Reevaluating occult incontinence

Haessler, Alexandra L; Lin, Lawrence L; Ho, Ming-Tzu; Betson, Lance H; Bhatia, Narender N.

doi:10.1097/01.gco.0000183530.03481.64

Cited by 64 publications

(33 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Occult SUI occurs in 11-22% of patients after POP surgery [18]; in this study, de novo SUI rate was 20% and most of these patients needed surgery for SUI later on. Six patients underwent concomitantly an anti-incontinence operation ( Table 3).…”

Section: Discussionmentioning

confidence: 92%

Trocar-guided polypropylene mesh for pelvic organ prolapse surgery—perioperative morbidity and short-term outcome of the first 100 patients

et al. 2010

View full text Add to dashboard Cite

This study was conducted to assess the subjective outcome, complications and cure rates of prolapse surgery with a standardized trocar-quided polypropylene mesh in the first 100 patients. A follow-up visit was made after 2 months after the operation and the subjective outcome was assessed with a postal questionnaire 1 year postoperatively. An anterior mesh was used in 48, posterior mesh in 45, total mesh in five and combined anterior and posterior mesh in two patients. All patients had one or more subjective symptoms. Forty-seven percent of the patients had undergone prolapse surgery and 16% an antiincontinence operation previously. Two patients had peroperative bleeding of more than 1,000 ml, antibiotic treatment was needed in 28 patients and two hematomas were evacuated. A total of 16 patients underwent an antiincontinence operation for de novo stress urinary incontinence. Four patients needed cystocele repair after a posterior mesh and eight patients posterior repair after an anterior mesh. The mesh exposure was diagnosed in 14 patients. No serious complications occurred. Fifty-three (60%) patients reported all preoperative symptoms cured, 27 (30%) reported persistent symptoms and five patients were hesitant. Of the respondents, 63 (71%) were satisfied with the operation. We found that the mesh procedures were associated with a quite high amount of minor postoperative problems.

show abstract

Section: Discussionmentioning

confidence: 92%

Trocar-guided polypropylene mesh for pelvic organ prolapse surgery—perioperative morbidity and short-term outcome of the first 100 patients

et al. 2010

View full text Add to dashboard Cite

show abstract

“…However, according to that study, there is no evidence to perform a prophylactic anti-incontinence procedure on women with OSUI. 27 Liang et al reported that none of their 30 patients who did not have OSUI during pessaryreduced urodynamic trial, developed POSUI. They concluded that concomitant anti-incontinence surgery is not necessary in this group.…”

Section: Discussionmentioning

confidence: 99%

Study of occult stress urinary incontinence in pelvic organ prolapse

Reddy

Ghose

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

INTRODUCTIONPelvic organ prolapse (POP) and stress urinary incontinence (SUI) are two common health-related conditions. They affect up to 50% women worldwide individually.1 Stress urinary incontinence is a condition of involuntary loss of urine on effort, physical exertion, sneezing, or coughing that is often bothersome to the patient and frequently affects the quality of life. It is estimated to affect 15.7% of adult women.2 Many times this urinary incontinence is detected following corrective prolapse surgery. If a woman with pelvic organ prolapse leaks only when the prolapse is reduced, it is called occult stress urinary incontinence (OSUI). 3The prevalence of OSUI in women with severe genitourinary prolapse varies from 27-68% in literature. 4,5 If any previously continent woman develops urinary incontinence after vaginal hysterectomy and pelvic floor repair, it is a frustrating condition for both the patient and the physician.So it is important to counsel symptomatically continent women with POP for developing post-operative SUI (POSUI). Bump RC et al and Fianu et al have showed that POP, may mask SUI. 6,7 The colpopexy and urinary reduction efforts(CARE) study, the largest randomized trial, showed that 45% of women with POP developed POSUI subjectively and objectively as well. [8][9][10] In a study ABSTRACT Background: Pelvic organ prolapse and stress urinary incontinence are two common health-related conditions. If a woman with pelvic organ prolapse leaks only when the prolapse is reduced, it is called occult stress urinary incontinence (OSUI). The prevalence of OSUI in women with severe genitourinary prolapse varies from 27-68% in literature. In this study we want to find out the relationship between OSUI and stress urinary incontinence (SUI) following corrective surgery.The objectives of the study are to determine the number of women with urinary leak following reduction of prolapse before surgery; to determine the number women with occult stress urinary incontinence developing stress urinary incontinence following surgery and to determine the risk of developing stress urinary incontinence after vaginal hysterectomy and pelvic floor repair in these women. Methods: This is a longitudinal observational study. All women with pelvic organ prolapse (POP) of grade II or higher requiring corrective surgery were initially evaluated for OSUI using vaginal pack and followed up post operatively at 6 weeks and 12 weeks using QUID to look for post-operative stress urinary incontinence (POSUI). Results:The overall incidence of OSUI in our study was 7.5%. OSUI was significantly associated with factors like older age, higher BMI, high parity, short inter pregnancy interval and higher grade of prolapse and not significantly associated with factors like place of delivery, delivery events and mode of delivery. Conclusions:It is important to test all women with POP for OSUI and patients with OSUI need long term follow up to detect POSUI

show abstract

“…However, during surgery to reduce the prolapsed uterus or anterior vaginal wall it may be noted from the urodynamic study that 36 to 80% of the women with pelvic organ prolapse have coexisting urodynamic stress incontinence. These patients have occult stress urinary incontinence (Haessler et al, 2005;Reena et al, 2007). In addition, postoperative stress urinary incontinence (de novo stress urinary incontinence) has been noted in 10 to 30% of women following prolapse repair (Bump et al, 1996;Hung et al, 2004;Reena et al, 2007).…”

Section: Prevalence Of Pelvic Organ Prolapse Associated Stress Urinarmentioning

confidence: 99%

Suburethral Slingplasty Using a Self-Fashioned Mesh for Treating Urinary Incontinence and Anterior Vaginal Wall Prolapse

Su¹,

Ng²,

Tsai³

et al. 2012

Urinary Incontinence

View full text Add to dashboard Cite

Reevaluating occult incontinence

Cited by 64 publications

References 31 publications

Trocar-guided polypropylene mesh for pelvic organ prolapse surgery—perioperative morbidity and short-term outcome of the first 100 patients

Trocar-guided polypropylene mesh for pelvic organ prolapse surgery—perioperative morbidity and short-term outcome of the first 100 patients

Study of occult stress urinary incontinence in pelvic organ prolapse

Suburethral Slingplasty Using a Self-Fashioned Mesh for Treating Urinary Incontinence and Anterior Vaginal Wall Prolapse

Contact Info

Product

Resources

About