Wolfram Jäger1, Olga Mirenska, Sabine Brügge. 1. Urogynaecology Unit, Department of Obstetrics and Gynecology, University of Cologne, Cologne, Germany. wolframjaeger@gmx.de
Abstract
BACKGROUND/AIMS: The etiology of urge urinary incontinence is unknown. Pharmacological treatments are disappointing, since they are only slightly more effective than a placebo. In this study, we analyzed whether the surgical replacement of the uterosacral ligaments by an alloplastic tape can cure patients with mixed and urge urinary incontinence. METHODS: This study was a nonrandomized clinical trial. The study was performed in the Department of Gynecology of a general hospital and a university clinic. 135 women with urge or mixed urinary incontinence were operated on. The utero-sacral ligaments as well as the pubo-urethral ligaments - if necessary - were replaced by alloplastic tapes. Clinical outcome was evaluated immediately after surgery, 3 months later and 1 year later. Outcome was classified as cure, improvement or failure and recurrences. RESULTS: 102 patients (77%) were cured and a further 24 patients (18%) showed improvement after surgery. 19 patients developed a recurrence between 5 and 33 months after surgery. CONCLUSION: We therefore conclude that most patients with urge and mixed urinary incontinence can be cured by surgery.
BACKGROUND/AIMS: The etiology of urge urinary incontinence is unknown. Pharmacological treatments are disappointing, since they are only slightly more effective than a placebo. In this study, we analyzed whether the surgical replacement of the uterosacral ligaments by an alloplastic tape can cure patients with mixed and urge urinary incontinence. METHODS: This study was a nonrandomized clinical trial. The study was performed in the Department of Gynecology of a general hospital and a university clinic. 135 women with urge or mixed urinary incontinence were operated on. The utero-sacral ligaments as well as the pubo-urethral ligaments - if necessary - were replaced by alloplastic tapes. Clinical outcome was evaluated immediately after surgery, 3 months later and 1 year later. Outcome was classified as cure, improvement or failure and recurrences. RESULTS: 102 patients (77%) were cured and a further 24 patients (18%) showed improvement after surgery. 19 patients developed a recurrence between 5 and 33 months after surgery. CONCLUSION: We therefore conclude that most patients with urge and mixed urinary incontinence can be cured by surgery.
Authors: Ralf Joukhadar; Gabriele Meyberg-Solomayer; Amr Hamza; Julia Radosa; Werner Bader; Dimitri Barski; Fakher Ismaeel; Guenther Schneider; Erich Solomayer; Sascha Baum Journal: Biomed Res Int Date: 2015-04-19 Impact factor: 3.411
Authors: Geertje Callewaert; Jan Bosteels; Susanne Housmans; Jasper Verguts; Ben Van Cleynenbreugel; Frank Van der Aa; Dirk De Ridder; Ignace Vergote; Jan Deprest Journal: Gynecol Surg Date: 2016-01-26