A5083381398- Pelvic floor disorders treatments
- Pelvic and Acetabular Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Anorectal Disease Treatments and Outcomes
- Innovations in Medical Education
- Urinary Tract Infections Management
- Urinary Bladder and Prostate Research
- Ureteral procedures and complications
- Pain Management and Opioid Use
- Enhanced Recovery After Surgery
- Health Sciences Research and Education
- Colorectal Cancer Surgical Treatments
- Kidney Stones and Urolithiasis Treatments
- Surgical Simulation and Training
- Grit, Self-Efficacy, and Motivation
- Endometriosis Research and Treatment
- Uterine Myomas and Treatments
- Congenital gastrointestinal and neural anomalies
- Health and Well-being Studies
- Intraocular Surgery and Lenses
- Prostate Cancer Diagnosis and Treatment
- Gastrointestinal motility and disorders
- Pituitary Gland Disorders and Treatments
- Healthcare Policy and Management
Albany Medical Center Hospital
2020-2025
University of North Carolina at Chapel Hill
2017-2020
Institute for Female Pelvic Medicine and Reconstructive Surgery
2019
New York University
2013
This study aimed to compare a backfill-assisted voiding trial (VT) with and without postvoid residual (PVR) after pelvic reconstructive surgery.This was nonblinded randomized controlled of women undergoing organ prolapse and/or stress incontinence surgery. Participants were immediately surgery either PVR VT or PVR-free VT. Our primary outcome the rate failure at discharge. Secondary outcomes included days catheterization, urinary tract infection (UTI), prolonged dysfunction. With power 80%...
Objectives Our primary objective was to evaluate age as a predictor of postanesthesia care unit (PACU) opioid administration in women undergoing reconstructive pelvic surgery. secondary identify additional predictors PACU administration. Methods We conducted retrospective cohort study outpatient urogynecologic surgery for organ prolapse and/or stress urinary incontinence between September 2015 October 2016 at 1 academic medical center. compared 2 cohorts (1) older than 65 years and (2)...
Obesity is a risk factor for pelvic floor disorders (PFDs), but limited information exists about the public awareness of this association.Our primary objective was to assess association between obesity and PFDs, comparing 2 cohorts women with body mass index (BMI) <30 versus BMI ≥30.We conducted cross-sectional, survey-based cohort study. The survey included questions demographics, height weight self-assessment, PFDs obesity. Our outcome rate correctly identifying that increases PFDs.Of 377...
Objectives Limited data exist directly comparing the likelihood of blood transfusion by route apical pelvic organ prolapse (POP) surgery. In addition, limited evidence is available regarding risk not ordering preoperative type and screen (T&S) in POP The objectives study are to (1) provide baseline current need for T&S perioperative rates between 3 routes surgery (2) determine rate a positive antibody women who underwent Methods This was retrospective cohort different routes:...
Importance Medicaid expansion broadened access to care; however, limited data about the effect on anti-incontinence surgical procedures exist. Objective Since Affordable Care Act (ACA) in 2014, some regions have had more states adopt (NE—Northeast, W—West) than other (S—South, MW—Midwest). We aimed determine if proportion of funded increased after and whether increases were different by U.S. region. Study Design This was a retrospective cohort study. Results The 2012–2018 Healthcare Cost...
Importance Urogynecology patients often present with sexual dysfunction; limited information on vibrator utilization to improve function in this population exists. Objective The aim of study was assess patient knowledge and receptivity use. Study Design We conducted a cross-sectional, survey-based cohort study. survey included characteristics, Pelvic Floor Distress Inventory-20 (PFDI-20), Organ Prolapse/Urinary Incontinence Sexual Questionnaire Short Form 12, use questions. Our primary...
Objectives The primary objective of this study was to compare the amount lidocaine administered for vaginal reconstruction with versus without hysterectomy. secondary assess risk toxicity. Methods This retrospective cohort compares dose in 2 cohorts: women who underwent hysterectomy additional (VH + VR) those (VR only). Total intraoperative included intravenous from anesthesia and vaginally injected surgeon. toxicity defined as total greater than 7 mg/kg. outcome difference VH VR only....
Patients highly value surgeon counseling regarding the first sexual encounters after pelvic reconstructive surgery.We performed a qualitative analysis of usual return to activity surgery for organ prolapse and/or urinary incontinence.Participating surgeons provided written description their patient or incontinence surgery. Counseling narratives were coded major themes by 2 independent reviewers; disagreements arbitrated research team. Analysis was utilizing Dedoose software and continued...
Abstract Background Emotional intelligence (EI) has been previously associated with teaching ability and impostor phenomenon (IP) in medical education; however, studies have demonstrated mixed findings largely focused on trainees only. Therefore, we sought to explore the potential association between degree of IP characteristics, EI obstetrics gynaecology (Ob/Gyn) faculty physicians. Methods A cross‐sectional, survey‐based pilot study was completed at a single academic institution. Ob/Gyn...
National guidelines for preoperative laboratory testing are based on limited, low-quality evidence. The role of age as a risk factor is unclear. We sought to compare the prevalence abnormal results in older vs younger urogynecologic surgical patients.In this retrospective cohort study women undergoing surgery, we compared (age, ≥65 years) with 50-64 women. Our primary outcome was an result.We included 317 women, 167 (52.7%) (ages, 65-91 years; mean, 73.3 ± 5.6 and 150 (47.3%) 57.3 4.1...
Background: Complete separation of the vaginal vault from uterus is a rare complication cesarean delivery, requiring assistance with hand. Case: A 24-year-old nulliparous woman at 40 weeks plus 3 days gestation experienced arrest second stage labor, and hand was required during delivery to disimpact deeply engaged fetal head. Results: Following complete detachment cervix noted without disruption uterine vessels. Normal anatomy surgically restored complications. The neonate treated for...
Drawing on key principles of adult learning theory, a number surgical autonomy assessment scales have been developed for use in resident evaluation. These allow graded education, balancing patient safety with the need achieving competency during training. The main used, Zwisch scale and Dreyfus scale, differ only inclusion an "expert" level, there is controversy education whether these types aspirational goals appropriate. This clinical opinion article reviews aspects theory that pertain to...