Portrait of Caroline Cox
Caroline Cox, MD
Assistant Professor (CHS)
Urogynecology and Reconstructive Pelvic Surgery

Administrative Assistant

Patel and Cox discuss study on UTI treatments with MedScape

Ushma Patel, MD, a fellow in the Urogynecology and Reconstructive Pelvic Surgery Division in the UW Department of Ob-Gyn and Caroline Cox, MD, an assistant professor in the same division, joined Medscape for a recent a story about urinary tract infection (UTI) care.

Over-the-Counter UTI Products: What Primary Care Clinicians Need to Know” publicized a study done by Patel and Cox that analyzed over-the-counter treatments across three major U.S. drugstores, with different price points and ingredients. Patel and Cox originally presented the study at the American Urogynecologic Society’s PFD Week conference.

They found in general many options were falsely advertised as UTI treatments.

“The products in each type of category are for symptom relief or UTI prevention — not treatment,” said Patel. “These products within the categories described are interchangeable, and consumers should make cost-effective choices as no product is superior to another within its respective category.”

You can read the full article with Medscape here.

**by Ob-Gyn Communications Intern Paige Stevenson

Grand Rounds: Cox presents “The Key Role of the Apical Ligaments in Uterovaginal Support”

On September 26, 2024, Caroline Cox, MD, assistant professor in the Division of Urogynecology and Reconstructive Pelvic Surgery, presented the Grand Rounds lecture “The Key Role of the Apical Ligaments in Uterovaginal Support.”

In the lecture, Cox created a model for the progression of prolapse by understanding the anatomy and histology of ligaments and biomechanical imaging of the ligaments in relation to prolapse.

You can watch the whole lecture here.

**by Ob-Gyn Communications Intern Paige Stevenson

Cox published in International Urogynecology Journal

Caroline K. Cox, MD, assistant professor in the Division of Urogynecology and Reconstructive Pelvic Surgery, recently co-authored a new study published in the International Urogynecology Journal

In “Validation of Lower Urinary Tract Symptom Questionnaire in the Transmasculine Population,” Cox and co-authors addressed the fact that many times lower urinary tract symptoms (LUTS) go under-reported for transmasculine individuals due to a lack of validating surveys. Much of the data out there still comes from cisgender-focused surveys. Cox and co-authors were interested in seeing if the International Consultation on Incontinence Questionnaire—Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) could effectively evaluate LUTS for transgender patients:

“Our validation of the ICIQ-LUTS will now allow quantitative assessment of LUTS severity in this population. Further, future analyses can likely be done to validate its use in capturing change in symptom severity following a variety of medical and surgical treatments in this population.”

You can read the full article here.

**by Ob-Gyn Communications Intern Paige Stevenson

Cox publishes article in American Journal of Obstetrics and Gynecology

Caroline Cox, MD, assistant professor in the Division of Female Pelvic Medicine and Reconstructive Surgery, co-authored a recent article published in the American Journal of Obstetrics and Gynecology. Co-authors include Jaclyn M. Munoz, Pamela J. Levin, and Nicole M. Saur.

In “Multidisciplinary approach to evaluation of rectovaginal fistulas,” Cox and co-authors sought to demonstrate how colorectal surgery and urogynecology teams use a variety of methods while examining rectovaginal fistulas (RVFs) and their relationship to surgical repair time.

The team found that, “multidisciplinary evaluation of a complex RVF with examination under anesthesia aids in thorough assessment of a fistulous tract and optimization of the surgical approach.”

Read the whole article here.

**by Ob-Gyn Communications Intern Paige Stevenson

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