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Article ; Online: Cosmetic and functional impact of fascia lata harvest for use in surgery for stress urinary incontinence.

Johnson, Colin / Vollstedt, Annah / Nakatsuka, Hannah / Orzel, Joanna / Takacs, Elizabeth B

2024

Abstract: Introduction: There has been increased interest in using autologous tissues since the Food and Drug Administration banned transvaginal mesh for pelvic organ prolapse in 2019. Our study aims to assess patients' perspective of functional and cosmetic ... ...

Abstract	Introduction: There has been increased interest in using autologous tissues since the Food and Drug Administration banned transvaginal mesh for pelvic organ prolapse in 2019. Our study aims to assess patients' perspective of functional and cosmetic impact on the fascia lata harvest site in patients undergoing fascia lata harvest for the treatment of stress urinary incontinence (SUI). Methods: This is a prospective survey study of a retrospective cohort of patients who underwent a fascia lata pubovaginal sling between 2017 and 2022. Participants completed a survey regarding the functional and cosmetic outcomes of the harvest site. Results: Seventy-two patients met the inclusion criteria. Twenty-nine patients completed the survey for a completion rate of 40.3%. For functional symptoms, 24.1% (7/29) of patients reported leg discomfort, 10.3% (3/29) reported leg weakness, 10.3% (3/29) reported a bulge, 17.2% (5/29) reported scar pain, 14.8% (4/27) reported scar numbness, and 17.2% (5/29) reported paresthesia at the scar. For cosmetic outcomes, 72.4% (21/29) reported an excellent or good scar appearance. On the PGI-I, 75.9% (22/29) reported their condition as very much better (48.3%, 14/29) or much better (27.6%, 8/29). Conclusions: The majority of patients reported being satisfied with the functional and cosmetic outcomes of their harvest site as well as satisfied with the improvement in their SUI. Less than 25% of patients report harvest site symptoms, including leg weakness, scar bulging, scar pain, scar numbness, or paresthesia in the scar. This is important in the context of appropriate preoperative discussion and counseling regarding fascia lata harvest.
Language	English
Publishing date	2024-04-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	604904-7
ISSN	1520-6777 ; 0733-2467
ISSN (online)	1520-6777
ISSN	0733-2467
DOI	10.1002/nau.25462
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Article ; Online: Update on Implantable PTNS Devices.

Vollstedt, Annah / Gilleran, Jason

Current urology reports

2020 Volume 21, Issue 7, Page(s) 28

Abstract: Purpose of review: There is growing evidence supporting the use of percutaneous tibial nerve stimulation to manage lower urinary tract symptoms (LUTS) such as urgency, frequency and urge incontinence, in a non-pharmacologic, minimally invasive approach. ...

Abstract	Purpose of review: There is growing evidence supporting the use of percutaneous tibial nerve stimulation to manage lower urinary tract symptoms (LUTS) such as urgency, frequency and urge incontinence, in a non-pharmacologic, minimally invasive approach. Given this, there is now an impetus to move this technology forward from an interval (i.e., weekly and/or monthly) toward a continuous dosing, using implantable devices. This review article focuses on the newest implantable devices and the most current data demonstrating safety and efficacy in the management of refractory overactive bladder. Recent findings: There are new studies showing that continuous (or even semi-continuous) stimulation of the tibial nerve can be of similar efficacy as other chronic neural implant devices, such as sacral neuromodulation. This includes the Blue Wind Renova, StimGuard, eCoin, and Bioness Stimrouter. While the data on these devices are still short-term, implantable tibial nerve stimulation holds promise in the field of managing LUTS and pelvic floor disorders. Durability and minimizing migration remain challenging.
MeSH term(s)	Electric Stimulation Therapy/adverse effects ; Electric Stimulation Therapy/instrumentation ; Humans ; Implantable Neurostimulators ; Tibial Nerve ; Urinary Bladder, Overactive/therapy
Language	English
Publishing date	2020-05-28
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2057354-6
ISSN	1534-6285 ; 1527-2737
ISSN (online)	1534-6285
ISSN	1527-2737
DOI	10.1007/s11934-020-00980-5
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Article ; Online: Beyond Prevalence: Annual Cumulative Incidence of Kidney Stones in the United States.

Tundo, Gina / Vollstedt, Annah / Meeks, William / Pais, Vernon

The Journal of urology

2021 Volume 205, Issue 6, Page(s) 1704–1709

Abstract: Purpose: It is well documented that the prevalence of nephrolithiasis is increasing in adults in the United States over time. Approximately 11% of men and 7% of women have reported a lifetime history of nephrolithiasis in cross-sectional studies. ... ...

Abstract	Purpose: It is well documented that the prevalence of nephrolithiasis is increasing in adults in the United States over time. Approximately 11% of men and 7% of women have reported a lifetime history of nephrolithiasis in cross-sectional studies. However, the burden of acute management may be better assessed from annual cumulative incidence. This accounting of new stone occurrences, however, is not well described on a national scale. Materials and methods: The Medical Expenditure Panel Survey is a set of large-scale health care utilization surveys of families, individuals, their health care providers and employers, with surveys administered every 6 months for the duration of each individual's 2-year panel. We queried the survey data of adult participants between 2005 and 2015, with analysis conducted with provided weights and strata to allow our findings to be representative of the civilian noninstitutionalized U.S. adult population. Those with diagnosed renal or ureteral calculi as noted by ICD-9 codes were included as our incident stone formers. Results: In 2005, the mean age of stone formers was 45 years. Of stone formers 52.2% were male, 91% were White and 47.6% were in the Southern U.S. The incidence of stone occurrences was 0.6% (177/33,961 individuals, weighted to represent population of 1,923,322/296,185,002 individuals). By 2015, the mean age was 51.7 years, with 52% male, 83% White and 38.2% residing in the Southern U.S. Between 2005 and 2015, the overall incidence increased from 0.6% to 0.9% (p <0.001). Conclusions: Based on this large-scale, nationally representative analysis of adults in the United States, the estimated annual cumulative incidence of stone occurrence is approaching 1%. Moreover, this incidence appears to be increasing over time, rising from 0.6% in 2005 to 0.9% in 2015. These data may help to better anticipate the need for urological care for stone disease and direct resource distribution.
MeSH term(s)	Adult ; Cohort Studies ; Female ; Humans ; Incidence ; Kidney Calculi/epidemiology ; Male ; Middle Aged ; Prevalence ; Time Factors ; United States/epidemiology
Language	English
Publishing date	2021-01-27
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	3176-8
ISSN	1527-3792 ; 0022-5347
ISSN (online)	1527-3792
ISSN	0022-5347
DOI	10.1097/JU.0000000000001629
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Ui VI Zs.91: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Evaluation of ChatGPT for Pelvic Floor Surgery Counseling.

Johnson, Colin M / Bradley, Catherine S / Kenne, Kimberly A / Rabice, Sarah / Takacs, Elizabeth / Vollstedt, Annah / Kowalski, Joseph T

Urogynecology (Philadelphia, Pa.)

2024 Volume 30, Issue 3, Page(s) 245–250

Abstract: Importance: Large language models are artificial intelligence applications that can comprehend and produce human-like text and language. ChatGPT is one such model. Recent advances have increased interest in the utility of large language models in ... ...

Abstract	Importance: Large language models are artificial intelligence applications that can comprehend and produce human-like text and language. ChatGPT is one such model. Recent advances have increased interest in the utility of large language models in medicine. Urogynecology counseling is complex and time-consuming. Therefore, we evaluated ChatGPT as a potential adjunct for patient counseling. Objective: Our primary objective was to compare the accuracy and completeness of ChatGPT responses to information in standard patient counseling leaflets regarding common urogynecological procedures. Study design: Seven urogynecologists compared the accuracy and completeness of ChatGPT responses to standard patient leaflets using 5-point Likert scales with a score of 3 being "equally accurate" and "equally complete," and a score of 5 being "much more accurate" and much more complete, respectively. This was repeated 3 months later to evaluate the consistency of ChatGPT. Additional analysis of the understandability and actionability was completed by 2 authors using the Patient Education Materials Assessment Tool. Analysis was primarily descriptive. First and second ChatGPT queries were compared with the Wilcoxon signed rank test. Results: The median (interquartile range) accuracy was 3 (2-3) and completeness 3 (2-4) for the first ChatGPT query and 3 (3-3) and 4 (3-4), respectively, for the second query. Accuracy and completeness were significantly higher in the second query (P < 0.01). Understandability and actionability of ChatGPT responses were lower than the standard leaflets. Conclusions: ChatGPT is similarly accurate and complete when compared with standard patient information leaflets for common urogynecological procedures. Large language models may be a helpful adjunct to direct patient-provider counseling. Further research to determine the efficacy and patient satisfaction of ChatGPT for patient counseling is needed.
MeSH term(s)	Humans ; Artificial Intelligence ; Pelvic Floor/surgery ; Counseling ; Language ; Medicine
Language	English
Publishing date	2024-03-07
Publishing country	United States
Document type	Journal Article
ISSN	2771-1897
ISSN (online)	2771-1897
DOI	10.1097/SPV.0000000000001459
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Author Reply.

Vollstedt, Annah / Hougen, Helen Y / Gupta, Priyanka / Johans, Carrie / Baldea, Kristin G

Urology

2022 Volume 168, Page(s) 26

Language	English
Publishing date	2022-09-28
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	192062-5
ISSN	1527-9995 ; 0090-4295
ISSN (online)	1527-9995
ISSN	0090-4295
DOI	10.1016/j.urology.2022.02.044
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Zs.A 1142: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Gender-Based Pay Gap in Urology: A Review of the Literature and Potential Solutions.

Vollstedt, Annah / Hougen, Helen Y / Gupta, Priyanka / Johans, Carrie / Baldea, Kristin G

Urology

2022 Volume 168, Page(s) 21–26

Abstract: Studies have repeatedly demonstrated salary-based gender disparities in the field of Urology. These disparities persist even when accounting for contributing factors such as years of experience, hours worked, and practice setting, suggesting that ... ...

Abstract	Studies have repeatedly demonstrated salary-based gender disparities in the field of Urology. These disparities persist even when accounting for contributing factors such as years of experience, hours worked, and practice setting, suggesting that inherent gender bias exists. In addition to salary discrepancies, female urologists are also less likely to be promoted and less likely to hold leadership positions as compared to male urologists. We review the data supporting these disparities and provide tangible, evidence-based solutions for the field of Urology going forward.
MeSH term(s)	Humans ; Female ; Male ; Urology ; Sexism ; Urologists ; Salaries and Fringe Benefits
Language	English
Publishing date	2022-05-15
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	192062-5
ISSN	1527-9995 ; 0090-4295
ISSN (online)	1527-9995
ISSN	0090-4295
DOI	10.1016/j.urology.2022.02.040
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Article ; Online: A modified Altis

Friedman, Brett J / Nguyen, Jennifer / Vollstedt, Annah / Diaz, Mireya / Hoang Roberts, Ly / Sirls, Larry T

International urology and nephrology

2022 Volume 54, Issue 2, Page(s) 241–247

Abstract: Objectives: The transobturator mid-urethral Altis: Methods: In this single-surgeon experience, retrospective chart review, demographic and clinical data were collected on patients who received the Altis: Results: Altis: Conclusions: This ... ...

Abstract	Objectives: The transobturator mid-urethral Altis Methods: In this single-surgeon experience, retrospective chart review, demographic and clinical data were collected on patients who received the Altis Results: Altis Conclusions: This modification of the Altis
MeSH term(s)	Aged ; Female ; Humans ; Middle Aged ; Postoperative Care ; Prosthesis Design ; Retrospective Studies ; Suburethral Slings ; Time Factors ; Treatment Outcome ; Urinary Incontinence, Stress/surgery
Language	English
Publishing date	2022-01-04
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	204048-7
ISSN	1573-2584 ; 0301-1623 ; 0042-1162
ISSN (online)	1573-2584
ISSN	0301-1623 ; 0042-1162
DOI	10.1007/s11255-021-03081-5
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Article ; Online: Extent of Lymphadenectomy at Time of Prostatectomy: An Evidence-Based Approach.

Vollstedt, Annah / Hyams, Elias

The Urologic clinics of North America

2017 Volume 44, Issue 4, Page(s) 587–595

Abstract: Pelvic lymph node dissection (PLND) at the time of radical prostatectomy is the most accurate method of lymph node staging in prostate cancer. Although there are varied practices in anatomic extent of PLND, evidence favors an extended PLND (ePLND) ... ...

Abstract	Pelvic lymph node dissection (PLND) at the time of radical prostatectomy is the most accurate method of lymph node staging in prostate cancer. Although there are varied practices in anatomic extent of PLND, evidence favors an extended PLND (ePLND) including external iliac, obdurator, and internal iliac nodes. Removing presacral and/or common iliac nodes to the ureteric crossing can improve staging. The oncologic benefits of extended dissection are unclear based on methodologic limitations and bias in the available evidence. Diverse nomograms may clarify which patients warrant ePLND. Higher level evidence is needed to clarify the therapeutic effects of ePLND and who benefits most.
MeSH term(s)	Evidence-Based Medicine/methods ; Humans ; Lymph Node Excision/methods ; Lymph Nodes/pathology ; Lymph Nodes/surgery ; Lymphatic Metastasis ; Male ; Neoplasm Grading/methods ; Prostatectomy/methods ; Prostatic Neoplasms/diagnosis ; Prostatic Neoplasms/secondary ; Prostatic Neoplasms/surgery
Language	English
Publishing date	2017-11
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	192293-2
ISSN	1558-318X ; 0094-0143
ISSN (online)	1558-318X
ISSN	0094-0143
DOI	10.1016/j.ucl.2017.07.007
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Article ; Online: Maternity Leave Satisfaction Among Physicians Compared with Nonphysician Professionals.

Hoang Roberts, Ly N / Zwaans, Bernadette M M / Vollstedt, Annah / Sharrak, Aryana / Han, Esther / Fischer, Melissa / Sirls, Larry / Padmanabhan, Priya

Journal of women's health (2002)

2023 Volume 33, Issue 1, Page(s) 33–38

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	Adult ; Female ; Humans ; Infant, Newborn ; Pregnancy ; Mothers ; Parental Leave ; Personal Satisfaction ; Physicians ; Postpartum Period ; United States
Language	English
Publishing date	2023-08-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	1139774-3
ISSN	1931-843X ; 1059-7115 ; 1540-9996
ISSN (online)	1931-843X
ISSN	1059-7115 ; 1540-9996
DOI	10.1089/jwh.2023.0054
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Article: Increasing stone complexity does not affect fluoroscopy time in percutaneous nephrolithotomy.

Vollstedt, Annah / Ingimarsson, Johann / Dagrosa, Lawrence / Pais, Vernon

Therapeutic advances in urology

2019 Volume 11, Page(s) 1756287219840218

Abstract: Background: The aim of this work was to assess whether stone complexity with the Guy's stone score (GSS) is associated with increased intraoperative fluoroscopy time.: Methods: We retrospectively reviewed records of 261 consecutive patients ... ...

Abstract	Background: The aim of this work was to assess whether stone complexity with the Guy's stone score (GSS) is associated with increased intraoperative fluoroscopy time. Methods: We retrospectively reviewed records of 261 consecutive patients undergoing percutaneous nephrolithotomy between 2007 and 2015. Of these, 203 had both preoperative computed tomography for accurate staging and full intraoperative fluoroscopy and radiation dosimetry data were available. Stone complexity was assessed using GSS. A correlation between fluoroscopy time (FT) and GSS was assessed in a univariate and multivariate fashion, including parameters such as age, sex, body mass index (BMI), and number of accesses. Results: The overall mean FT was 3.69 min [standard deviation (SD) 2.77]. The overall mean Guy's score was 2.5 (SD 1). There was a statistically significant correlation between operative time and FT ( Conclusions: In the setting of conscious efforts to reduce intraoperative radiation exposure, increasing stone complexity, as classified by GSS, did not correlate with FT on univariate or multivariate analysis. Thus, treatment of more complex stones may be undertaken without concern that there is an inevitable need for significantly increased fluoroscopy exposure to the patient or operating room staff.
Language	English
Publishing date	2019-04-04
Publishing country	England
Document type	Journal Article
ZDB-ID	2492591-3
ISSN	1756-2880 ; 1756-2872
ISSN (online)	1756-2880
ISSN	1756-2872
DOI	10.1177/1756287219840218
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