- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Urinary Tract Infections Management
- Diverticular Disease and Complications
- Urological Disorders and Treatments
- Ureteral procedures and complications
- Pelvic and Acetabular Injuries
- Hernia repair and management
- Maternal and Perinatal Health Interventions
- Urinary Bladder and Prostate Research
- Stoma care and complications
- Reproductive Health and Contraception
- Clinical practice guidelines implementation
- Cardiac, Anesthesia and Surgical Outcomes
- HIV/AIDS Research and Interventions
- Uterine Myomas and Treatments
- Health and Wellbeing Research
- Geriatric Care and Nursing Homes
- Healthcare Systems and Practices
- Pressure Ulcer Prevention and Management
- Helminth infection and control
- Diversity and Career in Medicine
- Adolescent Sexual and Reproductive Health
- Healthcare Systems and Public Health
- Colorectal Cancer Surgical Treatments
Kaiser Permanente
2012-2025
University of Wisconsin–Madison
2015-2024
University of California, San Diego
2012-2024
Community Link
2024
Institute for Female Pelvic Medicine and Reconstructive Surgery
2016-2023
Highland Community College - Illinois
2023
National Center for Advancing Translational Sciences
2023
Agency for Healthcare Research and Quality
2023
Springer Nature (Germany)
2022
Wolters Kluwer (Netherlands)
2022
This study aimed to update estimates of urinary incontinence (UI) prevalence and associated risk factors for adult women in the United States, using National Health Nutrition Examination Survey (NHANES).
Background: The 2007 National Institutes of Health incontinence consensus panel emphasised the need for classification and identification persons at risk faecal (FI). Objectives: To explore prevalence FI; to characterise severity 'bother'; identify factors associated with FI in a large sample community-dwelling women. Design, setting, participants: A cohort US women ≥ 45 years old was surveyed via an internet-based questionnaire between September 2009 April 2010. Main outcome measure:...
Accidental bowel leakage (ABL) is associated with negative impact on quality of life (QoL) and many women do not seek care.To assess current perspectives QoL among ABL; to identify factors severe condition-specific QoL; describe care-seeking for ABL.Sub-analysis 1096 ABL identified through an internet-based, self-administered survey 5817 US ≥ 45 years old.Severe was defined as response 'affects very much' or 'greatly' any seven domains within Pelvic Floor Impact Questionnaire.QoL data were...
In Brief Objective The aim of this study was to characterize factors associated with care seeking among women accidental bowel leakage (ABL). Methods A secondary analysis 938 ABL identified in a community-based Internet survey 5817 US 45 years or older performed. Demographics, medical history, incontinence severity, quality life, coping, and were assessed using questions derived from validated questionnaires. Accidental defined as at least 1 episode stool the past year absence acute...
In this article, we address the limitations of existing implicit bias interventions as a strategy for achieving maternal health equity. We then focus on how institutionally sanctioned racial stereotyping harms Black and marginalizes key group in fight equity—Black physicians. Finally, provide strategies to perinatal care structural barriers impeding physicians' success.
<h3>Background:</h3> More than half of older adults experience urinary (UI) or fecal incontinence (FI), but the majority have never discussed symptoms with health care providers. Little is known about primary providers9 (PCPs9) screening for UI and FI. <h3>Methods:</h3> We conducted a cross-sectional electronic survey PCPs within Midwest academic institution to ascertain compare PCPs9 beliefs, attitudes, behaviors regarding treatment FI; determine factors associated identify potential...
Nine percent of adult women experience episodes fecal incontinence at least monthly. Fecal is more common in older and those with chronic bowel disturbance, diabetes, obesity, prior anal sphincter injury, or urinary incontinence. negatively affects quality life mental health associated increased risk nursing home placement. Fewer than 30% seek care, lack information about effective solutions an important barrier for both patients care professionals. Even among presenting urogynecologic the...
The aim of this study was to describe real-world outcomes in women treated for pelvic organ prolapse (POP) with pessary or surgery over 36 months. We report patients a multicenter, prospective registry who opted treatment POP either (discontinuation retreatment rates and subjective improvement) (retreatment improvement). Among 1,153 patients, follow-up available 248 (84%), 123 (42%), 98 (33%) the group 717 (93%), 407 (53%), 331 (43%) at 12, 24, months, respectively. In group, discontinuation...
(Abstracted from Obstet Gynecol 2025;145(1):17–20) Urinary tract infection (UTI) is a significant health care burden in the United States, with 50% of women experiencing at least 1 their lifetime and quarter those recurrent infections. During COVID-19 pandemic, telehealth visits for UTI became common, which raised concerns among clinicians about overprescription antibiotics due to lack urine testing during telemedicine.
In Brief Objectives Vesicovaginal fistulae (VVF) are the most commonly acquired of urinary tract, but we lack a standardized algorithm for their management. The purpose this multicenter study was to describe practice patterns and treatment outcomes VVF in United States. Methods This institutional review board–approved included 12 academic centers. Cases were identified using International Classification Diseases codes from July 2006 through June 2011. Data collected demographics, type...
Ascariasis is a condition which has been recognized since the earliest medical times, and although it may cause little apparent disturbance parasites are always potential source of danger from migration into various body cavities, mechanical obstruction ducts, air passages, or intestines, chemical intoxication. Between latitudes 35° North 30° South there belt ascariasis around entire world. In rural population certain states this country lie in belt, an incidence areas as high 48%, while...
Rectovaginal fistulae (RVFs) are often debilitating and there no established treatment algorithms. We sought to describe current diagnosis management strategies for RVFs across the United States.
The aim of this study was to characterize clinical success, impact on quality life, and durability up 1 year in women with fecal incontinence (FI) responsive an initial test period a trial vaginal bowel control system. This prospective open-label subjects FI successfully fit who underwent 2-week period. Those achieving 50% or greater reduction episodes were provided the long-term Primary outcome success at 3 months defined as baseline episodes, also assessed 6 12 months. Secondary outcomes...
To identify risk factors for mesh extrusion in women undergoing pelvic organ prolapse repair by abdominal sacral colpopexy (ASC) or vaginal procedure (VMP).A multicenter case-control study of patients who underwent ASC VMP from 2006 to 2009 identified using diagnosis and coding. Cases were defined as eligible index with synthetic had visible through the epithelium at postoperative evaluation; controls matched an approximate 1:3 ratio date type procedure. Two conditional logistic regression...
To evaluate the effects of Mind Over Matter: Healthy Bowels, Bladder, a small-group intervention, on urinary and bowel incontinence symptoms among older women with incontinence.In this individually randomized group treatment trial, aged 50 years urinary, incontinence, or both, were randomly allocated at baseline to participate in Bladder immediately (treatment group) after final data collection (waitlist control group). The primary outcome was (UI) improvement Patient Global Impression...