Urogynecology Research Articles

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

Challenges and gender-based differences for women in the Indian urological workforce: Results of a survey.

Entry of women into urology has not kept pace with that in other surgical branches with only 1% of Urological Society of India (USI) members being female. The objective of this study was to explore the personal and professional challenges, practice barriers, and level of satisfaction among female urologists/urology trainees in India. A strictly confidential and anonymous 26-item questionnaire with respect to professional and personal challenges, workplace discrimination, and family satisfaction was circulated as a Google form through email and WhatsApp to all the female members of the USI (full and associate) and trainees (n = 48) based on identification from the USI directory. Thirty-three out of 48 female urologists responded (68%). Among the respondents (n = 33), majority had <5 years of experience (60.6%), of which 30.3% were residents, which reflected a recent surge in women joining urology. Majority (57.7%) chose to subspecialize, commonly in "female urology". Many (72.7%) were encouraged to take this subspecialty. Gender discrimination at workplace was reported by 54.5%, commonly by patients and consultants. 68% of respondents had conceived either before or during residency, leading to additional domestic responsibilities. 9.1% suffered a pregnancy-related complication, which they believed was a direct consequence of their work environment. These obstacles led to 30.3% of women reporting that their personal life had compromised their careers. Professional dissatisfaction was reported by 60.1% of women, with common causes being less operative time than male counterparts and lack of mentorship. Despite these challenges given a chance, 78.7% would choose urology again, and 66.7% would encourage their daughter to pursue a career in urology. Professional and personal challenges as perceived by women responding to our survey include gender discrimination in training and work, lack of mentorship, pregnancy-related compilations, and compromised career due to family responsibilities. Despite these, most would choose this specialty again.

Japanese female urologists' work-life balance during the COVID-19 pandemic.

Japanese female urologists' work-life balance during the COVID-19 pandemic.

Analysis of the impact of increasing feminization in the healthcare system on urology

Hintergrund und FragestellungZiel dieser wissenschaftlichen Arbeit war es, Genderaspekte und Trends in Klinik, Forschung und Niederlassung in der Urologie zu analysieren. Dabei lag der Fokus auf der Objektivierung des genderspezifischen Wandels im Fachgebiet „Urologie“ zum aktuellen Zeitpunkt und in der Zukunft.Material und MethodenEs erfolgte eine digitale Umfrage bei urologischen Ärzt:innen in Deutschland über das Portal SurveyMonkey©, welche über den E‑Mail-Verteiler der Deutschen Gesellschaft für Urologie e. V. (DGU) und des Berufsverbands der Deutschen Urologen e. V. (BvDU) an alle eingetragenen Mitglieder verschickt wurde. Es wurden Basisdaten im ambulanten und stationären Sektor erhoben, sowie geschlechtsspezifische Daten in Bezug auf Arbeitsplatzverteilung, Ziele, Zufriedenheit und Gründe für berufliche Entscheidungen.ErgebnisseDie Auswertung von 398 Antworten ergab, dass urologische Kolleg:innen in der Niederlassung seltener weiblich (23,6 %) und deutlich älter (mittleres Alter 53 Jahre) waren als im stationären Sektor (Frauenanteil 47,2 %, mittleres Alter 43 Jahre). Niedergelassene Vertragsärzt:innen waren mehr Männer (49,4 %) als Frauen (29,9 %) und die Niederlassung wurde von mehr Männern als Berufswunsch angegeben (28,1 % vs. 22,8 %). Die Gründe für die Niederlassung lagen bei Frauen häufiger im familiären Bereich als bei den Männern (Hauptgründe gute Gelegenheit oder Berufswunsch). Frauen arbeiteten häufiger Teilzeit (27,0 % vs. 11,5 %) und strebten häufiger eine Karriere als Oberärztin an (29,1 % der Frauen, 9,4 % der Männer). Entsprechend war der Wunsch nach einer Habilitation oder Professur bei den Frauen häufiger als bei den Männern (20,5 % vs. 15 %). Signifikant mehr Urologinnen sahen eine Ungleichheit bei den beruflichen Aufstiegschancen (59,7 % vs. 17,5 %, p < 0,001) und 73,3 % (vs. 18,5 % der Männer, p < 0,001) empfanden ihr Geschlecht als Ursache einer Benachteiligung. Dies führte zu einer signifikant geringeren Zufriedenheit von Frauen mit ihrem beruflichen Status (p = 0,008), sowie einem geringeren Gefühl der Wertschätzung (p < 0,001).SchlussfolgerungUm die Urologie zukunftsfähig zu machen ist es essenziell, Genderaspekte noch stärker zu berücksichtigen. Der eingeschlagene Weg, der nächsten Generation von Urolog:innen ein modernes Fachgebiet zu bieten, in dem alle Ärzt:innen unabhängig von ihrem Geschlecht gerne arbeiten, wertgeschätzt werden und Chancengleichheit herrscht, sollte unbedingt weiter verfolgt und intensiviert werden, um die Urologie für die Zukunft gut aufzustellen.Zusatzmaterial onlineDie Online-Version dieses Beitrags (10.1007/s00120-022-01931-3) enthält eine Tabellarische Darstellung der vollständigen Umfrageergebnisse „Genderaspekte in Klinik und Niederlassung“.

Functional urology: Practice patterns and training aspirations among urologists in Brazil.

Urology has rapidly evolved during the last decades, incorporating new technologies faster than most specialties. The challenge to maintain a competent workforce that is prepared to deliver proper contemporary treatment has become increasingly difficult and newly graduated urologists throughout the world typically lack the skills to practice many urological subspecialties. We performed a survey to evaluate the practice patterns and educational aspirations in functional urology (FU) among Brazilian urologists. A web-based survey was sent to board-certified Brazilian urologists to collect data on clinical practice and training aspirations in four subareas of FU: female urology, urodynamics, postprostatectomy incontinence (PPI), and neurourology. We evaluated urologists' clinical and surgical workload in each subarea and investigated educational training aspirations to identify areas and training formats of interest. A total of 366 urologists (mean age 47.7 + 10.7 years) completed the survey. Mean time since completion of residency was 17.9 + 11.9 years. Of the respondents, 176 (53%) perform urodynamics, 285 (83.1%) SUI surgeries, 159 (47.6%) PPI surgeries, 194 (58.1%) third line OAB procedures, 168 (48.9%) pelvic organ prolapse (POP), and 88 (26.3%) bladder augmentation. Mid-urethral sling is the most performed SUI surgery and transobturator is the preferred route (64.0%). For those performing POP surgery, 40.5% use mesh in at least 50% of their cases, and the vaginal route is used in most cases (75.4%) for apical prolapse. For PPI, 64.6% use artificial sphincter in most surgeries and only 8.1% perform at least 5 surgeries/year. Being fellowship-trained and working in an academic hospital are associated with a higher chance of being active in FU. Most urologists are interested in receiving training in PPI, female SUI, and POP and a hands-on course is the preferred educational method (81%). Most urologists in Brazil are involved in the evaluation and treatment of FU patients, but few have a large volume of patient visits and surgical procedures. Completing a fellowship program and working in an academic practice are associated with a higher chance of being a FU practitioner. There is a high interest in training for PPI, female SUI, and POP.

Reduction in Rates of Symptomatic Urinary Tract Infection After Pelvic Reconstructive Surgery: A Quality Improvement Analysis.

Urinary tract infections contribute to high health care costs. This study aimed to determine if a combination of interventions was successful at reducing the rate of postoperative symptomatic urinary tract infections (SUTIs) in a female pelvic medicine and reconstructive surgery (FPMRS) practice. Observational, retrospective quality improvement analysis looking at the rate of postoperative SUTI within 30 days of surgery in women who underwent gynecologic surgery performed by an FPMRS surgeon from October 2015 to October 2019. Symptomatic urinary tract infection was defined by symptoms and urinalysis, positive urine culture, or treatment for cystitis or urethritis within 30 days of surgery. Interventions were implemented between 2015 and 2016: perioperative cranberry use, intraoperative protocols for catheterization, and postoperative protocols for urinary retention management. In 2018, we added metronidazole to cefazolin for antibiotic prophylaxis. We developed a multivariable logistic regression to determine if postoperative SUTI rates decreased over the study period with adjustment for clustering by surgeons, patient factors, and surgery type. Of 2,389 procedures performed, 284 (11.8%) involved patients who had an SUTI within 30 days of surgery. The annual infection rate decreased 50% (year 1, 14.7%; year 4, 7.3%). Adjusting for age, race, body mass index, length of stay, surgery type, and surgeon, the odds of SUTI decreased 19% each year (odds ratio [OR], 0.81; 95% confidence interval [CI], 0.72-0.91; P < 0.001). Compared with women who had other gynecologic procedures, those who underwent vaginal prolapse surgery with or without incontinence procedures (OR, 2.75; 95% CI, 1.35-5.54; P = 0.01) or incontinence surgery alone (OR, 2.65; 95% CI, 1.25-5.62; P = 0.01) were more likely to have an SUTI. Combining interventions can be highly effective in reducing postoperative SUTI rates.

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

No AccessJournal of UrologyUrological Survey1 Nov 2022Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology Alan J. WeinMD, PhD (hon), FACS Alan J. WeinAlan J. Wein More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002937AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 208Issue 5November 2022Page: 1162-1167 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alan J. Wein More articles by this author Expand All Advertisement PDF downloadLoading ...

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

Promoting women in urology using the example of habilitation

HintergrundDer Anteil an Ärztinnen im Fachgebiet Urologie nimmt stetig zu. Dabei ist die zunehmende Feminisierung in Führungspositionen noch nicht angekommen. Eine Habilitation, die die Grundlage für eine wissenschaftlich erfolgreiche Karriere ist, wird von Urologinnen in Deutschland deutlich seltener als von ihren männlichen Kollegen erreicht.Ziel der ArbeitUm Faktoren für eine effektivere Förderung von Frauen in der Urologie zu identifizieren, wurden die aktuelle Situation sowie Einflussfaktoren auf eine erfolgreiche Habilitation von Frauen in der Deutschen Gesellschaft für Urologie e. V. (DGU) untersucht.MethodikEin Online-Fragebogen wurde an 1343 weibliche Mitglieder der DGU in Deutschland, Österreich und der Schweiz verschickt. Die Antworten von 521 Ärztinnen wurden bezüglich Basischarakteristika und in Bezug auf Forschungsförderung statistisch ausgewertet. Der primäre Endpunkt der vorliegenden Arbeit war die Habilitationsrate.ErgebnisseInsgesamt wurde der Fragebogen von 521 in der Urologie beschäftigten Ärztinnen zwischen 25 und 67 (Median 37) Jahren ausgefüllt. Hiervon waren die meisten Ärztinnen in Weiterbildung (n = 168, 32 %), arbeiteten in Vollzeit (n = 324, 62 %) und hatten Kinder (n = 277, 53 %). Insgesamt waren 359 (69 %) der Teilnehmerinnen promoviert und 63 (12 %) arbeiteten noch an ihrer Promotion. 30 (5,8 %) Urologinnen waren habilitiert. In univariablen logistischen Regressionsmodellen waren das Alter (Odds Ratio [OR]: 1,06), das Arbeitszeitmodell (Teilzeit OR: 0,19), ein Forschungsaufenthalt (OR: 21,4), eine Freistellung (OR: 13,7), die Teilnahme an einem Förderprogramm (OR: 6,9) oder Mentoring-Programm (OR: 7,0) unabhängige Prädiktoren für eine erreichte Habilitation. Ob eine Urologin Kinder hatte, war kein unabhängiger Prädiktor. In multivariablen logistischen Regressionsmodellen waren Alter (OR: 1,08) sowie ein Forschungsaufenthalt (OR: 9,04) unabhängige Prädiktoren für eine erreichte Habilitation.SchlussfolgerungenEine Förderung von Habilitationen unter Ärztinnen im Fachgebiet Urologie erscheint erstrebenswert, um den Frauenanteil in Führungspositionen zu steigern. Die Ergebnisse der Datenauswertung zeigen, dass insbesondere die Förderung von Forschungsaufenthalten explizit für Frauen ein vielversprechender Ansatz ist.

Is it Time for FPMRS to Prescribe Vibrators?

ABSTRACT Introduction Only recently, the stigma of women using vibrators for sexual pleasure has started to fade. However, for many it still remains a taboo and surrounded with anxiety despite a variety of potential health benefits from its use. Due to the sensitive nature of the conditions Female Pelvic Medicine and Reconstructive Surgery (FPMRS) specialists treat, they are best suited to review and recommend vibrators to women as a health maintenance intervention. Objective The aim of this review is to evaluate the current utilization and recommendations of vibrator use. Methods We performed a systematic review of PubMed, clinicaltrials.gov, Ovid and the Cochrane databases from inception to January 2021. The search was based on the keywords: "sex toy woman", "pelvic vibrator", "sexual stimulation vibrator", "vaginal vibrator” "vibrator pelvic floor", “vibrator incontinence”. Five hundred forty-nine relevant articles were identified. Studies that met inclusion criteria (original research, female subjects, vibrators studied for health benefit) were reviewed. Exclusion criteria included expert opinion or content was not related to our aims. A total of 17 original studies met the criteria and were reviewed in depth. Results The studies naturally fell into four topics: sexual function (8), pelvic floor muscles (2), incontinence (6), and vulvodynia (1) . Among the identified studies, vibrators were considered as an accepted modality to enhance a woman's sexual experience, positively correlated with increased sexual desire, satisfaction, and overall sexual function. Vibratory stimulation can improve pelvic floor muscles strength, vulvodynia, and incontinence. Conclusions Vibrators are not well studied and given the promising benefits demonstrated in the articles identified, more research efforts should be directed towards investigating their utility. Considering the potential pelvic health benefits of vibrators, their recommendation to women should be included in our pelvic floor disorder treatment armamentarium. Disclosure No

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

Linguistic Differences by Gender in Letters of Recommendation for Female Pelvic Medicine and Reconstructive Surgery Fellowship Applicants From 2010 to 2020.

Linguistic differences suggestive of gender bias have been detected in letters of recommendation (LOR) for female and male residency and fellowship program applicants within multiple medical specialties. The aim of the study was to determine whether linguistic differences exist in LOR for female and male physicians applying to female pelvic medicine and reconstructive surgery (FPMRS) fellowship. A retrospective analysis of FPMRS fellowship applications submitted to a university-affiliated academic center from 2010 to 2020 was performed. Linguistic Inquiry and Word Count, a text analysis software, was used to characterize the linguistic content of letters. Multivariable analysis was used to compare letter characteristics with applicant and letter writer demographics. Of 306 applications reviewed, 221 (72.2%) applicants were female and 85 (27.8%) were male. Of the 1,062 letters analyzed, 457 (43.0%) were written by female letter writers, 586 (55.2%) by males, and 19 (1.8%) were a combination. Multivariable analysis controlling for race, Step 1 score, and letter writer gender demonstrated more frequent use of affiliation words for female applicants compared with males (3.1% ± 0.3 vs. 2.9% ± 0.3, P = 0.02). No additional differences were noted in average letter length or all other linguistic categories analyzed. Multiple differences were detected between writing styles of female and male letter writers, including average letter length, use of multiple word categories, and use of communal (relationship-oriented) language. Data were stratified into 2-year periods and no longitudinal trends in linguistic differences were detected. No linguistic differences, suggestive of gender bias, were found between female and male applicants to FPMRS fellowship.

Informal Networking in Residency: An Opportunity for Inclusivity.

Informal Networking in Residency: An Opportunity for Inclusivity.

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

A Seat at the Table: The Correlation Between Female Authorship and Urology Journal Editorial Board Membership

BackgroundGender disparities in editorial board composition exist across a variety of surgical subspecialties. ObjectiveTo investigate temporal variation in gender representation on the editorial boards of urology journals and assess the relationship between editorial board composition and female authorship. Design, setting, and participantsWe analyzed female authorship and editorial board composition between 2002 and 2020 among eight high-impact urology journals. Female publication status was assessed using publication records retrieved from PubMed. Editorial board information was manually extracted and titles were grouped for comparison as Editor-in-Chief, mid-level editor, and consulting editors. Outcome measurements and statistical analysisFemale representation across different editorial levels was analyzed via hierarchical logistic regression with additional terms to test for between-journal differences in overall representation and change over time. The relationship between representation on editorial boards and as publication authors was assessed at the journal level via correlation. Results and limitationsEight journals and 49 412 articles were analyzed. No female has held the title of Editor-in-Chief for any of these eight journals in 18 yr. Significant growth was seen for mid-level editors, whereas no growth was seen for consulting editors. Neurourology and Urodynamics and Journal of Sexual Medicine had significantly higher than average female editorial board representation (p < 0.05). Across the eight journals, there was a statistically significant correlation between the proportion of overall female authors and female editors (r = 0.93, 95% confidence interval 0.65–0.99). For all journals, the proportion of female contributing authors is greater than the proportion of female editorial board members. ConclusionsWomen in urology represent a small but increasing presence as editorial board members. Clear differences exist between journals, potentially attributable to specialty-specific demographics. Despite increasing representation, no female has ever been appointed Editor-in-Chief for any of the eight journals evaluated. At the journal-specific level, a positive correlation was observed between female editorial staff and female authorship. Given the implication of both academic authorship and editorial board assignment on academic advancement, actionable changes are outlined to guide improvement in gender diversity at the journal level. Patient summaryFemales are under-represented on the editorial boards for urology journals, although some roles have seen growth over time. Moreover, female editorial board membership is associated with representation of females among article authors. Gender disparities in both are noteworthy because they affect career paths and contribute to the gender gap in urology.

MP19-08 AN ANALYSIS EXPLORING SELF-IDENTIFIED GENDER AMONG UROLOGISTS INCLUDED IN TOP DOCTOR MAGAZINE LISTS

You have accessJournal of UrologyCME1 May 2022MP19-08 AN ANALYSIS EXPLORING SELF-IDENTIFIED GENDER AMONG UROLOGISTS INCLUDED IN TOP DOCTOR MAGAZINE LISTS Elizabeth Adams, Marne Louters, Brandon Ansbro, Simone Thavaseelan, and Stephanie Kielb Elizabeth AdamsElizabeth Adams More articles by this author , Marne LoutersMarne Louters More articles by this author , Brandon AnsbroBrandon Ansbro More articles by this author , Simone ThavaseelanSimone Thavaseelan More articles by this author , and Stephanie KielbStephanie Kielb More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002552.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Top Doctor lists in magazines are often published annually, with variable methodologies and criteria for the award. As the number of women practicing urology has slowly grown to be 10.3% of urologists as of 2020, we sought to evaluate whether these lists reflect a contemporary distribution of urologists, to determine if there are regional differences in Top Doctor list gender composition, and to describe similarities and differences among female and male Top Doctors. METHODS: Magazines with a urology, pediatric urology, and/or urogynecology Top Doctor list comprised of physicians with formal urologic training published from January 1, 2020-June 22, 2021 using Castle Connolly (CC) Medical Ltd were included in this study. Information surrounding physician gender, education, affiliation, and award history was obtained from institution profiles and the CC website. A weighted average for patient rating scores was calculated for urologists with at least 20 ratings on Healthgrades and Vitals. Chi square, independent t-tests, ANOVA, and descriptive statistics were generated. RESULTS: A total of 494 Top Doctor urologists from 25 magazines were analyzed. Of the 494 urologists, 42 (8.50%) were women, with female urologists comprising a range of 0-27.8% per magazine list. Seven magazines (28.0%) did not include female urologists in their lists and eight (32.0%) included one woman on their list. By region, female urologists were represented more often in Western states’ Top Doctor Lists (15.1%) in comparison to the Northeast, South, or Midwest (7.97%, 7.84%, 5.41% respectively). Female urologists more often completed a clinical fellowship compared to their male counterparts (66.7% vs 55.1%). Female Top Doctor urologists were significantly more likely to complete a female pelvic medicine and reproductive surgery (FPMRS) fellowship than their male counterparts (50% vs. 7.8%, p<0.001, chi square). The most common fellowships male urologists completed were urologic oncology (36.3%), pediatric urology (22.3%), and endourology (19.5%). Male urologists were recognized as a Top Doctor with as little as 1 year of clinical practice compared to at least 6 years for females. Weighted average patient ratings were similar among female and male Top Doctor urologists (4.02 vs 4.12/5.00). CONCLUSIONS: Fewer female urologists were recognized as a Top Doctor than anticipated based on the percentage of practicing female urologists, especially in the Northeast, South, and Midwest. Top female urologists were more likely to complete a clinical fellowship, with FPMRS being the most common. Source of Funding: Northwestern University Feinberg School of Medicine © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e310 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Elizabeth Adams More articles by this author Marne Louters More articles by this author Brandon Ansbro More articles by this author Simone Thavaseelan More articles by this author Stephanie Kielb More articles by this author Expand All Advertisement PDF DownloadLoading ...

MP38-16 IS IT TIME FOR FPMRS TO PRESCRIBE VIBRATORS?

You have accessJournal of UrologyCME1 May 2022MP38-16 IS IT TIME FOR FPMRS TO PRESCRIBE VIBRATORS? Alexandra Dubinskaya, Rainey Horwitz, Poone Shoureshi, Jennifer Anger, Victoria Scott, and Karyn Eilber Alexandra DubinskayaAlexandra Dubinskaya More articles by this author , Rainey HorwitzRainey Horwitz More articles by this author , Poone ShoureshiPoone Shoureshi More articles by this author , Jennifer AngerJennifer Anger More articles by this author , Victoria ScottVictoria Scott More articles by this author , and Karyn EilberKaryn Eilber More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002592.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Only recently, the stigma of women using vibrators for sexual pleasure has started to fade; however, it still remains a societal taboo and is surrounded with anxiety despite a variety of potential health benefits from its use. Due to the sensitive nature of the conditions Female Pelvic Medicine and Reconstructive Surgery (FPMRS) specialists treat, they are best suited to recommend vibrators to women as a health maintenance intervention. The aim of this study is to review the literature on women specific health benefits of vibrator use. METHODS: We performed a systematic review of PubMed, clinicaltrials.gov, Ovid and the Cochrane databases from inception to July 2021. The search was based on the keywords: "sex toy woman", "pelvic vibrator", "sexual stimulation vibrator", "vaginal vibrator” "vibrator pelvic floor", “vibrator incontinence”. Five hundred forty-nine relevant articles were identified. Studies that met inclusion criteria (original research, female subjects, vibrators studied for health benefit) were reviewed. Exclusion criteria included expert opinion or content was not related to our aims. A total of 18 original studies met the criteria and were reviewed in depth. RESULTS: The identified studies were categorized into four themes: sexual function (9), pelvic floor muscles (2), incontinence (6), and vulvodynia (1). Among the identified studies, vibrators were considered as an accepted modality to enhance a woman’s sexual experience and positively correlated with increased sexual desire, satisfaction, and overall sexual function. Vibratory stimulation improved pelvic floor muscle strength, vulvodynia, and improved incontinence. CONCLUSIONS: Vibrators are not well studied and given the promising benefits demonstrated in the articles identified, more research efforts should be directed towards investigating their utility. Considering the potential pelvic health benefits of vibrators, their recommendation to women should be included in our pelvic floor disorder treatment armamentarium. Source of Funding: N/A © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e624 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alexandra Dubinskaya More articles by this author Rainey Horwitz More articles by this author Poone Shoureshi More articles by this author Jennifer Anger More articles by this author Victoria Scott More articles by this author Karyn Eilber More articles by this author Expand All Advertisement PDF DownloadLoading ...

MP19-07 CHARACTERIZING THE USE OF TWITTER AMONGST ACADEMIC UROLOGISTS

You have accessJournal of UrologyCME1 May 2022MP19-07 CHARACTERIZING THE USE OF TWITTER AMONGST ACADEMIC UROLOGISTS Alberto Castro Bigalli, Clara Sun, Ilaha Isali, Andrew Gianakopoulos, Justin Dubin, Seyed Behzad Jazayeri, Mohit Sindhani, and Laura Bukavina Alberto Castro BigalliAlberto Castro Bigalli More articles by this author , Clara SunClara Sun More articles by this author , Ilaha IsaliIlaha Isali More articles by this author , Andrew GianakopoulosAndrew Gianakopoulos More articles by this author , Justin DubinJustin Dubin More articles by this author , Seyed Behzad JazayeriSeyed Behzad Jazayeri More articles by this author , Mohit SindhaniMohit Sindhani More articles by this author , and Laura BukavinaLaura Bukavina More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002552.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The dramatic reduction of clinical and research activities within medicine during COVID-19, coupled with virtual electives and conferences, have all posed important implications within academics. Given the heavy reliance on virtual interaction during the pandemic and the active role that social media (SoMe) has, our study aims to characterize the state of SoMe use among current academic urology faculty. METHODS: We identified residency programs utilizing the American Urological Association (AUA) website. All MD/DO faculty information including gender, program location, and subspecialty training was recorded. After the designation of all faculty and their Twitter handles, Twitter Development API was set up with required authorizations and tokens. Python and R were used as the supporting language and setup using Anaconda Navigator. RESULTS: We identified 143 residency programs with a total of 2,377 faculty (1,975 males and 402 females). Among all faculty, 945 (39.75%) had registered Twitter accounts with the majority being male [760 (80.40%) vs 185 (19.60%)] (Figure 1a). Proportionately, female urologists were more likely to have a registered Twitter account (Figure 1a). Differences among specialty and SoMe use were also evident, with oncology (48%) and endourology (47.24%) among male faculty representing the highest registered user accounts (Figure 1b). When assessing registered accounts by gender across all faculty, there was no notable change during COVID (2019-2020), with peak for male faculty in 2014 (10.05% of all accounts registered) and peak for female faculty in 2015 (Figure 1c). The top five hashtags by occurrence were #prostatecancer, #urology, #bladdercancer, #covid19, and #aua19 among males, female faculty extending #sexmed as an additional common hashtag. When assessing faculty representation on Twitter, The University of Colorado (69.57%), Mayo Clinic Rochester (67.86%), and Case Western Reserve (65.22%) had the most represented faculty on SoMe proportional to the size of their program (Figure 1d). CONCLUSIONS: There is a steady increase in Twitter representation among academic urology, largely unaffected by COVID. While the majority of Twitter representation is largely skewed toward male faculty, there has been a steady increase in female faculty representation across all subspecialties over the last 16 years. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e309 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alberto Castro Bigalli More articles by this author Clara Sun More articles by this author Ilaha Isali More articles by this author Andrew Gianakopoulos More articles by this author Justin Dubin More articles by this author Seyed Behzad Jazayeri More articles by this author Mohit Sindhani More articles by this author Laura Bukavina More articles by this author Expand All Advertisement PDF DownloadLoading ...

MP10-01 FACTORS IN UROLOGY JOURNALS THAT DETERMINE FEMALE AUTHORSHIP REPRESENTATION: RETROSPECTIVE REVIEW FROM 2015 TO 2020

You have accessJournal of UrologyCME1 May 2022MP10-01 FACTORS IN UROLOGY JOURNALS THAT DETERMINE FEMALE AUTHORSHIP REPRESENTATION: RETROSPECTIVE REVIEW FROM 2015 TO 2020 Maria Camila Suarez, Daniel E. Nassau, Arjun Watane, Aayush Shah, and Ranjith Ramasamy Maria Camila SuarezMaria Camila Suarez More articles by this author , Daniel E. NassauDaniel E. Nassau More articles by this author , Arjun WataneArjun Watane More articles by this author , Aayush ShahAayush Shah More articles by this author , and Ranjith RamasamyRanjith Ramasamy More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002532.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Proportional to their representation in urology, women remain scarce in leadership positions and high academic ranks. Although this gap is likely multifactorial, research productivity stands out as one of the main determinants, with female urologist exhibiting lower Hirsch index than their male counterparts. The reasons behind this gender-disparity in female authorship has not been elucidated. The aim of this study is to evaluate if the CiteScore (CS), scope (general vs subspecialty), gender-association among authors, and peer-review in the leading urology journals determine the representation of females as first and senior authors. METHODS: A computer script was designed using Python™ to search PubMed and record first and last authors of publications between 2015-2020, from the eighteen urology journals with the highest CS. At least one journal per subspecialty was included. Gender was determined by ©Gender-API (https://gender-api.com), and names with an accuracy >90% were included. Student t-test and ANOVA were implemented to compare means, Jonckheere Terpestra’s test to assess trends, Chi-square to establish proportions, and Fisher’s exact test to calculate odds ratios. A significant p-value was considered <0.05. RESULTS: A total of 37,414 publications and 65,828 authors were included in the study. Female authorship prevalence was 18.6%, and the proportion of female first authors was significantly greater than that of female senior authors (21% vs 15%, p <.001). Journals within the top third CS had the lowest proportion of female authors, while journals at the bottom third CS had the highest (p <.001). Overall, articles with female first authors were more likely to have a female senior author (OR: 2.72, CI: 2.53-2.92, p <.001), and 15 of the 18 journals showed a gender association. Analysis by scope showed that subspecialty journals had a larger proportion of manuscripts authored by female senior authors than general journals (p=0.046). When female authorship was compared by type of peer-review no significant difference was observed (p=0.09). Nonetheless, when only subspecialty journals were analyzed, double-blinded peer-reviews demonstrated a greater proportion of female first and last authors than single-blinded journals (p <.001). Over the study period, the proportion of females as last authors increased by 3.2% (p=0.045); no significant change in the proportion of females as first authors was observed (p=0.094). CONCLUSIONS: Our data suggests that the proportion of female authorship is determined by the journal’s CS, scope, peer-review, and gender association between first and senior authors. Comprehending the causes of authorship inequity should be a priority in order to create strategies for reducing gender-disparities in the recruitment and promotion of women in academia and leadership position in urology. Source of Funding: This work was supported by National Institutes of Health Grant R01 DK130991 and Clinician Scientist Development Grant from the American Cancer Society to RR. © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e146 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Maria Camila Suarez More articles by this author Daniel E. Nassau More articles by this author Arjun Watane More articles by this author Aayush Shah More articles by this author Ranjith Ramasamy More articles by this author Expand All Advertisement PDF DownloadLoading ...

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.

Voiding Function and Dysfunction, Bladder Physiology and Pharmacology, and Female Urology.