The Green Room: A Podcast from Obstetrics & Gynecology January 2025: Gynecology
Dec 12, 2024
Discover innovative approaches to managing urinary tract infections, particularly in light of rising cases post-COVID. Explore the latest research on uterine leiomyomas and cervical cancer outcomes. An enlightening discussion on pain management reveals the potential of transcutaneous electrical nerve stimulation during endometrial biopsies. Despite its effectiveness showing modest results, high patient satisfaction suggests a promising future. Tune in for insights into empowering patients and fostering healthier urogenital microbiomes.
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Rethinking UTI Management
- Two GYN studies show avoidable practices and system changes can reduce UTI overdiagnosis and harm.
- Editorial calls for microbiome-aware, personalized prevention and better home testing before defaulting to antibiotics.
Catheters Drive Preventable Postop UTIs
- Routine catheterization during minor gynecologic surgery doubled UTI rates in a 762-case review.
- The study suggests eliminating unnecessary catheter use could prevent many postoperative infections.
Virtual Care Increased Antibiotic Risk
- Virtual visits for UTIs rose sharply post-COVID, fueling a 326% increase in visits and more empiric antibiotics.
- This trend risks antibiotic overuse due to fewer urine tests during virtual care encounters.