Female Urology

"As the number of women urologists continues to increase, the field of urology must pay attention to their needs and professional satisfaction as they will constitute an increasing proportion of the future urologic work force," writes Lourdes Guerrios Rivera, MD, MSc.

"Patients who have a female surgeon are about 25% less likely to die than if they had a male surgeon," says Christopher J.D. Wallis, MD, PhD.

"Just really try to have awareness; figure out, what do you really need right now? Once you realize what you need, have compassion, stop the judgment," says Diana Londoño, MD.

“Patients just need to be educated that you don't have to live this way,” says J. Welles Henderson, MD, FACOG.

The incidence of 12-month surgical repair failure was 19% among those who received vaginal estrogen, compared with 9% among those who received placebo.

The new drug application is supported by findings from the phase 3 CERTAIN-1 trial.

Anna L. Myers, APRN-CNP, WHNP-BC, FNP-BC, IF, and Jean Marino, ARPN-CNP, NCMP, IF, preview an upcoming University Hospitals-led symposium titled, “What’s your pelvic floor plan? 2nd Annual Female Sexual Health Symposium.”

Join Dr. Catherine Bradley, urogynecologist at the University of Iowa Hospitals and Clinics, as she discusses common types of female urinary incontinence seen in practice.

"The fact that we are able to swab and look at these proteins means that we might be able to identify women at risk early on,” says Maria Florian-Rodriguez, MD.

A group of patients were shown to have an average of 6.3 cystitis episodes per year before administration of Lactobacillus, compared with 2.4 episodes after administration.

"41% of practicing urologists said that if Dobbs had happened when they were looking for their current position, they would have picked a different job," says Chloe E. Peters, MD.

PFD Week is an inclusive meeting that offers access to internationally recognized leaders in the field and the opportunity to network with the most respected professionals in Urogynecology.

"One of the notable things was the complications are frequent—which is something that was previously known about these surgeries—but they're minor," says Kayla Blickensderfer.

Projections were made under 3 different circumstances: the rate of women entering urology continues to follow logistic growth, there is no further growth of women into urology, and retirement rates among women mirror that of men in urology.

“The take-home message is that as a practicing urologist, you should be treating genitourinary syndrome of menopause and giving any woman over 45 vaginal hormones, whether in the form of vaginal estrogen or vaginal DHEA,” says Rachel S. Rubin, MD.

“We really wanted to give the general urologist the tools to go back to the clinic the next day and say, "I know how to prescribe this. I know where to prescribe it. I know the cheapest options. I know the best deals around and I know how to talk to patients about the risks and the benefits,” says Rachel S. Rubin, MD.

“It's a challenge to get funding for these types of studies, and also to have the infrastructure to carry out a lot of these big studies. But there's no question that we need more data,” says Rachel S. Rubin, MD.

“Those who were on this vaginal DHEA had a huge decrease in the prevalence of urinary tract infections in the 1 year after getting the prescription,” says Rachel S. Rubin, MD.

The findings held even when the investigators adjusted for age, past medical history, smoking status, and type of surgery.

The study also found a positive correlation between burnout and discrimination-based trauma in trainees.

Patients who underwent sacrocolpopexy and were discharged on post-op day 0 had fewer instances of readmissions and fewer high-grade (class III-IV) complications.

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"When we looked at those cumulative effects of these 3 characteristics: 65 years and older, 3 or more OAB symptoms, 4 or more comorbid conditions, the odds of screening positive were about 6-fold higher in women," says Steve R. Fisher, PhD, PT, GCS.

"About 30% of women screened positive, but of course when we looked at [the data] stratified by age, about 50% of women 65 years and older had a positive screen," says Steven R. Fisher, PhD, PT, GCS.

The courses from the American Urogynecologic Society allow urologists to earn CME credits on their own time.

This video accompanies a recently published case study of modified marsupialization for female urethral diverticula.

"If we do not see people that look like us in positions of leadership, that is not a field that we're going to want to enter," says Akanksha Mehta, MD, MS.

"We are caring for a variety of patients who do not look like the physicians who are providing care to them," says Akanksha Mehta, MD, MS.

"The [SWIU meeting] is a meeting that provides updates to all of our members about the exciting initiatives that the organization has been able to accomplish in the preceding year, as well as the initiatives that are planned for the subsequent year," says Akanksha Mehta, MD, MS.

“This fellowship was one of the first FPRMS fellowships and one of only three ever created which fully incorporated both urology and gynecology in a single training program,” said Roger Dmochowski, MD.