keyword
https://read.qxmd.com/read/37973453/complications-of-synthetic-midurethral-slings-is-there-a-relevant-discrepancy-between-observational-data-and-clinical-trials
#21
REVIEW
Fawzy Farag, N I Osman, K H Pang, D Castro-Diaz, C R Chapple, F Cruz, X Gamé, H Goldman, T Greenwell, C Hampel, L M Scailteux, J P Roovers, B Welk, J Heesakkers
CONTEXT: The complications of synthetic midurethral slings (MUSs) in women with stress urinary incontinence (SUI) have become a globally debated issue. OBJECTIVE: To systematically review the short- and long-term complications of mesh slings reported in observational data compared with clinical trial data, to determine whether the complication rates from clinical trials reflects "real-world" observational data. EVIDENCE ACQUISITION: PubMed and Cochrane Library were searched...
November 14, 2023: European Urology Focus
https://read.qxmd.com/read/37937374/which-parameters-related-to-the-female-urethra-and-pelvic-floor-determine-therapy-selection-for-recurrent-female-stress-urinary-incontinence-ici-rs-2023
#22
REVIEW
Jeremy Ockrim, Rohna Kearney, D Carolina Ochoa, Hashim Hashim, Gommert Van Koeveringe, Christopher Chermansky, Linda Cardozo, Alan Wein, Paul Abrams
INTRODUCTION: The evidence basis for therapy selection in women who have failed primary stress urinary incontinence (SUI) surgery is limited. The ICI-RS group discussed the available data at its meeting in June 2023, particularly the anatomical characteristics as assessed using magnetic resonance imaging (MRI) and ultrasound (US) modalities, functional characteristics associated with storage and voiding urodynamic assessment, as well as the patient characteristics that might influence outcomes...
November 8, 2023: Neurourology and Urodynamics
https://read.qxmd.com/read/37933676/should-endoscopic-laser-excision-be-offered-as-the-first-line-management-for-patients-with-eroded-mesh-outcomes-of-a-systematic-review-of-literature
#23
JOURNAL ARTICLE
Francesco Ripa, Dmitry Enikeev, Ali Talyshinskii, Patrick Juliebø-Jones, Lazaros Tzelves, Panagiotis Kallidonis, Bhaskar Somani
PURPOSE OF REVIEW: Mesh erosions following previous synthetic sling/mesh surgery for stress urinary incontinence (SUI) have become increasingly common. This systematic review provides evidence for the role of laser excision as a first-line management in patients with eroded mesh. RECENT FINDINGS: Fourteen articles (173 patients) were included for the final review. Among these, 138 patients (79.8%) were submitted to trans-urethral laser excision of eroded urethral/bladder mesh over a median time to presentation of 36...
November 7, 2023: Current Opinion in Urology
https://read.qxmd.com/read/37900008/cognitive-models-for-mentally-visualizing-a-sharp-instrument-in-a-blind-procedure
#24
JOURNAL ARTICLE
Faith Mueller, Austin Bachar, Md A Arif, Gregory W King, Antonis P Stylianou, Gary Sutkin
PURPOSE: Our objective was to understand the cognitive strategies used by surgeons to mentally visualize navigation of a surgical instrument through blind space. METHODS: We conducted semi-structured interviews with 15 expert and novice surgeons following simulated retropubic trocar passage on 3D-printed models of pelvises segmented from preop MRIs. Midurethral sling surgery involves blind passage of a trocar among the urethra, bladder, iliac vessels, and bowel while relying primarily on haptic feedback from the suprapubic bone (SPB) for guidance...
December 2023: Global Surg Educ
https://read.qxmd.com/read/37850282/-surgical-treatment-of-urinary-incontinence-in-geriatric-patients
#25
JOURNAL ARTICLE
M Yu Soluyanov, F A Rakitin, O A Arefyeva, M Yu Gvozdev
INTRODUCTION: Recently, there has been a steady upward trend in life expectancy, so it is extremely important to remember some of the features of the body associated specifically with aging. Thus, an important topic for discussion is the issue of ensuring the quality of life of an elderly woman. The prevalence of urinary incontinence in patients of the older age group leads to significant restrictions in their social life. Surgical treatment using general and regional anesthesia has significant contraindications due to age and comorbidities...
September 2023: Urologii︠a︡
https://read.qxmd.com/read/37750917/the-effect-of-12-month-postoperative-weight-change-on-outcomes-following-midurethral-sling-for-stress-urinary-incontinence-a-secondary-analysis-of-the-esteem-and-tomus-randomized-trials
#26
JOURNAL ARTICLE
Feven W Getaneh, Nancy Ringel, Paul Kolm, Cheryl B Iglesia, Alexis A Dieter
INTRODUCTION AND HYPOTHESIS: Prior studies demonstrate mixed results on the impact of obesity on the success of midurethral slings (MUS), with little known about how postoperative weight change affects outcomes. We aimed to examine the effect of postoperative weight change on outcomes 12 months after MUS for stress urinary incontinence (SUI). METHODS: This secondary analysis utilized data from two multicenter randomized trials of women undergoing MUS placement...
September 26, 2023: International Urogynecology Journal
https://read.qxmd.com/read/37748511/-use-of-implants-to-treat-male-urinary-incontinence
#27
JOURNAL ARTICLE
Cesar Rojas Cruz, Oliver Hakenberg, Desiree Louise Dräger
Treatments for benign and malignant pathologies of the prostate can compromise urine control. Urinary incontinence (UI) affects the quality of life of patients and limits their ability to carry out usual activities. The degree of impact of UI is variable and the associated discomforts make patients seek treatment for it. At the center of the management of urinary incontinence in men are surgical interventions that seek to replace the affected sphincter function through implants. The artificial urinary sphincter since its development in the 1970s has been considered the standard of treatment for UI in men...
September 25, 2023: Aktuelle Urologie
https://read.qxmd.com/read/37737833/impact-of-sling-at-time-of-prolapse-surgery-on-overactive-bladder
#28
JOURNAL ARTICLE
Joseph T Kowalski, Erin Maetzold, Kimberly A Kenne, Catherine S Bradley
IMPORTANCE: Prolapse surgery and sling surgery both lead to improvement in overactive bladder. However, less is known regarding how slings performed concurrently with less is know about how overactive bladder symptoms change in patients having prolapse surgery with a sling compared to prolapse surgery without a sling. OBJECTIVE: The primary aim was to compare change in postoperative overactive bladder symptoms in patients with preoperative overactive bladder who underwent sling placement versus no sling with prolapse surgery...
September 20, 2023: Urogynecology (Phila)
https://read.qxmd.com/read/37688637/efficacy-of-single-and-repeated-transurethral-bladder-neck-incisions-for-female-voiding-dysfunction
#29
JOURNAL ARTICLE
Ching-Hsiang Chiang, Yuan-Hong Jiang, Hann-Chorng Kuo
OBJECTIVE: This study aimed to assess the efficacy of single and repeat transurethral bladder neck incision (TUI-BN) for female voiding dysfunction caused by bladder outlet obstruction (BNO). Further, the predictive factors associated with better treatment outcomes were identified. METHODS: Women with voiding difficulty due to BNO who underwent TUI-BN were included in this research. All patients underwent videourodynamics study at baseline and after TUI-BN. Successful outcome was defined as a voiding efficiency of ≥ 66...
September 9, 2023: World Journal of Urology
https://read.qxmd.com/read/37672047/quality-of-life-and-sexual-function-after-tension-free-vaginal-tape-and-polyacrylamide-hydrogel-injection-for-primary-stress-urinary-incontinence-3-year-follow-up-from-a-randomized-clinical-trial
#30
JOURNAL ARTICLE
Anna-Maija Itkonen Freitas, Camilla Isaksson, Päivi Rahkola-Soisalo, Maarit Mentula, Tomi S Mikkola
INTRODUCTION AND HYPOTHESIS: To assess quality of life (QoL) and sexual function outcomes at 3 years after tension-free vaginal tape (TVT) and polyacrylamide hydrogel injection (PAHG) for stress urinary incontinence (SUI). METHODS: In this randomized trial comparing TVT (n = 104) and PAHG (n = 108), we assessed changes in QoL and sexuality using the Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire, Short Form (IIQ-7), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) and RAND-36 Item Health Survey (RAND-36) at baseline and at 3 years...
September 6, 2023: International Urogynecology Journal
https://read.qxmd.com/read/37636210/improved-early-and-late-continence-following-robot-assisted-radical-prostatectomy-with-concurrent-bladder-neck-fascial-sling-robosling
#31
JOURNAL ARTICLE
Scott Leslie, Stuart Jackson, Mark Broe, Danielle C van Diepen, Christina Stanislaus, Daniel Steffens, George McClintock, Sia Kim, Nicola Jeffery, Jeremy Fallot, Nariman Ahmadi, Arthur Vasilaras, Paul Sved, Lewis Chan, Ruban Thanigasalam
OBJECTIVE: To describe a novel RoboSling technique performed at the time of robot-assisted radical prostatectomy (RARP) and its utility for enhancing urinary function recovery postoperatively. MATERIALS AND METHODS: The surgical technique involves harvesting a vascularised, fascial flap from the peritoneum on the posterior aspect of the bladder. Following completion of prostatectomy, the autologous flap is tunnelled underneath the bladder and incorporated into the rectourethralis and vertical longitudinal detrusor fibres at the posterior bladder neck with a modified Rocco suture...
September 2023: BJUI compass
https://read.qxmd.com/read/37629465/impact-of-defined-risk-factors-on-degree-of-urinary-stress-incontinence-and-sling-outcome-a-retrospective-cohort-analysis
#32
JOURNAL ARTICLE
Janine N Frey, Mélanie Zellweger, Jörg Krebs, Corina Christmann
Urinary stress incontinence is a distressing condition that has a severe impact on quality of life for most affected women. The insertion of the suburethral tension-free vaginal tape (TVT) is regarded as the gold-standard surgical treatment option. It is unclear whether all women with severe SUI benefit equally from TVT. Thus, the aim of our study was to identify risk factors for severe SUI and determine whether successful the resolution of incontinence after a TVT procedure was different in women with a higher degree of SUI...
August 21, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37597197/continence-sparing-techniques-in-radical-prostatectomy-a-systematic-review-of-randomized-controlled-trials
#33
JOURNAL ARTICLE
Simona Ippoliti, Gaia Colalillo, Gerald Egbury, Luca Orecchia, Peter Fletcher, Thierry Piechaud, Richard Gaston, Enrico Finazzi Agrò, Roberto Miano, Anastasios D Asimakopoulos
BACKGROUND: Numerous continence-sparing radical prostatectomy techniques have been developed to enhance postoperative early continence recovery; however, evidence regarding the best approach remains controversial. The objectives are: to provide a critical appraisal of various prostatectomy techniques, based on the evidence of quality-assessed randomised control trials (RCT); to summarise the immediate continence and the early continence reported; to propose a new standardisation for continence outcomes reporting...
August 19, 2023: Journal of Endourology
https://read.qxmd.com/read/37579852/3-year-follow-up-of-a-single-incision-sling-procedure-performed-under-local-anesthesia-in-an-office-setting
#34
JOURNAL ARTICLE
Jaclyn Baratono, Salil Khandwala, Karen Childers
OBJECTIVES: To assess the 3-year success of placing a single-incision midurethral sling (SIMS) using the Dynamic Intraoperative Standing Sling Technique (DISST) in an office setting under local anesthesia. METHODS: This is a prospective case series of 20 women who underwent in-office single incision midurethral sling (SIMS) procedure by the Dynamic Intraoperative Standing Sling Technique (DISST) from July 2019 to February 2020. This is an extension of our pilot study (11) and all twenty patients were evaluated at a mean follow-up of 34...
August 12, 2023: Urology
https://read.qxmd.com/read/37560023/a-levator-ani-midurethral-support-via-single-vaginal-incision-technique-to-treat-stress-urinary-incontinence-a-case-report
#35
Lai-Yet Lam, Janice A Santos-Cortes, Timothy K O'Rourke
Stress urinary incontinence affects more than one-fourth of adult women. The recommended surgical treatment involves the use of a synthetic mesh sling. Upon unsuccessful treatment using a mesh sling or when patients decline mesh, surgical treatments, including an autologous fascia sling, colposuspension, or bulking injections, are used. After unsuccessful treatment using three mesh slings, an autologous fascia sling, and a midurethral bulking agent, a patient was successfully treated with our modified Kelly plication technique...
September 2023: Case Reports in Women's Health
https://read.qxmd.com/read/37510978/relationship-between-q-tip-test-and-urethral-hypermobility-on-perineal-ultrasound
#36
JOURNAL ARTICLE
Cheng-Yu Long, Zi-Xi Loo, Ching-Hu Wu, Kun-Ling Lin, Chang-Lin Yeh, Chien-Wei Feng, Pei-Chi Wu
BACKGROUND: The aim of this study was to assess the correlation between the overall rest-stress distance measured by transperineal ultrasound (TPUS) and Q-tip test angle in women with urodynamic stress incontinence (USI), and determine a cut-off value of rest-stress distance for predicting urethral hypermobility (UH). METHODS: Women with USI scheduled for mid-urethral sling surgery were retrospectively recruited. UH was defined as a Q-tip angle more than or equal to 30 degrees...
July 24, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37505426/low-detrusor-contractility-has-a-less-favorable-outcome-of-anti-incontinence-surgery-for-women-with-stress-urinary-incontinence
#37
JOURNAL ARTICLE
Ping-Jui Lee, Hann-Chorng Kuo
PURPOSE: Few studies exist comparing the effect of different lower urinary tract dysfunctions (LUTDs) on anti-incontinence surgery. This study investigates the long-term therapeutic outcome of a suburethral sling procedure among women with stress urinary incontinence (SUI) and different LUTDs. METHODS: This study retrospectively reviewed 401 women treated with a suburethral sling for SUI. Following baseline videourodynamic findings, the patients were divided into pure SUI or SUI with concomitant LUTD (mixed detrusor overactivity and SUI, low detrusor contractility and SUI, and presence of bladder outlet obstruction and SUI) groups...
November 2023: International Urology and Nephrology
https://read.qxmd.com/read/37494315/development-and-use-of-machine-learning-models-for-prediction-of-male-sling-success-a-proof-of-concept-institutional-evaluation
#38
JOURNAL ARTICLE
Jin K Kim, Kurt A McCammon, Kellie J Kim, Mandy Rickard, Armando J Lorenzo, Michael E Chua
INTRODUCTION: For mild to moderate male stress urinary incontinence (SUI), transobturator male slings remain an effective option for management. We aim to use a machine learning (ML)-based model to predict those who will have a long-term success in managing SUI with male sling. METHODS: All transobturator male sling cases from August 2006 to June 2012 by a single surgeon were reviewed. Outcome of interest was defined as 'cure': complete dryness with 0 pads used, without the need for additional procedures...
July 21, 2023: Canadian Urological Association Journal
https://read.qxmd.com/read/37493280/cost-utility-analysis-of-midurethral-sling-timing-among-women-undergoing-prolapse-surgery
#39
JOURNAL ARTICLE
Jessica C Sassani, Lauren E Giugale, Erin Seifert Lavelle, Jonathan P Shepherd
IMPORTANCE: There are no guidelines regarding the ideal timing of midurethral sling (MUS) placement following prolapse repair. OBJECTIVE: The objective of this study was to estimate the cost-utility of concomitant MUS versus staged MUS among women undergoing apical suspension surgery for pelvic organ prolapse. STUDY DESIGN: Cost-utility modeling using a decision analysis tree compared concomitant MUS with staged MUS over a 1-year time horizon...
July 4, 2023: Urogynecology (Phila)
https://read.qxmd.com/read/37483887/efficacy-and-adverse-effects-after-single-incision-slings-for-women-with-stress-urinary-incontinence-a-12-year-follow-up
#40
JOURNAL ARTICLE
Marta Barba, Alice Cola, Clarissa Costa, Antonio Liberatore, Matteo Frigerio
OBJECTIVE: Single-incision slings (SISs) are not considered the first surgical choice for stress urinary incontinence due to few data about long-term results. Our aim was to evaluate the outcomes of SISs 12 years after implantation and to search for consequences such as deterioration after a certain amount of time. METHODS: We included women with stress urinary incontinence both clinically and urodynamically proven who underwent SISs procedure. Objective and subjective cure rates were compared to short-term outcomes to detect possible deterioration over time...
2023: International Journal of Women's Health
keyword
keyword
41016
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.