PMID: 9557990Jan 1, 1997Paper

New ambulatory surgical methods using an anatomical classification of urinary dysfunction improve stress, urge and abnormal emptying

International Urogynecology Journal and Pelvic Floor Dysfunction
P E Petros

Abstract

The aim of the study was to introduce an anatomical classification for the management of urinary dysfunction based on the Integral Theory, a new connective tissue theory for female incontinence. Eighty-five unselected patients, aged 27-83 years, 12 with pure stress symptoms and 73 with mixed incontinence symptoms, were classified as having laxity in the anterior, middle or posterior zones of the vagina, using specific symptoms, signs and urodynamic parameters summarized in a pictorial algorithm. Special ambulatory surgical techniques, which included the creation of neoligaments, repaired specific connective tissue defects in the anterior (intravaginal slingplasty (IVS), n = 85), middle (cystocele repair, n = 6), or posterior zones (uterine prolapse repair, n = 31, or infracoccygeal sacropexy, n = 33). Almost all patients were discharged within 24 hours of surgery, without postoperative catheterization, returning to fairly normal activities within 7-14 days. At (mean) 21-month follow-up cure rates were: stress incontinence 88% (n = 85), frequency 85% (n = 42), nocturia 80% (n = 30), urge incontinence 86% (n = 74), emptying symptoms 50% (n = 65). Mean objective urine loss (cough stress test) was reduced from 8.9 g preoperatively ...Continue Reading

References

Oct 1, 1975·Comparative Biochemistry and Physiology. C: Comparative Pharmacology·A Storesund, K B Helle
Jan 1, 1990·Acta Obstetricia Et Gynecologica Scandinavica. Supplement·P E Petros, U I Ulmsten
Nov 1, 1985·Journal of the Royal Society of Medicine·M SwashM M Henry
Jan 1, 1993·Scandinavian Journal of Urology and Nephrology·K BrassoJ Egense
Jan 1, 1996·International Urogynecology Journal and Pelvic Floor Dysfunction·U UlmstenG Varhos
Aug 1, 1996·The Australian & New Zealand Journal of Obstetrics & Gynaecology·D M RosenR C Waugh
Jan 1, 1996·International Urogynecology Journal and Pelvic Floor Dysfunction·C FalconerU Ulmsten
Jan 1, 1997·International Urogynecology Journal and Pelvic Floor Dysfunction·P E Papa Petros, U Ulmsten
Jan 1, 1997·International Urogynecology Journal and Pelvic Floor Dysfunction·P E Petros, U Ulmsten

❮ Previous
Next ❯

Citations

Aug 7, 1998·International Urogynecology Journal and Pelvic Floor Dysfunction·P E Papa Petros, M B Bush
Sep 17, 2004·International Urogynecology Journal and Pelvic Floor Dysfunction·Vibhash C MishraHanif G Motiwala
Sep 28, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·D J JordaanM Nel
Jun 2, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Peter L Dwyer
Sep 25, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Themistoklis MikosJohn N Bontis
Oct 31, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Peter E P Petros, Patrick J Woodman
Dec 13, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·B AbendsteinD Dodero
Jun 6, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Vatche A MinassianAnnemarie G Hirsch
Jun 26, 2010·International Urogynecology Journal·ZhengYong Yuan, Hong Shen
May 13, 2011·International Urogynecology Journal·Ahmet Akin SivasliogluIsmail Dolen
Apr 7, 2009·Archives of Gynecology and Obstetrics·Ali KolusariAkin Sivaslioglu
Feb 13, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·P P Petros, P M Skilling
Oct 3, 1998·European Journal of Obstetrics, Gynecology, and Reproductive Biology·P P Petros, U Ulmsten
Aug 19, 2000·Clinical Obstetrics and Gynecology·U M PeschersD Perucchini
Sep 6, 2005·Current Opinion in Obstetrics & Gynecology·William Andre Silva, Mickey M Karram
Sep 22, 2007·Current Opinion in Obstetrics & Gynecology·Tam H LeDonald R Ostergard
Nov 11, 1999·The Australian & New Zealand Journal of Obstetrics & Gynaecology·P P Petros
Oct 11, 2001·The Australian & New Zealand Journal of Obstetrics & Gynaecology·H P Dietz, B Clarke
Aug 28, 2013·World Journal of Urology·Florian Martin Erich WagenlehnerGianpaolo Perletti
Jan 8, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Huey-Yi ChenWen-Chi Chen
Jan 26, 2010·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Fabrice SergentLoïc Marpeau
Aug 4, 2009·Best Practice & Research. Clinical Gastroenterology·Sohier Elneil
Oct 4, 2005·Obstetrics and Gynecology·Kaven BaesslerChristopher F Maher
Mar 20, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Vesna Bjelic-RadisicUNKNOWN Austrian Urogynecology Working Group
Mar 27, 2007·Lancet·J Eric JelovsekMatthew D Barber
Jun 26, 2004·BJU International·Robert AbouassalyJacques Corcos
Mar 12, 2005·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Ahmet Akin SivasliogluAli Haberal
Apr 20, 2004·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Ajay RaneReinhold Muller
May 13, 2009·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Nobuo OkuiShigeo Horie
Sep 25, 2012·Neurourology and Urodynamics·Peter Petros, John Papadimitriou
Jun 5, 2013·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Ahmet Akin Sivaslioğlu
Jun 10, 2006·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Z GhanbariM S Mireshghi
Oct 14, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Revital Arbel, Yuval Lavy
Jul 20, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Michał BogusiewiczTomasz Rechberger
Dec 6, 2005·American Journal of Obstetrics and Gynecology·John E JelovsekMark D Walters
May 11, 2010·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Paulo PalmaAdilson Prando

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.