ICS Educational Module: Cough stress test in the evaluation of female urinary incontinence: Introducing the ICS-Uniform Cough Stress Test

2018 ◽  
Vol 37 (5) ◽  
pp. 1849-1855 ◽  
Author(s):  
Michael L. Guralnick ◽  
Xavier Fritel ◽  
Tufan Tarcan ◽  
Montserrat Espuna-Pons ◽  
Peter F. W. M. Rosier
Keyword(s):  
Urinary Incontinence ◽  
Stress Test ◽  
Female Urinary Incontinence ◽  
Educational Module ◽  
Cough Stress Test

scholarly journals Efficacy of the inside-out tramsobturator tension-free vaginal tape (TVT-ABBREVO) for the treatment of stress urinary incontinence after a 12-month follow-up

2017 ◽  
Vol 30 (1) ◽  
Author(s):  
Carlo Rappa ◽  
Gabriele Saccone
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Test ◽  
P Value ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Cough Stress Test ◽  
Inside Out

The aim of this study was to evaluate the efficacy of the inside-out tension-free vaginal tape transobturator approach or TVT-Obturator system (TVT-ABBREVO) in women with stress urinary incontinence (SUI). This is a prospective single arm study of women with SUI who underwent a TVT-ABBREVO procedure. The inclusion criterion was a diagnosis of SUI urodynamically proven without detrusor over activity. SUI was defined as involuntary urine leakage with stress in the absence of detrusor over activity with or without intrinsic sphincter deficiency. Before, and 12 months after surgery women received urodynamic test, pelvic examination, and a personal interview using the Urogenital Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ). The primary outcome was the incidence of incontinency through cough stress test during the urodynamic exam. A total of 90 women were included in the analysis. Our analysis showed that the incidence of incontinence through cough stress test during the urodynamic exam was significantly less 12 months after the intervention (100% vs 3%; P-value =0.001). Moreover, we found a significantly improvement of the quality of life measured by UDI score (13±4.5 vs 7.3±2.2 points; P-value 0.01) and IIQ score (14±5.7 vs 8.1 vs 3.1 points; P-value 0.02). No intraoperative complications were noticed. TVT-ABBREVO significantly reduced the incidence of stress urinary incontinence. In the authors’ experience, this technique resulted technically simple and provided high objective and subjective long-term efficacy, a clinically meaningful improvement in patient quality of life, and an excellent safety profile.

scholarly journals Trans-Oturator-Tape (T.O.T.) "outside-in" approach in surgical treatment of female stress urinary incontinence

2014 ◽  
Vol 61 (1) ◽  
pp. 69-72
Author(s):  
M. Jovanovic ◽  
Zoran Dzamic ◽  
Miodrag Acimovic ◽  
Boris Kajmakovic ◽  
Tomislav Pejcic
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Test ◽  
Female Stress Urinary Incontinence ◽  
Minimally Invasive Surgical Procedure ◽  
Full Bladder ◽  
Minimally Invasive Surgical ◽  
Cough Stress Test ◽  
Safe Technique

Objective: The aim of the study was to analyzed the efficacy and safety of a minimally invasive surgical procedure using the Trans-Obturator-Tape with "outside-in" approach for treatment female stress urinary incontinence. Patients and Methods: 171 women with stress urinary incontinence (SUI) associated with urethral hypermobility, underwent the T.O.T. procedure (March 2010 to January 2014). 27 patients were previously operated for incontinence. Mean age was 59 years (37-80). 6 patients were having mixed incontinence, and 51 had SUI with urgencies. A non-elastic, polypropylene tape was placed under the mid-urethra. The surgical placement technique utilises a trans - obturator percutaneous approach. All patients underwent post-operative clinical examination, cough-stress test (full bladder), uroflowmetry, and post-voiding residual assessment. Results: Mean follow-up was 22 months (4-45). At 12 months follow-up 91,2% of the patients were completely cured. The overall peri-operative complication rate was 6,4% with no vascular, nerve or bowel injury. 5 patients (2,9%) had post-operative urinary retention. Conclusion: The present study confirms the results obtained by the instigator of the technique, E. Delorme, and allows us to consider T.O.T. as an effective and safe technique for the treatment of female stress urinary incontinence.

scholarly journals Treating Women With Urinary Incontinence and Overactive Bladder

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Nurul Yaqin Mohd Nor ◽  
Zalina Nusee
Keyword(s):  
Urinary Incontinence ◽  
Overactive Bladder ◽  
Prospective Observational Study ◽  
Muscle Power ◽  
Pelvic Floor Muscle ◽  
Stress Test ◽  
Severity Index ◽  
Pad Test ◽  
Cough Stress Test

Introduction: Pelvic floor Muscle Training (PFMT) commonly used physical therapy for Female Overactive bladder (OAB) and stress urinary incontinence (SUI). However some women has difficulty to understand and comply to PFMT. Our aim is to evaluate the effectiveness of Transpelviner Magnetic Stimulation (TPMS) as a replacement for PFMT. Materials and Methods: A prospective observational study on 53 women with SUI or OAB, were assessed objectively using cough stress test, bladder diary, one hour pad test, perineometry and validated questionnaires. Then, all of them received 10 courses of individualized TPMS therapy over five weeks. Reassessments were done after five weeks and six months of initial treatment. The outcomes were measured by severity index, negative pad test, muscle power, numbers of leaking episodes, daytime frequency and nocturia, negative cough stress test and improvement in specific quality of life questionnaires (QOL) Results: Frequency of micturition in OAB showed reduction from 100% at baseline to 12.5%,(p=0.053) after five weeks and 25%,(p=0.345) after six months. While, SUI reducedfrom 100% to 17.2(0.052) and 27.6% (p=0.826) after six months. Urgency OAB reduced from 100% to 12.5% and SUI reduced from 100% to 41.4%. It appears that after five weeks of treatment, all participants improved in their severity index (75%) followed by OAB (55.6%). However the percentage dropped six months later which was 50% and 12.5%, respectively. These results were consistent for perineal muscles power, one hour pad test and QOL score. Conclusion: TPMS shows significant effectiveness to treat OAB and SUI. However, bigger study is required to compare it with PFMT in treating urinary symptoms.

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