Voies d’abord et complications des bandelettes sous-urétrales synthétiques chez la femme : revue systématique de la littérature et méta-analyse

Biardeau, Xavier; Zanaty, Marc; Aoun, Fouad; Benbouzid, S.; Peyronnet, B.

doi:10.1016/j.purol.2015.08.314

Cited by 5 publications

(2 citation statements)

References 32 publications

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“…In previously published studies, OAB symptoms following sling surgery have been described both with the use of a retropubic or transobturator technique for the treatment of SUI [9]. A recent study has demonstrated that urinary neurotrophins (nerve growth factor and brain derived neurotrophic factor) levels increase in women after placement of a mid-urethral sling.…”

Section: Discussionmentioning

confidence: 99%

Overactive Bladder Symptoms after Transobturator Sling Surgery for Pure Stress Urinary Incontinence: A Cross-Sectional Comparative Study

et al. 2018

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Introduction: Transobturator tape (TOT) surgery has been associated with increased overactive bladder (OAB) although much controversy exists. Methods: In a cross-sectional study, women who underwent TOT surgery for pure stress incontinence (Monarc^TM) answered the 6 questions of the symptom bother (SB) subscale of the OAB questionnaire – short form (OABq-SF) and an additional question regarding whether symptoms began after surgery. Women with SB score over the 4th quartile (≥30/100) were reassessed after a longer follow-up. Patients from primary care were recruited as controls. Results: We recruited 213 patients (135 in the TOT group and 78 age-adjusted controls). The mean age of operated patients was 58.7 ± 10.1 years with a mean follow-up of 25.9 ± 13.2 months. OABq-SF SB scores did not differ between the TOT group and controls (respectively, 18.5 ± 30 and 15.5 ± 6.7, p = 0.202). A total of 48% patients reported no relationship between symptoms and surgery. Highly symptomatic operated patients were reassessed after a longer follow-up (46.3 ± 10.6 months). The mean score in the second follow-up (n = 25) was not statistically different from the first assessment (46.4 ± 22.7 and 58.1 ± 19.8, p = 0.059). Conclusions: Women who underwent TOT surgery did not show increased OAB SB scores when compared to controls. Our study suggests that OAB symptoms may thus be present but overlooked during initial clinical assessment.

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Section: Discussionmentioning

confidence: 99%

Overactive Bladder Symptoms after Transobturator Sling Surgery for Pure Stress Urinary Incontinence: A Cross-Sectional Comparative Study

et al. 2018

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“…As complicações mais frequentes secundária a cirurgia corretiva de IUE com sling de uretra média sintético são: perfuração vesical e intestinal, retenção urinária com necessidade de cateterismo intermitente ou sondagem vesical de longa data, mais comuns no TVT que TOT; hiperatividade detrusora de novo, sangramento com formação de hematomas, erosão vaginal com extrusão da faixa e dor prolongada, com aparente vantagem da TVT em relação ao TOT. (BIARDEAU et al, 2016)…”

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Prevalência de dor crônica após cirurgia para correção de incontinência urinária de esforço com tela sintética livre de tensão, sling de uretra média: revisão sistemática

Sanches¹

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Pelvic floor hypertonicity in women with pelvic floor disorders: A case control and risk prediction study

Cameron

Sabourin

Sanaee

et al. 2018

Neurourology and Urodynamics

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Aim Myofascial pelvic pain is a chronic and debilitating condition, sometimes associated with pelvic floor disorders (PFD) such as urinary incontinence, defecatory dysfunction or pelvic organ prolapse. Our aim was to identify risk factors in women with PFD and hypertonic pelvic floor, compared to controls without hypertonicity. Methods Case control study (2009‐2017) of patients with PFD and a diagnosis of hypertonic pelvic floor. Cases were matched with patients who presented with the same PFD but without pelvic floor hypertonicity. Postoperative patients with hypertonic pelvic floor were matched with patients who underwent surgery for the same PFD but did not develop pain. Risk factors were compared between groups. Results Ninety‐five cases were matched; 71% had urogynecologic surgery as a possible trigger for myofascial pain. Most were post‐menopausal. Overall, case patients were younger than controls (mean 54 vs 59, P = 0.002). Multivariate logistic regression identified risk factors of younger age (OR 1.45, 95%CI 1.04‐2.07), history of depression (OR 3, 95%CI 1.03‐9.09), musculoskeletal spine injury (OR 4.32, 95%CI 1.01‐21.26) and transobturator midurethral sling (OR 8.36, 95%CI 2.68‐31.32). Retropubic midurethral sling was protective against pelvic floor hypertonicity (OR 0.37, 95%CI 0.15‐0.86). A clinical prediction model including depression, endometriosis, irritable bowel, spine injury and type of midurethral sling was developed to estimate the probability for myofascial pain after urogynecologic surgery. Conclusions Specific risk factors predispose women with PFD to chronic pelvic floor hypertonicity. Knowledge of these can help with patient counselling and choice of midurethral sling prior to PFD surgery.

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Voies d’abord et complications des bandelettes sous-urétrales synthétiques chez la femme : revue systématique de la littérature et méta-analyse

Cited by 5 publications

References 32 publications

Overactive Bladder Symptoms after Transobturator Sling Surgery for Pure Stress Urinary Incontinence: A Cross-Sectional Comparative Study

Overactive Bladder Symptoms after Transobturator Sling Surgery for Pure Stress Urinary Incontinence: A Cross-Sectional Comparative Study

Prevalência de dor crônica após cirurgia para correção de incontinência urinária de esforço com tela sintética livre de tensão, sling de uretra média: revisão sistemática

Pelvic floor hypertonicity in women with pelvic floor disorders: A case control and risk prediction study

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