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https://www.readbyqxmd.com/read/28969408/evaluation-of-per-operative-cough-stress-test-during-transobturator-mid-urethral-sling-surgery
#1
Abdulmuttalip Simsek, Sinan Levent Kirecci, Goksel Bayar, Kaya Horasanli, Faruk Ozgor, Zafer Gokhan Gurbuz
PURPOSE: Currently, it is unclear how the mesh tension should be adjusted on the transobturator tape surgery (TOT) for improving continence. The aim of this study was to evaluate the effects of per-operative cough stress test on TOT. MATERIALS AND METHODS: Between March 2007 and December 2011, 206 women with SUI were enrolled in this study. Patients were randomly categorized to treatment with TOT (96) or TOT with cough stress test (110). The IIQ-7 and the UDI-6 were used to identify satisfaction level...
October 3, 2017: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/28936072/alleviating-stress-response-to-tracheal-extubation-in-neurosurgical-patients-a-comparative-study-of-two-infusion-doses-of-dexmedetomidine
#2
Ankur Luthra, Hemanshu Prabhakar, Girija Prasad Rath
BACKGROUND: Tracheal extubation is almost always associated with increase in sympathoadrenal activity may result in hypertension, tachycardia, and arrhythmias. Attempts have been made to oppose the pressor response by the use of various drugs. Dexmedetomidine decreases norepinephrine which reduces the blood pressure and the heart rate (HR). We hypothesize that the infusion of dexmedetomidine may produce more stable hemodynamics during extubation as compared to boluses. MATERIALS AND METHODS: Ninety adult patients aged 18-65 years, the American Society of Anesthesiologists Grade I-II undergoing intracranial surgeries for various neurologic problem at All India Institute of Medical Sciences were enrolled in this randomized controlled trial...
August 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/28930367/adjustable-single-incision-sling-ajust-the-effects-of-first-operations-controlled-by-pelvic-floor-sonography
#3
Tomasz Kluz, Edyta Wlaźlak, Andrzej Wróbel, Wiktor Wlaźlak, Michał Pazdrak, Grzegorz Surkont
OBJECTIVE: The aim of this study is to evaluate using PFS-TV the mid-term results of our first operative experience with implanting a single incision sling - Ajust™. MATERIAL AND METHODS: One and the same surgeon has operated all the patients with symptoms of stress urinary incontinence. Ajust was the only performed procedure. Postoperative evaluation consisted of: a standardized interview and examination, a cough test and a PFS-TV for evaluation of urinary continence and tape location...
2017: Ginekologia Polska
https://www.readbyqxmd.com/read/28884367/pelvic-floor-muscle-activity-during-impact-activities-in-continent-and-incontinent-women-a-systematic-review
#4
REVIEW
Helene Moser, Monika Leitner, Jean-Pierre Baeyens, Lorenz Radlinger
INTRODUCTION AND HYPOTHESIS: Investigating the activity of the pelvic floor muscles (PFMs) in women during impact activities such as jumping, running or coughing may elucidate different aspects of PFM activation and therefore clarify the pathophysiology of stress urinary incontinence (SUI). A systematic review (PROSPERO 2016:CRD42016035624) was conducted to summarize current evidence on PFM activity during impact activities in both continent and incontinent women. METHODS: PubMed, EMBASE, Cochrane, and SPORTDiscus databases were systematically searched for studies published up to December 2016...
September 7, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28826977/risk-factors-for-voice-disorders-in-university-professors-in-cyprus
#5
Kyriaki Kyriakou, Kakia Petinou, Ioannis Phinikettos
AIMS: The purpose of this study was to investigate risk factors for voice pathologies in university professors to determine the need for a preventative vocal hygiene education program that could improve the quality of life of university faculty. METHODS: An online questionnaire was completed by 196 professors from 12 universities in Cyprus. The questionnaire elicited data regarding risk factors that may lead to voice disorders on parameters including general health, voice use, lifestyle, and environment and the self-perceived severity of a subject's voice problem...
August 18, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28826955/five-year-outcome-of-miniarc-single-incision-sling-used-in-the-treatment-of-primary-urodynamic-stress-incontinence
#6
Tsia-Shu Lo, Sandy Chua, Chuan Chi Kao, Ma Clarissa Uy-Patrimonio, Rami Ibrahim, Yiap Loong Tan
STUDY OBJECTIVE: To evaluate the effectiveness and safety of the MiniArc single-incision sling in the treatment of urodynamic stress incontinence (USI) through 5 years. DESIGN: Retrospective observational study (Canadian Task Force classification II-2). SETTING: Tertiary referral center. PATIENTS: Eighty-five patients with USI without needing concurrent procedures who underwent anti-incontinence surgery using the MiniArc SIMS from February 2010 to December 2011...
August 18, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28802811/effects-of-respiratory-training-on-heart-rate-variability-and-baroreflex-sensitivity-in-individuals-with-chronic-spinal-cord-injury
#7
Bonnie E Legg Ditterline, Sevda C Aslan, David C Randall, Susan J Harkema, Camilo Castillo, Alexander V Ovechkin
OBJECTIVE: To evaluate the effects of pressure threshold respiratory training (RT) on heart rate variability and baroreflex sensitivity in persons with chronic spinal cord injury (SCI). DESIGN: Before-after intervention case-controlled clinical study. SETTING: SCI research center and outpatient rehabilitation unit. PARTICIPANTS: Participants (N=44) consisted of persons with chronic SCI ranging from C2 to T11 who participated in RT (n=24), and untrained control subjects with chronic SCI ranging from C2 to T9 (n=20)...
August 9, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28723368/definition-of-success-after-surgery-for-female-stress-incontinence-or-voiding-dysfunction-an-attempt-at-standardization
#8
REVIEW
Maude E Carmel, Donna Y Deng, Tamsin J Greenwell, Philippe E Zimmern
CONTEXT: There is currently no standardized definition of success for surgery for stress urinary incontinence (SUI) and voiding dysfunction (VD) in women. OBJECTIVE: To review the use of outcome measures (OMs) and definitions of success in the literature on SUI and VD surgery in women in an attempt to provide recommendations for future publications. EVIDENCE ACQUISITION: A PubMed search of all English language full-text articles on SUI and VD surgery in women published between 2010 and 2015 was performed...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28620597/feeding-problems-and-their-underlying-mechanisms-in-the-esophageal-atresia-tracheoesophageal-fistula-patient
#9
REVIEW
Lisa Mahoney, Rachel Rosen
Feeding difficulties such as dysphagia, coughing, choking, or vomiting during meals, slow eating, oral aversion, food refusal, and stressful mealtimes are common in children with repaired esophageal atresia (EA) and the reasons for this are often multifactorial. The aim of this review is to describe the possible underlying mechanisms contributing to feeding difficulties in patients with EA and approaches to management. Underlying mechanisms for these feeding difficulties include esophageal dysphagia, oropharyngeal dysphagia and aspiration, and aversions related to prolonged gastrostomy tube feeding...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28577171/a-randomized-nonblinded-extension-study-of-single-incision-versus-transobturator-midurethral-sling-in-women-with-stress-urinary-incontinence
#10
René P Schellart, Sandra E Zwolsman, Jean-Philippe Lucot, Dirk J M K de Ridder, Marcel G W Dijkgraaf, Jan-Paul W R Roovers
INTRODUCTION AND HYPOTHESIS: Midurethral sling procedures are the first surgical option in women undergoing surgery for stress urinary incontinence (SUI). Single-incision midurethral-slings (SIMS) were designed to provide similar efficacy to traditional midurethral slings but with reduced morbidity. In this international trial we compared the efficacy of a SIMS (MiniArc) and a transobturator standard midurethral sling (SMUS; Monarc) in the treatment of SUI in terms of subjective and objective cure rates and morbidity over a long-term follow-up...
June 2, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28537693/surgical-management-of-female-paraurethral-cyst-with-concomitant-stress-urinary-incontinence
#11
Tarik Yonguc, Ibrahim Halil Bozkurt, Salih Polat, Serkan Yarimoglu, Ismail Gulden, Volkan Sen, Suleyman Minareci
Paraurethral cysts are usually asymptomatic and frequently detected incidentally during routine pelvic examination however, patients can present with complaints of a palpable cyst or with lower urinary tract symptoms (LUTS) and also dyspareunia. In most cases, diagnosis can be made on physical examination but for more detailed evaluation and to differentiate from malign lesions ultrasonography (US), voiding cystourethrogram (VCUG), computerized tomography (CT), or magnetic resonance imaging (MRI) can also be used...
May 23, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28500515/outpatient-mid-urethral-tissue-fixation-system-sling-for-urodynamic-stress-urinary-incontinence-3-year-surgical-and-quality-of-life-results
#12
Ryoko Nakamura, Masahiro Yao, Yoshiko Maeda, Akiko Fujisaki, Yuki Sekiguchi
INTRODUCTION: To evaluate the clinical effectiveness and quality of life (QOL) of outpatient mid-urethral tissue fixation system sling (TFS) procedures for urodynamic stress urinary incontinence (SUI) at 3-year follow-up. METHODS: We analyzed 50 mid-urethral TFS sling operations between 2007 and 2012 at Yokohama Motomachi Women's Clinic LUNA. The primary outcome was success defined as a negative 24-h pad test, negative cough and Valsalva stress test, and no re-treatment for SUI...
November 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28464312/retropubic-versus-transobturator-tension-free-vaginal-tape-tvt-vs-tvt-o-five-year-results-of-the-austrian-randomized-trial
#13
Ayman Tammaa, Thomas Aigmüller, Engelbert Hanzal, Wolfgang Umek, Stephan Kropshofer, Peter F J Lang, George Ralph, Paul Riss, Dieter Koelle, Katharina Jundt, Karl Tamussino, Vesna Bjelic-Radisic
AIMS: To compare outcomes of the retropubic versus the transobturator tension-free vaginal tape (TVT vs TVT-O) at 5 years. METHODS: A total of 569 women undergoing surgery for primary stress incontinence were randomized to receive a retropubic or a transobturator tensionfree vaginal tape (TVT or TVT-O). Follow-up at 5 years included clinical examination, urodynamic studies and quality of life. The primary outcome measure was continence defined as a negative cough stress test at a volume of 300 mL...
May 2, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28453959/uroflowmetric-changes-success-rate-and-complications-following-tension-free-vaginal-tape-obturator-tvt-o-operation-in-obese-females
#14
Reham Fouad, Yahia M El-Faissal, Ahmed T Hashem, Sherine H Gad Allah
OBJECTIVE: The goal of this study was to evaluate the outcome of Tension-free Vaginal Tape Obturator (TVT-O) operation in the treatment of urodynamic stress incontinence (USI) in obese females, with respect to uroflowmetric changes, success rate and postoperative complications. METHODS: This prospective observational study included 26 patients with USI at the Obstetrics & Gynecology department-Cairo University hospital during the year 2015. The participants had body mass index (BMI)≥30...
July 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28430723/colpocleisis-a-survey-of-current-practice-patterns
#15
Keisha Jones, Gary Wang, Robert Romano, Peter St Marie, Oz Harmanli
BACKGROUND: Currently, there are no standard treatment guidelines for colpocleisis. Clinical practice varies widely for this safe and effective procedure. OBJECTIVE: The aim of this study was to evaluate the current practice patterns in the United States among surgeons who perform colpocleisis. METHODS: A 27-item anonymous Web-based survey was sent to all practicing physicians affiliated with the American Urogynecologic Society. It consisted of questions regarding the demographic background of the physicians and their current practice as it relates to colpocleisis...
July 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28405960/outcome-measures-of-adjustable-transobturator-male-system-with-pre-attached-scrotal-port-for-male-stress-urinary-incontinence-after-radical-prostatectomy-a-prospective-study
#16
Javier C Angulo, Ignacio Arance, Cristina Esquinas, Juan F Dorado, João P Marcelino, Francisco E Martins
INTRODUCTION: The objective of this study was to report outcome measures with third-generation pre-attached scrotal port adjustable transobturator male system (ATOMS) for male stress urinary incontinence (SUI) after radical prostatectomy. METHODS: A prospective open study was conducted on consecutive patients. Evaluation included cough test, urethroscopy, filling and voiding cystometry, 24-h pad count and pad test, patient-reported outcomes (ICIQ-SF, IIQ-7, PGI, GRA, and VAS), complications according to the Clavien-Dindo system, operative results, number of adjustments, and filling of the system...
May 2017: Advances in Therapy
https://www.readbyqxmd.com/read/28394497/prediction-of-mid-urethral-sling-failure-with-clinical-findings-and-urodynamics
#17
Serdar Aydin, Çağrı Arioğlu Aydin, Fırat Ersan
OBJECTIVE: Mid-urethral slings (MUS) become a standard, minimally invasive surgery to treat urinary stress incontinence. Our aim is to investigate the contribution of preoperative urodynamics to mid-urethral slings success and determine predictors for choosing mid-urethral sling route. METHODS: Women with stress urinary incontinence and who desired surgical correction of their incontinence were included in the study. The selection of the procedure was according to an algorithm used in an institution...
May 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28284822/-algorithms-and-urinary-incontinence-in-the-elderly-assessment-treatment-recommendations-and-levels-of-evidence-review
#18
P Meyer
OBJECTIVES: Search processing algorithms in a primary care setting, analyzing the specifics of care management for seniors suffering from urinary incontinence (UI), described the recommendations and levels of evidence of treatment. METHODS: A literature review carried out via PubMed(®) and websites of scientific societies with search keywords classified according to an algorithm. RESULTS: One hundred algorithms have been discovered in the field of evaluation and treatment of UI...
March 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28263134/standing-cough-test-for-evaluation-of-post-prostatectomy-incontinence-a-pilot-study
#19
Allen F Morey, Nirmish Singla, Maude Carmel, Alexandra Klein, Timothy J Tausch, Jordan Siegel, Isamu Tachibana, Jeremy Scott
INTRODUCTION: We implemented a standardized Standing Cough Test (SCT) for assessment of men with post-prostatectomy incontinence (PPI) and stratified results according to an objective clinical grading scale in an attempt to facilitate male anti-incontinence surgical procedure selection. MATERIALS AND METHODS: SCT was routinely performed during the initial outpatient consultation for PPI. Incontinence severity was recorded based on a novel Male Stress Incontinence Grading Scale (MSIGS) to stratify PPI...
February 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28247724/-surgical-treatment-of-stress-urinary-incontinence
#20
N A Kravtsova, T G Melkoniants, M Yu Gvozdev, V A Krutova
OBJECTIVE: Urinary stress incontinence considerably decreases the life quality of women, which makes search for effective methods of treatment essential. The research presents results of surgical treatment of 230 patients with stress urinary incontinence between 2011 and 2014. MATERIALS AND METHODS: Efficiency of treatment of urinary incontinence in women, using Tension-free Vaginal Tape (TVT-O) and mini-sling Ophira was presented. The evaluation was made out of complaints and physical examination in target groups, including patients with concurrent genital prolapse and mixed urinary incontinence...
August 2016: Urologii︠a︡
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