Abstract:
INTRODUCTION AND HYPOTHESIS:This study evaluated the efficacy and tolerability of transcutaneous posterior tibial nerve stimulation (TPTNS) in the treatment of overactive bladder (OAB) after failure of a first-line anticholinergic treatment. MATERIALS AND METHODS:We performed a prospective observational study and included all patients treated in a single center for OAB persisting after first-line anticholinergic treatment from November 2010 to May 2013. The protocol consisted of daily stimulation at home. The efficacy end point was defined as improvement on the Urinary Symptom Profile (USP) and the French-validated urinary symptom score Mesure du Handicap Urinaire (MHU). RESULTS:We assessed 43 consecutive patients. TPTNS was successful following 1 month of treatment in 23 (53%) patients. Bladder capacity was the only predictive factor for treatment success (p = 0.044). For patients who showed improved symptoms (n = 23; 53%), mean MHU and USP decreased significantly, from 11.8 ± 2.8 to 5.6 ± 3 (p < 0.001) and from 14 ± 3.3 to 6.9 ± 3.2 (p < 0.001), respectively. After a mean follow-up of 10.8 ± 1.6 months, 21 (49%) patients continued the TPTNS. Mean MHU and USP scores were 4.4 ± 2.8 and 5.4 ± 3.5, respectively, and stayed lower than baseline (p < 0.001). Patients reported no adverse events. CONCLUSION:TPTNS is well tolerated and is effective in one half of the patients studied after they failed anticholinergic treatment. TPTNS could become a second therapeutic option before surgical treatment in the management strategy of OAB.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Ammi M,Chautard D,Brassart E,Culty T,Azzouzi AR,Bigot Pdoi
10.1007/s00192-014-2359-0subject
Has Abstractpub_date
2014-08-01 00:00:00pages
1065-9issue
8eissn
0937-3462issn
1433-3023journal_volume
25pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:Obstetric fistula, caused by traumatic delivery and patient lack of access to obstetric care, is an important public health concern in developing countries, particularly in Sub-Saharan Africa. This research focuses on the experience of women living with obstetric fistula in Burkina Faso as w...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3235-x
更新日期:2017-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Our aim was to assess whether differences in the ages of nulliparous women affect: (1) interobserver reliability, and (2) visualization of the levator ani (LA) muscle subdivisions in nulliparous women using 3D endovaginal ultrasound (3D-EVUS). METHODS:This was a cross-sectional study. Commu...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2053-7
更新日期:2013-09-01 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
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doi:10.1007/s00192-020-04597-7
更新日期:2020-11-18 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The object of this review was to assess the efficacy and safety of urethral bulking agents (UBA), principally Macroplastique and Bulkamid, in the treatment of female stress urinary incontinence (SUI). METHODS:MEDLINE® and EMBASE® databases were systematically searched up to June 2016. Year ...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-017-3278-7
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Mediolateral episiotomy is one of the most frequent surgical interventions performed in obstetrics. There is conflicting evidence as to whether mediolateral episiotomy reduces the risk of obstetric anal sphincter injuries (OASI). Recent studies suggest that functional asymmetry of pelvic flo...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3560-3
更新日期:2018-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Preoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient treatment and/or coun...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-04084-8
更新日期:2020-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Missing data is frequently observed in clinical trials; high rates of missing data may jeopardize trial outcome validity. PURPOSE:We determined the rates of missing data over time, by type of data collected and compared demographic and clinical factors associated with missing data among wom...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-015-2661-5
更新日期:2015-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To determine whether fecal incontinence (FI) is associated with sexual activity and to compare sexual function in women with and without FI. METHODS:We conducted a retrospective chart review of all new patients seen in an academic urogynecology clinic. Women who reported fecal incontinence,...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2044-8
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective was to assess the efficacy of intravesical hyaluronic acid (HA) and chondroitin sulfate (CS), alone or in combination, for recurrent urinary tract infections (RUTIs) in adult female patients using a systematic review and meta-analysis. METHODS:English-language articles were ob...
journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00192-017-3508-z
更新日期:2018-07-01 00:00:00
abstract:INTRODUCTION:In recent years uterine preservation surgery for pelvic organ prolapse has become more popular. Traditional operations such as vaginal hysterectomy do not address the underlying pathophysiology of poor connective tissue support, which may result in a higher incidence of recurrent prolapse. METHODS:This vi...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2129-4
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women. METHODS:Thirty women were assessed twice by two examiners who measured the angle between the ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1251-9
更新日期:2011-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:To determine the clinical outcomes of adding a tension-releasing suture (TRS) appendage for manipulation of over-tensioned single-incision slings (SIS) as a means to relieve postoperative voiding dysfunction. METHODS:A retrospective observational study conducted from January 2010 to July 20...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3826-9
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Surgical treatment of stress urinary incontinence in women using a synthetic midurethral tape has become a standard procedure. One of the complications observed postoperatively are lower urinary tract symptoms (LUTS). The aim was to analyze the role of introital ultrasound in the identificat...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3837-6
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective of this study was to measure the effects of pregnancy and parturition on pelvic floor muscles and pelvic organ support. METHODS:Levator ani, obturator internus, and coccygeus (COC) muscle volumes and contrast uptake were assessed by MRI of seven females prior to pregnancy, 3 d...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1443-y
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We evaluated outcomes of an inelastic retropubic sling in patients with intrinsic sphincteric deficiency (ISD). METHODS:This is a retrospective review of women diagnosed with ISD according to urodynamic parameters who underwent a retropubic suburethral sling surgery using a tape with minima...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-2007-5
更新日期:2013-08-01 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:INTRODUCTION:In this retrospective study, a comparison is made of the clinical efficacy of two stress urinary incontinence treatment apparatuses, a single-incision sling and a transobturator sling. METHODS:Eighty-five (single-incision n=43, transobturator n=42) consecutive patients were included in this study. Clinica...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1942-5
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Several studies have indicated depression and anxiety to be associated with urinary incontinence (UI), however, the strength of the associations varies widely. The objective of this study was to determine these associations in a large survey. METHODS:In a cross-sectional population-based su...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1564-3
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to evaluate hysterectomized and non-hysterectomized patients with prolapse and incontinence. Laparoscopic sacrohysteropexy (LSHP) and minimally invasive sacrocolpopexy (LMSCP) were done in combination with transobturator tape (TOT) and native tissue repair of the ant...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04519-7
更新日期:2020-09-08 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective of the study was to compare office rigid cystoscopy (RC) versus flexible cystoscopy (FC) in women. METHODS:This was a prospective randomized trial comparing FC to RC. Aims were to assess 1-week post-procedural complications, compare procedure pain scores, and to assess physici...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-012-1777-0
更新日期:2012-11-01 00:00:00
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:Traditionally, surgical treatment for uterine prolapse has included hysterectomy. However, more patients now prefer a uterine-preserving operation because of concerns about fertility or sexual dysfunction. In this video, we describe a novel approach to correcting uterine prolapse in an attem...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3780-6
更新日期:2019-04-01 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:Avulsion of the puborectalis muscle from its bony insertion is common in women presenting with prolapse. We present a simple vaginal technique for levator reconstruction. METHODS:This is a prospective surgical pilot study comprising 17 patients enrolled to undergo levator repair in the cont...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1984-8
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:At our institution many symptomatic patients must wait months or years for surgery. Our aim was to determine the rates of clinically significant pelvic organ prolapse (POP) progression and identify risk factors associated with POP progression. METHODS:Data from a prospectively maintained da...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3450-0
更新日期:2018-06-01 00:00:00
abstract::Hydatid cyst is a parasitic infectious disease caused by Echinococcus granulosus. Although the most common site for this parasite is liver, it can be seen in almost all organs. Extrahepatic localization is reported in 14-19% of all cases of abdominal hydatid disease. We report the case of a large echinococcal cyst loc...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1201-6
更新日期:2010-12-01 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
abstract::In July of 2011 the U.S. Food and Drug Administration (FDA) released a safety communication entitled "UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse." The stated purpose of this communication is to inform health care providers and patients that serious...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1581-2
更新日期:2012-01-01 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: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