Abstract：
INTRODUCTION AND HYPOTHESIS:To evaluate the effects of sacral neuromodulation (SNM) on pregnancy and the impact of delivery on SNM function. METHODS:A systematic search was conducted through January 2016. We selected studies including women who had SNM and a subsequent pregnancy. RESULTS:Out of 2,316, eight studies were included, comprising 22 patients (26 pregnancies). SNM indications were Fowler's syndrome in 11, urinary retention in 6, fecal incontinence in 1, fecal and urinary urgency in 1, overactive bladder in 1, intractable interstitial cystitis in 1, and myelodysplasia in 1. SNM stayed on in 8 pregnancies. In the remaining 18 pregnancies in which the device was deactivated, 7 had recurrent urinary tract infections, including 1 with pyelonephritis and 2 who requested reactivation owing to recurrent symptoms. Outcomes were reported in 25 pregnancies, 16 had Cesarean section (CS) and 9 had vaginal delivery, including 2 operative deliveries. Out of 25, two infants had pilonidal sinus and motor tic disorder (exhibited at the age of 2 years), both from the same mother. After delivery, SNM was functioning in 15 (60%), 4 required reprogramming, and 3 required replacement (1 had recurrence of fecal incontinence after her operative delivery with evidence of displaced leads and 1 patient reported decreased SNM effects after her two CS), and 3 decided to remove the device (2 out of 3 patients were free of symptoms after SNM deactivation and requested removal). CONCLUSION:Within the current limited evidence, the decision regarding SNM activation or deactivation should be individualized. A registry for those patients is recommended.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Mahran A,Soriano A,Safwat AS,Hijaz A,Mahajan ST,Trabuco EC,Siegel SW,El-Nashar SAdoi
10.1007/s00192-017-3272-0subject
Has Abstractpub_date
2017-09-01 00:00:00pages
1357-1365issue
9eissn
0937-3462issn
1433-3023pii
10.1007/s00192-017-3272-0journal_volume
28pub_type
杂志文章,评审abstract：:Bladder dysfunction is a very prevalent disorder and often refractory to behavioral and pharmacologic therapies. Sacral nerve stimulation is an approved method of managing urinary urgency, frequency, urge incontinence, and urinary retention. Alternative approaches to neuromodulation are being developed. The purpose of...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-010-1282-2
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abstract：INTRODUCTION AND HYPOTHESIS:Jorge and Wexner devised a questionnaire for anal incontinence (AI), known as the Wexner scale (WS). Specific validated questionnaires are essential for the assessment of symptom severity. The objective was to accomplish the cultural adaptation and validation of the Portuguese version of the...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2927-y
更新日期：2016-06-01 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
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abstract：INTRODUCTION AND HYPOTHESIS:The Patient Global Impression of Improvement (PGI-I) and International Consultation of Incontinence Questionnaire - Short Form (ICIQ-SF) are validated instruments for the assessment of patient reported outcome measures (PROM) following treatment of stress urinary incontinence (SUI). However,...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3070-0
更新日期：2017-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:We aimed to determine the rate of readmission and reoperation for patients undergoing midurethral sling (MUS) placement for stress urinary incontinence (SUI). METHODS:The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was queried to identify all ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3551-9
更新日期：2018-09-01 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:Modern classifications of pelvic floor movements are based on pelvic floor assessment in a static midsagittal plane. This study presents a new and potentially useful 3D noninvasive tool for studying pelvic floor mobility in women with pelvic organ prolapse (POP). MATERIALS AND METHODS:Thirt...
journal_title：International urogynecology journal
pub_type： 临床试验,杂志文章
doi：10.1007/s00192-016-2948-1
更新日期：2016-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Urinary tract infections (UTIs) are common with indwelling catheter use. Our primary aim was to compare UTI rates in women sent home after surgery with continuous bladder drainage versus a urinary catheter valve. METHODS:This was a non-inferiority prospective randomized controlled study bet...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04436-9
更新日期：2020-07-18 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-014-2423-9
更新日期：2014-11-01 00:00:00
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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
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1356-1
更新日期：2011-08-01 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: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
更新日期：2017-12-01 00:00:00
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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:Posthysterectomy vaginal vault prolapse repair is a challenge for urogynecologists. Surgical management can be successful with native tissue by the vaginal approach with sacrospinous ligament fixation. However, severe complications have been described, including nerve injury and life-threate...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3255-6
更新日期：2017-07-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-012-1799-7
更新日期：2013-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Understanding demographic and opioid utilization patterns of preoperative opioid users compared with opioid-naïve patients undergoing surgical treatment for pelvic organ prolapse (POP) better informs opioid prescribing. METHODS:A cohort of preoperative opioid users undergoing surgery for PO...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-04215-1
更新日期：2020-09-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章,评审
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更新日期：2013-11-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Robotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cada...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-03936-7
更新日期：2019-08-01 00:00:00
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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
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journal_title：International urogynecology journal
pub_type： 杂志文章,评审
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更新日期：2014-12-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00192-013-2092-0
更新日期：2013-11-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim was to evaluate the relationship between age and the impact of pelvic floor disorders (PFD) using a multi-dimensional pelvic floor questionnaire METHODS:Questionnaire data on 4,311 women attending urogynaecology clinics with PFD were stratified by age into four groups: ≤35, 36-50, 5...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-013-2167-y
更新日期：2014-01-01 00:00:00
abstract：:We report a case of vesicocervical fistula following intrauterine device (Lippes loop) erosion following insertion 45 years ago. Vesicocervical fistula was suspected clinically. Ultrasound and magnetic resonance imaging confirmed the presence of a foreign body. Biopsy and magnetic resonance imaging were performed to r...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2667-z
更新日期：2015-06-01 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: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:Rectopexy and sacrocolpopexy can be performed concurrently to treat rectal and vaginal prolapse. We hypothesized that concurrent procedures might be associated with more complications than rectopexy and sacrocolpopexy alone. METHODS:Patients undergoing laparoscopic sacrocolpopexy or rectope...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3699-y
更新日期：2019-03-01 00:00:00
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 o...
journal_title：International urogynecology journal
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00192-014-2573-9
更新日期：2015-08-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To evaluate the efficacy and safety of the intravesical injection of Chinese botulinum toxin A (BTX-A) in patients with interstitial cystitis/bladder pain syndrome (IC/BPS). METHODS:Between January 2003 and June 2013, 124 women with IC/BPS were studied. Of these 124 patients, 66 were treate...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2631-y
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim of our study was to assess the interobserver and intraobserver reliability as well as the content and construct validity of the FIGO prolapse assessment scoring system (FASS). METHODS:Women with and without (controls) symptoms of pelvic organ prolapse (POP) attending gynaecology out...
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/s00192-014-2604-6
更新日期：2015-06-01 00:00:00
