Ka Wah Yiu

Pelvic floor biometry in Chinese primiparous women 1 year after delivery: a prospective observational study

To evaluate pelvic floor biometry in Chinese women 1 year following childbirth and to explore factors that affect it.

Pelvic floor biometry during a first singleton pregnancy and the relationship with symptoms of pelvic floor disorders: a prospective observational study

To assess pelvic floor biometry during pregnancy and the correlation with symptoms of pelvic floor disorders in women.

Symptoms, quality of life, and factors affecting women's treatment decisions regarding pelvic organ prolapse

Introduction and hypothesisWe performed an investigation of symptoms, quality of life (QOL), and factors affecting women’s treatment choice of pelvic organ prolapse (POP).MethodsThree hundred and eight women presenting with POP were assessed by Pelvic Floor Distress Inventory (PFDI), Pelvic Floor Impact Questionnaire (PFIQ), Short Form-36 (SF-36), Pelvic Organ Prolapse Quantification (POP-Q) system, and urodynamic studies. Treatment was arranged according to each woman’s preference after counseling. Factors affecting treatment choice were evaluated. Descriptive statistics, chi-square or Fisher exact test, analysis of variance (ANOVA) test, and logistic regression analysis were used.ResultsPatients had high prevalence of urinary, prolapse, and bowel symptoms. Their QOL was impaired, with Urinary Impact Questionnaire (UIQ) higher than the Pelvic Organ Prolapse Impact Questionnaire (POPIQ) score and lower SF-36 score compared with the population norm. Logistic regression analysis indicated that complication from vaginal pessary, urodynamic stress incontinence (USI), stage of prolapse, and Pelvic Organ Prolapse Distress Inventory (POPDI) scoring were factors for choosing surgical treatment.ConclusionsWomen with POP had great symptomatic distress and impaired QOL. Complication from vaginal pessary, USI, stage of prolapse, and POPDI scores were factors increasing the likelihood of the patient choosing surgical treatment.

Inside‐out versus outside‐in transobturator tension‐free vaginal tape: A 5‐year prospective comparative study

To compare the 1‐year and 5‐year outcomes of transobturator tension‐free vaginal tape with outside‐in and inside‐out approaches in women with urinary stress incontinence, and to identify risk factors for treatment failure at 5 years.

Antenatal pelvic floor biometry is related to levator ani muscle injury

To evaluate the relationship between antenatal pelvic floor biometry and levator ani muscle (LAM) injury in Chinese women.