081 Sub-Urethral Sling Surgery For Stress Incontinence May Result In Orgasmic Dysfunction Through Direct Injury to Anterior Vaginal Wall, Peri-Urethral Prostatic Tissue

2016 ◽  
Vol 13 (5) ◽  
pp. S39
Author(s):  
N. Szell ◽  
B. Komisaruk ◽  
I. Goldstein
Keyword(s):  
Stress Incontinence ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Prostatic Tissue ◽  
Direct Injury ◽  
Sling Surgery ◽  
Orgasmic Dysfunction

scholarly journals Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Bilal Chughtai ◽  
Sara Spettel ◽  
Jonathan Kurman ◽  
Elise De
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Incontinence ◽  
Real Life ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Sling Procedure ◽  
Occult Stress Urinary Incontinence ◽  
Anatomic Results

Objective. We evaluated the use of a one-week ambulatory pessary trial in predicting patients' postoperative outcomes for occult stress incontinence.Methods. Patients with anterior vaginal wall prolapse were offered a pessary trial to predict response to reconstruction. We performed a retrospective review of 4 years of cases. All patients underwent a detailed evaluation including videourodynamics with and without pessary reduction.Results. Twenty-six patients completed the 1-week pessary trial. Ten (38%) women showing no evidence of stress urinary incontinence (SUI) underwent surgical repair of prolapse without anti-incontinence procedure. None of these patients had SUI postoperatively. Sixteen women (61%) had occult stress urinary incontinence on evaluation and underwent concurrent sling procedure. Three (19%) of these patients were identified by the pessary trial alone. Twenty-five of the 26 patients were without clinical stress incontinence at a mean follow up of 12 months (range 4–37 months). The pessary trial correctly predicted persistent urgency in six patients and persistent frequency in five. No patients with SUI or persistent voiding difficult were missed in a pessary trial.Conclusion. An ambulatory pessary trial is an effective, easy, and inexpensive method to approximate anatomic results achieved by surgery under real-life conditions. In our series, 20% of patients with occult SUI were identified by pessary trial alone.

A new needle suspension procedure for genuine stress incontinence and anterior vaginal wall prolapse

1996 ◽  
Vol 7 (2) ◽  
pp. 64-68 ◽  
Author(s):  
M. Çolakoĝlu ◽  
M. Çapar ◽  
M. Kiliç ◽  
Ü. Çolakoĝlu ◽  
H. Kaya ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Vaginal Wall Prolapse ◽  
Genuine Stress Incontinence ◽  
Needle Suspension
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