PMID: 9540944Apr 16, 1998Paper

Effect of preoperative voiding mechanism on success rate of autologous rectus fascia suburethral sling procedure

Obstetrics and Gynecology
C B IglesiaL Brubaker

Abstract

To evaluate the efficacy of the rectus fascia suburethral sling procedure and to determine whether preoperative voiding caused by the Valsalva maneuver is a risk factor for short-term objective failure. This study is a retrospective chart review of 50 patients who underwent the suburethral sling procedure with rectus fascia at our institution between March 1994 and August 1996. All patients had genuine stress incontinence with intrinsic sphincteric deficiency or urethral hypomobility. Preoperative multichannel urodynamics were measured in all patients, and postoperative urodynamic testing was done at 3 months in 48 patients. Ninety-four percent of patients were cured subjectively of stress urinary incontinence at 3 months. Objective cure was found by urodynamic measurements in 73% of the 48 patients who underwent postoperative testing. There was an increased risk of objective failure in patients whose voiding preoperatively was caused by the Valsalva maneuver. Objective failure was found at 3 months in 54% of the 13 patients in the Valsalva group, compared with 17% of the 35 in the non-Valsalva group (P=.011). Patients in the Valsalva group also tended to have longer durations of postoperative catheterization than did patients ...Continue Reading

References

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Citations

Sep 15, 2004·International Urogynecology Journal and Pelvic Floor Dysfunction·Elisabeth PauwelsJean-Jacques Wyndaele
Jun 30, 2010·International Urogynecology Journal·Benjamin J SteinbergKarolynn T Echols
Aug 5, 2010·International Urogynecology Journal·Sue-Min ChungSang-Wook Bai
Oct 6, 2004·Current Urology Reports·J Christian Winters
Jan 12, 2001·Obstetrics and Gynecology·W H KobakM R Piedmonte
Jun 6, 2012·Nature Reviews. Urology·Bhavin N PatelDavid Staskin
Dec 9, 2000·Current Opinion in Obstetrics & Gynecology·N N Bhatia
Mar 17, 2004·Clinical Obstetrics and Gynecology·Charles W Nager, Michael E Albo
Sep 22, 2007·Current Opinion in Obstetrics & Gynecology·Sam Siddighi, Mickey M Karram
Sep 23, 2008·The Journal of Urology·Gary E LemackUNKNOWN Urinary Incontinence Treatment Network
Nov 27, 2007·International Journal of Urology : Official Journal of the Japanese Urological Association·Takahiko MitsuiKatsuya Nonomura
Jun 19, 2010·Journal of Advanced Nursing·Kefang Wang, Mary H Palmer
May 29, 2003·The Journal of Urology·Elizabeth A MillerGeorge D Webster
Jul 25, 2015·Neurourology and Urodynamics·Burhan CoskunPhilippe E Zimmern
Feb 1, 2005·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Sílvio H M de AlmeidaMarco A F Rodrigues
Mar 7, 2006·The Journal of Urology·Elisabeth PauwelsJean-Jacques Wyndaele
Apr 19, 2019·Neurourology and Urodynamics·Patrick D PreeceJohan Gani
Aug 14, 2019·Lower Urinary Tract Symptoms·Sophie Plagakis, Vincent Tse
Dec 20, 2019·Neurourology and Urodynamics·Phillip P SmithAndrew Gammie

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