- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Pelvic and Acetabular Injuries
- Urinary Bladder and Prostate Research
- Maternal and Perinatal Health Interventions
- Assisted Reproductive Technology and Twin Pregnancy
- Clinical practice guidelines implementation
- Urological Disorders and Treatments
- Patient Satisfaction in Healthcare
- Pregnancy and preeclampsia studies
- Ureteral procedures and complications
- Urinary Tract Infections Management
- Uterine Myomas and Treatments
- Maternal and fetal healthcare
- Minimally Invasive Surgical Techniques
- Endometriosis Research and Treatment
- Health and Wellbeing Research
- Colorectal Cancer Surgical Treatments
- Reconstructive Surgery and Microvascular Techniques
- Patient-Provider Communication in Healthcare
- Gynecological conditions and treatments
- Diverticular Disease and Complications
University of Alabama at Birmingham
2019-2024
Institute for Female Pelvic Medicine and Reconstructive Surgery
2019
University of Alabama
2019
Christiana Care Health System
2015-2018
Aims The purpose of this study is to determine whether a transvaginal trigonal block immediately preceding cystoscopy with hydrodistention yields an additional therapeutic benefit compared alone for the treatment bladder pain syndrome/interstitial cystitis (BPS/IC). Methods A retrospective chart review was performed at single‐center. Performance prior discretion surgeon. consists injecting 0.25% bupivacaine 1.0% Xylocaine into anterior vagina under trigone cystoscopic guidance. Procedures...
Objectives This study aimed to compare the incidence of mesh exposure based on route hysterectomy at time minimally invasive sacrocolpopexy. Secondary outcomes included perioperative and prolapse recurrence. Methods was a multicenter, retrospective cohort study. Patients who underwent sacrocolpopexy between 2007 2017 were stratified by approach: total vaginal (TVH), laparoscopic or robotic (TLH), supracervical (LSH). Total subdivided into attachment cuff. Statistical analyses performed, with...
As surgical techniques evolve in the treatment of pelvic organ prolapse and patient preferences are better understood, more studies investigating uterine-sparing procedures for efficacy, safety, potentially improved quality life. Much literature reflects use mesh material procedures, there is a paucity data regarding safety efficacy native tissue prolapse.To summarize existing evidence objective subjective outcomes uterine-preserving including Manchester procedure (MP) as well uterovaginal...
To characterize symptom-specific distress and impact on quality of life (QOL) among women with urge, passive, combined urge/passive fecal incontinence (FI) phenotypes. A secondary aim was to FI a novel fourth phenotype, stress FI.Women at least monthly from 2003 2017 were included. Participants completed the Modified Manchester Health Questionnaire (MMHQ) including MHQ Fecal Incontinence Severity Index (FISI). Anorectal manometry (ARM) endoanal ultrasound (EAUS) testing performed. Total FISI...
To evaluate the accuracy of gynecologic surgeons at estimating uterine dimensions and weight.Six model uteri various sizes were created to simulate size consistency a uterus displayed 3 stations. The visual station (VS) comprised 2 specimens placed on an unmarked table. laparoscopic (LS) consisted uteri, each in separate simulated abdomen with 0 degree laparoscope operative trocars standard instruments. blind weight (BWS) palpation separately weighted models (heavy [HM] light [LM])....
Background Despite large trials designed to guide management on whether perform a prophylactic continence procedure at the time of pelvic organ prolapse (POP) repair, it remains unclear if staged or interval approach confers advantages in treatment bothersome stress urinary incontinence (SUI) women without SUI before their POP repair. Objective The objective this study was compare success concomitant versus slings for prevention/treatment de novo after Study Design This multicenter...