collection
https://read.qxmd.com/read/30987929/urodynamics-before-stress-urinary-incontinence-surgery-in-modern-functional-urology
#1
REVIEW
Bárbara Padilla-Fernández, Gina M Ramírez-Castillo, David Hernández-Hernández, David M Castro-Díaz
There is an ongoing debate in functional urology forums about the role and utility of urodynamics as a diagnostic and prognostic tool for patients with urinary incontinence. Current evidence suggests that in a limited number of patients with pure stress urinary incontinence (those without relevant urogynaecological comorbidities and a low postvoid residual volume of urine), urodynamic studies can be avoided, although this opinion remains controversial. PATIENT SUMMARY: Stress urinary incontinence is highly prevalent and surgical treatment is frequently needed...
May 2019: European Urology Focus
https://read.qxmd.com/read/31045271/the-role-of-urodynamics-in-the-management-of-female-stress-urinary-incontinence
#2
JOURNAL ARTICLE
Maurizio Serati, Andrea Braga, Marco Torella, Marco Soligo, Enrico Finazzi-Agro
AIM: The role of urodynamic study (UDS) in the management of female stress urinary incontinence (SUI) is one of the most controversial and debated topic in urogynecology. Here, we aimed to systematically assess the most relevant available evidence on urodynamics' value in the management of women with stress urinary incontinence. METHODS: A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement was performed in May 2018...
August 2019: Neurourology and Urodynamics
https://read.qxmd.com/read/31059638/proximal-location-of-explanted-midurethral-slings-is-associated-with-urinary-storage-symptoms
#3
JOURNAL ARTICLE
Benjamin M Dropkin, Casey G Kowalik, Jorge H Jaunarena, Sophia D Delpe, William S Reynolds, Roger R Dmochowski, Melissa R Kaufman
AIM: To examine the location of midurethral slings (MUS) at the time of excision to determine associations between presenting symptoms and sling location at explant. METHODS: We performed an IRB approved, retrospective review of MUS explants between January 2011 and March 2016. Symptoms and physical examination findings were compared between women with slings explanted from the mid-urethra (MU) and women with slings explanted from the proximal urethra/bladder neck (PU/BN)...
May 6, 2019: Neurourology and Urodynamics
https://read.qxmd.com/read/31072274/transobturator-tape-and-mini-sling-methods-in-stress-urinary-incontinence-results-of-a-randomized-clinical-trial
#4
RANDOMIZED CONTROLLED TRIAL
Maryam Emami, Abdolreza Momtazan, Robab Maghsoudi, Mojtaba Ameli, Amirhosein Kashi, Minoo Amirpoor, Sara Karimi
BACKGROUND: Stress urinary incontinence is one of the most common types of incontinence in premenopausal women, accounting for almost 50% of such cases. Mid-urethral slings are currently the most widely used surgical method for stress urinary incontinence. This study aimed at comparing the efficacy, complications, urodynamic changes and the sexual function status between mini-sling surgery and transobturator tape to help us select the best method in such patients. METHOD: In this randomized controlled trial, 80 cases were studied and randomly assigned to either the mini-sling or transobturator tape group (n = 40)...
August 2019: Urologia
https://read.qxmd.com/read/31129927/midurethral-slings-for-treatment-of-stress-urinary-incontinence-review
#5
REVIEW
Abigail A Ford, Visha Taylor, Joseph Ogah, Nikolaus Veit-Rubin, Vik Khullar, Guiseppe A Digesu
PURPOSE: The midurethral sling (MUS) has largely been regarded as the "gold standard" in treatment of stress urinary incontinence (SUI). Recently the safety and use of the MUS has come under scrutiny following concerns about the use of mesh implants. The aim of this review was to detail the background to SUI which has led to the development of MUS, to highlight the issues surrounding the use of mesh under the current climate of mesh controversies and to provide an update on current evidence on the use of MUS...
August 2019: Neurourology and Urodynamics
https://read.qxmd.com/read/31139489/delayed-presentation-of-iliac-vein-injury-a-severe-complication-at-retropubic-midurethral-sling-arm-removal
#6
Pansy Uberoi, Forrest Jellison
Midurethral slings are the most common treatment for female stress urinary incontinence. Perioperative vascular injuries during placement of a retropubic midurethral sling (RMUS) are uncommon but have been described. The objective of this case report is to describe a complication of delayed presentation from a vascular injury at the time of retropubic sling arm removal not previously documented in the literature. This life-threating complication should be considered and precautions should be taken at retropubic sling arm removal...
2019: Case Reports in Urology
https://read.qxmd.com/read/31150690/durability-of-retropubic-suburethral-sling-procedure-and-predictors-for-successful-treatment-outcome-in-women-with-stress-urinary-incontinence
#7
JOURNAL ARTICLE
Hsin-Ho Liu, Hann-Chorng Kuo
OBJECTIVE: To investigate the long-term durability of retropubic suburethral sling procedure for female stress urinary incontinence (SUI) and to identify urodynamic factors that might predict long-term successful outcomes. MATERIALS AND METHODS: Totally 286 women who underwent a retropubic suburethral sling for SUI were enrolled in this retrospective survey. Most patients received uroflowmetry, post-void residual volume (PVR) study and standardized video urodynamic testing preoperatively and 6 months postoperatively in half of them...
May 28, 2019: Urology
https://read.qxmd.com/read/31177862/an-update-on-research-and-outcomes-in-surgical-management-of-vaginal-mesh-complications
#8
REVIEW
Dominic Lee, Philippe E Zimmern
INTRODUCTION: Stress urinary incontinence and pelvic organ prolapse are major quality of life conditions affecting millions of individuals. Transvaginal mesh materials have been proposed to supplant native tissue repairs. However, these materials have opened a new field, meshology, devoted to the management of mesh complications. AREAS COVERED: This review highlights some of the recent developments in this subspecialty which often requires a multidisciplinary approach...
July 2019: Expert Review of Medical Devices
https://read.qxmd.com/read/31125722/in-vitro-leakage-testing-of-tissue-containment-bags-when-subjected-to-power-morcellation-forces
#9
JOURNAL ARTICLE
Alexander Herman, Nandini Duraiswamy, Poulomi Nandy, Matthew R Myers, Veronica Price, George Gibeily, Prasanna Hariharan
STUDY OBJECTIVE: To determine the ability of tissue containment systems to prevent leakage of cancer cell surrogates when subjected to forces encountered during power morcellation procedures. DESIGN: In vitro study. SETTING: Medical device research laboratory. INTERVENTIONS: Samples from 7 different legally marketed tissue containment bags (1 of which is indicated for power morcellation) were subjected to dye and bacteriophage penetration tests at pressures ranging from 0...
May 21, 2019: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/30950869/designing-new-synthetic-materials-for-use-in-the-pelvic-floor-what-is-the-problem-with-the-existing-polypropylene-materials
#10
JOURNAL ARTICLE
Sabiniano Roman, Naside Mangir, Sheila MacNeil
PURPOSE OF REVIEW: This review identifies the clinical complications associated with the design of the current polyproplylene mesh materials used for the treatment of stress urinary incontinence and pelvic organ prolapse. Following on from this, new alternative materials under development for pelvic floor repair are reviewed. RECENT FINDINGS: It is well accepted that the textile properties of the current polypropylene surgical meshes are not suitable for the pelvic floor environment...
July 2019: Current Opinion in Urology
https://read.qxmd.com/read/30929658/surgical-treatments-for-women-with-stress-urinary-incontinence-the-ester-systematic-review-and-economic-evaluation
#11
JOURNAL ARTICLE
Miriam Brazzelli, Mehdi Javanbakht, Mari Imamura, Jemma Hudson, Eoin Moloney, Frauke Becker, Sheila Wallace, Muhammad Imran Omar, Michael Shimonovich, Graeme MacLennan, Laura Ternent, Luke Vale, Isobel Montgomery, Phil Mackie, Lucky Saraswat, Ash Monga, Dawn Craig
BACKGROUND: Urinary incontinence in women is a distressing condition that restricts quality of life and results in a large economic burden to both the NHS and women themselves. OBJECTIVE: To evaluate the clinical effectiveness, safety and cost-effectiveness of surgical treatment for stress urinary incontinence (SUI) in women and explore women's preferences. DESIGN: An evidence synthesis, a discrete choice experiment (DCE) and an economic decision model, with a value-of-information (VOI) analysis...
March 2019: Health Technology Assessment: HTA
https://read.qxmd.com/read/30930102/committee-opinion-no-387-mid-urethral-slings-for-stress-urinary-incontinence
#12
JOURNAL ARTICLE
Aisling Clancy
No abstract text is available yet for this article.
September 2019: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/30931273/metallosis-a-new-form-of-autoimmune-autoinflammatory-syndrome-induced-by-adjuvants-syndrome-asia
#13
JOURNAL ARTICLE
Rita Vaz, Pedro Xavier, Sergio Brito, Jorge Dantas, Sofia Duque, Jose Guimarães Consciência, Luis Campos
Autoimmune/autoinflammatory syndrome induced by adjuvants (ASIA) is a new entity in which exposure to an adjuvant triggers an aberrant autoimmune response. Metallosis is a rare condition characterized by the deposition and build-up of metal debris in the soft tissues of the body associated with metal-on-metal (MOM) prosthetic devices. It can present with local/systemic symptoms and signs due to a chronic inflammatory host response. The authors present the case of a 51-year-old woman with a 6-month history of systemic complaints due to intoxication with metal ions from hip metallosis...
2019: European Journal of Case Reports in Internal Medicine
https://read.qxmd.com/read/30918979/management-of-complications-arising-from-the-use-of-mesh-for-stress-urinary-incontinence-international-urogynecology-association-research-and-development-committee-opinion
#14
JOURNAL ARTICLE
Jonathan Duckett, Barbara Bodner-Adler, Suneetha Rachaneni, Pallavi Latthe
INTRODUCTION AND HYPOTHESIS: Management of pain or mesh exposure complications after stress incontinence surgery has become a new issue over the last 20 years with the introduction of mesh techniques to treat stress incontinence. There is much debate regarding the incidence of complications and how best to treat them. METHODS: A working subcommittee from the International Urogynecology Association (IUGA) Research and Development (R&D) Committee was formed. An initial document was drafted based on a literature review...
March 27, 2019: International Urogynecology Journal
https://read.qxmd.com/read/30900401/exploring-stress-urinary-incontinence-outcomes-after-sling-excision-for-perforation-or-exposure
#15
JOURNAL ARTICLE
Raveen Syan, Benoit Peyronnet, Alice Drain, Ekene Enemchukwu, Dominique R Malacarne, Nirit Rosenblum, Victor W Nitti, Benjamin M Brucker
OBJECTIVE: This study assessed stress urinary incontinence (SUI) outcomes after sling excision for urinary tract perforation or vaginal exposure, and compared the outcomes of concomitant versus staged autologous fascia pubovaginal sling (AFPVS). METHODS: A retrospective chart review of all patients who underwent midurethral sling (MUS) excision for urinary tract perforation or vaginal exposure at a tertiary referral center between 2010 and 2015 was performed. Therapeutic strategies were categorized as concomitant AFPVS, staged AFPVS, and no anti-incontinence procedure...
March 22, 2019: Lower Urinary Tract Symptoms
https://read.qxmd.com/read/30890420/transobturator-tape-over-10-years-follow-up
#16
JOURNAL ARTICLE
Franca Natale, Ester Illiano, Alessandro Marchesi, Chiara La Penna, Elisabetta Costantini
OBJECTIVES: To assess subjective and objective outcomes in incontinent patients following 'out-in' TOT, at >10-year follow-up; to evaluate effect on QoL and other urinary symptoms, late adverse events and predictive factors for failure. METHODS: This single-centre prospective study evaluated women with 'complicated' or 'uncomplicated' stress urinary incontinence (SUI) following 'out-in' TOT between 2003-2007. The pre-op work-up comprised: history; pelvic examination; cough stress test; urodynamic study; UDI-6 and King's Health (KHQ) questionnaires...
March 16, 2019: Urology
https://read.qxmd.com/read/30870280/hysterectomy-practice-patterns-in-the-postmorcellation-era
#17
JOURNAL ARTICLE
Elisa M Jorgensen, Anna M Modest, Hye-Chun Hur, Michele R Hacker, Christopher S Awtrey
OBJECTIVE: To characterize long-term national trends in surgical approach for hysterectomy after the U.S. Food and Drug Administration (FDA) warning against power morcellation for laparoscopic specimen removal. METHODS: This was a descriptive study using data from the American College of Surgeons National Surgical Quality Improvement Program from 2012 to 2016. We identified hysterectomies using Current Procedural Terminology codes. We used an interrupted time-series analysis to evaluate abdominal and supracervical hysterectomy trends surrounding The Wall Street Journal article first reporting morcellation safety concerns and the FDA safety communication...
April 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30842071/optimizing-fail-safe-use-of-complex-medical-devices
#18
JOURNAL ARTICLE
Patricia Hercules, M Michael Shabot, Teresa Ryan, Susan Ratcliff
As part of its comprehensive journey toward high reliability, Memorial Hermann Health System has implemented multiple patient safety initiatives. An instance of actual patient harm due to staff unfamiliarity with a medical device triggered a project to ensure the competence of clinical staff in the operation of all approved new and updated medical devices. Medical devices are classified by level of risk to patients if caregivers are not reliably educated. Educational rigor, with tracking and accountability management, is then scaled to that risk assessment...
2019: AACN Advanced Critical Care
https://read.qxmd.com/read/30817558/patient-registry-and-outcomes-for-breast-implants-and-anaplastic-large-cell-lymphoma-etiology-and-epidemiology-profile-initial-report-of-findings-2012-2018
#19
JOURNAL ARTICLE
Colleen M McCarthy, Nilsa Loyo-Berríos, Ali A Qureshi, Erin Mullen, Gayle Gordillo, Andrea L Pusic, Binita S Ashar, Katie Sommers, Mark W Clemens
BACKGROUND: In January of 2011, the US Food and Drug Administration released a safety communication regarding the potential association between breast implants and anaplastic large cell lymphoma (ALCL). In August of 2012, the American Society of Plastic Surgeons, The Plastic Surgery Foundation, and the Food and Drug Administration signed a cooperative research and development agreement to develop a patient registry entitled the "Patient Registry and Outcomes for Breast Implants and Anaplastic Large Cell Lymphoma Etiology and Epidemiology" (PROFILE)...
March 2019: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/30801469/acog-committee-opinion-no-770-summary-uterine-morcellation-for-presumed-leiomyomas
#20
COMMENT
(no author information available yet)
Morcellation is a surgical technique used to reduce the size of the uterus or myomas by creating smaller pieces to allow the tissue to be removed through small incisions or with laparoscopic instruments. Open (uncontained) morcellation of the uterus and myomas has been scrutinized because of the possible spread of an unsuspected leiomyosarcoma while using a power morcellator during a hysterectomy or myomectomy for presumed symptomatic uterine leiomyomas. Before considering open morcellation of the uterus, a woman should be evaluated to determine if she is at increased risk of malignancy of the uterine corpus...
March 2019: Obstetrics and Gynecology
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