SUFU 2021: Effect of the School Environment on the Presence of Lower Urinary Tract Symptoms in Adolescents

( This was a cross-sectional, quantitative survey of adolescents to ascertain their perspective on urinary habits during school. The age of these volunteers ranged from 12-17 and they were recruited via ResearchMatch, a national health volunteer registry. A total of 2,627 volunteers received an email request to complete the survey with 39 completing the survey for a response rate of 1.5% (16 males, 23 females, mean age of 16.4 ± 1.7).

SUFU 2021: Does Percutaneous Tibial Nerve Stimulation Predict Outcome to Sacral Nerve Stimulation?

( This was a retrospective review of hospital databases since 2014 to collect all patients who had percutaneous tibial nerve stimulation (PTNS) and who subsequently had a sacral nerve stimulation (SNS) trial performed in two tertiary hospitals with the aim to determine if PTNS response is a reliable indicator to subsequent SNS trials.

SUFU 2021: Distinguishing Features of the Urinary Bacterial Microbiome in Patients With Neurogenic Bladder

( This was a prospective cross-sectional study of individuals with neurogenic bladder who performed intermittent catheterization (CIC, n=51) or utilized an indwelling catheter (n=16) that aimed to characterize the microbiota and to evaluate differences based on the type of bladder management or frequency of symptomatic urinary tract infections (UTI).

SUFU 2021: Disparity in Female Pelvic Examination in the Evaluation of Lower Urinary Tract Symptoms

( The primary objective of this study was to investigate the disparity of pelvic and genitourinary (GU) exams between male and female patients who present with lower urinary tract symptoms (LUTS), urinary tract infection (UTI), and other urological conditions as well as, assess for predictors of undergoing pelvic examination. This was a retrospective chart review performed for female and male patients from October 2016 to December 2018.

SUFU 2021: Differences in Cystoscopic Findings Between Men and Women With Interstitial Cystitis in the VA Healthcare System

( The aim of this retrospective chart review was to determine if there were differences in cystoscopic findings between genders. All hospital visits of men and women at the Veteran Health Affairs Hospital System between October 2004 – July 2016 were analyzed.

SUFU 2021: Diagnostic and Surgical Management of Female Urethral Diverticulum: The Challenge of an Infrequent Pathology

( The aim of this study is to present a case series of patients who underwent diagnosis and subsequent surgical management of urethral diverticulum (UD). A retrospective study of a prospective database of our urogynecology unit between 2016-2019 identified sixteen patients.

SUFU 2021: Developing a Urinary Incontinence Screening Tool for the Use in Primary Care: Trials and Tribulations

( This study sought to determine the percentage of women with bothersome urinary incontinence (UI) who actually discussed their condition with their primary care provider (PCP). This study also investigated the feasibility of screening for UI in a primary care setting within a tertiary healthcare system.

SUFU 2021: Comparison of Urogynecologic Training Among Us Urology and Obstetrics and Gynecology Residents

( The aim of this study was to evaluate the resident experience in female pelvic medicine and reconstructive surgery (FPMRS) procedures between programs and between Urology and Gynecology specialties to assess differences in training. An anonymous survey was sent via email to chief residents graduating from Urology and OB/GYN programs in 2020.

SUFU 2021: Community Perception of Natural Supplements in the Treatment of Interstitial Cystitis/Bladder Pain Syndrome

( Natural supplements are alternative treatments commonly used by patients with interstitial cystitis/bladder pain syndrome (IC/BPS). But they lack effective research. The aim of this anonymous 40 question online survey, posted to the Interstitial Cystitis Association’s Facebook page, was to better understand the IC/BPS community’s perception of the use of supplements to treat their symptoms.

SUFU 2021: Clinical Hypnosis Reduces Lower Urinary Tract Symptoms in Patients With Chronic Pain

( Clinical hypnosis is an intervention used to support the management of chronic pain and illness and there is some data to suggest that it can reduce urinary frequency. This is an interesting study as it involved 8-session hypnosis treatment in patients (n=74) with chronic pain from diffuse musculoskeletal pain to rheumatologic, urologic, and neuropathic pain.

SUFU 2021: Toileting Behaviors in Adult Women with Recurrent Urinary Tract Infections in a Large Cross Sectional Survey Study

( The aim of this secondary analysis was to assess whether women with recurrent urinary tract infections (rUTIs) report more unhealthy bladder and bowel habits. The sample was 6,074 non-institutionalized, adult U.S. women recruited through online ResearchMatch. Women completed validated questionnaires assessing demographic and clinical history, toileting behaviors (TB-WEB), urinary symptoms (ICIQ-FLUTS), and bowel habits (ICIQ-BS). Subjects were excluded if they were pregnant, used a urinary catheter, or had a history of cystectomy, neurogenic bladder, or neurological disorder.

SUFU 2021: Patient Perspectives Undergoing Same-Day Discharge for Apical Pelvic Organ Prolapse Repair Surgery During COVID-19 Pandemic

( As COVID shut down most elective procedures so as to minimize hospitalizations, many tertiary health care systems implemented strategies to ensure patient safety and satisfaction while preserving the quality of care. One such strategy reported here was same-day discharge (SDD) following transvaginal and minimally invasive apical pelvic organ prolapse (POP) repair surgery. Usually, these patients are kept overnight, to limit hospital stay.

SUFU 2021: Barriers to Completion of Voiding Diary in Patients With Overactive Bladder

( The primary aim of this study was to report the percent of patients completing a voiding diary. A secondary aim was to assess what factors may predict diary completion. This was a prospective cohort study of 93 patients undergoing workup for overactive bladder (OAB).

SUFU 2021: Stress Urinary Incontinence: Better Defining the Context of Leakage Among Physical Activities

( A web-based survey of women recruited through ResearchMatch, a national online registry, was performed using the newly developed Lower Urinary Tract Research Network-Symptom Index (LURN-SI-29) and the International Physical Activity Questionnaire-Short Form (IPAQSF). Additional questions were included to understand typical exercise frequency, lower urinary tract symptoms (LUTS) during physical activities, and adaptive behaviors.

SUFU 2021: Toileting Behavior in the Gig Economy: Understanding the Genitourinary Impact For the New Workforce

( The authors note that there is very little data on genitourinary habits of those engaged in gig work. Gig workers have limited access to restrooms, work in a business where profit is based on timely production, and this industry lacks consistent labor protections. The objective was to determine whether gig workers experience a self-reported change in urinary symptoms after starting a sedentary versus active gig position.

SUFU 2021: Short-Term Outcomes of Periurethral Injection of Polyacrylamide Hydrogel (Bulkamid®) for Stress Urinary Incontinence with Intrinsic Sphincter Deficiency, Post Mid-Urethral Sling, and Post Mesh Sling Excision

( Polyacrylamide Hydrogel (PAHG), Bulkamid®, is a non-particle-based urethral bulking agent that has demonstrated longer-term durability compared to other bulking agents. This study examined short-term outcomes of PAGH injection in an initial cohort, specifically looking at women with intrinsic sphincter deficiency (ISD), post mesh sling excision, and/or refractory stress urinary incontinence (SUI).

SUFU 2021: Trends In Diagnostic Workup and Surgical Management For Recurrent Urinary Tract Infections

( There is variability in the evaluation, treatment, and referral patterns for recurrent urinary tract infections (rUTI). This group sought to analyze patterns in the workup and surgical management of rUTI at their institution. Data collected included demographics, provider specialty, and workup, including the performance of genitourinary exam, urodynamic evaluation, cystoscopy, and imaging and if the patient underwent a surgical procedure and type.

SUFU 2021: Underactive Bladder or Detrusor Underactivity? Evaluation and Treatment Update

( Underactive bladder (UAB) has been under-discussed and under-researched for years, despite the fact it is common, severe, and lacks effective treatment.  It is one of the greatest areas of unmet need and yet has the greatest opportunity for advancement in functional urology. Dr. Christopher Chapple recommended the 2020 review by Mike Chancellor. The etiology of UAB is complex, many times there is no diagnosis or cause and it is termed “idiopathic” detrusor underactivity. Detrusor underactivity (DUA or DU) is diagnosed by urodynamics based on pressure-flow characterized by low-pressure, and/or poorly sustained detrusor contraction in combination with low urinary flow.

SUFU 2021: The Role of Pessaries in the Treatment of Women with Stress Urinary Incontinence: A Systematic Review

( Vaginal pessaries are a viable non-surgical treatment option especially as complications associated with mesh used in the surgical treatment of stress urinary incontinence (SUI) are of concern to providers and women.

SUFU 2021: Evaluating the Association of Frailty and Racial and Socioeconomic Disparities on Postoperative Complications Among Patients Undergoing Apical Pelvic Organ Prolapse Surgery

( The study’s aim was to show how frailty affects perioperative complications in women undergoing pelvic organ prolapse (POP) surgery. They sought to determine (1) the role of frailty on postoperative complications and (2) the association of racial and socioeconomic differences between frailty and postoperative complications among women undergoing apical prolapse repair.