Surgery for urinary incontinence in women 65 years and older: a systematic review.

Abstract:

INTRODUCTION AND HYPOTHESIS:Urinary incontinence (UI) is common among the elderly, but the literature is sparse on the surgical treatment of UI among the elderly. This systematic review aims to assess the effectiveness of surgical interventions as treatment for urinary incontinence in the elderly population ≥65 years of age. METHODS:Randomized controlled trials (RCT) and prospective nonrandomized studies (NRS) were included. The databases PubMed (NLM), EMBASE (Elsevier), Cochrane Library (Wiley), and Cinahl (EBSCO) were searched for the period 1966 up to October 2013. The population had to be ≥65 years of age and had to have undergone urethral sling procedures, periurethral injection of bulking agents, artificial urinary sphincter surgery, bladder injection treatment with onabotulinumtoxin A or sacral neuromodulation treatment. Eligible outcomes were episodes of incontinence/urine leakage, adverse events, and quality of life. The studies included had to be at a moderate or low risk of bias. Mean difference (MD) or standard mean difference (SMD)as well as risk difference (RD) and the 95% CI were calculated. RESULTS:Five studies--all on the suburethral sling procedure in women-- that fulfilled the inclusion criteria were identified. The proportion of patients reporting persistent SUI after surgery ranged from 5.2 to 17.6%. One study evaluating quality of life (QoL) showed a significant improvement after surgery. The complication rates varied between 1 and 26%, mainly bladder perforation, bladder emptying disturbances, and de novo urge. CONCLUSION:The suburethral sling procedure improves continence as well as QoL among elderly women with SUI; however, evidence is limited.

journal_name

Int Urogynecol J

authors

Franzen K,Andersson G,Odeberg J,Midlöv P,Samuelsson E,Stenzelius K,Hammarström M

doi

10.1007/s00192-014-2573-9

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

1095-102

issue

8

eissn

0937-3462

issn

1433-3023

journal_volume

26

pub_type

杂志文章,meta分析,评审
  • Enterococcus osteomyelitis secondary to pyelonephritis.

    abstract::We report a case of enterococcus lumbar osteomyelitis that developed after post-operative pyelonephritis. A 78-year-old G2P2 with Stage III uterovaginal prolapse and genuine stress urinary incontinence who underwent laparoscopic-assisted vaginal hysterectomy, high uterosacral ligament suspension, tension-free vaginal ...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-012-1836-6

    authors: Kow N,Ferzandi TR

    更新日期:2013-04-01 00:00:00

  • InTone: a novel pelvic floor rehabilitation device for urinary incontinence.

    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

    authors: Guralnick ML,Kelly H,Engelke H,Koduri S,O'Connor RC

    更新日期:2015-01-01 00:00:00

  • Urethrovaginal fistula closure.

    abstract:INTRODUCTION AND HYPOTHESIS:In the developed world, urethrovaginal fistulas are most the likely the result of iatrogenic injury. These fistulas are quite rare. Proper surgical repair requires careful dissection and tension-free closure. The objective of this video is to demonstrate the identification and surgical corre...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-016-3111-8

    authors: Clifton MM,Goldman HB

    更新日期:2017-01-01 00:00:00

  • The effect of pelvic pain and urinary incontinence on women's self-rated health in northern Mexico.

    abstract:INTRODUCTION AND HYPOTHESIS:This study was designed to assess the effect of gynecological morbidities on Mexican women's self-rated health status and emotional health. METHODS:A cross-sectional population-based study was conducted among Mexican women aged 25-54. We analyzed information on 1,303 participants living in ...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-017-3537-7

    authors: García-Pérez H,Harlow SD,Denman C

    更新日期:2018-02-01 00:00:00

  • Anovaginal distance and obstetric anal sphincter injury: a prospective observational study.

    abstract:INTRODUCTION AND HYPOTHESIS:No measurements are available for diagnosing the extent of obstetric lacerations. The primary aim of this study was to evaluate the relation between the anovaginal distance (AVD) measured with transperineal ultrasound immediately after delivery and external anal sphincter injury. A secondary...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-018-3838-5

    authors: Pihl S,Uustal E,Blomberg M

    更新日期:2019-06-01 00:00:00

  • What is the predictive value of urodynamics to reproduce clinical findings of urinary frequency, urge urinary incontinence, and/or stress urinary incontinence?

    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

    authors: Caruso DJ,Kanagarajah P,Cohen BL,Ayyathurai R,Gomez C,Gousse AE

    更新日期:2010-10-01 00:00:00

  • Surface electromyography and ultrasound evaluation of pelvic floor muscles in hyperandrogenic women.

    abstract:INTRODUCTION:High levels of androgens increase muscle mass. Due to the characteristics of hyperandrogenism in polycystic ovary syndrome (PCOS), it is plausible that women with PCOS may have increased pelvic floor muscle (PFM) thickness and neuromuscular activity levels compared with controls. The aim of this study was ...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-015-2865-8

    authors: Vassimon FI,Ferreira CH,Martins WP,Ferriani RA,Batista RL,Bo K

    更新日期:2016-04-01 00:00:00

  • Technique of anterior colporrhaphy: a Dutch evaluation.

    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

    authors: Lensen EJ,Stoutjesdijk JA,Withagen MI,Kluivers KB,Vierhout ME

    更新日期:2011-05-01 00:00:00

  • A comparative study of a single-incision sling and a transobturator sling: clinical efficacy and urodynamic changes.

    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

    authors: Sun MJ,Sun R,Li YI

    更新日期:2013-05-01 00:00:00

  • Symptomatic and anatomic improvement of pelvic organ prolapse in vaginal pessary users.

    abstract:INTRODUCTION AND HYPOTHESIS:The vaginal pessary is a conservative method for treating pelvic organ prolapse (POP). It is able to reduce symptoms with minimal complications, improving quality of life (QOL). This study's hypothesis was that the use of pessaries decreases quantitative measures and improves women's QOL. We...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-020-04540-w

    authors: Mendes LC,Bezerra LRPS,Bilhar APM,Neto JAV,Vasconcelos CTM,Saboia DM,Karbage SAL

    更新日期:2020-10-13 00:00:00

  • Titanized polypropylene mesh in laparoscopic sacral colpopexy.

    abstract:INTRODUCTION:This study investigated perioperative and mid-term clinical outcomes after laparoscopic sacrocolpopexy (LSCP) with light titanium-coated polypropylene (TCP) mesh in a large group of patients affected by International Continence Society stage II-IV pelvic organ prolapse (POP). METHODS:This multicenter retr...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-019-04146-x

    authors: Campagna G,Pedone Anchora L,Panico G,Caramazza D,Arcieri M,Cervigni M,Scambia G,Ercoli A

    更新日期:2020-04-01 00:00:00

  • The effect of pregnancy and childbirth on pelvic floor muscle function.

    abstract:INTRODUCTION AND HYPOTHESIS:The effect of pregnancy and mode of delivery on pelvic floor muscle function (PFMF) is unclear. Our aim was to prospectively evaluate the effect of pregnancy and childbirth on PFMF. METHODS:Subjective (Oxford scale) and objective (perineometry) assessments of PFMF were performed at 20 and 3...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-011-1501-5

    authors: Elenskaia K,Thakar R,Sultan AH,Scheer I,Beggs A

    更新日期:2011-11-01 00:00:00

  • Validation of the PFDI-20 and PFIQ-7 quality of life questionnaires in two African languages.

    abstract:INTRODUCTION AND HYPOTHESIS:Self-administered quality of life (QOL) questionnaires provide objective evaluation of an individual's symptoms. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are condition-specific short form questionnaires. There are very few validate...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-017-3318-3

    authors: Henn EW,Richter BW,Marokane MMP

    更新日期:2017-12-01 00:00:00

  • Retropubic cartilaginous cyst presenting as stress urinary incontinence.

    abstract::A pubic cartilaginous cyst is a rare condition and is considered a result of degenerative changes in the symphysis pubis, mainly described in elderly multiparous women. There are only a few reported cases in the literature, and patients presented most frequently with a painful vaginal/vulvar mass. This case report is ...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-014-2523-6

    authors: Elmelund M,Thind P,Klarskov N

    更新日期:2015-03-01 00:00:00

  • Incontinence medication response relates to the female urinary microbiota.

    abstract:INTRODUCTION AND HYPOTHESIS:Many adult women have resident urinary bacteria (urinary microbiome/microbiota). In adult women affected by urinary urgency incontinence (UUI), the etiologic and/or therapeutic role of the urinary microbiome/microbiota remains unknown. We hypothesized that microbiome/microbiota characteristi...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-015-2847-x

    authors: Thomas-White KJ,Hilt EE,Fok C,Pearce MM,Mueller ER,Kliethermes S,Jacobs K,Zilliox MJ,Brincat C,Price TK,Kuffel G,Schreckenberger P,Gai X,Brubaker L,Wolfe AJ

    更新日期:2016-05-01 00:00:00

  • Biomarkers in the diagnosis and symptom assessment of patients with bladder pain syndrome: a systematic review.

    abstract:INTRODUCTION AND HYPOTHESIS:Bladder pain syndrome (BPS) is a disease of unknown etiology defined as an unpleasant sensation related to the bladder, associated with lower urinary tract symptoms of more than 6 weeks' duration, in the absence of any identifiable causes. Despite its impact on quality of life (QoL) and soci...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-019-04075-9

    authors: Magalhaes TF,Baracat EC,Doumouchtsis SK,Haddad JM

    更新日期:2019-11-01 00:00:00

  • Cultural adaptation and validation of the Turkish CONTILIFE: a quality of life questionnaire for urinary incontinence.

    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

    authors: Orhan C,Özgül S,Baran E,Üzelpasacı E,Nakip G,Çinar GN,Beksaç MS,Akbayrak T

    更新日期:2019-01-01 00:00:00

  • Randomized trial of graft materials in transobturator tape operation: biological versus synthetic.

    abstract:OBJECTIVE:To compare the outcome of outside-in biological and synthetic transobturator tape (TOT) operation, including subjective and objective success rates, urodynamics, and quality of life. MATERIALS AND METHODS:One hundred patients suffering from clinical and/or urodynamic stress urinary incontinence (SUI) were ra...

    journal_title:International urogynecology journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00192-012-2008-4

    authors: Ugurlucan FG,Erkan HA,Onal M,Yalcin O

    更新日期:2013-08-01 00:00:00

  • Flow disruptions in robotic-assisted abdominal sacrocolpopexy: does robotic surgery introduce unforeseen challenges for gynecologic surgeons?

    abstract:INTRODUCTION AND HYPOTHESIS:The purpose of this study was to apply a human factors research approach to identify flow disruptions, deviations in the optimal course of care, in robotic abdominal sacrocolpopexy procedures with the ultimate goal of developing system interventions to improve the safety and efficiency of ro...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-019-03929-6

    authors: Souders CP,Catchpole K,Hannemann A,Lyon R,Eilber KS,Bresee C,Cohen T,Weigl M,Anger JT

    更新日期:2019-12-01 00:00:00

  • Female double incontinence: prevalence, incidence, and risk factors from the SABE (Health, Wellbeing and Aging) study.

    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

    authors: Yuaso DR,Santos JLF,Castro RA,Duarte YAO,Girão MJBC,Berghmans B,Tamanini JTN

    更新日期:2018-02-01 00:00:00

  • Latin American consensus on uncomplicated recurrent urinary tract infection-2018.

    abstract::An estimated 20-30% of adult women who experience an initial urinary tract infection (UTI) will have recurrent infection. In these patients, prophylaxis may be considered to improve their quality of life and control overuse of antibiotics. Despite this need, there is currently no Latin American consensus on the treatm...

    journal_title:International urogynecology journal

    pub_type: 共识发展会议,杂志文章,评审

    doi:10.1007/s00192-019-04079-5

    authors: Haddad JM,Ubertazzi E,Cabrera OS,Medina M,Garcia J,Rodriguez-Colorado S,Toruno E,Matsuoka PK,Castillo-Pino E

    更新日期:2020-01-01 00:00:00

  • Can pelvic floor injury secondary to delivery be prevented?

    abstract::The number of women suffering from pelvic floor disorders (PFD) is likely to grow significantly in the coming years with a growing older population. There is an urgent need to investigate factors contributing to the development of PFD and develop preventative strategies. We have reviewed the literature and analyzed re...

    journal_title:International urogynecology journal

    pub_type: 杂志文章,评审

    doi:10.1007/s00192-011-1530-0

    authors: Lavy Y,Sand PK,Kaniel CI,Hochner-Celnikier D

    更新日期:2012-02-01 00:00:00

  • Natural history of pelvic organ prolapse in symptomatic patients actively seeking treatment.

    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

    authors: Pizarro-Berdichevsky J,Borazjani A,Pattillo A,Arellano M,Li J,Goldman HB

    更新日期:2018-06-01 00:00:00

  • Mesh-related chronic infections in silicone-coated polyester suburethral slings.

    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

    authors: Lee JK,Agnew G,Dwyer PL

    更新日期:2011-01-01 00:00:00

  • Management of presacral bleeding.

    abstract:INTRODUCTION AND HYPOTHESIS:The objective of this video is to demonstrate a variety of available techniques that can be used in the management of acute presacral bleeding. METHODS:In this video, we demonstrate different methods for the management of presacral bleeding utilizing a fresh frozen cadaver. RESULTS:Presacr...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-019-03995-w

    authors: Hokenstad ED,Occhino JA

    更新日期:2020-01-01 00:00:00

  • Discrepancies between patient-reported outcome measures when assessing urinary incontinence or pelvic-prolapse surgery.

    abstract:INTRODUCTION AND HYPOTHESIS:In order to assess the outcome following surgery for urinary incontinence (UI) and pelvic organ prolapse (POP) the importance of patient-reported outcome measures, in addition to the clinical objective measures, has been recognised. The International Consultation on Incontinence has initiate...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-015-2840-4

    authors: Larsen MD,Lose G,Guldberg R,Gradel KO

    更新日期:2016-04-01 00:00:00

  • Pelvic floor disorders following different delivery modes-a population-based cohort analysis.

    abstract:INTRODUCTION AND HYPOTHESIS:Identifying protective factors against pelvic floor disorders (PFDs) is important. We investigated whether cesarean delivery (CD) at the indication of abnormal second stage of labor (ASSL) has the same protective effect against future PFDs. METHODS:This population-based cohort study include...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-019-04151-0

    authors: Schwarzman P,Paz Levy D,Walfisch A,Sergienko R,Bernstein EH,Sheiner E

    更新日期:2020-03-01 00:00:00

  • Preoperative quality of life questionnaires are an adequate tool to select women with genital prolapse for laparoscopic sacrocolpopexy.

    abstract:INTRODUCTION AND HYPOTHESIS:No clear consensus exists on the selection of patients with pelvic organ prolapse (POP) for surgery. There is a need to preoperatively identify candidates who will benefit from surgery as there is no strict correlation between POP anatomical abnormalities and changes in symptoms and quality ...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-017-3423-3

    authors: Laas E,Haddad M,Muhlstein J,Bendifallah S,Ballester M,Darai E

    更新日期:2017-12-01 00:00:00

  • Video and review of the surgical management of recurrent urethral diverticulum.

    abstract:INTRODUCTION:Recurrent urethral diverticulum has been reported in 23% of cases after primary repair and can be difficult to manage. The aim of this video is to demonstrate a surgical technique of repairing a recurrent diverticulum in a woman who had two previous procedures, one with a Martius labial fat pad graft. MET...

    journal_title:International urogynecology journal

    pub_type: 杂志文章

    doi:10.1007/s00192-020-04357-7

    authors: Dykes N,Dwyer P,Rosamilia A,Zilberlicht A

    更新日期:2020-12-01 00:00:00

  • Depressive symptoms and treatment of women with urgency urinary incontinence.

    abstract:INTRODUCTION AND HYPOTHESIS:Depression is more common in patients with urinary incontinence (UI). Drug or rehabilitation therapy have been shown to be effective in reducing urgency UI (UUI) symptoms, but whether these treatments can ameliorate the negative impact of UUI on the psychological aspects of quality of life i...

    journal_title:International urogynecology journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00192-013-2116-9

    authors: Kafri R,Kodesh A,Shames J,Golomb J,Melzer I

    更新日期:2013-11-01 00:00:00