Comparative assessment of the efficiency of surgical methods of recurrent urinary incontinence

2017 ◽  
Vol 16 (3) ◽  
pp. e1494
Author(s):  
G.R. Kasyan ◽  
R.V. Stroganov ◽  
N.V. Tupikina ◽  
M.Y. Gvozdev ◽  
D.Y. Pushkar
Keyword(s):  
Urinary Incontinence ◽  
Comparative Assessment ◽  
Surgical Methods

scholarly journals Risk factors AND Ecology of uRiNARY iNOoNTINENOE

2019 ◽  
Vol 19 (1-2) ◽  
pp. 140-148
Author(s):  
A. R Amirov ◽  
O. A Lobkarev ◽  
R. A Bodrova
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Conservative Therapy ◽  
Unsolved Problem ◽  
Urinary Disorders ◽  
Timely Diagnosis ◽  
Surgical Methods ◽  
Methods Of Treatment

Urinary incontinence is an unsolved problem in urology. Awareness of the predisposing risk factors and the etiology of urinary incontinence contributes to its prevention, to facilitate timely diagnosis and the choice of the correct tactics for the correction of urinary disorders. The main causes of incontinence may be dysfunction of the detrusor, its hyperactivity, hyperreflexia, low elasticity, disruption of the sphincter apparatus, paradoxical ishuria, and extraurethral incontinence. In the treatment of incontinence, it was originally recommended to use conservative therapy; in the absence of effect, one can think of surgical methods of treatment depending on the degree of the disorder. This review considers literature data on the identification of risk factors and etiology in the development of urinary incontinence.

scholarly journals Surgical Outcomes of Transvaginal Neobladder-Vaginal Fistula Repair after Radical Cystectomy with Ileal Orthotopic Neobladder

2020 ◽  
Author(s):  
Wan Song ◽  
Dong Hyeon Lee
Keyword(s):  
Urinary Incontinence ◽  
Radical Cystectomy ◽  
Surgical Outcomes ◽  
Foley Catheter ◽  
Vaginal Wall ◽  
Fistula Tract ◽  
Vaginal Fistula ◽  
Orthotopic Neobladder ◽  
Transvaginal Approach ◽  
Surgical Methods

To present surgical methods and outcomes of neobladder-vaginal fistula (NVF) repair after radical cystectomy (RC) with ileal orthotopic neobladder (IONB). Methods: We retrospectively reviewed 136 women who underwent RC with IONB for bladder cancer between January 2010 and December 2018. The NVF was confirmed by cystoscopy and/or voiding cystography. NVF repair was performed using a transvaginal approach, which included circumferential incision of the fistula tract, creation of a plane between the neobladder serosa and the vaginal epithelium, and multi-layered transvaginal closure. Results: During a median follow-up of 47.9 months, NVF was identified in 12 (8.8%) women. Eight fistulas were located in the proximal anterior vaginal wall and four in the vaginal apex. Median time from RC to NVF repair was 3.4 months. Median NVF size and duration of urethral Foley catheter indwelling was 6.0 mm and 24.0 days, respectively. Initial repair of NVF was successful in ten (83.3%) patients. Two (16.7%) patients who relapsed retained IONB through the subsequent operation. Two (16.7%) patients developed urinary incontinence after NVF repair, requiring anti-incontinence surgery. Conclusions: The transvaginal approach for NVF repair is feasible, yielding successful surgical outcomes. However, women should be counseled about the risks of relapse and urinary incontinence.

scholarly journals Comparison of ExPress Mini-Device Implantation Alone or Combined with Phacoemulsification for the Treatment of Open-Angle Glaucoma

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Łukasz Stawowski ◽  
Joanna Konopińska ◽  
Marta Deniziak ◽  
Emil Saeed ◽  
Renata Zalewska ◽  
...  
Keyword(s):  
Open Angle Glaucoma ◽  
Comparative Assessment ◽  
Open Angle ◽  
Combined Surgery ◽  
Device Implantation ◽  
Corrected Visual Acuity ◽  
Surgical Methods ◽  
Express Group ◽  
Phakic Eyes

We propose comparative assessment of the effectiveness of two surgical methods for the treatment of open-angle glaucoma: (1) ExPress mini-device implantation combined with phacoemulsification and (2) ExPress mini-device implantation alone. In this prospective study, 81 patients (88 phakic eyes) with uncontrolled open-angle glaucoma enrolled for surgery. They were assigned two groups, those with coexisting cataracts (46 eyes; P-ExPress group) and those with glaucoma alone (42 eyes; ExPress group). The follow-up period was 12.9 ± 0.4 months in P-ExPress and 12.2 ± 0.6 months in ExPress group. In both groups the following parameters were measured: best corrected visual acuity (BCVA), intraocular pressure (IOP), number of complications and necessary postoperative interventions, and number of glaucoma medications. The IOP at the end of follow-up was similar in both groups (18.8 ± 5.9 versus 18.1 ± 4.8 mmHg;P=0.814). There were no statistical differences in the average number of glaucoma medications between ExPress and P-ExPress groups (0.9 ± 1.65 versus 1.3 ± 1.7;P=0.419) as well as in the number of postoperative complications (26 versus 21%;P=0.179in the P-ExPress and ExPress groups, resp.). Both methods are safe and effective for the surgical treatment of open-angle glaucoma. Coexistence of cataracts does not constitute a compelling contraindication for combined surgery.

scholarly journals Complications after different surgical methods for suburethral implantation of polypropylene slings in women with stress urinary incontinence

2020 ◽  
Author(s):  
Igor Eizenakh ◽  
Olesiya Korotkevich ◽  
Vadim Mozes ◽  
Veronika Vlasova
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Suburethral Sling ◽  
Fixation Method ◽  
Suburethral Slings ◽  
Limit Values ◽  
Surgical Methods ◽  
Implantation Techniques ◽  
Inside Out ◽  
Mini Sling

Objective: to identify the proportion of complications after suburethral implantation of polypropylene slings in women with stress urinary incontinence based on a seven-year experience. Material and Methods. We conducted the analysis of а seven-year experience in various implantation techniques of suburethral slings in 1260 women with stress urinary incontinence: inside-out and outside-in obturator sling fixation; suprapubic sling fixation and non-trocar mini-sling installment. Results. The highest incidence of complications was observed over the first two years after suburethral sling implantation was performed. Subsequently, the proportion of complications declined progressively to the lower limit values of 7-8% in the course of three last years. An incidence of early surgical complications among various suburethral sling implantation techniques had no statistically significant differences. However, after the suprapubic sling implantation, intraoperative and mesh-associated complications prevailed. Conclusion. Our study confirmed that suburethral sling implantation using suprapubic fixation method was associated with a higher incidence of complications and should have been performed exclusively for the target group of the patients, for whom safer surgical procedures were contraindicated.

Overactive bladder

2021 ◽  
Vol 11 (7) ◽  
pp. 116-123
Author(s):  
Anna Zwierzyńska
Keyword(s):  
Urinary Incontinence ◽  
Clinical Symptoms ◽  
Treatment Options ◽  
Correct Diagnosis ◽  
Medical Personnel ◽  
Non Invasive ◽  
Micturition Disorders ◽  
Surgical Methods ◽  
Source Of Information ◽  
Treatment Surgery

Urinary incontinence is a problem among both older and young women. The most common symptoms of this condition include urinary incontinence and an unpleasant odour. In order to conceal the ailments related to this problem, women change their lifestyle by limiting the amount of fluid consumed and not moving too far from home or places where toilets are located. The main source of information on this disease in women aged over 45 is books, magazines and websites. Medical personnel are only ranked behind them. In order to make a correct diagnosis of this disease and to start treatment, urodynamic examination, urinalysis, cystoscopy and imaging examinations should be performed. Urodynamic examination can be divided into two groups: invasive and non-invasive. The micturition diary is considered to be the basic urodynamic test. It allows for performing differential diagnosis of functional micturition disorders. It is characterized by high repeatability and correlation with clinical symptoms. Treatment options are dependent on the type of urinary incontinence. They may include conservative treatment, surgery and pharmacotherapy. Combining conservative methods with pharmacological or surgical methods brings the most beneficial results. Invasive methods are the last-line therapy.

Minimally invasive surgery for benign prostatic hyperplasia: causes, forms, and prevention of urinary disorders (literature review)

2021 ◽  
pp. 47-65
Author(s):  
Mark Albertovich Volodin ◽  
Anastasiya Sergeevna Malykhina ◽  
Dmitriy Vladimirovich Semenychev ◽  
Evgeniy Nikolaevich Bolgov ◽  
Vladimir Aleksandrovich Perchatkin
Keyword(s):  
Urinary Incontinence ◽  
Benign Prostatic Hyperplasia ◽  
Stress Urinary Incontinence ◽  
Minimally Invasive ◽  
Behavioral Therapy ◽  
Prostatic Hyperplasia ◽  
Early Recovery ◽  
Urinary Disorders ◽  
Bladder Obstruction ◽  
Surgical Methods

Benign prostatic hyperplasia (BPH) ranks 4th among all diagnoses in the group of men 50 years of age and older. With an increase in prostate volume of more than 20 cm³, patients develop lower urinary tract symptoms (LUTS), which negatively affect the quality of life of men. Currently, minimally invasive endovideosurgical methods of treating BPH have proven themselves successfully: transurethral resection (TUR) of monopolar or bipolar type, transurethral bipolar enucleation of the prostate (TUEP), holmium laser enucleation of the prostate (HoLEP). However, despite the clinical efficiency of endoscopic operations, the incidence of postoperative complications remains quite significant. After surgical intervention, the main causes of urinary disorders are detrusor overactivity or a decrease in its functional activity, as well as bladder obstruction. Prolonged bladder catheterization in the postoperative period prevents early recovery of independent urination, which is a risk factor for the development of urinary disorders. Stress urinary incontinence has a significant impact on patients, both physically and mentally. For the treatment of postoperative stress urinary incontinence, behavioral therapy, drug treatment of disorders, minimally invasive methods of treatment are used: injections of hyaluronic acid into the submucous layer of the urethra, botulinum toxin into the detrusor, as well as the technique of sacral neuromodulation. Surgical methods include the implantation of a synthetic sphincter or the installation of male sling.

scholarly journals Impact of Obesity on Long-Term Urinary Incontinence after Radical Prostatectomy: A Meta-Analysis

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Yong Wei ◽  
Yu-Peng Wu ◽  
Min-Yi Lin ◽  
Shao-Hao Chen ◽  
Yun-Zhi Lin ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Radical Prostatectomy ◽  
Cancer Progression ◽  
Meta Analysis ◽  
Outcome Data ◽  
Laparoscopic Radical Prostatectomy ◽  
Cochrane Library ◽  
Surgical Methods ◽  
Study Characteristics ◽  
The Relationship

Obesity is a known risk factor for prostate cancer progression and may contribute to poor treatment outcomes. However, little is known concerning the relationship between obesity (body mass index [BMI] ⩾ 30) and the urinary incontinence (UI) of patients after radical prostatectomy (RP). The goal of this study was to focus on the prevalence and duration of UI after RP with specific attention to the BMI. Subsequently, trials were identified in a literature search of PubMed, Embase, Cochrane Library, Web of Science, and Google Scholar using appropriate search terms. All comparative studies reporting BMI, study characteristics, and outcome data including the relationship between BMI and urinary incontinence data were included. Finally, four studies comprising 6 trials with 2890 participants were included. The results showed that obesity increased UI risk at 12 months in patients who underwent robotic-assisted laparoscopic radical prostatectomy (RLRP) (odds ratio [OR] 2.43, 95% confidence interval [CI] [1.21, 4.88], P=0.01). When stratified by the surgical methods, the pooled results showed that obesity increased UI risk at 24 months in patients who underwent RLRP (OR 2.00, 95% CI [1.57, 2.56], P<0.001). However, in patients who underwent laparoscopic radical prostatectomy (LRP), the pooled results showed that obesity does not increase UI risk at 24 months (OR 1.13, 95% CI [0.74, 1.72], P=0.58). This is the first study to include obesity as the primary independent variable. Outcomes indicate that obesity (BMI ≥ 30) may increase the UI risk at 12 and 24 months after RLRP. Well-designed randomized controlled trials with strict control of confounders are needed to make results comparable.

1375: Contributions of Collagen and Elastin to Urethral Biomechanics: Correlation of Damaged Elastin to Stress Urinary Incontinence Induced by Birth Trauma

2007 ◽  
Vol 177 (4S) ◽  
pp. 453-454
Author(s):  
Rachelle L. Prantif ◽  
William C. de Groat ◽  
Donna J. Haworth ◽  
Ronald J. Jankowski ◽  
Michael B. Chancellor ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Birth Trauma
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