Genuine stress incontinence

Plzak, Louis

doi:10.1016/s0094-0143(02)00059-9

Cited by 24 publications

(2 citation statements)

References 19 publications

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“…In the United States of America, the Agency for Health Care Policy Research reported that a preoperative urodynamic examination is not necessary if the symptoms suggest a pure stress type of incontinence, there is no description of an additional micturition problem in the medical history and the physical examination reveals signs of pure stress incontinence. 10 However, a urodynamic examination is recommended for cases presenting with discrepancies between the medical history, symptoms and micturition diary, those raising a neuropathic bladder suspicion, failure of empirical treatment, clinically unprovable urinary incontinence, history of pelvic surgery and radiotherapy and prominence of obstructive symptoms. 10,11 In the current study, all patients with complaints of incontinence underwent a preoperative urodynamic examination and those diagnosed with pure stress incontinence were included in the study.…”

Section: Discussionmentioning

confidence: 99%

“…10 However, a urodynamic examination is recommended for cases presenting with discrepancies between the medical history, symptoms and micturition diary, those raising a neuropathic bladder suspicion, failure of empirical treatment, clinically unprovable urinary incontinence, history of pelvic surgery and radiotherapy and prominence of obstructive symptoms. 10,11 In the current study, all patients with complaints of incontinence underwent a preoperative urodynamic examination and those diagnosed with pure stress incontinence were included in the study. Of the 109 women included in the study, 90 and 80 could be contacted at the end of the first and fifth years, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Five-Year Efficacy of Transobturator Tape Treatment and Quality of Life in Women with Stress Urinary Incontinence

et al. 2020

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Background: We aimed to assess the results of first- and fifth-year outcomes and the effect on quality of life (QoL) of transobturator tape (TOT) treatment in patients with stress urinary incontinence (SUI). Methods: The patients who underwent TOT surgery between January 2008 and June 2013 were screened retrospectively. The QoL was evaluated with Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory-Short Form (UDI-6). The subjective evaluation of patients in terms of incontinence outcome was classified as worsened (UDI-6 and IIQ-7 if pre-operative < postoperative), improved (UDI-6 and IIQ-7 if pre-operative > postoperative), or cured (UDI-6 and IIQ-7 postoperative <10). The first-year and fifth-year success rates were compared between the IIQ-7 and UDI-6 results. Results: A total of 109 patients were included in the study. There was a significant improvement (P<0.001) in the patients’ UDI-6 and IIQ-7 scores when the preoperative and postoperative first-year results were compared. Comparing the postoperative first-year and fifth-year total UDI-6 and IIQ-7 scores, a significant improvement was observed and the patients’ complaints were significantly reduced (P<0.001). The results of the IIQ-7 and UDI-6 questionnaire revealed that the TOT surgery success rate was 93.3% at the end of the first year and 88.7% at the end of the fifth year. Conclusion: The postoperative first-year and fifth-year data reveal that TOT surgery has a high success rate and positive effects on QoL. Low complication rates and the ease of application make TOT a good alternative to other treatment modalities in surgical treatment of SUI.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Five-Year Efficacy of Transobturator Tape Treatment and Quality of Life in Women with Stress Urinary Incontinence

et al. 2020

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Pelvic Floor: Three-Dimensional Surgical Anatomy

Rastinehad

Badlani

2009

Continence

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A comparison of periurethral blood flow resistive indices and urethral closure pressure of incontinent women

et al. 2006

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This study correlated Doppler resistive indices (RIs) with maximum urethral closure pressures (MUCPs) in women with stress urinary incontinence. We hypothesized that urethral blood flow would be inversely correlated to urethral closure pressures. Fifty-three women underwent spectral Doppler waveform analyses of periurethral vasculature to calculate RI. Urethral morphology including pubovesicular length (PVL) with and without cough was measured. MUCPs were obtained according to International Continence Society guidelines. Physical exam and history were also obtained. Correlation coefficients were calculated for comparisons of Doppler measurements and closure pressures. Fifty patients were required to detect a difference between no correlation and a modest correlation of 0.38 with 80% power and alpha of 0.05. Significance is set at p<0.05. Measurements were reproducible between Doppler waveforms and MUCP measurements (all p=NS). RI was not correlated with age, parity, MUCP, Incontinence Impact Questionnaire-7 scores, urethral length, or urethral width (all p=NS). RI and MUCP were likewise not associated with history of diabetes, hypertension, or anterior vaginal prolapse to or beyond the hymen (all p=NS). MUCP was negatively correlated with age (r=-0.33, p=0.01) even when controlled for hormonal status (ANCOVA, p=0.003) and positively correlated with urethral/bladder neck diameter (r=27, p=0.05), PVL (r=0.30, p=0.03), and PVL with cough (r=0.36, p=0.009).

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Genuine stress incontinence

Cited by 24 publications

References 19 publications

Five-Year Efficacy of Transobturator Tape Treatment and Quality of Life in Women with Stress Urinary Incontinence

Five-Year Efficacy of Transobturator Tape Treatment and Quality of Life in Women with Stress Urinary Incontinence

Pelvic Floor: Three-Dimensional Surgical Anatomy

A comparison of periurethral blood flow resistive indices and urethral closure pressure of incontinent women

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