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The deadline to complete the Bladder Health Week host form is today, Sept. 4!
Bladder Health Week events are designed to further educate women on issues related to their pelvic health: Prolapse, incontinence, and other pelvic floor disorders. The educational content of the program gives women the knowledge and confidence they need to evaluate their own pelvic health and address pelvic health issues with their physician.

Today, Friday, Sept. 4, 2015, is the last day to complete the Bladder Health Week host form. All of the details of your event (date, time, and location) must be confirmed before you complete the form. To complete the host form, click here. Last year more than 75 events were held and this year we are hoping to increase that number to 100!

Each host site is responsible for funding, planning, publicizing and hosting the event. AUGS created a toolkit to help you plan your event. The toolkit will be sent via email to all hosts in mid-September.

Click here for more information!
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Submit an abstract now for the PFD Week 2015 Fellows' Forum
The Fellows' Forum, part of Fellows' Day at PFD Week 2015, is an opportunity for OB/GYN and Urology Fellows from across the country to meet one another and present their scientific work in a fellows-only podium session.

To present at the Fellows-only podium session, which will be a non-competitive atmosphere, Fellows must submit a written abstract for presentation at this Forum. Abstracts may be different from, or duplicates of those submitted to PFD Week, the AUGS Annual Scientific Meeting, and will be accepted to the Fellows' Forum whether or not they were accepted for presentation the meeting. Abstract submissions will be accepted until September 11.

Submit your abstract today.

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Register for AUGS' 36th Annual Meeting, PFD Week 2015!
Join AUGS in Seattle from Oct. 13-17 for the premier of PFD Week, an expansion of the successful AUGS Annual Scientific Meeting. With the traditional two and a half days of scientific presentations and an addition of one day of clinical and surgical workshops, PFD Week 2015 is the go-to meeting for healthcare professionals interested in or actively practicing Female Pelvic Medicine and Reconstructive Surgery.
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AUGS Weekly Poll
Question: Do you currently use the IUGA/ICS mesh complication categories when describing mesh issues?

Click here to see the results of last week's poll.

Do you have an idea for a poll question? Email your question to to be reviewed by the AUGS Membership Committee.


CMS conducts final successful Medicare FFS ICD-10
From July 20-24, 2015, Medicare Fee-For-Service (FFS) health care providers, clearinghouses, and billing agencies participated in a third successful ICD-10 end-to-end testing week with all Medicare Administrative Contractors (MACs) and the Durable Medical Equipment (DME) MAC Common Electronic Data Interchange (CEDI) contractor. CMS was able to accommodate most volunteers, representing a broad cross-section of provider, claim, and submitter types. This final end-to-end testing week demonstrated that CMS systems are ready to accept and process ICD-10 claims. Approximately 1,200 providers and billing companies participated, and testers submitted over 29,000 test claims. View the results.

Overall, participants in the July end-to-end testing week were able to successfully submit ICD-10 test claims and have them processed through Medicare billing systems. The acceptance rate for July was similar to the rates in January and April, but with an increase in the number of testers and test claims submitted. Most of the claim rejections that occurred were due to errors unrelated to ICD-9 or ICD-10.

Medicare claims with a date of service on or after Oct. 1, 2015, will be rejected if they do not contain a valid ICD-10 code. The Medicare claims processing systems do not have the capability to accept ICD-9 codes for dates of service after Sept. 30, 2015; or accept claims that contain both ICD-9 and ICD-10 codes. CMS has created a number of ICD-10 tools and resources for providers. One tool is the "Road to 10," aimed specifically at smaller physician practices with primers for clinical documentation, clinical scenarios, and other specialty-specific resources to help with implementation. For more information, visit the Medicare FFS Provider Resources web page.

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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.


From bladder to systemic syndrome: Concept and treatment evolution of interstitial cystitis
International Journal of Women's Health via PubMed Central
Interstitial cystitis, presently known as bladder pain syndrome, has been recognized for over a century but is still far from being understood. Its etiology is unknown and the syndrome probably harbors different diseases. Autoimmune dysfunction, urothelial leakage, infection, central and peripheral nervous system dysfunction, genetic disease, childhood trauma/abuse, and subsequent stress response system dysregulation might be implicated.
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Association of compartment defects in anorectal and pelvic floor dysfunction with female outlet obstruction constipation by dynamic MR defecography
European Review for Medical and Pharmacological Sciences
Chronic constipation affects more than 17 percent of the global population worldwide, and up to 50 percent of patients were outlet obstruction constipation. Women and the elderly are most likely to be affected, due to female-specific risk factors, such as menopause, parity and multiparity. The aim of our study was to investigate the association of compartment defects in anorectal and pelvic floor dysfunction with female outlet obstruction constipation by MR defecography.
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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.

The effect of parity on pelvic floor muscle strength and quality of life in women with urinary incontinence
Journal of Physical Therapy Science via PubMed Central
The pelvic floor muscles have an important role in pelvic organ support and the continence control system. Different stages in a woman’s life, such as pregnancy, postpartum period, and menopause, can cause changes in these muscles. Damage to the pelvic floor can result in incontinence and constipation, decreased or total loss of PFM strength, or genital prolapse. These conditions negatively affect quality of life. Pregnancy and vaginal delivery are major risk factors for weakened PFMs, which can cause stress urinary incontinence and pelvic organ prolapse in younger women. These can have negative consequences on sexual, physical and professional activities.
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Positional pelvic organ prolapse evaluation using open, weight-bearing magnetic resonance imaging
Canadian Urological Association Journal via PubMed Central
Accurate staging of pelvic organ prolapse is critical to treatment assignment, including decisions regarding the type and extent of surgical correction. The POP-Q staging system is commonly employed and recognized as the gold standard for clinical staging. However, this is completed in the supine position, and hence, can result in under-staging of POP, which is a recognized limitation of the POP-Q.
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Refractory overactive bladder: A common problem?
Adherence to the standard anticholinergic treatment of overactive bladder is surprisingly poor, considering the psychosocial impact of the disease. For example, only 25 percent of OAB patients still take their long-term anticholinergic medication one year after prescription, independent of which anticholinergic drug is used. In clinical practice, these cases are often subsumed under the term "refractory OAB." This designation, which has become established in clinical parlance for very different situations, implies a search for alternatives to the standard treatment of overactive bladder.
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Asymptomatic bacteriuria treatment leads to greater drug resistance
Researchers from Italy found a higher rate of antibiotic resistance in women with recurrent urinary tract infections who received asymptomatic bacteriuria treatment. "We showed that [asymptomatic bacteriuria] treatment is associated with a higher prevalence of antibiotic resistant bacteria," Tommaso Cai, MD, from the department of urology at Santa Chiara Hospital in Trento, Italy, and colleagues wrote in Clinical Infectious Diseases. "This is the first study to address this issue in women affected by [recurrent urinary tract infections]."
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I had a kid. Will my bladder ever be normal?
New York Magazine
It would be easy to think that incontinence is an old person's problem. But it affects younger women more than we realize: Two out of five women under 60 have some leakage, says Jill Rabin, M.D., professor of obstetrics and gynecology at Hofstra North Shore-LIJ School of Medicine and author of Mind Over Bladder. Often, the problem isn't having to go suddenly (a.k.a. urge incontinence), but situational incontinence caused by movements like coughing, sneezing, working out, or even having sex.
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Overactive bladder syndrome, detrusor overactivity and the botulinum toxin
Since 1997 when the term Overactive Bladder Syndrome was initially introduced to the urological community, it has figured among the most studied and propagated voiding dysfunctions in the literature. Of relatively homogeneous prevalence, it is estimated that around 16 percent of the world population complains the syndrome. The possibility of establishing the diagnosis based only on clinical data allowed greater access to treatment of patients with urinary urgency, increasing number of day and night voiding, with or without urinary incontinence.
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Colby Horton, Vice President of Publishing, 469.420.2601
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Caitlin McNeely, Senior Editor, 469.420.2692  
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