Impact of intrinsic sphincter deficiency on mid-urethral sling outcomes

Lo, Tsia‐Shu; Ng, Kar Hui; Lin, Yi‐Hao; Hsieh, Wu‐Chiao; Kao, Chuan Chi; Tan, Yiap Loong

doi:10.1007/s00192-021-04757-3

Cited by 6 publications

(8 citation statements)

References 29 publications

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“…Single-incision sling (mini-I stop) Lo et al also demonstrated the outcomes of the midurethral sling in patients with ISD. 6 At the 1-year follow-up, SIS (Solyx and Mini-Arc) had similar objective (43.5% vs. 63.2%, P = 0.443) and subjective (43.5% vs. 52.6%, P = 0.835) success rates to TMUS (Monarc);…”

Section: Ta B L E 5 Overall Proportion Of Adverse Eventsmentioning

confidence: 85%

“…Furthermore, women with SUI associated with intrinsic sphincter deficiency (ISD) often have more severe symptoms than those without ISD 5 . This may be the result of low maximal urethral closure pressure (MUCP) and reduced urethral mobility attributable to aging or a neurological cause 6 . The surgical success rates are lower in patients with ISD.…”

Section: Introductionmentioning

confidence: 99%

“…5 This may be the result of low maximal urethral closure pressure (MUCP) and reduced urethral mobility attributable to aging or a neurological cause. 6 The surgical success rates are lower in patients with ISD.In 1996, Ulmsten et al introduced the first midurethral sling, the tension-free vaginal tape (TVT), which replaced the Burch colposuspension and autologous fascial sling as the gold-standard treatment for SUI. 2,7-9 Delorme introduced the transobturator midurethral…”

mentioning

confidence: 99%

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confidence: 99%

“…studies have investigated the efficacy of SIS in women with ISD-type SUI 6,24,25. Hwang et al evaluated the efficacy of SIS compared with TMUS in women with ISD-type SUI 23.…”

mentioning

confidence: 99%

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Efficacy of the new adjustable I‐stop‐mini sling system in women with stress urinary incontinence and intrinsic sphincter deficiency: A retrospective cohort study

Chao

Chen

Liu

et al. 2022

Intl J Gynecology & Obste

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Female stress urinary incontinence (SUI) is a common problem with a prevalence rate reaching 40% in Western countries. 1 SUI affects approximately half of all women during their lifetime. 2-4 Furthermore, women with SUI associated with intrinsic sphincter deficiency (ISD) often have more severe symptoms than those without ISD. 5 This may be the result of low maximal urethral closure pressure (MUCP) and reduced urethral mobility attributable to aging or a neurological cause. 6 The surgical success rates are lower in patients with ISD.In 1996, Ulmsten et al. introduced the first midurethral sling, the tension-free vaginal tape (TVT), which replaced the Burch colposuspension and autologous fascial sling as the gold-standard treatment for SUI. 2,7-9 Delorme introduced the transobturator midurethral

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Section: Ta B L E 5 Overall Proportion Of Adverse Eventsmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

“…studies have investigated the efficacy of SIS in women with ISD-type SUI 6,24,25. Hwang et al evaluated the efficacy of SIS compared with TMUS in women with ISD-type SUI 23.…”

mentioning

confidence: 99%

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Efficacy of the new adjustable I‐stop‐mini sling system in women with stress urinary incontinence and intrinsic sphincter deficiency: A retrospective cohort study

Chao

Chen

Liu

et al. 2022

Intl J Gynecology & Obste

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Which parameters, related to the female urethra and pelvic floor, determine therapy selection for recurrent female stress urinary incontinence: ICI‐RS 2023?

Ockrim,

Kearney,

Carolina Ochoa

et al. 2023

Neurourology and Urodynamics

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IntroductionThe evidence basis for therapy selection in women who have failed primary stress urinary incontinence (SUI) surgery is limited. The ICI‐RS group discussed the available data at its meeting in June 2023, particularly the anatomical characteristics as assessed using magnetic resonance imaging (MRI) and ultrasound (US) modalities, functional characteristics associated with storage and voiding urodynamic assessment, as well as the patient characteristics that might influence outcomes. This paper summarizes the evidence base that supported these discussions and offers the basis for research proposals for future groups.MethodsA literature search of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials was performed, and the data is presented. Research questions are based on the knowledge gaps highlighted.ResultsPossible MRI parameters that may influence outcomes were striated urethral sphincter volume, bladder and proximal urethral funneling, pubo‐urethral ligament integrity, distance of the bladder neck below the pubococcygeal line, posterior urethra‐vesical angle, and bladder neck to levator ani distance. US parameters included sling distance to the urethral lumen and pubis, sling position, bladder neck mobility, and lateral arm asymmetry, twisting, or curling. Urodynamic parameters included detrusor overactivity, Valsalva leak point pressure, maximum urethral closure pressure, and bladder outlet obstruction. Important patient parameters included body mass index, age, and previous interventions.ConclusionsIdentifying and quantifying causative factors in patients with recurrent SUI, that allow clinicians to modify subsequent treatment choices and techniques may help reduce treatment failure and complications. Formulating algorithms is the next step in optimizing patient counseling, surgical selection, and healthcare allocation.

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Urodynamic Evaluation: Traditional, Video, and Ambulatory Approaches

Miranda

Silva

2022

Female Genitourinary and Pelvic Floor Reconstruction

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Impact of intrinsic sphincter deficiency on mid-urethral sling outcomes

Cited by 6 publications

References 29 publications

Efficacy of the new adjustable I‐stop‐mini sling system in women with stress urinary incontinence and intrinsic sphincter deficiency: A retrospective cohort study

Efficacy of the new adjustable I‐stop‐mini sling system in women with stress urinary incontinence and intrinsic sphincter deficiency: A retrospective cohort study

Which parameters, related to the female urethra and pelvic floor, determine therapy selection for recurrent female stress urinary incontinence: ICI‐RS 2023?

Urodynamic Evaluation: Traditional, Video, and Ambulatory Approaches

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