A5040473040- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Pelvic and Acetabular Injuries
- Endometriosis Research and Treatment
- Musculoskeletal pain and rehabilitation
- Uterine Myomas and Treatments
- Surgical Simulation and Training
- Urinary Tract Infections Management
- Urinary Bladder and Prostate Research
- Occupational health in dentistry
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Genital Health and Disease
- Ergonomics and Musculoskeletal Disorders
- Enhanced Recovery After Surgery
- Hernia repair and management
- Spine and Intervertebral Disc Pathology
- Smoking Behavior and Cessation
- Urologic and reproductive health conditions
- Climate Change and Health Impacts
- Urological Disorders and Treatments
- Myofascial pain diagnosis and treatment
- Endometrial and Cervical Cancer Treatments
- Menopause: Health Impacts and Treatments
- Gynecological conditions and treatments
Cleveland Clinic
2008-2024
Community Link
2024
Columbia University
2023
Institute for Female Pelvic Medicine and Reconstructive Surgery
2008-2022
Magee-Womens Hospital
2008-2021
University of Pittsburgh
2008-2021
Island Institute
2021
Georgetown University
2012-2021
MedStar Health
2015-2021
MedStar Washington Hospital Center
2010-2021
In Brief OBJECTIVE: To describe how simulated apical support affects the appearance of prolapse in anterior and posterior vagina using a modification Pelvic Organ Prolapse Quantification (POP-Q) examination. METHODS: Women with stage II or greater were examined POP-Q. simulate support, blade standard Graves speculum was positioned over to vaginal apex while remeasuring points Aa Ba Ap Bp. Change POP-Q calculated. RESULTS: One hundred ninety-seven women enrolled mean age 62±14 years, median...
(Abstracted from Obstet Gynecol 2024;144:562–572 Since the pandemic, telehealth visits have been widely adopted in a variety of healthcare systems and medical specialties. Previous studies suggested that general, increase patient satisfaction as well engagement adherence to care.
Vape shops represent prominent, unique retailers, subject to Food and Drug Administration (FDA) regulation in the United States.This study assessed compliance of US vape shop retail marketing strategies with new regulations (eg, required age verification, prohibited free samples) pre-implementation conditions for other health warning labels on all nicotine products, disclosures e-liquid contents).95.0% displayed minimum-age signage; however, mystery shoppers were asked verification at 35.6%...
OBJECTIVE: To compare 6-month safety and efficacy outcomes of fractionated CO 2 laser (laser) with topical clobetasol propionate (steroid) for treatment symptomatic vulvar lichen sclerosus. METHODS: We conducted a single-center randomized controlled trial that compared steroid patients biopsy-proven Randomization was stratified by prior use. The primary outcome mean change in Skindex-29 score at 6 months. A total sample size 52 participants were recruited to detect difference 16 points on...
Our primary aim was to compare mesh-related complications at the time of total vaginal hysterectomy with laparoscopic sacrocolpopexy (TVH-LSC) versus placement mesh supracervical (LSH-LSC). secondary operative time, intraoperative and postoperative complications, as well subjective objective success between these groups.We performed a retrospective cohort study prospective follow-up for patients uterovaginal prolapse who underwent TVH-LSC or LSH-LSC from June 2008 July 2012. We collected...
In Brief Implementation of surgical ergonomics should be considered to avoid work-related musculoskeletal disorders, which cause disability and affect surgeons' career longevity productivity.
This study aimed to compare operative times and short-term outcomes between robotic laparoscopic sacral colpopexy.A retrospective cohort using a convenience sample was performed comparing patients who underwent colpopexy during 4-year period. Operative time, blood loss, perioperative complications, objective cure of prolapse at 3 months were compared.Robotic procedures in 65 women 23 performed. Median preoperative stage for both groups. There no statistically significant difference the...
To compare rates of de novo dyspareunia in women with and without vaginal dilator use after posterior colporrhaphy.This randomized controlled trial included sexually active patients prolapse no bothersome baseline undergoing colporrhaphy. Patients were to daily from postoperative weeks 4 through 8 or use. Pelvic organ quantification examination caliber measured at baseline, weeks, 6 months postoperatively. Sexual function was evaluated 3 months, postoperatively using the Organ...
Current evidence suggests a multifactorial etiology to pelvic organ prolapse (POP), including genetic predisposition. We conducted genome-wide association study of POP in African American (AA) and Hispanic (HP) women from the Women's Health Initiative Hormone Therapy study. Cases were defined as any (grades 1–3) or moderate/severe 2–3), while controls had grade 0 POP. performed race-specific multiple logistic regression analyses between SNPs imputed 1000 genomes relation (grade vs 1–3; 2–3)...
Objectives The aim of this study was to compare a Web app developed by the American Urogynecologic Society, called “BladderTrakHer,” traditional paper voiding diary (PVD) for reliability and satisfaction. Methods Women presenting our urogynecology practice with lower urinary tract symptom access an iPhone/iPad were randomized 3-day electronic (EVD), using BladderTrakHer or PVD. Participants then completed second alternate format. Estimated fluid intake output, number voids, episodes...
Vaping is increasingly prevalent and controversial. Vape shops convenience stores are common but distinct sources of vaping products, where they locate may reflect likely target markets. This study examined the density neighborhood demographics vape in six metropolitan statistical areas (MSAs): Atlanta, Boston, Minneapolis, Oklahoma City, San Diego, Seattle. We identified 459 using Yelp Google application programming interfaces 10,777 ReferenceUSA Dun & Bradstreet. Retailers were geocoded to...
: The purpose of this study was to explore resident opinions about vaginal hysterectomy training and evaluate future practice patterns impediments continuing hysterectomies after graduation.: An anonymous survey e-mailed fourth-year gynecology residents before graduation. assessed on plans.: One hundred eighty-three responded from 41 states. Most (75%) think has been adequate prepare them for practice. Residents were more likely respond that their if they had performed than 20 learned...
Refractory dyspareunia presents a challenging therapeutic dilemma.A woman with defecatory dysfunction and presented stage 2 prolapse. She underwent laparoscopic vaginal pelvic floor reconstruction excision of endometriosis. The patient experienced increased de novo vaginismus postoperatively that were refractory to trigger point injections, physical therapy, medical surgical management. botulinum toxin type A injections into her levator ani muscles, which allowed have sexual intercourse...
Abstract Background Physical activity and macronutrient intake, important contributors to energy balance, may be independently associated with female urinary incontinence (UI). Methods We evaluated the association of baseline self-reported physical via food frequency questionnaire, incident UI subtypes after 3 years among 19 741 postmenopausal women in Women’s Health Initiative Observational Study. Odds ratios (ORs) for urgency, stress, mixed were calculated using multivariable logistic...
To compare patient satisfaction, health care resource utilization, and adverse events among patients receiving a virtual video compared with in-office postoperative visit after urogynecologic surgery. We hypothesized that visits would be noninferior to visits.