Long-Term Results of Surgical Treatment for Female Stress Urinary Incontinence

2001 ◽  
Vol 66 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Hann-Chorng Kuo
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Long Term Results ◽  
Female Stress Urinary Incontinence

scholarly journals Moterų šlapimo nelaikymo chirurginis gydymas – nuo atvirųjų iki minimaliai invazinių operacijų

2003 ◽  
Vol 1 (1) ◽  
pp. 0-0
Author(s):  
Aušra Černiauskienė ◽  
Juozas Stanaitis
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Long Term Results ◽  
Female Stress Urinary Incontinence ◽  
Burch Colposuspension ◽  
Postoperative Results ◽  
Laparoscopic Operation ◽  
Early Results

Aušra Černiauskienė, Juozas StanaitisVilniaus greitosios pagalbos universitetinė ligoninėVilniaus universiteto Bendrosios ir kraujagyslių chirurgijos klinikos Bendrosios chirurgijos centras Įvadas / tikslas Aprašyti įvairius moterų šlapimo nelaikymo fizinio krūvio metu chirurginio gydymo būdus (klasikinę kolposuspensiją Burch būdu, laparoskopinę kolposuspensiją ir "SPARC" raiščio viršgaktinę implantaciją), pateikti jų rezultatus, išanalizuoti, kokį būdą geriau pasirinkti. Metodai Vilniaus greitosios pagalbos universitetinės ligoninės Bendrosios chirurgijos centre moterų šlapimo nelaikymo gydymui 1996–2002 m. taikyti įvairūs operacijų būdai: buvo atliktos 229 atvirosios kolposuspensijos Burch būdu, 10 laparoskopinių kolposuspensijų ir dvi "SPARC" raiščio implantacijos (pouretrinis pakėlimas proleno raiščiu). Darbe pateikiami 103 ligonių, operuotų 1996–2000 m., ankstyvieji ir vėlyvieji gydymo rezultatai po atvirųjų Burch operacijų, ir 10 ligonių ankstyvieji gydymo rezultatai po laparoskopinių kolposuspensijų (1999–2001 m.). Atlikus bendruosius ir specialiuosius tyrimus (urodinaminius tyrimus, kolpocistogramas), visoms ligonėms nustatytas šlapimo nelaikymas fizinio krūvio metu. Vidutinė hospitalizacijos trukmė: po atvirosios operacijos – 14,7 dienos, po laparoskopinės – 7 dienos, po "SPARC" raiščio implantacijos – 4 dienos. Kateteris šlapimo pūslėje po atvirosios Burch opercijos buvo laikomas 5 paras, po laparoskopinės – 3, po "SPARC" raiščio implantacijos – 1 parą. Ankstyvieji operacinio gydymo rezultatai buvo įvertinti po 3 mėnesių, vėlyvieji – po 1–2, 2–3 ir 3–4 metų. Rezultatai Po atvirosios Burch operacijos ankstyvieji (po 3 mėn.) labai geri ir geri rezultatai nustatyti 96,1 % ligonių, vėlyvieji labai geri ir geri rezultatai po 1–2 metų – 87,4 %, po 2–3 metų – 84,1 %, po 3–4 metų – 81,3 % ligonių. Po laparoskopinės kolposuspensijos praėjus 3 mėnesiams, 9 ligonių rezultatai įvertinti kaip labai geri ir geri, 1 ligonės – vidutiniai (šlapimas laikosi, yra imperatyvus šlapinimasis ištekant minimaliam šlapimo kiekiui). Išvados Atvirosios ir laparoskopinės kolposuspensijos rezultatai rodo, kad šiomis operacijomis veiksmingai gydomas moterų šlapimo nelaikymas. "SPARC" raiščio implantacija – paprasta, greitai atliekama, veiksminga, sukelianti mažiau komplikacijų, tačiau brangi operacija. Prasminiai žodžiai: šlapimo nelaikymas, chirurginis gydymas, laparoskopinė kolposuspensija, pouretriniai raiščiai. Surgical treatment of female stress urinary incontinence : from open to minimally invasive operations Aušra Černiauskienė, Juozas Stanaitis Background / objective The aim of work: to describe different surgical methods in treating female stress urinary incontinence (classical Burch colposuspension, laparoscopic colposuspension and suprapubical implantation of SPARC sling), to show the results, to analyze the preferable methods. Methods 229 open colposuspensions according to Burch, 10 laparoscopic colposuspensions and 2 SPARC sling implantations (suburethral raising with prolene sling) were performed in General Surgery Clinic of Vilnius University Emergency Hospital during the period 1996–2002. We present early and long-term results for 103 patients operated on in 1996–2000 with open Burch colposuspension and early results after laparoscopic colposuspension (1999–2001). All female patients were examined (urodynamic investigation, colpocystograms) and stress urinary incontinence was diagnosed. The average hospitalization time was 14.7 days after open operation, 7 days after laparoscopic operation, and 4 days after SPARC sling implantation. Catheter from the urine bladder was removed after 5 days in case of Burch operation, after 3 days in case of laparoscopic operation, and after 1 day in case of SPARC sling implantation. Early postoperative results were assessed after 3 months, and long-term postoperative results after 1–2 years, 2–3 years and 3–4 years. Results After open Burch operations early (after 3 months) results were very good and good in 96.1% , long-term results were very good and good after 1–2 years in 87.4%, after 2–3 years in 84.1% and after 3–4 years in 81.3% of patients. After laparoscopic colposuspensions, early results were very good and good in 9 cases, medium in one case (the patient contained urine normally but complained of imperative urination with minimal urine excretion). Conclusions Our results show that both open and laparoscopic colposuspensions remain effective operations in rapidly treating female stress urinary incontinence. SPARC sling implantation is a common, quick to perform, effective operation with less postoperative complications, however, it is expensive. Keywords: urinary incontinence, surgical treatment, laparoscopic colposuspension, suburethral sling.

Long-Term Results of the FemSoft1 Urethral Insert for the Management of Female Stress Urinary Incontinence

2002 ◽  
Vol 13 (2) ◽  
pp. 88-95 ◽  
Author(s):  
L. T. Sirls ◽  
J. E. Foote ◽  
J. M. Kaufman ◽  
D. J. Lightner ◽  
J. L. Miller ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Long Term Results ◽  
Female Stress Urinary Incontinence

TENSION-FREE VAGINAL TAPE PROCEDURE FOR THE TREATMENT OF FEMALE STRESS URINARY INCONTINENCE: LONG-TERM RESULTS

2004 ◽  
Vol 172 (3) ◽  
pp. 998-1000 ◽  
Author(s):  
ALEXANDER TSIVIAN ◽  
BARUCH MOGUTIN ◽  
ODED KESSLER ◽  
DORON KORCZAK ◽  
SAMUEL LEVIN ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Long Term Results ◽  
Female Stress Urinary Incontinence ◽  
Tension Free ◽  
Tension Free Vaginal Tape

Remeex Device (External Mechanical Regulator) for Female Stress Urinary Incontinence: A Critical Review of a Single-Operator, Long-Term Experience on Implants and Readjustments

2017 ◽  
Vol 84 (2) ◽  
pp. 102-105 ◽  
Author(s):  
Franco Mantovani
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Patient Group ◽  
De Novo ◽  
Long Term Results ◽  
Female Stress Urinary Incontinence ◽  
Life Questionnaire ◽  
Single Operator ◽  
Worse Prognosis

Objective A single-operator, long-term (15 years) experience on a sling technique that allows a postoperative adjustment of its tension is presented to retrospectively report the objective and subjective outcomes in the treatment of female stress urinary incontinence (SUI). The readjustment option prevents the need of a reoperation in case of relapse with great compliance of the patients. Materials and Methods Indications for surgical tratment of SUI by ReMeEx included patients affected with not only true intrinsic sphyncteric deficency (ISD) and fixed urethra but also mild urethral hypermobility, previous incontinence surgery and relapsing conditions such as diabetes and obesity. Fifty-five female patients with severe SUI underwent ReMeEx system positioning between 1998 and 2013. Before surgery, patients were evaluated by physical examination, translabial ultrasonography, urodynamics, pad-test and compilation of a specific incontinence quality of life questionnaire. Results Out of 55 patients treated, 50 were cured with readjustment in 10; in one case, the device was removed for infection. Complications as one transitory retention, two de novo urgency and one sovrapubic varitensor seroma were easily treated. Discussion In our experience, the ReMeEx system produced remerkable long-term results that showed the effective role of this device in obtaining an adequate sling tension, also confirmed in a worse prognosis patient group, as reported in the present study. The limitation of this study, based on a retrospective and not comparative analysis, suggests the need for randomized prospective studies comparing the ReMeEx procedure with other similar anti-incontinence techniques. Conclusions ReMeEx system offers the possibility to modify the sling support whenever needed during patients’ life. By this device, we can improve the outcomes of these patients leaving them completely dry without reoperations. The system produced remarkable 15 years results with a low complication rate. These outcomes have also been confirmed in a worse prognosis patient group as reported in the present study.

scholarly journals Short-, medium- and long-term results of the sling operations effectiveness and safety for urinary incontinence in women

2020 ◽  
Vol 8 (4) ◽  
pp. 80-92
Author(s):  
O. B. Loran ◽  
A. V. Seregin ◽  
Z. A. Dovlatov
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Long Term Results ◽  
Surgical Experience ◽  
Medium Term ◽  
Short Term ◽  
Mini Sling

Introduction. Sling urethropexy is considered the «gold standard» surgical treatment for stress urinary incontinence in women. However, the long-term results of such operations have not yet been fully studied.Purpose of the study. To evaluate the results of using various options for sling operations at different periods of postoperative follow-up.Materials and methods. In 698 women aged 42 - 68 years (median — 54 years) suffering stress incontinence were used 4 variants of sling operations according to the database of the S.P. Botkin City Clinical Hospital: TVT retropubic technique; transobturator technique TVT-O («inside-out»); transobturator technique TOT («outside-in»); mini sling system. The period of postoperative follow-up was 6 - 139 months (median 79 months). Evaluation of treatment results was carried out according to the following periods of postoperative follow-up: short-term (up to 1 year inclusive); mediumterm (a period from 1 to 5 years inclusive); long-term (over 5 years). The success of the treatment was determined by the criterion of the absence of urine involuntary loss during the cough test and the 1-hour pad test.Results. Treatment success in the entire sample of patients was 96.1% (671 / 698) for the short-term criterion, 93.1% (591 / 635) for the medium-term criterion and 86.2% for the long-term criterion (467 / 642). The effectiveness of short-term treatment after TVT was 97%, TVT-O — 95.8%, TOT — 96.2%, mini-sling system — 95.5%, in medium-term — 92.2%, 93.1%, 90.9% and 92.3%, respectively, for long-term — 87.1%, 86.2%, 85.2% and 85%, respectively. There were no significant differences between the indicated variants of sling operations in terms of treatment efficacy for all observation periods (p > 0.05). Intra and early postoperative complications were noted in 51 (7.3%) cases, late — in 79 (11.3%). There were no significant differences in the incidence of both categories of complications between the surgical techniques used (p > 0.05). Only surgical experience significantly affects the risk of recurrent urinary incontinence after surgery, early and late postoperative complications.Conclusions. The success of surgical treatment for stress urinary incontinence in women does not significantly depend on the type of sling surgery but depends mainly on the surgical experience. Therefore, it is advisable to use sling operations in hospitals with extensive experience in this area.

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