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Mahmut Kuntay Kokanalı, Sabri Cavkaytar, Demet Kokanalı, Orhan Aksakal, Melike Doganay
There is little data comparing the surgical outcomes of tension-free vaginal tape (TVT) and transobturator tape (TOT) procedures in obese women. Therefore, we aimed to compare the surgical outcomes of TOT and TVT procedures among obese women with a diagnosis of stress urinary incontinence (SUI). One hundred and eighty-nine women who underwent TVT or TOT procedures due to pure SUI were included. Women in whom the body mass index (BMI) was ≥30 kg/m(2) were considered as obese, while <30 kg/m(2) were non-obese...
October 19, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Mohamed E Gaber, Tamer Borg, Hazem Samour, Mai Nawara, Ahmed Reda
AIM: The aim of this study was to compare the outcome of two single-incision mini-slings (the Contasure-Needleless [C-NDL] and the endopelvic free anchorage) with the standard midurethral transobturator tension-free vaginal tape (TVT-O) procedure. METHODS: A double blind randomized controlled study was conducted at Ain Shams University Maternity Hospital from August 2014 until July 2015. A total of 209 patients were randomized into three groups. The first group underwent the TVT-O procedure, the second group underwent the endopelvic free anchorage procedure and the third group underwent the C-NDL procedure...
October 8, 2016: Journal of Obstetrics and Gynaecology Research
C H Kim, M K Cho
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Daniela Ulrich, Vesna Bjelic-Radisic, Katrin Grabner, Alexander Avian, Gerda Trutnovsky, Karl Tamussino, Thomas Aigmüller
AIMS: To evaluate subjective and objective outcome after repeat surgery for stress urinary incontinence (SUI). METHODS: Patients who underwent a midurethral tape after failed Burch colposuspension or failed midurethal tape between 1999 and 2014 were invited for follow-up. Urogynecological examination and urodynamics was performed, and objective cure was defined as a negative cough stress test; subjective cure was defined as negotiation of SUI symptoms. Quality-of-life (QoL), sexual health, and subjective success was assessed with the King's Health Questionnaire, Incontinence Outcome Questionnaire, Female Sexual Function Index, and the Patient Global Impression of Improvement (PGI-I) score...
September 27, 2016: Neurourology and Urodynamics
Laura Didomizio, Hisham Khalil, Dante Pascali
BACKGROUND: Midurethral slings are the most widely used surgical treatment for stress urinary incontinence. Complications include bladder injury, voiding dysfunction, mesh exposure/erosion, dyspareunia, and failure to correct the incontinence. Complete mesh infection is rare. CASE: A 48-year-old woman underwent a repeat retropubic tension-free vaginal tape (TVT) procedure for stress urinary incontinence. She presented eight weeks postoperatively with a tender suprapubic mass and urinary retention...
September 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Lewis Roberts, Angie Rantell, Linda Cardozo
No abstract text is available yet for this article.
September 14, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Alice Kurien, Sarita Narang, How Chuan Han
INTRODUCTION: We aimed to study the efficacy and safety of the tension-free vaginal tape (TVT)-Abbrevo procedure for female stress urinary incontinence (SUI). METHODS: This was a prospective cohort study that aimed to determine the subjective and objective cure, improvement of SUI and incidence of complications among women who underwent TVT-Abbrevo for SUI during a period of 22 months from September 2011 to June 2013. RESULTS: A total of 76 patients, with a mean age of 48...
September 9, 2016: Singapore Medical Journal
Maurizio Serati, Andrea Braga, Stavros Athanasiou, Giovanni A Tommaselli, Giorgio Caccia, Marco Torella, Fabio Ghezzi, Stefano Salvatore
BACKGROUND: Inside-out transobturator tape (tension-free vaginal tape-obturator [TVT-O]) is currently one of the most effective and popular procedures for the surgical treatment of female stress urinary incontinence (SUI). However, data reporting long-term outcomes are lacking. OBJECTIVE: To assess the efficacy and safety of TVT-O 10 yr after implantation for the treatment of female pure SUI. DESIGN, SETTING, AND PARTICIPANTS: A multicenter, prospective study was conducted in five tertiary referral centers in three countries...
September 2, 2016: European Urology
Linda Cardozo, Dudley Robinson, Fevzi Shakir
AIMS: To present a narrated video designed to demonstrate the steps involved in an open re-do colposuspension. METHODS: This was in a 70-year-old woman who presented with recurrent severe stress urinary incontinence. Urodynamics confirmed severe urodynamic stress incontinence, with no detrusor over activity. Her maximum urethral closure pressure (MUCP) was 8 cm/water. She previously had a total abdominal hysterectomy (TAH), bilateral salpingo-oophorectomy (BSO) and colposuspension in 1998...
September 1, 2016: Neurourology and Urodynamics
Robert Stanek, Przemysław Kądziołka, Anna M Stanek, Krzysztof Szymanowski, Maciej Wilczak
Stress urinary incontinence is a very serious problem which has been noticed by the WHO. This difficult medical condition poses a serious problem as it affects c.a. 20% of the female population and it increases up to 35% in the group of females over 60 years of age. Since there is no single standard surgical procedure which could solve this problem, numerous synthetic materials are used for the operations. It seems that the materials are effective as they improve the condition of women suffering from stress urinary incontinence...
June 2016: Przeglad Menopauzalny, Menopause Review
Tim Erdmann, Simone Fabiano, Begoña Milián-Medina, David Hanifi, Zhihua Chen, Magnus Berggren, Johannes Gierschner, Alberto Salleo, Anton Kiriy, Brigitte Voit, Antonio Facchetti
Naphthalenediimide-based random copoly-mers (PNDI-TVTx) with different π-conjugated dithienylvinylene (TVT) versus π-nonconjugated dithienylethane (TET) unit ratios (x = 100→0%) are investigated. PNDI-TVTx transistor electron/hole mobilities are affected differently, a result rationalized by molecular orbital topologies and energies, with hole mobility vanishing while electron mobility decreasing only by ≈2.5 times when going from x = 100% to 40%.
August 30, 2016: Advanced Materials
W Y Zhang, H Hu, Q Wang, J W Chen, K X Xu
OBJECTIVE: To investigate the impact of preoperative urodynamic study on the diagnosis and treatment for female patients with clinical diagnosis of stress urinary incontinence by studying their diagnosis and treatment database, and to assess its clinical significance of urodynamic study. METHODS: From April 2011 to December 2015, 196 female patients diagnosed clinically with stress urinary incontinence underwent preoperative urodynamics study, after excluding pelvic organ prolapse...
February 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Joanne B McKenna, Katrina Parkin, Ying Cheng, Kate H Moore
BACKGROUND: One subjective long-term evaluation of the tension-free vaginal tape (TVT) success rate in obese women showed a worse prognosis in the obese, but objective studies have been limited to short-term follow-up (less than two years). AIM: To determine whether the long-term objective cure rate in obese/morbidly obese women who underwent TVT was reduced, compared to non-obese women (at five or more years). MATERIALS AND METHODS: Body mass index (BMI) was collected on patients undergoing TVT procedure...
August 17, 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
D Lier, M Robert, S Tang, S Ross
OBJECTIVE: To conduct an economic evaluation of the use of trans-obturator tape (TOT) compared with tension-free vaginal tape (TVT) in the surgical treatment of stress urinary incontinence in women. DESIGN: Cost-utility and cost-effectiveness analyses from a public-payer perspective, conducted alongside a randomised clinical trial. SETTING: Health services provided in Alberta, Canada. SAMPLE: A total of 195 women participated in the randomised clinical trial, followed to 5 years postsurgery...
August 10, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
Fred H Edwards, David J Cohen, Sean M O'Brien, Eric D Peterson, Michael J Mack, David M Shahian, Frederick L Grover, E Murat Tuzcu, Vinod H Thourani, John Carroll, J Matthew Brennan, Ralph G Brindis, John Rumsfeld, David R Holmes
IMPORTANCE: Patient selection for transcatheter aortic valve replacement (TAVR) should include assessment of the risks of TAVR compared with surgical aortic valve replacement (SAVR). Existing SAVR risk models accurately predict the risks for the population undergoing SAVR, but comparable models to predict risk for patients undergoing TAVR are currently not available and should be derived from a population that underwent TAVR. OBJECTIVE: To use a national population of patients undergoing TAVR to develop a statistical model that will predict in-hospital mortality after TAVR...
April 1, 2016: JAMA Cardiology
Debjyoti Karmakar, Alyaa Mostafa, Mohamed Abdel-Fattah
INTRODUCTION AND HYPOTHESIS: The Patient Global Impression of Improvement (PGI-I) and International Consultation of Incontinence Questionnaire - Short Form (ICIQ-SF) are validated instruments for the assessment of patient reported outcome measures (PROM) following treatment of stress urinary incontinence (SUI). However, there is a paucity of evidence as to what represents a successful postintervention ICIQ-SF score. To determine the correlation between the postoperative ICIQ-SF scores with the PGI-I outcomes, the latter was considered one of the standard PROM following surgical treatment for SUI...
July 5, 2016: International Urogynecology Journal
Roberto Montera, Francesco Plotti, Roberto Ricciardi, Andrea Miranda, Roberta Venturella, Fulvio Zullo, Roberto Angioli
OBJECTIVE: To evaluate the number of procedures necessary for an untrained resident surgeon to learn transobturator tension-free vaginal tape (TVT-O) procedures for treatment of stress urinary incontinence (SUI). METHODS: A prospective study was performed among patients aged 18-75 years who underwent TVT-O procedures at a center in Rome, Italy, between March 2, 2009, and November 30, 2012. The TVT-O procedure was performed by a right-handed resident surgeon working under the supervision of an expert surgeon...
September 2016: International Journal of Gynaecology and Obstetrics
Ariel Zilberlicht, Benjamin Feiner, Nir Haya, Ron Auslender, Yoram Abramov
Vaginal calculus is a rare disorder which has been reported in association with urethral diverticulum, urogenital sinus anomaly, bladder exstrophy and the tension-free vaginal tape (TVT) procedure. We report a 42-year-old woman who presented with persistent, intractable urinary tract infection (UTI) following a TVT procedure. Cystoscopy demonstrated an eroded tape with the formation of a bladder calculus, and the patient underwent laser cystolithotripsy and cystoscopic resection of the tape. Following this procedure, her UTI completely resolved and she remained asymptomatic for several years...
June 20, 2016: International Urogynecology Journal
Jose D Roman
BACKGROUND: Long-term outcomes of the tension-free vaginal tape (TVT) procedure are needed to assess its efficacy. METHODS: This was a cross-sectional study of the subjective outcome in patients with stress urinary incontinence (SUI) operated on consecutively by a single surgeon. Success was defined as the absence of SUI at the time of the study. The validated questionnaires Urogenital Distress Inventory-6 (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) were used to find the minimum important difference (MID) to support subjective reports of success...
June 21, 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
Alan J Wein
No abstract text is available yet for this article.
July 2016: Journal of Urology
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