To compare intermittent catheterization, sling mobilization and sling transection for treatment of
|
|
- Tiffany Webb
- 5 years ago
- Views:
Transcription
1 1 ABSTRACT: Objective: To compare intermittent catheterization, sling mobilization and sling transection for treatment of urinary retention after mid-urethral sling surgery. Methods: Data registered in the Norwegian Female Incontinence Registry from 1998 to 2013 were analyzed in this cohort study to compare subjective and objective outcomes after intermittent catheterization, sling mobilization and sling transection as management of postoperative urinary retention after mid urethral sling surgery. Subjective outcomes were degree of symptom bother and the percentage of women stating very satisfied at the postoperative follow-up. The objective outcome was leakage at a cough-jump pad stress test. Results: Intervention due to urinary retention was performed in 585 of women (3.1 %). Women who had their sling mobilized or had intermittent catheterization, scored better on all postoperative outcomes than those who had their sling transected (P < 0.001). Sling transection was more often needed after intermittent catheterization than after mobilization (P =0.023). No outcome differences were found between intermittent catheterization only and sling mobilization only. Intention to treat analysis showed that women who underwent sling mobilization as the primary procedure significantly more often had a negative stress test (P = 0.033) and were more often very satisfied with the treatment (P =0.006) than those who were primarily catheterized. Conclusion: Sling mobilization is a more successful treatment than intermittent catheterization or transection for urinary retention after mid-urethral sling surgery.
2 2 Clinical Trial Registration: Clinical trial registration was not applicable because this study is based on an analysis of anonymous data from The Norwegian Female Incontinence Registry.
3 3 Introduction: Since Ulmsten and Petros introduced the tension-free vaginal tape (TVT) procedure in 1996, the minimally invasive mid-urethral sling (MUS) operations have rapidly become the procedures of choice in the operative management of stress urinary incontinence. 1 Numerous studies have shown good short- and long-term subjective and objective outcomes both for stress urinary incontinence and stress predominant mixed urinary incontinence. 2-4 Although serious complications are rare, the prevalence of incomplete bladder emptying has been reported from % following these procedures. 5,6 Incomplete bladder emptying ranges from spontaneous micturition with high post-void residuals to complete urinary retention. Incomplete bladder emptying exposes the women to severe bother that decreases her quality of life, may cause urinary tract infections and pain and may necessitate prolonged intermittent catheterization. 6 Proposed risk factors for this unwanted outcome are old age, concomitant surgery, vaginal vault prolapse, poorly performed intraoperative cough test, low preoperative urinary flow rate and low detrusor contractility. 6 Postoperative urinary retention after MUS procedures may in many cases resolve after a few days with intermittent catheterization. This is therefore often the preferred method If the postoperative urinary retention is not resolved with intermittent catheterization, transection of the sling has commonly been performed. 7,8 However, transection may lead to recurrence of stress incontinence, reported in up to 61% of the women. 11,12 Operative mobilization of the sling is an intervention in which the vaginal wound is opened and the sling pulled down 5 10 mm. 13,14 If adequate voiding is not obtained, the procedure may be repeated. Sling mobilization has been reported to successfully resolve postoperative urinary retention after MUS operations in % of the cases
4 4 In Norway 30 of 41 gynecological community and tertiary care departments performing female incontinence surgery have since 1998 reported continuously pre- and postoperative subjective and objective data, type of incontinence procedure and complications to the Norwegian Female Incontinence Registry. Operative mobilization of the sling to relieve urinary retention has been reported to the Registry since The aim of this study was to compare postoperative subjective stress incontinence, treatment satisfaction and objective leakage in women who had been treated with intermittent catheterization, sling transection or sling mobilization for urinary retention after mid-urethral sling surgery. Materials and Methods: Pre- and postoperative data registered in the Norwegian Female Incontinence Registry for women who had undergone an MUS operation for stress or mixed urinary incontinence in 30 gynecological community and tertiary care departments were analyzed in this cohort study. The operations were performed between September 1 st 1998 and December 5 th Women diagnosed with urinary retention after MUS surgery were treated with intermittent catheterization, sling mobilization or sling transection. We used preoperative, operative and 6-12 months postoperative follow-up data recorded in the Registry for this study. The subjective outcomes chosen were treatment satisfaction and stress incontinence index, and the objective outcome was leakage during a cough-jump pad stress test. 19,20 The MUS operations in use were TVT, TVT-O (tension-free vaginal sling-obturator), TOT (transobturator sling) and AJUST (adjustable single-incision sling). Women with concomitant pelvic organ prolapse surgery were not included.
5 5 Participating departments that report data to the Registry use a validated short-form urinary incontinence disease-specific questionnaire for subjective data. 19 The data are registered preoperatively and at the 6 12 months follow-up visit as well as at later visits. The questionnaire generates a stress incontinence index from 0 to 12 that indicates degree of subjective symptom bother. A high score signifies more severe bother than a low score. The questionnaire also contains a question about treatment satisfaction. The choices are: very satisfied, moderately satisfied, neither satisfied nor dissatisfied, moderately dissatisfied or very dissatisfied. Our objective outcome was a standardized and reproducible cough-jump pad stress test used by all contributing departments before surgery and at subsequent follow-ups. This stress test quantifies grams of leakage by the increase in pad weight after 3 coughs and 20 jumping jacks with 300 ml bladder volume. 20 Urinary retention is not defined in the Registry. For the purpose of this study we defined that a woman had urinary retention when the surgeon found indication to perform bladder catheterization, sling mobilization or sling transection after an MUS procedure. When postoperative retention occurred, intermittent catheterization was initiated in most cases. If the retention was not relieved, sling transection was performed when the surgeon found it appropriate. However, from 2008 information on sling mobilization was added to the Registry. Under local or general anesthesia the vaginal incision was opened and the sling pulled down 5 10 mm to relieve the obstruction. The mobilization was in most cases performed within the first postoperative week. 13,14 The mobilization procedure could be repeated. Catheterization is registered in the Registry when it was performed for more than 1 week. Date of mobilization and date of start or ending of catheterization is not registered in the Registry. The date of tape transection is registered in the Registry, but not the method used, i.e. midline or lateral transection.
6 6 The three interventions for treating urinary retention after MUS operations were compared and analyzed in two different ways. First they were compared and analyzed according to the ultimate method (i.e. women who had the sling transected after initial catheterization or mobilization, were counted as transected, Fig 1). Secondly an intention-to-treat analysis was performed in which the methods were compared according to the first method used (i.e. women who had the sling transected following a period of intermittent catheterization were counted as catheterized). The Norwegian Female Incontinence Registry is approved and regulated by The Norwegian Data Protection Authority. Written, informed consent is obtained from all participating women, and clinical data are exported and stored in de-identified format in the Registry. Approval of the clinical data studies is given from the Department Heads and institutional personal data officers of all the collaborating hospitals. The Regional Committee for Medical and Health Research Ethics of South East Norway considered our study to represent a quality assurance measure for treatment given and therefore without need of formal committee evaluation and approval. Statistics: SPSS version 22 was used and descriptive statistics calculated for the aims above. Many of the data were not normally distributed and are therefore presented as median and 5 and 95 percentiles. Mann-Whitney U-test was used for continuous variables and chi square test for dichotomous variables. We used a significance level of 5 %. To adjust for potential imbalance in preoperative values when analyzing continuous variables, a linear regression analysis was performed, using the preoperative values as covariates. Variables with markedly skewed distributions were dichotomized before being analyzed in a regression analysis. To adjust for potential imbalance in preoperative values when analyzing dichotomous variables, logistic regression analysis was performed, using the preoperative values as covariates. Each outcome variable was calculated as a per protocol analysis in which the
7 7 denominator was obtained by subtracting women with missing data from the total number of women. Results: From September 1 st 1998 to December 5 th 2013, stress and mixed incontinent women underwent TVT, 2140 TVT-O, 889 TOT and 553 AJUST operations without concomitant pelvic organ prolapse surgery and were reported to The Norwegian Female Incontinence Registry. Five hundred and eighty-five of the women (3.1%) were registered as having had one or more of the three interventions for postoperative urinary retention and were thus included in this study. The median time to follow-up was 9 months, 5% and 95% percentiles were 5 and 19 months. Intermittent catheterization was performed in 328 women, 121 had the sling primarily transected, and 136 underwent sling mobilization (Fig 1). Intermittent catheterization, sling mobilization and sling transection were performed in respectively 27, 18 and 20 centers. No significant differences in any of the postoperative subjective and objective outcomes were found between women who were catheterized as their only treatment (i.e. not in need of later transection of the sling) and those who had the sling mobilized as their only treatment (i.e. not in need of later transection of the sling) (Table I, A vs B). However, the total group of women who had the sling transected (n=197) and the women who only had a sling transection (n=121), leaked significantly more during the postoperative pad stress test, had a higher postoperative stress
8 8 incontinence index and were less satisfied than the women in the other two groups (Table I, A vs. C,B vs. C, A vs. D and B vs. D). Subsequent sling transection was performed more often in the women who primarily underwent intermittent catheterization 62 of 328, (19%) than in those who had the sling primarily mobilized 14 of 136, (10%) (P = 0.027). Median time from the MUS operation to transection was 24.5 weeks (5% and 95% percentiles 2 and 188 weeks). In the intention-to-treat analysis the women who had sling mobilization as primary treatment leaked significantly less during the postoperative pad stress test (P = 0.033) and were significantly more often very satisfied (P = 0.006) with their treatment than those who were primarily catheterized. (Table II). A subgroup analysis done on the 12 centers performing all three procedures found similar results for all except one outcome variable. When women who were catheterized and not transected were compared with women who had the tape mobilized and not transected, a significant difference (p=0.05) favoring tape mobilization was found for percentage very satisfied. Table III show the rates of recurrence of stress incontinence in the different treatment groups when the results from the postoperative cough-jump pad stress test is dichotomized into negative or positive (defined as 0 grams). This differs from the analyses presented in Tables I, and II in which the results from the stress test were analyzed as a continuous variable. Recurrence of stress incontinence was seen significantly less often after tape mobilization than after tape transection (P = 0.001) or intermittent catheterization (P = 0.023). There was no significant difference in recurrence of stress incontinence between the women who had intermittent catheterization and those who had tape transection. (P = 0.114).
9 9 Discussion: Urinary retention was found in 3.1% of women after a MUS procedure. No differences were found in postoperative satisfaction or recurrence of stress incontinence in women who had intermittent catheterization and those who had tape mobilization when there was no need for a later tape transaction. However, women who had intermittent catheterization significantly more often underwent subsequent tape transection than those who had tape mobilization. Women who had their sling transected had significantly more leakage on the 6-12 months cough-jump pad stress test, were less satisfied and had a higher postoperative stress incontinence index than the women in the other two groups. Compared with tape mobilization recurrence of stress incontinence, defined as a positive stress test (> 0 gram), was found significantly more often after both transection and after catheterization. In the intention-to-treat analysis the women who had sling mobilization as their primary treatment had significantly less leakage during the postoperative pad stress test and were more often very satisfied with their treatment than women who had intermittent catheterization as their primary treatment. The median post-operative stress test is zero in all groups. Nevertheless, there is a significant difference between both catheterization and mobilization versus transection. One might therefore debate whether this difference is clinically significant. However, calculating the percent postoperative positive stress tests (> 0 gram) in women catheterized not transected, mobilized not transected, total transected and only transected, the results were 7.4, 2.6, 34.4 and 24.7 respectively. We therefore find that the observed differences are clinically significant.
10 10 When performed correctly mobilization of the sling relieves the retention and the woman remains continent. In our experience it is easiest and probably best performed within the first few postoperative days, but Glavind found the procedure to be feasible up to 21 days after the primary operation. 18 The time between the MUS operation and sling mobilization is not registered in the Registry. Glavind performed sling mobilization on average 11.6 days (range 2-21), while Rautenberg performed the procedure usually within 1 3 days. 14,18 Probably due to the impairment of the hammock effect, more involuntary leakage is seen after tape transection than after intermittent catheterization or tape mobilization. Our retention rate of 3.1% is comparable to the studies by Kuuva (2.3%) and Glavind (3.9%), but not the study by Takacs where urinary retention was found as high as 26%. 5,6,18 Recurrence of stress incontinence occurred in 25 % after sling transection only in our study, while others have reported up to 61%. 11,12 After sling mobilization a recurrence rate of 5.9 % was found by Glavind, corresponding well with 7 % in our study (Table III). 18 Intermittent catheterization and sling mobilization are believed to be successful alternatives to sling transection for treatment of postoperative urinary retention after MUS surgery. Sling mobilization has been reported with success rates of up to 100 % However, many surgeons still prefer to use intermittent catheterization for simplicity and fear of recurrence of incontinence after sling mobilization. Hong et al. found that normal spontaneous voiding was resumed in 87.5 % after intermittent catheterization, corresponding with 81 % in our study (Fig I). 8 The fear of incontinence seems based on our study to be unwarranted. We found that only 10% of the women who had the sling mobilized underwent sling transection at a later date and that there was significantly less recurrence of stress incontinence in the mobilization group compared to the women who had the sling transected.
11 11 The major strength of our study is that it is based on a large national database comprising 80% of MUS operations in Norway performed on an unselected patient population by a variety of experienced and inexperienced surgeons. To our knowledge, this is the only published study with sufficient sample size to detect statistically significant differences between these three postoperative interventions for urinary retention after MUS procedures. Registry data from unselected and heterogeneous patients and doctors has the advantage of reporting the conditions in a real clinical setting. Registry studies can therefore have a high external validity. It has been reported that combined pelvic organ prolapse and incontinence surgery increase the risk of postoperative urinary retention. 21 Not including women with concomitant pelvic organ prolapse surgery strengthens the conclusion of our study. Urinary retention is not defined in the Registry. For this study our definition of urinary retention was that the patient had undergone bladder catheterization, sling mobilization or sling transection after an MUS procedure. Because the indications to perform these interventions varied from department to department and from surgeon to surgeon; this may have contributed to selection bias. We recognize that if some departments systematically use transection of the sling as treatment for total retention and one of the other two interventions for partial urinary retention, this might impact the results and complicate interpretations. However, as indication for intervention is not registered we had no means to adjust for this fact in the analyses of the current study. Another potential selection bias is the fact that not all centers perform all three interventions. However, when outcomes from 12 centers performing all three procedures were compared with outcomes from all centers, similar results were found for all, except one outcome variable. The
12 12 marked differences in interventions performed by different centers, may still have contributed to selection bias, but not in our opinion to a serious selection bias The surgical technique by which a sling was mobilized and whether it was transected laterally or in the midline are not registered in the Registry. This also is a limitation of the study. Furthermore, we realize the fact that the imbalance in patient numbers registered as receiving either catheterization or mobilization (more than twice as many having had catheterization than mobilization) may have influenced the results. The imbalance was due to the fact that mobilization was only registered in the Registry after The use of registry data always carries the possibility of inaccuracies in the individual entries and the results must therefore always be interpreted with this in mind. We would have liked to analyze possible differences between different sling systems. However, the numbers of TVTO, TOT and AJUST procedures were not sufficient to obtain adequate test power. A subgroup analysis performed on the TVTs (which constituted 80 % of the procedures) generated similar results as for the total cohort. Our study indicates that mobilization of the sling should be preferred to transection of the sling or prolonged intermittent catheterization in the case of urinary retention after MUS procedures. Intermittent catheterization may lead to physical and social discomfort and it is impossible to know when voiding will be normalized. Normalized voiding is however, quickly achieved in most cases by mobilization. Our study found that nearly twice as many women needed tape transection after intermittent catheterization (19%) than after mobilization (10%), and that the women with tape transection had a higher risk of experiencing recurrent stress incontinence. This suggests that tape mobilization should be the method of choice when faced with urinary retention
13 13 after MUS surgery. We acknowledge the limitations of a registry-based study, but believe that our large, unselected database strongly supports this view. The best way of comparing different interventions is by randomizing women prospectively in controlled trials (RCTs) but this would require a very large multicenter study. To our knowledge no such RCT has so far been published. We believe it is ethically sound to encourage surgeons to prefer sling mobilization rather than long term intermittent catheterization for postoperative urinary retention after MUS operations, despite lacking RCTs. Concluding message: Our findings indicate that sling mobilization is a more successful treatment than intermittent catheterization or sling transection for urinary retention after MUS surgery. Acknowledgments: (written permissions on file): The authors thank Tomislav Dimoski, MBA, system developer at the Norwegian Female Incontinence Registry for data base and IT assistance. We thank the statisticians Leiv Sandvik at the Unit of Biostatistics and Epidemiology, Oslo University Hospital and Petter Mowinckel at the Pediatric Department, Oslo University Hospital, for statistical support Part of the work has been presented in a short abstract form at the 44 th Annual Meeting of the International Continence Society (ICS 2014), October 20-24, Rio, Brazil, at the 29 th Bi-Annual meeting of the Nordic Urogynecological Association (NUGA 2015), January 29-31, Stockholm,
14 14 Sweden and at the Annual Meeting of the Norwegian Association for Obstetricians and Gynecologists, October 23-25, 2014, Trondheim, Norway.
15 15 References: 1. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):81-85; discussion Nilsson CG, Palva K, Aarnio R, Morcos E, Falconer C. Seventeen years' follow-up of the tensionfree vaginal tape procedure for female stress urinary incontinence. Int Urogynecol J. 2013;24(8): Ogah J, Cody JD, Rogerson L. Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2009(4):CD Svenningsen R, Staff AC, Schiotz HA, Western K, Kulseng-Hanssen S. Long-term follow-up of the retropubic tension-free vaginal tape procedure. Int Urogynecol J. 2013;24(8): Kuuva N, Nilsson CG. A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand. 2002;81(1): Takacs P, Medina CA. Tension-free vaginal tape: poor intraoperative cough test as a predictor of postoperative urinary retention. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(12): Croak AJ, Schulte V, Peron S, Klingele C, Gebhart J, Lee R. Transvaginal tape lysis for urinary obstruction after tension-free vaginal tape placement. J Urol. 2003;169(6): Hong B, Park S, Kim HS, Choo MS. Factors predictive of urinary retention after a tension-free vaginal tape procedure for female stress urinary incontinence. J Urol. 2003;170(3): Shukla A, Paul SK, Nishtar A, Bibby J. Factors predictive of voiding problems following insertion of tension-free vaginal tape. Int J Gynaecol Obstet. 2007;96(2): Bailey C, Matharu G. Conservative management as an initial approach for post-operative voiding dysfunction. Eur J Obstet Gynecol Reprod Biol. 2012;160(1): Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J. Urinary retention after tensionfree vaginal tape procedure: incidence and treatment. Urology. 2001;58(5): Viereck V, Rautenberg O, Kociszewski J, Grothey S, Welter J, Eberhard J. Midurethral sling incision: indications and outcomes. Int Urogynecol J. 2013;24(4): Chang WC, Sheu BC, Huang SC, et al. Postoperative transvaginal tape mobilization in preventing voiding difficulty after tension-free vaginal tape procedures. Int Urogynecol J. 2010;21(2): Rautenberg O, Kociszewski J, Welter J, Kuszka A, Eberhard J, Viereck V. Ultrasound and early tape mobilization--a practical solution for treating postoperative voiding dysfunction. Neurourol Urodyn. 2014;33(7): Nguyen JN. Tape mobilization for urinary retention after tension-free vaginal tape procedures. Urology. 2005;66(3): Glavind K, Glavind E. Treatment of prolonged voiding dysfunction after tension-free vaginal tape procedure. Acta Obstet Gynecol Scand. 2007;86(3): Price N, Slack A, Khong SY, Currie I, Jackson S. The benefit of early mobilisation of tension-free vaginal tape in the treatment of post-operative voiding dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(7): Glavind K, Shim S. Incidence and treatment of postoperative voiding dysfunction after the tension-free vaginal tape procedure. Int Urogynecol J Kulseng-Hanssen S, Borstad E. The development of a questionnaire to measure the severity of symptoms and the quality of life before and after surgery for stress incontinence. BJOG. 2003;110(11):
16 Berild GH, Kulseng-Hanssen S. Reproducibility of a cough and jump stress test for the evaluation of urinary incontinence. International Urogyecological Journal. 2012;2012 april Wang KH, Neimark M, Davila GW. Voiding dysfunction following TVT procedure. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(6): ; discussion 358.
Incidence and Risk Factors of Postoperative De Novo Voiding Dysfunction following Midurethral Sling Procedures
Incidence and Risk Factors of Postoperative De Novo Voiding Dysfunction following Midurethral Sling Procedures Hoon Ah Jang, Jae Hyun Bae, Jeong Gu Lee From the Department of Urology, College of Medicine,
More informationClinical Study Cough Test during Tension-Free Vaginal Tape Procedure in Preventing Postoperative Urinary Retention
Advances in Urology Volume 2013, Article ID 797854, 4 pages http://dx.doi.org/10.1155/2013/797854 Clinical Study Cough Test during Tension-Free Vaginal Tape Procedure in Preventing Postoperative Urinary
More informationTension-free Vaginal Tape for Urodynamic Stress Incontinence
Long-term Results of Tension-free Vaginal Tape Insertion for Urodynamic Stress Incontinence in Chinese Women at Eight-year Follow-up: a Prospective Study YM CHAN MBBS, MRCOG, FHKAM (O&G), DCG, DCH, DFM,
More informationTreatment Outcomes of Tension-free Vaginal Tape Insertion
Are the Treatment Outcomes of Tension-free Vaginal Tape Insertion the Same for Patients with Stress Urinary Incontinence with or without Intrinsic Sphincter Deficiency? A Retrospective Study in Hong Kong
More informationEffect of Anesthesia on Voiding Function After Tension-Free Vaginal Tape Procedure
Effect of Anesthesia on Voiding Function After Tension-Free Vaginal Tape Procedure M. Murphy, MD, M. H. Heit, MD, MSPH, L. Fouts, MD, C. A. Graham, MD, L. Blackwell, RN, and P. J. Culligan, MD OBJECTIVE:
More informationEfficacy and Adverse Effects of Monarc Versus Tension-free Vaginal Tape Obturator: a Retrospective One-year Follow-up Study
Efficacy and Adverse Effects of Monarc Versus Tension-free Vaginal Tape Obturator: a Retrospective One-year Follow-up Study Yvonne KY CHENG MBChB, MRCOG William WK TO MBBS, M Phil, FRCOG, FHKAM (O&G) HX
More informationRisk Factors of Voiding Dysfunction and Patient Satisfaction After Tension-free Vaginal Tape Procedure
J Korean Med Sci 2005; 20: 1006-10 ISSN 1011-8934 Copyright The Korean Academy of Medical Sciences Risk Factors of Voiding Dysfunction and Patient Satisfaction After Tension-free Vaginal Tape Procedure
More informationThe development of a questionnaire to measure the severity of symptoms and the quality of life before and after surgery for stress incontinence
BJOG: an International Journal of Obstetrics and Gynaecology November 2003, Vol. 110, pp. 983 988 The development of a questionnaire to measure the severity of symptoms and the quality of life before and
More informationResolution of urge urinary incontinence with midurethral sling surgery in patients with mixed incontinence and low-pressure urethra
Gynecol Surg (2012) 9:427 432 DOI 10.1007/s10397-012-0735-7 ORIGINAL ARTICLE Resolution of urge urinary incontinence with midurethral sling surgery in patients with mixed incontinence and low-pressure
More informationTape functionality: position, change in shape, and outcome after TVT procedure mid-term results
Int Urogynecol J (2010) 21:795 800 DOI 10.1007/s00192-010-1119-z ORIGINAL ARTICLE Tape functionality: position, change in shape, and outcome after TVT procedure mid-term results Jacek Kociszewski & Oliver
More informationOperative Approach to Stress Incontinence. Goals of presentation. Preoperative evaluation: Urodynamic Testing? Michelle Y. Morrill, M.D.
Operative Approach to Stress Incontinence Goals of presentation Michelle Y. Morrill, M.D. Director of Urogynecology The Permanente Medical Group Kaiser, San Francisco Review preoperative care & evaluation
More informationModern methods of imaging in urogynecology when do we really need them?
Archives of Perinatal Medicine 23(2), 77 81, 2017 ORIGINAL PAPER Modern methods of imaging in urogynecology when do we really need them? GRZEGORZ SURKONT, EDYTA WLAŹLAK Abstract Imaging is more often used
More informationAnatomical and Functional Results of Pelvic Organ Prolapse Mesh Repair: A Prospective Study of 105 Cases
International Journal of Clinical Urology 2018; 2(1): 20-24 http://www.sciencepublishinggroup.com/j/ijcu doi: 10.11648/j.ijcu.20180201.14 Anatomical and Functional Results of Pelvic Organ Prolapse Mesh
More informationSeventeen years follow-up of the tension-free vaginal tape procedure for female stress urinary incontinence
Int Urogynecol J (2013) 24:1265 1269 DOI 10.1007/s00192-013-2090-2 ORIGINAL ARTICLE: EDITORS CHOICE Seventeen years follow-up of the tension-free vaginal tape procedure for female stress urinary incontinence
More informationManagement of recurrent stress urinary incontinence and urinary retention following midurethral sling insertion in women
UROLOGY doi 10.1308/003588412X13373405385610 Management of recurrent stress urinary incontinence and urinary retention following midurethral sling H Hashim 1, TR Terry 2 1 North Bristol NHS Trust, UK 2
More informationFive-Year Outcomes of the Tension-Free Vaginal Tape Procedure for Treatment of Female Stress Urinary Incontinence
european urology 50 (2006) 333 338 available at www.sciencedirect.com journal homepage: www.europeanurology.com Female Urology Incontinence Five-Year Outcomes of the Tension-Free Vaginal Tape Procedure
More informationOutcomes of Midurethral Slings in Women with Concomitant Preoperative Severe Lower Urinary Tract Voiding Symptoms
ORIGINAL RESEARCH The Ochsner Journal 15:223 227, 2015 Ó Academic Division of Ochsner Clinic Foundation Outcomes of Midurethral Slings in Women with Concomitant Preoperative Severe Lower Urinary Tract
More informationInterventional procedures guidance Published: 12 October 2016 nice.org.uk/guidance/ipg566
Single-incision short sling mesh insertion for stress urinary incontinence in women Interventional procedures guidance Published: 12 October 2016 nice.org.uk/guidance/ipg566 Your responsibility This guidance
More informationLong-Term Outcome of the Tension-Free Vaginal Tape Procedure in Female Urinary Incontinence: A 6-Year Follow-Up
www.kjurology.org DOI:10.4111/kju.2010.51.6.409 Voiding Dysfunction Long-Term Outcome of the Tension-Free Vaginal Tape Procedure in Female Urinary Incontinence: A 6-Year Follow-Up Jun Hyung Lee, Min Chul
More informationTension-Free Vaginal Taping in Pakistani Women with Stress Urinary Incontinence
ORIGINAL ARTICLE Tension-Free Vaginal Taping in Pakistani Women with Stress Urinary Incontinence Ayesha Saleem ABSTRACT Objective: To evaluate the effectiveness and determine the peroperative and postoperative
More informationTransperineal ultrasound to assess the effect of tension-free vaginal tape position on flow rates
Ultrasound Obstet Gynecol 2010; 36: 379 383 Published online 3 August 2010 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/uog.7640 Transperineal ultrasound to assess the effect of tension-free
More informationAre complications of stress urinary incontinence surgery procedures associated with the position of the sling?
International Journal of Urology (2016) doi: 10.1111/iju.13262 Original Article Are complications of stress urinary incontinence surgery procedures associated with the position of the sling? Jacek Kociszewski,
More informationIntroital ultrasound in the diagnosis of lower urinary tract symptoms following anti-incontinence surgery using a synthetic midurethral tape
International Urogynecology Journal https://doi.org/10.1007/s00192-018-3837-6 ORIGINAL ARTICLE Introital ultrasound in the diagnosis of lower urinary tract symptoms following anti-incontinence surgery
More informationInt Urogynecol J (2010) 21: DOI /s ORIGINAL ARTICLE Experience with TVT-SECUR sling for stress urinary incontinence: a 1
Int Urogynecol J (2010) 21:767 772 DOI 10.1007/s00192-010-1114-4 ORIGINAL ARTICLE Experience with TVT-SECUR sling for stress urinary incontinence: a 141-case analysis Salil Khandwala & Chaandini Jayachandran
More informationThe Safety and Efficacy of a New Adjustable Single Incision Sling for Treatment of Female. Stress Urinary Incontinence Through 12-months of Follow-up
Manuscript (Submit in MS Word; include Title Page and Abstract; Tables and Figures should NOT be included but attached separately) Runninghead: ALTIS SINGLE INCISION SLING The Safety and Efficacy of a
More informationCurrent Role of Urethrolysis and Partial Excision in Patients Seeking Revision of Anti-Incontinence Sling
ORIGINAL ARTICLE Current Role of Urethrolysis and Partial Excision in Patients Seeking Revision of Anti-Incontinence Sling Alice Drain, MD,* Ekene Enemchukwu, MD, MPH, Nihar Shah, BA,* Raveen Syan, MD,*
More informationContasure-Needleless single incision sling compared with transobturator TVT-O for the treatment of stress urinary incontinence: long-term results
IntUrogynecolJ DOI 10.1007/s00192-014-2475-x ORIGINAL ARTICLE Contasure-Needleless single incision sling compared with transobturator TVT-O for the treatment of stress urinary incontinence: long-term results
More informationKey Words: urinary incontinence, suburethral slings
Evaluation of Transobturator Tension-Free Vaginal Tapes in the Surgical Management of Mixed Urinary Incontinence: 3-Year Outcomes of a Randomized Controlled Trial Mohamed Abdel-Fattah,*, Laura R. Hopper
More informationBoth the middle and distal sections of the urethra may be regarded as optimal targets for outside in transobturator tape placement
DOI 10.1007/s00345-014-1261-1 Original Article Both the middle and distal sections of the urethra may be regarded as optimal targets for outside in transobturator tape placement Michał Bogusiewicz Marta
More informationVoiding Dysfunction. Yoo Jun Park, Duk Yoon Kim. INTRODUCTION
www.kjurology.org http://dx.doi.org/10.4111/kju.2012.53.4.258 Voiding Dysfunction Randomized Controlled Study of R vs. Tension-free Vaginal Tape Obturator ( R ) in the Treatment of Female Urinary Incontinence:
More informationSince the initial description of tension-free vaginal. Double Tension Adjustments with Novel Modification on Tension-Free Vaginal Tape INTRODUCTION
FEMALE UROLOGY Double Tension Adjustments with Novel Modification on Tension-Free Vaginal Tape Mahmoud Mustafa* Objective: To evaluate the results of novel modifications on tension- free vaginal tape (TVT)
More informationImpact of the Midurethral Sling Procedure on Quality of Life in Women with Urinary Incontinence
www.kjurology.org DOI:10.4111/kju.2010.51.2.122 Voiding Dysfunction Impact of the Midurethral Sling Procedure on Quality of Life in Women with Urinary Incontinence Hwa Su Lim, Jong Min Kim, Phil Hyun Song,
More informationLong-Term Durability of the Distal Urethral Polypropylene Sling for the Treatment of Stress Urinary Incontinence: Minimum 11-Year Followup
Long-Term Durability of the Distal Urethral Polypropylene Sling for the Treatment of Stress Urinary Incontinence: Minimum 11-Year Followup Lisa Rogo-Gupta,*, Z. Chad Baxter, Ngoc-Bich Le, Shlomo Raz and
More informationq7:480499_P0 6/5/09 10:23 AM Page 1 WHAT YOU SHOULD KNOW ABOUT YOUR DIAGNOSIS OF STRESS URINARY INCONTINENCE
493495.q7:480499_P0 6/5/09 10:23 AM Page 1 WHAT YOU SHOULD KNOW ABOUT YOUR DIAGNOSIS OF STRESS URINARY INCONTINENCE 493495.q7:480499_P0 6/5/09 10:23 AM Page 2 What is Stress Urinary Incontinence? Urinary
More information(TVT) Tension free vaginal tape
' $%&!"# (TVT) Tension free vaginal tape () "#!$! () () =>09 :. ;.
More informationAnalysis of voiding dysfunction after transobturator tape procedure for stress urinary incontinence
Original Article - Female Urology Korean J Urol 2015;56:823-830. pissn 2005-6737 eissn 2005-6745 Analysis of voiding dysfunction after transobturator tape procedure for stress urinary incontinence Chang
More informationCan we place tension-free vaginal tape where it should be? The one-third rule
Ultrasound Obstet Gynecol 2012; 39: 210 214 Published online in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/uog.10050 Can we place tension-free vaginal tape where it should be? The one-third
More informationUrethrolysis; When, Why & How. M Karram Professor of Ob/Gyn & Urology University of Cincinnati
Urethrolysis; When, Why & How M Karram Professor of Ob/Gyn & Urology University of Cincinnati Anatomy Urethra may be fixed to the pubic bone with dense scar tissue Goal of urethrolysis is to completely
More informationPelvic artery embolization in the management of pelvic arterial bleeding following midurethral sling surgery for stress urinary incontinence
Case Report Obstet Gynecol Sci 2016;59(2):163-167 http://dx.doi.org/10.5468/ogs.2016.59.2.163 pissn 2287-8572 eissn 2287-8580 Pelvic artery embolization in the management of pelvic arterial bleeding following
More informationOne Slim Needle One Incision. One Simple Solution for Stress Urinary Incontinence. The Difference is in the Data
CONTINENCE SOLUTIONS One Slim Needle One Incision ordering information Description US International Order Number Order Number One Simple Solution for Stress Urinary Incontinence MiniArc Single-Incision
More informationSAFYRE TM : A READJUSTABLE MINIMALLY INVASIVE SLING FOR FEMALE URINARY STRESS INCONTINENCE
Urological Neurology International Braz J Urol Official Journal of the Brazilian Society of Urology SAFYRE TM - SLING FOR FEMALE SUI Vol. 29 (4): 353-359, July - August, 2003 SAFYRE TM : A READJUSTABLE
More informationSdefined as involuntary urine leakage
Transobturator Tape and Female Urinary Incontinence, Follow up and Complication Swapnil Mane*, Sindhu Chandra** Abstract Stress urinary incontinence (SUI) is defined as involuntary urine leakage on exertion.
More informationPredictors of Postoperative Voiding Dysfunction following Transobsturator Sling Procedures in Patients with Stress Urinary Incontinence
Voiding Dysfunction INJ 2010;14:26-33 Predictors of Postoperative Voiding Dysfunction following Transobsturator Sling Procedures in Patients with Stress Urinary Incontinence Sung-Tae Cho, Hyeong-Cheol
More informationA PATIENT GUIDE TO Understanding Stress Urinary Incontinence
A PATIENT GUIDE TO Understanding Stress Urinary Incontinence Q: What is SUI? A: Stress urinary incontinence is defined as the involuntary leakage of urine. The problem afflicts approximately 18 million
More informationCarlos Errando-Smet Cristina Gutiérrez Ruiz Pedro Arañó Bertrán Humberto Villavicencio Mavrich 1 INTRODUCTION
Received: 31 August 2017 Accepted: 4 October 2017 DOI: 10.1002/nau.23444 ORIGINAL CLINICAL ARTICLE A re-adjustable sling for female recurrent stress incontinence and intrinsic sphincteric deficiency: Long-term
More informationEfficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction
Original Article - Female Urology pissn 2466-0493 eissn 2466-054X Efficacy and safety of a readjustable midurethral sling (Remeex system) for stress urinary incontinence with female voiding dysfunction
More informationIntraoperative Observation of the Degree and Pattern of Urine Leakage before Adjustment of the Mesh during a Transobturator Tape Procedure
Original Article www.cmj.ac.kr Intraoperative Observation of the Degree and Pattern of Urine Leakage before Adjustment of the Mesh during a Transobturator Tape Procedure Jae-Joon Park, Hyung Ho Lee 1 and
More informationNew Insights in the Surgical Management of Stress Urinary Incontinence in Women
New Insights in the Surgical Management of Stress Urinary Incontinence in Women Gabriel Gillon MD Dept. of Urology Rabin Med. Cent. /Beilinson Incontinence and LUTS 25/6/2009 Symposium Ramat Aviv New Insights
More informationEffect of Preoperative Flow Rate on Postoperative Retention and Voiding Difficulty After Transobturator Tape Operation
Original Article - Voiding Dysfunction/Female Urology www.kjurology.org http://dx.doi.org/10.4111/kju.2014.55.3.190 http://crossmark.crossref.org/dialog/?doi=10.4111/kju.2014.55.3.190&domain=pdf&date_stamp=2014-03-17
More informationNine-year experience in sub-urethral prosthesis for the treatment of female stress urinary incontinence
Nine-year experience in sub-urethral prosthesis for the treatment of female stress urinary incontinence Adrian Haşegan Department of Urology, Emergency County Hospital Sibiu, Faculty of Medicine Abstract
More informationSep \8958 Appell Dmochowski.ppt LMF 1
Surgical Outcomes (How did we get ourselves into this mess?) Roger R. Dmochowski, MD, FACS Department of Urologic Surgery Vanderbilt University School of Medicine Nashville, Tennessee Considerations Evaluation
More informationUroToday International Journal. Volume 4 - February 2011
UroToday International Journal Scott Serels, 1 Sandy B Nosseir, 2 Lawrence R Lind, 2 Harvey A Winkler 2 1 Bladder Control Center of Norwalk and Section of Urogynecology, Norwalk Hospital, Norwalk, CT,
More informationDepartment of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Minia, Egypt
Original Article The role of trans-obturator vaginal tape (TVT-O) in the management of female stress urinary incontinence: 2 years follow up, Minia University Experience Ahmed M. Abdel ghany Department
More informationStress Urinary Incontinence Surgery with Mini Sling Just-Swing System: Our Office Experience
Journal of Women s Health and Gynecology Review Stress Urinary Incontinence Surgery with Mini Sling Just-Swing System: Our Office Experience Ana Ribeiro *, Maria Boia, Ana Cláudia Santos, Isabel Ferreira,
More informationSurgical management of stress urinary incontinence in Scotland and Wales: A questionnaire study
International Journal of Surgery (2007) 5, 162e166 www.theijs.com Surgical management of stress urinary incontinence in Scotland and Wales: A questionnaire study Min Yu Lim a, *, Mahesh Perera b, Ian Ramsay
More informationTVT-O versus Monarc after a 2 4-year follow-up: a prospective comparative study
Int Urogynecol J (2009) 20:1327 1333 DOI 10.1007/s00192-009-0943-5 ORIGINAL ARTICLE TVT-O versus Monarc after a 2 4-year follow-up: a prospective comparative study R. Marijn Houwert & Charlotte Renes-Zijl
More informationThe Egyptian Journal of Hospital Medicine (July 2018) Vol. 72 (10), Page
The Egyptian Journal of Hospital Medicine (July 2018) Vol. 72 (10), Page 5351-5355 The Efficacy of Transobturator Tape (TOT) in Treatment of Mixed Urinary Incontinence in Females Amr Mohammed Elsadek Nowier,
More informationHow to Achieve Long-Term Success in the Treatment of Female Urinary Stress Incontinence? Novel Modification on Vaginal Sling
www.kjurology.org DOI:10.4111/kju.2011.52.3.184 Voiding Dysfunction How to Achieve Long-Term Success in the Treatment of Female Urinary Stress Incontinence? Novel Modification on Vaginal Sling Mahmoud
More informationBurch Colposuspension and Tension-Free Vaginal Tape in the Management of Stress Urinary Incontinence in Women
European Urology European Urology 41 2002) 469±473 Colposuspension and Tension-Free Vaginal Tape in the Management of Stress Urinary Incontinence in Women A. Liapis *, P. Bakas, G. Creatsas 2nd Department
More informationBlue Ridge Urogynecology
Surgery for Stress Urinary Incontinence Surgery has proved to be a very effective treatment for stress incontinence. The best surgical procedures improve or cure the incontinence in 85 to 90 percent of
More informationBard: Continence Therapy. Stress Urinary Incontinence. Regaining Control. Restoring Your Lifestyle.
Bard: Continence Therapy Stress Urinary Incontinence Regaining Control. Restoring Your Lifestyle. Stress Urinary Incontinence Urinary incontinence is a common problem and one that can be resolved by working
More informationWomen with intrinsic sphincter deficiency associated
Three-Year Follow-Up of Tension-Free Vaginal Tape Compared With Transobturator Tape in Women With Stress Urinary Incontinence and Intrinsic Sphincter Deficiency Lore Schierlitz, FRANZCOG, Peter L. Dwyer,
More informationOveractive bladder symptoms after midurethral sling surgery in women: Risk factors and management
Received: 4 January 2017 Accepted: 2 May 2017 DOI: 10.1002/nau.23328 REVIEW ARTICLE Overactive bladder symptoms after midurethral sling surgery in women: Risk factors and management Tom Marcelissen Philip
More informationSequential Assessment of Urodynamic Findings before and aftertension-free Vaginal Tape (TVT) Operation for Female Genuine Stress Incontinence
European Urology European Urology 45 (2004) 362 366 Sequential Assessment of Urodynamic Findings before and aftertension-free Vaginal Tape (TVT) Operation for Female Genuine Stress Incontinence Long-Yau
More informationChapter 5. Steven E. Schraffordt Koops MD * Tanya M. Bisseling MD, PhD ** A. Peter M. Heintz MD, PhD *** Harry A.M.
Chapter 5 The effectiveness of Tension-free Vaginal Tape (TVT) and quality of life measured in women with previous urogynecological surgery: Analysis from The Netherlands TVT database Steven E. Schraffordt
More informationNATIONAL INSTITUTE FOR CLINICAL EXCELLENCE SCOPE. Urinary incontinence: the management of urinary incontinence in women
NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE 1 Guideline title SCOPE Urinary incontinence: the management of urinary incontinence in women 1.1 Short title Urinary incontinence 2 Background a) The National
More informationEfficacy and Safety of the TVT-SECUR R and Impact on Quality of Life in Women with Stress Urinary Incontinence: A 2-Year Follow-Up
www.kjurology.org DOI:10.4111/kju.2011.52.5.335 Voiding Dysfunction Efficacy and Safety of the TVT-SECUR R and Impact on Quality of Life in Women with Stress Urinary Incontinence: A 2-Year Follow-Up Yu
More informationUrodynamic findings in women with insensible incontinence
bs_bs_banner International Journal of Urology (2013) 20, 429 433 doi: 10.1111/j.1442-2042.2012.03146.x Original Article: Clinical Investigation Urodynamic findings in women with insensible Benjamin M Brucker,
More informationFemale Urology Evaluation of Transobturator Tension-free Vaginal Tapes in Management of Women With Recurrent Stress Urinary Incontinence
Female Urology Evaluation of Transobturator Tension-free Vaginal Tapes in Management of Women With Recurrent Stress Urinary Incontinence Mohamed Abdel-Fattah, Ian Ramsay, Stewart Pringle, Chris Hardwick,
More information1) What conditions is vaginal mesh used to commonly treat? Vaginal mesh is used to treat two different health issues in women:
Vaginal Mesh Frequently Asked Questions 1) What conditions is vaginal mesh used to commonly treat? Vaginal mesh is used to treat two different health issues in women: a) stress urinary incontinence (SUI)
More informationI-STOP TOMS Transobturator Male Sling
I-STOP TOMS Transobturator Male Sling The CL Medical I-STOP TOMS sling for male stress urinary incontinence was developed in France where it is widely used and is the market leader. It is constructed with
More informationStress Incontinence. Susannah Elvy Urogynaecology CNS
Stress Incontinence Susannah Elvy Urogynaecology CNS Definitions Prevalence Assessment Investigation Treatment Surgery Men International Continence Society define as the complaint of any involuntary leakage
More informationUroToday International Journal. Volume 3 - October 2010
UroToday International Journal Osama Abdelwahab, Hammouda Sherif Department of Urology, Faculty of Medicine, Benha University, Benha, Egypt Submitted August 18, 2010 - Accepted for Publication September
More informationTension-free Vaginal Tape for the Treatment of Urodynamic Stress Incontinence: Efficacy and Adverse Effects at 10-Year Follow-Up
EUROPEAN UROLOGY 61 (2012) 939 946 available at www.sciencedirect.com journal homepage: www.europeanurology.com Platinum Priority Female Urology Incontinence Editorial by Firouz Daneshgari on pp. 947 948
More informationBrief involuntary urine loss associated with an increase in abdominal pressure. Pathophysiology of Stress Urinary Incontinence Edward J.
TREATMENT OF SUI Pathophysiology of Stress Urinary Incontinence Edward J. McGuire, MD Department of Urology, University of Michigan Medical Center, Ann Arbor, MI All cases of stress urinary incontinence
More informationTransobturator tension free vaginal tapes: Are they the way forward in the surgical treatment of urodynamic stress incontinence?
International Journal of Surgery (2007) 5, 3e10 www.theijs.com Transobturator tension free vaginal tapes: Are they the way forward in the surgical treatment of urodynamic stress incontinence? M. Abdel-fattah*,
More informationABSTRACT R.D. MOORE, D.O., F.A.C.O.G., F.A.C.S. DIRECTOR, ADVANCED PELVIC SURGERY DIRECTOR, UROGYNECOLOGY ATLANTA UROGYNECOLOGY ASSOCIATES ATLANTA, GA
Single-Center Retrospective Study of the Technique, Safety, and 12-Month Efficacy of the MiniArc Single-Incision Sling: A New Minimally Invasive Procedure for Treatment of Female SUI R.D. MOORE, D.O.,
More informationof UROLOGY Official Journal of the American Urological Association vwvw.jurology.com
Reprinted from THE JOURNAL of UROLOGY Official Journal of the American Urological Association vwvw.jurology.com Prospective Evaluation of a Single Incision Sling for Stress Urinary Incontinence Michael
More informationThis information is intended as an overview only
This information is intended as an overview only Please refer to the INSTRUCTIONS FOR USE included with this device for indications, contraindications, warnings, precautions and other important information
More informationRandomized Clinical Trial Comparing Suprapubic Arch Sling (SPARC) and Tension-Free Vaginal Tape (TVT): One-Year Results
European Urology European Urology 47 (2005) 537 541 Randomized Clinical Trial Comparing Suprapubic Arch Sling () and Tension-Free Vaginal Tape (): One-Year Results Sero Andonian, Tony Chen, Benoit St-Denis,
More informationRepeat midurethral sling treatment for prior midurethral sling failure
Gynecol Surg (2012) 9:17 21 DOI 10.1007/s10397-011-0675-7 REVIEW ARTICLE Repeat midurethral sling treatment for prior midurethral sling failure Chi-Feng Su & Kwong-Pang Tsui & Horng-Jyh Tsai & Gin-Den
More informationPrognostic value of urethral mobility and valsalva leak point pressure for female transobturator sling procedure
original Article Vol. 38 (5): 667-673, September - October, 2012 Prognostic value of urethral mobility and valsalva leak point pressure for female transobturator sling procedure Luis Gustavo Morato de
More informationAdVance Male Sling System
AdVance Male Sling System Clinical study summary This document is a compilation and summary of several AdVance Male Sling System peer-reviewed journal articles. The information presented here is taken
More informationComparison of midurethral sling outcomes with and without concomitant prolapse repair
Original Article Obstet Gynecol Sci 2014;57(1):50-58 http://dx.doi.org/10.5468/ogs.2014.57.1.50 pissn 2287-8572 eissn 2287-8580 Comparison of midurethral sling outcomes with and without concomitant prolapse
More informationA three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence
British Journal of Obstetrics and Gynaecology April 1999, VO~ 106, pp. 345350 A threeyear follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence Ulf Ulmsten
More informationOriginal article. Mst. Hosna Ara Khatun, 1 Jahanara Arzu 2. Prof. Zulfe Ara Haider 3.
Original article Short term catheterization versus long term catheterization after vaginal prolapsed surgery: A randomized control trial in Dhaka National Medical College & Hospital Mst. Hosna Ara Khatun,
More informationTension-Free Vaginal Tape Versus Transobturator Suburethral Tape: Five-Year Follow-up Results of a Prospective, Randomised Trial
EUROPEAN UROLOGY 58 (2010) 671 677 available at www.sciencedirect.com journal homepage: www.europeanurology.com Platinum Priority Female Urology Incontinence Editorial by Elisabetta Costantini and Massimo
More informationTransobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard
Original Article Transobturator Tape in Treatment of Stress Urinary Incontinence: It is Time for a New Gold Standard Navneet Magon, Sanjiv Chopra VSM 1 Department of Gynecology and Obstetrics, Air Force
More informationTension-Free Vaginal Tape versus Laparoscopic Bladder Neck Suspension for Stress Urinary Incontinence. Ching-Chung Liang, MD; Yung-Kuei Soong, MD
Original Article 360 Tension-Free Vaginal Tape versus Laparoscopic Bladder Neck Suspension for Stress Urinary Incontinence Ching-Chung Liang, MD; Yung-Kuei Soong, MD Results: Background: Owing to their
More informationUroToday International Journal. Volume 4 - June 2011
UroToday International Journal Paulo Palma, 1 Cassio Riccetto, 1 Rodrigo Castro, 2 Sebastian Altuna, 3 Viviane Herrmann, 1 Ricardo Miyaoka 1 1 Division of Female Urology, State University of Campinas (UNICAMP),
More informationOutpatient mid-urethral tissue fixation system sling for urodynamic stress urinary incontinence: 3-year surgical and quality of life results
Int Urogynecol J (2017) 28:1733 1738 DOI 10.1007/s00192-017-3341-4 ORIGINAL ARTICLE Outpatient mid-urethral tissue fixation system sling for urodynamic stress urinary incontinence: 3-year surgical and
More informationRecurrence rate of stress urinary incontinence in females with initial cure after transobturator tape procedure at 3-year follow-up
Original Article - Female Urology pissn 2466-0493 eissn 2466-054X Recurrence rate of stress urinary incontinence in females with initial cure after transobturator tape procedure at 3-year follow-up Taeyong
More informationPRE-OPERATIVE URODYNAMIC
PRE-OPERATIVE URODYNAMIC STUDIES: IS THERE VALUE IN PREDICTING POST-OPERATIVE STRESS URINARY INCONTINENCE IN WOMEN UNDERGOING PROLAPSE SURGERY? Dr K Janse van Rensburg Dr JA van Rensburg INTRODUCTION POP
More informationInternational Federation of Gynecology and Obstetrics
International Federation of Gynecology and Obstetrics COMMITTEE FOR UROGYNAECOLOGY AND PELVIC FLOOR MEMBER: TSUNG-HSIEN (CHARLES) SU, CHAIR (TAIWAN) DAVID RICHMOND, CO-CHAIR (UK) CHITTARANJAN PURANDARE,
More informationWomen s & Children s Directorate The TVT Operation - a guide for patients
Women s & Children s Directorate The TVT Operation - a guide for patients This leaflet was written for women who are considering having a TVT operation. If you have any questions that aren't answered by
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Urinary incontinence in women: the management of urinary incontinence in women 1.1 Short title Urinary incontinence in women
More informationThe Suprapubic Arch Sling Procedure for Treatment of Stress Urinary Incontinence: A 5-Year Retrospective Study
EUROPEAN UROLOGY 57 (2010) 897 901 available at www.sciencedirect.com journal homepage: www.europeanurology.com Female Urology Incontinence The Suprapubic Arch Sling Procedure for Treatment of Stress Urinary
More informationRole of bladder neck mobility and urethral closure pressure in predicting outcome of tension-free vaginal tape (TVT) procedure
Ultrasound Obstet Gynecol 2006; 28: 214 220 Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/uog.2834 Role of bladder neck mobility and urethral closure pressure in predicting
More informationDuloxetine in women awaiting surgery
DOI: 1.1111/j.1471-528.6.879.x www.blackwellpublishing.com/bjog Review article H Drutz Ontario Power Generation Building, Toronto, Ontario, Canada Correspondence: Prof. Dr H Drutz, Mount Sinai Hospital,
More informationUrogynaecology. Colm McAlinden
Urogynaecology Colm McAlinden Definitions Urinary incontinence compliant of any involuntary leakage of urine with many different causes Two main types: Stress Urge Definitions Nocturia: More than a single
More information