Under what circumstances should stress incontinence surgery be performed at the same time as prolapse surgery? ICI‐RS 2015

Khullar, Vikram; Anding, Ralf; Robinson, Dudley; Castro-Díaz, David; Dmochowski, Roger R.; Cardozo, Linda

doi:10.1002/nau.23245

Cited by 12 publications

(9 citation statements)

References 29 publications

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“…Some authors recommend that if the SUI and POP problem is treated vaginally, fascial repair or mesh reinforcement should be combined with a midurethral sling, because the SUI persistence rate is lower than when only the prolapse operation is performed [9,12]. If only prolapse surgery without continence surgery is performed in women with SUI and POP, the persistent urinary incontinence rate is 36 -71%, on average 63% [9]. In his study, Borstad et al found that 27% of women recover from SUI after just a prolapse operation [18].…”

Section: Discussionmentioning

confidence: 99%

“…Lensen found that 38% of women with symptomatic SUI are cured after just a prolapse surgery [19]. If a woman has both a prolapse surgery and continence surgery, then the percentage of postoperative SUI is up to 40%, on average 11% [9]. However, the fact which cannot be ignored is that after the combination of prolapse and incontinence surgery, negative effects such as overactive bladder symptoms, obstructive voiding and complications, are more common, can call into question the outcome of this surgical procedure [12].…”

Section: Discussionmentioning

confidence: 99%

“…Pelvic organ prolapse (POP), defined as "the descent of one or more: the anterior vaginal wall, the posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy), is a condition which is frequently associated with UI, probably due to similar risk factors and causes of the occurrence [1,3,4,[6][7][8][9][10][11]. It is considered that up to 50% of women with POP also have symptomatic SIU [9]. Putra et al have determined that the prevalence of urinary incontinence in women with POP is 37.32% (in I -II grade: 22%, and in III -IV grade: even 82.35%) [3].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the financial aspect of treatment cannot be disregarded either. Only when the symptoms become more pronounced and start to disturb their daily, primarily social aspect of life, women decide to seek medical help [3,9,12].…”

Section: Introductionmentioning

confidence: 99%

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Improvement in the quality of life in women with stress urinary incontinence after surgery for pelvic organ prolapse

Mladenović-Segedi

2019

Med pregl

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Introduction. Pelvic organ prolapse is commonly associated with symptomatic stress urinary incontinence, in up to 50% of patients. The aim of our research was to examine the quality of life of women with urinary incontinence and pelvic organ prolapse after conventional surgical treatment. Material and Methods. The research included 50 patients with stress urinary incontinence and pelvic organ prolapse that underwent vaginal hysterectomy with anterior and posterior colporrhaphy. The pelvic organ prolapse-quantification system was used to determine the degree of genital prolapse. All patients completed a questionnaire to determine the "stress and urge" score preoperatively, as well as the Urinary Distress Inventory-6 and Urinary Impact Questionnaire-7 during the follow-up examination, a year after the surgery. Results. One year after surgery, 20 patients (40%) presented with a recurrence of cystocele. The average value of the Urinary Distress Inventory-6 questionnaire a year after surgery was 29.0 ± 10.8, while the average value of the Urinary Impact Questionnaire-7 questionnaire was 3.7 ± 16.3. After the surgery, 6 patients (12%) had persistent stress urinary incontinence and 4 patients (8%) had urge urinary incontinence. Among patients with persistent stress urinary incontinence, two patients reported pronounced symptoms of stress urinary incontinence and reoperation was performed. Conclusion. The classical surgical treatment of pelvic organ prolapse with anterior and posterior colporrhaphy leads to improvement in the quality of life of patients with pelvic organ prolapse and stress urinary incontinence. If the symptoms of stress urinary incontinence persist after classical surgical treatment, other anti-incontinence surgical modalities should be considered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Improvement in the quality of life in women with stress urinary incontinence after surgery for pelvic organ prolapse

Mladenović-Segedi

2019

Med pregl

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“…According to the World Health Organisation Quality of Life (WHOQOL), quality of life means an individual's perception of their position in life in the context of the culture and value systems in which they live. The quality of life is primarily influenced by physical health, interpersonal contacts and environmental characteristics [23,24]. Nowadays, doctors not only focus on extending the life of their patients, but also on improving its quality.…”

Section: Quality Of Life Of Patients With Pelvic Floor Static Disordersmentioning

confidence: 99%

The assessment of quality of life and satisfaction with life of patients before and after surgery of an isolated apical defect using synthetic materials

Zalewski

Kołodyńska

Mucha

et al. 2020

Preprint

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Background Pelvic floor static disorders constitute a significant clinical and social problem. The incidence of the problem increases with the age of female patients up to 80 years of age. Due to various methods of procedural treatment, eligibility for surgery should be carefully discussed with the patient. Ideally, the surgery should be effective, applicable in patients with a positive family history and with the least possible number of complications. Such procedures seemed to be transvaginal surgeries performed under block anaesthesia, using synthetic materials, giving good results in most studies. The objective of this study was to assess the quality of life of patients before and after the surgery of an isolated apical defect with the use of synthetic materials. Methods The study included 60 patients who were diagnosed with pelvic floor static disorder on the basis of physical examination. Standardised questionnaires were used to assess the quality of life and satisfaction with life: the Perceived Quality of Life (P-QOL) and the Satisfaction With Life Scale (SWLS). Results The P-QOL results for each domain were higher in patients before surgery compared to the results obtained after the surgery. For almost all domains, the results obtained were statistically significant. The results of the SWLS questionnaire in most answers also show that after the procedure there was an improvement in satisfaction with life in the examined female patients. Conclusion In most patients, surgical treatment of an isolated apical defect using synthetic materials results in clearance of burdensome symptoms and improves the quality of life.

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UDS in Pelvic Organ Prolapse Syndrome (POP-S)

Vignoli¹

2018

Urodynamics for Urogynecologists

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Under what circumstances should stress incontinence surgery be performed at the same time as prolapse surgery? ICI‐RS 2015

Cited by 12 publications

References 29 publications

Improvement in the quality of life in women with stress urinary incontinence after surgery for pelvic organ prolapse

Improvement in the quality of life in women with stress urinary incontinence after surgery for pelvic organ prolapse

The assessment of quality of life and satisfaction with life of patients before and after surgery of an isolated apical defect using synthetic materials

UDS in Pelvic Organ Prolapse Syndrome (POP-S)

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