Aesthetics Q&A with Urologist Karen Elizabeth Boyle, M.D.Urologist Karen Elizabeth Boyle, M.D., F.A.C.S., discusses aesthetic challenges, what she would do differently if entering aesthetics today, and the impact of aesthetics on her practice's bottom line.
Detecting abnormalities, documenting optionsA California woman was 35-years-old when she delivered an infant with severe Down's syndrome and then sued all those involved with the prenatal care and alleged that both physicians were told the parents wanted all available testing because of a family history of birth defects. What's the verdict? Plus more cases.
Surgical expertise and outcomes of urinary tract endometriosisRetrospective analysis of data on women undergoing surgery for urinary tract endometriosis sheds new light on the role that the surgical team’s expertise has on patient outcome.
Use of biologic grafts in pelvic organ prolapse surgery
Use of biologic grafts in pelvic organ prolapse surgeryPelvic organ prolapse is a very prevalent condition, affecting up to half of all women over 50 years old. Biological grafts may be useful in certain patients but long-term trials are needed to guide their proper use.
Transvaginal mesh: past, present, and futurePatients need to help to separate fact from fiction.
Interstitial cystitis: Simplified diagnosis and treatment
Interstitial cystitis: Simplified diagnosis and treatmentInterstitial cystitis/bladder pain syndrome (IC/BPS) is now recognized as a common etiology in women with chronic pelvic pain.
Urogynecologists speak: FDA reclassification welcomeA January 4th action by the US Food and Drug Administration (FDA) reclassified transvaginal mesh implants for pelvic organ prolapse (POP) as class III (or high-risk) medical devices requiring premarket approval application (PMA).
Vaginal delivery and the pelvic floor: Outcomes of levator ani injury
Vaginal delivery and the pelvic floor: Outcomes of levator ani injuryMuscle stretch and distention during delivery lead to problems later in life.
Imaging innovation in urogynecologyEmploying a multidisciplinary approach to gain an understanding of these complex conditions and incorporating disciplines such as engineering, biomechanics, material and computer science, and the basic medical sciences will lead to advances in our field.
Did surgeon inexperience result in iatrogenic injury?On July 29, 2010, a 46-year-old obese primarily Spanish-speaking patient was admitted to a hospital by her private ob/gyn Dr. A for a total laparoscopic hysterectomy (TLH) and/or laparoscopically assisted vaginal hysterectomy (LAVH) that day.