Urinary incontinence in postmenopausal women – causes, symptoms, treatment

Kołodyńska, Gabriela; Zalewski, Maciej; Rożek-Piechura, Krystyna

doi:10.5114/pm.2019.84157

Cited by 43 publications

(48 citation statements)

References 25 publications

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“…The grades of SUI are as follows: grade 1, urinary outflow will occur only when negative pressure is increased such as laughter, coughing, sneezing, etc. ; grade 2, urine outflow occurs during nonviolent normal activities such as standing and walking; grade 3, under rest, bed rest, and other resting states, urine flows out spontaneously ( Kołodyńska et al, 2019 ).…”

Section: Methodsmentioning

confidence: 99%

Transobturator four-arms mesh in the surgical management of cystocele: a long-term follow-up

et al. 2021

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We studied the long-term efficacy and safety of cystocele operation by polypropylene mesh. A total of 198 women with stage ≥2 cystocele who had anterior vaginal wall repair with transobturator four-arm polypropylene mesh during 2003 to 2015 were evaluated. Outcomes including clinical characteristics and complications were reviewed by extracting patient data from electronic medical records. In addition, telephone interviews were conducted using a validated questionnaire along with physical examination. The follow-up period was 9.3±0.3 years. The cystocele stage in patients was significantly decreased post-operation compared to that preoperation. The anatomical cure rate for cystocele was 93.4%, and that for stress urinary incontinence was 95%. Comparing the three questionnaires indicated overall average score was improved significantly, except for Female Sexual Function Index Assessment. Early complications were either resolved spontaneously or controlled medically in four cases of hematoma or abscess, three cases of vaginal infection and urinary tract infection, and four cases of difficult micturition. In late complications, four cases of pain were managed, five cases of recurrence were observed and two cases of mesh exposure were treated with ointment and local excision. Transobturator four-arms mesh is an effective and safe method for cystocele repair with low rate of recurrence and complications. We suggest that the use of transobturator four-arm mesh is a still good choice for the old patients with cystocele who are not suitable for general anesthesia and reside in areas where laparoscopy and robots are not available.

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Section: Methodsmentioning

confidence: 99%

Transobturator four-arms mesh in the surgical management of cystocele: a long-term follow-up

et al. 2021

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“…The incidence of SUI has gradually increased with the global aging, recent studies have reported that SUI has become one of the world's five major chronic diseases 23,24 . SUI compromises patients' ability of social, sexual life and psychology health level, thereby reducing patients' quality of life 25,26 .…”

Section: Discussionmentioning

confidence: 99%

TVT‐O vs TVT‐S for female stress urinary incontinence: A systematic review and meta‐analysis

Song

Shen

et al. 2020

Int J Clin Pract

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Background Tension‐free vaginal tape obturator (TVT‐O) and tension‐free vaginal tape secur (TVT‐S) are common surgeries for the treatment of stress urinary incontinence (SUI), several randomised controlled trials (RCTs) have compared the effects of TVT‐O and TVT‐S, yet the results remained inconsistent. Therefore, we attempted to conduct this systematic review and meta‐analysis to analyse the role of TVT‐O and TVT‐S in patients with SUI. Methods We searched PubMed databases from inception date to Jan 15, 2020 for RCTs that compared TVT‐O and TVT‐S in SUI patients. Two authors independently screened and extracted data from the published articles. Summary odd ratios (OR) or mean differences (MD) with 95% confidence intervals (95% CI) were calculated for each outcome by fixed‐ or random‐effects model. Results Seven RCTs with a total of 755 patients were identified, with 373 patients for TVT‐O and 382 patients for TVT‐S. TVT‐O preceded TVT‐S in the objective cure at 12 months (OR = 1.72, 95% CI 1.21‐2.45), subjective cure (OR = 1.98, 95% CI 1.08‐3.62); but TVT‐S have more advantage in the incidence of postoperative thigh pain (OR = 18.94, 95% CI 7.01‐51.15); no significant differences on the duration of operative procedure (OR = −1.09, 95% CI −2.37‐0.18), urinary retention (OR = 0.77, 95% CI 0.36‐1.62) and urinary infection (OR = 1.80, 95% CI 0.63‐5.13) were found. Conclusions TVT‐O should be preferred for patients with SUI even though with higher risks of postoperative thigh pain when compared with TVT‐S, more related studies are needed to identify the role of TVT‐O and TVT‐S for the treatment of SUI.

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“…Urinary incontinence has been found in 50% of postmenopausal women. The high incidence of urinary incontinence in menopausal women is due to estrogen defi ciency 18 .…”

Section: Discussionmentioning

confidence: 99%

Pelvic Floor Muscle Strength Stress Urinary Incontinence

Anggraeni¹,

Hakim²,

Santoso

et al. 2020

Indones J Obstet Gynecol

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Objective: To examine the relationship between muscle strength and muscle thickness of levator ani with stress urinary incontinence (SUI) in women.Methods: This study uses a comparative cross-sectional study design. We collected 82 women who visiting the Obstetrics and Gynecology clinic of RSUPN Dr. Cipto Mangunkusumo with the study group were subjects with positive cough tests while the control group were subjects with negative cough tests. The data obtained in the form of history taking, Questionnaire for Urinary Incontinence Diagnosis (QUID), physical examination (POPQ), cough test. perineometer, and ultrasound.Results: We found no significant difference between the levator ani muscle thickness to the incidence of SUI with the median levator ani muscle thickness 0.63 cm (range 0.31-1.02 and p = 0.897). While levator ani muscle strength against SUI has a median of 19.5 (range 4.6-88.6 and p = 0.001). In multivariate analysis it was found that purely SUI, prolapse and age had no significant effect on the strength of levator ani muscles with a p-value of 0.243; 0.844; 0.903.Conclusions: There is no significant difference in levator ani muscle thickness between women who experience SUI compared to those who do not. Women with SUI have weaker levator ani muscle strength than those who do not experience but are not statistically significant. And there is no correlation between muscle strength and levator ani muscle thickness in women with SUI.Keywords: muscle strength, muscle thickness, perineometer, stress urinary incontinence, ultrasound. Abstrak Tujuan : Untuk mengkaji hubungan antara kekuatan otot dan ketebalan otot levator ani dengan keluhan IU-T pada perempuan.Metode : Penelitian ini menggunakan desain perbandingan potong lintang dengan melibatkan 82 wanita yang berkunjung di poliklinik Obstetri dan Ginekologi RSUPN Dr. Cipto Mangunkusumo dengan kelompok studi adalah subyek dengan tes batuk positif sedangkan kelompok kontrol adalah subyek dengan tes batuk negative. Data yang diperoleh berupa hasil anamnesis, Questionnaire for Urinary Incontinence Diagnosis (QUID), pemeriksaan fisik (POPQ), tes batuk. perineometer , dan USG.Hasil: Hasil penelitian ini didapatkan tidak ada perbedaan bermakna antara ketebalan otot levator ani terhadap kejadian IUT dengan median ketebalan otot levator ani 0,63 cm (jarak 0,31-1,02 dan p=0,897). Sedangkan kekuatan otot levator ani terhadap IUT memiliki median 19,5 (jarak 4,6-88,6 dan p=0,001). Pada analisis multivariat didapatkan bukti bahwa secara murni IUT, prolap dan usia tidak mempunyai pengaruh bermakna terhadap kekuatan otot levator ani dengan nilai p masing-masing 0,243; 0,844; 0,903.Kesimpulan : Tidak terdapat perbedaan yang bermakna pada ketebalan otot levator ani antara perempuan yang mengalami IU-T dibanding yang tidak mengalami. Perempuan IU-T mempunyai kekuatan otot levator ani yang lebih lemah dibanding yang tidak mengalami, namun tidak bermakna secara statistik. Tidak terdapat hubungan korelasi antara kekuatan otot dan ketebalan otot levator ani pada perempuan yang mengalami IU-T. Kata kunci : inkontinensia urin jenis tekanan, ketebalan otot, kekuatan otot, perineometer, USG

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Urinary incontinence in postmenopausal women – causes, symptoms, treatment

Cited by 43 publications

References 25 publications

Transobturator four-arms mesh in the surgical management of cystocele: a long-term follow-up

Transobturator four-arms mesh in the surgical management of cystocele: a long-term follow-up

TVT‐O vs TVT‐S for female stress urinary incontinence: A systematic review and meta‐analysis

Pelvic Floor Muscle Strength Stress Urinary Incontinence

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