000 | 02750nam a22003017a 4500 | ||
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008 | 170829s20172017 xxu||||| |||| 00| 0 eng d | ||
022 | _a1083-3188 | ||
040 | _aOvid MEDLINE(R) | ||
099 | _a28826904 | ||
245 | _aProviders' Experiences With Vaginal Dilator Training For Patients With Vaginal Agenesis. | ||
251 | _aJournal of Pediatric & Adolescent Gynecology. 31(1):45-47, 2018 Feb | ||
252 | _aJ Pediatr Adolesc Gynecol. 31(1):45-47, 2018 Feb | ||
253 | _aJournal of pediatric and adolescent gynecology | ||
260 | _c2017 | ||
260 | _fFY2018 | ||
266 | _d2017-08-29 | ||
501 | _aAvailable online through MWHC library: 2002 - present | ||
520 | _aCONCLUSION: Our study in an experienced cohort of pediatric gynecology providers highlights the need for further research and training on vaginal dilation education. Copyright (c) 2017. Published by Elsevier Inc. | ||
520 | _aRESULTS: There were a total of 55 completed survey responses in which 31 respondents (56%) had been in practice for more than 10 years. Forty-nine were gynecologists (89%), 20 had completed a fellowship in Pediatric and Adolescent Gynecology (36%), and 6 were Reproductive Endocrinologists (11%). Thirty one respondents had first learned about vaginal dilator training through lectures (56%) while only 9 through mentorship and fellowship (16%). According to respondents, the most common issue leading to early discontinuation was lack of patient motivation and readiness (N=42, 76%). The most common complication was pain or discomfort (N=45, 82%). More than half of respondents determined dilator therapy was successful when patients reported comfortable sexual intercourse (N=30, 55%) and 65% (N=35) did not delineate any restrictions to initiation of sexual intercourse. The vast majority of respondents (87%) requested further vaginal dilator training at either a clinical meeting (N=26, 47%) or with a training video (N=22, 40%). | ||
520 | _aSTUDY OBJECTIVE: To examine providers' experiences with vaginal dilator training for patients with vaginal agenesis DESIGN: Anonymous electronic survey PARTICIPANTS: Members of the North American Society of Pediatric Adolescent Gynecology (NASPAG) MAIN OUTCOME MEASURES: How providers learn about vaginal dilator training, common techniques and methods used for patient training, assessment of patient readiness, common patient complaints, issues leading to early discontinuation. | ||
546 | _aEnglish | ||
657 | _aJournal Article | ||
700 | _aGomez-Lobo, Veronica | ||
700 | _aPatel, Vrunda | ||
790 | _aGomez-Lobo V, Hakim J, Oelschlager AA, Patel V | ||
856 |
_uhttps://dx.doi.org/10.1016/j.jpag.2017.07.006 _zhttps://dx.doi.org/10.1016/j.jpag.2017.07.006 |
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942 |
_cART _dArticle |
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999 |
_c3347 _d3347 |