Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Effect of tension-free vaginal tape procedure on urodynamic continence indices
Autore:
Mutone, N; Mastropietro, M; Brizendine, E; Hale, D;
Indirizzi:
Indiana Univ, Sch Med, Methodist Hosp, Div Female Pelv Med & Reconstruct Surg, Indianapolis, IN 46220 USA Indiana Univ Indianapolis IN USA 46220 t Surg, Indianapolis, IN 46220 USA Indiana Univ, Sch Med, Div Biostat, Indianapolis, IN USA Indiana Univ Indianapolis IN USA Med, Div Biostat, Indianapolis, IN USA
Titolo Testata:
OBSTETRICS AND GYNECOLOGY
fascicolo: 4, volume: 98, anno: 2001,
pagine: 638 - 645
SICI:
0029-7844(200110)98:4<638:EOTVTP>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
STRESS URINARY-INCONTINENCE; BLADDER NECK SUSPENSION; FOLLOW-UP;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Mutone, N Indiana Univ, Sch Med, Methodist Hosp, Div Female Pelv Med & Reconstruct Surg, 1633 N Capitol Ave,Suite 436, Indianapolis, IN 46220 USA Indiana Univ 1633 N Capitol Ave,Suite 436 Indianapolis IN USA 46220
Citazione:
N. Mutone et al., "Effect of tension-free vaginal tape procedure on urodynamic continence indices", OBSTET GYN, 98(4), 2001, pp. 638-645

Abstract

OBJECTIVE: To assess the difference in measured urethral function before and after tension-free vaginal tape procedure (TVT). METHODS: Women who underwent TVT for genuine stress incontinence with or without intrinsic sphincter deficiency completed this study. Multichannel urodynamic testing was performed preoperatively and 6 weeks postoperatively. Maximum urethral closure pressure and pressure transmission ratio were recorded. Valsalva leak point pressures were determined at 150 mL and at full bladder capacity. Resting and straining urethral angles were measured using the cotton swab technique. Subjects completed both the Incontinence Impact Questionnaire and Urodynamic Distress Inventory preoperatively and postoperatively. RESULTS: Thirty-five consecutive women were studied. Twenty-three (65.7%) had a preoperative diagnosis of intrinsic sphincter deficiency as defined by maximum urethral closure pressure less than 20 cm H2O and/or Valsalva leak point pressure less than 60 cm H2O. Subjective and objective success rates were 91% and 83%, respectively. Subjects showed an 86.8% (95% CI 71.9%, 100.0%) improvement in their Incontinence Impact Questionnaire score and a 72.9% (95% CI 62.6%, 83.1%) improvement in their Urodynamic Distress Inventory score. The mean change in maximum urethral closure pressure was -1.3 cm H2O (95% CI -5.9, 3.3), whereas the pressure transmission ratio increased 15.7% (95% CI 5.0%, 26.3%). The mean decrease in straining urethral angle was 16.3 degrees (95% CI -23.9 degrees, -8.7 degrees). Cured subjects demonstrating hypermobility preoperatively continued to do so postoperatively. CONCLUSION: There was a significant increase in pressure transmission ratio, but not maximum urethral closure pressure, after TVT. These changes are similar to those reported after retropubic urethropexy and traditional sling procedures. The effectiveness of the TVT sling does not appear to depend on a clinically significant change in the straining urethral angle. (C) 2001 by the American College of Obstetricians and Gynecologists.)

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 15:37:35