scholarly journals The evolution of incontinence into resolved, refractory and de novo urgency urinary incontinence following sling placement at time of prolapse repair in a large urodynamic cohort

2021 ◽  
Vol 62 ◽  
Author(s):  
Xinyuan Zhang ◽  
Robyn K. Shaffer ◽  
Amy D. Dobberfuhl
Keyword(s):  
Urinary Incontinence ◽  
De Novo ◽  
Urgency Urinary Incontinence ◽  
Prolapse Repair ◽  
De Novo Urgency ◽  
Sling Placement

scholarly journals Tension-free Vaginal Tape vs Tension-free Obturator Tape for Treatment of Genuine Stress Urinary Incontinence: A 5-year Follow-up

2017 ◽  
Vol 9 (2) ◽  
pp. 95-99
Author(s):  
Priyanka Bhadana
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
De Novo ◽  
Uterovaginal Prolapse ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Genuine Stress Urinary Incontinence ◽  
Patients With Diabetes ◽  
De Novo Urgency

ABSTRACT Objective To compare the effectiveness of tension-free vaginal tape (TVT) and tension-free obturator tape (TOT) in treatment of genuine stress urinary incontinence and study the related complications. Materials and methods About 150 cases with complaints of stress urinary incontinence were taken during 5-year period, and they were confirmed urodynamically. Exclusion criteria included patients with diabetes mellitus, neurological disorders, other forms of incontinence, uterovaginal prolapse, urinary tract infection, and pregnancy. Out of 150 cases, 70 underwent TVT procedure and 80 were taken up for TOT. The outcome was studied at the end of 5 years. Results The cure rate in the TOT group was 94%, which was slightly higher than the TVT group, which came out to be 90%. The failure rate in the TVT group was 1.1%, but no failure was encountered in the TOT group. However, the improvement rates were similar in each group. Comparing the complications in each group, the rate of bladder perforation and postoperative retention of urine was much higher in the TVT group. Postoperative voiding difficulties were also noticeably less in TOT group compared with TVT group. However, none of the cases in either group had de novo urgency. Conclusion Both the procedures are a safe and effective method of curing stress incontinence; however, owing to slightly higher improvement rates and lower complications rate, TOT should be preferred over TVT. How to cite this article Bhadana P, Mittal P, Bachani S. Tension-free Vaginal Tape vs Tension-free Obturator Tape for Treatment of Genuine Stress Urinary Incontinence: A 5-year Follow-up. J South Asian Feder Obst Gynae 2017;9(2):89-93.

De novo urgency after tension-free vaginal tape versus transobturator tape procedure for stress urinary incontinence

2011 ◽  
Vol 155 (2) ◽  
pp. 229-232 ◽  
Author(s):  
Judith Lleberia-Juanós ◽  
Eduardo Bataller-Sánchez ◽  
Josep Pubill-Soler ◽  
Montse Mestre-Costa ◽  
Laia Ribot-Luna ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
De Novo ◽  
Transobturator Tape ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
De Novo Urgency

“ReMeEx”, The Adjustable-Tension Suburetral Sling in the Treatment of Stress Urinary Incontinence Due to Intrinsic Sphincteric Dysfunction (Type III)

2009 ◽  
Vol 76 (2) ◽  
pp. 104-106 ◽  
Author(s):  
P. Cortese ◽  
F. Gallo ◽  
E. Gastaldi ◽  
M. Schenone ◽  
G. Ninotta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
De Novo ◽  
Type Iii ◽  
Effective Option ◽  
De Novo Urgency ◽  
Average Operative Time

The anti-incontinence methods “tension free” may be insufficient in the treatment of stress urinary incontinence (IUS) due to intrinsic sphincteric dysfunction (ISD). We report our findings on the use of the suburetral sling with adjustable tension “Remeex” sistem in the treatment of 24 patients. Methods Between May 2002 and February 2008, 24 patients with IUS of type III, were subjected to suburetral sling “Reemex.” Positioning. The intervention provides a vaginal access to the positioning of suburetral sling and an access to the positioning of a varitensor which the wires are connected at the sling seats, recovered by the passage of a Stamey needle carrier of. The average operative time was approximately 70 minutes, the resignation was in I-II day. The tension of the sling was adjusted the day following intervention by turning the screw connected to the varitensor. Patients were followed with physical examination and completed the Korman's questionnaire about the quality of life. Results At a follow-up average 30 months, 21 patients (87.5%) were perfectly continent with improvement of quality of life. Among the complications, wound infection occurred in 2 patients (8%); 1 (4%) with mild recurrence IUS; 1 (4%) reported “de novo” urgency, 1 (4%) reported urinary retention. Conclusions Our data show that the use of the suburetral sling “ReMeEx” is a effective option in the treatment of IUS due to ISD which is a condition often secondary to urogynecologic surgery and refractory to common techniques antincontinence.

De Novo Urinary Symptoms after Pelvic Organ Prolapse Repair Surgery: A Cross Sectional Study at AKU Hospital

2021 ◽  
Vol 15 (5) ◽  
pp. 1176-1179
Author(s):  
S. Ilyas ◽  
S. Najmusahar ◽  
D. Rehmani ◽  
S. Agha ◽  
N. Mushtaq
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
De Novo ◽  
Pelvic Organ ◽  
Cross Sectional Study ◽  
Urinary Symptoms ◽  
Prolapse Repair ◽  
Cross Sectional ◽  
Pelvic Organ Prolapse Repair ◽  
New Onset

Objective: To determine the frequency of new onset urinary symptoms after surgery for pelvic organ prolapse repair. Study Design: Descriptive Cross-Sectional Study. Place and Duration: This study was conducted at Outpatient Gynecological Clinics, Aga Khan University Hospital (AKUH) Karachi, Pakistan from January 19, 2018 to July 18, 2018. Materials and Methods: Eighty one women were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. Women who underwent POP repair surgery in the past 6 weeks were recruited. They were asked to complete the proforma including personal information and details of all urinary symptoms like frequency, urgency and incontinence etc. provided by residents after informed consent through validated questionnaire UDI SF6. All the collected data were entered into the proforma attached at the end and used electronically for research purpose. Results: Mean ± SD of age was 52.75±9.71 years. Out of 81 patients, 47 (58%) women were menopause. In frequency of new onset of urinary symptoms De novo urinary incontinence was noted in 12 (14.8%) women, 20 (24.6%) had De novo urges urinary incontinence, while 15 (18.5%), 28 (34.5%) and 20 (24.6%) women had De novo stress urinary incontinence, De novo urinary frequency and De novo urinary urgency respectively. Conclusion: It is to be concluded that De novo urinary frequency was found to be the most common new onset urinary symptoms followed by De novo urinary Urgency and De novo Urge Urinary Incontinence. Keywords: De novo urinary symptoms, Pelvic Organ Prolapse (POP), Post- Operative Stress Urinary Incontinence (SUI), Quality of Life (QoL), Urinary Incontinence (UI)

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