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 of publication, study type, outcome measures, urodynamics before and after the procedure, number of participants, procedure complications, proportion requiring repeat injections or surgical procedures, frequency of follow-up, and results were analysed. RESULTS:The use of Bulkamid and Macroplastique for the treatment of female SUI was described in 26 studies. Studies used modalities including the visual analogue scale, Likert scale, International Consultation on Incontinence Modular Questionnaire (ICIQ), Patient Global Improvement Questionnaire (PGIQ) and Incontinence Impact Questionnaire (IIQ) and showed success rates ranging from 66% to 89.7% at 12 months follow-up. Objective improvements in patient symptoms were measured using urodynamics, 24-h pad tests, cough tests and voiding diaries. Studies showed variable objective success rates ranging from 25.4% to 73.3%. Objective findings for UBAs remain less well documented than those for the midurethral sling procedure. CONCLUSIONS:There are a range of complications associated with UBAs, the most common being urinary tract infection. However, it remains a very well tolerated procedure in the majority of patients. UBAs should be considered as an alternative in patients unsuitable for more invasive procedures and those willing to accept the need for repeat injections. The majority of the literature focuses on subjective improvement measures rather than objective improvement measures. Further randomized controlled trials directly comparing UBAs are required to indicate the most effective agent.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Siddiqui ZA,Abboudi H,Crawford R,Shah Sdoi
10.1007/s00192-017-3278-7subject
Has Abstractpub_date
2017-09-01 00:00:00pages
1275-1284issue
9eissn
0937-3462issn
1433-3023pii
10.1007/s00192-017-3278-7journal_volume
28pub_type
杂志文章,评审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: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: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: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: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: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: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: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
更新日期:2019-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Vaginal apical suspension is essential for the surgical treatment of pelvic organ prolapse (POP). We aim to evaluate whether the method of apical repair is associated with different re-operation rates for POP recurrence or surgical complications. METHODS:Population-based, retrospective coho...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3792-2
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to evaluate the subjective outcome between 1 and 5 years after tension-free vaginal tape (TVT) operation and the need for follow-up. METHODS:A prospective questionnaire study was performed including questions about incontinence, urinary tract infection, emptying pro...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1601-2
更新日期:2012-05-01 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: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: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:The objective was to compare clinical and anatomical outcomes between laparoscopic uterosacral ligament suspension (LUSLS) and vaginal colposuspension using the Uphold Lite™ mesh system for the treatment of apical prolapse. METHODS:We performed a comparative, retrospective cohort study. All...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04563-3
更新日期:2020-10-21 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
abstract::Genitourinary syndrome of menopause (GSM) is common among postmenopausal women, but, in general, not all of the patients seek medical advice as this sensitive issue can cause them embarrassment. OBJECTIVES:To explore the prevalence of GSM among Thai postmenopausal women and their disclosure of and attitude towards GS...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03991-0
更新日期:2019-11-01 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: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: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:The aim of this study was to look for possible predictors preoperatively for the development of de novo stress urinary incontinence (SUI) in urodynamically continent women who underwent pelvic reconstructive surgery (PRS). MATERIALS AND METHODS:Medical records of 637 continent women who und...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2685-x
更新日期:2015-09-01 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::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
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:To report 12-year experience with replacing transvaginal mesh (TVM) with fascia lata autograft. METHODS:This was a chart review of TVM removal and replacement with a fascia lata autograft placement by a single surgeon between 2005 and 2017. The Pelvic Organ Prolapse Quantification (POP-Q) system before and ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03957-2
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:We evaluated the surgical feasibility, sexual satisfaction and complications of vaginal reconstruction with sigmoid colon in patients with congenital absence of vagina and menses retention. METHODS:Retrospective analysis of surgical techniques and long-term postoperative follow-up was perfo...
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: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 this study was to evaluate the long-term effect of thermoablative fractional CO2 laser (TACO2L) as an alternative treatment for early stages of stress urinary incontinence (SUI) in postmenopausal women with genitourinary syndrome of menopause. METHODS:A total of 161 postmenopausa...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3352-1
更新日期:2018-02-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Stress urinary incontinence (SUI) may appear after the correction of pelvic organ prolapse (POP). The aim of this study was to externally validate a described predictive model for de novo SUI and to assess its clinical performance when used as a diagnostic test. METHODS:This was a retrospec...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3805-1
更新日期:2019-10-01 00:00:00
abstract::Many properties of polypropylene mesh that are causative in producing the complications that our patients are experiencing were published in the literature prior to the marketing of most currently used mesh configurations and mesh kits. These factors were not sufficiently taken into account prior to the sale of these ...
journal_title:International urogynecology journal
pub_type: 历史文章,杂志文章
doi:10.1007/s00192-011-1399-y
更新日期:2011-07-01 00:00:00
abstract:INTRODUCTION:Overactive bladder (OAB) is a common condition, increasing with age and affecting quality of life. While numerous OAB drugs are available, persistence is low. We evaluated evidence published since 2012 to determine if newer drugs provided better efficacy and harm profiles. METHODS:We searched MEDLINE and ...
journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析
doi:10.1007/s00192-019-04022-8
更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION:With the publication of the updated US Food and Drug Administration (FDA) communication in 2011 on the use of transvaginal placement of mesh for pelvic organ prolapse (POP) it is appropriate to now review recent studies of good quality on POP to assess the safety and effectiveness of treatment options and ...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-012-2025-3
更新日期:2013-05-01 00:00:00