Article
Gastroenterology & Hepatology
Lori J. Tuttle, Ali Zifan, Jessica Swartz, Ravinder K. Mittal
Summary: The study found that biofeedback therapy incorporating concentric resistance exercise did not significantly improve anal sphincter muscle function or AI symptoms compared to traditional non-resistance biofeedback therapy.
NEUROGASTROENTEROLOGY AND MOTILITY
(2022)
Article
Gastroenterology & Hepatology
Sushmitha Grama Srinivasan, Anjani Muthyala, Mayank Sharma, Kelly Feuerhak, Andrea Boon, Kent R. Bailey, Adil E. Bharucha
Summary: This study found three possibly interrelated abnormalities in DD, including aberrant activation of abdominal muscles during squeeze in DD, dyscoordination of abdominal muscles during various tasks in constipated women, and abdomino-anal dyscoordination.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Gastroenterology & Hepatology
Mark M. Aloysius, Mark A. Korsten, Miroslav Radulovic, Kamaldeep Singh, Brian L. Lyons, Tradd Cummings, Joshua Hobson, Sandeep Kahal, Ann M. Spungen, William A. Bauman
Summary: This study investigated the effect of biofeedback on anorectal manometric parameters in patients with incomplete spinal cord injury. The results showed that the biofeedback training program did not improve these parameters. This suggests that the utility of biofeedback is limited in improving anorectal function in patients with incomplete spinal cord injury.
NEUROGASTROENTEROLOGY AND MOTILITY
(2023)
Review
Gastroenterology & Hepatology
Adil E. Bharucha, Guido Basilisco, Allison Malcolm, Tae Hee Lee, Matthew B. Hoy, S. Mark Scott, Satish S. C. Rao
Summary: Anorectal manometry is a comprehensive method for assessing anorectal sensorimotor functions, which is useful for diagnosing defecatory disorders and guiding management. The rectal balloon expulsion test is a convenient and cost-effective outpatient assessment tool for evaluating impaired evacuation.
NEUROGASTROENTEROLOGY AND MOTILITY
(2022)
Article
Gastroenterology & Hepatology
David O. Prichard, Jeffrey Fetzer
Summary: This study suggests that constipated men and women exhibit different recto-anal pressure patterns, with women being more prone to defecatory disorders and men being more likely to have abnormal balloon expulsion tests. These findings are independent of sex-specific physiological differences.
DIGESTIVE DISEASES AND SCIENCES
(2023)
Article
Medicine, General & Internal
Pankaj Garg, Vipul D. Yagnik, Baljit Kaur, Geetha R. Menon, Sushil Dawka
Summary: The TROPIS procedure, used for treating complex anal fistulas while preserving the external anal sphincter, may lead to incontinence due to division of the internal anal sphincter. Regular Kegel exercises postoperatively can help prevent or reduce incontinence caused by IAS division.
WORLD JOURNAL OF CLINICAL CASES
(2022)
Article
Gastroenterology & Hepatology
Matthieu Grasland, Nicolas Turmel, Camille Pouyau, Camille Leroux, Audrey Charlanes, Camille Chesnel, Frederique Le Breton, Samer Sheikh-Ismael, Gerard Amarenco, Claire Hentzen
Summary: The study aimed to test a simple, standardized protocol for measuring external anal sphincter (EAS) fatigue and fatigability to better understand its role in the pathophysiology of fecal incontinence. Results indicated that many patients with anorectal disorders experienced EAS fatigue. The protocol was found to be simple and minimally invasive for assessing EAS fatigue and fatigability.
JOURNAL OF NEUROGASTROENTEROLOGY AND MOTILITY
(2021)
Review
Gastroenterology & Hepatology
Satish S. C. Rao, Nitin K. Ahuja, Adil E. Bharucha, Darren M. Brenner, William D. Chey, Jill K. Deutsch, David C. Kunkel, Baharak Moshiree, Leila Neshatian, Robert M. Reveille, Gregory S. Sayuk, Jordan M. Shapiro, Eric D. Shah, Kyle Staller, Steven D. Wexner, Jason R. Baker
Summary: This article discusses the application and challenges of anorectal manometry (ARM) in the diagnosis and treatment of anorectal disorders. ARM can identify key pathophysiological abnormalities and is a critical component of biofeedback therapy. However, barriers to its utilization include a lack of education and training, challenges with testing protocols and interpretation, and confusion over billing practices.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2023)
Article
Gastroenterology & Hepatology
Charlotte Desprez, Guillaume Gourcerol, Celine Savoye-Collet, Valerie Bridoux, Thomas Duflot, Anne-Marie Leroi
Summary: This study investigated the relationship between anal sphincter function and faecal incontinence (FI) subtypes, finding that the anal sphincter distensibility index (DI) using the EndoFLIP(R) system displayed poor predictive performance in distinguishing among FI subtypes.
COLORECTAL DISEASE
(2022)
Article
Acoustics
Stig Norderval, Torunn K. Pedersen, Rowan J. Collinson
Summary: This study assessed the normal female external anal sphincter (EAS) length using 3D endoanal ultrasound, finding that in the normal anterior female anal canal, the EAS is either absent or appears with less than 50% of the thickness of the lateral and posterior EAS within the first 7.2 mm below the distal border of the puborectal muscle.
JOURNAL OF ULTRASOUND IN MEDICINE
(2021)
Article
Gastroenterology & Hepatology
L. Dekker, D. A. van Reijn-Baggen, I. J. M. Han-Geurts, R. J. F. Felt-Bersma
Summary: This study examined the correlation of anal pressures and the possibility to diagnose pelvic floor dyssynergia between digital rectal examination (DRE) and several anorectal function tests. The results showed a good correlation between DRE and sphincter tone measurement, but poor correlation with other anorectal function tests.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2023)
Article
Multidisciplinary Sciences
Jung Kwon Kim, Young Ju Lee, Hwanik Kim, Sang Hun Song, Seong Jin Jeong, Seok-Soo Byun
Summary: This study investigated the association between pelvic floor muscle strength and erectile function in a prospective observational cohort of 270 male volunteers. Age and maximal strength were identified as independent predictors for erectile dysfunction. Further prospective trials are needed to confirm these results.
SCIENTIFIC REPORTS
(2021)
Article
Obstetrics & Gynecology
Yan Yin, Yumin Zhang, Cheng Qian
Summary: This study aimed to investigate the association between delivery mode and the number of pregnancies with anorectal manometry data in patients with postpartum constipation. The findings showed no significant differences in manometry parameters between the two groups. However, patients with a spontaneous delivery had a lower change in maximal contracting sphincter pressure compared with those with a Cesarean section, indicating that Cesarean may preserve better push function during defecation.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Gastroenterology & Hepatology
Myeongsook Seo, Jiyoung Yoon, Kee Wook Jung, Segyeong Joo, Jungbok Lee, Kyung Min Choi, Hyo Jeong Lee, In Ja Yoon, Woojoo Noh, So Young Seo, Do Yeon Kim, Sung Wook Hwang, Sang Hyoung Park, Dong-Hoon Yang, Byong Duk Ye, Jeong-Sik Byeon, Suk-Kyun Yang, Seung-Jae Myung
Summary: Biofeedback therapy is widely used to treat chronic constipation patients, especially those with dyssynergic defecation. This study demonstrates that integrated pressurized volume parameters are better than conventional parameters in predicting responsiveness to biofeedback therapy, and the combination of these parameters and partial least squares regression is particularly promising. Integrated pressurized volume parameters can more effectively explain the physiology of the anorectal canal compared with conventional parameters.
JOURNAL OF NEUROGASTROENTEROLOGY AND MOTILITY
(2022)
Article
Pediatrics
Anna Maria Caruso, Denisia Bommarito, Vincenza Girgenti, Glenda Amato, Ugo Calabrese, Adele Figuccia, Fabio Baldanza, Francesco Grasso, Emanuela Giglione, Alessandra Casuccio, Mario Pietro Marcello Milazzo, Maria Rita Di Pace
Summary: This study analyzed anal sphincter activity in patients with anorectal malformation (ARM) using Three-Dimensional High Resolution Anorectal Manometry (3D-HRAM). The results revealed a correlation between manometric parameters and clinical outcomes, highlighting spinal malformations and ARM type as important prognostic risk factors for a bad outcome. Specific sphincteric defects can be explored with manometry, enabling tailored bowel management strategies.
Article
Obstetrics & Gynecology
Alayne D. Markland, Camille Vaughan, Alison Huang, Eunjung Kim, Vadim Y. Bubes, Vin Tangpricha, Julie Buring, I-Min Lee, Nancy Cook, JoAnn E. Manson, Francine Grodstein
Summary: This study found that vitamin D supplementation did not have a significant effect on the prevalence, incidence, or progression of urinary incontinence in older women.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Education, Scientific Disciplines
Faith Mueller, Margaret Brommelsiek, Gary Sutkin
Summary: This study investigates how surgeons view performance under pressure during high-risk surgical steps. Mental 3D visualization is essential for staying calm under pressure and building long-term surgical resilience. Recommendations include incorporating education on mental 3D visualization in residency curricula to promote adapting to risk in intraoperative environments.
JOURNAL OF SURGICAL EDUCATION
(2022)
Article
Surgery
Gary Sutkin, Eliza B. Littleton, Louise Arnold, Steven L. Kanter
Summary: This study identified six intraoperative teaching strategies based on sociocultural learning theories which aim to improve resident surgical autonomy by assessing learner needs, providing in-the-moment coaching, and debriefing about successes and struggles.
AMERICAN JOURNAL OF SURGERY
(2022)
Review
Urology & Nephrology
Ekene A. Enemchukwu, Leslee L. Subak, Alayne Markland
Summary: The study examines barriers to and facilitators of overactive bladder therapy initiation and adherence, highlighting the modifiable nature of common obstacles and the importance of patient-centered care. Further research is needed to develop low-cost, scalable solutions.
NEUROUROLOGY AND URODYNAMICS
(2022)
Article
Surgery
Margaret Brommelsiek, Tara Krishnan, Paul Rudy, Navin Viswanathan, Gary Sutkin
Summary: Machine sounds and human-caused sounds in the operating room have an impact on team communication and job performance, with human-caused sounds being rated as more disruptive. Surgical team training is recommended to minimize these distractions.
WORLD JOURNAL OF SURGERY
(2022)
Article
Surgery
Md A. Arif, Antonis P. Stylianou, Austin Bachar, Gregory W. King, Gary Sutkin
Summary: This study showed high test-retest reliability and adequate biofidelity of the modified trocar used in the midurethral sling surgery 3-dimensional surgery simulator. The innovative trocar can be used in simulation and in the operating room to assist novice surgeons in proper operation and help attending surgeons monitor surgical safety.
Article
Geriatrics & Gerontology
Rachel M. M. Skains, Yue Zhang, John D. D. Osborne, Tobias O'Leary, Mackenzie E. E. Fowler, Alayne Markland, Thomas W. W. Buford, Cynthia J. J. Brown, Richard E. E. Kennedy
Summary: HAD is a common complication during acute care hospitalizations in older adults, and many admissions are for ACSCs. The incidence of HAD is lower in older adults hospitalized for ACSCs compared to those hospitalized for other conditions. Treating ACSCs in outpatient settings may help reduce HAD.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Urology & Nephrology
Diane K. Newman, Jerry L. Lowder, Melanie Meister, Lisa K. Low, Colleen M. Fitzgerald, Cynthia S. Fok, Julia Geynisman-Tan, Emily S. Lukacz, Alayne Markland, Sara Putnam, Kyle Rudser, Ariana L. Smith, Janis M. Miller
Summary: The RISE FOR HEALTH national study aims to assess women's bladder health through annual surveys and in-person visits. To ensure a standardized pelvic muscle assessment, a comprehensive training program was developed, which included e-Learning modules and a hands-on certification session. The program successfully standardized the assessment across multiple research sites and can be applied in clinical or research settings.
NEUROUROLOGY AND URODYNAMICS
(2023)
Article
Urology & Nephrology
Colleen M. Fitzgerald, Cynthia Fok, Kim Kenton, Emily Lukacz, Alayne D. Markland, Melanie Meister, Diane K. Newman, Kyle Rudser, Elia G. Smith, Jean F. Wyman, Jerry L. Lowder
Summary: This study aims to describe the methods used for the in-person musculoskeletal (MSK) assessment in the RISE FOR HEALTH (RISE) study. Through standardized assessments, researchers can evaluate participants' core stability, lumbar spine pain, pelvic girdle pain, hip pain, and pelvic girdle function. The results of the assessment will provide insights into the relationship between musculoskeletal health and dysfunction and bladder health.
NEUROUROLOGY AND URODYNAMICS
(2023)
Article
Urology & Nephrology
Linda Brubaker, Julia Barthold, Colleen M. Fitzgerald, Kimberly Kenton, Cora E. Lewis, Jerry Lowder, Emily S. Lukacz, Alayne Markland, Melanie Meister, Janis Miller, Elizabeth R. Mueller, Kyle Rudser, Ariana L. Smith, Diane K. Newman
Summary: This study describes the methods used for the in-person assessment of the RISE FOR HEALTH (RISE) study, a population-based prospective cohort study. Participants undergo various physical assessments, including pelvic floor muscle assessments, musculoskeletal tests, and the Short Physical Performance Battery. They also provide samples for urogenital microbiome analysis. The data collected from this assessment will be used to prioritize future research and prevention strategies.
NEUROUROLOGY AND URODYNAMICS
(2023)
Article
Obstetrics & Gynecology
Faith Mueller, Md A. Arif, Austin Bachar, Gregory W. King, Antonis P. Stylianou, Gary Sutkin
Summary: This study quantified the accuracy of surgeons' estimation of the position of laparoscope during retropubic midurethral sling surgery using a pelvic simulation platform. The results showed that novice surgeons had a greater discrepancy in their estimation of the laparoscope's location compared to expert surgeons.
INTERNATIONAL UROGYNECOLOGY JOURNAL
(2023)
Letter
Geriatrics & Gerontology
Uduak Andy, Jaclyn Munoz, Nathanael Koelper, Yelizaveta Borodyanskaya, Charlene Compher, Nancy Ejike, Alayne Markland, Lily Arya
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Urology & Nephrology
Emily S. Lukacz, Chloe Falke, Julia Geynisman-Tan, Jean F. Wyman, Elizabeth R. Mueller, Alayne D. Markland, Leslie Rickey, Jerry L. Lowder, Kyle Rudser, Lisa Kane Low, Diane K. Newman
Summary: This study aims to investigate the prevalence of healthy bladder function in community-dwelling women, using bladder storage and emptying as indicators. The results show a very low prevalence of overall healthy bladder function, but most women had normal voiding frequency and denied pain or urinary leakage.
NEUROUROLOGY AND URODYNAMICS
(2023)
Article
Pharmacology & Pharmacy
Shishir Maharjan, Stefan G. Kertesz, Kaustuv Bhattacharya, Alayne Markland, Gerald McGwin, Yi Yang, John P. Bentley, Sujith Ramachandran
Summary: This study investigated the coprescribing patterns among older adults with chronic noncancer pain receiving long-term opioid therapy. The occurrence of coprescribing did not significantly increase during the study period, suggesting the need for further research on the drivers behind coprescribing and the safety of different patterns of use.
JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION
(2023)
Article
Urology & Nephrology
Sonya S. Brady, Andres Arguedas, Jared D. Huling, Gerhard Hellemann, Cora E. Lewis, Cynthia S. Fok, Stephen K. Van Den Eeden, Alayne D. Markland
Summary: This study aims to investigate whether characteristics of women's occupations may influence lower urinary tract symptoms (LUTS), and it finds that occupations characterized by manual labor, sales, service, nursing, and teaching are associated with greater LUTS and their impact.
NEUROUROLOGY AND URODYNAMICS
(2023)