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Stress urinary incontinence

Yu Seob Shin, Jae Hyung You, Ji Won On, Myung Ki Kim
Objective: To evaluate the association between the length of the female urethra and urodynamic study (UDS) parameters in patients presenting with stress urinary incontinence (SUI). Patients and methods: We retrospectively enrolled 391 women who underwent a transobturator adjustable tape sling implantation for the management of SUI between April 2009 and March 2016. All patients underwent a physical examination and UDS. Filling cystometry data that were evaluated included the Valsalva leak point pressure, and the cough leak point pressure...
2018: International Journal of Women's Health
Yi Sun, Guo-Lin Lei, Cai Tang, Lu Yang, Hong Shen, Qiang Wei
AIMS: To compare the efficiency and complications of normal weight and overweight women with stress urinary incontinence (SUI) after surgery. METHODS: We searched the PubMed, Embase, and Cochrane Library Databases to identify all compared results, including those involving the terms normal weight, overweight, body mass index (BMI), and SUI. After treatment with surgery, the efficiency (subjective cure rate, objective cure rate, UDI-6, and IIQ-7) and complications were compared between the normal weight and overweight groups...
July 14, 2018: International Urology and Nephrology
Eileen K Hutton, Mary E Hannah, Andrew R Willan, Susan Ross, Alexander C Allen, B Anthony Armson, Amiram Gafni, K S Joseph, Kathryn Mangoff, Arne Ohlsson, J Johanna Sanchez, Elizabeth V Asztalos, Jon F R Barrett
OBJECTIVE: Does planned caesarean compared with planned vaginal birth lower the risk of problematic urinary stress, fecal or flatal incontinence?. DESIGN: Women between 32 0/7 and 38 6/7 weeks gestation with twin pregnancy were randomised to planned caesarean or planned vaginal birth. SETTING: 106 centers in 25 countries. POPULATION: 2305 /2804 enrolled in the study completed questionnaires at two years (82.2%follow up): 1155 in the planned caesarean group, 1150 in the planned vaginal birth group...
July 14, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
R M Tähtinen, R Cartwright
Stress urinary incontinence is a common condition among women. Although an extensive body of evidence suggests that vaginal delivery increases rates of post-partum stress urinary incontinence compared with caesarean section (Tähtinen RM et al. Eur Urol. 2016;70:148-58) there has been almost an complete lack of adequate prior RCT data. The only previous randomized trial to address this topic is the Term Breech Trial (Hannah M et al. Am J Obstet Gynecol.2004;191:917-27). This article is protected by copyright...
July 14, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
Maxim J McKibben, Nabeel Shakir, Joceline S Fuchs, Jeremy M Scott, Allen F Morey
INTRODUCTION AND OBJECTIVES: To compare long term outcomes and erosion rates of 3.5 cm artificial urinary sphincter (AUS) cuffs versus larger cuffs among men with stress urinary incontinence (SUI), with and without a history of pelvic radiation. MATERIALS AND METHODS: We reviewed the records of all men who underwent AUS placement by a single surgeon between September 2009 and June 2017 at our tertiary urban medical center. A uniform perineal approach was used to ensure cuff placement around the most proximal corpus spongiosum after precise spongiosal measurement...
July 14, 2018: BJU International
Haider Jan, Vishalli Ghai, Ranee Thakar
STUDY OBJECTIVE: Laparoscopic colposuspension for recurrent stress incontinence following failed tension-free vaginal tape (TVT) DESIGN: Technical video demonstrating laparoscopic colposuspension for previously surgically treated stress incontinence (Canadian Task force classification level III). SETTING: University Hospital. INTERVENTION: 58-year old woman with a previous TVT presents with recurrent stress urinary incontinence. DISCUSSION: Mid-urethral slings (MUS) have equivalent cure rates to the more invasive colposuspension...
July 10, 2018: Journal of Minimally Invasive Gynecology
J C Martín Del Olmo, M Toledano, M L Martín Esteban, M A Montenegro, J R Gómez, P Concejo, M Rodríguez de Castro, F Del Rio
BACKGROUND: Pelvic organ prolapse (POP) is an increasing medical problem with complex diagnostics and controversial surgical management. It causes a series of dysfunctions in the gynecological, urinary, and anorectal organs. Numerous procedures have been proposed to treat these conditions, but in recent years, ventral mesh rectocolposacropexy (VMRCS) has emerged as the procedure of choice for the surgical treatment of POP, especially by a laparoscopic approach. This surgical technique limits the risk of autonomic nerve damage, and the colpopexy allows the correction of concomitant prolapse of the middle compartment...
July 11, 2018: Surgical Endoscopy
Hai-Hong Zhou, Bo Shu, Tong-Zu Liu, Xing-Huan Wang, Zhong-Hua Yang, Yong-Lian Guo
Urinary incontinence (UI) is a common complaint for adult female. Cross-sectional studies suggested parity may link with UI, but the association between them was not well-established. We conducted a meta-analysis to investigate the association between parity and UI.Medline and Embase were searched for eligible case-control and cohort studies about parity and UI. Two authors screened the literature and extracted the data independently. Odds ratio (OR) was used as the measure of the effect of parity on UI. We pooled the ORs of different number of parity by a random-effect model...
July 2018: Medicine (Baltimore)
Swati Jha, Tim Hillard, Ash Monga, Jonathan Duckett
INTRODUCTION AND HYPOTHESIS: The aim of the British Society of Urogynaecology (BSUG) 2013 audit for stress urinary incontinence (SUI) surgery was to conduct a national clinical audit looking at the intra- and postoperative complications and provide outcomes for these procedures. This audit was supported by the Healthcare Quality Improvement Partnership (HQIP) and National Health Service (NHS) England. METHODS: Data were collected for all continence procedures performed in 2013 through the BSUG database...
July 11, 2018: International Urogynecology Journal
Karin Glavind, Jonna Bjørk, Sabrina Kousgaard
INTRODUCTION AND HYPOTHESIS: The primary aim of this study was to investigate long-term patient-reported goals after a tension-free vaginal tape (TVT) operation for stress urinary incontinence (SUI). METHODS: In this prospective study involving 67 women, patients completed the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) preoperatively and stated three goals for the operation. Postoperatively, a visual analog scale (VAS) ranging from zero (none) to ten (worst) estimated the extent to which goals were achieved...
July 11, 2018: International Urogynecology Journal
José Medina-Polo, Ana Arrébola-Pajares, Susana de la Rosa-Kehrmann, Javier Romero-Otero, Borja García-Gómez, Manuel Alonso-Isa, Alba Lara-Isla, José Manuel Duarte-Ojeda, Alfredo Rodríguez-Antolín, Juan Bautista Passas-Martínez
OBJECTIVES: Urinary incontinence (UI) is a significant complication after radical prostatectomy (RP). Although sphincter incompetence is considered the main cause; bladder dysfunction can contribute substantially. Our objective was to evaluate the results of the urodynamic study (UDS) in men with UI after radical prostatectomy and analyze the correlation between symptoms and urodynamic parameters. METHODS: We carried out a retrospective study reviewing the symptoms and urodynamics in patients with urinary incontinence after RP...
July 2018: Archivos Españoles de Urología
Jacqui Wise
No abstract text is available yet for this article.
July 10, 2018: BMJ: British Medical Journal
Victor P Andreev, Gang Liu, Claire C Yang, Abigail R Smith, Margaret E Helmuth, Jonathan B Wiseman, Robert M Merion, Kevin P Weinfurt, Anne P Cameron, H Henry Lai, David Cella, Brenda W Gillespie, Brian T Helfand, James W Griffith, John O L DeLancey, Matthew O Fraser, J Quentin Clemens, Ziya Kirkali
PURPOSE: Women with lower urinary tract symptoms (LUTS) are often diagnosed based on a pre-defined symptom complex, or on a predominant symptom. There are many limitations to this paradigm, as often patients present with multiple urinary symptoms that do not perfectly fit the pre-established diagnoses. We utilized cluster analysis to identify novel symptom-based subtypes of women with LUTS. MATERIALS AND METHODS: Baseline urinary symptom questionnaire data were analyzed from 545 care-seeking female participants enrolled in the LURN Observational Cohort Study...
July 7, 2018: Journal of Urology
Louise C Mcloughlin, M Gleeson, S Francis, C O'rourke, H D Flood
INTRODUCTION: Pubo-vaginal sling placed at the bladder neck has been the gold standard treatment for stress urinary incontinence (SUI). The synthetic midurethral sling (MUS) is now widely used, as morbidity rates with this technique are substantially reduced. This is an initial report on long-term outcomes of a polypropylene sling (PPS) placed in the traditional bladder neck location. METHODS: A retrospective analysis of all patients who underwent PPS insertion at our institution between 2006 and 2014 was conducted...
June 8, 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Reem Aldamanhori, Richard Inman
Lower urinary tract symptoms (LUTS) in women produce significant bother. Common conditions causing LUTS in women include urinary tract infections, overactive bladder, and stress incontinence. Urethral diverticulae and female urethral strictures are rare pathologies. They can cause symptoms, which can mimic commoner conditions, leading to delay in diagnosis and unnecessary delay in treatment. In this article, we discuss in detail the definition, symptoms, epidemiology, pathogenesis, diagnosis, and treatment option for these two conditions...
July 2018: Asian Journal of Urology
Allert M de Vries, John P F A Heesakkers
Stress urinary incontinence is not a deadly disease, but for the large population of women suffering from it, it is a very important issue. Especially in the continuously aging population all over the world, there is more and more need for treatment of this serious medical condition. Treatment of female stress urinary incontinence exists already for ages. In the 20th century invasive treatments like Burch colposuspension and pubovaginal slings were the mainstay of surgical treatments. The introduction of the midurethral sling made the procedure less invasive and accessible for more caregivers...
July 2018: Asian Journal of Urology
Eduardo Bataller, Cristina Ros, Sonia Anglès, Miriam Gallego, Montserrat Espuña-Pons, Francisco Carmona
INTRODUCTION AND HYPOTHESIS: Few studies have compared the different approaches of mesh surgery in patients with severe pelvic organ prolapse (POP). In addition to laparoscopic sacrocolpopexy/cervicopexy (LSC-Cx), anterior vaginal mesh (AVM) may be an effective approach for correcting anterior vaginal wall associated with apical POP in women with advanced POP. METHODS: A randomised controlled trial (RCT; January 2011 to March 2016) including 120 patients (60/group) with advanced symptomatic POP, with a predominant anterior vaginal wall descent stage III or greater in combination with a stage II or III apical defect (uterus or vaginal vault)...
July 9, 2018: International Urogynecology Journal
Amy Marcia Pearlman, Alison Marie Rasper, Ryan Patrick Terlecki
Purpose: Rate of continence after artificial urinary sphincter (AUS) placement appears to decline with time. After appropriate workup to exclude inadvertent device deactivation, development of urge or overflow incontinence, and fluid loss, many assume recurrent stress urinary incontinence (rSUI) to be secondary to nonmechanical failure, asserting urethral atrophy as the etiology. We aimed to characterize the extent of circumferential urethral recovery following capsulotomy and that of pressure regulating balloon (PRB) material fatigue in men undergoing AUS revision for rSUI...
July 2018: Investigative and Clinical Urology
Panagiotis Bakas, Emmanouel Papadakis, Charalampos Karachalios, Ilias Liapis, Nikolaos Panagopoulos, Aggelos Liapis
INTRODUCTION AND HYPOTHESIS: To assess the outcome of the tension-free vaginal tape (TVT) procedure in female patients with urodynamic stress urinary incontinence at 17 years follow-up. METHODS: We carried out a prospective study at the 2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Greece. Patients who had undergone a TVT procedure 17 years ago. The follow-up assessment included gynecological examination, urinalysis, cough stress test in the lithotomy and/or upright position, filling and voiding cystometry, and uroflow...
July 7, 2018: International Urogynecology Journal
Carol Joinson, Mariusz T Grzeda, Alexander von Gontard, Jon Heron
The objective of the study was to examine the association between biopsychosocial factors and developmental trajectories of childhood urinary incontinence (UI). We used developmental trajectories (latent classes) of childhood UI from 4-9 years including bedwetting alone, daytime wetting alone, delayed (daytime and nighttime) bladder control, and persistent (day and night) wetting (n = 8751, 4507 boys, 4244 girls). We examined whether biopsychosocial factors (developmental level, gestational age, birth weight, parental UI, temperament, behaviour/emotional problems, stressful events, maternal depression, age at initiation of toilet training, constipation) are associated with the trajectories using multinomial logistic regression (reference category = normative development of bladder control)...
July 6, 2018: European Child & Adolescent Psychiatry
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