JORGE MILHEM HADDAD

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Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular, Hospital das Clínicas, Faculdade de Medicina

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Assunto: Obstetrics & Gynecology ×

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Agora exibindo 1 - 10 de 58
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    ANATOMICAL RELATIONSHIP BETWEEN DEVICES TVT-O AND ABREVO IN FRESH CADAVERS
    (2013) HADDAD, J. M.; FIORELLI, L. R.; FRANCO, V. F.; MATSUOKA, P.; CASENTINI, F.; BARACAT, E. C.
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    A review of mobile voiding diary apps: Content and functionality features
    (2018) VACCARI, N.; SILVEIRA, L.; HADDAD, J.; BARACAT, E.; BERTOLINI, M. A.; FERREIRA, E.
  • article 6 Citação(ões) na Scopus
    Validation of the Brazilian Portuguese version of the pelvic floor bother questionnaire
    (2019) PETERSON, Thais Villela; PINTO, Rodrigo Ambar; DAVILA, G. Willy; NAHAS, Sergio Carlos; BARACAT, Edmund Chada; HADDAD, Jorge Milhem
    Introduction and hypothesisThe Pelvic Floor Bother Questionnaire (PFBQ) was designed to identify the presence and degree of bother associated with common pelvic floor symptoms. The PFBQ can be used in clinical practice and for research purposes, but it is not available in Brazilian Portuguese. We aimed to validate a cross-culturally adapted Brazilian Portuguese version of the PFBQ.MethodsA pilot-tested version of the PFBQ translated from English was evaluated with Brazilian patients suffering from pelvic floor disorders. Internal reliability, test-retest reliability, validity, and responsiveness to change were assessed.ResultsA total of 147 patients (mean age, 60.49years) were enrolled in the study. The Brazilian Portuguese version of the PFBQ demonstrated good reliability (=0.625; ICC=0.981). There was strong agreement beyond chance for each item (=0.895-1.00). The PFBQ correlated with stage of prolapse (p<0.01), number of urinary (=0.791, p<0.001) and fecal (=0.78, p<0.001) incontinence episodes, and obstructed defecation (=0.875, p<0.001).ConclusionsThe Brazilian Portuguese version of the PFBQ is a reliable, valid, and user-friendly instrument that can be used for assessing the presence and severity of pelvic floor symptoms in clinical and research settings in Brazil.
  • article 16 Citação(ões) na Scopus
    Pelvic floor muscle function and quality of life in postmenopausal women with and without pelvic floor dysfunction
    (2018) FROTA, Isabella Parente Ribeiro; ROCHA, Adriana Bombonato Oliveira; VASCONCELOS NETO, Jose Ananias; VASCONCELOS, Camila Teixeira Moreira; MAGALHAES, Thais Fontes De; KARBAGE, Sara Arcanjo Lino; AUGUSTO, Kathiane Lustosa; NASCIMENTO, Simony Lira Do; HADDAD, Jorge Millem; BEZERRA, Leonardo Robson Pinheiro Sobreira
    IntroductionThis study aims to compare pelvic floor muscle (PFM) function in postmenopausal women with and without pelvic floor dysfunction (PFD) and the relation between PFM function and quality of life. Material and methodsA case-control study with 216 postmenopausal women with (n=126) and without (n=90) PFD. PFM function was assessed by digital vaginal palpation using the PERFECT scale. Specific quality of life was evaluated using the King's Health Questionnaire for women with urinary incontinence and the Prolapse Quality-of-Life Questionnaire for women with pelvic organ prolapse. We analyzed women with PFD into two categories: Oxford's grade 2 or 3 using a chi-squared test. ResultsOut of 126 womem with PFD 44 (34.9%) presented stress urinary incontinence, 21 (16.6%) had pelvic organ prolapse and 61 (48.4%) had urinary incontinence + pelvic organ prolapse. Strength had a median value 2 (0-5) in all women studied and most of them had insufficient strength, reduced endurance and repetition without statistical difference between groups. Incontinent women with strength 2 had worse perception of general health domain of King's Health Questionnaire (p=0.007). No association was found between PFM function and Prolapse Quality-of-Life Questionnaire. ConclusionsPFM function assessed by bidigital palpation in postmenopausal women was not sufficiently sensitive to differentiate between women with vs. women without PFM dysfunction and was not related with specific quality of life in women with urinary incontinence and pelvic organ prolapse, respectively. These data should be used to reinforce the widespread recommendation that PFM training is essencial in PFD treatment.
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    GENITAL PROLAPSE: RANDOMIZED, MULTICENTER TRIAL OF SURGICAL ASSESSMENT FOR FASCIAL REPAIR VERSUS SYNTHETIC POLYPROPYLENE MESH REPAIR
    (2012) SILVEIRA, S. B.; AUGE, A. P.; BELLA, Z. I. Jarmy-Di; NASTRI, F.; KAWABATA, M. G.; CARRAMAO, S.; RODRIGUES, C. A.; HADDAD, J. M.; BARACAT, E. C.
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    INTRAVESICAL TREATMENTS WITH HYALURONIC ACID AND CHONDROITIN FOR PAINFUL BLADDER SYNDROME: SYSTEMATIC REVIEW AND META-ANALYSIS
    (2015) MATSUOKA, P. K.; RODRIGUES, F. P.; PACETTA, A. M.; BARACAT, E. C.; HADDAD, J. M.
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    EFFECT OF PELVIC FLOOR AND HIP MUSCLE STRENGTHENING IN THE TREATMENT OF STRESS URINARY INCONTINENCE: RANDOMIZED BLIND CLINICAL TRIAL
    (2015) MARQUES, S. A.; SILVEIRA, S. B.; HADDAD, J. M.; PASSARO, A. C.; EDMUND, B. C.; FERREIRA, E. A.
  • article 3 Citação(ões) na Scopus
    AUGS-IUGA Joint clinical consensus statement on enhanced recovery after urogynecologic surgery
    (2022) LATTHE, Pallavi; MARQUINI, Gisele Vissoci; ACHTARI, Chahin; HADDAD, Jorge; PANZA, Joseph; JANKOWSKI, Christopher J.; HEISLER, Christine A.; REAGAN, Krista; HICKMAN, Lisa C.
    Introduction and hypothesis Enhanced recovery after surgery (ERAS) evidence-based protocols for perioperative care can lead to improvements in clinical outcomes and cost savings. This article aims to present consensus recommendations for the optimal perioperative management of patients undergoing urogynecological surgery. Methods A review of meta-analyses, randomized clinical trials, large nonrandomized studies, and review articles was conducted via PubMed and other databases for ERAS and urogynecological surgery. ERAS protocol components were established, and then quality of the evidence was both graded and used to form consensus recommendations for each topic. These recommendations were developed and endorsed by the writing group, which is comprised of the American Urogynecologic Society and the International Urogynecological Association members. Results All recommendations on ERAS protocol items are based on best available evidence. The level of evidence for each item is presented accordingly. The components of ERAS with a high level of evidence to support their use include fasting for 6 h and taking clear fluids up to 2 h preoperatively, euvolemia, normothermia, surgical site preparation, antibiotic and antithrombotic prophylaxis, strong antiemetics and dexamethasone to reduce postoperative nausea and vomiting, multimodal analgesia and restrictive use of opiates, use of chewing gum to reduce ileus, removal of catheter as soon as feasible after surgery and avoiding systematic use of drains/vaginal packs. Conclusions The evidence base and recommendations for a urogynecology-relevant ERAS perioperative care pathway are presented in this consensus review. There are several elements of ERAS with strong evidence of benefit in urogynecological surgery.
  • article 47 Citação(ões) na Scopus
    Conservative Treatment of Stress Urinary Incontinence: A Systematic Review with Meta-analysis of Randomized Controlled Trials
    (2016) MORONI, Rafael Mendes; MAGNANI, Pedro Sergio; HADDAD, Jorge Milhem; CASTRO, Rodrigo de Aquino; BRITO, Luiz Gustavo Oliveira
    We performed a systematic review and meta-analysis of randomized controlled trials that studied the conservative management of stress urinary incontinence (SUI). There were 1058 results after the initial searches, from which 37 studies were eligible according to previously determined inclusion criteria. For the primary outcomes, pelvic floor muscle training (PFMT) was more efficacious than no treatment in improving incontinence-specific quality of life (QoL) scales (SMD = [1]1.24SDs; CI 95% = [1]1.77 to [1]0.71SDs). However, its effect on pad tests was imprecise. Combining biofeedback with PFMT had an uncertain effect on QoL (MD = [1]4.4 points; CI 95% = [1]16.69 to 7.89 points), but better results on the pad test, although with elevated heterogeneity (MD = 0.9g; 95%CI = 0.71 to 1,10g); group PFMT was not less efficacious than individual treatment, and home PFMT was not consistently worse than supervised PFMT. Both intravaginal and superficial electrical stimulation (IES and SES) were better than no treatment for QoL and pad test. Vaginal cones had mixed results. The association of IES with PFMT may improve the efficacy of the latter for QoL and pad test, but the results of individual studies were not consistent. Thus, there is evidence of the use of PFMT on the treatment of SUI, with and without biofeedback.