Urogynaecologia最新文献

Management of stress urinary incontinence using transobturator tape: a case series 使用经尿道胶带治疗压力性尿失禁：病例系列

Urogynaecologia Pub Date : 2024-07-08 DOI: 10.4081/uij.2024.315

Suskhan Djusad, S. Hakim, T. Priyatini, F. Moegni, A. Meutia, Yudhistya Ksyatria, I. Gede Manu

{"title":"Management of stress urinary incontinence using transobturator tape: a case series","authors":"Suskhan Djusad, S. Hakim, T. Priyatini, F. Moegni, A. Meutia, Yudhistya Ksyatria, I. Gede Manu","doi":"10.4081/uij.2024.315","DOIUrl":"https://doi.org/10.4081/uij.2024.315","url":null,"abstract":"Urinary incontinence is a health problem for women and the elderly, both physically and psychologically. To cure it, mid-urethral sling surgery is used. Moreover, the transobturator tape (TOT) appears to reduce the incidence of bladder injuries. This case series aims to assess the safety and efficacy of TOT at Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia. We present eleven female patients diagnosed with stress urinary incontinence (SUI) and complaints of involuntary leakage during sneezing, coughing, or laughing. All patients underwent a TOT operation, which included a coughing test, pad test, residual volume, and urinalysis to rule out the infection. Out of the eleven patients, eight showed the reported urinary leakage at the first follow-up, and three did not attend the follow-up. The pad test post-operative results from five patients were obtained: four patients revealed 0 g in their pad test, while one showed 3 g. No patient experienced sling erosion during control or follow-up management. The low erosion rate was due to the usage of type 1 polypropylene mashes (macropore, monofilament), and the procedure was done with the correct technique. The sling TOT procedure seems effective and has the potential to become the new gold standard in the management of true SUI with low morbidity.","PeriodicalId":516576,"journal":{"name":"Urogynaecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141670023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term efficacy and safety of a bioresorbable polycaprolactone-based injectable in female stress incontinence 基于生物可吸收聚己内酯的注射剂对女性压力性尿失禁的长期疗效和安全性

Urogynaecologia Pub Date : 2024-04-04 DOI: 10.4081/uij.2024.324

Anđelo Mojsović, A. Beulens, Evert L. Koldewijn

引用次数: 0

Non-pharmacological interventions and coping mechanisms during dysmenorrhea among female undergraduates in a tertiary institution in Nigeria 尼日利亚一所高等院校女大学生痛经期间的非药物干预措施和应对机制

Urogynaecologia Pub Date : 2024-01-17 DOI: 10.4081/uij.2024.310

Eunice Osuala, O. Udi, Glad Samchisadede, Florence Mandah

{"title":"Non-pharmacological interventions and coping mechanisms during dysmenorrhea among female undergraduates in a tertiary institution in Nigeria","authors":"Eunice Osuala, O. Udi, Glad Samchisadede, Florence Mandah","doi":"10.4081/uij.2024.310","DOIUrl":"https://doi.org/10.4081/uij.2024.310","url":null,"abstract":"Dysmenorrhea can be a burden on individuals and families. Investigating dysmenorrhea has become important to further our understanding of this issue and to research the measures that have been effective in managing it in other populations. Hence, the study aimed to investigate non-pharmacological interventions and coping mechanisms for painful menstruation among female undergraduates. The survey was carried out among 358 female students, and data was obtained with a researcher-structured questionnaire from a sample size of 208 derived using multistage sampling. A descriptive method of analysis was used to analyze the responses. Results revealed a high incidence of dysmenorrhea since 175 (89.7%) respondents experienced dysmenorrhea. Data revealed that nonpharmacological measures and home remedies for self-care, such as exercise, heat therapy, and herbal remedies, were prevalent among respondents. However, some respondents consult friends, families, and doctors for help. In conclusion, pharmaceutical and non-pharmaceutical interventions were common, and some young women opted to normalize pain and were not utilizing the most effective alternatives for managing menstrual pain.","PeriodicalId":516576,"journal":{"name":"Urogynaecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139640535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patients with transobturator tape: a retrospective observational study of ten-year follow-up 经尿道胶带患者：十年随访的回顾性观察研究

Urogynaecologia Pub Date : 2024-01-17 DOI: 10.4081/uij.2024.318

Vineet V Mishra, Smit B. Solanki, R. Aggarwal, Athulya Shajan

{"title":"Patients with transobturator tape: a retrospective observational study of ten-year follow-up","authors":"Vineet V Mishra, Smit B. Solanki, R. Aggarwal, Athulya Shajan","doi":"10.4081/uij.2024.318","DOIUrl":"https://doi.org/10.4081/uij.2024.318","url":null,"abstract":"Stress urinary incontinence (SUI) may result from intrinsic sphincter weakness or urethral hypermobility brought on by weakened muscles in the pelvic floor that sustain the urethra and bladder. The amount of mid-urethral support is increased by the mid-urethral tape's function to serve as an anchored pubo-urethral neo-ligament. This study's objective is to assess the safety and effectiveness of transobturator tape (TOT) for SUI after a 10-year follow-up period. There were 103 patients included in this retrospective observational single-arm research. Only 95 participants were included in the trial since 8 patients were lost to follow-up. Patients who had TOT between 2010 and 2013 were monitored until December 2022. The effectiveness of the tape was assessed at 10 years for both early and late surgical problems in the patients. Those diagnosed with SUI were 52.27 years old on average (standard deviation ±8.48). 24% of patients (n=21) experienced mixed urinary incontinence (MUI), compared to 79.61% (n=82) of patients who had just pure stress incontinence. At 10 years, the success rate in our research was 97.09%. Demand incontinence was healed in 57.14% (n=12) of the 21 MUI patients. 7.69% of de novo urgency was noted (n=7). There were no significant side effects including mesh erosion, bladder and intestine perforation, or vascular hemorrhage. Excellent patient satisfaction was rated in 43% of cases (n=44), good in 54% of cases (n=56), and low in 3% of cases (n=3). At 10 years, TOT for SUI shows an impressive cure rate and excellent effectiveness. When the treatment is carried out by experienced hands, there are no significant difficulties.","PeriodicalId":516576,"journal":{"name":"Urogynaecologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139640540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0