Abstract:
INTRODUCTION AND HYPOTHESIS:The objective of the study was to identify reasons why women declined participation in a pilot randomised controlled trial (RCT) comparing tension-free vaginal tape (TVT) under general anaesthetic (GA) with single incision sling (SIS) under local anaesthetic (LA). These data would inform the design of a larger trial to improve patient recruitment. METHODS:This was a qualitative interview study on women eligible to have a TVT for stress urinary incontinence in a tertiary referral hospital in the UK. Women were counselled in a standardised manner. They were informed that the short-term success rates were similar for both operations. Women who declined to take part in the RCT were interviewed using a topic guide. Themes and sub-themes on non-participation were identified by two independent observers using a constant comparison method. RESULTS:Twenty-three non-participants of the RCT were interviewed. Common themes for non-participation were a preference for TVT and request for GA. Sub-themes showed that the TVT was preferred due to its perceived better efficacy as well as a minimal benefit from a SIS and also an unwillingness to take unknown risks. GA was favoured due to fear of local awareness, past negative experiences and embarrassment. Additional tests and follow-up visits were not cited as a reason for non-participation. CONCLUSIONS:The study found that non-participants are not research averse in general but they had strong preferences about specific aspects of treatment. Risk propensity and personality may also influence this behaviour. The study also demonstrates how a qualitative pilot study may improve trial design.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Gopinath D,Smith AR,Holland C,Reid FMdoi
10.1007/s00192-012-1967-9subject
Has Abstractpub_date
2013-06-01 00:00:00pages
969-75issue
6eissn
0937-3462issn
1433-3023journal_volume
24pub_type
杂志文章abstract:OBJECTIVE:The aim of this study was to assess the incidence of de novo stress urinary incontinence (SUI) and sonographic features of implanted transvaginal mesh in continent women treated with Elevate(™) anterior/apical [single-incision mesh (SIM-A)] or Perigee(™) [transvaginal mesh with sacrospinous fixation (TVM + SS...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2492-9
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association (IUGA) Revised (PISQ-IR) measures sexual function in women with pelvic floor disorders (PFDs) yet is unwieldy, with six individual subscale scores for sexually active women and four for women who are not. ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3373-9
更新日期:2017-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This study assessed the safety and efficacy of vaginal extraperitoneal uterosacral ligament suspension (VEULS) with anterior overlay mesh versus sacrocolpopexy (SCP) for posthysterectomy vault prolapse. METHODS:This was a multicenter randomized trial of women with posthysterectomy vault pro...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-018-3687-2
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To examine urinary retention (UR) after female urethral sling placement in patients with or without detrusor underactivity (DU) or Valsalva voiding whose urodynamics (UDS) accurately reproduced voiding symptoms to determine whether the reproduction of voiding symptoms on UDS in those with DU...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04623-8
更新日期:2021-01-01 00:00:00
abstract::Oxybutynin chloride is primarily indicated for the treatment of overactive bladder syndrome (OAB). It remains the most widely prescribed compound for OAB in the world. OAB is defined as the presence of urinary urgency, usually accompanied by daytime urinary frequency and nocturia, with or without urgency urinary incon...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-012-1915-8
更新日期:2013-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to retrospectively assess the extent and severity of the post-operative complications associated with the Pinnacle Pelvic Floor Repair Kit. METHODS:This is a descriptive analysis of 23 consecutive women who had a prolapse repair with either an anterior (n = 19) or ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2156-1
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The literature presents controversial results regarding the role of delivery mode in pelvic floor muscle (PFM) function after birth. Some studies showed a greater impairment of PFM function after vaginal delivery compared with cesarean section, while others have not identified a significant ...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-020-04231-6
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic pain condition that requires multimodal management. The American Urologic Association includes sacral neuromodulation in the treatment algorithm for refractory IC/BPS. We sought to determine the rate of overall symptom improvement of IC/BPS sy...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04481-4
更新日期:2020-08-13 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Although midurethral slings have become standard surgical methods to treat stress urinary incontinence (SUI), little is known about women who still have urinary incontinence (UI) after surgery. This study assesses and compares the patient-reported outcome 12 months after tension-free vaginal...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1752-9
更新日期:2012-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to compare pelvic floor muscle strength (PFMS) and the prevalence of urinary incontinence (UI) and pelvic organ prolapse(POP) in women with and without diastasis recti abdominis (DRA) at 6-8 weeks postpartum. METHODS:Three hundred and ten women underwent routine ex...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04005-9
更新日期:2020-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Mesh-augmented reconstructive surgery for pelvic organ prolapse (POP) does not meet clinical expectations. A tissue-engineered fascia equivalent needs to be developed. METHODS:Human vaginal fibroblasts (HVFs) from 10 patients were characterized in vitro. Eligible HVFs and a biodegradable sc...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1168-3
更新日期:2010-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The goal of the study was to define the time needed to obtain maximal organ descent and hiatal distension during Valsalva measured by transperineal ultrasound. Secondarily, we aimed to describe the timing of these events in relationship to each other. METHODS:We undertook a retrospective re...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1533-x
更新日期:2012-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To describe the impact of native tissue vaginal reconstruction on pelvic anatomy using dynamic magnetic resonance imaging. METHODS:This prospective single-cohort observational study involved women undergoing native tissue reconstruction with intraperitoneal vaginal vault suspension for pelv...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04571-3
更新日期:2020-10-22 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:despite claims of equivalence to the tension-free vaginal tape, a variety of suburethral slings have been introduced, with various modifications. Complications in certain synthetic slings and meshes have led to a recent FDA public health notification. METHODS:we report the case histories an...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1244-8
更新日期:2011-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:This time-series analysis was carried out to determine if the use of the EPISCISSORS-60®, episiotomy scissors specifically designed to achieve a cutting angle of 60°, would continue to sustain obstetric anal sphincter injuries (OASIS) reductions at our hospital 2 years after its introduction...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-019-04201-7
更新日期:2020-09-01 00:00:00
abstract:AIM:Urogynaecological conditions can have a significant impact on body image. Patient-reported outcome measures (PROMs) are widely used in urogynaecology to assess symptoms and their impact on quality of life. This systematic review aimed to identify currently available PROMs used to assess body image within a urogynae...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03924-x
更新日期:2019-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Intravesical onabotulinumtoxinA (Botox) injections are effective for the treatment of idiopathic overactive bladder (OAB) symptoms. The aim of our study was to assess the predisposing factors for urinary retention in women with OAB after intravesical Botox injection. METHODS:All participant...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3212-4
更新日期:2017-06-01 00:00:00
abstract::Bulkamid is a periurethral bulking agent used to treat stress urinary incontinence (SUI). Manufacturers describe it as nontoxic, nonbiodegradable and biocompatible. Periurethral abscesses are one of the known complications of bulking agents. We present the first reported case of periurethral abscess following Bulkamid...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1768-1
更新日期:2012-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Vaginal bulging is considered the key symptom for genital organ prolapse. The aim was to investigate the age-related prevalence and frequency of symptomatic pelvic organ prolapse (sPOP) and other pelvic floor symptoms in nonpregnant nullipara aged 25-64 years. METHODS:This national postal a...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3684-5
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION:InTone(TM) (InControl Medical) is a nonimplanted vaginal device providing biofeedback and electrical stimulation of pelvic floor muscles. The purpose of this study was to assess its efficacy and usability for treating urinary incontinence (UI). METHODS:Women with UI (stress, urge, mixed) were recruited fo...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-014-2476-9
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Bladder pain syndrome is a difficult condition to treat. The purpose of this systematic review is to assess the effectiveness of various complementary therapies available for treatment. METHODS:This review was conducted in adherence with Preferred Reporting Items for Systematic Reviews. Cit...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-015-2886-3
更新日期:2016-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The incidence of vesico-vaginal fistulas after hysterectomies for benign indications in developed countries is less than one percent. The objective of this video is to demonstrate an easy-to-follow, step-by-step approach to repairing a small, uncomplicated vesico-vaginal fistula transvaginal...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3471-8
更新日期:2018-05-01 00:00:00
abstract::One of the rarely cited complications of the use of alloplastic materials in pelvic floor surgery is dyspareunia of the partner caused by prominence or vaginal exposure of the sling material. Even though this entity is real and an important problem, it is rarely reported in literature. We report six cases of partner d...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1498-9
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Laparoscopic sacral colpoperineopexy (LSCP) involves posterior graft extension to the perineum for improved posterior support. The objective of this study was to determine whether posterior measurements differed between those that had graft extension done abdominally (A-LSCP) or abdomino-vag...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1302-2
更新日期:2011-04-01 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:INTRODUCTION AND HYPOTHESIS:Minimally invasive sacral colpopexy has increased over the past decade, with many senior physicians adopting this new skill set. However, skill acquisition at an academic institution in the presence of postgraduate learners is not well described. This manuscript outlines the introduction of ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2085-z
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Following the US Food and Drug Administration's (FDA's) warning about the use of transvaginal mesh to treat pelvic organ prolapse (POP) and the use of single-incision slings to treat incontinence, the number of lawsuits for medical negligence regarding the use of any polypropylene mesh in th...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3456-7
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Polypropylene meshes are frequently used in abdominal and vaginal reconstructive surgery. Recently, several authors have claimed that mesh-associated complications may be linked to mesh shrinkage. We have performed a prospective study with postoperative follow-up by ultrasound examination at...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1308-9
更新日期:2011-05-01 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