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    • Deprecated function: Return type of DatabaseStatementBase::execute($args = [], $options = []) should either be compatible with PDOStatement::execute(?array $params = null): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2246 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
    • Deprecated function: Return type of DatabaseStatementEmpty::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 2348 of /var/www/webmd/apps/mdedge/htdocs/includes/database/database.inc).
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    Mickey Karram, MD

    Article

    Testosterone supplementation in women: When, why, and how

    Author:
    Mickey Karram, MD
    Rebecca Glaser, MD
    James Simon, MD, CCP, NCMP, IF
    Lauren Streicher, MD

    Dr. Karram: How would you treat the following patient? She is 56, postmenopausal, and taking estrogen. She reports decreased libido,...

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    Article

    Urethral bulking agents for SUI: Rethinking their indications

    Author:
    Mallorie L. Hoover, DO
    Mickey Karram, MD
    • Read More

    Article

    Telemedicine: Navigating legal issues

    Author:
    Mickey Karram, MD
    Anjali Dooley, MBA, JD
    Nadia de la Houssaye, JD
    Neil Baum, MD

    Some legal concerns and caveats of using telemedicine, as well as a prediction for the future of virtual health care

    In the...

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    Article

    Telemedicine: Common hurdles and proper coding for ObGyns

    Author:
    Mickey Karram, MD
    Neil Baum, MD

    Hurdles to the effective delivery of telemedicine may seem to abound, but vaulting such hurdles as cost, complexity, coding, and compensation can...

    • Read More

    Article

    Telemedicine: A primer for today’s ObGyn

    Author:
    Mickey Karram, MD
    Neil Baum, MD

    Ready or not, you should be embracing the technology. Here’s how to get started.

    If telemedicine had not yet begun to play...

    • Read More

    News

    Genitourinary syndrome of menopause: Current and emerging therapies

    Author:
    Mickey Karram, MD
    Eric R. Sokol, MD
    And Stefano Salvatore, MD

    With more than 1 billion menopausal women likely to be affected by vulvovaginal atrophy worldwide by 2025, the need for effective remedies is...

    • Read More

    Video

    Urodynamic testing: Who needs it, and key pointers for a successful outcome

    Author:
    Mickey Karram, MD
    Publish date: January 30, 2014

    • Read More

    News

    When and how to place an autologous rectus fascia pubovaginal sling

    Author:
    Mickey Karram, MD

    Although synthetic midurethral slings remain the standard of care for most women with stress urinary incontinence, an autologous graft is a safe...

    • Read More

    News

    When and how to place an autologous rectus fascia pubovaginal sling

    Author:
    Mickey Karram, MD

    Although synthetic midurethral slings remain the standard of care for most women with stress urinary incontinence, an autologous graft is a safe...

    • Read More

    Video

    Rectus fascia pubovaginal sling after an unsuccessful TVT

    Author:
    Mickey Karram, MD
    Dani Zoorob, MD

    Although synthetic midurethral slings remain the standard of care for most women with stress urinary incontinence, an autologous graft is a safe...

    • Read More

    News

    Step by step: Obliterating the vaginal canal to correct pelvic organ prolapse

    Author:
    Janelle Evans, MD
    Mickey Karram, MD

    Very elderly age, comorbidity, and disinterest in maintaining sexual function make a woman an ideal candidate for having POP corrected by surgery...

    • Read More

    Audio

    High uterosacral vaginal vault suspension to repair enterocele and apical prolapse

    Author:
    Christine Vaccaro, DO
    Mickey Karram, MD

    You can provide good apical support without significantly distorting the vaginal axis, and passing sutures intraperitoneally can be cleaner, and...

    • Read More

    News

    Which sling for which patient?

    Author:
    Mickey Karram, MD

    This roundtable is the first of a series on persistent questions in urogynecology. Future topics: lower urinary tract injury, hysterectomy routes...

    • Read More

    News

    Office evaluation of overactive bladder: 4 easy steps

    Author:
    Mickey Karram, MD

    Urgency, frequency, and urge incontinence can usually be diagnosed and managed without sophisticated urodynamic testing.

    • Read More

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