- Pelvic floor disorders treatments
- Enhanced Recovery After Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Urinary Bladder and Prostate Research
- Urological Disorders and Treatments
- Anesthesia and Pain Management
- Urinary and Genital Oncology Studies
- Sexual function and dysfunction studies
- Anorectal Disease Treatments and Outcomes
- Hernia repair and management
- Urologic and reproductive health conditions
- Gastric Cancer Management and Outcomes
- Diversity and Career in Medicine
- Surgical Simulation and Training
- Ureteral procedures and complications
- Surgical site infection prevention
- Urinary Tract Infections Management
- Gynecological conditions and treatments
- Artificial Intelligence in Healthcare and Education
- Fungal Infections and Studies
- Pelvic and Acetabular Injuries
- Opioid Use Disorder Treatment
- Colorectal Cancer Surgical Treatments
- Medical History and Innovations
- Amoebic Infections and Treatments
University of Rochester Medical Center
2022-2024
University of Rochester
2023-2024
Universitat de Miguel Hernández d'Elx
2024
Institute for Female Pelvic Medicine and Reconstructive Surgery
2019-2023
Vanderbilt University Medical Center
2018-2023
Jacobson Holman (United States)
2023
Anna Needs Neuroblastoma Answers
2023
Vanderbilt University
2019-2021
Background: Mesenchymal tumors of the bladder encompass 1-5% all tumors.Bladder leiomyomas this subset and are generally uncommon.These benign frequently diagnosed via routine ultrasound biopsy should be performed in order to rule out malignancy. Case:We present a case 56-year-old woman with various lower urinary tract complaints for 6 months duration.After imaging, she was found have mass which resected leiomyoma on final pathology. Conclusion:Bladder is rare finding commonly presents...
This video aims to provide a detailed description of robot-assisted laparoscopic harvest vertical rectus abdominis muscle (VRAM) for interposition in complex vesicovaginal fistula repair. The case presented involves 38-year-old female patient with body mass index 54, who was undergoing chemotherapy stage 3 high-grade endometrial carcinoma. experienced recurrent urinary tract infections and continuous leakage fluid per vagina one month after hysterectomy, bilateral salpingo-oophorectomy,...
<title>Abstract</title> <bold>Objective</bold>: The objective of this paper is to evaluate fluorescent guided surgery using a near infrared (NIR) vaginal/rectal manipulator during minimally invasive sacrocolpopexy. <bold>Methods</bold>: This was pilot study pelvic manipulators in women undergoing previously scheduled reconstructive surgery. Subjects were eligible if traditional 30mm end-to-end anastomosis (EEA) sizer planned for use the participant’s prototype devices under developed with...
(Abstracted from Urogynecology 2024;30:498–504 Onabotulinumtoxin A injections can be performed as a third-line therapy option to those who are unresponsive first line treatments for overactive bladder. Modifications the procedure and environment have historically been used improve patient experience comfort in office procedure; one method of analgesia bladder chemodenervation that has yet fully investigated is transcutaneous electric nerve stimulation (TENS).
Vulvar mucinous cysts are rare, benign, noninvasive masses. They can be mistaken for of Bartholin gland, Skene vestibular, or canal Nuck. Generally, they may left untreated, but observed. However, if symptomatic, require surgical removal.We report a large vulvar cyst in 29-year-old woman with no contributory medical history. Excision the mass was performed because its size had begun to cause symptoms. The diagnosis based on radiological and clinicopathologic features. patient developed...
Preoperative hyperglycemia has been associated with perioperative morbidity in general surgery patients. Additionally, preoperative may indicate underlying impaired glucose metabolism. Thus, identification of provide an opportunity to mitigate both short-term surgical and long-term health risk. We aimed study this phenomenon specifically the gynecologic population. Specifically, we evaluate association between complications patients characterize adherence diabetes screening guidelines.This...
To determine if the air-charged urethral sensor balloon currently used in urodynamic testing (UDS) significantly impacts Valsalva leak point pressure (VLPP) measurements.This is a prospective cohort study of women undergoing UDS at an academic institution. VLPPs were obtained 150 mL and capacity with without urethra. VLPP measurements analyzed using Wilcoxon signed-rank test. Median interquartile range are presented.Sixty-three patients enrolled study, 53 included primary analysis. The mean...
Objectives Limited data exist regarding the impact of state legislation on opioid-prescribing patterns, particularly in states with highest rates nation. Our primary objective was to examine change amount opioid morphine equivalents (OMEs) prescribed at discharge patients undergoing female pelvic reconstructive surgery after implementation created response crisis. Methods At our institution, went into effect July 1, 2018, implementing limitations OMEs patients. This retrospective cohort...
The aim of this study is to evaluate compliance and outcomes with implementation an enhanced recovery surgical protocol in older women undergoing pelvic reconstructive surgery. This a retrospective cohort surgery after the pathway over 12-month period. Overall was defined as categorial variable requiring adherence all selected bundle components patients <65 years old compared those ≥65. Intraoperative 30-day postoperative complications were also reviewed by organ system, these categorized...
Abstract We present the case of a patient with recurrent sigmoid neovaginal prolapse treated modified Altemeier procedure for rectal prolapse, which has not been previously described in literature. Our highlights difficulty treating patients intestinal due to their complex abdominal surgical history, altered anatomy, and goals care.
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...
ABSTRACT The field of urogynecology and female pelvic medicine reconstructive surgery (FPMRS) is dedicated entirely to the goal improving lives women who suffer from floor disorders, while both minimizing risks maximizing efficacious treatments. Differences between local, regional, national, even international surgical settings can have impacts on well-documented catabolic state caused by patient stress surrounding procedures. Although this include relative tissue hypoxia, increased insulin...
Importance Office bladder chemodenervation, performed via cystoscopy with intradetrusor onabotulinumtoxinA (BOTOX) injections, is a common treatment for overactive bladder/urge urinary incontinence. Transcutaneous electric nerve stimulation (TENS) has shown to provide analgesia during office hysteroscopy. Adjuvant using TENS chemodenervation not been studied. Objective The primary outcome clinically significant (10-mm) difference in pain visual analog scale (VAS) measurements injections...