Document Detail


Effects of single vaginal incision technique on quality of life in women with stress urinary incontinence.
MedLine Citation:
PMID:  21872169     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To estimate the short-term effects of a minimally invasive single vaginal incision technique without passing through the abdomen or groin (ContaSure Needleless System) on the quality of life in women with incontinence.
DESIGN: Prospective cohort study (Canadian Task Force classification II-2).
SETTING: Tertiary referral urogynecology clinic.
PATIENTS: 50 consecutive patients with urodynamically proved stress urinary incontinence from October 2008 to March 2009.
INTERVENTIONS: Preoperative and postoperative scores on the short forms of the IIQ-7 (Incontinence Impact Questionnaire, UDI-6 (Urinary Distress Inventory) PISQ-12 (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function), and long form of the P-QOL (Prolapse Quality of Life) were evaluated in 50 patients with urodynamically proved stress urinary incontinence. Scores were compared with postoperative urodynamic findings.
MEASUREMENTS AND MAIN RESULTS: Mean (SD) follow-up was 433.5 (44.1) days (95% CI, 420.1-445.1). Patients showed statistically significant improvement insofar as preoperative and postoperative scores on the IIQ-7, P-QOL, and PISQ-12 and the irritative and stress subgroups of UDI-6. Obstructive score of UDI-6 worsened, consistent with the findings of pressure-flow studies. Postoperatively, 40 patients (80%) were urodynamically continent. Eight patients (16%) were still incontinent; however, their quality of life scores (IIQ-7 and UDI-6 stress) improved. Two patients (4%) continued to experience leakage, with equal or worsened quality-of-life scores.
CONCLUSION: Early clinical results of the present trial demonstrate that the ContaSure Needleless System seems to be capable of improving significantly all aspects of quality of life in women with incontinence. To improve the willingness for treatment of women with stress incontinence, this minimally invasive technique should be encouraged after confirming its efficacy in larger prospective, randomized, comparative trials.
Authors:
Ates Karateke; Cetin Cam; Sule B Ince; Niyazi Tug; Selcuk Selcuk; Mehmet R Asoglu; Dogan Vatansever
Related Documents :
16030279 - Perioperative n-acetylcysteine to prevent renal dysfunction in high-risk patients under...
23357289 - Alterations in t-lymphocyte subpopulations in patients with complicated liver cirrhosis.
24093189 - Applicability of scanning laser ophthalmoscopy microperimetry on the fixation patterns ...
596249 - Treatment of glomerulonephritis with drainage of the thoracic duct and plasmapheresis.
15538259 - Fate of donor kidney: laparoscopic versus open technique.
22067059 - A case of recurrent earthquake stress cardiomyopathy with a differing wall motion abnor...
17624489 - Short and long-term motor and cognitive outcome of staged bilateral pallidotomy: a retr...
15582309 - Influence of treatment duration with a 600-mg dose of clopidogrel before percutaneous c...
7924029 - A comparison between medial meniscus repair, partial meniscectomy, and normal meniscus ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  18     ISSN:  1553-4669     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-08-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  634-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 AAGL. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Urogynecology, Department of Obstetrics and Gynecology, Zeynep Kamil Women's Hospital, Istanbul, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Improved Premenstrual Syndrome Symptoms after NovaSure Endometrial Ablation.
Next Document:  Endoscopic inguinal lymphadenectomy with a novel abdominal approach to vulvar cancer: description of...