Changes In Body Image Research Articles

Female genital prolapse

Female genital prolapse is a common presentation to general practice. Although frequently asymptomatic, genital prolapse causes some women significant, distressing and debilitating symptoms. Discomfort and feeling a ‘lump or bulge’ in the vagina or ‘something coming down’ is the most commonly reported symptom. Urinary and bowel dysfunction, including frequency and incontinence can occur and dyspareunia, change in body image and psychological symptoms are common. All of these can have detrimental effects on a woman’s wellbeing, quality of life and relationships. Multiple treatment strategies exist for prolapse, including reassurance, pelvic floor muscle training, pessary use and surgery. These can be discussed to facilitate a shared decision about the right management strategy with the patient. This article aims to give an overview of female genital prolapse and its management, and to increase knowledge and confidence for management of the condition in primary care.

Effect of Psychological Intervention on Pelvic Floor Function and Psychological Outcomes After Hysterectomy.

BackgroundHysterectomy is one of the most frequently performed operations worldwide. However, postoperative complications and body image changes may induce psychological distress after hysterectomy. The study aimed to evaluate the effect of psychological intervention on pelvic floor function and psychological outcomes following hysterectomy among patients with benign indications.MethodsNinety-nine patients underwent hysterectomy were randomly divided into intervention group (n = 50) and control group (n = 49). Patients in the control group received routine postoperative nursing care, while extra psychological intervention was provided to patients in the intervention group, including psychological support, regular lectures and family support. After 6 months, patient's psychological statuses were assessed by Generalized Anxiety Disorder scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). The pelvic floor function of patients was evaluated using Pelvic Floor Impact Questionnaire (PFIQ-7) and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Furthermore, the incidence of postoperative complications, including uracratia, pelvic organ prolapses, sexual dysfunction and chronic pelvic pain, was evaluated.ResultsAfter 6-month intervention, the GAD-7 and PHQ-9 scores were significantly decreased in the intervention group (p < 0.001 and p = 0.018 respectively). Both scored were significantly lower than that in the control group (p < 0.001 and p < 0.001). Compared with control group, the incidence of uracratia, pelvic organ prolapse, sexual dysfunction and chronic pelvic pain for intervention group was significantly lower (p = 0.003, p = 0.027, p = 0.001, p = 0.002 respectively) and the pelvic floor muscle strength was significantly stronger (p = 0.001). Besides, the postoperative Urinary Incontinence Impact Questionnaire (UIQ-7), Pelvic Organ Prolapse Impact Questionnaire (POPIQ-7), and Colorectal-Anal Impact Questionnaire (CRAIQ-7) scores were significantly lower (p = 0.025, p = 0.04, p < 0.001) and PISQ-12 score was significantly higher in intervention group (p < 0.001).ConclusionPsychological intervention could effectively improve the psychological condition of patients with hysterectomy, which may facilitate patients' postoperative recovery in pelvic floor function. These findings emphasized the necessity of psychological intervention in routine postoperative nursing care.

Body-Related Attitudes, Personality, and Identity in Female Adolescents with Anorexia Nervosa or Other Mental Disorders.

The psychological integration of body-related attitudes (BodyRA) is a critical developmental task in adolescence. Adolescents must adapt to their changing body image and body satisfaction. For young people, BodyRA (body dissatisfaction, bulimia, and drive for thinness) are connected to insecurities, which can disturb identity integration and personality development. Our goal was to evaluate the importance of BodyRA also for other mental disorders other than anorexia nervosa (AN), and the association between BodyRA with temperament and personality traits and identity diffusion. Data for the period of 2012 to 2019 were retrospectively analyzed from a convenience sample of patients in a child and adolescent psychiatric hospital (n = 114). The patients were 13 to 17 years of age and had a BMI of 11.9–36.1 kg/m2. As expected, BodyRA were found to be more pronounced in AN, as well as in borderline personality disorder (BPD), depression (DD), and attention deficit hyperactivity disorder (ADHD). BodyRA correlated significantly with internalizing problems in patients with DD (r = 0.428–0.565, p < 0.01) and BPD (r = 0.680, p < 0.01) as well as with BMI (r = 0.404, p < 0.01) in patients with DD. Moreover, we detected significant correlations with impaired identity development in patients with DD (r = 0.482–0.565, p < 0.01) and BPD (r = 0.681–0.703, p < 0.01). BodyRA also correlated significantly with the personality traits of harm avoidance (r = 0.377–0.541, p < 0.01) and self-directedness (r = −0.537–−0.635, p < 0.01) in DD. These personality traits and bulimia were used as predictors for identity diffusion in the investigated disorders of this study. We conclude that BodyRA, harm avoidance and self-directedness are associated with identity development in adolescent females with mental disorders.

Body image terhadap self-confidence pada remaja putri yang menikah

This research is based ons a phenomenon related to married young women who experience changes in body image in Air Hangat Barat. Changes in the body image of married young women if they cannot accept it will have a negative impact, especially lack of confidence. This study aims to see the contribution of body image to self confidence in married young women. This study uses a correlational quantitative design. Subjects were taken using a purposive sampling technique with criteria for age at marriage 17-22 years, current age 17-22 years years in Air Hangat Barat. This study obtained 60 respondents. Data collection using a body image and self-confidence scale by distributing questionnaires then analyzed using a simple linear regression formula. The results showed that the value of r = 39.349 (p (p &lt;0.05) means that there is a positive relationship between body image and self-confidence. The more positive the body image, the more positive the self-confidence and vice versa, the more negative the body image, the more negative the self-confidence. Keywords: body image, self confidence, young women married

232 “SuturesApp”: A Digital Application to Improve Cancer Patients” Understanding of Surgical Procedures

Abstract Aim Patient participation in decision making is of utmost importance, particularly in oncological surgery where body image altering procedures may be required. “SuturesApp” is a digital application developed by oncological surgeons in a low-middle income setting and where users can replicate any resection and/or reconstruction technique on the screen. The study is an interpretation of surgical residents’ opinion of the use of a digital application in comparison to traditional modalities (pen and paper) used to explain surgical procedures to patients. Method This is a qualitative study using semi-structured interviews conducted with surgical trainees following the use of “SuturesApp” for a 1-week period from July 13th to July 20th, 2020, in order to depict possible outcomes of “SuturesApp” use in comparison to pen and paper in explaining surgical procedures and body image changes in oncological surgery. Participants number was determined according to data saturation when no more new themes emerged from the individual interviews. Results Fifteen surgical residents were interviewed after using “SuturesApp'' for a 1-week period in preoperative consultations. Successful patient-surgeon communication faces the challenges of workload and illiteracy, which surgical residents try to overcome with verbal communication and drawing. The use of SuturesApp can provide a frame for the progressive explanation and visualization of procedures, despite the need for improvements. Conclusions The use of SuturesApp alongside verbal communication and drawing can benefit patient understanding and adherence to treatment, as well as future surgeons’ communication skills. A next step would be to further develop “SuturesApp” and engage patients in the process.

Factors Associated With Insomnia in Patients Undergoing Hemodialysis.

Introduction: Insomnia is the most common sleep disorder among patients on hemodialysis and has a strong relation with fatigue, depression, low immune system, increased risk of cardiovascular problems, and low quality of life. The aim of this study was to explore the factors associated with insomnia in patients undergoing hemodialysis. Methods: In this cross-sectional study, 100 patients on hemodialysis (75 males and 25 females) from a hemodialysis center in Greece were included. Insomnia was assessed via the "Athens Insomnia Scale (AIS)" and a questionnaire about demographic and clinical characteristics. The Kruskal-Wallis, Mann-Whitney tests, and Spearman's rho criterion were used to evaluate the association between insomnia score and patients' characteristics. Multiple linear regression was performed to assess the effect of characteristics on patients' insomnia.Results: Statistically significantly high levels of insomnia were found in patients over the age of 60 years (p = 0.002), in divorced/widowed patients (p = 0.007), in patients who had comorbid diseases (p = 0.001), in patients who felt tired after hemodialysis (p = 0.001), in those who had continuous fatigue (p = 0.001) and change in body image (p = 0.003), in those who often had itching (p = 0.007) and stiffness in joints (p = 0.001) and in patients who had limitations in the clothes they could wear (p = 0.001).Conclusions: The findings of this study showed that insomnia had a strong association with increased age of patients, comorbidities, fatigue, change in body appearance, pruritus, and limitation in clothes they could wear. Therefore, there is a necessity for early assessment of sleep quality and effective treatment of sleep disorders in hemodialysis patients in order to reduce morbidity and mortality and improve the quality of their life.

Perceived stigma and its correlates among Asian patients with advanced cancer: A multi-country APPROACH study.

Perceived cancer-related stigma can affect mental health and potentially treatment choices for patients with cancer. Nevertheless, perceived stigma is not very well understood in Asia. This study investigated across six developing Asian countries: (1) the prevalence of perceived stigma among advanced cancer patients, (2) its risk factors, and (3) its association with patient treatment preferences. This cross-sectional study recruited patients receiving oncology care across major hospitals in Bangladesh, China, India, Philippines, Sri Lanka and Vietnam. Participants (N=1358) were adults diagnosed with stage IV metastatic solid cancer who completed self-reported surveys. Multi-variable logistic regression and ordered logit models examined the associations with perceived stigma and variables of interest. Across the countries, 35%, 95% CI [32%, 38%] of patients reported experiencing at least one facet of cancer-related stigma often or always, while 60% [57%, 63%] reported it occurring occasionally. Top-endorsed facets of perceived stigma across the Asian countries suggest a distinct pattern. Having knowingly engaged in health-risk behaviours (OR=2.03-2.24, 95% CI [1.14-1.19, 3.43-4.41]), unemployment (2.64 [1.67, 4.19]) and body image change (1.57 [1.00, 2.45]) were associated with higher odds of perceived stigma, while time mitigated perceived stigma (0.49-0.65 [0.30-0.45, 0.76-0.92]). Perceived stigma was associated with lower odds of preference for life-extending treatments, although the associations did not hold up in the adjusted model. Perceived stigma is unique among Asian advanced cancer patients. Stigma is important to assess and address, taking into consideration the various sociodemographic, clinical and psychological factors of cancer patients.

Non-Suicidal Self-Injury: A School-Based Peer Education Program for Adolescents During COVID-19 Pandemic.

Introduction: Non-suicidal self-injury (NSSI) constitutes a major health concern among youth. However, less is known about the useful ways to prevent NSSI. As such, the NSSI- Peer Education Program (NSSI-PEP) aims to intervene on the vulnerability factors that predispose to NSSI by applying a peer education approach. The NSSI-PEP is grounded on the psychoanalytic tradition's tenets, implementing modules targeting four crucial risk factors for NSSI: pubertal transformation, body image, self-esteem, and emotion regulation.Methods: Selected 8th grade students were trained to serve as peer educators and held a peer-education intervention for 6th and 7th grade students. Pre- and post-intervention assessments were conducted in order to evaluate the program's effectiveness.Results: Results revealed preliminary support for the program's feasibility, as students reported greater emotion regulation abilities (p = 0.038) and significant changes in self-esteem (p<0.001), personal alienation (p = 0.005), body image (p < 0.001), and maturity fear (p < 0.001). Also, NSSI-PEP was positively evaluated by participants.Discussion: Our pilot study provides preliminary empirical support for the NSSI-PEP, representing a promising way to address areas of vulnerability for NSSI onset. Findings may also help current policies to promote targeted preventive activities and produce sizable benefits to society.

Transplante de medula óssea: luto decorrente do impacto das modificações corporais e psicossociais na perspectiva de pacientes adolescentes e seus pais

Abstract The diagnosis and treatment of a life-threatening disease have adverse consequences on child development and impact the family. This study aimed to investigate bereavement due to the impact of bodily and psychosocial changes resulting from Bone Marrow Transplantation from the perspective of adolescent patients and their parents. This is a qualitative, descriptive, exploratory, cross-sectional study. Nine dyads (patients and mothers / fathers) were included. Data collection took place through semi-structured audio-recorded interviews. The thematic analysis made it possible to elaborate three categories: losses due to illness; new losses experienced with treatment; learning to appreciate the gains of adverse experience. The results show that transplantation has repercussions that transcend the physical dimension and include social harm, changes in body image, and loss of friends. However, once the radical journey of transplantation is over, the participants positively connoted their experience, identifying benefits that go beyond health recovery, such as emotional maturation, improvement of self-esteem, and the ability to socialize.

How does colpocleisis for pelvic organ prolapse in older women affect quality of life, body image, and sexuality? A critical review of the literature.

Colpocleisis is a surgical treatment for pelvic organ prolapse that results in vaginal obliteration. This review aims to systematically evaluate the quality of life, changes in body image, regret, and impact on sexual activity in women after colpocleisis. A review was conducted using the PubMed and Scopus databases with search criteria specifying pelvic organ prolapse, colpocleisis, quality of life, body image, regret, sexuality, and their synonyms. For the selection of the eligible articles, we used the PRISMA reporting system. A total of 1285 articles were found. After removing duplicates and applying the inclusion and exclusion criteria, 30 articles were reviewed in full length. Quality of life after colpocleisis was evaluated in 22 articles, and 20 authors used validated questionnaires. All concluded that quality of life improved after surgical treatment. Twenty-one articles studied regret after obliterative treatment for pelvic organ prolapse. Most of the patients reported no regret. Regret was often due to bowel and bladder symptoms. A few patients reported regret because of loss of coital function. Body image was highlighted in six studies. Three articles assessed body image using the modified Body Image scale. The body image scores demonstrated a significant improvement after surgery. Women tended to remain sexually active and some also regained sexual activities after surgery. Colpocleisis remains a viable option for pelvic organ prolapse, without compromising quality of life, body image, or sexuality, but diligent patient selection is needed. Particular concern should be given to bladder and bowel symptoms since these are the main reason for dissatisfaction after colpocleisis.

Sexual Dysfunction: Common Side Effect.

For sexual dysfunction, standards of care are based on emerging evidence-based practice.&nbsp;Sexuality is an integral part of quality of life that can be radically altered by the adverse effects of cancer therapies. Following treatment, sexual dysfunction can arise from physical and psychological changes in body image and self-concept, altered sense of attractiveness, physical discomfort, and emotional distress, diminishing overall quality of life. Therefore, identification and management of sexual dysfunction are vital components of survivorship care.

Treatment and Survivorship Interventions to Prevent Poor Body Image Outcomes in Breast Cancer Survivors.

Body image concerns often arise during and after treatment and are a major concern in up to 67% of breast cancer survivors. Negative changes in body image are a predictor of worse satisfaction with appearance and poor quality of life outcomes. Opportunities to mitigate the negative impact of cancer treatment on a patient’s body image present during preoperative education or in the neoadjuvant setting, or during surgical management, adjuvant therapy delivery, and survivorship. The surgical management of breast cancer has evolved from breast amputations to procedures that provide improved cosmesis without compromising the oncologic outcome. The advent of the sentinel lymph node biopsy and lymphatic reconstruction techniques has led to decreased axillary morbidity. Modified radiation techniques and systemic therapies tailored to subtype limit unnecessary exposure to skin and systemic toxicities. Finally, incorporating prehabilitation and survivorship support optimizes the physical and psychosocial well-being of these patients. Setting expectations, treatment de-escalation when appropriate, morbidity risk reduction and improved screening and management of psychological sequelae during survivorship can decrease breast cancer treatment’s negative impact on body image. The following review synthesizes interventions during preoperative planning, local and systemic treatment, and survivorship to prevent poor body image outcomes without compromising oncologic success.

"Making Peace" with Bodies and Sexual Selves: Changes during COVID-19 among Adults in the United States.

The COVID-19 pandemic has negatively impacted the physical and mental health of many and has necessitated widespread societal shifts, including changes to work and family activities. These changes have impacted individuals’ identity, including their sexual self-image and body image, yet research on perceptions of these changes is missing. This study reports on quantitative and qualitative data from an electronic survey with adults in the United States (N = 326) to examine these perceptions. Body appreciation did not significantly differ between demographic groups. Themes emerging from the qualitative results included changes in general self-image (becoming more restricted or disempowered), changes in sexual self-image (deepening, becoming more sexy/sexual, or less sexy/sexual), and changes in body image (positive, negative, and neutral). Our findings point to positive, negative, and neutral effects on sexual self-image and body image, implying that nuanced approaches are needed to understand how identity has transformed as a result of the COVID-19 pandemic.

Body image dissatisfaction in adolescent girls in puberty

The aim of this study was to analyze body image satisfaction among girls from different pubertal groups using two assessment instruments. The sample consisted of 82 adolescent girls, aged 11 to 14 years, divided into two groups: pre- and post-menarche. The Kakeshita’s Body Image Scale (BIS) and Body Shape Questionnaire (BSQ) were used to assess body image dissatisfaction. For comparisons of anthropometric variables between pubertal groups, Student's t-test was used for independent samples. Comparisons between BMI classifications, body image satisfaction and desire for body image change were performed using chi-square and binomial tests for both groups. For the comparison between the instruments, the Kappa coefficient (K) was calculated. The results showed that, for BIS, more than 81% of adolescents showed dissatisfaction, being higher among adolescents in post-menarche. For BSQ, the prevalence of body dissatisfaction was lower, but the results did not confirm those previously observed. In both instruments (BIS and BSQ), there were no differences between groups. However, the study indicated a tendency for post-menarche girls to show greater dissatisfaction in relation to pre-menarche adolescents, while the instruments used do not show agreement in the results.

FACTORS AFFECTING SEXUAL LIFE OF MENOPAUSAL WOMEN: SCOPING REVIEW

Background: WHO predicts that there will be a menopause explosion in 2030 with around 1.2 billion women aged over 50 years. Most of them (about 80%) live in developing countries. The population of postmenopausal women is increasing by about three percent every year. Although menopause is a normal condition, it turns out that not all women can accept this well, one of which is related to sexual problems. Objective: To determine the factors that influence the sexual life of menopausal women in various countries based on the results of past studies. Method: Scoping Review which adapts the Arskey and O'Malley framework. This study took databases from PubMed, EbscoHost, and ProQuest. Results: There were 20 articles out of 2,415 selected based on inclusion and exclusion criteria. This research has 2 main themes, consisting of physical aspects and psycho-social aspects. Physical aspects that affect the sexual life of menopausal women are hot flushes, vaginal dryness, changes in body shape, insomnia, fatigue, and body image. Meanwhile, psycho-social aspects, in this case, include stress, depression, socio-culture, intimacy with partners, lack of social support, and lack of information and health services for menopausal women. Conclusion: The factors that affect the sexual life of menopausal women are a description of physical and psychological discomfort. The most dominant factors affecting the sexual life of menopausal women are hot flushes, vaginal dryness, body image, depression, lack of social support, and lack of information and health services for women during menopause. There is a need for further research on the factors that influence the sexual life of menopausal women in Indonesia to be more relevant to describe conditions in Indonesia.&#x0D; &#x0D; &lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/edu_01/0888/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

Gender Comparison of Psychological Reaction Between Breast Cancer Survivors and Their Spouses

Background: Scant evidence exists among the different psychological issues between patients with breast cancer and their spouses. The objective of our study was to develop the measuring instrument testing psychological reaction and compare the difference in psychological reaction between patients with breast cancer and their spouses during the period of diagnosis and treatment.Method: The semi-structured interview guideline was guided by the psychological stress model. In-depth interviews were conducted among patients with breast cancer and their spouses. Qualitative data was used to establish the item pool for the psychological reaction. Delphi method was used for item modifications. The items were conducted to find common factors through exploration factor analysis. Comparing the differences of common factors through t-test between patients with breast cancer and their spouses.Results: Five couples were interviewed directed by the semi-structured interview guideline. About 38 items were reserved to formulate the questionnaire through the Delphi method. A total of 391 respondents (216 patients and 175 spouses) were recruited to complete the questionnaire. Two common structures were found through exploration factor analysis, which was named as reaction to role and body image change and negative coping reaction. The t-test found that the dimension of reaction to role and body image change (95% CI = 2.34–5.01, p < 0.001) reflects the difference between patients with breast cancer and their spouses.Conclusion: The reactions to role and body image change between patients with breast cancer and their spouses are different during the period of diagnosis and treatment. Clinical workers should pay attention to the different reactions and help couples deal with breast cancer smoothly.

Effects of Increased Exercise on Propensity for Emotional Eating Through Associated Psychological Changes

ObjectiveTo assess the effects of exercise on emotional eating via its impact on self-regulation, mood, and body satisfaction and to evaluate the association of change in emotional eating with weight. MethodsWomen participated in either manual-based (n = 44) or in-person-based (n = 50) behavioral obesity treatments with similar theory-based content and were assessed on changes in exercise outputs, self-regulatory skills usage, negative mood, body image, propensity for emotional eating, eating behaviors, and weight. ResultsSignificant overall improvements were found in all study variables (P < 0.001), with significantly greater improvements in the in-person group (P < 0.02). Changes in self-regulation (95% confidence interval [CI], −0.010 to −0.002), mood (95% CI, −0.011 to −0.003), and body image (95% CI, −0.011, −0.002) significantly mediated the exercise-emotional eating relationship. Relationships between changes in emotional eating and weight over both 6 and 12 months were significantly mediated by changes in intakes of both sweets (95% CI, 0.118–1.024 and 0.066–1.092, respectively) and fruits/vegetables (95% CI, 0.130–1.010 and 0.167–1.139, respectively). Conclusions and ImplicationsMechanisms of the effect of exercise on emotional eating may serve to inform future weight-loss treatments.

Goldilocks Principle: Preference for Change in Breast Size in Breast Cancer Reconstruction Patients.

Patients’ preferences regarding changing or maintaining their breast size after mastectomy and reconstruction are important but understudied determinants of post-surgical satisfaction and quality of life. The goal of this study was to identify factors associated with preferences for changing or maintaining breast size for women undergoing breast reconstruction at The University of Texas MD Anderson Cancer Center in the United States from 2011 to 2014. The average age of participants was 45.7 ± 9.1 years. At baseline, mean average breast volumes were 755.7 ± 328.4 mL for all women (n = 48), 492.3 mL ± 209.3 for 13 women who preferred to be “bigger than now,” 799.2 mL ± 320.9 for 25 women who preferred to remain “about the same,” and 989.3 mL ± 253.1 for 10 women who preferred “smaller than now.” Among the 23 women who preferred to change their breast size, 19 desired to shift toward the mean. Women with the smallest and largest 20% of baseline breast size were more likely to desire a change toward the mean (p = 0.006). Multinomial logistic regression models found average breast volume and satisfaction with breast size to be the most important factors associated with preferences for changing or maintaining breast size for women undergoing breast reconstruction. This study provides preliminary evidence for a “Goldilocks principle” in women’s preferences for breast size change in the context of breast reconstruction, and identifies hypotheses for future studies of the associations among preference for change in breast size, preference achievement, and post-reconstruction body image.

V08-12 Y-SHAPED INCISIONS AND THREE-FLAP UMBILICOPLASTY: A NOVEL LAPAROENDOSCOPIC SINGLE-SITE SURGICAL APPROACH FOR PATIENTS WITH SYMPTOMATIC URACHAL SINUS

You have accessJournal of UrologyNOTES/LESS (V08)1 Sep 2021V08-12 Y-SHAPED INCISIONS AND THREE-FLAP UMBILICOPLASTY: A NOVEL LAPAROENDOSCOPIC SINGLE-SITE SURGICAL APPROACH FOR PATIENTS WITH SYMPTOMATIC URACHAL SINUS Hakushi Kim, Masahiro Nitta, Masanori Hasegawa, Yoshiaki Kawamura, Sunao Shoji, Hidenori Zakoji, and Akira Miyajima Hakushi KimHakushi Kim More articles by this author , Masahiro NittaMasahiro Nitta More articles by this author , Masanori HasegawaMasanori Hasegawa More articles by this author , Yoshiaki KawamuraYoshiaki Kawamura More articles by this author , Sunao ShojiSunao Shoji More articles by this author , Hidenori ZakojiHidenori Zakoji More articles by this author , and Akira MiyajimaAkira Miyajima More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002041.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Symptomatic urachal sinuses are rare benign anomalies that affect young adults. Surgical intervention is necessary for curative treatment, but acceptable postoperative esthetic outcomes are also required in young patients. In recent years, laparoscopic surgery has largely replaced the open surgical approach and cosmetic outcomes have improved. We describe a novel laparoendoscopic single-site (LESS) surgical approach using Y-shaped incisions and three-flap umbilicoplasty to improve repair and esthetic outcomes. METHODS: We retrospectively evaluated 51 patients diagnosed with symptomatic urachal remnants at our institution between December 2014 and September 2020. We included 34 men and 17 women with a mean age of 27 years in this study. The clinical and perioperative data and esthetic outcomes of 51 patients who underwent LESS surgery were investigated. Body image and cosmesis of each patient after surgery were assessed subjectively using a self-assessment body image questionnaire (BIQ). RESULTS: The median operative time and the median insufflation time were 144 minutes (66–297 minutes) and 45 minutes (11–188 minutes), respectively. The median estimated blood loss and postoperative hospital stay were 5 mL (0–128 mL) and 4 days (2–13 days), respectively. The median body image and cosmesis scores after surgery were 19/20 and 21/24, respectively. Pictures of preoperative and postoperative umbilical appearances are depicted (Figure). CONCLUSIONS: Our novel LESS approach showed surgical feasibility for symptomatic urachal sinus. Moreover, the high postoperative BIQ scores indicated good perception of body image change and good satisfaction with postoperative cosmetic outcomes of this technique. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e604-e605 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Hakushi Kim More articles by this author Masahiro Nitta More articles by this author Masanori Hasegawa More articles by this author Yoshiaki Kawamura More articles by this author Sunao Shoji More articles by this author Hidenori Zakoji More articles by this author Akira Miyajima More articles by this author Expand All Advertisement Loading ...

Body Image Concerns and Associated Impairment Among Adults Seeking Body Contouring Following Bariatric Surgery.

The current study examined a range of body image concerns and associated distress and impairment in patients who have undergone bariatric surgery and are seeking subsequent body contouring surgery. The aim of this study was to investigate the hypotheses that individuals seeking body contouring endorse a broad pattern of body image concerns and that overall body image concern is associated with greater impairment and disability. The participants were 56 adults seeking body contouring surgery after bariatric surgery. All participants completed a self-report questionnaire designed for the present study to assess body image concerns specific to patients who have undergone bariatric surgery and a battery of established measures of disability, impairment, and eating-disorder psychopathology. The most commonly endorsed concerns were related to loose skin (body dissatisfaction, feeling embarrassed in public, and skin rashes) whereas the least endorsed items included concerns related to scars from bariatric surgery (body dissatisfaction, avoidance of social situations, and difficulty concentrating). Participants endorsed a broad pattern of frequent distress and impairment related to physical body image changes post-bariatric surgery. Greater body image concerns were associated significantly with higher levels of disability, work-related impairment, and eating-disorder psychopathology. Patients seeking body contouring surgery reported a range of body image concerns with significant associated distress, disability, and impairment related to physical changes post-bariatric surgery. The present findings underscore that although bariatric surgery is effective for reducing weight and metabolic disturbances, additional interventions for addressing body image concerns that are frequently distressing and impairing may be needed.