Women & Infants’ Dr. Sung Published in JAMA
Monday, September 23, 2019
Women & Infants' Dr. Vivian Sung has been published in the Journal of the American Medical Association (JAMA).
Sung was published for her work on two research trials conducted through the Division of Urogynecology and Reconstructive Pelvic Surgery
“Congratulations to Dr. Sung for her leadership and clinical expertise. These are exciting times in the area of research for Women & Infants Hospital and for the patients who will benefit from these findings. Both articles published in JAMA are a testament to the cutting-edge research being conducted and offered to patients at Women & Infants. This sets the standard in research, and ensures the highest quality of clinical care for our patients,” said Matt Quin, interim chief operating officer at Women & Infants Hospital.
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The second trial compares two different surgical treatments for uterine prolapse (the SUPeR trial).
Both studies were conducted by the Pelvic Floor Disorders Network (PFDN), funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the Office of Research on Women’s Health, both part of the National Institutes of Health (NIH).
The Trials
The ESTEEM trial compares behavioral and pelvic floor muscle therapy combined with sling surgery against sling surgery alone on improving mixed urinary incontinence symptoms.
According to the trial, Women with mixed incontinence can be more difficult to treat because they have two different types of incontinence (stress and urgency incontinence).
In this study, investigators found that sling surgery alone also improves urgency urinary incontinence, with a very low rate of complications.
Adding behavioral and pelvic floor therapy to surgery did not result in a clinically meaningful improvement in symptoms.
Most patients in both groups reported a marked reduction in both types of incontinence at one year.
“The results of our study suggest that current practice guidelines may be unnecessarily delaying surgery for women with mixed urinary incontinence. Our findings have broad implications since one-third to one-half of women with urinary incontinence have mixed incontinence. We hope these findings will improve the care and treatment for women with incontinence,” said Sung.
Click here to read the trials
About Sung
Sung is a professor at The Warren Alpert Medical School of Brown University and a member of the active staff at Women & Infants Hospital.
Sung is a graduate of Tufts University School of Medicine and completed a residency in obstetrics and gynecology at Magee-Women's Hospital.
Following residency, Sung completed a dual fellowship in urogynecology and reconstructive pelvic surgery and epidemiology and clinical trials at Women & Infants Hospital.
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