Definition of Success after Surgery for Female Stress Incontinence or Voiding Dysfunction: An Attempt at Standardization

Carmel, Maude; Deng, Donna Y.; Greenwell, Tamsin

doi:10.1016/j.euf.2016.03.005

Cited by 9 publications

(5 citation statements)

References 37 publications

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“…When a questionnaire was combined with the number of pads per day, the rate was reduced to 35%. Standardization of the definition of success for ACT balloon implantations would certainly improve the assessment of its efficacy [29]. The discrepancies observed could also be explained by the lack of standardization of the surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

Adjustable Continence Therapy Balloons in Female Patients with Stress Urinary Incontinence: A Systematic Review

2023

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Introduction: The aim of this study was to perform a systematic review of studies reporting the outcomes of ACT® balloons in female patients with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD). Methods: In accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) standards, a systematic search of the PubMed (Medline) and Scopus electronic database was performed in June 2022. Terms used for the query were (“female” or “women”) and (“adjustable continence therapy” OR “periurethral balloons”). Results: Thirteen studies were included. All were retrospective or prospective case series. The success rates ranged from 13.6% to 68% and the improvement rates from 16% to 83%. The intraoperative complication rate ranged from 3.5 to 25% and consisted of urethral, bladder, or vaginal perforations. The rate of postoperative complications varied from 11 to 56% without major complications. Between 6% and 38% of ACT® balloons were explanted and subsequently reimplanted in 15.2–63% of cases. Conclusion: ACT® balloons can be considered as an option to treat SUI due to ISD in female patients with a relatively modest success rate and quite a high complication rate. Well-designed prospective studies and long-term follow-up data are needed to fully elucidate their role.

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Section: Discussionmentioning

confidence: 99%

Adjustable Continence Therapy Balloons in Female Patients with Stress Urinary Incontinence: A Systematic Review

2023

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“…The cough stress test may be too difficult to standardise for use in RCTs. In a review by Carmel et al , there was different cough stress test standardisation in all the 56 studies that used the cough stress test as a measure of success for surgical interventions for SUI. Similarly, the pad test is difficult to standardise and has different variation such as the 20‐min, 1‐h or 24‐h pad test.…”

Section: Discussionmentioning

confidence: 99%

Which outcome measures should be used in stress urinary incontinence trials?

Lim

Liong

Leong³

et al. 2018

BJU International

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Section: Future Directionsmentioning

confidence: 99%

“…Many have acknowledged this quandary over recent decades, 46,47 and there have been numerous attempts to unite researchers in the field to establish minimum standards regarding the instruments utilized to measure the results of our interventions and to determine how a favorable outcome should be defined. 48,49 While technology continues to evolve and new innovative techniques emerge, accurate assessment of outcomes following medical intervention is paramount to optimizing one's ability to offer the best treatments for our patients. Only when a consensus around outcomes assessment is reached will it be possible to accomplish meaningful comparison of outcomes from 1 center to another, foster collaborative learning from 1 another, and truly advance the field.…”

Section: Standardization Of Outcomesmentioning

confidence: 99%

Updates to Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline (2023)

et al. 2023

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Purpose: The purpose of this guideline is to provide a clinical structure with which to approach the diagnosis, counseling, and treatment of female patients with stress urinary incontinence (SUI). Materials/Methods: The primary source of evidence for the 2017 version of the SUI guideline was the systematic literature review conducted by the ECRI Institute. The initial search spanned literature from January 2005 to December 2015, with an additional updated abstract search through September 2016. The current amendment represents the first update to the 2017 iteration and includes updated literature published through February 2022. Results: This guideline has been amended to reflect changes in and additions to the literature since 2017. The Panel maintained that the differentiation between index and non-index patients remained important. The index patient is a healthy female with minimal or no prolapse who desires surgical therapy for treatment of pure SUI or stress-predominant mixed urinary incontinence. Non-index patients have factors that may affect their treatment options and outcomes, such as high grade prolapse (grade 3 or 4), urgency-predominant mixed incontinence, neurogenic lower urinary tract dysfunction, incomplete bladder emptying, dysfunctional voiding, SUI following anti-incontinence treatment, mesh complications, high body mass index, or advanced age. Conclusion: While gains have been made in the field to support new methods for the diagnosis, treatment, and follow-up of patients with SUI, the field continues to expand. As such, future reviews of this guideline will take place to stay in keeping with the highest levels of patient care.

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Definition of Success after Surgery for Female Stress Incontinence or Voiding Dysfunction: An Attempt at Standardization

Cited by 9 publications

References 37 publications

Adjustable Continence Therapy Balloons in Female Patients with Stress Urinary Incontinence: A Systematic Review

Adjustable Continence Therapy Balloons in Female Patients with Stress Urinary Incontinence: A Systematic Review

Which outcome measures should be used in stress urinary incontinence trials?

Updates to Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline (2023)

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