Laparoscopic retropubic colpopexy in the treatment of stress incontinence

2021 ◽  
Vol 50 (3) ◽  
pp. 61-62
Author(s):  
A. A. Popov ◽  
S. L. Gorsky ◽  
O. S. Slavutskaya
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Urinary Stress Incontinence ◽  
Lateral Approach ◽  
Combined Methods

The results of treating urinary stress incontinence in women with the help of some combined methods are demonstrated. Original methods laparoscopic retropubic colpopexy by lateral approach, MESH-vaginopexy, laparoscopic retropubic colpopexy are analyzed considering the type of urinary incontinence to substantiate pathogenetically the prophylaxis of stress incontinence recurrence.

scholarly journals TVT PROCEDURE FOR THE TREATMENT OF SUI: OUR EXPERIENCE

2010 ◽  
Vol 16 (1) ◽  
pp. 17
Author(s):  
F. Magatti ◽  
P.L. Sirtori ◽  
C. Rumi ◽  
C. Belloni
Keyword(s):  
Urinary Incontinence ◽  
Minimally Invasive ◽  
Success Rate ◽  
Stress Incontinence ◽  
Spinal Anaesthesia ◽  
Surgical Procedure ◽  
Urinary Stress Incontinence ◽  
Invasive Technique ◽  
Female Urinary Incontinence ◽  
Tvt Procedure

In this study we determined the efficacy of TVT for the treatment of female urinary incontinence in a first group of patients (69) of our urogynaecology service from April 1998 to December 2000. The TVT procedure is a minimally invasive technique, using local or spinal anaesthesia, which consists in the implantation of a Prolene tape around the mid-urethra. On the basis of our results (92.3 % success rate) we consider the TVT procedure to be a safe and effective surgical procedure for the treatment of female urinary stress incontinence.

Burch Colposuspension Versus Fascial Sling to Reduce Urinary Stress Incontinence

2021 ◽  
pp. 215-220
Author(s):  
Colby A. Dixon ◽  
Giulia I. Lane ◽  
Cynthia S. Fok ◽  
M. Louis Moy
Keyword(s):  
Urinary Incontinence ◽  
Clinical Practice ◽  
Stress Incontinence ◽  
Treatment Efficacy ◽  
Treatment Success ◽  
Urinary Stress Incontinence ◽  
Burch Colposuspension ◽  
Sling Procedure ◽  
Fascial Sling ◽  
Burch Procedure

This chapter summarizes the results of the Stress Incontinence Surgical Treatment Efficacy (SISTEr) trial, which randomized women with stress urinary incontinence to an autologous sling procedure versus a Burch colposuspension. Overall treatment success favored the fascial sling over the Burch procedure group, as did the stress incontinence–specific success rate at 24 months. Postoperative voiding dysfunction and urge incontinence were more common in the sling group than the Burch group. These findings supported the historical shift toward slings (autologous and synthetic) versus Burch colposuspension procedures in clinical practice.

scholarly journals Investigation of the Necessity of Urodynamic Test in Patients with Urinary Stress Incontinence for TOT Surgery

2020 ◽  
Vol 7 (1) ◽  
pp. 40-43
Author(s):  
Tahereh Poordast ◽  
Elham Askari ◽  
Fatemeh Sadat Najib ◽  
Shaghayegh Moradialamdarloo ◽  
Najmeh Naghizadeh
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Transobturator Tape ◽  
Urinary Stress Incontinence ◽  
Additional Information ◽  
Urinary Tract Symptoms ◽  
The Mean ◽  
Lower Urinary

Background and aims: Stress urinary incontinence is one of the most common diseases which can reduce the quality of life in women. Urodynamic test is a common method of diagnosis of this disease. This study is designed for investigating the necessity of urodynamic test in patients with urinary stress incontinency before transobturator tape (TOT) surgery. Urodynamic test before surgery can affect the quality of life in patients. Methods: This study was a randomized clinical trial. The sample size was 48 patients divided into two groups of 24 women in January 2018. Women with urinary incontinence complaints were randomly divided into two groups. For the first group, the urodynamic test was done. Both groups were evaluated one month and six months after TOT surgery based on the results of the I-QOL questionnaire. Results: The mean I-QOL score was 83.9±3.3 in questionnaire group and 81.6±4.6 in urodynamic group one month after surgery with no statistically significant (P=0.052) difference. The quality of life score after 6 months was 87.2±4 in the questionnaire group and 85.4±3 in the urodynamic group with no statistically significant differences with each other (P=0.084). Conclusion: In this study, the urodynamic test only had additional information related to lower urinary tract symptoms and it did not have effects on improving the outcome of the surgery. The test only imposes economic burden. Therefore, the urodynamic test is not required before surgery in patients with urinary stress incontinence

The problem of urinary incontinence among women aged 20-40.

2019 ◽  
Vol XXIII (2) ◽  
pp. 5-14
Author(s):  
Jarosław JASIĘGA ◽  
Edyta JASZCZAK
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Urinary Stress Incontinence ◽  
Physical Effort ◽  
Younger Women

The problem of urinary stress incontinence, especially during physical effort, mainly concerns younger women. The issue is often regarded as taboo and the ailment is described as emb arrassing, whichleadsto deterioration of the quality of life among youngerand younger women .

scholarly journals Kegel’s Exercise could Reduce the Incidence of Postpartum Urinary Stress Incontinence

2014 ◽  
pp. 96-98
Author(s):  
Nusratuddin Abdullah ◽  
Eddy Arsyad
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Observational Study ◽  
Stress Incontinence ◽  
Urinary Stress Incontinence ◽  
Cross Sectional ◽  
Postpartum Stress ◽  
The Relationship

Objective: To investigate the cause of postpartum urin ary incontinence in primi gravida women and to determin e the relationship between stress urinary incontinence and kegel's exercise. Method: This was an observational study with cross sectional method , perform ed in instituti onal hospitals in Makassar. Thirty primigravida women who performed kegel's exercise were compared with 30 primi gravida women who did not perform kegel's exercise. Data were analyzed with independent-t sta tistical analysis. Result: Urinary incontinence were significantly lower in primigravida women who performed kegel's exercise (P=O.OOO). Conclusion: Kegel's exercise may reduce the incidence of postpartum stress urinary incontinence. Keywords: kegel's exercise, primigravida, urinary Incontinence.

scholarly journals Novel surgical procedure for the treatment of female stress urinary incontinence by using transobturator vaginal tape

2006 ◽  
Vol 63 (8) ◽  
pp. 721-724
Author(s):  
Rajka Argirovic ◽  
Ivana Likic-Ladjevic ◽  
Vladan Boskovic ◽  
Milica Berisavac ◽  
Vera Milenkovic ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Perioperative Complications ◽  
Current Method ◽  
Urinary Stress Incontinence ◽  
Female Stress Urinary Incontinence ◽  
Female Urinary Incontinence ◽  
Tension Free ◽  
Perioperative Complication ◽  
Polypropylene Tape

Introduction/aim: Current method in the treatment of female urinary incontinence implies the placement of tension-free suburethral vaginal tape, using a retropubic or transobturator approach. Considering numerous complications related to retropubic approach, we reported the results of transobturator procedure in prospective study. Methods. We used a non-absorbable polypropylene tape with the outside-in (Herniamesh) or in-outside (Johnson & Johnson) transobturator approach. Results. During the period from October 2004 to September 2005 the procedure was carried out in 10 patients. In only 2 cases urinary stress incontinence occurred as isolated problem managed with transoburator tape, whereas in 8 patients this procedure was associated with other operative gynecologic events. No perioperative complication was encountered. In 80% of the patients a satisfactory result was obtained, while one patient failed to demonstrate any amelioration, and the other developed subsequently urge incontinence. Conclusion. Transobturator tension-free vaginal tape represents a very simple, safe and, in the large percent of cases, successful procedure in the management of urinary stress incontinence, with rare perioperative complications.

Bladder and urogenital prolapse

2021 ◽  
pp. 267-320
Author(s):  
Ellie Stewart
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Pelvic Organ Prolapse ◽  
Overactive Bladder ◽  
Stress Incontinence ◽  
Pelvic Organ ◽  
Urinary Stress Incontinence ◽  
Urinary Catheters ◽  
Urogenital Prolapse ◽  
Trouble Shooting

This chapter covers problems that can occur with the bladder, and then pelvic organ prolapse. It provides an assessment of urinary incontinence, and associated investigations, followed by an overview and treatment for overactive bladder (OAB). An overview of urinary stress incontinence is covered, along with both specialist and conservative treatments. Uroflowmetry and urodynamics are described. Pelvic organ prolapse and its treatment is covered, along with vaginal pessaries and surgical treatment. Cystitis, continence products, and all aspects of urinary catheters including trouble-shooting are covered.

scholarly journals Sexual Disorders in Women with Overactive Bladder and Urinary Stress Incontinence Compared to Controls: A Prospective Study

2021 ◽  
Vol 81 (09) ◽  
pp. 1039-1046
Author(s):  
Gert Naumann ◽  
Thomas Hitschold ◽  
Dominique Frohnmeyer ◽  
Peter Majinge ◽  
Rainer Lange
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Sexual Function ◽  
Stress Incontinence ◽  
Negative Impact ◽  
Pelvic Organ ◽  
Urinary Stress Incontinence ◽  
Sexual Disorders ◽  
Control Group ◽  
Median Score

Abstract Introduction and Hypothesis Female urinary incontinence (UI) has a negative impact on sexual function and sexual quality of life (QoL) in women. But there is still no consensus on the type of UI or the prevalence of sexual dysfunction (SD). The aim of the study was to evaluate sexual disorders in women with overactive bladder (OAB) compared to patients with urinary stress incontinence (SUI) and healthy controls. Materials and Methods 106 women presenting to a urogynecological outpatient clinic (referral clinic) were investigated using standardized questionnaires and the Female Sexual Function Index (FSFI-d). All 65 incontinent women underwent a full urodynamic examination; the controls (31) were non-incontinent women in the same age range who came for routine check-ups or minor disorders not involving micturition or pelvic floor function. Women with mixed urinary incontinence, a history of previous medical or surgical treatment for UI, recurrent urinary tract infections, previous radiation therapy or pelvic organ prolapse of more than stage 2 on the Pelvic Organ Prolapse Quantification (POP-Q) system were excluded. Results 100 questionnaires could be evaluated (94.3%). Thirty-four women had urinary stress incontinence, 35 had OAB, 31 were controls. Mean age was 56 years, with no significant differences between groups. The scores of the questionnaire ranged from 2 to 35.1 points. The median score of OAB patients was significantly lower (17.6) than the median score of the controls (26.5; p = 0,004). The stress-incontinent women had a score of 21.95, which was lower than that of the controls but statistically non-significant (p = 0.051). In all subdomains, the OAB patients had lower scores than the stress-incontinent women and significantly lower values than the control group. Most striking was the impairment of “sexual interest in the last 4 weeks”. The figure for “none or almost no sexual activity” was 80% for the OAB group, 64.7% for the group of stress-incontinent women and 48% for the control group. Incontinence during intercourse was reported by one OAB patient and 4 stress-incontinent women but did not occur in the control group. Conclusions There is a high prevalence of SD in women with urinary incontinence. Patients with OAB reported a greater negative impact on sexual function and had significantly lower scores for the FSFI questionnaire than patients with stress incontinence or controls.

Three-year follow-up in patients with urinary stress incontinence treated with Altis® single-incision sling

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Gloria D'alessandro ◽  
Maurizio Leone ◽  
Jacopo Antolini ◽  
Simone Ferrero ◽  
Paolo Sala ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Single Incision ◽  
Urinary Stress Incontinence ◽  
Single Incision Sling
Sign in / Sign up

Export Citation Format

Share Document