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CONTEXT Pelvic floor disorders (urinary incontinence, fecal incontinence, and pelvic organ prolapse) affect many women. No national prevalence estimates derived from the same population-based sample exists for multiple pelvic floor disorders in women in the United States. OBJECTIVE To provide national prevalence estimates of symptomatic pelvic floor(More)
OBJECTIVE To compare short-term outcomes of robotic sacrocolpopexy with abdominal sacrocolpopexy for vaginal vault prolapse. METHODS We conducted a retrospective cohort study comparing robotic to abdominal sacrocolpopexy with placement of permanent mesh. The primary outcome was vaginal vault support on 6-week postoperative pelvic organ prolapse(More)
OBJECTIVES To estimate the number of women who will have symptomatic pelvic floor disorders in the United States from 2010 to 2050. METHODS We used population projections from the U.S. Census Bureau from 2010 to 2050 and published age-specific prevalence estimates for bothersome, symptomatic pelvic floor disorders (urinary incontinence [UI], fecal(More)
OBJECTIVE To estimate hysterectomy rates by type of hysterectomy and to compare age, length of stay, and regional variation in type of hysterectomy performed for benign indications. METHODS We conducted a cross-sectional analysis of national discharge data using the 2003 Nationwide Inpatient Sample. These data represent a 20% stratified sample of U.S.(More)
STUDY OBJECTIVE To perform a cost-minimization analysis comparing robotic-assisted, laparoscopic, and abdominal sacrocolpopexy. DESIGN Cost-minimization analysis using a micro-costing approach (Canadian Task Force classification III). MEASUREMENTS AND MAIN RESULTS A decision model was developed to compare the costs (2008 US dollars) of robotic,(More)
OBJECTIVE To compare the attitudes of urogynecology and maternal-fetal medicine specialists in the United States regarding elective primary cesarean delivery. METHODS A Web-based questionnaire was sent by e-mail to members of the American Urogynecologic Society (AUGS) and the Society for Maternal-Fetal Medicine (SMFM) who reside in the United States. The(More)
It is unclear whether preoperative urodynamic study (UDS) values are predictive of outcomes after midurethral sling. We systematically reviewed multiple databases from January 1989 to October 2011 for English-language studies correlating UDS data with postoperative outcomes after midurethral slings. We performed random effects model meta-analyses, as(More)
OBJECTIVE The Brink scale is a commonly used digital assessment of pelvic floor muscle strength. The Peritron perineometer, a compressible vaginal insert that records pressure in centimeters of water, offers an objective method for this evaluation. This study evaluates the inter- and intrarater reliability of perineometry measurements and correlates those(More)
OBJECTIVE Limited data exist on the rates of pelvic organ prolapse procedures utilizing mesh. The objective of this study was to examine trends in vaginal mesh prolapse procedures (VMs), abdominal sacrocolpopexy (ASC), and minimally invasive sacrocolpopexy (MISC) from 2005 to 2010. STUDY DESIGN We utilized deidentified, adjudicated health care claims data(More)
OBJECTIVE To validate telephone-administered versions of 2 condition-specific quality of life questionnaires: Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire. STUDY DESIGN Between December 2005 and September 2006, 55 women were recruited at their 6-week postpartum visit at a university hospital. Written and telephone versions of the(More)