Overactive bladder symptoms after midurethral sling surgery in women: Risk factors and management

Marcelissen, Tom; Kerrebroeck, Philip Van

doi:10.1002/nau.23328

Cited by 37 publications

(52 citation statements)

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“…In the present study, nine patients developed de novo urgency after surgery. Recently Marcelissen and van Kerrebroeck reviewed the literature, including 10 papers with >2800 patients, and found several risk factors including obesity, older age, lower bladder capacity, previous urgency or history of UI surgery. Older age and previous urgency appear to be the more consistent risk factors.…”

Section: Discussionmentioning

confidence: 99%

Mid‐term safety and efficacy of the ALTIS^® single‐incision sling for female stress urinary incontinence: less mesh, same results

et al. 2018

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Objective To analyse the mid‐term safety and efficacy of the ALTIS® single‐incision sling (Coloplast Corp., Minneapolis, MN, USA) for female stress urinary incontinence (SUI). Patients and Methods We conducted a prospective, single‐arm, unsponsored, observational single‐centre trial in a cohort of patients undergoing SUI surgery with the ALTIS procedure. All patients were diagnosed according to clinical reports, physical exploration and urodynamics. Body mass index (BMI) was categorised according to World Health Organization classification. Valsalva leak‐point pressure (VLPP) was categorised in three groups: <60, 60–90 and >90 cmH2O. Patients were evaluated postoperatively at 1, 6, 12 and 24 months with physical examination, International Consultation on Incontinence Questionnaire Short Form (ICIQ‐SF), and satisfaction visual scale (SVS; score 0–10). Adverse events were assessed at each visit. Multivariate analysis for risk factors of surgery failure was performed. Results We recruited 110 women, with a mean (SD) follow‐up of 22.34 (10.34) months. Regarding efficacy, 91 patients (82.7%) were objectively cured and 97 (88.2%) were subjectively cured. Regarding VLPP and BMI, no differences were seen between groups (P > 0.05). There was a ~20% decrease in urge UI (P = 0.04). No variable showed to be an independent risk factor for ALTIS failure (P > 0.05). Overall, nearly 96% of the women reported 9 or 10 points on the SVS. A total of 24 patients (21.8%) had some kind of complication. No mesh erosion was reported in any patient. Conclusions The ALTIS sling demonstrated to be an effective and safe procedure for SUI in the mid‐term setting. Objective and subjective cure rates are at least comparable to ‘gold standard’ procedures with a minimal rate of self‐limiting non‐surgical complications.

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Section: Discussionmentioning

confidence: 99%

Mid‐term safety and efficacy of the ALTIS^® single‐incision sling for female stress urinary incontinence: less mesh, same results

et al. 2018

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“…Marcelissen et al (3) conducted a literature review including 10 studies and 3132 patients. The study concluded that patients with MUI were more likely to develop OAB symptoms after surgery for SUI as mentioned in our study (only 9 patients developed de novo OAB symptoms).…”

Section: Discussionmentioning

confidence: 99%

“…If pelvic floor training which contributes to the support of the female urethra fails, surgical treatment for SUI is considered (3). …”

Section: Introductionmentioning

confidence: 99%

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Efficacy and tolerability of mirabegron in female patients with overactive bladder symptoms after surgical treatment for stress urinary incontinence

et al. 2019

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Purpose To evaluate the efficacy and tolerability of mirabegron in females with overactive bladder (OAB) symptoms after surgical treatment for stress urinary incontinence (SUI).Materials and Methods The study was conducted with a prospective, randomized and double-blinded design. 62 patients over the age of 40 who met the inclusion-exclusion criterias of the study were enrolled and randomly divided into two groups as Group A (mirabegron 50mg) and B (solifenacin 5mg). Patients were compared based on efficacy of treatment [Patient Perception of Bladder Condition (PPBC) scale and micturition diaries], safety of treatment (heart rate, systolic and diastolic blood pressure, adverse events), number of micturitions per day, patient’s satisfaction status after treatment [Visual Analog Scale(VAS)] and quality of life.Results The mean age of the population was 48.2±3.8 years and the duration of OAB symptoms was 5.9±2.9 months. Baseline values for the mean number of micturitions, volume voided in each micturition, nocturia episodes, urgency and urgency incontinence episodes were 15.3±0.34, 128±3.88mL, 3.96±1.67, 5.72±1.35 and 4.22±0.69, respectively. After treatment, values for these parameters were 11.7±0.29, 164.7±2.9mL, 2.25±0.6, 3.38±0.71, 2.31±0.49 respectively. Quality of life score, symptom bother score, VAS for treatment satisfaction score, PPBC score after treatment were 66.1±0.85, 43.7±0.77, 4.78±0.14, 4.78±0.14, respectively. There were no significant differences between two groups on any parameter. However, mirabegron showed better tolerability than solifenacin, particularly after 6 months.Conclusion Mirabegron is safe, effective and tolerable in the long-term treatment of females with OAB symptoms after surgery for stress urinary incontinence.

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“…Mixed symptoms represent the majority and most challenging subpopulation among those with incontinence (3). Moreover, even the sling implant can potentially lead to the worsening of storage symptoms in patients with pre-operative mixed urinary incontinence.…”

Section: Article Infomentioning

confidence: 99%

Editorial Comment: Effect of Behavioral and Pelvic Floor Muscle Therapy Combined With Surgery vs Surgery Alone on Incontinence Symptoms Among Women With Mixed Urinary Incontinence: The ESTEEM Randomized Clinical Trial

Riccetto

2020

Int. braz j urol.

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The use of physical therapy has been strongly recommended in the most popular guidelines regarding stress urinary incontinence (1) and overactive bladder (2). In this interesting article published in JAMA, the authors presented a prospective randomized study that sought to evaluate whether performing a mid-urethral sling combined with behavioral therapy and 6 pelvic floor muscle training (PFMT) sessions (n: 209) would yield better outcomes compared to exclusive mid-urethral sling implant (n: 207) in patients with mixed urinary incontinence. Patients were evaluated by the long-form Urogenital Distress Inventory (UDI), and the primary outcome was defined as significant improvement over the baseline condition after 12 months post treatment. In the group that performed the behavioral plus TMAP plus sling, the UDI

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Overactive bladder symptoms after midurethral sling surgery in women: Risk factors and management

Abstract: OAB symptoms are frequently reported after sling surgery. Women with mixed incontinence and older women are at risk of developing post-operative OAB symptoms. We have proposed an algorithm for the treatment of these symptoms which can be useful in clinical practice.

Cited by 37 publications

References 39 publications

Mid‐term safety and efficacy of the ALTIS^® single‐incision sling for female stress urinary incontinence: less mesh, same results

Mid‐term safety and efficacy of the ALTIS^® single‐incision sling for female stress urinary incontinence: less mesh, same results

Efficacy and tolerability of mirabegron in female patients with overactive bladder symptoms after surgical treatment for stress urinary incontinence

Editorial Comment: Effect of Behavioral and Pelvic Floor Muscle Therapy Combined With Surgery vs Surgery Alone on Incontinence Symptoms Among Women With Mixed Urinary Incontinence: The ESTEEM Randomized Clinical Trial

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Overactive bladder symptoms after midurethral sling surgery in women: Risk factors and management

Abstract: OAB symptoms are frequently reported after sling surgery. Women with mixed incontinence and older women are at risk of developing post-operative OAB symptoms. We have proposed an algorithm for the treatment of these symptoms which can be useful in clinical practice.

Cited by 37 publications

References 39 publications

Mid‐term safety and efficacy of the ALTIS® single‐incision sling for female stress urinary incontinence: less mesh, same results

Mid‐term safety and efficacy of the ALTIS® single‐incision sling for female stress urinary incontinence: less mesh, same results

Efficacy and tolerability of mirabegron in female patients with overactive bladder symptoms after surgical treatment for stress urinary incontinence

Editorial Comment: Effect of Behavioral and Pelvic Floor Muscle Therapy Combined With Surgery vs Surgery Alone on Incontinence Symptoms Among Women With Mixed Urinary Incontinence: The ESTEEM Randomized Clinical Trial

Contact Info

Product

Resources

About

Mid‐term safety and efficacy of the ALTIS^® single‐incision sling for female stress urinary incontinence: less mesh, same results

Mid‐term safety and efficacy of the ALTIS^® single‐incision sling for female stress urinary incontinence: less mesh, same results