Abstract:
INTRODUCTION:Concerns about vaginal mesh have reduced the use of mid-urethral slings (MUS) in some countries. In view of their potential withdrawal in Belgium and The Netherlands, we polled urogynaecologists on their practice for treating stress urinary incontinence (SUI) and what their experience is with alternative procedures, and we asked them how their patients perceive the risk and success rates. METHODS:A survey among members of the pelvic floor special interest group of the Flemish Society for Obstetrics and Gynaecology, Belgian Association of Urology and Dutch Society of Obstetrics and Gynaecology. RESULTS:Their primary procedure of choice is the MUS (99%). Sixty-five per cent performs at least 25 MUS yearly; they report high success (90%; IQR [85-92]) and low adverse outcome rates. Physicians anticipate complications as reported in the literature: 5% (IQR [410]) overactive bladder, 5% (IQR [2-10]) voiding problems, 2% (IQR [15]) exposures, 2% (IQR [1-5]) dyspareunia and 1% (IQR [1-3]) chronic pain. Eighty-five per cent of physicians report their patients express fears about having a MUS though usually they cannot precisely tell why. Reportedly they tell their physicians of concerns about pain (54%), exposure (45%), dyspareunia (25%), voiding problems (15%) or overactive bladder (8%). Only half of respondents had ever performed a colposuspension. The majority of these were older and performed colposuspension via laparotomy. Only six (4%) had performed > 20 colposuspensions yearly. CONCLUSION:Dutch and Belgian urogynaecologists estimate success and adverse effect rates of MUS in line with the literature. Their patients most cited worries were fear of chronic pain and exposure. Only half of respondents had ever performed a colposuspension. They were older and performed the procedure via laparotomy.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
D'hulster AS,Housmans S,Spaans W,Van der Aa F,Slabbaert K,Milani AL,Deprest Jdoi
10.1007/s00192-019-04135-0subject
Has Abstractpub_date
2020-04-01 00:00:00pages
695-702issue
4eissn
0937-3462issn
1433-3023pii
10.1007/s00192-019-04135-0journal_volume
31pub_type
杂志文章,评审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: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:INTRODUCTION AND HYPOTHESIS:The objective was to report patterns of sling and transvaginal mesh-related complications using the IUGA/ICS classification of prosthesis-related complications. METHODS:This was a retrospective chart review of all patients who underwent surgical removal of sling, transvaginal mesh, and sacr...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s00192-015-2913-4
更新日期:2016-06-01 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::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::Pelvic reconstructive surgeons have suspected for over a century that childbirth-related trauma plays a major role in the aetiology of female pelvic organ prolapse. Modern imaging has recently allowed us to define and reliably diagnose some of this trauma. As a result, imaging is becoming increasingly important, since...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1459-3
更新日期:2011-10-01 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::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
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2019-04-01 00:00:00
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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: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
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1253-7
更新日期:2011-02-01 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:The arcus tendineus fascia pelvis (ATFP) and arcus tendineus levator ani (ATLA) are elements of anterior vaginal support. This study describes their geometry in women with unilateral levator ani muscle defects and associated "architectural distortion." METHODS:Fourteen subjects with unilate...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1528-7
更新日期:2012-01-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04411-4
更新日期:2020-07-20 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The objective was to compare vaginal and clitoral sensory thresholds in women with pelvic organ prolapse and women with normal pelvic anatomy. METHODS:Quantitative sensory thresholds for warm, cold, and vibratory sensations were measured at the vagina and clitoral area of women with pelvic ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-015-2637-5
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Management of stress urinary incontinence (SUI) with intravaginal devices is an alternative to surgical management, but data of a high level of evidence remain scarce. Our goal was to assess efficacy, tolerance, and acceptability of the 75NC007 intravaginal device for SUI management. METHOD...
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/s00192-012-1814-z
更新日期:2012-12-01 00:00:00
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
更新日期:2013-04-01 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
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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
abstract:INTRODUCTION AND HYPOTHESIS:The high uterosacral vault suspension (HUVS) is a vaginal approach for treating apical prolapse that provides shorter operative and recovery times and is associated with lower morbidity rates. Success rates reported for this technique are comparable with the abdominal sacrocolpopexy (SCP); h...
journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00192-015-2666-0
更新日期:2015-08-01 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
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更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Walking speed and carrying technique affect intra-abdominal pressure (IAP) in women. In this study, we tested the feasibility of monitoring IAP outside the laboratory environment and compared IAP while study participants were (1) carrying 13.6 kg (similar to a 3-month old in car seat) in six...
journal_title:International urogynecology journal
pub_type: 临床试验,杂志文章
doi:10.1007/s00192-014-2593-5
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Delays in receiving obstetric care during labor contribute to high rates of maternal morbidity in sub-Saharan Africa. This exploratory study was conducted to identify important delays experienced during the development and subsequent repair of obstetric fistula in northern Tanzania. METHODS...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3416-2
更新日期:2018-03-01 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:Different techniques of mesh placement for cystocele repair are known. Our goal was to compare anatomical and functional outcomes of three different techniques of mesh placement over a 3-year follow-up. METHODS:Between March 2003 and June 2004, 230 patients (stage 2-4 pelvic organ prolapse ...
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/s00192-011-1650-6
更新日期:2012-06-01 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:Our aim was to evaluate the outcome of open colposuspension for women with urodynamic stress incontinence who had previously undergone a failed midurethral tape. METHODS:A retrospective study of 13 women who had undergone open colposuspension after a failed midurethral tape was conducted. ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1720-4
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:No previous studies have investigated the efficacy of mirabegron 50 mg as the first-line therapy in OAB patients. Hence, the primary objective of this study was to evaluate the efficacy of mirabegron in treatment-naive patients in comparison with those who had discontinued antimuscarinic the...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-016-3219-x
更新日期:2017-07-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of the study was to determine whether a 6-week course of 5 mg of solifenacin succinate used to treat mixed incontinence, produces measurable changes in the appearance of the urethral sphincter. METHODS:Twenty-six women undergoing treatment for mixed incontinence were recruited from ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-011-1410-7
更新日期:2011-08-01 00:00:00