PMID: 8976232Jan 1, 1997Paper

Favorable outcome of pubovaginal slings for geriatric women with stress incontinence

The Journal of Urology
L K CarrG D Webster

Abstract

Traditionally pubovaginal slings have been associated with a greater risk of immediate morbidity and prolonged voiding dysfunction compared to other stress incontinence repairs. Because elderly patients already have inherently greater perioperative risk and prevalence of innate voiding dysfunction, there is some reluctance to construct slings in this age group. We examined the outcome of pubovaginal sling in elderly women versus younger controls to determine whether this concern is justified. We retrospectively analyzed the outcome of 19 geriatric women older than 70 years who underwent a pubovaginal sling procedure between 1992 and 1995, and compared the findings to those of 77 younger control women with a mean followup of 22 months. All women had video urodynamically proved stress incontinence due to intrinsic sphincter deficiency and many had coexistent bladder instability symptoms. Women with neurogenic causes for incontinence were excluded from the study. Stress incontinence resolved in 100% of geriatric and 97% of control women. Preoperative instability symptoms, including urge incontinence, improved in more than 50% of patients in both groups. De novo instability symptoms arose in 10% of women in each group but were gene...Continue Reading

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Citations

Sep 24, 2005·Neurourology and Urodynamics·Kathleen C Kobashi, Fred Govier
Sep 24, 1998·International Urogynecology Journal and Pelvic Floor Dysfunction·T L GrieblingK J Kreder
Jan 1, 1997·International Urogynecology Journal and Pelvic Floor Dysfunction·R Sarver, F E Govier
Mar 25, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·Elisabetta CostantiniMassimo Porena
Sep 28, 2004·International Urogynecology Journal and Pelvic Floor Dysfunction·Hikaru TomoeUNKNOWN Tension-free Vaginal Tape Trial Group
Apr 13, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Emma HawkinsJennifer Hughes-Nurse
Dec 9, 2000·Current Opinion in Obstetrics & Gynecology·J Bidmead, L Cardozo
Sep 1, 2007·Clinical Obstetrics and Gynecology·Kimberly A Gerten, Holly E Richter
Apr 17, 2002·BJU International·E J McGuire
Oct 3, 2012·Nature Reviews. Urology·Sovrin M Shah, Geoffrey S Gaunay
Feb 14, 2006·Nature Clinical Practice. Urology·Kathleen C KobashiFred E Govier
Feb 24, 2001·Journal of Endourology·J Rehman, D M Hoenig
Mar 3, 2007·Obstetrics and Gynecology·Jennifer T AngerLarissa V Rodríguez
Sep 2, 2008·Obstetrics and Gynecology·Holly E RichterPeggy A Norton
Apr 2, 2005·Obstetrics and Gynecology·Holly E RichterPatricia S Goode
Mar 26, 2002·The Journal of Urology·K ThomasA R Mundy
Apr 22, 2008·The Journal of Urology·Kimberly A GertenHolly E Richter
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May 9, 2001·The Journal of Urology·D R Erickson
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Feb 9, 2006·Gynecologic and Obstetric Investigation·Ja Hyeon KuJae-Seung Paick
Oct 14, 2006·Current Opinion in Urology·E A Gormley

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