Effectiveness of a urinary control insert in the management of stress urinary incontinence: early results of a multicenter study

Staskin, David R.; Bavendam, Tamara; Miller, Jay James R.; Davila, G. Willy; Diokno, Ananias C.; Knapp, Peter M.; Rappaport, Stephen; Sand, Peter K.; Sant, Grannum R.; Tutrone, Ronald

doi:10.1016/s0090-4295(96)00003-9

Cited by 55 publications

(18 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The other seven scores were not significantly changed after 12 months of device use. Interestingly, the baseline results of the study group were significantly lower (P50.01) on physical functioning than in the general US 'well' population ( Table 2) [13]. At 12 months there was no longer a statistical difference between the two groups.…”

Section: Effect Of Reliance On Quality Of Lifementioning

confidence: 80%

“…A total of 255 women met the eligibility criteria and were enrolled in the study, initially for a 4-month trial, as reported elsewhere [13]. Sixty-three continued to use the device in an expanded trial lasting 12 months, and at the subject of this report.…”

Section: Resultsmentioning

confidence: 99%

“…Side effects, adverse event and complications were also recorded in the diaries, and reported directly to investigators. To assess the effect of the device on quality of life, patients completed a ShortForm-36 Health Questionnaire (SF-36) at entry and after 12 months [13]. Statistical comparisons were made using w 2 and t-test as appropriate for the numeric or categorical collection of data.…”

Section: Effect Of Urinary Control Insert 101mentioning

confidence: 99%

See 2 more Smart Citations

Effect of a Urinary Control Insert on Quality of Life in Incontinent Women

et al. 1999

View full text Add to dashboard Cite

The aim of the study was to evaluate the efficacy, safety and effect on quality of life of the Reliance urinary control insert (Uromed Corp., Needham, MA) in women with genuine stress incontinence. Efficacy was evaluated at baseline and at the end of the 12-month study period by standardized pad-weight studies and by rating scales measuring acceptability, incontinence symptom improvement, ease of learning, comfort and time to habituation, recorded in diaries at monthly intervals in 63 women. The SF-36 Health Survey questionnaire was used to assess quality of life status at baseline without the device and after 12 months of device use. A significant decrease in urine loss at 12 months compared with baseline was shown by standardized pad-weight studies, with and without the device in situ. Urine loss was reduced by more than 80% in 91% of the 63 patients, and 79% were completely dry. Patient diaries showed significant improvement in control of leakage, comfort, and ease of device use during the study period. Short-term-36 Health Status data also indicated significant improvement in the physical functioning score at 12 months. Urinary tract infection and hematuria were the most common adverse effects. The Reliance urinary control insert is an efficacious and safe means of controlling genuine stress incontinence in women. The device was perceived as easy to use and comfortable for these 63 women, and resulted in improved quality of life.

show abstract

Section: Effect Of Reliance On Quality Of Lifementioning

confidence: 80%

Section: Resultsmentioning

confidence: 99%

Section: Effect Of Urinary Control Insert 101mentioning

confidence: 99%

See 1 more Smart Citation

Effect of a Urinary Control Insert on Quality of Life in Incontinent Women

et al. 1999

View full text Add to dashboard Cite

show abstract

“…Intraurethral devices occlude the urethral lumen [58,59]. Most patients who utilize intraurethral devices report dryness or improvement in the laboratory and on diaries.…”

Section: Anti-incontinence Devicesmentioning

confidence: 99%

Dilemmas in the management of female stress incontinence: the role of pelvic floor muscle training

2006

View full text Add to dashboard Cite

Treatment options for female stress urinary incontinence include pelvic floor muscle training, lifestyle interventions, bladder retraining, pharmacotherapy, anti-incontinence devices and surgery. Several consensus statements recommend pelvic floor muscle training as first line treatment. The aim of this review is to analyse all the currently available data and propose a treatment algorithm for clinical practice. A literature-based critical presentation of all treatment modalities, methods of assessing efficacy and comparison between them using a patient-centered approach was made. Many of the studies are observational, non-randomized with several methodological problems that lead to confusion. Emphasis was made to high quality randomized trials. The proposed treatment algorithm established only on evidence-based data. Management strategy however, must identify patient expectations and involve them in the decision-making more than traditional measures of treatment success.

show abstract

“…Intraurethral devices that act by temporarily blocking the urethra have been tested [1,2] and a variety of vaginal appliances has been used to support the bladder neck and to help to compress the urethra [3,4].…”

Section: Introductionmentioning

confidence: 99%

A magnetic device for increasing the urethral resistance to flow: an experimental study in female dogs

et al. 2000

View full text Add to dashboard Cite

Objective To test a new magnetic device for increasing the urethral resistance to¯ow in a dog model, and thus provide a potential mechanical device for the treatment of incontinence in women. Materials and methods The study comprised 12 female mongrel dogs; three dogs were used to study the effect on urethral resistance of inserting a vaginal magnet (control experiment) and ®ve were assessed in a urodynamic study. With the animals under general anaesthesia, the bladder and the urethra were exposed by a low midline incision. One magnet, embedded in a silicon layer, was placed on the anterior side of the urethra 3 cm distal to the bladder neck and ®xed with a few sutures. To increase the urethral resistance as required, a second magnet was inserted into the vagina and the device activated. Urethral pressure pro®les and leak-point pressures were recorded in the anaesthetized animals under resting conditions and after the urethra was compressed between the magnets. Recordings were also made after pharmacological blockade of the urethral musculature. In four additional dogs, chronic experiments were conducted to evaluate the effect of continuous compression of the urethra and the vaginal wall for 14 days. Results Urethral compression between the magnets resulted in a doubling of the maximal pressure in the proximal urethra and in a threefold increase of the leak-point pressure. After pharmacological denervation of the urethra the differences between the control pressures and those after activating the device were even greater, although not signi®cantly so. After 2 weeks of continuous compression of the vaginal wall and the urethra between the magnets there was no detectable tissue damage. Conclusion These results suggest that the magnetic device can ef®ciently increase urethral pressure and that prolonged compression caused no apparent damage to the urethra or vagina. It may therefore be a useful potential method of providing urinary continence in women.

show abstract

Effectiveness of a urinary control insert in the management of stress urinary incontinence: early results of a multicenter study

Cited by 55 publications

References 20 publications

Effect of a Urinary Control Insert on Quality of Life in Incontinent Women

Effect of a Urinary Control Insert on Quality of Life in Incontinent Women

Dilemmas in the management of female stress incontinence: the role of pelvic floor muscle training

A magnetic device for increasing the urethral resistance to flow: an experimental study in female dogs

Contact Info

Product

Resources

About