Posterior vaginal wall pull down maneuver: A clinical test to diagnose intrinsic sphincter deficiency in women suffering from genuine urinary stress incontinence

2013 ◽  
Vol 20 (11) ◽  
pp. 1124-1129 ◽  
Author(s):  
Thibault Thubert ◽  
Xavier Deffieux ◽  
Marylène Jousse ◽  
Amandine Guinet-Lacoste ◽  
Samer Sheikh Ismael ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Urinary Stress Incontinence ◽  
Vaginal Wall ◽  
Intrinsic Sphincter Deficiency ◽  
Clinical Test ◽  
Posterior Vaginal Wall ◽  
Sphincter Deficiency

Assessing outcome after a modified vaginal wall sling for stress incontinence with intrinsic sphincter deficiency

2004 ◽  
Vol 16 (2) ◽  
pp. 138-146 ◽  
Author(s):  
Elisabetta Costantini ◽  
Luigi Mearini ◽  
Ettore Mearini ◽  
Cinzia Pajoncini ◽  
Federico Guercini ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Vaginal Wall ◽  
Intrinsic Sphincter Deficiency ◽  
Vaginal Wall Sling ◽  
Sphincter Deficiency

scholarly journals Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence with/without Genital Prolapse

ISRN Urology ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-8
Author(s):  
Vesna Antovska
Keyword(s):  
Outcome Assessment ◽  
Stress Incontinence ◽  
Valsalva Maneuver ◽  
Genital Prolapse ◽  
Pelvic Organ ◽  
Urinary Stress Incontinence ◽  
Vaginal Wall ◽  
Stage I ◽  
Stage Ii ◽  
Great Chance

Objectives. Outcome assessment of the Marshall coughing test (MT) during cervix reposition maneuver (CRM) in women with urinary stress incontinence (USI) with/without genital prolapse (GP). Study Design. 268 patients, divided into USIg () with isolated USI and USIGPg () with USI and GP stage I/II, additionally divided into USIGP(A) () with USI and GP stage I and USIGP(B) () with USI and GP stage II, were evaluated with pelvic organ prolapse quantification (POPQ), MT, and CRM. Results. (a) 7.58% had (+) MT with CRM in USIg; (b) in up to 96.15% MT became negative during CRM in USIGP(A); (c) in 51.72% MT became positive only during CRM, as a sign for occult USI in USIGP(B); (d) point Aa (POPQ), which is bladder neck(BN) projection on the anterior vaginal wall, was situated higher in rest position (RP), but moved lower during the Valsalva maneuver (VM) in USIg versus USIGPg (). Conclusion. CRM could be useful arm in selection of (1) patients with isolated USI and great chance for postoperative failure; (2) patients with USI+GP stage I, who need GP repair during antistress surgery; (3) patients with USI + GP stage II, who need antistress procedure during vaginal hysterectomy.

THE COEXISTENCE OF INTRINSIC SPHINCTER DEFICIENCY WITH TYPE II STRESS INCONTINENCE

1999 ◽  
Vol 162 (4) ◽  
pp. 1365-1366 ◽  
Author(s):  
ÖNDER KAYIGIL ◽  
SYED IFTEKHAR AHMED ◽  
AHMET METIN
Keyword(s):  
Stress Incontinence ◽  
Intrinsic Sphincter Deficiency ◽  
Type Ii ◽  
Sphincter Deficiency

Comparison of fascial and vaginal wall slings in the management of intrinsic sphincter deficiency

Urology ◽  
1996 ◽  
Vol 47 (6) ◽  
pp. 885-889 ◽  
Author(s):  
Steven A. Kaplan ◽  
Richard P. Santarosa ◽  
Alexis E. Te
Keyword(s):  
Vaginal Wall ◽  
Intrinsic Sphincter Deficiency ◽  
Sphincter Deficiency
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