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Text Version   RSS   Subscribe   Unsubscribe   Archive   Media Kit          April 17, 2015

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In memoriam — AUGS Founding Father Jack Robertson, MD
By Amy E. Rosenman, MD
AUGS Members,

It is with great sadness that I let you know that Jack Robertson, MD passed away on April 1st. Many AUGS members are aware but some may not realize the huge contributions Dr. Robertson made to our subspecialty and the creation of AUGS. I would like to share with each of you a little of our and his history.

Dr. Robertson was 97 and born in Boise Idaho. He lived a colorful life with early jobs as a hay pitcher and bar tender working his way through medical school. He was an extra in the movie Northwest Passage with Spencer Tracy filmed in Idaho, and met Ernest Hemingway, a well-known Idaho resident while he was writing For Whom the Bell Tolls. He designed the urethroscope and had it manufactured with the help of Karl Storz, the actual man, not just the company.
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Congress repeals SGR
By Amy E. Rosenman, MD
A new chapter for Medicare and physician payment is finally here. Yesterday, Congress passed the bipartisan Medicare Access and CHIP Reauthorization Act — which repeals the so-called "sustainable" growth rate (SGR) payment formula that perennially threatened patients' access to care. This legislation also contains the language to stop CMS from implementing their policy to do away with the global surgical packages.

This bill will go to the President to sign and CMS will be able to process Medicare claims at the current conversion factor. We will get a new conversion factor starting July 1st for the rest of the year that will include a half percent update to the overall physician pool of funding.

The AUGS Quality and Coding Committees are developing educational materials for members regarding the new systems. AUGS will also be considering and working through the implementation of the MIPS program and creation of alternative payment models for FPMRS. AUGS will be creating an Alternative Payment Model Task Force to further examine this issue and develop new payment models for our subspecialty. Stay tuned for more information about this initiative in the coming months.

In the meantime, the AMA has developed the following resources for physicians:
  • Provision information:
  • FAQ's on the new legislation:
  • This is a truly historic moment for physicians and medicare patients. If you have any questions regarding this legislation, please contact AUGS at

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    Support the PFD Research Foundation with your donation today
    Since 1998, the PFD Research Foundation has funded more than $1.5 Million in grants to support junior researchers in the field and promises innovative research regarding the causes, prevention, cure, and treatment of pelvic floor disorders.

    Every contribution to the PFD Research Foundation builds a stronger future for female pelvic medicine and reconstructive surgery and is a great way to honor the work and passion of those we respect.

    Support the PFD Research Foundation by donating today!

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    Relationship between female pelvic floor dysfunction and sexual dysfunction: An observational study
    The Journal of Sexual Medicine via Wiley
    The ability to express one's sexuality and engage in sexual activity requires multisystemic coordination involving many psychological functions as well as the integrity of the nervous, hormonal, vascular, immune and neuromuscular body structures and functions. The purpose of this study was to investigate the associations among pelvic floor function, sexual function, and demographic and clinical characteristics in a population of women initiating physical therapy evaluation and treatment for pelvic floor–related dysfunctions (urinary incontinence, pelvic organ prolapse, vulvodynia, vaginismus and constipation).
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    Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery
    International Urogynecology Journal via Springer
    The aim of this study was to look for possible predictors preoperatively for the development of de novo stress urinary incontinence in urodynamically continent women who underwent pelvic reconstructive surgery.
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    ALLERGAN is continuing to research and develop new treatments for urogynecologists and urologists. In fact, that devotion is demonstrated by our considerable investment to address the continuum of care for patients with Overactive Bladder.

    The association between ICS POPQ coordinates and translabial ultrasound findings: Implications for the definition of 'normal pelvic organ support'
    Ultrasound in Obstetrics & Gynecology via PubMed
    Female pelvic organ prolapse is quantified on clinical examination using the prolapse quantification system of the International Continence Society. Pelvic organ descent on ultrasound is strongly associated with symptoms of prolapse but associations between clinical and ultrasound findings remain unclear. This study was designed to compare clinical examination and imaging findings, especially regarding cut-offs for the distinction between normal pelvic organ support and "prolapse."
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    Pelvic floor muscle training for urinary incontinence in female stroke patients: A randomized, controlled and blinded trial
    Clinical Rehabilitation via PubMed
    To examine the effects of pelvic floor muscle training on the contractility of pelvic floor muscle and lower urinary tract symptoms in female stroke patients.
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    Neuromodulation for OAB symptoms
    Incontinence experts discuss the prevalence of refractory OAB and how Urgent® PC can help this undertreated population. To view the supplement:
    Lantheus Proven Success
    Discovering, developing and marketing innovative medical imaging agents provides a strong platform from which to bring forward new breakthrough tools for the diagnosis and management of disease.

    Urinary incontinence: Brain reaction to bladder filling predicts response to pelvic floor muscle training.
    Journal of Urology via Nature Reviews Urology
    Older women with urge urinary incontinence display two distinct patterns of brain reaction to bladder filling, which can predict their response to pelvic floor muscle training, according to a study published in the Journal of Urology.
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    Isolated pelvic ring injuries: Functional outcomes following percutaneous, posterior fixation
    European Journal of Orthopaedic Surgery & Traumatology via Springer
    To characterize pelvic-specific functional outcomes in patients with isolated, partially unstable, pelvic ring injuries treated with posterior only percutaneous screw fixation of the pelvic ring.
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    Behavioral urotherapy for bowel and bladder dysfunction
    This study sets to determine the optimal duration of behavioral urotherapy necessary to achieve maximal improvement in the management of pediatric bowel and bladder dysfunction.
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    US c-section rate is double what WHO recommends
    The Huffington Post
    Pregnant American women give birth via caesarean section at more than double the rate the World Health Organization recommends. Outcomes for both mother and baby improve as a country's rate of caesarean sections tops 10 percent, according to a WHO report. But there's no evidence that health care quality continues to improve once a country's rate exceeds 15 percent, WHO said.
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