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Medicina
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Urogynecology
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Urogynecology

A special issue of Medicina (ISSN 1648-9144).

Deadline for manuscript submissions: closed (31 December 2021) | Viewed by 6298

Special Issue Editor

Dr. Sheng-Mou Hsiao

E-Mail Website
Guest Editor
1. Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei 220216, Taiwan
2. Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan 320315, Taiwan
3. Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and Hospital, Taipei 100226, Taiwan
Interests: gynecologic cancer; intraperitoneal chemotherapy; sentinel lymph node mapping; hyperthermic intraperitoneal chemotherapy; intraoperative radiotherapy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The field of urogynecology includes the studies of anatomical and functional problems of female pelvic floor dysfunction. Lower urinary tract dysfunction, pelvic organ prolapse, sexual dysfunction, and anorectal dysfunction are within the scope of urogynecology. Lower urinary tract dysfunction (LUTD) includes storage and voiding dysfunction. Common storage LUTDs include overactive bladder syndrome, stress urinary incontinence, urgency incontinence, and interstitial cystitis; and common voiding LUTDs include anatomic and functional bladder outlet obstruction and bladder dysfunction.

Although there have been many new innovative medications or surgical procedures in recent decades, such as antimuscarinics, beta 3 agonist, Botox injection, and the mesh surgical procedures, we are still facing certain challenges, such as restrictions or prohibition of the use of transvaginal mesh for pelvic floor reconstruction and stress urinary incontinence. Nonetheless, the above restrictions have inspired the reuse of native tissue repair (such as sacrospinous ligament fixation and fascia pubovaginal sling) and some new innovative treatments (such as laparoscopic pectopexy procedure and platelet-rich plasma injection). In addition, with the increase of the elderly population, research on detrusor underactivity is a hot topic. Therefore, there are still many issues in pelvic floor dysfunction that we can study. This Special Issue welcomes articles focusing on the field of female pelvic floor dysfunction.

Dr. Sheng-Mou Hsiao
Guest Editor

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Pelvic organ prolapse
  • Overactive bladder syndrome
  • Stress urinary incontinence
  • Bladder outlet obstruction
  • Bladder underactivity
  • Urodynamic studies
  • Urinary tract infection
  • Interstitial cystitis
  • Neurogenic bladder
  • Voiding dysfunction

Published Papers (3 papers)

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Research

8 pages, 299 KiB  
Article
Prevalence of and Associated Factors for Overactive Bladder Subtypes in Middle-Aged Women: A Cross-Sectional Study
by Cheng-Fang Yang, Chao-Yuan Huang, Shu-Yi Wang and Shiow-Ru Chang
Medicina 2022, 58(3), 383; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58030383 - 04 Mar 2022
Cited by 2 | Viewed by 1857
Abstract
Background and Objectives: The living environment can manifest physiological responses in humans, with cohabiting couples often having similar health statuses. The aim of this study was to (1) examine the prevalence of the overactive bladder (OAB) with or without incontinence and (2) [...] Read more.
Background and Objectives: The living environment can manifest physiological responses in humans, with cohabiting couples often having similar health statuses. The aim of this study was to (1) examine the prevalence of the overactive bladder (OAB) with or without incontinence and (2) identify associated factors for OAB with and without incontinence (including environmental factors, such as living with a partner who has OAB) in middle-aged women. Materials and Methods: In this cross-sectional study, the International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OBA) was administered to 970 couples. Data were analyzed using descriptive statistics, chi-square analyses, and multivariate logistic regression. Results: Responses to the ICIQ-OBA among middle-aged women generated a higher prevalence of OAB with incontinence (OABwet; 41%) than OAB without incontinence (OABdry; 26%; p < 0.001). The factors associated with OABwet were as follows: being age ≥ 55 years (odds ratio [OR], 1.41; 95% confidence interval [CI], 1.02–1.95), having a body mass index (BMI) ≥ 27 kg/m2 (OR, 1.50; 95% CI, 1.03–2.17), having vaginitis (OR, 1.89; 95% CI, 1.28–2.80), and having partners with OABwet (OR, 2.35; 95% CI, 1.74–3.19). Having partners with OABdry (OR, 1.81; 95% CI, 1.34–2.44) was an associated factor for OABdry. Conclusions: This study identified the associated factors for OAB subtypes (OABwet and OABdry) in middle-aged women. These findings can support treatment and preventive strategies for health providers who care for patients with OAB. As part of the treatment and preventative strategies, the risk that partners may introduce to the development of OAB in women should also be considered. Full article
(This article belongs to the Special Issue Urogynecology)
8 pages, 431 KiB  
Article
Overactive Bladder during Pregnancy: A Prospective Longitudinal Study
by Hung-Ju Chen, Sheng-Mou Hsiao, Cheng-Fang Yang, Chien-Nan Lee, Yi-Wen Wang, Da-Wei Guo and Shiow-Ru Chang
Medicina 2022, 58(2), 243; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58020243 - 06 Feb 2022
Cited by 2 | Viewed by 2024
Abstract
Background and Objectives: Overactive bladder (OAB) is a serious urination-related symptom of unknown pathogenesis that affects one’s everyday activities. The objective of this study was to examine how OAB prevalence, symptom severity, and degree of distress caused by OAB symptoms evolved throughout the [...] Read more.
Background and Objectives: Overactive bladder (OAB) is a serious urination-related symptom of unknown pathogenesis that affects one’s everyday activities. The objective of this study was to examine how OAB prevalence, symptom severity, and degree of distress caused by OAB symptoms evolved throughout the course of pregnancy. Materials and Methods: A total of 659 pregnant women were recruited from 2015 to 2020, and were evaluated through the International Consultation on Incontinence Questionnaire-Overactive Bladder (ICIQ-OAB) on OAB symptoms, administered in the early, middle, and late stages of pregnancy. Results: Generalized estimating equation analysis revealed that the odds of OAB occurring in the middle and late stages of pregnancy were 1.90 and 2.33 times higher, respectively, than in early pregnancy. The corresponding odds for OAB-wet were 1.63 and 2.07 higher, respectively, and the odds of OAB-dry occurring during late pregnancy were 0.80 higher than during early pregnancy. Symptoms were more severe by 0.07 and 0.21 points (on a 4-point scale) in the middle and late stages of pregnancy, respectively, than in early pregnancy; distress was greater by 0.13 and 0.27 points (on a 10-point scale) in the middle and late stages of pregnancy, respectively, than in early pregnancy. The prevalence of OAB, OAB-dry, and OAB-wet was significantly higher in early pregnancy than pre-pregnancy. Conclusions: The prevalence of OAB and OAB-wet increased over the course of pregnancy, but the prevalence of OAB-dry decreased. Furthermore, symptom severity and degree of distress increased over time. Full article
(This article belongs to the Special Issue Urogynecology)
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14 pages, 864 KiB  
Article
Predictors of Clinical Outcome in Women with Pelvic Organ Prolapse Who Underwent Transvaginal Mesh Reconstruction Surgery
by Ting-Hsuan Lin, Fung-Chao Tu, Ho-Hsiung Lin and Sheng-Mou Hsiao
Medicina 2022, 58(2), 148; https://0-doi-org.brum.beds.ac.uk/10.3390/medicina58020148 - 19 Jan 2022
Viewed by 1760
Abstract
Background and Objectives: To identify the predictors of clinical outcomes in women with pelvic organ prolapse (POP) who underwent transvaginal reconstruction surgery, especially with transobturator mesh fixation or sacrospinous mesh fixation. Materials and Methods: All women with POP who underwent transvaginal [...] Read more.
Background and Objectives: To identify the predictors of clinical outcomes in women with pelvic organ prolapse (POP) who underwent transvaginal reconstruction surgery, especially with transobturator mesh fixation or sacrospinous mesh fixation. Materials and Methods: All women with POP who underwent transvaginal reconstruction surgery, especially with transobturator mesh fixation or sacrospinous mesh fixation, were reviewed. Results: Between January 2011 and May 2019, a total of 206 consecutive women were reviewed, including 68 women receiving POP reconstruction with transobturator mesh fixation and 138 women who underwent POP reconstruction with sacrospinous mesh fixation. The least experienced surgeon (hazard ratio = 804.6) and advanced stage of cystocele (hazard ratio = 8.80) were the predictors of POP recurrence, especially those women with stage 4 of cystocele. Young age (hazard ratio = 0.94) was a predictor for mesh extrusion, especially those women with age ≤67 years. Follow-up interval (odds ratio = 1.03, p = 0.02) was also an independent predictor of mesh extrusion. High maximum flow rate (Qmax, hazard ratio = 1.03) was the sole predictor of postoperative stress urinary incontinence, especially those women with Qmax ≥19.2 mL/s. Preoperative overactive bladder syndrome (hazard ratio = 3.22) were a predictor for postoperative overactive bladder syndrome. In addition, overactive bladder syndrome rate improved after surgery in the sacrospinous group (p = 0.0001). Voiding dysfunction rates improved after surgery in both sacrospinous and transobturator groups. Conclusions: Predictors of clinical outcome in women who underwent transvaginal POP mesh reconstruction are identified. The findings can serve as a guide for preoperative consultation of similar procedures. Full article
(This article belongs to the Special Issue Urogynecology)
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