Abstract:
INTRODUCTION AND HYPOTHESIS:The aim of this study was to evaluate urinary symptoms and urodynamic diagnoses in women following repair of obstetric fistula of the lower urinary tract. METHODS:Women with previous genital tract fistula and ongoing urinary symptoms were evaluated at the Addis Ababa Fistula Hospital. The women were referred to the Urodynamic Unit by doctors reviewing women at the hospital. Consecutive women between December 2008 and September 2009 were assessed (including urodynamic studies) and data collected RESULTS:One hundred and fifty-four women were referred for urodynamic assessment. Only women with previous obstetric fistula were included in the study. Of the 154 women, 5 were excluded from the study-1 declined the assessment, 1 had a non-obstetric fistula and 3 were found to have recurrence of the fistula. Forty-nine percent had urodynamic stress incontinence only, 3 % had detrusor overactivity only and 43 % had both urodynamic stress incontinence and detrusor overactivity. Five percent of women had neither detrusor overactivity nor urodynamic stress incontinence. Seven percent had post-void residual volume of 150 ml or more. CONCLUSIONS:Non-surgical management of post-obstetric fistula urinary symptoms may be neglected. The reduced success rates in surgery for post-obstetric fistula urinary incontinence may be due to the lack of attention to the other reasons for urinary symptoms and markedly impaired urethral function. Urethral closure pressures in this group of women often did not reflect the severity of urinary incontinence.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Goh JT,Krause H,Tessema AB,Abraha Gdoi
10.1007/s00192-012-1948-zsubject
Has Abstractpub_date
2013-06-01 00:00:00pages
947-51issue
6eissn
0937-3462issn
1433-3023journal_volume
24pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:Stress urinary incontinence (SUI) is treated using intravaginal laser therapy. We wanted to find out how incontinence severity at baseline and the number of laser interventions affect success rate, and whether the effect of laser therapy was obvious 6 months and 2 years after the last laser ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04148-9
更新日期:2020-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We present a video reviewing the key steps involved in safe anterior cul-de-sac entry during vaginal hysterectomy, including tips for troubleshooting difficult cases such as: uterine procidentia, cervical elongation, and multiple prior cesarean sections. METHODS:Anterior cul-de-sac entry is...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-018-3646-y
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Older studies suggesting an association between detrusor overactivity and bacteriuria used an outdated microbiological threshold. We hypothesised that bacteriuria ≥10(3) CFU/ml would be more prevalent in women with urinary incontinence than continent controls. METHODS:A prospective, cross-s...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1506-0
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We aimed to determine anatomy and function of anal sphincter complex using three-dimensional ultrasound (3D-US) and manometry in asymptomatic parous women. METHODS:3D-US of puborectalis muscle (PRM), external (EAS), and internal anal sphincters (IAS) anatomy was performed in 45 women withou...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1446-8
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Determine if women with fibromyalgia report increased bother from pelvic organ prolapse compared with women without fibromyalgia. METHODS:We performed a cross-sectional study of women with symptomatic prolapse on consultation with a private urogynecology practice within a 46-month period. A...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2280-y
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:With the increasingly extensive application of epidural analgesia, its effect on pelvic floor function outcomes has received growing attention. The aim of the study is to determine the possible effect of epidural analgesia on pelvic floor muscle (PFM) endurance and strength and the prevalenc...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04176-5
更新日期:2020-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:A process of added qualification of transvaginal mesh (TVM) placement is desirable. METHODS:Through a physician-led partnership of specialty societies, centers of excellence, and industry, a core curriculum encompassing mesh/graft biology, technical skills, and safety can be coupled with cu...
journal_title:International urogynecology journal
pub_type: 共识发展会议,杂志文章
doi:10.1007/s00192-012-1679-1
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to determine the predictive value of urodynamics to reproduce clinical findings of urinary frequency (UF), urge urinary incontinence (UUI), and/or stress urinary incontinence (SUI). METHODS:We retrospectively reviewed the data of patients diagnosed with UF, UUI, an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1180-7
更新日期:2010-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The concurrence of vaginal cancer with irreducible uterine prolapse is rare. Reports about the management of vaginal cancer and concomitant irreducible prolapse are scanty in the literature, and there is no consensus on optimal treatment. In this video case report, we show surgical managemen...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04263-y
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We hypothesized that patient-reported urinary symptoms and urodynamic evaluation improve after laparoscopic sacrocolpopexy (LSC) despite deeper vesicovaginal space dissection. METHODS:This was a retrospective study of women with pelvic organ prolapse who underwent LSC from January 2013 to J...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3306-7
更新日期:2017-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We provide a review of the literature about the onset and development of hypertrophy of the labia minora, together with some expert opinions on the appropriateness of labiaplasty. METHODS:We searched PubMed and used popular search engines, with a greater emphasis on the physiology and hormo...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-016-3253-8
更新日期:2017-10-01 00:00:00
abstract::Pelvic reconstructive surgeons have suspected for over a century that childbirth-related trauma plays a major role in the aetiology of female pelvic organ prolapse. Modern imaging has recently allowed us to define and reliably diagnose some of this trauma. As a result, imaging is becoming increasingly important, since...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1459-3
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim was to review the impact of pelvic organ prolapse surgery on sexual function. METHODS:Every 4 years and as part of the Fifth International Collaboration on Incontinence we reviewed the English-language scientific literature after searching PubMed, Medline, Cochrane library and Cochr...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-013-2176-x
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective of the present study was to adapt the CONTILIFE, a quality-of-life questionnaire, into Turkish and to reveal its psychometric properties in women suffering from stress urinary incontinence (SUI). METHODS:Ninety-eight patients with a symptom of SUI participated in the study and...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3823-z
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To compare the impact of vaginal delivery (VD) versus cesarean section (CS) on the pelvic floor in twin primiparae at 3 and 12 months postpartum. METHODS:This comparative multicenter prospective cohort from a large French national cohort study consisted of primiparas who gave birth to live ...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s00192-018-3785-1
更新日期:2019-06-01 00:00:00
abstract:INTRODUCTION:Cervicovaginal decubitus ulceration is a well-known complication of advanced pelvic organ prolapse (POP). There is no consensus for its management. This case series describes the outcome of using repeated vaginal packs soaked with oestrogen cream to reduce POP and promote decubitus ulcer healing. We aimed ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2930-3
更新日期:2016-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The purpose of this study is to determine the effect of silver coating of polypropylene implants on infection in hernia surgery. METHODS:Silver-coated and non-silver-coated large pore monofilament polypropylene mesh implants were compared with and without infection (four groups). The implan...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1330-y
更新日期:2011-03-01 00:00:00
abstract::A damaged sphincteric unit or support system, unstable urethral deformability or damaged sensory innervation are all potential causes of a dysfunctional urethral sphincter. With the current improvement in pharmacological targets and urodynamic understanding, studies have begun quantifying individual structures and the...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-019-04104-7
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The effect of incontinence pessaries for urine incontinence (UI) has previously been described in studies from high-income countries, where they have been documented to reduce urinary leakage significantly. However, there is a profound literature gap in these data in low- and middle-income c...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03980-3
更新日期:2020-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Hysterectomy is often performed at the time of pelvic organ prolapse (POP) surgery; yet, there is insufficient evidence regarding the specific effect of hysterectomy on outcomes. We sought to determine the outcomes and associated short-term complications of mesh-based POP surgery with and wi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3244-9
更新日期:2017-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the present study was to determine possible correlations between mesh retraction after anterior vaginal mesh repair and de novo stress urinary incontinence (SUI), overactive bladder (OAB), and vaginal pain symptoms. METHODS:One hundred and three women with symptomatic prolapse of...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2131-x
更新日期:2013-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Some women with pelvic organ prolapse (POP) have occult urodynamic stress incontinence (OUSI) and might develop incontinence after POP surgery. Our aim was to determine predictive value of ring pessary test during urodynamics in identifying patients with OUSI, likely to develop stress urinar...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1253-7
更新日期:2011-02-01 00:00:00
abstract:INTRODUCTION:We describe our experience with evaluating the ideal management of female paraurethral leiomyomas from imaging to surgery and follow-up. METHODS:Between January 2009 and January 2012, we treated six women (age range 32-49 years) affected by paraurethral leiomyoma of different sizes. RESULTS:All the six p...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2776-8
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We sought to examine the change in utilization of the midurethral sling (MUS) for the treatment of stress urinary incontinence (SUI) after the 2011 US FDA communication regarding transvaginal mesh. METHODS:This is a retrospective cohort study evaluating surgical utilization of MUS at a mana...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04597-7
更新日期:2020-11-18 00:00:00
abstract::In this article, we provide a concise review of the literature on nocturia and its interference with sleep and, consequently, on quality of life. There are few studies addressing the possible influences of nocturia on sleep disruption. Nocturia is a potential contributor to sleep disorders because affected individuals...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1525-x
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Double Incontinence (DI) is incontinence of urine and stool and is an extreme manifestation of pelvic floor dysfunction. The objective of this study was to estimate the prevalence and incidence of DI and the risk factors in elderly women in São Paulo, Brazil. METHODS:This was a prospective ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3365-9
更新日期:2018-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The effect of exercise in relation to overweight and overactive bladder (OAB) in young women has not been sufficiently supported by studies. The objective of our study was to reduce symptoms of OAB through a 3-month exercise programme in young overweight women with OAB. The sample consisted ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04157-8
更新日期:2020-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To evaluate the variation in techniques of anterior colporrhaphy among members of the Dutch Urogynecologic Society. METHODS:A questionnaire evaluating the technique of anterior colporrhaphy, preoperative and postoperative care, and use of the POP-Q score was sent out by e-mail. RESULTS:One...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1353-4
更新日期:2011-05-01 00:00:00
abstract::Combining anti-incontinence and pelvic organ prolapse surgery for patients with occult urinary stress incontinence is controversial. The concern is that some of these patients may remain continent after vaginal prolapse repair making the addition of anti-incontinence surgery unnecessary. However, this can be explained...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1563-4
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To examine changes in sexual function after abdominal and transvaginal pelvic organ prolapse repair. METHODS:Women enrolled in our prospective, longitudinal prolapse database with abdominal sacrocolpopexy (ASC) or transvaginal (TVR) pelvic organ prolapse (POP) repair with or without mesh, b...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3066-9
更新日期:2016-12-01 00:00:00