Urology In Women Research Articles

Feminization of urology and glass ceiling: Survey of women urologists in France

Urology has long remained the least feminized specialty. The objective of this study was to assess the demographic characteristics of female urologists and their feelings in terms of discrimination. The survey consisted of a questionnaire of 12 questions, sent by mailing to all female urologists, a first time in May 2016 (n=84), then a second time in January 2020 (n=98). The anonymized answers were analyzed and compared in order to assess the evolution over the last 4 years. The participation rate was 46.4% in 2016 (n=39 respondents) and 50% in 2020 (n=49 respondents). The majority of women worked full time (73.5%), with a hospital (38.8%), liberal (46.9%) or mixed (14.3%) activity. Their main theme was women's urology (57.1%). In 2020, 59.2% of respondents had encountered difficulties related to their status as women during their career and 28.1% difficulties related to motherhood. Female urologists in private practice were significantly less concerned than their counterparts with hospital or mixed activity (43.5% versus 73.1%, P=0.035). Women felt that they were underrepresented in association committees at 95.9% (vs. 82.1% in 2016) and in university positions at 79.6% (vs. 89.7% in 2016). Finally, 91.8% were in favor of the creation of an association of women urologists (vs. 53.8% in 2016). Women urologists may encounter difficulties related to their status as women during their professional career. Between 2016 and 2020, there is an increase in the feeling of under-representation within association committees and an increase in the need to federate. III, étude rétrospective cas-témoins.

Efficacy of the percutaneous tibial nerve stimulation in the treatment of lower urinary tract symptoms

Percutaneous tibial nerve stimulation (PTNS) is a minimally invasive, safe and well-tolerated neuromodulation technique for the lower urinary tract dysfunctions. PTNS delivers neuromodulation to the pelvic floor through the S2-4 junction of the sacral nerve plexus via the route of the posterior tibial nerve. Using the fine needle electrode insertion above the ankle, the tibial nerve is accessed, which connected to the stimulator. To date despite of its excessive clinical use, PTNS mechanism of action still remains unclear. The technique seems to be an efficacious and safe treatment for overactive bladder syndrome (OAB). It could be recommended according to the Urinary Incontinence Guideline of the European Association of Urology in women who did not have adequate improvement or could not tolerate anti-muscarinic therapy. The success rate is comparable to sacral nerve stimulation in OAB patients. PTNS has been used for fecal incontinence since 2003, however, many of the published studies are of poor quality. PTNS has also been shown to have positive effects on chronic pelvic pain, when the usual therapeutic steps did not result in satisfactory improvement. No major complications are reported in the literature, following PTNS treatment. Orv Hetil. 2018; 159(43): 1735-1740.

Does a history of bullying and abuse predict lower urinary tract symptoms, chronic pain, and sexual dysfunction?

To investigate associations of bullying and abuse with pelvic floor symptoms, urogenital pain, and sexual health characteristics of women presenting to a multidisciplinary women's urology center. Retrospective review of a prospective database. Patients completed questions about bullying, abuse, sexual health and validated questionnaires including the Pelvic Floor Dysfunction Inventory (PFDI-20), Overactive Bladder Questionnaire (OAB-q), and visual analog scale (VAS 0-10) for genitourinary pain. Statistical analyses included Chi-squared and t tests, which compared victims of bullying and/or abuse to non-victims. Three hundred and eighty patients were reviewed. Three hundred and thirty-eight had data on bullying and abuse history. Out of 380, 94 (24.7%) reported that they were victims of bullying. Out of 380, 104 (27.4%) reported that they were victims of abuse. Women with a history of bullying and abuse had increased overall pain scores compared to those without a history of either. Women with a history of abuse and bullying had increased PFDI-20, POPDI, and UDI-6 scores compared to women who were not bullied or abused. There was no difference in being sexually active or in sexual satisfaction between the groups. Patients with a history of abuse and bullying had the greatest percentage of dyspareunia (p=0.009). Women with a history of bullying, abuse, or both predict increased pelvic floor distress, urological symptoms, increased urogenital pain, and increased dyspareunia. Clinicians should screen for exposure to bullying or abuse in order to provide comprehensive resources to address these psychosocial issues.

Synthèse des recommandations pour le traitement de l’incontinence urinaire féminine non neurologique

The last two decades have brought about new medical and surgical treatments revolutionizing care for non-neurological urinary incontinence in women. Many studies, often randomized prospective studies with sufficient follow-up, have validated the therapeutic choices and shown them not to be part of a fad or marketing pressures. The French Association of Urology (L'Association Française d'Urologie), through its Committee on Women's Urology and Pelviperineology (Comité d'Urologie et de Pelvipérinéologie de la Femme), proposes its recommendations. These were established by an expert group of specialists (urologists, gynecologists, and physical therapists), based on a review of the literature but taking into account the daily practices in academic and private practice settings. Between evidence-based medicine and reality in the field, these recommendations attempt to propose realistic and applicable strategies.

Urology in women: A handbook of urinary diseases in the female sex. By E. Catherine Lewis, M.S.(Lond.), F.R.C.S., Surgeon to the Royal Free Hospital; Surgeon and Urologist to the South London Hospital for Women. Second edition. Demy octavo. Pp. 100 + viii, with 31 illustrations. 1936. London: Baillière, Tindall & Cox. 6s. net

Journal Article Urology in women: A handbook of urinary diseases in the female sex. By E. Catherine Lewis, M.S.(Lond.), F.R.C.S., Surgeon to the Royal Free Hospital; Surgeon and Urologist to the South London Hospital for Women. Second edition. Demy octavo. Pp. 100 + viii, with 31 illustrations. 1936. London: Baillière, Tindall & Cox. 6s. net Get access Urology in women: A handbook of urinary diseases in the female sex. By E Catherine Lewis, M.S.(Lond.), F.R.C.S., Surgeon to the Royal Free Hospital; Surgeon and Urologist to the South London Hospital for Women. Second edition. Demy octavo. Pp. 100 + viii, with 31 illustrations. 1936. London: Baillière, Tindall & Cox. 6s. net. British Journal of Surgery, Volume 24, Issue 93, July 1936, Page 197, https://doi.org/10.1002/bjs.1800249336 Published: 06 December 2005

Urology in women. A Handbook of Urinary Diseases in the Female Sex. By E. Catherine Lewis, M.S. (Lond.), F.R.C.S., Surgeon, Royal Free Hospital, London. Large 8vo. Pp. 76 + viii, with 21 plates and 4 illustrations in the text. 1932. London: Baillière, Tindall & Cox. 6s. net

Urology in women. A Handbook of Urinary Diseases in the Female Sex. By E. Catherine Lewis, M.S. (Lond.), F.R.C.S., Surgeon, Royal Free Hospital, London. Large 8vo. Pp. 76 + viii, with 21 plates and 4 illustrations in the text. 1932. London: Baillière, Tindall & Cox. 6s. net

Uroscopy in the Salerno School of Medicine.

Uroscopy was one of the basic diagnostic tests of the Salerno School of Medicine. The De Urinis of Magister Maurus was the work to which all urologic knowledge of the 12th and 13th centuries referred. His urologic doctrine was organized according to the theory of the 4 strata, and represented the extreme opposite from that of Cofone, according to whom the vital stream of urine expressed the depurative needs of the organs themselves. Salerno was also interesting in that it devoted as much attention to urology in women as in men, recognizing their fundamental role in the survival of the species. Unfortunately, much of the original work has become obscured by the many additions to the works of the masters and the spurious texts of lesser physicians.

Urology in Women

Urology in Women

Book Review Urology in Women . A Handbook of Urinary Diseases in the Female Sex. E. Catherine Lewis. Second Edition. 100 pp. Baltimore: William Wood & Company. $2.25.

Book Review Urology in Women . A Handbook of Urinary Diseases in the Female Sex. E. Catherine Lewis. Second Edition. 100 pp. Baltimore: William Wood & Company. $2.25.

Urology in Women

Urology in Women

BOOK REVIEWS

Book reviewed in this article:“The Toxaemias of Pregnancy,” by Louise Mcilroy, D.B.E., LL.D., M.D., D.Sc., F.C.O.G., M.R.C.P.“Urology in Women” (2nd ed.), by E. Catharine Lewis, M.S., F.R.C.S.“Adventures Before Birth,” by Jean Rostand; translated by Joseph Needham.“Manual of Emergencies,” by J. Snowman, M.D.

Book Reviews

Book reviewed in this article:“Surgical Diseases and Injury of the Genito‐Urinary Organs” by Sir John Thomson‐Walker, D.L., M.B., C.M. (Ed.), F.R.C.S. (Eng.)“Urology in Women”. Second Edition. By E. Catherine Lewis, M.S., F.R.C.S.

Urology in Women: A Handbook of Urinary Diseases in the Female Sex.

Urology in Women: A Handbook of Urinary Diseases in the Female Sex.

BOOK REVIEWS

Book reviewed in this article:“Problems of Population.” Edited by G. H. L. F. Pitt‐Rivers, B.Sc. (Oxon.).“Review of Urology in Women, a handbook on Urinary Diseases in the Female Sex,” by E. Catharine Lewis, M.S. (Lond.), F.R.C.S. (Eng.).“The Doorkeeper and other Poems,” by John W. Taylor. Third edition, with additional poems, edited by Pauline Taylor; with a foreword by Charles Gore“The Practical Medicine Series: Obstetrics,” edited by Joseph B. De Lee, A.M., M.D. “Gynaecology,” edited by J. P. Greenhill, B.S., M.D., F.A.C.S.“The Critical Age of Women,” by Walter M. Gallichan.

REVIEWS OF BOOKS

Books reviewed in this article:The Medical Annual, 1932. Jubilee issue. 20s. net. John Wright & Sons.“Urology in Women.” By E. C. Lewis. Number of pages, viii. + 76. Plates, 21. Figures in text, 4. Price 6s. net. Published by Baillière, Tindall & Cox“Dermatology and Urology.” Series 1931. Pp. 458. (“Urology.” By J. H. Cunningham.“Minor Surgery of the Urinary Tract.” By Hermon C. Bumpus“Colonic Irrigation.” W. Kerr Russell

Urology in women: Stevens: Journal American Medical Association, 1923, lxxxi, 1917

Urology in women: Stevens: Journal American Medical Association, 1923, lxxxi, 1917

UROLOGY IN WOMEN

There is at present an unfortunate tendency in many parts of the country to separate urology in women from urology in general, and place it in the hands of the gynecologist and obstetrician. The argument most commonly advanced in favor of this procedure is that the generative and urinary tracts are in close proximity in this sex, and, consequently, pathologic conditions of the two are frequently associated. As a matter of fact, the same intimate relationship exists between the female generative organs and the rectum and colon, but pathologic lesions of these are seldom classed as gynecologic conditions. In a study of 200 nonpregnant women with urinary disturbances, I found that the symptoms were entirely due to urinary tract conditions in 73 per cent., whereas lesions of the generative organs, although present in a large proportion of cases, were possible etiologic factors in only 27 per cent. These correspond with