Directed content focus group data from the Study Habits, Attitudes, Realities, Experiences, which explored experiences, perceptions, beliefs, knowledge, behaviors related across life course. This article reports an "Public Health Messaging" code, included participants' desire or need for information about...
The goal of this study was to determine if a robotic dry laboratory curriculum for gynecology and urology residents improved their basic skills.After the institution-specific institutional review board approval or exemption, 165 from 8 and/or programs were enrolled. Residents underwent standardized orientation followed by testing on 4 unique tasks. block randomized program unstructured structured training programs. Regardless group, expected practice 15 minutes twice monthly over 7 months....
Toileting behaviors are increasingly recognized as factors potentially contributing to development of lower urinary tract symptoms (LUTS).
Abstract Aim Urinary incontinence affects a significant number of post‐menopausal women. There is conflicting evidence whether voiding symptoms in these women are related to hypoestrogenism or aging itself. This neuroanatomical study was designed determine specific central nervous system (CNS) pathway that projects the pontine micturition center (PMC, also known as “Barrington's nucleus”) estrogen sensitive rat model. Methods A fluorescent retrograde tracer injected into dorsal tegmentum...
To estimate whether prolapse severity is a major contributor to urinary incontinence severity, as measured by validated questionnaires.We analyzed data from two large female stress (SUI) surgical cohorts: the Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr) study (N=655) and subsequent of Mid-Urethral Slings (TOMUS) (N=597). All participants completed standardized baseline assessment including measures symptom quality life, objective urine loss (Urogenital Distress Inventory...