Multifilament tape resulted in similar cure rate of stress incontinence as monofilament tape, but less urinary retention

2004 ◽  
Vol 6 (2) ◽  
pp. 85-86
Keyword(s):  
Urinary Retention ◽  
Stress Incontinence ◽  
Cure Rate ◽  
Multifilament Tape ◽  
Similar Cure

scholarly journals Cough Test during Tension-Free Vaginal Tape Procedure in Preventing Postoperative Urinary Retention

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Jian Kang ◽  
Xin Gou ◽  
Qing-hua Zhao ◽  
Wei-yang He ◽  
Ming-zhao Xiao ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Stress Incontinence ◽  
Test Group ◽  
Cure Rate ◽  
Postoperative Urinary Retention ◽  
Female Stress Incontinence ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Group 4 ◽  
Cough Test

Objective. To discuss the practical value of the cough test during the tension-free vaginal tape (TVT) procedure.Methods. In the first group, 41 patients of female stress incontinence received TVT operations which were performed according to the Ulmsten’s method strictly, only that the stress of tape was adjusted in light of the cough test. In the second group, 44 patients of female stress incontinence received TVT operations in which the tape was put under the urethral tract without stress, not adjusted by cough test.Results. The cure rate was 38/41 (92.6%) in the cough test group and 41/44 (93.1%) in the noncough test group; detrusor pressure-uroflow study indicated that there were 11 cases in the obstruction zone in the cough test group while only 3 cases were in the obstruction zone in the noncough test group; 4 cases of urinary retention and 5 cases of voiding dysfunction were found in the cough test group, while difficulties of urination were not found in the non-cough test group.Conclusion. Adjusting the tape stress in accordance with the cough test during the TVT can increase the opportunity of urinary retention or difficulty of urination after operation. So there is no benefit of the cough test during tension-free vaginal tape procedure in preventing post-operative urinary retention.

scholarly journals Comparison of vaginal wall sling and modified vaginal wall sling for stress urinary incontinence

2000 ◽  
Vol 118 (3) ◽  
pp. 63-68
Author(s):  
Carlos Alberto Bezerra ◽  
Marcus Vinicius Sadi
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Urinary Retention ◽  
Vaginal Wall ◽  
Cure Rate ◽  
Major Complications ◽  
Vaginal Wall Sling ◽  
Group A ◽  
Group B

CONTEXT: There are several controversies about which is the best form of surgical treatment for stress urinary incontinence in women. The vaginal wall sling in its original and modified form were presented by Raz as new options for treatment of these conditions, but there is a lack of comparative clinical trials using both techniques. OBJECTIVE: To compare the effectiveness of the original and the modified vaginal wall sling. DESIGN: A comparative, prospective, non-randomized clinical trial. SETTING: Public and private health care units (Urology Division, Faculty of Medicine of the ABC Foundation, and Universidade Federal de São Paulo / Escola Paulista de Medicina). PARTICIPANTS: Twenty patients with anatomical and intrinsic sphincter deficiency stress urinary incontinence were surgically treated for evaluating the initial results of the vaginal wall sling, from February 5, 1994, to June 27, 1996. INTERVENTIONS: The patients were divided into two groups. Group A (n = 10) were treated with the original vaginal wall sling. Group B (n = 10) were treated with the modified vaginal wall sling. Both groups were statistically similar according to clinical and urodynamic parameters. MAIN MEASUREMENTS: Cure and complication rates. RESULTS: Follow-up ranged from 19 to 43 months (median = 28) for group A. The overall cure rate was 70%. Fifty per cent of the patients had urinary retention of 7 to 35 days. There were no major complications. Follow-up ranged from 14 to 26 months (median = 18) for Group B. The cure rate was 80%. Two patients had urinary retention of 7 and 55 days. There were no major complications. CONCLUSIONS: The vaginal wall sling is as effective as the modified vaginal wall sling but has a higher rate of urinary retention.

scholarly journals Acupuncture Compared with Intramuscular Injection of Neostigmine for Postpartum Urinary Retention: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Xiao-Mei Wang ◽  
Jing Gong ◽  
Si-Cong Li ◽  
Mei Han
Keyword(s):  
Urinary Retention ◽  
Intramuscular Injection ◽  
Meta Analysis ◽  
Clinical Effectiveness ◽  
Acupuncture Group ◽  
Controlled Trials ◽  
Cure Rate ◽  
Randomized Controlled ◽  
Effectiveness Rate ◽  
Postpartum Urinary Retention

Objective. To compare the effectiveness and safety of acupuncture versus intramuscular injection of neostigmine. Methods. Databases including CNKI, VIP, WanFang, SinoMed, PubMed, Cochrane Library, and clinicaltrials.gov database were retrieved for relevant literature, with the retrieval deadline being November 2017. Two reviewers independently screened, selected, and extracted data and validated the results. The methodological quality was evaluated with the “Risk of Bias” tool, and the meta-analysis was performed by using the RevMan 5.3.5 software. Results. Totally 953 patients with postpartum urinary retention from 15 randomized controlled trials entered the meta-analysis. 12 articles compared the clinical cure rate of acupuncture alone versus intramuscular injection of neostigmine and found the cure rate in the acupuncture group was 2 times that in the neostigmine group (RR, 1.91; 95% CI: 1.66–2.19). 15 articles compared the clinical effectiveness rate of acupuncture alone with that of intramuscular injection of neostigmine and found the clinical effectiveness rate was 28% higher in the acupuncture group than in the neostigmine group (RR: 1.28; 95% CI: 1.16–1.42). No adverse event was reported in the acupuncture group. Conclusion. Acupuncture alone is more effective in treating postpartum urinary retention than intramuscular injection of neostigmine, with good safety profile. Therefore, it is a feasible and valuable technique in clinical settings.

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