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A suburethral sling procedure with polytetrafluoroethylene for the treatment of genuine stress incontinence in patients with low urethral closure pressure
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Citationsfrom the Literature
A suburethral sling procedure with polytetrafluoroethyleae for the treatment of genuine stress incontinence in patients with low urethral closure pressure Horbach NS; Blanc0 JS; Ostergard DR; et al Division of Gynecologic Urology, Department of Obstetrics and Gynecology, University of California, Irvine, CA, USA OBSTET. GYNECOL.; 7114 (648-652)/1988/ One indication for suburethral sling procedures has been recurrent genuine stress incontinence after previous incontinence surgery. Patients with low urethral closure pressure (20 cm H,O or less) in association with genuine stress incontinence are at particular risk for failure of standard anti-incontinence procedures. Urodynamic evaluation was used to select 17 patients with genuine stress incontinence and low urethral closure pressures for surgical treatment with a sling procedure using polytetrafluoroethylene. The technique of the procedure, cure rate, and postoperative complications were assessed. An 85% subjective and objective cure rate was found on urodynamic testing three months postoperatively. Complications included wound seroma, urinary tract infection, and urinary retention.
Surgical treatment of stress urinary incontinence: A comparison of the Kelly pllcation, Marshall-Mar&et&Krantz, and Pereyra procedures Park GS; Miller EJ Jr Department of Obstetrics and Gynecology, Fitzsimons Army Medical Center, Aurora. CO, USA OBSTET. GYNECOL.; 7114 (57%579)/1988/ Six hundred eighty patients surgically treated for stress urinary incontinence were observed annually for up to ten years to compare the efficacy and complications of three types of repair procedures. Although Marshall-Marchetti-Krantz procedures yielded the most effective repair in the immediate postoperative period, Kelly plications were equally corrective more than three years after surgery (69 and 668’0, respectively). Both were superior to the original Pereyra urethropexies at all times. Repeat operations were more likely to fail than primary repairs. The efficacy of the Pereyra procedure was increased with the use of permanent suture. Marshall-Marchetti-Krantz procedures were not affected by suture selection. Pereyra procedures had more complications, many related to intravesical suture. Success rates of all procedures declined steadily with lengthening periods of observation. We conclude that Kelly plications and Marshall-Marchetti-Krantz procedures have similar long-term efficacy and complication rates. The use of intraoperative cystoscopy and permanent suture with the Pereyra procedure might make it competitive.
Bladder training after surgery for stress urinary incontinence: Is it necessary?
Bergman A; Matthews L; Ballard CA Division of Gyneoclogy/Urology, Women’s Hospital, University of Southern California Medical Center, Los Angeles, CA 90033, USA OBSTET. GYNECOL.; 70/6 (909-912)/1987/ Int J Gynecol Obstet 28
Eight-nine consecutive patients with a clinically and urodynamically proved diagnosis of genuine stress urinary incontinence entered this study. Forty women had a revised Pereyra procedure and 49 had a Burch retropubic urethropexy. All had a suprapubic Bormano catheter for postoperative bladder drainage. Postoperatively, patients were randomly allocated to ‘bladder training’ (N = 44) or ‘nonbladder training’ (N = 45) protocols. ‘Bladder training’ consisted of scheduled clamping and unclamping of the catheter, whereas the ‘nonbladder training’ patients had continuous bladder drainage throughout their postoperative period. Postvoiding residual urine volume was measured twice daily after the patient had voided with a symptomatically full bladder. The catheter was removed once residual volume was 50 ml or less. The bladder training protocol had no effect on resumption of spontaneous voiding after surgery. There was no significant change in length of postoperative bladder catheterization or in urinary tract infection rate among women with or without bladder training.
Perineal hernia repair using human dura Delmore JE; Turner DA; Gershenson DM; Horbelt DV Department of Gynecology, The University of Texas M.D. Anderson Hospital and Tumor Institute at Houston, Houston, TX, USA OBSTET. GYNECOL; 70/3 PART II (507-508)/1988/ A patient developed a large perineal hernia and prolapse of a myocutaneous neovagina 13 months after total pelvic exenteration for recurrent squamous cell cancer of the cervix and gracilis myocutaneous vaginal reconstruction. The neovagina was removed and the pelvic floor defect was repaired with preserved human dura. Twelve months postoperatively, the patient remained asymptomatic. Current and potential uses for human dura allografts are discussed.
Treatment of hopitalized patients with acute pelvic inflammatory disease: Comparison of cefotetan plus doxycycline and cefoxitin plus doxycycllne Sweet RL; Schachter J; Landers DV; et al Department of Obstetrics, University of California. San Francisco, CA, USA AM. J. OBSTET. GYNECOL.; 158/3 II SUPPL. (736-743)/ 1988/ Acute pelvic inflammatory disease remains the major medical and economic consequence of sexuality transmitted diseases among young women. The polymicrobial origins of pelvic inflammatory disease have been well documented and the major organisms recovered from the upper genital tract in patients with pelvic inflammatory disease include Chlamydia trachomatis, Neisseria gonorrhoeae, and mixed anaerobic and aerobic bacteria. This study was undertaken to compare the efficacy and safety of cefotetan plus doxycycline with that of cefoxitin plus doxycycline in the treatment of hospitalized patients with acute pelvic inflammatory disease. A total of 68 hospitalized patients with acute pelvic inflammatory disease were entered and randomized into two treatment groups: cefot-
Citationsfrom the Literature
A suburethral sling procedure with polytetrafluoroethyleae for the treatment of genuine stress incontinence in patients with low urethral closure pressure Horbach NS; Blanc0 JS; Ostergard DR; et al Division of Gynecologic Urology, Department of Obstetrics and Gynecology, University of California, Irvine, CA, USA OBSTET. GYNECOL.; 7114 (648-652)/1988/ One indication for suburethral sling procedures has been recurrent genuine stress incontinence after previous incontinence surgery. Patients with low urethral closure pressure (20 cm H,O or less) in association with genuine stress incontinence are at particular risk for failure of standard anti-incontinence procedures. Urodynamic evaluation was used to select 17 patients with genuine stress incontinence and low urethral closure pressures for surgical treatment with a sling procedure using polytetrafluoroethylene. The technique of the procedure, cure rate, and postoperative complications were assessed. An 85% subjective and objective cure rate was found on urodynamic testing three months postoperatively. Complications included wound seroma, urinary tract infection, and urinary retention.
Surgical treatment of stress urinary incontinence: A comparison of the Kelly pllcation, Marshall-Mar&et&Krantz, and Pereyra procedures Park GS; Miller EJ Jr Department of Obstetrics and Gynecology, Fitzsimons Army Medical Center, Aurora. CO, USA OBSTET. GYNECOL.; 7114 (57%579)/1988/ Six hundred eighty patients surgically treated for stress urinary incontinence were observed annually for up to ten years to compare the efficacy and complications of three types of repair procedures. Although Marshall-Marchetti-Krantz procedures yielded the most effective repair in the immediate postoperative period, Kelly plications were equally corrective more than three years after surgery (69 and 668’0, respectively). Both were superior to the original Pereyra urethropexies at all times. Repeat operations were more likely to fail than primary repairs. The efficacy of the Pereyra procedure was increased with the use of permanent suture. Marshall-Marchetti-Krantz procedures were not affected by suture selection. Pereyra procedures had more complications, many related to intravesical suture. Success rates of all procedures declined steadily with lengthening periods of observation. We conclude that Kelly plications and Marshall-Marchetti-Krantz procedures have similar long-term efficacy and complication rates. The use of intraoperative cystoscopy and permanent suture with the Pereyra procedure might make it competitive.
Bladder training after surgery for stress urinary incontinence: Is it necessary?
Bergman A; Matthews L; Ballard CA Division of Gyneoclogy/Urology, Women’s Hospital, University of Southern California Medical Center, Los Angeles, CA 90033, USA OBSTET. GYNECOL.; 70/6 (909-912)/1987/ Int J Gynecol Obstet 28
Eight-nine consecutive patients with a clinically and urodynamically proved diagnosis of genuine stress urinary incontinence entered this study. Forty women had a revised Pereyra procedure and 49 had a Burch retropubic urethropexy. All had a suprapubic Bormano catheter for postoperative bladder drainage. Postoperatively, patients were randomly allocated to ‘bladder training’ (N = 44) or ‘nonbladder training’ (N = 45) protocols. ‘Bladder training’ consisted of scheduled clamping and unclamping of the catheter, whereas the ‘nonbladder training’ patients had continuous bladder drainage throughout their postoperative period. Postvoiding residual urine volume was measured twice daily after the patient had voided with a symptomatically full bladder. The catheter was removed once residual volume was 50 ml or less. The bladder training protocol had no effect on resumption of spontaneous voiding after surgery. There was no significant change in length of postoperative bladder catheterization or in urinary tract infection rate among women with or without bladder training.
Perineal hernia repair using human dura Delmore JE; Turner DA; Gershenson DM; Horbelt DV Department of Gynecology, The University of Texas M.D. Anderson Hospital and Tumor Institute at Houston, Houston, TX, USA OBSTET. GYNECOL; 70/3 PART II (507-508)/1988/ A patient developed a large perineal hernia and prolapse of a myocutaneous neovagina 13 months after total pelvic exenteration for recurrent squamous cell cancer of the cervix and gracilis myocutaneous vaginal reconstruction. The neovagina was removed and the pelvic floor defect was repaired with preserved human dura. Twelve months postoperatively, the patient remained asymptomatic. Current and potential uses for human dura allografts are discussed.
Treatment of hopitalized patients with acute pelvic inflammatory disease: Comparison of cefotetan plus doxycycline and cefoxitin plus doxycycllne Sweet RL; Schachter J; Landers DV; et al Department of Obstetrics, University of California. San Francisco, CA, USA AM. J. OBSTET. GYNECOL.; 158/3 II SUPPL. (736-743)/ 1988/ Acute pelvic inflammatory disease remains the major medical and economic consequence of sexuality transmitted diseases among young women. The polymicrobial origins of pelvic inflammatory disease have been well documented and the major organisms recovered from the upper genital tract in patients with pelvic inflammatory disease include Chlamydia trachomatis, Neisseria gonorrhoeae, and mixed anaerobic and aerobic bacteria. This study was undertaken to compare the efficacy and safety of cefotetan plus doxycycline with that of cefoxitin plus doxycycline in the treatment of hospitalized patients with acute pelvic inflammatory disease. A total of 68 hospitalized patients with acute pelvic inflammatory disease were entered and randomized into two treatment groups: cefot-