Interdisciplinary S2e Guideline for the Diagnosis and Treatment of Stress Urinary Incontinence in Women

Reisenauer, Christl; Muche-Borowski, Cathleen; Anthuber, C.; Finas, D.; Fink, Thomas; Gabriel, Boris; Hübner, Markus; Lobodasch, Kurt; Naumann, Gert; Peschers, Ursula; Petri, E.; Schwertner-Tiepelmann, N.; Soeder, Sonja; Steigerwald, Udo; Strauß, Alexander; Tunn, Ralf; Viereck, Volker; Aigmüller, T; Kölle, D.; Kropshofer, Stephan; Tamussino, Karl; Kühn, Annette; Höfner, K.; Kirschner‐Hermanns, Ruth; Oelke, Matthias; Schultz-Lampel, D.; Klingler, Corinna; Henscher, Ulla; Köwing, A.; Junginger, Baerbel

doi:10.1055/s-0033-1350871

Cited by 41 publications

(26 citation statements)

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“…The overall objective and subjective success rates at 8-year follow-up were both 77.6%. These results are in agreement with some studies, while others report higher cure rates [16,17,18,19,20,21,22,23]. Kuschel and Schuessler [17] reported 20.4 ± 4.5 months of follow-up for 79 patients operated with Safyre T. They reported that 89% of the patients had postoperatively improved incontinence.…”

Section: Discussionsupporting

confidence: 89%

Outcomes of Transobturator Tape Surgery with Safyre T® Slings for Female Stress Urinary Incontinence after 96 Months of Follow-Up

Töz¹,

Balsak

Başoğul

et al. 2015

Gynecol Obstet Invest

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Background/Aims: To report the outcomes of transobturator tape (TOT) surgery with Safyre T® (Promedon, Argentina) slings for female stress urinary incontinence (SUI) at a 96- month follow-up. Methods: We conducted a clinical follow-up study of 153 patients diagnosed with SUI between January 2005 and December 2014. Patients were provided with detailed a priori information pertaining to the TOT procedure and were invited to attend follow-up visits at 1, 3, 12, 24, 48, 72 and 96 months. Follow-up visits included physical examination involving sling palpation, checking of the vaginal mucosa for erosion, cough test, as well as validated Urinary Distress Inventory-6 (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7) questionnaires. Results: The overall objective success rates, based on cough test results, were 91.3% at 12 months, 86.8% at 48 months and 77.6% at 96 months. Similarly, the overall subjective success rate, based on the validated UDI-6 and IIQ-7 scales, was 77.6% at 96 months. Conclusion: The cure rates achieved, following TOT treatment of SUI at 1-year follow-up, showed a statistically significant decline over an 8-year period, especially at months 48 and 96.

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Section: Discussionsupporting

confidence: 89%

Outcomes of Transobturator Tape Surgery with Safyre T® Slings for Female Stress Urinary Incontinence after 96 Months of Follow-Up

Töz¹,

Balsak

Başoğul

et al. 2015

Gynecol Obstet Invest

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“…Assessment of pelvic floor muscle activity plays a central role in urogynecology and especially physiotherapy as part of conservative treatment of pelvic floor disorders [1]. Pelvic floor muscle function is independently associated with pelvic organ prolapse [2].…”

Section: Introductionmentioning

confidence: 99%

“…Pelvic floor muscle function is independently associated with pelvic organ prolapse [2]. Physiotherapy and pelvic floor muscle training have a positive impact on pelvic organ prolapse, pelvic organ prolapse symptoms, sexual function, and urinary incontinence [1,[3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Assessment of pelvic floor muscle contractility: digital palpation versus 2D and 3D perineal ultrasound

Albrich

Steetskamp

Knoechel

et al. 2015

Arch Gynecol Obstet

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“…Guidelines recommend to fully exploiting conservative measures for the treatment of stress urinary incontinence before considering operative therapies [17]. Conservative measures include weight reduction and the local application of hormones for epithelial proliferation.…”

Section: Conservative Therapy Of Stress Urinary Incontinencementioning

confidence: 99%

Current Treatment Concepts for Stress Urinary Incontinence

Rautenberg

Zivanovic

Kociszewski

et al. 2017

Praxis

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Initially, stress urinary incontinence should be treated by conservative measures, such as weight reduction, hormonal substitution, physiotherapy, pelvic floor exercise and/or the use of pessaries. Incontinence surgeries are only recommended in case of unsuccessful conservative therapy. Today, tension-free suburethral sling insertions represent the gold standard of incontinence surgery yielding very good outcomes (cure rates of 80–90 %). Pelvic-floor sonography provides important information on decision of surgical methods and the management of complications. Furthermore, intra- or paraurethral injection of bulking agents is a promising, minimally invasive surgical alternative. This article discusses treatment concepts, pre-, intra- and post-operative examinations, decision on surgical methods, operational details for surgical success, and the prevention and management of complications.

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Interdisciplinary S2e Guideline for the Diagnosis and Treatment of Stress Urinary Incontinence in Women

Abstract: The long version, including the complete list of references and the guideline report, can be viewed on the AWMF website (www.awmf.org).

Cited by 41 publications

References 0 publications

Outcomes of Transobturator Tape Surgery with Safyre T® Slings for Female Stress Urinary Incontinence after 96 Months of Follow-Up

Outcomes of Transobturator Tape Surgery with Safyre T® Slings for Female Stress Urinary Incontinence after 96 Months of Follow-Up

Assessment of pelvic floor muscle contractility: digital palpation versus 2D and 3D perineal ultrasound

Current Treatment Concepts for Stress Urinary Incontinence

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