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1. Defining mechanisms of recurrence following apical prolapse repair based on imaging criteria

Author

Bowen, Shaniel T, Moalli, Pamela A, Abramowitch, Steven D, Lockhart, Mark E, Weidner, Alison C, Ferrando, Cecile A, Nager, Charles W, Richter, Holly E, Rardin, Charles R, Komesu, Yuko M, Harvie, Heidi S, Mazloomdoost, Donna, Sridhar, Amaanti, Gantz, Marie G, Albo, Michael E, Alperin, Marianna, Columbo, Joann, Curry, Jodi, Ferrante, Kimberly, Herrala, Kyle, Johnson, Sherella, Kirby, Anna C, Lukacz, Emily S, Ruppert, Erika, Wasenda, Erika, Diwadkar, Gouri B, Dyer, Keisha Y, Mackinnon, Linda M, Menefee, Shawn A, Tan-Kim, Jasmine, Zazueta-Damian, Gisselle, Amundsen, Cindy, Bruton, Yasmeen, Coleman-Taylor, Notorious, Gilliam, Robin, Harris, Acacia, Hayes, Akira, Kawasaki, Amie, Longoria, Nicole, McLean, Shantae, Raynor, Mary, Siddiqui, Nazema, Visco, Anthony G, Ballard, Alicia, Carter, Kathy, Ellington, David, Patel, Sunita, Saxon, Nancy, Varner, R Edward, Willis, Velria, Carberry, Cassandra, Douglas, Samantha, Hampton, B Star, Korbly, Nicole, Meers, Ann S, Myers, Deborah L, Sung, Vivian W, Viscione, Elizabeth-Ann, Wohlrab, Kyle, Box, Karen, Dunivan, Gena, Jeppson, Peter, Middendorf, Julia, Rogers, Rebecca G, Arya, Lily, Andy, Uduak, Butler, Norman, Cain, Doris, Carney, Teresa, Flick, Lorraine, Khanijow, Kavita Desai, Kingslee, Michelle, Lee, Daniel, O’Donnell, Patricia, Smith, Ariana, Thompson, Donna, Bonidie, Michael, Gruss, Judy, Lowder, Jerry, Shepherd, Jonathan, Sutkin, Gary, Zyczynski, Halina M, Barber, Matthew, Dastoli, Kathleen, Edington, Maryori, Graham, Annette, Krishnan, Geetha, Jelovsek, Eric, Paraiso, Marie Fidela R, Pung, Ly, Ferrando, Cecile, Walters, Mark, Meikle, Susan, Burd, Andrew, Burdekin, Kate, Glass, Kendra, Grant, Tracey, and Grey, Scott

Subjects
Clinical Research, Clinical Trials and Supportive Activities, Aged, Female, Gynecologic Surgical Procedures, Humans, Hysterectomy, Vaginal, Imaging, Three-Dimensional, Magnetic Resonance Imaging, Middle Aged, Pelvis, Recurrence, Treatment Failure, Uterine Prolapse, hysteropexy, magnetic resonance imaging, pelvic organ prolapse, prolapse surgery, transvaginal mesh, vaginal hysterectomy, Eunice Kennedy Shriver National Institute of Child Health and Human Development Pelvic Floor Disorders Network, Paediatrics and Reproductive Medicine, Obstetrics & Reproductive Medicine
Abstract

BackgroundProlapse recurrence after transvaginal surgical repair is common; however, its mechanisms are ill-defined. A thorough understanding of how and why prolapse repairs fail is needed to address their high rate of anatomic recurrence and to develop novel therapies to overcome defined deficiencies.ObjectiveThis study aimed to identify mechanisms and contributors of anatomic recurrence after vaginal hysterectomy with uterosacral ligament suspension (native tissue repair) vs transvaginal mesh (VM) hysteropexy surgery for uterovaginal prolapse.Study designThis multicenter study was conducted in a subset of participants in a randomized clinical trial by the Eunice Kennedy Shriver National Institute of Child Health and Human Development Pelvic Floor Disorders Network. Overall, 94 women with uterovaginal prolapse treated via native tissue repair (n=48) or VM hysteropexy (n=46) underwent pelvic magnetic resonance imaging at rest, maximal strain, and poststrain rest (recovery) 30 to 42 months after surgery. Participants who desired reoperation before 30 to 42 months were imaged earlier to assess the impact of the index surgery. Using a novel 3-dimensional pelvic coordinate system, coregistered midsagittal images were obtained to assess study outcomes. Magnetic resonance imaging-based anatomic recurrence (failure) was defined as prolapse beyond the hymen. The primary outcome was the mechanism of failure (apical descent vs anterior vaginal wall elongation), including the frequency and site of failure. Secondary outcomes included displacement of the vaginal apex and perineal body and change in the length of the anterior wall, posterior wall, vaginal perimeter, and introitus of the vagina from rest to strain and rest to recovery. Group differences in the mechanism, frequency, and site of failure were assessed using the Fisher exact tests, and secondary outcomes were compared using Wilcoxon rank-sum tests.ResultsOf the 88 participants analyzed, 37 (42%) had recurrent prolapse (VM hysteropexy, 13 of 45 [29%]; native tissue repair, 24 of 43 [56%]). The most common site of failure was the anterior compartment (VM hysteropexy, 38%; native tissue repair, 92%). The primary mechanism of recurrence was apical descent (VM hysteropexy, 85%; native tissue repair, 67%). From rest to strain, failures (vs successes) had greater inferior displacement of the vaginal apex (difference, -12 mm; 95% confidence interval, -19 to -6) and perineal body (difference, -7 mm; 95% confidence interval, -11 to -4) and elongation of the anterior vaginal wall (difference, 12 mm; 95% confidence interval, 8-16) and vaginal introitus (difference, 11 mm; 95% confidence interval, 7-15).ConclusionThe primary mechanism of prolapse recurrence following vaginal hysterectomy with uterosacral ligament suspension or VM hysteropexy was apical descent. In addition, greater inferior descent of the vaginal apex and perineal body, lengthening of the anterior vaginal wall, and increased size of the vaginal introitus with strain were associated with anatomic failure. Further studies are needed to provide additional insight into the mechanism by which these factors contribute to anatomic failure.

Published
2021

2. Evaluation of Age- and Radical-Prostatectomy Related Changes in Male Pelvic Floor Anatomy Based on Magnetic Resonance Imaging and 3-Dimensional Reconstruction

Author

Tai, Jesse W, Sorkhi, Samuel R, Trivedi, Ishika, Sakamoto, Kyoko, Albo, Michael, Bhargava, Valmik, and Rajasekaran, Mahadevan Raj

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Biomedical Imaging, Urologic Diseases, Aging, Clinical Research, Contraception/Reproduction, Renal and urogenital, Atrophy, Erectile dysfunction, Urinary incontinence, Urologic surgical procedures, Reproductive medicine, Health services and systems, Public health
Abstract

PurposePuborectalis muscles (PRM) and ischiocavernosus muscles (ICM) play important roles in urinary continence and male erectile functions. Understanding of anatomy and surgical-injury related changes to these muscles is critical to monitor changes in continence or erectile function. Anatomical description of these muscles has undergone revisions because these conclusions were derived from cadavers. Our objectives were to: (i) elucidate male pelvic muscles by in-vivo magnetic resonance imaging (MRI) and 3-dimensional (3-D) reconstruction of these images and (ii) compare PRM and ICM thickness in healthy volunteers and symptomatic patients.Materials and methodsHealthy young male (mean age, 25 years; n=5), older male (age, 65-70 years; n=5), and post-prostatectomy patients with erectile dysfunction and urinary incontinence (age, 65-70 years; n=5) were scanned on a 3T-magnetic resonance scanner. Images were acquired from slices above urinary bladder base to urethra entry into penis. Pelvic bone, bladder/urethra, corpus cavernosum, ICM, PRM, and prostate were segmented. 3-D models of each structure were generated and assembled into composite images, and ICM and PRM thicknesses were calculated.ResultsWe successfully reconstructed 3-D male pelvic floor anatomy including ICM, PRM, bladder, urethra, bulbospongiosus, corpus cavernosa, prostate and bones from the two groups. We documented significant reduction in PRM and ICM thickness in older men.ConclusionsThis is perhaps the first 3-D reconstruction of male pelvic floor structures based on in-vivo MRI in healthy and symptomatic patients. Observed reduction in PRM and ICM thickness is possibly due to age-related atrophy.

Published
2021

3. Urinary Incontinence in Women: A Review

Author

Lukacz, Emily S, Santiago-Lastra, Yahir, Albo, Michael E, and Brubaker, Linda

Subjects
Aging, Clinical Trials and Supportive Activities, Digestive Diseases, Urologic Diseases, Clinical Research, Management of diseases and conditions, 7.3 Management and decision making, Renal and urogenital, Cholinergic Antagonists, Exercise, Female, Gynecologic Surgical Procedures, Humans, Life Style, Quality of Life, Suburethral Slings, Urinary Incontinence, Urinary Incontinence, Stress, Urinary Incontinence, Urge, Medical and Health Sciences, General & Internal Medicine
Abstract

ImportanceUrinary incontinence, the involuntary loss of urine, is a common health condition that may decrease quality of life. Ten to twenty percent of women and up to 77% of women residing in nursing homes have urinary incontinence, yet only 25% seek or receive treatment.ObservationsThis review summarizes the evaluation and therapeutic options for women affected by urinary incontinence. The initial assessment should focus on understanding the effect of incontinence on quality of life, the patient's goals and preferences for treatment, the results of previous treatments, and the presence of concomitant conditions, such as advanced pelvic organ prolapse, that may require referral. Infection and hematuria need to be ruled out. In the absence of urinary infection or serious underlying pathology (such as cancer or serious neurologic disease) associated with urinary incontinence, the clinician should initiate unsupervised pelvic muscle exercises and lifestyle modifications appropriate to the patient to reduce her symptoms. These recommendations can include weight loss, adequate hydration, avoidance of excessive fluids, and regular voiding intervals that reduce urgency incontinence episodes. Urgency incontinence medications, with timely reassessment of symptoms, can be started without extensive evaluation. Specialist treatments for urgency incontinence include onabotulinumtoxinA and percutaneous or implanted neuromodulators. Stress incontinence surgery, the midurethral sling, is associated with symptom improvement in 48% to 90% of women and has low rates of mesh complications (

Published
2017

4. Controlling faecal incontinence in women by performing anal exercises with biofeedback or loperamide: a randomised clinical trial

Author

Jelovsek, John Eric, Barber, Mathew D., Paraiso, Marie Fidela R., Walters, Mark D., Ridgeway, Beri, Gurland, Brooke, Zutshi, Massarat, Krishnan, Geetha, Pung, Ly, Graham, Annette, Sung, Vivian W., Myers, Deborah L., Rardin, Charles R., Carberry, Cassandra, Hampton, B. Star, Wohlrab, Kyle, Meers, Ann S., Visco, Anthony, Amundsen, Cindy, Weidner, Alison, Siddiqui, Nazema, Kawasaki, Amie, McLean, Shantae, Longoria, Nicole, Carrington, Jessica, Mehta, Niti, Harm-Ernandes, Ingrid, Maddocks, Jennifer, Pannullo, Amy, Markland, Alayne, Richter, Holly E., Varner, R. Edward, Holley, Robert, Lloyd, L. Keith, Wilson, Tracy S., Ballard, Alicia, McCormick, Jeannine, Willis, Velria, Saxon, Nancy, Carter, Kathy, Meikle, Susan, Nager, Charles, Albo, Michael, Lukacz, Emily, Furey, Cindy, Riley, Patricia, Columbo, JoAnn, Johnson, Sherella, Menefee, Shawn, Luber, Karl, Dyer, Keisha, Diwadkar, Gouri, Tan-Kim, Jasmine, Rogers, Rebecca G., Komesu, Yuko, Dunivan, Gena, Jeppson, Peter, Cichowski, Sara, Miller, Christy, Yane, Erin, Middendorf, Julia, Nava, Risela, Gantz, Marie G., Wallace, Dennis, Shaffer, Amanda, Pande, Poonam, Roney, Kelly, Carper, Benjamin, Whitworth, Ryan E., Warren, Lauren Klein, Wilson, Kevin A., Hair, Brenda, Glass, Kendra, Matthews, Daryl, Pickett, James W., Tang, Yan, Terry, Tamara L., Tatum, Lynda, Bibb, Barbara, Thornberry, Jutta, Zaterka-Baxter, Kristin, Morris, Lindsay, Arya, Lily, Smith, Ariana, Harve, Heidi, Andy, Uduak Umoh, Levin, Pamela, Newman, Diane K., Wang, Mary, Thompson, Donna, Carney, Teresa, Kingslee, Michelle, Flick, Lorraine, Zyczynski, Halina M., Moalli, Pam, Sutkin, Gary, Shepherd, Jonathan, Bonidie, Michael, Abo, Steven, Harrison, Janet, Chermansky, Christopher, Geraci, Lori, Gruss, Judy, Mislanovich, Karen, Eline, Ellen, Klump, Beth, George, Susan E., Whitehead, William E., Dickersin, Kay, Jiang, Luohua, Lavender, Missy, O'Dell, Kate, Ryan, Kate, Tulikangas, Paul, Kong, Lan, McClish, Donna, Rickey, Leslie, Shade, David, Tuteja, Ashok, Yount, Susan, Jelovsek, J Eric, Markland, Alayne D, Whitehead, William E, Barber, Matthew D, Newman, Diane K, Rogers, Rebecca G, Visco, Anthony G, Zyczynski, Halina M, Meikle, Susan F, Sung, Vivian W, and Gantz, Marie G

Published
2019
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5. Process for development of multicenter urodynamic studies

Author

Nager, Charles W, Albo, Michael E, Fitzgerald, Mary P, McDermott, Susan M, Kraus, Stephen, Richter, Holly E, and Zimmern, Philippe

Abstract

OBJECTIVES To describe our experiences with a continuous quality improvement process for the standardization of multicenter urodynamic studies (UDSs) in a multi-institutional network. Multicenter UDSs can have considerable variations in testing procedures, training, equipment, and reviewer biases. METHODS A quality control process was developed that included protocol development, certification of modynamic testers, central review to assess compliance with protocol and quality, protocol modifications, standardization of equipment and signal configuration, development of an electronic signal repository, and the development of UDS Interpretation Guidelines. RESULTS We describe our experience and process in the development and implementation of a standardized UDS protocol in a multicenter surgical trial for stress urinary incontinence. The process included our protocol development, quality control measures, standardization processes, electronic signal repository, and the need for UDS Interpretation Guidelines. A urodynamic testing procedures protocol was implemented successfully by 20 urodynamic testers at nine continence treatment centers. The protocol provides explicit and detailed guidelines for equipment, calibration, patient position, specific annotations, lay language bladder sensation parameters, visual leak point pressure techniques, modifications for prolapse, and data recording. A UDS Interpretation Guidelines document provides specific suggestions for validity and plausibility determination, expected ranges of urodynamic variables, and reasonable agreement of measuring systems. Both documents are available to urodynamic investigators on the Urinary Incontinence Treatment Network website (http://WWW.Llitn.net/resourcesforphysicians.htm). CONCLUSIONS Multicenter UDSs require a continuous quality improvement process and the development of UDS testing procedures and interpretation guidelines. (c) 2007 Elsevier Inc.

Published
2007

7. The Great Sling Debate: Which Type of Sling Is Best in the Index Stress Urinary Incontinence Patient?

Author

Klausner, Adam P., Albo, Michael E., Rovner, Eric S., and Sutherland, Suzette E.

Subjects
*URINARY stress incontinence, *MEDICAL slings, *SUBURETHRAL slings
Abstract

This article provides a historical overview of urology and emphasizes the importance of diversity, equity, and inclusion in the field. It specifically addresses the challenges faced by Black urologists and the limited access to care for Black patients. The article also discusses the upcoming AUA Annual Meeting, which will feature a debate on the best type of sling for stress urinary incontinence. Three types of slings are being discussed, and each expert presents their arguments for their preferred sling type. The article further explores the debate surrounding different types of slings used for the surgical treatment of female stress urinary incontinence, highlighting the tension between the traditional autologous pubovaginal sling and the more recent mesh mid-urethral sling. It concludes by stating that the single-incision sling is now recognized as an equally viable option for SUI treatment. [Extracted from the article]

Published
2024

10. Methods for a multicenter randomized trial for mixed urinary incontinence: rationale and patient-centeredness of the ESTEEM trial

Author

Sung, Vivian W., Borello-France, Diane, Dunivan, Gena, Gantz, Marie, Lukacz, Emily S., Moalli, Pamela, Newman, Diane K., Richter, Holly E., Ridgeway, Beri, Smith, Ariana L., Weidner, Alison C., Meikle, Susan, Barber, Mathew D., Jelovsek, J. Eric, Paraiso, Marie Fidela R., Walters, Mark D., Ridgeway, Beri, Gurland, Brooke, Zutshi, Massarat, Krishnan, Geetha, Pung, Ly, Graham, Annette, Sung, Vivian W., Myers, Deborah L., Rardin, Charles R., Carberry, Cassandra, Hampton, B. Star, Wohlrab, Kyle, Meers, Ann S., Visco, Anthony, Amundsen, Cindy, Weidner, Alison, Siddiqui, Nazema, Harm-Ernandes, Ingrid, Maddocks, Jennifer, McLean, Shantae, Richter, Holly, Markland, Alayne, Varner, R. Edward, Holley, Robert, Lloyd, L. Keith, Wilson, Tracy S., Ballard, Alicia, McCormick, Jeannine, Willis, Velria, Saxon, Nancy, Carter, Kathy, Burge, Julie, Meikle, Susan, Nager, Charles, Albo, Michael, Lukacz, Emily, Furey, Cindy, Riley, Patricia, Columbo, JoAnn, Johnson, Sherella, Menefee, Shawn, Luber, Karl, Dyer, Keisha, Diwadkar, Gouri, Tan-Kim, Jasmine, Rogers, Rebecca G., Komesu, Yuko, Dunivan, Gena, Jeppson, Peter, Cichowski, Sara, Miller, Christy, White, Barbara, Lee, Sue, Middendorf, Julia, Wallace, Dennis, Gantz, Marie G., Arya, Lily, Smith, Ariana, Harve, Heidi, Andy, Uduak Umoh, Levin, Pamela, Newman, Diane K., Wang, Mary, Thompson, Donna, Carney, Teresa, Kingslee, Michelle, Flick, Lorraine, Zyczynski, Halina, Moalli, Pam, Sutkin, Gary, Shepherd, Jonathan, Bonidie, Michael, Abo, Steven, Harrison, Janet, Geraci, Lori, Gruss, Judy, Mislanovich, Karen, Eline, Ellen, Klump, Beth, and for the Pelvic Floor Disorders Network

Published
2016
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20. Retropubic versus transobturator midurethral slings for stress incontinence

Author

Richter, Holly E., Albo, Michael E., Zyczynski, Halina M., Kenton, Kimberly, Norton, Peggy A., Sirls, Larry T., Kraus, Stephen R., Chai, Toby C., Lemack, Gary E., Dandreo, Kimberly J., Varner, R. Edward, Menefee, Shawn, Ghetti, Chiara, Brubaker, Linda, Nygaard, Ingrid, Khandwala, Salil, Rozanski, Thomas A., Johnson, Harry, Schaffer, Joseph, Stoddard, Anne M., Holley, Robert L., Nager, Charles W., Moalli, Pamela, Mueller, Elizabeth, Arisco, Amy M., Corton, Marlene, Tennstedt, Sharon, Chang, T. Debuene, Gormley, E. Ann, and Litman, Heather J.

Subjects
Urinary stress incontinence -- Care and treatment, Prostatectomy -- Comparative analysis, Prostatectomy -- Health aspects
Abstract

The study aims to evaluate and compare the efficacy of retropubic versus transobturator midurethral slings as a form of treatment for stress incontinence. The results indicate that both methods had similar effectiveness; however, the need to discuss the complications associated with both procedures with patients considering treatment is highlighted.

Published
2010

22. Burch colposuspension versus fascial sling to reduce urinary stress incontinence

Author

Albo, Michael E., Richter, Holly E., Brubaker, Linda, Norton, Peggy, Kraus, Stephen R., Zimmern, Philippe E., Chai, Toby C., Zyczynski, Halina, Diokno, Ananias C., Tennstedt, Sharon, Nager, Charles, Lloyd, Keith L., FitzGerald, MaryPat, Lemack, Gary E., Johnson, Harry W., Leng Wendy, Mallett, Veronica, Stoddard, Anne M., Menefee, Shawn, Varner, Edward R., Kenton, Kimberly, Moalli, Pam, Sirls, Larry, Dandreo, Kimberly J., Kusek, John W., Nyberg, Leroy M., and Steers, William

Subjects
Urinary stress incontinence -- Care and treatment, Urinary organs -- Surgery, Urinary organs -- Research, Urinary organs -- Usage
Abstract

Trials were performed to compare the efficacy and safety of the pubovaginal sling by using autologous rectus fascia and Burch colposuspension procedures 24 months after surgery. The autologous fascial sling showed a higher rate of successful treatment of stress incontinence but also greater morbidity than the Burch colposuspension.

Published
2007

26. A Randomized Trial of Urodynamic Testing before Stress-Incontinence Surgery

Author

Nager, Charles W., Brubaker, Linda, Litman, Heather J., Zyczynski, Halina M., Varner, Edward R., Amundsen, Cindy, Sirls, Larry T., Norton, Peggy A., Arisco, Amy M., Chai, Toby C., Zimmern, Philippe, Barber, Matthew D., Dandreo, Kimberly J., Menefee, Shawn A., Kenton, Kimberly, Lowder, Jerry, Richter, Holly E., Khandwala, Salil, Nygaard, Ingrid, Kraus, Stephen R., Johnson, Harry W., Lemack, Gary E., Mihova, Marina, Albo, Michael E., Mueller, Elizabeth, Sutkin, Gary, Wilson, Tracey S., Hsu, Yvonne, Rozanski, Thomas A., Rickey, Leslie M., Rahn, David, Tennstedt, Sharon, Kusek, John W., and Gormley, Ann E.

Published
2012
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27. CONTRIBUTORS

Author

Abrams, Paul, primary, Addis, Ilana Beth, additional, Akingba, Danita Harrison, additional, Albo, Michael E., additional, Al-Hayek, Samih, additional, Amundsen, Cindy, additional, Anderson, Rodney U., additional, Andersson, Karl-Erik, additional, Appell, Rodney A., additional, Artibani, Walter, additional, Atala, Anthony, additional, Bennett, Richard C., additional, Bent, Alfred, additional, Blaivas, Jerry G., additional, Bloom, David A., additional, Boone, Timothy Bolton, additional, Botros, Sylvia M., additional, Bourcier, Alain, additional, Boyadzhyan, Lousine, additional, Buffington, C. A. Tony, additional, Cardozo, Linda, additional, Cervigni, Mauro, additional, Cespedes, R. Duane, additional, Chapple, Christopher R., additional, Chen, Chi Chiung Grace, additional, Cole, Emily E., additional, Comiter, Craig V., additional, Cooperberg, Matthew, additional, Corcos, Jaques, additional, Daneshgari, Firouz, additional, de Groat, William, additional, DeLancey, John O.L., additional, Deng, Donna Y., additional, Dietz, Hans Peter, additional, DiMarco, Connie, additional, Diokno, Ananias, additional, Dmochowski, Roger Roman, additional, Dwyer, Neil T., additional, Eberli, Daniel, additional, Eilber, Karyn Schlunt, additional, Elbadawi, Ahmad, additional, Foster, Raymond T., additional, Fowler, Clare J., additional, Funk, Joel, additional, Germain, Michelle M., additional, Gilleran, Jason P., additional, Ginsberg, David Alan, additional, Goldberg, Roger P., additional, Goldstein, Irwin, additional, Gousse, Angelo E., additional, Govier, Fred E., additional, Groutz, Asnat, additional, Herschorn, Sender, additional, Hsiao, Ken, additional, Hsu, Yvonne, additional, Huckabay, Chad, additional, Hull, Tracy, additional, Itano, Nancy, additional, Johnson, Theodore M., additional, Karram, Mickey M., additional, Kieran, Kathleen, additional, Klausner, Adam P., additional, Klutke, Carl George, additional, Klutke, John J., additional, Kobashi, Kathleen C., additional, Kreder, Karl J., additional, Lai, Henry, additional, Latini, Jerilyn M., additional, Leach, Gary E., additional, Lee, Monica, additional, Lemack, Gary E., additional, Lesavoy, Malcolm A., additional, Macejko, Amanda M., additional, Maher, Mary Grey, additional, Manassero, Francesca, additional, Mancini, Mariangela, additional, McGuire, Edward J., additional, Moeller, Sarah E., additional, Moore, Courtenay K., additional, Mourtzinos, Arthur, additional, Moy, M. Louis, additional, Muir, Tristi W., additional, Natale, Franca, additional, Ng, Linda, additional, Nitti, Victor, additional, Norton, Peggy A., additional, O'Donnell, Pat D., additional, Ouslander, Joseph G., additional, Padmanabhan, Priya, additional, Paraiso, Maria Fidel, additional, Payne, Christopher Kennerly, additional, Petero, Virgilio G., additional, Peters, Kenneth M., additional, Petros, Peter E., additional, Podnar, Simon, additional, Pushkar, Dimitri U., additional, Rackley, Raymond Robert, additional, Raman, Steven S., additional, Rapkin, Andrea J., additional, Raz, Shlomo, additional, Robinson, Dudley, additional, Rodríguez, Larissa V., additional, Rooney, Christopher M., additional, Rosenblum, Nirit, additional, Rovner, Eric Scott, additional, Rueff, Sarah A., additional, Rutman, Matthew P., additional, Sand, Peter K., additional, Sandhu, Jaspreet S., additional, Schaeffer, Anthony J., additional, Shenot, Patrick J., additional, Sherman, Neil D., additional, Siegel, Steven W., additional, Sirls, Larry Thomas, additional, Smith, Christopher P., additional, Smith, Karen E., additional, Staskin, David, additional, Steers, William Donald, additional, Stoller, Marshall L., additional, Stothers, Lynn, additional, Takacs, Elizabeth B., additional, Tanagho, Emil, additional, Thüroff, Joachim W., additional, Rao Tunuguntla, Hari Siva Gurunadha, additional, Twiss, Christian, additional, Tyagi, Renuka, additional, Vasavada, Sandip P., additional, Walters, Mark, additional, Webster, George D., additional, Wein, Alan J., additional, Wesselmann, Ursula, additional, Wiesner, Christoph, additional, Zabihi, Nasim, additional, Zimmern, Philippe, additional, and Zutshi, Massarat, additional

Published
2008
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32. Behavioral Therapy to Enable Women with Urge Incontinence to Discontinue Drug Treatment: A Randomized Trial

Author

Burgio, Kathryn L., Kraus, Stephen R., Menefee, Shawn, Borello-France, Diane, Corton, Marlene, Johnson, Harry W., Mallett, Veronica, Norton, Peggy, FitzGerald, Mary P., Dandreo, Kimberly J., Richter, Holly E., Rozanski, Thomas, Albo, Michael, Zyczynski, Halina M., Lemack, Gary E., Chai, Toby C., Khandwala, Salil, Baker, Jan, Brubaker, Linda, Stoddard, Anne M., Goode, Patricia S., Nielsen-Omeis, Betsy, Nager, Charles W., Kenton, Kimberly, Tennstedt, Sharon L., Kusek, John W., Chang, T Debuene, Nyberg, Leroy M., and Steers, William

Published
2008

38. Determinants of vaginal length

Author

Tan, Jasmine S., Lukacz, Emily S., Menefee, Shawn A., Luber, Karl M., Albo, Michael E., and Nager, Charles W.

Subjects
Health
Abstract

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ajog.2006.06.063 Byline: Jasmine S. Tan (a), Emily S. Lukacz (a), Shawn A. Menefee (b), Karl M. Luber (b), Michael E. Albo (a), Charles W. Nager (a) Abstract: The purpose of this study was to describe quantitatively the associations between total vaginal length and demographic, historic, and physical characteristics. Author Affiliation: (a) University of California San Diego Medical Center (b) Kaiser Permanente Medical Center, San Diego, CA Article History: Received 16 January 2006; Revised 23 May 2006; Accepted 17 June 2006 Article Note: (footnote) Presented at the Thirty-Second Annual Meeting of the Society of Gynecologic Surgeons, April 3-5, 2006, Tucson, AZ.

Published
2006

39. Determinants of vaginal length

Author

Menefee, Shawn A., Albo, Michael E., and Nager, Charles W.

Subjects
Hysterectomy -- Analysis, Vagina -- Analysis, Pelvis -- Medical examination, Health
Abstract

The associations between total vaginal length (TVL) and various demographic, historic and physical characteristics are described. Results reveal that TVL is associated positively with height and weight, while advancing age, menopausal status, hysterectomy and reconstructive surgery are negatively associated with TVL, with all the associations being statistically significant but of unknown clinical significance.

Published
2006

41. Calcium channel antagonists prevent urinary bladder growth and neuroplasticity following mechanical stress

Author

Steers, William D., Albo, Michael, and Tuttle, Jeremy B.

Subjects
Calcium channel blockers -- Research, Bladder -- Growth, Neuroplasticity -- Observations, Biological sciences
Abstract

Ca2+ channel antagonists verapamil and diltiazem obstruct bladder and neuronal development in rats in response to 3 weeks of urethral blockage, confirming that cytosolic Ca2+ controls smooth muscle hypertrophy and growth factor production. Obstructed animals exhibit inhibition of 30-45% increase in bladder weight, protein and DNA content, by Ca2+ channel blockers.

Published
1994

48. PD54-05 DEMOGRAPHIC AND CLINICAL VARIABLES ASSOCIATED WITH TREATMENT RESPONSE IN WOMEN UNDERGOING ONABOTULINUMTOXINA AND SACRAL NEUROMODULATION

Author

Richter, Holly E, primary, Amundsen, Cindy, additional, Jelovsek, Eric, additional, Erickson, Stephen, additional, Komesu, Yuko, additional, Chermansky, Christopher, additional, Kadima, Norbert, additional, Myers, Deborah, additional, Harvie, Heidi, additional, Albo, Michael, additional, and Wallace, Dennis, additional

Published
2017
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50. A Muscle Man in Exile; David Barton leaves behind the culture he helped create

Author

Albo, Michael

Subjects
Personal trainers -- Appointments, resignations and dismissals -- Planning, Personal care industry -- Officials and employees -- Planning, General interest, News, opinion and commentary, Company business planning, Appointments, resignations and dismissals, Planning, Officials and employees
Abstract

Byline: Michael Albo In September, David Barton Gym released a statement saying that Barton, its founder and muscular nameplate, was leaving the company. It was a quiet announcement. A couple [...]

Published
2013

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