Anterior compartment descent: A new measure in the assessment of urethral hypermobility in women with urinary incontinence

2017 ◽  
Vol 24 (7) ◽  
pp. 548-552 ◽  
Author(s):  
Tamara Serdinšek ◽  
Igor But
Keyword(s):  
Urinary Incontinence ◽  
Anterior Compartment ◽  
Urethral Hypermobility

scholarly journals Behaviour of urinary incontinence in the face of sacrocolpopexy

2017 ◽  
Vol 30 (1) ◽  
Author(s):  
Nuria L. Rodríguez-Mias ◽  
Jordi Sabadell-García ◽  
Elena Suárez-Salvador ◽  
Antonio Gil-Moreno ◽  
Jose Luis Poza-Barrasus
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
De Novo ◽  
Case Series ◽  
Genital Prolapse ◽  
Bladder Function ◽  
Urethral Hypermobility ◽  
Case Series Study ◽  
Increased Risk ◽  
The Face

The aim of this study was to determine whether an association exists between the performance of a sacrocolpopexy for genital prolapse and the bladder function. A case series study was performed that includes all patients who received sacrocolpopexy in a tertiary Spanish hospital. An analysis was performed to study the association of some variables and the occurrence or persistence of urinary incontinence after the surgery. Forty patients with indication of sacrocolpopexy were included. A year after sacrocolpopexy, the outcomes showed 97.3% of prolapse healing. 19.3% complained about de novo stress urinary incontinence, 33.3% recovered from it and another 66.7% remained the same. Only 10.8% asked for an anti-incontinence surgery after the sacrocolpopexy. The urethral hypermobility shows an increased risk of stress urinary incontinence after the sacrocolpopexy. Based on our results, we do not consider it necessary to perform a systematic antiincontinence procedure simultaneously with sacrocolpopexy unless a woman without urethral anti-incontinence surgical background shows a urethral hypermobility.

COLLAGEN IMPLANT FOR TREATING STRESS URINARY INCONTINENCE IN WOMEN WITH URETHRAL HYPERMOBILITY

2001 ◽  
Vol 166 (4) ◽  
pp. 1354-1357 ◽  
Author(s):  
A.E. BENT ◽  
J. FOOTE ◽  
S. SIEGEL ◽  
G. FAERBER ◽  
R. CHAO ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Urethral Hypermobility ◽  
Collagen Implant

scholarly journals Pubovaginal sling in the treatment of stress urinary incontinence for urethral hypermobility and intrinsic sphincteric deficiency

2003 ◽  
Vol 29 (6) ◽  
pp. 540-544 ◽  
Author(s):  
Agnaldo L. Silva-Filho ◽  
Sérgio A. Triginelli ◽  
Maurício B. Noviello ◽  
Admário S. Santos-Filho ◽  
Cleidismar R. Pires ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pubovaginal Sling ◽  
Urethral Hypermobility ◽  
Intrinsic Sphincteric Deficiency

scholarly journals Multiple urinary bladder calculi: a rare cause of irreducible uterovaginal prolapse

2021 ◽  
Vol 10 (12) ◽  
pp. 4593
Author(s):  
Manjit Kaur Mohi ◽  
Manjeet Kaur ◽  
Balwinder Kaur ◽  
Satinder Pal Kaur ◽  
Sangeeta Aggarwal
Keyword(s):  
Urinary Incontinence ◽  
Postmenopausal Woman ◽  
Vaginal Hysterectomy ◽  
Uterovaginal Prolapse ◽  
Optimal Outcome ◽  
Anterior Compartment ◽  
X Ray ◽  
Bladder Calculi ◽  
Operative Complications ◽  
Urinary Bladder Calculi

A case of irreducible prolapse with multiple bladder calculi in a 65-years-old multiparous, postmenopausal woman is reported. Inability to walk, constipation and urinary incontinence were her primary complaints. Routine ultrasound of the abdomen and pelvis failed to reveal multiple vesical calculi as the prolapse was lying outside the pelvis. However, targeted plain X-ray of the prolapsed mass showed multiple vesical calculi. The patient was managed with single-stage vaginal hysterectomy and laparotomy. First vaginal hysterectomy was done then prolapsed cystocele was reduced and extraperitoneal vesicolithotomy done. Currently, the patient is relieved of all symptoms. Management of an irreducible procidentia and a hard mass in the anterior compartment, as in this case, can be challenging and requires a diligent effort to confirm the diagnosis and to execute the appropriate surgical protocol to achieve optimal outcome with minimal intra- and post-operative complications.

scholarly journals Técnicas Transobturadoras na Incontinência Urinária de Esforço Feminina

2014 ◽  
Vol 27 (4) ◽  
pp. 422 ◽  
Author(s):  
Ana Sousa ◽  
André Jesus ◽  
Maria Carvalho ◽  
Giselda Carvalho ◽  
João Marques ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Postoperative Complications ◽  
Success Rate ◽  
Perioperative Complications ◽  
Vaginal Surgery ◽  
Transobturator Tape ◽  
Success Rates ◽  
Urethral Hypermobility ◽  
Retropubic Space

<p><strong>Introduction:</strong> Stress urinary incontinence affects about 20- 40% of women. Treatment with transobturator mid-urethral slings is consensually accepted nowadays. The goal of this study was to evaluate the success rate and most frequent complications of surgical treatment with transobturator mid- urethral slings in stress urinary incontinence.<br /><strong>Material and Methods:</strong> This study evaluated 363 patients who underwent correction of stress urinary incontinence with a transobturator tape in Hospitais da Universidade de Coimbra between January 1st 2008 and July 1st 2010.<br /><strong>Results:</strong> The mean age of patients was 56 [28-86]. In 13.5% of women, the correction of stress urinary incontinence was associated with other vaginal surgery. The majority of these women (95.3%) had urethral hypermobility. Only 0.8% of women suffered of perioperative complications, 5.2% of immediate postoperative complications and 15.7% of late postoperative complications. The global success rate was 93.7%. The success rate in patients with fixed urethra was lower (77.8%) comparing with the results of those with urethral hypermobility, being successful in 94.5% (p = 0.02). The success rate was similar in patients with or without vaginal surgeries.<br /><strong>Discussion:</strong> Treatment with transobturator mid-urethral slings has high success rates and it became the first treatment chosen to stress urinary incontinence, even if they were treated with the technique outside-in (TOT®) or inside-out (TVT-O®). Both techniques were conceived to avoid passing through the retropubic space, decreasing the complicate matters number.<br /><strong>Conclusions:</strong> The cure rates for the transobturator surgical approach range between 80 and 95%. The cure rate increases when the mechanism responsible for the urinary incontinence is urethral hypermobility, although it is not modified when are performed other vaginal surgeries concomitantly.<br /><strong>Keywords:</strong> Urinary Incontinence, Stress; Suburethral Slings.</p>

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