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Prospective Study Of An Ultra-Lightweight Polypropylene Y Mesh For Robotic Sacrocolpopexy, Charbel Salamon, Christa Lewis, Jennifer Priestley, Emil Gurshumov, Patrick Culligan Oct 2013

Prospective Study Of An Ultra-Lightweight Polypropylene Y Mesh For Robotic Sacrocolpopexy, Charbel Salamon, Christa Lewis, Jennifer Priestley, Emil Gurshumov, Patrick Culligan

Jennifer L. Priestley

Introduction and hypothesis: To prospectively evaluate the use of a particular polypropylene Y mesh for robotic sacrocolpopexy. Methods: This was a prospective study of 120 patients who underwent robotic sacrocolpopexy. We compared preoperative and 12-month postoperative objective and subjective assessments via the Pelvic Organ Prolapse Quantification (POP-Q), the Pelvic Floor Distress Inventory, Short Form 20 (PFDI-20); the Pelvic Floor Impact Questionnaire, Short Form 7 (PFIQ-7); and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire 12 (PISQ-12). Objective 'anatomical success' was defined as POP-Q stage 0 or 1 at all postoperative intervals. We further defined 'clinical cure' by simultaneously considering POP-Q points …


A Randomized Clinical Trial Comparing Pelvic Floor Muscle Training To A Pilates Exercise Program For Improving Pelvic Muscle Strength, Patrick Culligan, Janet Scherer, Keisha Dyer, Jennifer Priestley, Geri Guingon-White, Donna Delvecchio, Margi Vangeli Oct 2013

A Randomized Clinical Trial Comparing Pelvic Floor Muscle Training To A Pilates Exercise Program For Improving Pelvic Muscle Strength, Patrick Culligan, Janet Scherer, Keisha Dyer, Jennifer Priestley, Geri Guingon-White, Donna Delvecchio, Margi Vangeli

Jennifer L. Priestley

Introduction and hypothesis The purpose of this study is to determine whether a Pilates exercise program and a pelvic floor muscle-training (PFMT) program could provide similar improvements in pelvic muscle strength. Methods Sixty-two women with little or no pelvic floor dysfunction were randomized to Pilates or PFMT. Each group had 24 biweekly 1-h sessions with either a physical therapist or Pilates instructor. Strength was measured via perineometry (cmH2O). Two questionnaires-pelvic floor distress inventory (PFDI-20) and pelvic floor impact questionnaire (PFIQ-7)-were also collected. Results At baseline, the Pilates and PFMT groups measured 14.9±12.5 and 12.5±10.4 cmH2O, respectively (p=0.41). Both the Pilates …


A Survey Of Complementary And Alternative Medicine Knowledge Among Health Educators In The United States, Ping Johnson, Jennifer Priestley, Roy Johnson Oct 2013

A Survey Of Complementary And Alternative Medicine Knowledge Among Health Educators In The United States, Ping Johnson, Jennifer Priestley, Roy Johnson

Jennifer L. Priestley

Background: Complementary and alternative medicine (CAM) is popular among U.S. health care consumers, but no study has examined how much health educators know about CAM. Purpose: To examine the knowledge of basic CAM concepts and common CAM therapies among health educators in the U.S. Methods: An online survey was conducted among 1,299 health educators with valid e-mails on a professional listserv. The response rate was 39%. The 16-item CAM knowledge scale yielded a Cronbach's alpha of .71. Results: Participating health educators were most knowledgeable about chiropractic and massage therapy, familiar with the general definition of CAM, understood whether acupuncture is …


Porcine Dermis Compared With Polypropylene Mesh For Laparoscopic Sacrocolpopexy: A Randomized Controlled Trial, Patrick Culligan, Charbel Salamon, Jennifer Priestley, Amir Shariati Oct 2013

Porcine Dermis Compared With Polypropylene Mesh For Laparoscopic Sacrocolpopexy: A Randomized Controlled Trial, Patrick Culligan, Charbel Salamon, Jennifer Priestley, Amir Shariati

Jennifer L. Priestley

OBJECTIVE: To compare the surgical outcomes 12 months after laparoscopic sacrocolpopexy performed with porcine dermis and the current gold standard of polypropylene mesh.METHODS: Patients scheduled for laparoscopic sacrocolpopexy were eligible for this randomized controlled trial. Both our clinical research nurse and the patients were blinded as to which material was used. Our primary end point was objective anatomic cure defined as no pelvic organ prolapse quantification (POP-Q) points Stage 2 or greater at any postoperative interval. Our sample size calculation called for 57 patients in each group to achieve 90% power to detect a 23% difference in objective anatomic cure …


Evaluation Of A Transvaginal Mesh Delivery System For The Correction Of Pelvic Organ Prolapse: Subjective And Objective Findings At Least 1 Year After Surgery, Patrick Culligan, Paul Littman, Charbel Salamon, Jennifer Priestley, Amir Shariati Oct 2013

Evaluation Of A Transvaginal Mesh Delivery System For The Correction Of Pelvic Organ Prolapse: Subjective And Objective Findings At Least 1 Year After Surgery, Patrick Culligan, Paul Littman, Charbel Salamon, Jennifer Priestley, Amir Shariati

Jennifer L. Priestley

Objective: We sought to track objective and subjective outcomes ≥1 year after transvaginal mesh system to correct prolapse. Study Design: This was a retrospective cohort study of 120 women who received a transvaginal mesh procedure (Avaulta Solo, CR Bard Inc, Covington, GA). Outcomes were pelvic organ prolapse quantification values; Pelvic Floor Distress Inventory, Short Form 20/Pelvic Floor Impact Questionnaire, Short Form 7 scores; and a surgical satisfaction survey. “Surgical failure” was defined as pelvic organ prolapse quantification point >0, and/or any reports of vaginal bulge. Results: Of 120 patients, 116 (97%) were followed up for a mean of 14.4 months …