{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:11:24Z","timestamp":1790640684281,"version":"4.1.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>Current national guidelines advise against routine preoperative laboratory testing to assess risk of perioperative events prior to surgery for pelvic floor disorders (PFDs), yet many women undergo unnecessary testing. The primary objective was to determine the clinical utility of preoperative laboratory assessment prior to surgical management of PFDs. Secondary objectives include rates of case cancellation or postponement owing to laboratory abnormalities and factors associated with testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective study was performed of all surgeries within the Division of Urogynecology and Reconstructive Pelvic Surgery at a single academic medical center between 1 January 2021 and 31 December 2024. Patient demographics, clinical characteristics, and preoperative laboratory assessments were abstracted from the medical record. Case cancellation or postponement was documented. Group comparisons were performed using Student\u2019s\n                      <jats:italic>t<\/jats:italic>\n                      test and Chi-squared and Fisher\u2019s exact test for continuous and categorical variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the study period, 634 surgeries were performed for PFDs. Four hundred sixty-nine (74%) women had preoperative labs performed. Laboratory abnormalities were rare and did not result in any changes to surgical management. Patients with diabetes mellitus were more likely to have preoperative labs (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.02); otherwise, medical co-morbidities were similar in the two cohorts. Patients who had preoperative labs were more likely to have a hysterectomy (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), sacrocolpopexy (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004), uterosacral ligament suspension (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001), anterior repair (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), and posterior repair (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite the majority of patients undergoing preoperative laboratory testing, clinically meaningful abnormalities were rare and did not change surgical management. Policies surrounding preoperative testing should be re-evaluated to reflect current national guidelines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-025-06307-7","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T09:18:50Z","timestamp":1759310330000},"page":"1867-1872","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical Management of Pelvic Floor Disorders and the Utility of Preoperative Labs"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1597-1098","authenticated-orcid":false,"given":"Tara","family":"Samsel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Ashmore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinxuan","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Kenton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"issue":"2","key":"6307_CR1","doi-asserted-by":"publisher","first-page":"e2022.00013","DOI":"10.1016\/j.ajog.2017.07.005","volume":"26","author":"T Elfazari","year":"2022","unstructured":"Elfazari T, Nayak AL, Mallick R, Arendas K, Choudhry AJ, Chen I. Surgical indication and approach are associated with transfusion in hysterectomy for benign disease. JSLS. 2022;26(2):e2022.00013. https:\/\/doi.org\/10.4293\/JSLS.2022.00013.","journal-title":"JSLS"},{"issue":"5","key":"6307_CR2","doi-asserted-by":"publisher","first-page":"612.e1","DOI":"10.1016\/j.ajog.2017.07.005","volume":"217","author":"LK Pandya","year":"2017","unstructured":"Pandya LK, Lynch CD, Hundley AF, Nekkanti S, Hudson CO. The incidence of transfusion and associated risk factors in pelvic reconstructive surgery. Am J Obstet Gynecol. 2017;217(5):612.e1\u2013612.e8. https:\/\/doi.org\/10.1016\/j.ajog.2017.07.005.","journal-title":"Am J Obstet Gynecol"},{"issue":"9","key":"6307_CR3","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1097\/SPV.0000000000000606","volume":"26","author":"J Geynisman-Tan","year":"2020","unstructured":"Geynisman-Tan J, Bochenska K, Gillingham A, Collins S, Lewicky-Gaupp C, Mueller M, Kenton K. Clinical utility of routine preoperative laboratory assessment in a urogynecologic population. Female Pelvic Med Reconstruct Surg. 2020;26(9):550\u20133. https:\/\/doi.org\/10.1097\/SPV.0000000000000606.","journal-title":"Female Pelvic Med Reconstr Surg"},{"issue":"3","key":"6307_CR4","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1097\/ALN.0b013e31823c1067","volume":"116","author":"J Apfelbaum","year":"2020","unstructured":"Apfelbaum J, Connis RT, Nickinovich D, American Society of Anesthesiologists Task Force on Preanesthesia Evaluation, Pasternak LR, Arens JF, et al. Practice advisory for preanesthesia evaluation: an updated report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation. Anesthesiology. 2012;116(3):522\u201338. https:\/\/doi.org\/10.1097\/ALN.0b013e31823c1067.","journal-title":"Anesthesiology"},{"issue":"2","key":"6307_CR5","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1097\/SPV.000000000000055","volume":"24","author":"K Husk","year":"2018","unstructured":"Husk K, Willis-Gray M, Dieter A, Wu J. The utility of preoperative laboratory testing before urogynecologic surgery. Female Pelvic Med Reconstruct Surg. 2018;24(2):105\u20138. https:\/\/doi.org\/10.1097\/SPV.0000000000000551.","journal-title":"Female Pelvic Med Reconstruct Surg"},{"key":"6307_CR6","volume-title":"Benefits and harms of routine preoperative testing: comparative effectiveness","author":"EM Balk","year":"2014","unstructured":"Balk EM, Earley A, Hadar N, Shah N, Trikalinos TA. Benefits and harms of routine preoperative testing: comparative effectiveness. Rockville (MD): Agency for Healthcare Research and Quality; 2014."},{"issue":"1","key":"6307_CR7","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.anclin.2015.10.005","volume":"34","author":"M Bock","year":"2016","unstructured":"Bock M, Fritsch G, Hepner D. Preoperative laboratory testing. Anesthesiol Clin. 2016;34(1):43\u201358. https:\/\/doi.org\/10.1016\/j.anclin.2015.10.005.","journal-title":"Anesthesiol Clin"},{"issue":"6","key":"6307_CR8","first-page":"414","volume":"87","author":"MA Feely","year":"2013","unstructured":"Feely MA, Collins CS, Daniels PR, Kebede EB, Jatoi A, Mauck KF. Preoperative testing before noncardiac surgery: guidelines and recommendations. Am Fam Phys. 2013;87(6):414\u20138.","journal-title":"Am Fam Phys"},{"issue":"12","key":"6307_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hta1120","volume":"1","author":"J Munro","year":"1997","unstructured":"Munro J, Booth A, Nicholl J. Routine preoperative testing: a systematic review of the evidence. Health Technol Assess. 1997;1(12):1\u20134 (1\u201362).","journal-title":"Health Technol Assess"},{"key":"6307_CR10","volume-title":"Preoperative tests (Update): routine preoperative tests for elective surgery","author":"National Guideline Centre","year":"2106","unstructured":"National Guideline Centre. Preoperative tests (Update): routine preoperative tests for elective surgery. London: National Institute for Health and Care Excellence (NICE); 2016."},{"issue":"3","key":"6307_CR11","doi-asserted-by":"publisher","first-page":"e2021.00020","DOI":"10.4293\/JSLS.2021.00020","volume":"25","author":"A Tjaden","year":"2021","unstructured":"Tjaden A, Codispoti N, Yang LC, Pham T. Examining the utility and cost of routine type and screen prior to minimally invasive hysterectomy. JSLS. 2021;25(3):e2021.00020. https:\/\/doi.org\/10.4293\/JSLS.2021.00020.","journal-title":"JSLS"},{"issue":"1","key":"6307_CR12","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/j.juro.2015.07.110","volume":"195","author":"T Feng","year":"2016","unstructured":"Feng T, Perkins C, Wood L, Eilber KS, Wang JK, Bresee C, Anger JT. Preoperative testing for urethral sling surgery for stress urinary incontinence: overuse, underuse and cost implications. J Urol. 2016;195(1):120\u20134. https:\/\/doi.org\/10.1016\/j.juro.2015.07.110.","journal-title":"J Urol"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06307-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-025-06307-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06307-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:22:33Z","timestamp":1761898953000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-025-06307-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["6307"],"URL":"https:\/\/doi.org\/10.1007\/s00192-025-06307-7","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"8 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"T.S.: no disclosures or conflicts of interest; S.A.: no disclosures or conflicts of interest; J.S.: no disclosures or conflicts of interest; K.K.: NIH\/NIDDK Grant Funding, Axonics Educational Honoraria, Butler Snow Expert Witness, Society of Gynecologic Surgery, and American Board of Obstetrics & Gynecology Board Member; M.M.: NIH\/NIDDK Grant Funding, Axonics Educational Honoraria, Butler Snow Expert Witness.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}},{"value":"University of Chicago Institutional Review Board (IRB24-0704).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"IRB Approval"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclaimer"}}]}}