Abstract:
INTRODUCTION AND HYPOTHESIS:We sought to examine the change in utilization of the midurethral sling (MUS) for the treatment of stress urinary incontinence (SUI) after the 2011 US FDA communication regarding transvaginal mesh. METHODS:This is a retrospective cohort study evaluating surgical utilization of MUS at a managed care organization of 4.5 million patients from 2008 to 2016. The primary outcome was the change in utilization of synthetic mesh MUS before and after the July 2011 FDA communication. Secondary outcomes were the changes in surgeon level MUS utilization. RESULTS:MUS procedures decreased from 131 to 116 per 100,000 adult women with a decrease of 11.5% from 2010 to 2012. Year over year utilization of MUS was rapidly increasing (p < 0.01) prior the FDA communication from 116 (in 2008) to 131 (in 2010) per 100,000 women and then significantly declined (p < 0.01) after its release from 135 (in 2011) to 75 (in 2016) per 100,000 women (13% increase vs 44% decrease). The number of surgeons performing MUS increased (p < 0.01) from 172/year to 186/year from 2008 to 2010 (Table 1). This decreased (p < 0.01) from 183/year to 121/year from 2011 to 2016. CONCLUSIONS:MUS for SUI drastically declined after the FDA communication. Despite the 2011 FDA communication concerning only transvaginal mesh for pelvic organ prolapse, there was a significant decrease in MUS with synthetic mesh utilization. Our findings support the importance of continued long-term outcome data regarding the safety and efficacy of MUS and highlight the impact of the FDA warning on MUS utilization.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Berger AA,Tan-Kim J,Menefee SAdoi
10.1007/s00192-020-04597-7subject
Has Abstractpub_date
2020-11-18 00:00:00eissn
0937-3462issn
1433-3023pii
10.1007/s00192-020-04597-7pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:The effect of exercise in relation to overweight and overactive bladder (OAB) in young women has not been sufficiently supported by studies. The objective of our study was to reduce symptoms of OAB through a 3-month exercise programme in young overweight women with OAB. The sample consisted ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04157-8
更新日期:2020-05-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析
doi:10.1007/s00192-019-04022-8
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abstract::There was an oversight in the Authorship of a recent Images in Urogynecology article titled: Rectocutaneous fistula with transmigration of the suture: a rare delayed complication of vault fixation with the sacrospinous ligament (DOI 10.1007/ s00192-015-2823-5). We would like to include Adj A/P Han How Chuan’s name in ...
journal_title:International urogynecology journal
pub_type: 已发布勘误
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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abstract:INTRODUCTION AND HYPOTHESIS:Presence of microbial communities (microbiota) in an organ system depends on environmental factors, such as oxygen availability. We describe a novel technique to measure bladder urine oxygen tension (BUOT) in ambulatory women and use that technique to compare BUOT values to female urinary mi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03931-y
更新日期:2019-08-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3070-0
更新日期:2017-01-01 00:00:00
abstract::In July of 2011 the U.S. Food and Drug Administration (FDA) released a safety communication entitled "UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse." The stated purpose of this communication is to inform health care providers and patients that serious...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1581-2
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Following the US Food and Drug Administration's (FDA's) warning about the use of transvaginal mesh to treat pelvic organ prolapse (POP) and the use of single-incision slings to treat incontinence, the number of lawsuits for medical negligence regarding the use of any polypropylene mesh in th...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3456-7
更新日期:2017-11-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3111-8
更新日期:2017-01-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1530-0
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We sought to determine whether baseline characteristics predict which overactive bladder (OAB) patients benefit from fesoterodine 8 mg versus 4 mg. METHODS:In double-blind, placebo-controlled, flexible-dose trials, baseline characteristics of OAB patients with ≥ 1 urgency urinary incontinen...
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pub_type: 杂志文章,随机对照试验
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更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Polypropylene meshes are frequently used in abdominal and vaginal reconstructive surgery. Recently, several authors have claimed that mesh-associated complications may be linked to mesh shrinkage. We have performed a prospective study with postoperative follow-up by ultrasound examination at...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1308-9
更新日期:2011-05-01 00:00:00
abstract:AIM:A retrospective study of vesicouterine fistulae managed from 1996 to 2011 analyzed the incidence, symptomatology, diagnosis, and surgical outcome. PATIENTS & METHODS:During the study period, 17 patients were managed, of whom 14 underwent abdominal repair and three underwent vaginal repair. Mean patient age was 31....
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-012-1798-8
更新日期:2013-02-01 00:00:00
abstract::The concept of genitourinary syndrome of menopause (GSM) was recently introduced and has been gaining widespread use. While some justifications for its introduction are straightforward, others may be questionable. Numerous unspecific symptoms and signs were included in the definition of the syndrome, but the minimum n...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-017-3295-6
更新日期:2017-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aims to determine what women with overactive bladder (OAB) perceive as 'cure', assesses treatment acceptability and adverse events. It also determines impact on quality of life (QoL) and correlates it with expectations from therapy. METHODS:In 153 women with predominant OAB sympt...
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pub_type: 杂志文章
doi:10.1007/s00192-009-1049-9
更新日期:2010-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Many adult women have resident urinary bacteria (urinary microbiome/microbiota). In adult women affected by urinary urgency incontinence (UUI), the etiologic and/or therapeutic role of the urinary microbiome/microbiota remains unknown. We hypothesized that microbiome/microbiota characteristi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2847-x
更新日期:2016-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aimed to explore gene expression and their regulatory mechanisms in etiology of stress urinary incontinence (SUI). METHODS:Tissue samples were taken from the paraurethral vaginal wall from three pairs of postmenopausal, age/body mass index/parity-matched SUI, and continent women ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1222-1
更新日期:2010-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women. METHODS:Thirty women were assessed twice by two examiners who measured the angle between the ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1251-9
更新日期:2011-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The effect of incontinence pessaries for urine incontinence (UI) has previously been described in studies from high-income countries, where they have been documented to reduce urinary leakage significantly. However, there is a profound literature gap in these data in low- and middle-income c...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03980-3
更新日期:2020-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-009-1069-5
更新日期:2010-05-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3780-6
更新日期:2019-04-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study aims to assess anatomical and functional results of bilateral anterior sacrospinous ligament suspension associated with paravaginal repair with mesh. METHODS:Forty-eight patients were operated between March 2007 and August 2008. Mean age was 67 years old. Nineteen patients (39.6%...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-009-1036-1
更新日期:2010-03-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-014-2476-9
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION:This study investigated perioperative and mid-term clinical outcomes after laparoscopic sacrocolpopexy (LSCP) with light titanium-coated polypropylene (TCP) mesh in a large group of patients affected by International Continence Society stage II-IV pelvic organ prolapse (POP). METHODS:This multicenter retr...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04146-x
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Determine if women with fibromyalgia report increased bother from pelvic organ prolapse compared with women without fibromyalgia. METHODS:We performed a cross-sectional study of women with symptomatic prolapse on consultation with a private urogynecology practice within a 46-month period. A...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2280-y
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESES:There is no consensus regarding pregnancy after mid-urethral sling (MUS) operation, and some clinicians recommend postponing the MUS operation if a woman considers further pregnancies or routinely suggest cesarean section as the delivery method after MUS operations. Our primary aim was to as...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04497-w
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:There seems to be a temporal association between increasing use of "hands off" the perineum in labour and reduced use of episiotomy with an increasing rate of anal sphincter injuries. We aimed to determine how common the practice of "hands off" the perineum is. METHODS:An observational post...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1454-8
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Walking speed and carrying technique affect intra-abdominal pressure (IAP) in women. In this study, we tested the feasibility of monitoring IAP outside the laboratory environment and compared IAP while study participants were (1) carrying 13.6 kg (similar to a 3-month old in car seat) in six...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-014-2593-5
更新日期:2015-07-01 00:00:00