Prevalence of stress urinary incontinence and intrinsic sphincter deficiency in patients with stage IV pelvic organ prolapse

2020 ◽  
Author(s):  
Keila S. Muñiz ◽  
Marjorie Pilkinton ◽  
Harvey A. Winkler ◽  
Dara F. Shalom
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Stage Iv ◽  
Pelvic Organ ◽  
Intrinsic Sphincter Deficiency ◽  
Sphincter Deficiency

scholarly journals Predictors for De Novo Overactive Bladder after Readjustable Mid-Urethral Sling Procedure in Women with Stress Urinary Incontinence due to Intrinsic Sphincter Deficiency

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Joo Hyun No ◽  
Kyung Hwa Choi ◽  
Dae Keun Kim ◽  
Tae Heon Kim ◽  
Seung Ryeol Lee
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Overactive Bladder ◽  
De Novo ◽  
Pelvic Organ ◽  
Intrinsic Sphincter Deficiency ◽  
Urinary Flow ◽  
Sling Procedure ◽  
Group 2 ◽  
Sphincter Deficiency

Purpose. This study identified noninvasive factors that predict overactive bladder (OAB) after readjustable mid-urethral sling surgery (Remeex system) in women with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD). Materials and Methods. We retrospectively reviewed the medical records of 130 women with SUI due to ISD [Valsalva leak-point pressure (VLPP) <60 cm H2O] who underwent the Remeex procedure between February 2011 and March 2017. Patients were classified according to OAB symptoms before and 6 months after the Remeex procedure: Group 1, without preoperative and postoperative OAB (n=46); Group 2, without preoperative OAB and with postoperative OAB (de novo OAB, n=15); Group 3, with preoperative OAB and without postoperative OAB (n=25); Group 4, with preoperative and postoperative OAB (n=44). Noninvasive clinical and urodynamic factors were evaluated as predictors of de novo OAB. Results. The four groups significantly differed with respect to age (p=0.036), peak urinary flow rate (PUFR) one month after surgery (post-PUFR, p=0.001), and postvoid residual (PVR) one month after surgery (post-PVR, p=0.005). No significant differences were detected for body mass index, diabetes, multiparity, menopause, previous hysterectomy, previous incontinence surgery, previous pelvic organ prolapse surgery, pyuria, preoperative PUFR, preoperative PVR, maximal cystometric capacity, VLPP, maximum urethral closure pressure, detrusor pressure at PUFR, and detrusor overactivity (p>0.05). Post-PUFR decreased significantly compared with preoperative PUFR in Groups 1, 2, and 4 (p=0.002, p=0.001, and p=0.001, respectively). Pairwise comparisons of post-PUFR and post-PVR revealed statistically significant differences between Group 2 and other groups (p<0.0125). Multivariate logistic regression analyses showed that post-PUFR was the only significant predictor of de novo OAB (odds ratio = 0.823, 95% confidence interval 0.727-0.931, p=0.002). Conclusions. Reduced PUFR after the Remeex procedure is a promising predictor of risk for de novo OAB. This metric is noninvasive and easy to measure.

scholarly journals Role of different childbirth strategies on pelvic organ prolapse and stress urinary incontinence: a prospective study

2008 ◽  
Vol 121 (3) ◽  
pp. 213-215 ◽  
Author(s):  
Lan ZHU ◽  
Xu-ming BIAN ◽  
Yan LONG ◽  
Jing-he LANG
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Prospective Study ◽  
Pelvic Organ ◽  
A Prospective Study

Evaluating Alternative Materials for the Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse: A Comparison of the In Vivo Response to Meshes Implanted in Rabbits

2016 ◽  
Vol 196 (1) ◽  
pp. 261-269 ◽  
Author(s):  
Sabiniano Roman ◽  
Iva Urbánková ◽  
Geertje Callewaert ◽  
Flore Lesage ◽  
Christopher Hillary ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Pelvic Organ ◽  
Alternative Materials

scholarly journals Sexual function in women with pelvic floor disorders

2013 ◽  
Vol 7 (9-10) ◽  
pp. 199 ◽  
Author(s):  
Rebecca G. Rogers
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Sexual Function ◽  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Pelvic Floor Dysfunction ◽  
Pelvic Organ ◽  
The Impact

Pelvic floor disorders (PFDs) can impact sexual function. This summary provides an overview of the impact of stress urinary incontinence and pelvic organ prolapse and their treatments on sexual function. In general, interventions that successfully address PFDs will generally improve sexual function as well. However, there are patients whose sexual function will remain unchanged despite treatment, and a small but significant minority who will report worsened sexual function following treatment for their pelvic floor dysfunction.

Sexual disorders in women who have undergone surgery for pelvic organ prolapse or stress urinary incontinence using synthetic prostheses

2021 ◽  
Vol 5_2021 ◽  
pp. 33-39
Author(s):  
Nechiporenko N.A. Nechiporenko N ◽  
But-Gusaim L.S. But-Gusaim L ◽  
Nechiporenko A.N. Nechiporenko A ◽  
◽  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Pelvic Organ ◽  
Sexual Disorders
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