keyword
https://read.qxmd.com/read/38496788/an-assessment-of-the-relationship-between-urethral-hypermobility-as-measured-by-ultrasound-and-the-symptoms-of-stress-urinary-incontinence-in-primiparous-women-9-18-months-postpartum
#1
JOURNAL ARTICLE
Paulina Maria Pająk, Edyta Wlaźlak, Grzegorz Surkont, Jarosław Kalinka
AIM: The aim of the study was to estimate the relationship between bladder neck hypermobility as assessed by ultrasound and the occurrence of stress urinary incontinence as measured with the UDI-6 questionnaire in primiparous women 9-18 months postpartum. MATERIALS AND METHODS: The study included 100 women 9-18 months after their first delivery, 19% of whom (study group) presented with urethral hypermobility. Ultrasound was used to determine the position and mobility of the bladder neck in order to assess the urethral hypermobility...
February 2024: Journal of Ultrasonography
https://read.qxmd.com/read/38484245/reconstruction-of-urethral-sphincter-with-polyacrylamide-hydrogel
#2
JOURNAL ARTICLE
Whitney L Clearwater, Katherine Panushka, Anna Najor, Melissa Laudano, Nicole Fleischmann
IMPORTANCE: Urethral bulking is an alternative to synthetic midurethral sling for the treatment of stress urinary incontinence (SUI) in women. Urethral bulking agents, which are injected in the submucosal tissues of the proximal urethra/bladder neck, have demonstrated less adverse effects with similar satisfaction rates but lower subjective and objective cure rates when compared with midurethral sling. Cystoscopic Reconstruction of External Sphincter Technique (CREST) is a novel technique, which reinforces the natural closure mechanism of the external urinary sphincter (EUS)...
March 1, 2024: Urogynecology (Phila)
https://read.qxmd.com/read/38376548/evaluation-of-outcomes-between-the-top-down-versus-the-bottom-up-approach-for-retropubic-midurethral-sling
#3
JOURNAL ARTICLE
Vidushri Mehrotra, John Pearl, David Sheyn, Susan D Wherley
INTRODUCTION AND HYPOTHESIS: Retropubic midurethral sling (MUS) placement is the gold standard for the treatment of stress urinary incontinence in the USA. The procedure can be approached from either a top-down or a bottom-up direction, but there is a paucity of contemporary data regarding outcomes between these approaches. The aim of this study was to provide updated clinical outcomes data. METHODS: This was a retrospective cohort study of women undergoing the retropubic MUS procedure alone or at the time of pelvic organ prolapse repair between 2010 and 2020 at a single academic medical center...
February 20, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38312813/does-local-vaginal-estrogen-after-tension-free-transobturator-vaginal-tape-reduce-overactive-bladder-symptoms-in-postmenopausal-women-a-prospective-randomized-controlled-study
#4
JOURNAL ARTICLE
Samer Mahmoud Morsy, Dalia Farouk, Sara Hassan, Ahmed Yehia Abdelaziz, Hussein Aly Hussein
OBJECTIVE: We aimed to evaluate the efficacy of topical estrogen after transvaginal tension-free vaginal tape-obturator (TVT-O) in the treatment of de novo overactive bladder symptoms that appear after surgery. METHODS: This is a prospective randomized controlled study performed in the Urology and Gynecology Departments, Kasr Al Ainy Hospital, Cairo University, Cairo, Egypt. Two hundred and ten postmenopausal females presenting during the period between January 2017 and November 2020 with stress urinary incontinence were included in the study...
January 2024: Asian Journal of Urology
https://read.qxmd.com/read/38308690/robotic-assisted-intravesical-mesh-excision-following-retropubic-midurethral-sling
#5
JOURNAL ARTICLE
Elizabeth J Olive, Brian J Linder
INTRODUCTION AND HYPOTHESIS: Intravesical mesh is an uncommon complication following synthetic midurethral sling placement. Management options have included endoscopic techniques such as laser ablation or surgical excision. We present our technique for robotic-assisted excision of intravesical mesh following a retropubic midurethral sling. METHODS: The patient is a 66-year-old woman with a remote history of laser ablation of intraurethral mesh after midurethral sling, and persistent symptomatic intravesical mesh with associated stone at the bladder neck and right bladder wall...
February 3, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38305190/a-full-bladder-is-not-needed-for-the-male-stress-incontinence-grading-scale
#6
JOURNAL ARTICLE
D M Lopategui, T Demus, C Mallory, K George, E Nagoda, A Bui, B Cordon
INTRODUCTION: Our objectives were to evaluate the Male Stress Incontinence Grading Scale to stratify male patients with stress urinary incontinence for either artificial urinary sphincter or sling using a standing cough test and determine if an emptier bladder at the time of assessment carries increased risk of treatment failure. METHODS: Retrospective chart review of male patients undergoing sling and artificial urinary sphincter placement. The standing cough test score and bladder scan results were documented at initial evaluation...
March 2024: Urology Practice
https://read.qxmd.com/read/38300275/autologous-fascial-slings-for-stress-urinary-incontinence-a-17-year-follow-up-of-a-randomised-controlled-study
#7
JOURNAL ARTICLE
Deepa B Nair, Zainab Khan, Tapas Mishra, Jagrati Chopra, Kathie Wareham, Simon J Emery
INTRODUCTION AND HYPOTHESIS: Safety concerns with the use of mesh in vaginal surgery have been ongoing. Autologous fascial slings (AFS) avoid foreign body complications. We compared the long-term (17-year) outcomes of two AFS repair methods-the standard sling and short sling (sling-on-string), and assessed durability and patient satisfaction of these for the treatment of stress urinary incontinence (SUI). METHODS: A total of 107 patients from three urogynaecology units who had participated in a randomised controlled trial assessing standard (n = 52) and short (n = 55) slings were followed up for a median period of 17 years...
February 1, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38289318/urethrolysis
#8
REVIEW
Lauren D Gleich, Howard B Goldman
No abstract text is available yet for this article.
January 30, 2024: Neurourology and Urodynamics
https://read.qxmd.com/read/38289258/surgical-management-of-bladder-outlet-obstruction-due-to-functional-and-anatomical-etiologies-in-women
#9
REVIEW
Pierre-Luc Dequirez, Meredith C Wasserman, Benjamin M Brucker
INTRODUCTION: Bladder outlet obstruction (BOO) in women includes functional and anatomic etiologies. Primary bladder neck obstruction (PBNO), Fowler's syndrome (FS), and dysfunctional voiding (DV) are some examples of functional obstructions, whereas pelvic organ prolapse (POP), periurethral masses, and intragenic causes are some of the anatomic causes. METHODS: This literature review describes the etiologies of female BOO, unique aspects of the workup and diagnosis, and the data for the standard surgical treatments and newer surgical techniques to treat women...
January 30, 2024: Neurourology and Urodynamics
https://read.qxmd.com/read/38280028/examining-the-role-of-frailty-on-treatment-patterns-and-complications-among-older-women-undergoing-procedure-based-treatment-for-urinary-incontinence
#10
JOURNAL ARTICLE
Candace Y Parker-Autry, Scott Bauer, Cassie Ford, W Thomas Gregory, Gopal Badlani, Charles D Scales
BACKGROUND: Aging beyond 65 years is associated with increased prevalence of urinary incontinence (UI), frailty, and increased complication rate with UI treatments. To investigate this relationship, we examined frailty as a predictor of procedure-based UI treatment patterns and urologic complications in Medicare-eligible women. METHODS: We identified women undergoing procedures for UI between 2011-2018 in the 5% limited Medicare data set. A Claims-based Frailty Index (CFI) using data from the 12-months prior to the index procedure defined frailty (CFI≥0...
January 27, 2024: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://read.qxmd.com/read/38276143/continence-is-not-affected-after-sling-revision-with-transvaginal-tape-elongation-for-post-sling-voiding-dysfunction
#11
JOURNAL ARTICLE
Ching-Pei Tsai, Chih-Ku Liu, Evelyn Yang, Tsung-Ho Ying, Gin-Den Chen, Man-Jung Hung
Voiding dysfunction (VD) after sling operation is not uncommon. Sling revisions by incision/excision are usually effective; however, they may result in recurrent stress urinary incontinence (SUI). We aimed to evaluate continence status after an innovative sling revision procedure that preserves the integrity of the sling. Patients who underwent either a single-incision (AJUST) or a trans-obturator (TVT-O) mid-urethral sling were studied. Transvaginal tape elongation (i.e., sling midline incision and mesh interposition) was performed on patients with post-sling VD...
January 22, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38241445/delayed-presentation-of-bowel-injury-associated-with-pelvic-fragility-fracture-in-patient-with-bladder-sling-a-case-report
#12
JOURNAL ARTICLE
Ian M Meshay, Jordan B Robbins, Jared Wainwright, Joseph Sonstein, Joshua Person, John C Hagedorn
CASE: An 85-year-old woman with a history of bladder mesh sling placement sustained a pelvic fracture and extraperitoneal bladder rupture after a ground-level fall. The patient underwent cystorrhaphy and percutaneous anterior column screw placement. Free air was identified on abdominal computed tomography scan on postoperative day 5. Exploratory laparotomy revealed a sigmoid colon perforation and extensive bowel adhesions to the anterior pelvis. CONCLUSION: This is the first report describing bowel injury and associated bladder rupture in a pelvic fragility fracture related to a prior bladder mesh sling...
January 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38215115/midurethral-sling-position-and-surgical-outcome-a-meta-analysis
#13
REVIEW
Peng Qu, Ning Hai, Zhaoyang Lv, Jingdong Yang
There is still ongoing debate as to whether the outcome of the sling is determined by the position of the midurethral sling. In order to evaluate the potential impact of sling position on the outcomes of retropubic and transobturator sling procedures for stress urinary incontinence, it is necessary to conduct further investigations. We conducted a comprehensive search across various electronic databases such as PubMed, EMBASE, MEDLINE. Relevant data were extracted, organized in a table format, and analyzed using RevMan software for further analysis...
January 12, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38211759/robotic-assisted-laparoscopic-removal-of-mid-urethral-mesh-slings-eroded-into-the-bladder
#14
Shreeya Popat, Gjanje Smith-Mathus, Alvaro Lucioni, Una J Lee
INTRODUCTION AND OBJECTIVES: Depending on the indication, there are multiple surgical approaches for the removal of mid-urethral mesh slings (MUS): transvaginal, endoscopic, open abdominal, and robotic. Here, we demonstrate the robotic approach to treat MUS that have eroded into the bladder. The robotic approach offers excellent exposure, visualization, and accessibility. Compared to endoscopic approaches, the entire arm of the sling can be removed from the bladder wall, the bladder repaired, and the foreign body completely eliminated...
January 9, 2024: Urology
https://read.qxmd.com/read/38171325/the-risk-of-stress-urinary-incontinence-after-hysterectomy-for-uterine-fibroids
#15
JOURNAL ARTICLE
Jin-Sung Yuk, In-Chang Cho, Jun Ho Lee
PURPOSE: We evaluated the relationship between previous hysterectomy for uterine fibroids and subsequent stress urinary incontinence (SUI). METHODS: This study analyzed national health insurance data. The hysterectomy group (aged 40 to 59) comprised patients who underwent hysterectomy for uterine fibroids between January 1, 2011 and December 31, 2014, and the control group (aged 40 to 59) comprised patients who visited a medical facility for a checkup during the same time span...
December 2023: International Neurourology Journal
https://read.qxmd.com/read/38137573/factors-influencing-postoperative-overactive-bladder-after-adjustable-trans-obturator-male-system-implantation-for-male-stress-incontinence-following-prostatectomy
#16
JOURNAL ARTICLE
Miguel Virseda-Chamorro, Carlos Téllez, Jesus Salinas-Casado, Juliusz Szczesniewski, Sonia Ruiz-Grana, Ignacio Arance, Javier C Angulo
We aimed to determine the risk factors for postoperative overactive bladder (OAB) in patients treated with an adjustable trans-obturator male system (ATOMS) for stress incontinence after radical treatment of prostate cancer. A prospective study was performed on 56 patients implanted with an ATOMS for PPI. Clinical and urodynamic information was recorded before and after ATOMS implantation. We built a multivariate model to find out the clinical and urodynamic factors that independently influenced postoperative OAB and the prognostic factors that influenced the efficacy of medical treatment of OAB...
December 5, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/38033311/repair-of-vesicovaginal-fistulae-a-systematic-review
#17
JOURNAL ARTICLE
Jennifer C Thompson, Gabriela E Halder, Peter C Jeppson, Alexandriah Alas, Sunil Balgobin, Alexis A Dieter, Sara Houlihan, Jeannine Miranne, Ambereen Sleemi, Ethan M Balk, Saifuddin Mama, Kate V Meriwether, Danielle D Antosh
OBJECTIVE: To assess and compile the current level of evidence regarding successful surgical treatment of vesicovaginal fistulae and how these perioperative interventions affect anatomic, patient-centered, and adverse outcomes. DATA SOURCES: PubMed and EMBASE were searched from inception through September 9, 2022. METHODS OF STUDY SELECTION: This review included comparative studies (of any sample size) and single-group studies (1,000 or more participants) of primary or recurrent vesicovaginal fistula (ie, vesicovaginal fistula, urethrovaginal fistula, and bladder neck-vaginal fistula)...
November 30, 2023: Obstetrics and Gynecology
https://read.qxmd.com/read/38031319/do-the-ultrasonographic-measures-of-midurethral-sling-location-relate-with-surgical-outcomes
#18
JOURNAL ARTICLE
Mehmet Murat Seval, Serife Esra Cetinkaya, Kaan Baydemir, Bulut Varli, Fulya Dokmeci
IMPORTANCE: The proper placement of a midurethral sling (MUS) is the key factor for a successful surgical outcome. OBJECTIVE: This study aimed to evaluate the relationship of perineal ultrasonographic measures of the tape location with subjective and objective outcomes after MUS surgery at midterm follow-up of women. METHODS: The tape percentile (TP; total urethral length/bladder neck tape distance×100) and urethra tape distance (UTD; the shortest distance from the longitudinal smooth muscle complex of the urethra to the midpoint of the tape) were correlated with midterm surgical success...
November 30, 2023: Urogynecology (Phila)
https://read.qxmd.com/read/38016138/is-antibiotic-prophylaxis-generally-safe-and-effective-in-surgical-and-non-surgical-scenarios-evidence-from-an-umbrella-review-of-randomized-controlled-trials
#19
JOURNAL ARTICLE
Linhu Liu, Zhongyu Jian, Menghua Wang, Chi Yuan, Ya Li, Yucheng Ma, Xi Jin, Hong Li, Yazhou He, Changhai Liu, Sheyu Li, Kunjie Wang
BACKGROUND: We aimed to comprehensively evaluate the efficacy and safety of antibiotic prophylaxis through surgical and non-surgical scenarios and assess the strength of evidence. MATERIALS AND METHODS: We performed an umbrella review of meta-analyses of randomized controlled trials (RCTs). An evidence map was created to summarize the absolute benefits of antibiotic prophylaxis in each scenario and certainty of evidence. RESULTS: 75 meta-analyses proved eligible with 725 RCTs and 78 clinical scenarios in surgical and medical prophylaxis...
November 28, 2023: International Journal of Surgery
https://read.qxmd.com/read/37999760/does-vaginal-surgery-for-correction-of-pelvic-organ-prolapse-improve-urinary-function-a-prospective-cohort-study
#20
JOURNAL ARTICLE
Danilo B Lourenço, Hugo O D Santos, Elizabeth Y Hirakawa, Luis Augusto S Rios, Gustavo C Lemos, Bianca Bianco, Arie Carneiro
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) is caused by an imbalance in the stability of the pelvic organs, resulting in loss of support. The most common types of POP, anterior and apical, are associated with lower urinary tract symptoms (LUTS) such as bladder outlet obstruction and detrusor overactivity (DO). Vaginal surgery may improve LUTS and overall urinary symptoms. We assessed urodynamic (UD) parameters and urinary symptoms before and after vaginal surgery for POP correction...
November 24, 2023: International Urogynecology Journal
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