The pathogenesis of genitourinary prolapse and stress incontinence of urine. A histological and histochemical study

Gilpin, S. A.; Gosling, J. A.; Smith, Anthony; Warrell, D. W.

doi:10.1111/j.1471-0528.1989.tb01570.x

Cited by 255 publications

(142 citation statements)

References 12 publications

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“…5,6 In SUI, there is a decrease in the number of fast twitch fi bers. 7 Moreover, it has been observed that aging leads to reductions not only in the numbers of type I and II fi bers, but also in their diameter, thus increasing the prevalence of SUI among older women. 5 Clinical treatment for SUI is becoming more popular because of its excellent results, few collateral effects and decreased surgical and hospital costs.…”

Section: Introductionmentioning

confidence: 99%

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

et al. 2007

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CONTEXT AND OBJECTIVE: Urinary incontinence is a public health problem that affects more than 200 million people worldwide. Stress incontinence is the most prevalent type. Pelvic floor muscle exercises have been used for treating it, although there is no consensus regarding their application. The aim of this study was to compare the results from treating female stress urinary incontinence with pelvic floor muscle exercises with or without physiotherapist supervision. DESIGN AND SETTING: This was a randomized, prospective, controlled trial in the Urogynecology and Vaginal Surgery Sector, Universidade Federal de São Paulo. METHODS: Forty-four women were randomized to be treated for stress urinary incontinence with pelvic floor exercises for three consecutive months, into two groups: one with and the other without physiotherapist supervision. They were evaluated before and after treatment using a quality-of-life questionnaire, pad test, micturition diary and subjective evaluation. Descriptive analysis was used to evaluate the population. The homogeneity of the two groups was evaluated using the Kruskal-Wallis and Chi-squared tests. The success of the two groups after treatment was evaluated using the Wilcoxon test. RESULTS: The supervised group showed statistically greater improvement in the pad test, micturition diary and quality of life than did the control group. In the subjective evaluation, only 23.8% of the control group patients were satised with their treatment. In the supervised group, 66.8% of patients did not want any other treatment. CONCLUSION: Supervised pelvic floor muscle exercises presented better results in objective and subjective evaluations than did unsupervised exercises.

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Section: Introductionmentioning

confidence: 99%

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

et al. 2007

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“…Women with urinary stress incontinence seem to have a significant increase in denervation of the pelvic floor compared with asymptomatic women [50]. Postpartum partial denervation and reinnervation was confirmed by histomorphological studies [22].…”

Section: Pathophysiologymentioning

confidence: 79%

The effects of childbirth on the pelvic-floor

Dannecker

Anthuber²

2000

Journal of Perinatal Medicine

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“…Difiere en cuanto a que la mayoría se encontraba en la postmenopausia pero sin terapia hormonal de reemplazo (8). En cuanto a la paridad promedio, el valor es elevado, considerando que este en un factor de riesgo importante para prolapso genital (15,16). Se obtuvieron resultados óptimos en un alto porcentaje.…”

Section: Discussionunclassified

Reparación De Prolapso Vaginal Anterior Con Malla De Prolene

et al. 2007

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: La reparación del prolapso vaginal anterior presenta una alta tasa de recurrencia. La colporrafia anterior con malla de prolene es una buena alternativa quirúrgica que ha obtenido buenos resultados a largo plazo. Objetivo: Evaluar el resultado anatómico y la evolución de la colporrafia anterior con malla de prolene. Método: Estudio de cohorte prospectivo para evaluar el resultado quirúrgico. Resultados: Ingresaron 35 pacientes con una edad promedio de 61,4 años; 85,7% de ellas estaba en postmenopausia y 3% utilizaba terapia hormonal de reemplazo. La principal patología asociada fue la incontinencia de orina de esfuerzo (54,3%). El estado del piso pelviano preoperatorio correspondió a 31,4% cistocele grado II, 48,6% cistocele grado III y 20% cistocele grado IV. Se asoció prolapso uterino en 88,6% de los casos y 74,3% con prolapso de la pared posterior. No hubo complicaciones intraoperatorias. Hubo complicaciones postoperatorias en 4 pacientes (11,4%). Una paciente presentó erosión de la malla (2,9%). El seguimiento fue de 1 a 11 meses. En la evaluación postoperatoria de las pacientes con cistocele grado II 80% corrigió a grado 0; para cistocele grado III 72% corrigió a grado 0. Un 11% llegó a grado I y 17% grado II. Para el grupo con cistocele grado IV, 71% resultó en grado 0 y 29% grado II. Conclusión: La técnica presentada solucionó un severo problema de calidad de vida de las pacientes afectadas. Se requiere un mayor número de casos y tiempo de seguimiento para su recomendación definitiva. PALABRAS CLAVE: Prolapso vaginal anterior, malla de prolene, cistocele SUMMARYBackground: Repair of anterior vaginal prolapse present a high rate of recurrence. Anterior colporrhaphy plus prolene mesh is a surgical option with optimal long term results. Objective: To evaluate anatomical results and evolution of anterior colporrhaphy with prolene mesh. Method: A prospective cohort study was made to evaluate the surgical outcomes. Results: 35 patients were recruited with a median age of 61.4 years. 85.7% of them were in postmenopausal status and 3% were using hormone replacement therapy. Stress urinary incontinence was associated in 54.3% of the cases. The pelvic floor stage at entry was 31.4% cysthocele stage II, 48.6% stage III and 20% cysthocele stage IV. Uterine prolapse was present in 88.6% of cases and the posterior wall was compromised in 74.3%. There were no intraoperatory complications. Postoperatory complications occurred in 4 patients (11.4%). Only in one case the mesh eroded (2.9%). The follow up was from 1 to 11 months. Of the patients with cysthocele stage II at the moment of evaluation, 80% were at stage 0. For cysthocele stage III 72% turned to stage 0. 11% turned to stage I and 17% to stage II. The cases that

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The pathogenesis of genitourinary prolapse and stress incontinence of urine. A histological and histochemical study

Cited by 255 publications

References 12 publications

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

The effects of childbirth on the pelvic-floor

Reparación De Prolapso Vaginal Anterior Con Malla De Prolene

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