Urogynecology
Audio Summaries

Goal Achievement in Women With Urinary Incontinence After Midurethral Sling

Jun 19, 2026

The authors aimed to investigate treatment goals and their achievement among women with mixed urinary incontinence (MUI) undergoing midurethral sling (MUS) surgery, with or without perioperative behavioral and physical therapy (BPT). They found that most participants rated stress and urgency-related goals as highly important, and a significant majority achieved at least one goal within 12 months, with higher odds of achieving urgency-related goals in the MUS with BPT group. The study highlights the importance of understanding patient-reported outcomes and goal achievement in this surgical context.

Pelvic Floor Knowledge and Urinary Incontinence in Pregnancy: Clinical Trial

Jun 18, 2026

This study aimed to evaluate the awareness of pelvic floor muscles (PFMs) and their exercises among pregnant women, as well as to investigate the relationship between this awareness and the occurrence of urinary incontinence (UI). The findings revealed a significant lack of knowledge about PFMs, with many women unaware of their location and function, and those with UI were less likely to engage in PFM exercises compared to those without UI. The authors suggest that educational programs are necessary to enhance understanding and promote proper PFM exercise techniques to potentially reduce UI symptoms during pregnancy.

Effects of Sacrocolpopexy Route on Anterior and Posterior Compartment Outcomes

Jun 18, 2026

The authors aimed to investigate how the surgical route of sacrocolpopexy (robotic, laparoscopic, or abdominal) affects outcomes related to anterior and posterior compartment anatomic failure, as well as the impact of concomitant colporrhaphy on retreatment rates. Their findings indicate that the choice of surgical route does not significantly influence the rates of anatomic failure or the need for retreatment, suggesting that other factors may play a more critical role in these outcomes.

Expectations Versus Experience in Urogynecologic Surgery: A Qualitative Study

Jun 16, 2026

This qualitative study aimed to explore patient perspectives on the surgical experience in urogynecology, specifically examining how preoperative expectations diverge from actual surgical experiences and postoperative outcomes. Through interviews with patients who underwent hysterectomy with apical suspension, the authors identified key themes related to preoperative concerns, interpersonal interactions, and unexpected stressors, ultimately highlighting the need for improved education and communication to enhance patient satisfaction and reduce anxiety.

Perioperative Gabapentin and Opioid Requirements: A Randomized Controlled Trial

Jun 15, 2026

This study aimed to determine whether preoperative gabapentin alone is noninferior to a regimen of both preoperative and postoperative gabapentin in reducing opioid prescriptions at discharge following prolapse surgery. The results showed no significant difference in opioid prescription rates between the two groups, leading to the conclusion that the noninferiority of placebo to postoperative gabapentin could not be established, as the confidence interval exceeded the predetermined margin.

Gender-Affirming Testosterone Treatment and Lower Urinary Tract Symptoms

Jun 11, 2026

The authors aimed to investigate the relationship between gender-affirming testosterone therapy and the severity of lower urinary tract symptoms (LUTS) in transgender men and transmasculine individuals. Their findings indicate that those receiving testosterone therapy reported significantly less severe LUTS compared to those not on treatment, suggesting a potential benefit of testosterone in alleviating these symptoms. Further research is needed to understand the underlying mechanisms of this association.

Barriers to Accessing Urogynecologic Care: A Single-Site Survey Study

Jun 9, 2026

The authors aimed to identify how structural and informational barriers to accessing urogynecologic care differ by race and neighborhood socioeconomic disadvantage, as measured by the Area Deprivation Index (ADI). Their findings revealed that Black patients faced more significant barriers, including longer travel times and a greater likelihood of reporting multiple obstacles, compared to White patients, highlighting the need for targeted interventions to address these disparities.

Stool Microbiota, Metabolites, and Fecal Incontinence in Women

Jun 4, 2026

The authors aimed to investigate whether fecal incontinence (FI) in women is linked to higher levels of butyrate and Clostridiales taxa in stool. Their findings revealed no significant differences in butyrate levels or Clostridiales between women with FI and controls; however, they identified novel stool metabolite signatures associated with FI, suggesting potential new biological pathways and therapeutic targets for managing this condition.

Laparoscopic Assistance Overestimates Resident Exposure to Vaginal Hysterectomy

Jun 4, 2026

The authors aimed to investigate the national trends in resident exposure to total vaginal hysterectomy (TVH) and assess the impact of including laparoscopically assisted vaginal hysterectomy (LAVH) in residency training data. Their findings reveal a national decline in TVH use, with only 44% of TVHs performed without laparoscopic assistance at their institution, raising concerns about the implications for resident training and preparedness in performing TVH post-graduation. Further research is suggested to explore how this trend affects resident comfort and decision-making regarding hysterectomy methods.

Patient-Reported Goals of Women With Urinary Incontinence in Primary Care

Jun 4, 2026

This study aims to characterize the self-reported treatment goals of women with urinary incontinence (UI) in primary care settings, addressing a gap in understanding compared to specialty care. The authors found that the most common goals were symptom relief and information seeking, with notable differences in patient characteristics based on goal type. Recognizing the diversity of these goals can enhance patient-centered care in clinical practice.