The use of the bladder neck support prosthesis in combined genuine stress incontinence and detrusor instability

The Australian & New Zealand Journal of Obstetrics & Gynaecology
K H MooreG Burton

Abstract

The Bladder Neck Support Prosthesis (BNSP) was used in 21 women with combined genuine stress incontinence (GSI) and detrusor instability (DI). Outcomes included frequency volume charts, pad tests, voiding cystometry and quality of life scores, up to the sixth month. Of the 21 recruits, 5 never wore the BNSP home, leaving 16 participants. A further 2 did not reach week 4 because of poor efficacy or inability to fit the device. In the 14 who reached week 4, the median number of leaks/day declined from 4.3 to 1.0 (p = 0.002). Median pad test loss fell from 53 to 7 mL (p = 0.012). Cystometry showed an increase in maximum bladder capacity (p < 0.05) and a modest reduction in severity of detrusor instability, with no evidence of outflow obstruction. Three further women discontinued because of poor efficacy (2) or a poorly fitting device (1), leaving 11 of 16 participants (69%) at week 8, when median pad test loss fell to 2 mL. The BNSP is a useful option in patients with the unfortunate combination of an unstable bladder and an incompetent urethra, but requires careful fitting and attention to detail.

References

Oct 1, 1978·British Journal of Urology·J R Sutherst, M Brown
Oct 3, 1992·BMJ : British Medical Journal·D P KeaneP Abrams
Oct 1, 1986·The Journal of Urology·J M Pow-SangV A Politano
Sep 1, 1995·British Journal of Obstetrics and Gynaecology·M AlcalayS L Stanton
Oct 1, 1994·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·S A ShumakerJ A Fantl
Jul 1, 1994·American Journal of Obstetrics and Gynecology·G W Davila, K V Ostermann
Jan 1, 1953·Acta Obstetricia Et Gynecologica Scandinavica·S KARLSON

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Citations

Mar 11, 2000·Obstetrics and Gynecology·D G TincelloD H Richmond
Jul 18, 2000·Baillière's Best Practice & Research. Clinical Obstetrics & Gynaecology·K H Moore
Dec 18, 2014·The Cochrane Database of Systematic Reviews·Allyson LippKarin Glavind
Jul 30, 1999·British Journal of Obstetrics and Gynaecology·K H MooreJ King
Mar 3, 2007·Annals of the New York Academy of Sciences·Stéphanie J Madill, Linda McLean

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