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Current Perspectives and Innovations in Urogynecology

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: 20 December 2025 | Viewed by 473

Special Issue Editor


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Guest Editor
1st Department of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece
Interests: gynecology; urogynecology; female pelvic medicine; reconstructive pelvic floor surgery; gynecological surgery

Special Issue Information

Dear Colleagues,

Urogynecology has evolved into a dynamic subspecialty that encompasses the evaluation and management of pelvic floor disorders, which affect a significant portion of the female population. These conditions—ranging from pelvic organ prolapse to urinary and fecal incontinence—have a profound impact on quality of life and are often underdiagnosed or undertreated due to social stigma and diagnostic complexity.

Recent advances in diagnostic imaging, surgical techniques, and minimally invasive procedures, alongside an increased understanding of pathophysiological mechanisms, have broadened the treatment landscape. Additionally, multidisciplinary approaches and personalized medicine are increasingly shaping the future of urogynecological care.

This Special Issue of JCM aims to highlight contemporary challenges, novel technologies, and the latest evidence in the field of urogynecology. We welcome the submission of original research, comprehensive reviews, and systematic reviews related to the diagnosis, management, and long-term outcomes of pelvic floor dysfunction, including innovative surgical and nonsurgical interventions. Special attention will also be paid to studies focused on training, patient-centered care, and the integration of digital tools in clinical practice.

We invite contributions from leading experts and researchers to provide updates and stimulate discussion on the current and future directions in urogynecology.

Prof. Dr. Stavros Athanasiou
Guest Editor

Manuscript Submission Information

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Keywords

  • urogynecology
  • pelvic organ prolapse
  • urinary incontinence
  • overactive bladder
  • pelvic floor surgery
  • reconstructive surgery
  • minimally invasive surgery
  • pelvic floor disorders
  • innovative surgical techniques
  • quality of life

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Published Papers (1 paper)

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Research

11 pages, 1223 KB  
Article
Predictive Measurement of Urethral Mobility for Successful Transurethral Bulkamid Application in Women with Stress Urinary Incontinence
by Norbert Nosal, Andrea Gerling, Annette Kuhn, Mathieu Pfleiderer, Sunhwa Baek and Sebastian Ludwig
J. Clin. Med. 2025, 14(18), 6555; https://doi.org/10.3390/jcm14186555 - 18 Sep 2025
Viewed by 270
Abstract
Background/Objectives: Bulking agents such as Bulkamid® are well-established surgical options for the treatment of stress urinary incontinence (SUI). Pelvic floor sonographic imaging is readily accessible and may assist in identifying patients who are more likely to benefit from bulking therapies. Urethral [...] Read more.
Background/Objectives: Bulking agents such as Bulkamid® are well-established surgical options for the treatment of stress urinary incontinence (SUI). Pelvic floor sonographic imaging is readily accessible and may assist in identifying patients who are more likely to benefit from bulking therapies. Urethral mobility appears to significantly influence treatment outcomes and can be classified into hypo-, normo-, and hypermobility. The primary aim of this study was to evaluate the impact of sonographic urethral mobility on the success rate of Bulkamid® injections. The secondary objective was to assess differences between pre- and postoperative urinary incontinence scores. Methods: In women with SUI, linear dorsocaudal movement (LDM) of the urethra was measured sonographically. The International Consultation on Incontinence Modular Questionnaire—Urinary Incontinence Short Form (ICIQ-UI SF) was completed prior to Bulkamid® injection. Patients were categorized into hypo-, normo-, and hypermobility groups based on their LDM measurements. Results: A total of 130 patients participated, with 101 undergoing both pre- and postoperative sonographic assessment. The difference in LDM before and after treatment was calculated. Patients with normomobile urethras (n = 79) exhibited the greatest mean improvement in continence scores, with LDM changes ranging from 6 to 24 mm and an average ICIQ-UI SF score reduction of 3.8 points. Patients with hypomobile (n = 16) or hypermobile urethras (n = 6) also demonstrated improvements, but to a lesser extent than the normomobile group. Conclusions: This study indicates that patients with a normomobile urethra experience the most significant improvement in continence outcomes following Bulkamid® injection. Urethral mobility assessment via sonography may serve as a valuable preoperative tool and appears to play a crucial role in predicting treatment success with bulking agents. Full article
(This article belongs to the Special Issue Current Perspectives and Innovations in Urogynecology)
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