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AUGS Monthly Poll
How do you work-up microscopic hematuria?
ANSWER NOW
Click here to see the results of last month's poll.
Do you have an idea for a poll question? Email your question to info@augs.org to be reviewed by the AUGS Membership Committee.
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We’re launching new websites next week! The new sites have a sleek modern design, improved navigability, mobile responsiveness, and are powered by a brand-new member database. Your member username and password will change, so be on the lookout for an email later today with your new login information.
The AUGS journal — Female Pelvic Medicine and Reconstructive Surgery — invites new reviewers to participate. Currently, the selected manuscript is:
- Obesity and Perioperative Complications in Pelvic Reconstructive Surgery in 2013: Analysis of National Inpatient Sample
Please visit the FPMRS Open Call Peer Review Project’s page for additional information.
Looking to reach out to your social media audience? Here’s some suggested tweets for this week. Simply click the link to generate a tweet to share with your followers.
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In a study of 200+ patients who consumed acid foods with and without Prelief®*:
70% reported a reduction in pain and discomfort with the use of Prelief® when consuming acidic foods
*Bologna, R. Whitmore, K. et al, Philadelphia 1998-1999. Survey of the Effect of Prelief on Food-Related Exacerbation of Interstitial Cystitis Symptoms
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The N99, Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified, which contains codes for conditions not elsewhere classified within this or other chapters can be somewhat confusing to providers not intimately familiar with ICD-10-CM conventions, as it contains codes for both chronic conditions that occur long after a genitourinary procedure such as a hysterectomy, as well as immediate complications of procedures. In addition, the category contains codes that describe conditions or complications that affect the genitourinary system after procedures involving the genitourinary system, as well as genitourinary involvement of procedures not performed directly on the genitourinary tract but causing the problems. The AUGS Coding Committee along with the CDC developed a fact sheet located in the AUGS Coding & Reimbursement Resources section to help outline the correct use of this category.
Lower Urinary Tract Symptoms
About one-third of patients received α-blocker monotherapy, one-third received combination therapy with anticholinergics, and another one-third received subsequent anticholinergics in addition to α-blocker. Storage subscore was higher in patients with anticholinergics than those without it, but vice-versa for voiding subscore. Similar improvement on clinical outcomes and PROs was observed in all treatment groups.
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International Urogynecology Journal
During pregnancy, women experience worsening UI, FI, and perineal pain. UI symptoms are associated with a negative impact on quality of life (QoL). Sexual activity decreased and POP-Q stage did not change.
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International Journal of Surgery
Most aspects of implant-assisted reconstruction of pelvic floor in males and females are under debate and the research is not standardized. Registries are supposed to shed light to the indications, surgical techniques and material properties and to establish a standardized evaluation.
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Neurourology and Urodynamics
Moderate or severe depression and anxiety are prevalent in women with OAB. There is a correlation between intensity of OAB symptoms with depression and anxiety. Anxiety and depression levels are mainly related with urgency incontinence and nocturia.
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Urology Times
A new study published in Female Pelvic Medicine & Reconstructive Surgery found that decreased pelvic floor strength after childbirth is 2.5 times more likely to affect women over age 25 years than younger women.
“In multivariate analysis, age alone was a predisposing factor for pelvic floor weakness after childbirth, even though we also assessed variables such as race, BMI, length of second stage labor, vacuum delivery, and episiotomy,” said lead author Lieschen Quiroz, MD.
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The Clinical Advisor
Intradetrusor injection of onabotulinumtoxin A (OnaBoNT-A) may be safe and effective for patients with overactive bladder, according to a study published in the Journal of Urology.
Pradeep Tyagi, PhD, and colleagues identified peer-reviewed basic and clinical research studies of OnaBoNT-A in the treatment of patients with neurogenic bladder and refractory idiopathic overactive bladder published between March 2000 and March 2016.
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STAT
Human intelligence has long powered hospitals and healthcare. We rely on clinicians to solve problems and create new solutions. Advances in artificial intelligence are now making it possible to apply this form of computer-based "thinking" to healthcare. Here are three areas — training, surgical robots, and data mining — in which I believe it will begin making a difference sooner rather than later.
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MedPage Today
Approximately 6 percent of patients undergoing both minor and major surgical procedures continued to use opioids 90 days after surgery, according to a study of nationwide insurance claims data. The incidence of new persistent opioid use was similar between the minor surgery (5.9 percent) and major surgery groups (6.5 percent) for an odds ratio of 1.12. Conversely, the incidence of filling an opioid prescription between 90 to 180 days after a fictitious surgery date was just 0.4 percent in the nonsurgical comparison group, they said.
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HealthDay News via Renal & Urology News
Women with overactive bladder (OAB) syndrome treated with antimuscarinics have increased subsequent risk of depressive disorder, according to a study published online in the Journal of Clinical Pharmacology.
Shiu-Dong Chung, PhD, MD, from the Far Eastern Memorial Hospital in Taiwan, and colleagues conducted a retrospective cohort study to examine the correlation between antimuscarinic use and subsequent risk of depressive disorder.
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