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BACKGROUND & AIMS The study aims were to estimate the prevalence of different types and frequencies of fecal incontinence (FI), describe demographic factors, and identify risk factors. METHODS The National Health and Nutrition Examination Survey (NHANES) assesses health status in the civilian noninstitutionalized US population. The validated Fecal(More)
Detection of chromosome aneuploidies in uncultured amniocytes is possible using fluorescence in situ hybridization (FISH). We herein describe the results of the first clinical program which utilized FISH for the rapid detection of chromosome aneuploidies in uncultured amniocytes. FISH was performed on physician request, as an adjunct to cytogenetics in(More)
OBJECTIVES Minimally invasive apical sacropexies (MI-APSC) can be performed using robotics or laparoscopy. We hypothesized that operative characteristics of MI-APSC, laparoscopic (LSC) and robotic (RSC), were similar. The objective of our study was to compare operative characteristics, objective prolapse outcomes, and robotic learning curve. METHODS(More)
OBJECTIVE Our aims were to: (1) recognize the anatomic landmarks for measurement of puborectalis muscle on 3-dimensional ultrasound images, (2) assess intra- and interobserver reliability of puborectalis muscle measurements, (3) determine whether there is measurable puborectalis muscle shortening with pelvic floor squeeze, and (4) assess pelvic hiatus(More)
OBJECTIVE Using three-dimensional transperineal ultrasonography, we compared the prevalence of levator ani muscle injury after forceps with vacuum-assisted vaginal delivery. METHODS This was a retrospective cohort study. Women who experienced at least one forceps delivery (across all deliveries) were compared with women who had at least one vacuum birth.(More)
BACKGROUND The indications for operation in patients with obstructed defecation syndrome (ODS) with rectocele are not well defined. METHODS A total of 90 female patients with ODS and rectocele were prospectively evaluated and treated with fiber supplements and biofeedback training. Univariate and multivariate regression was used to determine factors(More)
To evaluate the effects of maternal magnesium sulfate treatment on neonatal magnesium and calcium homeostasis, the authors studied 23 term neonates whose mothers had received intravenous magnesium sulfate for pre-eclampsia and compared them with 14 control neonates. Total and ionized calcium, magnesium, phosphorus, and albumin were measured in maternal and(More)
OBJECTIVE The purpose of this study was to determine the shape and characteristics of the vaginal high-pressure zone (HPZ) by imaging a compliant fluid-filled bag that had been placed in the vaginal HPZ with the 3-dimensional ultrasound system. STUDY DESIGN Nine nulliparous asymptomatic women underwent 3-dimensional ultrasound imaging and vaginal pressure(More)
BACKGROUND Anal sphincter complex muscles, the internal anal sphincter, external anal sphincter, and puborectalis muscles, play an important role in the anal continence mechanism. Patients with symptoms of fecal incontinence have weak anal sphincter complex muscles; however, their length-tension properties and relationship to anatomical disruption have(More)