Recurrent urinary stress incontinence: An overview

Ashok, Kiran; Wang, Alex

doi:10.1111/j.1447-0756.2010.01232.x

Cited by 38 publications

(21 citation statements)

References 65 publications

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“…(7)(8)(9) Despite this dearth of data, the most common management for recurrent SUI is a repeat midurethral sling. (10,11) Given the lack of supportive data for repeat midurethral sling as a treatment for recurrent SUI our primary aim was to assess and compare continence outcomes of women undergoing primary and repeat midurethral sling. We also aimed to compare lower urinary tract symptoms, patient satisfaction and patient impression of improvement between women undergoing primary and repeat midurethral sling.…”

Section: Introductionmentioning

confidence: 99%

Incontinence Outcomes in Women Undergoing Primary and Repeat Midurethral Sling Procedures

Parden

Gleason

Jauk

et al. 2013

Obstetrics &Amp; Gynecology

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Objective-To assess stress urinary incontinence (SUI) and other lower urinary tract symptom outcomes in women undergoing a repeat midurethral sling compared to those undergoing primary midurethral sling.Material and Methods-Cure was defined as responses of "not at all" or "somewhat" to both questions of the SUI subscale of the Urogenital Distress Inventory-6 (UDI-6); symptom impact was assessed using the Incontinence Impact Questionnaire-7. Multivariable models were created controlling for baseline Medical Epidemiologic and Social Aspects of Aging questionnaire urge score and UDI-6 stress subscale score.Results-1316 subjects had charts available for review. 135/1316 (10.2%) had undergone prior midurethral sling. 799/1329 (60%) questionnaires were returned, with 92 having undergone prior midurethral sling. Median follow-up time was 36.4 months with a range of 11.4 to 71.5 months. Cure rates were 71% (95% CI 67.7%, 74.3%), in the primary midurethral sling group and 54% (95% CI 43.8%, 64.2%) in the repeat MUS group (p<0.001). Repeat midurethral sling women had significantly greater improvement on symptom specific QOL compared to primary midurethral sling women (−28.87 ± 37.6 versus −18.42 ± 32.73, p=0.01). Multivariable analyses revealed that women in the repeat midurethral sling group had increased risk of SUI failure (OR 1.7, 95% CI: 1.1, 2.8).Conclusion-Women undergoing repeat midurethral sling had almost 2 times the odds of stress incontinence treatment failure, but greater improvement in symptom impact on QOL to women undergoing a primary midurethral sling. This information can help counsel patients regarding their expectations of repeat midurethral sling surgery for recurrent SUI.

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Section: Introductionmentioning

confidence: 99%

Incontinence Outcomes in Women Undergoing Primary and Repeat Midurethral Sling Procedures

Parden

Gleason

Jauk

et al. 2013

Obstetrics &Amp; Gynecology

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“…The limited data available do not allow for a clear choice between the PVS and MUS in treating patients with recurrent SUI . Among the MUS procedures, the TVT edges TOT having greater success in treating recurrences .…”

Section: Resultsmentioning

confidence: 99%

Evaluation and surgery for stress urinary incontinence: A FIGO working group report

Medina

Costantini

Petri

et al. 2016

Neurourology and Urodynamics

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“…Šlapimo nelaikymo chirurginis gydymas būna neveiksmingas iki 10-20 % atvejų [6], todėl atsinaujinęs šlapimo nelaikymas -dažna problema gydant šlapimo nelaikančius pacientus. Vidutinis laikotarpis, po kurio atliekama pakartotinė operacija dėl šlapimo nelaikymo, -2,8 metų [7].…”

Section: Diskusijaunclassified

Atsinaujinusio šlapimo nelaikymo gydymas minimaliai invaziniu būdu: klinikinis atvejis

Černiauskienė¹,

Dulko²

2016

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Įtampos šlapimo nelaikymas -dažniausiai pasitaikantis šlapimo nelaikymo tipas, kai šlapimas nevalingai išteka fizinio krūvio metu, kosint ar čiaudint. Dėl šios priežasties blogėja žmogaus gyvenimo kokybė, atsiranda fizinių, psichologinių, seksualinių, socialinių ar ekonominių problemų. Gydymo galimybių yra daug, tačiau norimas rezultatas ne visada pasiekiamas, todėl atsinaujinęs šlapimo nelaikymas -dažnai klinikinėje praktikoje pasitaikanti problema. Literatūros duomenimis, šlapimo nelaikymo chirurginis gydymas būna neveiksmingas iki 20 % atvejų. Sintetinių pošlaplinių raiščių implantavimo operacijos minimaliai invaziniu būdu -pirmo pasirinkimo metodas gydant atsinaujinusį šlapimo nelaikymą. Aprašome ir aptariame atvejį moters, kuri buvo tris kartus operuota dėl šlapimo nelaikymo. 2012 metais, diagnozavus vezikocelę ir įsisenėjusį tarpvietės plyšimą, atlikta priekinė kolporafija ir kolpoperineoplastika. Po operacijos šlapimo nelaikymas fizinio krūvio metu išliko. 2014 metais pacientė buvo operuota pakartotinai ir atlikta pošlaplinio raiščio implantavimo operacija per užtvarinę angą, tačiau norimo rezultato nepasiekta, šlapimo nelaikymas išliko. 2015 metais pacientei diagnozuotas III laipsnio atsinaujinęs šlapimo nelaikymas. Atlikus pošlapininio raiščio implantavimo operaciją užgaktiniu būdu, moteris gerai sulaiko šlapimą, liekamojo šlapimo nėra. Pošlaplinio raiščio implantavimas užgaktiniu būdu -efektyvi operacija gydant atsinaujinusį šlapimo nelaikymą.Reikšminiai žodžiai: atsinaujinęs šlapimo nelaikymas, minimaliai invazinė technika, pošlapliniai raiščiai Stress urinary incontinence is the most common type of urinary incontinence. It is described as involuntary leaking of urine during physical activity, coughing or sneezing. Urinary incontinence can lead to physical, psychological, sexual, social or economic problems. There are many treatment options but good results are not always achieved, therefore, recurrent urinary incontinence is a common problem. According to the literature, a surgical treatment of urinary incontinence is effective up to 20% of all cases. Suburethral sling implantation operations are the first choice treatment for the recurrent urinary incontinence. We present a case of a woman who underwent 3 operations. In 2012, she was diagnosed with vesicocele and chronic perineal laceration, anterior colporrhaphy and colpoperineoplasty was made. After the surgery, stress urinary incontinence remained. In 2014, transobturator tape implantation was performed. Although postoperative period was uneventful, operation was not

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Recurrent urinary stress incontinence: An overview

Abstract: TVT may be used as a high priority in patients with recurrent USI with encouraging success. For refractory USI, more advanced procedures, like periurethral bulking agents, adjustable continence therapy system, spiral sling systems remain a viable option.

Cited by 38 publications

References 65 publications

Incontinence Outcomes in Women Undergoing Primary and Repeat Midurethral Sling Procedures

Incontinence Outcomes in Women Undergoing Primary and Repeat Midurethral Sling Procedures

Evaluation and surgery for stress urinary incontinence: A FIGO working group report

Atsinaujinusio šlapimo nelaikymo gydymas minimaliai invaziniu būdu: klinikinis atvejis

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