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https://www.readbyqxmd.com/read/29781073/the-impact-of-concurrent-pelvic-organ-prolapse-reconstructive-surgery-on-midurethral-sling-procedure-outcome
#1
Buğra Çoşkun, Orhan S Aksakal, Bora Çoşkun, Engin Yurtçu, Mehmet Özgür Akkurt, Özgül Kafadar, Melike Doğanay
OBJECTIVES: To evaluate the effect of concurrent pelvic organ prolapse (POP) reconstructive surgery on midurethral sling (MUS) procedure outcome. MATERIAL AND METHODS: The present retrospective study included 300 women with urodynamically diagnosed stress urinary incontinence that underwent MUS procedures with or without concurrent POP reconstructive surgery. Patients were divided into four groups according to the performed surgery; 1) transobturator tape (TOT), 2) TOT with POP surgery (anterior colporrhaphy, posterior colporrhaphy and vaginal hysterectomy), 3) tension free vaginal tape (TVT), 4) TVT with POP surgery...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/29725708/outcomes-of-stress-urinary-incontinence-in-women-undergoing-tot-versus-burch-colposuspension-with-abdominal-sacrocolpopexy
#2
George Lazarou, Evelyn Minis, Bogdan Grigorescu
INTRODUCTION AND HYPOTHESIS: To compare postoperative rates of stress urinary incontinence (SUI) in patients with pelvic organ prolapse and SUI undergoing abdominal sacrocolpopexy (ASC) with Burch colposuspension or a transobturator tape (TOT) sling. METHODS: In this retrospective cohort study, medical records of 117 patients who underwent ASC with Burch (n = 60) or TOT (n = 57) between 2008 and 2010 at NYU Winthrop Hospital were assessed. Preoperative evaluation included history, physical examination, cough stress test (CST), and multichannel urodynamic studies (MUDS)...
May 3, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29717511/refined-nomogram-incorporating-standing-cough-test-improves-prediction-of-male-transobturator-sling-success
#3
Nabeel A Shakir, Joceline S Fuchs, Maxim J McKibben, Boyd R Viers, Travis J Pagliara, Jeremy M Scott, Allen F Morey
AIMS: To develop a decision aid in predicting sling success, incorporating the Male Stress Incontinence Grading Scale (MSIGS) into existing treatment algorithms. METHODS: We reviewed men undergoing first-time transobturator sling for stress urinary incontinence (SUI) from 2007 to 2016 at our institution. Patient demographics, reported pads per day (PPD), and Standing Cough Test (SCT) results graded 0-4, according to MSIGS, were assessed. Treatment failure was defined as subsequent need for >1 PPD or further procedures...
May 1, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29594319/outcome-of-rolled-fortified-vaginal-flap-operation-on-female-patients-with-intrinsic-sphincteric-deficiency-2-year-follow-up
#4
Mohamed Shoukry, Mostafa Elmissiry, Mohamed Hassouna, Haitham Abdelmoteleb
INTRODUCTION AND HYPOTHESIS: We evaluate the 2-year outcome of the rolled fortified vaginal flap (RFVF) operation for the treatment of stress urinary incontinence (SUI) due to intrinsic sphincteric deficiency (ISD). METHODS: A prospective study of 20 women suffering from SUI due to ISD was conducted. All patients were subjected to history-taking, clinical examination, cough stress test, and urodynamics. Symptom severity and quality of life (QoL) were assessed using the Arabic version of the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI-SF)...
March 28, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29556707/a-randomized-prospective-comparison-of-the-needleless-mini-sling-hammock-and-u-shape-configurations-for-management-of-stress-urinary-incontinence-18-month-follow-up-results
#5
Ozan Dogan, Alper Basbug, Aski Ellibes Kaya, Cigdem Pulatoglu, Murat Yassa
OBJECTIVE: To compare the efficacy of needleless mini-sling placed either retropubic (U-shape) or trans-obturator (hammock-shape) to treat stress urinary incontinence. SETTING: One hundred and twenty six women were randomized in a 2:1 ratio to receive hammock-shaped or U-shaped of Contasure-NDL. METHODS: All surgical procedures were performed by one senior surgeon experienced in anti-incontinence surgery with mesh. Cough-stress test was considered for objective outcome...
March 19, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29549394/a-randomized-comparison-of-a-single-incision-needleless-contasure-needleless%C3%A2-mini-sling-versus-an-inside-out-transobturator-contasure-kim%C3%A2-mid-urethral-sling-in-women-with-stress-urinary-incontinence-24-month-follow-up-results
#6
Ozan Dogan, Aski Ellibes Kaya, Cigdem Pulatoglu, Alper Basbug, Murat Yassa
INTRODUCTION AND HYPOTHESIS: There is a shortage of reliable data on the efficiency of the under-investigated mini-slings to treat stress urinary incontinence (SUI). We aimed to compare the effectiveness of the single-incision needleless mini-sling (SIMS) with the transobturator inside-out mid-urethral sling (TOT). MATERIALS AND METHODS: Two hundred one women with clinically proven SUI were included in this single-center prospective randomized trial. The patients were randomly allocated to the groups...
March 16, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29512808/urethral-funneling-visualized-during-pelvic-floor-sonography-analysis-of-occurrence-among-urogynecological-patients
#7
Edyta Wlaźlak, Tomasz Kluz, Grzegorz Surkont, Jacek Kociszewski
OBJECTIVES: There are different diagnostic methods used in women with urinary incontinence symptoms such as: medical history, voiding diary, cough test, pad test, urodynamic testing. None of them is optimal. The aim of this study is to analyze the correlation between urethral funneling visualized during pelvic floor sonography and symptoms of stress urinary incontinence. MATERIAL AND METHODS: We have performed a retrospective analysis of 657 complete datasets of patients who attended our urogynecological clinic for diagnostics...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/29502137/effectiveness-of-the-remeex-system%C3%A2-in-colombian-women-with-recurrent-stress-urinary-incontinence-or-intrinsic-sphincter-deficiency
#8
Mauricio Plata, Daniela Robledo, Alejandra Bravo-Balado, Juan Carlos Castaño, Catalina Osorio, Milton Salazar, Juan Guillermo Velásquez, Carlos Gustavo Trujillo, Juan Ignacio Caicedo, Juan Guillermo Cataño
INTRODUCTION AND HYPOTHESIS: We report our experience with the Remeex system™ in women with recurrent stress urinary incontinence (SUI) or intrinsic sphincter deficiency (ISD). METHODS: A multicenter retrospective study was conducted in women who underwent an adjustable sling procedure between 2011 and 2016. We used urodynamic studies (UDS) preoperatively and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and cough stress test (CST) pre- and postoperatively...
March 3, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29478148/a-new-treatment-of-female-stress-urinary-incontinence-with-vaginal-antetheca-retropubic-space-mesh-repair-surgery-a-clinical-trial
#9
Geping Yin, Zheng Yuan, Juan Li, Jing Liang, Aifang Wu, Na Liu
PURPOSE: To investigate the short- and medium-term effect of vaginal antetheca submucosal-retropubic space with mesh repair through the implantation of organic patch (shortly as new-style vaginal mesh repair) in the treatment of patients with stress urinary incontinence (SUI). METHODS: This was a clinical prospective single arm study in a tertiary grade hospital (General Hospital of Jinan Military Region, Jinan, China). From January 2009 to December 2014, 316 female patients were enrolled...
February 24, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29435737/clinical-determinants-of-incremental-shuttle-walk-test-in-adults-with-bronchiectasis
#10
Sulenur Yildiz, Deniz Inal-Ince, Ebru Calik-Kutukcu, Naciye Vardar-Yagli, Melda Saglam, Hulya Arikan, Lutfi Coplu
INTRODUCTION: Exercise capacity is impaired in patients with bronchiectasis. Incremental shuttle walk test (ISWT) stresses cardiorespiratory system physiologically to symptom-limited maximal exercise capacity. The purpose of this study was to investigate the clinical determinants of ISWT in adults with non-cystic fibrosis (CF) bronchiectasis. METHODS: Forty-one clinically stable bronchiectasis patients aged 18-72 years (27 females, 14 males) participated in the study...
February 12, 2018: Lung
https://www.readbyqxmd.com/read/29319927/which-outcome-measures-should-be-used-in-stress-urinary-incontinence-trials
#11
Renly Lim, Men Long Liong, Wing Seng Leong, Kah Hay Yuen
OBJECTIVE: To review measures used in recent randomised controlled trials (RCTs) evaluating stress urinary incontinence (SUI) treatments and to propose the most relevant outcome measure that should be included in future trials. MATERIALS AND METHODS: We identified RCTs for SUI interventions published between January 2015 and July 2017. We listed the objective and subjective outcome measures used in eligible trials in the literature search. Using data from our RCT conducted from 2013 to 2016 evaluating pulsed magnetic stimulation for SUI, we analysed the correlation between all measures...
January 10, 2018: BJU International
https://www.readbyqxmd.com/read/29315998/effectiveness-and-quality-of-life-10-years-after-transobturator-suburethral-tape-surgery-for-stress-urinary-incontinence
#12
Paula Celada, Patricia Cañete, Ester Ortiz Murillo, Juan J Tarín, Antonio Cano
AIM: We aimed to measure the effectiveness and quality of life (QoL) 10 years after transobturator suburethral tape surgery. METHODS: We carried out a prospective observational study of 42 women assessed 10 years after surgical intervention with the transobturator technique. The main outcome measures were subjective and objective cure or improvement, complications, and changes in QoL. RESULTS: The median abdominal leak point pressure had been 92 (82-113) mL H2 O prior to surgery...
March 2018: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29299661/three-and-twelve-month-follow-up-outcomes-of-tvt-exact-and-tvt-abbrevo-for-treatment-of-female-stress-urinary-incontinence-a-randomized-clinical-trial
#13
ShiJian Feng, DeYi Luo, QinYu Liu, TongXin Yang, Caigan Du, Hong Li, KunJie Wang, Hong Shen
OBJECTIVE: To compare the efficacy, safety, postoperative complications and discomforts between TVT-EXACT (TVT-E) and TVT-ABBREVO (TVT-A) for treatment of female stress urinary incontinence. METHODS: Recruited patients were randomized into either TVT-E or TVT-A group using SPSS software. Follow-up measures were performed at day 1 before surgery and both 3 and 12 months after the surgery. The measurement outcomes were the scores of involved six questionnaires on quality of life, symptom severity and patient satisfaction...
March 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29234544/impact-of-transobturator-vaginal-tape-on-female-stress-urinary-incontinence-and-sexual-function
#14
Tarek Soliman, Hammouda Sherif, Abdallah Fathi, Wael Kandeel, Osama Abdelwahab
Objective: To evaluate the effect of vaginal transobturator tape (TOT) on female stress urinary incontinence (SUI) and sexual function. Patients and methods: In all, 145 patients with SUI underwent TOT repair using the 'outside-in' technique. All patients had been sexually active in the previous 6 months. Patients were evaluated by history, routine laboratory investigations, cough stress test, abdominopelvic ultrasonography, and full urodynamic studies. The preoperative data assessed included: age, parity, body mass index, menopausal status, and Stamey grade of SUI...
December 2017: Arab Journal of Urology
https://www.readbyqxmd.com/read/29221328/uncontrolled-and-under-diagnosed-asthma-in-a-damascus-shelter-during-the-syrian-crisis
#15
Yousser Mohammad, Shaaban Rafea, Youssef Latifeh, Ali Khaddam, Bisher Sawaf, Mhd Ismael Zakaria, Mohammad Sadek Al Masalmeh, Yaser Fawaz, Abdoulraouf Allaham, Imad Almani, Hiba El-Tarcheh, Ayham Ghazal, Ali Zaher, Hala Rifai, Hamed Joumah, S Dresden Glockler-Lauf, Teresa To
Background: Studies have shown that poor shelter or dwelling conditions may lead to deteriorations in health. Those with asthma may be more susceptible to compromised living conditions and stress leading to a higher risk of asthma exacerbations. To describe the asthma control and quality of life of individuals with diagnosed asthma living in a shelter in Damascus, Syria and estimate the prevalence of respiratory symptoms in shelter dwellers without diagnosed asthma. Methods: In this cross-sectional study, all individuals 5 years and older living in Al-Herjalleh shelter with diagnosed asthma were recruited to complete a questionnaire, which included items related to their respiratory symptoms, asthma exacerbations, exposure to asthma triggers, medication use, and health-related quality of life before and since entering the shelter...
September 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29201518/transobturator-four-arms-mesh-in-the-surgical-management-of-stress-urinary-incontinence-with-cystocele
#16
Hammouda Sherif, Tarek Soliman Othman, Amr Eldkhakhany, Hussein Elkady, Adel Elfallah
Objective: This study aims to evaluate safety and efficacy of four arms polypropylene mesh in the long- term follow-up in the management of stress urinary incontinence (SUI) associated with cystocele. Material and methods: This prospective study was conducted on 50 female patients with SUI associated with cystocele. Patients underwent placement of transobturator four-arms mesh implants. Stress incontinence was evaluated using cough stress test with and without prolapse reduction, Stamey's grading of SUI, the validated Arabic version of the International Consultation on Incontinence Questionnaire-Short Form and King Health Questionnaire forms...
December 2017: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29177542/adjustable-transobturator-sling-for-the-treatment-of-primary-stress-urinary-incontinence
#17
Dmitry Shkarupa, Nikita Kubin, Olga Staroseltseva, Ekaterina Shapovalova
INTRODUCTION AND HYPOTHESIS: The purpose of the study was to evaluate the rate of postoperative voiding dysfunction after the insertion of an adjustable transobturator sling for the treatment of primary stress urinary incontinence (SUI). The secondary aim was to assess the objective and subjective cure rates and the impact of the surgery on quality of life. METHODS: This prospective study included 171 patients with primary SUI who underwent insertion of an adjustable transobturator tape...
November 25, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/29175541/a-randomized-comparative-study-evaluating-various-cough-stress-tests-and-24-hour-pad-test-with-urodynamics
#18
Joseph W Henderson, Sarah M Kane, Jeffrey M Mangel, Elias G Kikano, Jorge A Garibay, Robert R Pollard, Sangeeta T Mahajan, Sara M Debanne, Adonis K Hijaz
PURPOSE: The cough stress test (CST) is a common and accepted tool to evaluate stress urinary incontinence but there is no agreement on how the test should be conducted. We assessed the diagnostic ability of different CSTs performed varying patient's position and bladder volumes using urodynamic stress urinary incontinence (USI) as the gold standard. The 24-hour pad test was also evaluated. MATERIALS AND METHODS: Women presenting to specialty outpatient clinics with complaints of urinary incontinence and recommended to undergo urodynamic testing were recruited...
November 23, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28969408/evaluation-of-per-operative-cough-stress-test-during-transobturator-mid-urethral-sling-surgery
#19
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
#20
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
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