Transvaginal Radio Frequency Treatment of the Endopelvic Fascia: A Prospective Evaluation for the Treatment of Genuine Stress Urinary Incontinence

Dmochowski, Roger R.; Avon, M; Ross, J. H.; Cooper, Jay M.; Kaplan, Richard P.; Love, Beverly Ray; Kohli, Neeraj; Albala, David; Shingleton, Bruce

doi:10.1097/01.ju.0000048686.50716.ef

Cited by 30 publications

(19 citation statements)

References 16 publications

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“…This low and dropping effectiveness is lower than that reported in one of the two studies published to date [14] but concurs with the other [15]. It is notable that long-term results of the first study have not been published.…”

Section: Discussioncontrasting

confidence: 53%

“…A standard surgical technique was followed [14]. All procedures were done in theatre, under general or spinal anaesthesia.…”

Section: Methodsmentioning

confidence: 99%

“…Published studies showed conflicting results regarding effectiveness [14,15]. This study tried to add more information by looking at its efficacy and safety in those patients who had the procedure in Barnsley and Swansea.…”

Section: Introductionmentioning

confidence: 99%

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Radiofrequency remodelling of the endopelvic fascia is not an effective procedure for urodynamic stress incontinence in women

Ismail

2008

Int Urogynecol J

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The aim of this study was to assess the efficacy and safety of transvaginal radiofrequency remodelling of the endopelvic fascia as a primary procedure for urodynamic stress incontinence due to urethral hypermobility in women. It included 24 patients who had the procedure at two district general hospitals. Outcome measures included the pad test, urodynamic assessment, continence diary, pain scores and operative as well as post-operative complications and assessment was made on recruitment during hospital admission and at 3, 6 and 12 months follow-up. A rising failure rate was noted as early as 3 months, leading to a cumulative cure rate of 45.8% at 12 months follow-up. This low effectiveness could be attributed to inherent weakness of the endopelvic fascia. No major complications were encountered and pain scores were mild.

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Section: Discussioncontrasting

confidence: 53%

“…A standard surgical technique was followed [14]. All procedures were done in theatre, under general or spinal anaesthesia.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Radiofrequency remodelling of the endopelvic fascia is not an effective procedure for urodynamic stress incontinence in women

Ismail

2008

Int Urogynecol J

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“…They also reported a high patient satisfaction rate of 81%. Dmochowski et al [4] applied radiofrequency transvaginally to 120 patients and reported this approach to be as effective and safe as laparoscopic application. No major intra-or postoperative complications were reported in any of these studies.…”

Section: Introductionmentioning

confidence: 99%

Outcome of transvaginal radiofrequency for treatment of women with stress urinary incontinence

et al. 2006

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The objective of the study was to assess the outcome and patient acceptance of the transvaginal radiofrequency bladder neck suspension procedure. A retrospective chart review of 18 women treated with the transvaginal radiofrequency bladder neck suspension procedure for stress urinary incontinence was conducted. Data on demographics, urodynamics, daily leakage episodes, complications, patient satisfaction, and further intervention were collected. The mean number of leaks per day was 5.7. There were no complications. Postoperatively, two patients were continent, four were improved, and ten were unimproved. The mean number of daily leaks was reduced to 2.7. Five patients reported to be extremely satisfied with the procedure. One patient was satisfied, and ten were not satisfied. Seven patients sought additional treatment within 1 year. Low cure rate, low patient satisfaction, and high rate of additional treatment led us to discontinue transvaginal radiofrequency bladder neck suspension procedure as a treatment option. It is important that long-term outcome data of the initial studies be made public.

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“…After promising clinical trial results, this system became available in 2002 and was used enthusiastically for several years. Short-term data from prospective, nonrandomized trials suggested significant improvement in stress urinary incontinence symptoms [5,6]. Longer-term data, however, were less favorable [7].…”

mentioning

confidence: 99%

Randomized trials in robotic surgery: a practical impossibility?

Collins

2010

Int Urogynecol J

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Transvaginal Radio Frequency Treatment of the Endopelvic Fascia: A Prospective Evaluation for the Treatment of Genuine Stress Urinary Incontinence

Cited by 30 publications

References 16 publications

Radiofrequency remodelling of the endopelvic fascia is not an effective procedure for urodynamic stress incontinence in women

Radiofrequency remodelling of the endopelvic fascia is not an effective procedure for urodynamic stress incontinence in women

Outcome of transvaginal radiofrequency for treatment of women with stress urinary incontinence

Randomized trials in robotic surgery: a practical impossibility?

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