Recurrent stress urinary incontinence surgery in the United Kingdom: an analysis of the British Society of Urogynaecology database (2007–2015)

El‐Hamamsy, Dina; Tincello, Douglas G.

doi:10.1007/s00192-020-04420-3

Cited by 5 publications

(5 citation statements)

References 31 publications

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“…[ 5 , 6 ] There are many factors influencing the occurrence of SUI reported in previous studies, including body mass index (BMI), family history, pelvic floor muscle exercise, etc. [ 7 ] However, existing studies [ 8 , 9 ] mostly focus on postpartum or middle-aged and elderly urinary incontinence. The influencing factors of SUI in the population of primipara still need to be further explored.…”

Section: Introductionmentioning

confidence: 99%

“…If the risk factors are not identified in the early pregnancy and the risk factors are not intervened as soon as possible, the late prognosis will be poor and the treatment cost will be high, which will bring a heavy burden to pregnant women, families, and society [5,6] . There are many factors influencing the occurrence of SUI reported in previous studies, including body mass index (BMI), family history, pelvic floor muscle exercise, etc [7] . However, existing studies [8,9] mostly focus on postpartum or middle-aged and elderly urinary incontinence.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors of postpartum stress urinary incontinence in primiparas

et al. 2021

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Stress urinary incontinence (SUI) is a common clinical postpartum complication. It is necessary to explore the risk factors of postpartum SUI in primiparas to provide evidence support for preventing and reducing the occurrence of SUI. Primiparas who were delivered in our hospital from March 2019 to October 2020 were identified, the personal information and related treatment details of SUI and no-SUI primiparas were collected and analyzed. Logistic regression analyses were conducted to identify the risk factors of postpartum SUI in primiparas. A total of 612 primiparas were included, the incidence of SUI in primiparas was 32.03%. There were significant differences in the body mass index (BMI) before pregnancy, diabetes, abortion, delivery method, newborn's weight, epidural anesthesia, and duration of second stage of labor (all P < .05) between SUI and no-SUI group, and there were no significant differences in the age, BMI at admission, hypertension and hyperlipidemia SUI and no-SUI group (all P > .05). Logistic regression analyses indicated that BMI before pregnancy ≥24 kg/m 2 (odds ratio [OR]: 2.109, 95% confidence interval [CI]: 1.042–4.394), diabetes (OR: 2.250, 95% CI: 1.891–3.544), abortion history (OR: 3.909, 95% CI: 1.187–5.739), vaginal delivery (OR: 2.262, 95% CI: 1.042–4.011), newborn's weight ≥3 kg (OR: 1.613, 95% CI: 1.095–2.316), epidural anesthesia (OR: 2.015, 95% CI: 1.226–3.372), and duration of second stage of labor ≥90 minutes (OR: 1.726, 95% CI: 1.084–2.147) were the risk factors of postpartum SUI in primiparas (all P < .05). The clinical incidence of SUI in primiparas is relatively high. In clinical practice, medical staff should conduct individualized early screening for those risk factors, and take prevention measures to reduce the occurrence of SUI.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk factors of postpartum stress urinary incontinence in primiparas

et al. 2021

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“…No high-quality studies allow comparison of different treatments as secondary treatments, so guidance is based on the expert opinion of the panel and other authors and organizations. 132,[139][140][141][142][143][144] Salvage surgery may be associated with lower success rates, especially in those with more bothersome symptoms, and higher surgical risk CUA guideline: SUI than primary surgery. [145][146][147][148] Referral to a tertiary center should be considered on an individual basis.…”

Section: How Should Recurrent Fsui After Mus Be Investigated and Mana...mentioning

confidence: 99%

2024 Canadian Urological Association guideline: Female stress urinary incontinence

Carlson,

Andrews,

Bascom

et al. 2024

CUAJ

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prior to publication, this guideline underwent review by the cua guidelines steering committee and expert reviewers. INTRODUCTION & PURPOSEFemale stress urinary incontinence (FSUI) is a common condition that affects approximately 10-20% of the population. 1 It is associated with negative impacts on quality of life (QoL), socialization, and exercise; it has a significant financial impact, and is associated with depression and anxiety. 2 In 2012, the last Canadian Urological Association (CUA) guideline addressing adult urinary incontinence was published; it covered male and female nonneurogenic stress and urgency incontinence. 3 Given the considerable changes in the management of FSUI, and the very distinct considerations and surgical procedures for this group, an individual guideline providing a more detailed overview of this topic was requested by the CUA Guidelines Steering Committee.The specific population this guideline is intended to cover is women over 18 years of age with stress urinary incontinence. This CUA guideline is intended to be used by healthcare providers treating patients with FSUI. The guideline objective is to cover topics important to the evaluation, counselling, non-surgical and surgical treatment of FSUI, and the management of complications of FSUI surgery.Given the significant variation in patients with FSUI, in some sections we focus on the evaluation and management of the "index patient" (similar to other guidelines). 4,5 Other sections are dedicated to specific nonindex patients with FSUI. We recognize that guidelines cannot address the management of all FSUI scenarios. METHODOLOGYWe decided to use a question-and-answer format to provide brief, accessible, and practical answers to common questions addressing the evaluation and management of FSUI. The guideline panel was created to provide representation from a mix of community and academic urologists and allied health professionals from across Canada, in keeping with the CUA guideline rules. Disagreements during the guideline process were resolved by consensus-building. Conflicts of interests for the authors are included at the end of the guideline. The views or interests of the CUA did not influence the final set of recommendations.The guideline panel was led by Dr. Kevin Carlson and Dr. Blayne Welk. The group first met virtually in December 2021. Objectives to guide the development of this document were agreed upon: 1) to be comprehensive without replicating existing evidence reviews; 2) to provide evidence-based and expert-based opinions on relevant topics within FSUI; and 3) to address the unique needs of Canadian urologists where appropriate.All guideline members were asked to submit relevant topics that could be addressed in a questionand-answer format, and the final list of questions was agreed upon by the panel. Further feedback was received from CUA members at the 2022 CUA annual meeting. Individual sections were assigned to members, with another panel member acting as primary reviewer. Members reviewed publications relevant to ...

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“…These authors demonstrated a statistically significant difference in reported incontinence symptoms for patients receiving combination PFMT (46). Similarly, PFMT is the most commonly offered treatment for recurrent SUI following prior anti-incontinence surgery although success rates are not known (47). An understanding of the efficacy of PFMT in men with recurrent SUI following AIS would helpful, especially given that a large number of these patients with persistent bothersome incontinence often consider surgical revision or an alternative surgical procedure (48).…”

Section: Other Considerationsmentioning

confidence: 99%

A narrative review of pelvic floor muscle training in the management of incontinence following prostate treatment

Ali¹,

Hutchison²,

Ortiz³

et al. 2022

Transl Androl Urol

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Background and Objective: Urinary incontinence following prostate treatment (IPT) is a common complication with corresponding negative impacts on quality of life. Pelvic floor muscle training (PFMT) is a non-invasive treatment strategy to treat combat this clinical issue, and has been recognized by medical associations globally and increasingly supported by large bodies of literature. Accordingly, many studies demonstrate a significant benefit of pelvic floor muscle training to continence status and quality of life in men with incontinence following prostate treatment. However, related research is limited by variety in treatment regimens, outcome measures, and study designs, with unclear impact on treatment success. We aim to provide a brief overview of pathology and incidence of incontinence following prostate surgery and an understanding how PFMT is currently used to treat and prevent this clinical consequence.Methods: A comprehensive literature search was conducted utilizing PubMed, Medline, and Google Scholar. Search criteria included systematic reviews and randomized control trials published in the year 2000 to present. References of resulting studies were further analyzed to identify further articles of relevance.Keywords searched included: "post-prostatectomy incontinence", "pelvic muscle strengthening", "Benign Prostatic Hyperplasia", and "pelvic floor muscle training". Peer-reviewed publications that demonstrated a novel addition to the existing body of literature on this subject were included.Key Content and Findings: Upon review of the current research landscape, PFMT is largely supported in treatment of IPT. Analysis of current literature on this subject demonstrates heterogeneity in protocols, measures of treatment success, and patient numbers. Nevertheless, benefits to continence and quality of life are noted across an expansive body of literature and as such, PFMT is therefore recommended as an important part of the treatment algorithm following radical prostatectomy.Conclusions: PFMT is an important and effective part of the treatment algorithm in the prevention and treatment of IPT. Additional research is needed to more extensively assess PFMT's role in treating this clinical consequence, especially following other prostate surgeries.

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Recurrent stress urinary incontinence surgery in the United Kingdom: an analysis of the British Society of Urogynaecology database (2007–2015)

Cited by 5 publications

References 31 publications

Risk factors of postpartum stress urinary incontinence in primiparas

Risk factors of postpartum stress urinary incontinence in primiparas

2024 Canadian Urological Association guideline: Female stress urinary incontinence

A narrative review of pelvic floor muscle training in the management of incontinence following prostate treatment

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