18,181 results match your criteria Surgical Treatment of Urinary Incontinence

Adjustable Continence Therapy (ACT®) balloons to treat female stress urinary incontinence: effectiveness, safety and risk factors of failure and complication.

Int Urogynecol J 2022 Jun 25. Epub 2022 Jun 25.

University of Lille, Department of Urology, CHU Lille, F-59000, Lille, France.

Introduction And Hypothesis: To assess the effectiveness, safety and risk factors of failure and complications associated with Adjustable Continence Therapy (ACT®) balloons as a treatment for female stress urinary incontinence (SUI).

Methods: In the present multicentric retrospective study, all women implanted with ACT® balloons between 2000 and 2018 were considered eligible. Effectiveness and safety were assessed at 1 year, and risk factors for failure and complications were sought. Read More

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Neurogenic Bladder Physiology, Pathogenesis, and Management after Spinal Cord Injury.

J Pers Med 2022 Jun 14;12(6). Epub 2022 Jun 14.

Department of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, FL 33136, USA.

Urinary incontinence is common after spinal cord injury (SCI) due to loss of supraspinal coordination and unabated reflexes in both autonomic and somatic nervous systems; if unchecked, these disturbances can become life-threatening. This manuscript will review normal anatomy and physiology of the urinary system and discuss pathophysiology secondary to SCI. This includes a discussion of autonomic dysreflexia, as well as its diagnosis and management. Read More

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Long-term urological complications after conservative local treatment (surgery and brachytherapy) in children with bladder-prostate rhabdomyosarcoma: A single-team experience.

Pediatr Blood Cancer 2022 Aug 6;69(8):e29532. Epub 2022 Jan 6.

Department of Pediatric Surgery, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Paris-Saclay University, Le Kremlin-Bicêtre, France.

Background: Outcome of children with bladder-prostate rhabdomyosarcoma (RMS) has improved with multimodal therapies, including surgery and/or radiotherapy for local treatment. Our aim was to report long-term urological complications after a conservative approach combining conservative surgery and brachytherapy.

Patients And Methods: Eighty-six patients, free of disease, were retrospectively reviewed. Read More

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Tension-free vaginal mesh for patients with pelvic organ prolapse: mid-term functional outcomes.

J Int Med Res 2022 Jun;50(6):3000605221106434

Department of Urology, Nihon University School of Medicine, Tokyo, Japan.

Objective: We aimed to evaluate the mid-term efficacy of tension-free vaginal mesh (TVM) for pelvic organ prolapse (POP), and observe the time course of lower urinary tract symptoms and sexual function.

Methods: In this retrospective study, we included 112 female patients who underwent TVM at a single center for stage 2 or higher POP, and replied to questionnaires before, and 2 and 4 years after TVM. We evaluated the anatomical cure rate, prolapse quality of life questionnaire scores, international prostate symptom scores, International Consultation on Incontinence Questionnaire-Short Form scores, and Female Sexual Function Index scores. Read More

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Contemporary trends in the surgical management of urinary incontinence after radical prostatectomy in the United States.

Prostate Cancer Prostatic Dis 2022 Jun 21. Epub 2022 Jun 21.

Department of Urology, Stanford University School of Medicine, Stanford, CA, USA.

Purpose: To identify trends, costs, and predictors in the use of different surgical procedures for post-radical prostatectomy incontinence (PPI).

Materials And Methods: We identified 21,589 men who were diagnosed with localized prostate cancer (PCa) and treated with radical prostatectomy (RP) from 2003 to 2017. The primary outcome was the incontinence procedure performances. Read More

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Transurethral dorsal buccal graft urethroplasty for proximal female urethral strictures.

Int Urogynecol J 2022 Jun 20. Epub 2022 Jun 20.

From the Department of Urology (BJL, FB, JNW) and Division of Urogynecology (BJL), Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Introduction And Hypothesis: We present a novel outpatient transurethral dorsal buccal graft urethroplasty for managing proximal female urethral strictures.

Methods: A 69-year-old female presented with a 2.5-year history of slowing urinary stream. Read More

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Clinical and urodynamic findings before and after surgical repair of pelvic organ prolapse in women with lower urinary tract symptoms. A prospective observational study.

Urology 2022 Jun 14. Epub 2022 Jun 14.

Department of Urology, Ain Shams University, Cairo, Egypt. Electronic address:

Objectives: To investigate the association between urodynamic findings and lower urinary tract symptoms (LUTS) before and after surgical treatment of POP.

Methods: Seventy-four patients with stage II or more anterior POP associated with LUTS and eligible for surgical repair of POP were included in this prospective study. All cases had clinical evaluation and urodynamic testing (UDS) before and 6 months after surgical repair of POP. Read More

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Percutaneous Tibial Nerve Stimulation in Chronic Post-Surgical Anorectal Pain: A Case Report.

GE Port J Gastroenterol 2022 May 3;29(3):197-202. Epub 2021 May 3.

Serviço de Anestesiologia, Centro Hospitalar Universitário do Porto, Porto, Portugal.

Introduction: Anorectal pain is a symptom with a negative impact on quality of life and it can sometimes develop into a chronic pain syndrome. Structural anorectal pain is treated according to the underlying pathology. In situations of chronic post-surgical pain that is refractory to conventional therapeutic approaches, percutaneous tibial nerve stimulation (PTNS) is an option. Read More

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European Association of Urology Guidelines on Male Urinary Incontinence.

Eur Urol 2022 Jun 10. Epub 2022 Jun 10.

Department of Urology, Medical School, University of Cyprus, Nicosia, Cyprus.

Context: Urinary incontinence (UI) is a common condition in elderly men causing a severe worsening of quality of life, and a significant cost for both patients and health systems.

Objective: To report a practical, evidence-based, guideline on definitions, pathophysiology, diagnostic workup, and treatment options for men with different forms of UI.

Evidence Acquisition: A comprehensive literature search, limited to studies representing high levels of evidence and published in the English language, was performed. Read More

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A systematic review of supervised comprehensive functional physiotherapy after radical prostatectomy.

Prog Urol 2022 Jul 5;32(7):525-539. Epub 2022 Jun 5.

Direction de la recherche clinique, hôpital La Musse, Saint-Sébastien-de-Morsent, France; CETAPS laboratory, EA 3882, Rouen University, Rouen, France.

Introduction: Radical prostatectomy (RP) can generate multidimensional physiological changes, like decrease in physical and emotional functioning, as well as Health Related Quality of Life (HRQoL). However, only pelvic floor muscle training (PFMT) is commonly recommended as conservative treatment after RP. More comprehensive interventions than only PFMT, such as physiotherapy promoting general coordination, flexibility, strength, endurance, fitness and functional capacity may seem more relevant and patient-centered. Read More

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CO surgical laser for treatment of stress urinary incontinence in women: a randomized controlled trial.

Am J Obstet Gynecol 2022 May 31. Epub 2022 May 31.

Department of Obstetrics and Gynaecology, Monash Health, Melbourne, Victoria, Australia; Cabrini Hospital, Monash University, Melbourne, Victoria, Australia. Electronic address:

Background: Stress urinary incontinence is a common condition that can be treated conservatively and/or surgically. Given the risks of surgery, developing effective nonsurgical treatment options would be beneficial. Some studies have suggested that laser therapy may improve or cure stress urinary incontinence. Read More

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Translabial ultrasound evaluation after tension-free transobturator tape technique: Outcomes based on the tape's position.

Int J Gynaecol Obstet 2022 Jun 3. Epub 2022 Jun 3.

Gynecology and Obstetrics Unit, "Villa Sofia Cervello" Hospital, University of Palermo, Palermo, Italy.

Objective: The purpose of this study was to evaluate the feasibility and accuracy of postoperative translabial ultrasound to assess the position of the tape implanted with the tension-free transobturator tape technique.

Methods: We enrolled women with clinically and urodynamically proven type I or II stress urinary incontinence who were referred for transobturator tape treatment.

Results: A total of 50 women underwent a transobturator tape procedure and were included in the analysis. Read More

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Transvaginal and transobturator autologous vaginal tape cystocele treatment: About an uncommon case.

Int J Surg Case Rep 2022 Jun 16;95:107198. Epub 2022 May 16.

Urology Department, Avicenne Hospital, University Hospital Center IBN SINA, University Mohammed V, Morocco.

Background: Pelvic organ prolapse (POP) significantly impairs women's quality of life. The literature reports that nearly one in five women will require surgery in their lifetime, and nearly 40.6% involve anterior wall repair, specifically cystocele. Read More

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Treatment of Urethral Intercourse and Impact on Female Sexual Function.

Sex Med 2022 May 26;10(4):100534. Epub 2022 May 26.

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Background: Urethral intercourse is a very rare entity which usually presents as urinary incontinence during and after intercourse and is most commonly seen in patients with vaginal agenesis (Mayer-Rokitansky-Hauser Syndrome) or hypoplasia, or other rear vaginal anomalies.

Aim: To evaluate management and outcomes for vaginal and urethral consequences of urethral intercourse, including urinary incontinence.

Methods: Between February 2006 and March 2021, 8 women aged from 17 to 22 years underwent genital and urethral reconstruction due to consequences of urethral sexual intercourse. Read More

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Comparison of surgical techniques for optimal lead placement in sacral neuromodulation: a cadaver study.

Tech Coloproctol 2022 May 28. Epub 2022 May 28.

Department of General Surgery, Division of Visceral Surgery, Medical University of Vienna, Vienna, Austria.

Background: Sacral neuromodulation (SNM) is a common treatment for patients with urinary and faecal incontinence. A close contact of the tined lead electrode with the targeted nerve is likely to improve functional outcome. The aim of this study was to compare the position of the SNM lead in relation to the sacral nerve by comparing different implantation techniques. Read More

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Term breech presentation-Intended cesarean section versus intended vaginal delivery-A systematic review and meta-analysis.

Acta Obstet Gynecol Scand 2022 Jun;101(6):564-576

Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Introduction: Three per cent of all infants are born in breech presentation, still the preferred way to deliver them remains controversial. The objective of this systematic review was to assess the safety for the mother and child depending on intended mode of delivery when the baby is in breech position at term.

Material And Methods: The population (P) was pregnant women with a child in breech presentation, from gestational week 34 . Read More

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Is there an association between the length of the second stage of labour and urinary incontinence in multiparous women?

Eur J Obstet Gynecol Reprod Biol 2022 Jul 20;274:96-100. Epub 2022 May 20.

Department of Obstetrics and Gynaecology, Edith Wolfson Medical Centre, Holon, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address:

Objectives: It is unclear whether the length of the second stage of labour plays a role in the development of urinary incontinence (UI). This study aimed to investigate the association between the cumulative length of the second stage of labour in multiparous women and UI.

Methods: This was a longitudinal cohort study of women who had undergone three vaginal deliveries (VDs) between 2008 and 2017. Read More

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Patient reported outcomes and health related quality of life in localized prostate cancer: A review of current evidence.

Urol Oncol 2022 07 23;40(7):304-314. Epub 2022 May 23.

Section of Urology and Renal Transplantation, Virginia Mason Hospital and Seattle Medical Center, Seattle, WA.

Background: Oncological outcomes after localized prostate cancer (CaP) treatment are excellent and generally considered equivalent across treatment modalities. Thus, short, and long-term patient health related quality of life (HRQoL) is an important factor in treatment discussions. The purpose of this review was to assess the impact of treatment modality for localized CaP on HRQoL as reflected by recent published trials. Read More

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Management of stress urinary incontinence in female patients with spinal cord injury by autologous fascial sling: time for a revival?

Spinal Cord Ser Cases 2022 05 24;8(1):57. Epub 2022 May 24.

Neuro-Urology, Schweizer Paraplegiker Zentrum, Nottwil, Switzerland.

Study Design: This study is a retrospective chart analysis.

Objectives: Surgical treatment of stress urinary incontinence (SUI) in women with neurogenic lower urinary tract dysfunction (NLUTD) is a challenge, as minimally invasive procedures do not seem to be effective, whereas synthetic implants are associated with substantial risks. Thus, we evaluated the results of an autologous sling procedure in this group of patients SETTING: This study was performed at a spinal cord injury rehabilitation center in Switzerland. Read More

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Usefulness of videourodynamic study in the decision-making of surgical intervention and bladder management for neurogenic lower urinary tract dysfunction among patients with myelomeningocele.

Int Urol Nephrol 2022 May 24. Epub 2022 May 24.

Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, 707, Section 3, Chung-Yang Road, Hualien, Taiwan.

Purpose: Neurogenic lower urinary tract dysfunction (NLUTD) is common among children with myelomeningocele (MMC). If NLUTD is not appropriately managed, recurrent urinary tract infection (UTI) can persist and may affect upper urinary tract function. This study investigated the usefulness of videourodynamic study (VUDS) in the urological management of MMC. Read More

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Monopolar electrocautery use in minimally invasive urosurgery: Case report of ectopic ureter management in a bitch.

Open Vet J 2022 Mar-Apr;12(2):182-187. Epub 2022 Mar 15.

Veterinary Department, Faculty of Agrotechnology, Vilnius College, Vilnius, Lithuania.

Background: Ureteral ectopy is a congenital anomaly, affecting young dogs, predominantly bitches. The main complication of the disease is urinary incontinence, which leads to low life quality for both animals and their owners. However, only two less invasive surgical management options are reported. Read More

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A risk calculator for postoperative urinary retention (POUR) following vaginal pelvic floor surgery: multivariable prediction modelling.

BJOG 2022 May 21. Epub 2022 May 21.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.

Objective: To determine the perioperative characteristics associated with an increased risk of postoperative urinary retention (POUR) following vaginal pelvic floor surgery.

Design: A retrospective cohort study using multivariable prediction modelling.

Setting: A tertiary referral urogynaecology unit. Read More

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High dose chemoradiotherapy increases chance of organ preservation with satisfactory functional outcome for rectal cancer.

Radiat Oncol 2022 May 18;17(1):98. Epub 2022 May 18.

Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, 651 Dongfeng Road East, Guangzhou, 510060, People's Republic of China.

Background: High dose chemoradiotherapy offers a curative chance for patients with rectal cancer that are unfit or unwilling to undergo surgical resection, yet its long-term survival and functional outcomes have been rarely investigated.

Methods: Patients with non-metastatic rectal adenocarcinoma who received pelvic radiation for curative intent from April 2006 to July 2017 were retrospectively investigated. Survival rates were analyzed using the Kaplan-Meier method. Read More

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Management of patients with cervical myelopathy and normal pressure hydrocephalus: Epidemiology, medical and surgical complications.

Clin Neurol Neurosurg 2022 Jul 30;218:107269. Epub 2022 Apr 30.

Department of Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, RI 02903, USA. Electronic address:

Objective: Normal pressure hydrocephalus (NPH) and degenerative cervical myelopathy (DCM) can each lead to gait dysfunction and urinary incontinence and may occur concurrently in some patients. In patients presenting with NPH and DCM, there is a paucity of literature describing the medical and surgical complications of treatment and the potential consequences of the sequence of surgical procedures. The aim of this study is to evaluate patients with DCM, NPH, and dual pathology to determine epidemiology and how the order of surgical intervention for both conditions may impact complications and patient outcomes. Read More

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Maternal and Neonatal Morbidity After Attempted Operative Vaginal Delivery.

Obstet Gynecol 2022 May 5;139(5):833-845. Epub 2022 Apr 5.

Department of Obstetrics and Gynecology, Bordeaux University Hospital, Bordeaux, and the Clinical Research Center, Angers University Hospital, Angers, France.

Objective: To assess severe short-term maternal and neonatal morbidity and pelvic floor disorders at 6 months postpartum after attempted operative vaginal delivery according to the instrument used.

Methods: We conducted a prospective study of women with live, singleton, term fetuses in vertex presentation. Patients attempted operative vaginal delivery in a French tertiary care university hospital from December 2008 through October 2013. Read More

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Urethral reconstruction for iatrogenic urethral stricture after transurethral prostate surgery: An analysis of surgical and patient-reported outcomes.

Int J Urol 2022 May 16. Epub 2022 May 16.

Department of Plastic Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan.

Objectives: We investigated the efficacy of urethral reconstruction in male patients with iatrogenic urethral stricture after transurethral prostate surgery.

Methods: We retrospectively reviewed the cases of 82 patients who underwent urethral reconstruction for iatrogenic urethral stricture caused by transurethral prostate surgery between August 2011 and July 2021. Patients were followed up postoperatively with uroflowmetry, postvoid residual urine measurement, and questionnaires using Peeling's picture score, International Prostate Symptom Score, International Consultation on Incontinence Questionnaire Short Form, Sexual Health Inventory for Men, EuroQol-5 dimensions, and EuroQol-5 dimensions visual analog scores. Read More

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Pilot study of an adult bowel management program for fecal incontinence.

J Pediatr Surg 2022 Apr 22. Epub 2022 Apr 22.

Department of Colorectal and Pelvic Reconstructive Surgery, Nationwide Children's Hospital, 700 Children's Drive, Columbus, Ohio 43205, USA; Department of Colon and Rectal Surgery, The Ohio State University, 410 West 10(th) Ave, Columbus, OH, 43210, USA.

Objective: Bowel management programs are efficacious in pediatric patients with fecal incontinence or intractable constipation unresponsive to standard treatment. No studies have been done examining outcomes in adults. The objective of this study was to assess continence and quality of life outcomes in adults who have underwent bowel management program. Read More

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The Relationship between Anxiety and Depression Levels and General Health Status before and 12 Months after SUI Treatment in Postmenopausal Women from the Lower Silesian Population.

Int J Environ Res Public Health 2022 04 24;19(9). Epub 2022 Apr 24.

Department of Physiotherapy, Wroclaw University of Health and Sport Sciences, 51-612 Wrocław, Poland.

Menopause is often the cut-off point from which most cases of stress urinary incontinence (SUI) in women begin. This dysfunction affects not only the physical experience of the patient, but is also related to the psychological aspects, leading to a reduced quality of life. Despite the large number of patients with SUI and the frequent use of surgical treatment for this condition, there are few scientific reports evaluating the effectiveness of the procedure in terms of reducing depressive symptoms or improving overall health. Read More

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Alternatives to whole gland treatment for localized prostate cancer: a review of novel focal therapies.

Curr Opin Urol 2022 05;32(3):239-247

The Smith Institute for Urology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, New York, New York, USA.

Purpose Of Review: The mainstays of the management of clinically localized prostate cancer have historically rested upon active surveillance, radiation therapy, or radical prostatectomy. Although both radiation and surgical treatment of localized prostate cancer can achieve excellent oncologic outcomes, the subsequent potential adverse effects of urinary stress incontinence and erectile dysfunction are unappealing to patients. This has led to investigational studies centered upon focal treatment of the cancerous lesion, with the aim to improve quality-of-life outcomes. Read More

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