scholarly journals What causes stress incontinence: Fallacies, fascias and facts

2012 ◽  
Vol 6 (5-S2) ◽  
pp. 114 ◽  
Author(s):  
John DeLancey
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Incontinence ◽  
Traditional View ◽  
Causative Role ◽  
Novel Therapies ◽  
Urethral Support ◽  
Urethral Function

The traditional view of the pathophysiology of stress urinary incontinence (SUI) was that a loss of urethral support was the primary abnormality present. Recent research has challenged this hypothesis, demonstrating that impaired urethral function plays the key causative role. Improving our understanding of the underlying pathologic mechanisms is important to identifying the cause of treatment failures and for developing novel therapies to treat SUI.

Three-year outcomes of Uretex Urethral Support System for treatment of stress urinary incontinence

2008 ◽  
Vol 19 (8) ◽  
pp. 1075-1079 ◽  
Author(s):  
John B. Gebhart ◽  
Deborah A. Dixon ◽  
Emanuel C. Trabuco ◽  
Christopher J. Klingele ◽  
Stephanie M. Bagniewski ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Support System ◽  
Urethral Support

scholarly journals SUS (Sub Urethral Support) FOR THE CORRECTION OF STRESS URINARY INCONTINENCE: TOWARDS MORE AND MORE SIMPLIFIED SURGERY

2010 ◽  
Vol 22 (3) ◽  
pp. 5
Author(s):  
D. Piroli Torelli ◽  
L. Di Piazza ◽  
M. Polichetti ◽  
D. Di Piazza
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Invasive Surgery ◽  
Gold Standard ◽  
Surgical Correction ◽  
Standard Approach ◽  
Surgical Approaches ◽  
Tension Free ◽  
Urethral Support

TVT and TOT are considered the gold standard approach for surgical correction of stress urinary incontinence (SUI). In view of the technical difficulties and severe complications sometimes encountered while performing these operations, many authors have studied new, simplified and safer surgical approaches. The aim of this paper is to evaluate the efficacy and validity of the SUS (Sub Urethral Support) technique. SUS represents new mini-invasive surgery for the correction of SUI, and it consists in applying a short sub-urethral sling in a tension-free fashion, through a single vaginal incision.

scholarly journals MP60-03 THE EFFECTIVENESS AND SAFETY OF SURGICAL PROCEDURES FOR STRESS URINARY INCONTINENCE IN PATIENTS WITH NEUROGENIC STRESS INCONTINENCE

2020 ◽  
Vol 203 ◽  
pp. e889-e890
Author(s):  
Min Soo Choo* ◽  
Bahaa Malaeb ◽  
John Park ◽  
Paholo Barboglio-Romo ◽  
J Quentin Clemens ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Incontinence ◽  
Surgical Procedures ◽  
Neurogenic Stress

Retropubic Versus Transobturator Midurethral Slings for Stress Incontinence

2021 ◽  
pp. 221-226
Author(s):  
Giulia I. Lane ◽  
Colby A. Dixon ◽  
M. Louis Moy ◽  
Cynthia S. Fok
Keyword(s):  
Adverse Event ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Incontinence ◽  
Midurethral Sling ◽  
Treatment Success ◽  
Midurethral Slings ◽  
Neurologic Symptoms ◽  
Retropubic Midurethral Sling ◽  
Transobturator Midurethral Sling

This chapter summarizes the results of the Trial of Mid Urethral Slings (TOMUS), in which women with stress urinary incontinence were randomized to a retropubic midurethral sling versus a transobturator sling. Bladder perforations and voiding dysfunction occurred only in the retropubic sling group; neurologic symptoms (weakness and numbness) were significantly more common in the transobturator group. Both objective and subjective measures of treatment success at 12 months were similar. Based on this and subsequent studies, retropubic and transobturator midurethral sling approaches appear to have similar outcomes at 12 months for the treatment of stress urinary incontinence. However, the approaches differ in their adverse-event profiles.

scholarly journals The short-term effect of surgical treatment for stress urinary incontinence using sub urethral support techniques on sexual function

2007 ◽  
Vol 33 (6) ◽  
pp. 822-828 ◽  
Author(s):  
Antonio C. Pinto ◽  
Fabio Baracat ◽  
Nelson D. Montellato ◽  
Anuar I. Mitre ◽  
Antonio M. Lucon ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Sexual Function ◽  
Term Effect ◽  
Short Term ◽  
Short Term Effect ◽  
Urethral Support

scholarly journals Predictors for de novo stress urinary incontinence following pelvic reconstruction surgery with transvaginal single-incisional mesh

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Pei-Chi Wu ◽  
Chin-Hu Wu ◽  
Kun-Ling Lin ◽  
Yiyin Liu ◽  
Zixi Loo ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Incontinence ◽  
De Novo ◽  
Previous History ◽  
Urodynamic Stress Incontinence ◽  
Exact Test ◽  
Mesh Surgery ◽  
Sling Surgery ◽  
De Novo Sui

AbstractThe study aims to identify predictors for de novo stress urinary incontinence (SUI) following Elevate mesh surgery. A total of 164 women who underwent Elevate mesh surgeries between November 2011 and February 2014 in a single center were included. Seventy-three women were excluded due to preoperative incontinence or concomitant mid-urethral sling surgery. Fourteen others were excluded due to incomplete medical records. Fisher’s exact test and χ2 test were applied. The univariate logistic regression was used for odds ratios. Of the 77 continent women, 24 (31.2%) experienced de novo SUI after the operation. Significantly more women with de novo SUI were over the age of 64 years (75.0% vs. 47.2%, p = 0.023, OR 3.36, 95% CI 1.15–9.79). Preoperative occult urodynamic stress incontinence (29.2% vs. 3.8%, p = 0.003, OR 10.0, 95% CI 2.0–50.0) and previous SUI history (41.7% vs. 7.6%, p = 0.001, OR 9.1, 95% CI 2.38–33.3) were 2 other predictors of de novo SUI postoperatively. In conclusion, age over 64 years old, occult urodynamic stress incontinence, and previous history of SUI are 3 significant predictors for de novo SUI following the single-incision mesh surgeries.

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