Continence (Amsterdam, Netherlands)最新文献

{"title":"Consensus statements on the definition of surgical success following obstetric urinary pelvic floor fistula repair: An IUGA-ICS proposal","authors":"L.P. Maljaars,&nbsp;J. Corcos,&nbsp;G. Ghoniem,&nbsp;J.T.W. Goh,&nbsp;T.J. Greenwell,&nbsp;D. Kupualor,&nbsp;R. Pope,&nbsp;S. Rachaneni,&nbsp;M.C. Regmi","doi":"10.1016/j.cont.2026.102319","DOIUrl":"10.1016/j.cont.2026.102319","url":null,"abstract":"<div><h3>Introduction</h3><div>Standardized definitions for surgical success after obstetric urinary pelvic floor fistula (UPF) repair are lacking. This study aimed to establish a consensus among fistula surgeons on defining surgical success for UPF repair caused by obstetric (childbirth-related) injuries.</div></div><div><h3>Materials and methods</h3><div>A working group was initiated by the International Urogynecology Association (IUGA) in collaboration with the International Continence Society (ICS). Following a systematic literature review, statements were developed, and a Delphi method was applied to reach a consensus on each statement.</div></div><div><h3>Results</h3><div>Consensus was reached on 34/44 statements (77.3%). These were grouped into five categories: (1) definition of outcome, (2) treatment and outcome assessment, (3) post-fistula repair urinary incontinence, (4) incurable fistula, and (5) quality of life.</div></div><div><h3>Discussion</h3><div>The consensus group recommends defining surgical success as anatomical closure of the fistula without residual urinary incontinence, as closure alone is insufficient. Women with residual urinary incontinence should not be classified as cured and require further diagnostic and therapeutic intervention. A postoperative dye test at catheter removal is advised as an objective measure of surgical success. The group also underscores the importance of basic urodynamic evaluation to assess residual incontinence following fistula closure. A diagnosis of “incurable” fistula should only be considered after three failed repairs and requires independent assessments by two expert surgeons. Finally, clinical success should include improvements in patient quality of life, and a specialized, validated quality-of-life questionnaire is essential to evaluate the physical, social, and emotional impact of UPF on patients and to assess treatment effectiveness from the patient's perspective.</div></div><div><h3>Conclusion</h3><div>The consensus statements aim to standardize the definition of successful outcomes in obstetric UPF repair, guiding future research and patient counseling. The group encourages further investigation into existing knowledge gaps in obstetric urinary pelvic floor fistula.</div></div>","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"18 ","pages":"Article 102319"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148565155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"54 - A new season for vaginal mesh in pelvic organ prolapse: medium-term results of a retrospective analysis using an ultralight six-points fixation polypropylene mesh for treatment of vault prolapse","authors":"Carolina Sturma,&nbsp;Lorenza Driul,&nbsp;Stefano Floris","doi":"10.1016/j.cont.2026.102391","DOIUrl":"10.1016/j.cont.2026.102391","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"17 ","pages":"Article 102391"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148565820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"29: Who Needs Reprogramming? Predictors of Device Management After Sacral Neuromodulation","authors":"Giuseppe Ciavarella,&nbsp;Leonardo Martino,&nbsp;Beatrice Martino,&nbsp;Giuseppe Liuzzi,&nbsp;Francesco Pio Cinelli,&nbsp;Anna Ricapito,&nbsp;Marco Finati,&nbsp;Angelo Cormio,&nbsp;Gian Maria Busetto,&nbsp;Carlo Bettocchi,&nbsp;Luigi Cormio,&nbsp;Ugo Giovanni Falagario,&nbsp;Giuseppe Carrieri,&nbsp;Vito Mancini","doi":"10.1016/j.cont.2026.102366","DOIUrl":"10.1016/j.cont.2026.102366","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"17 ","pages":"Article 102366"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148565946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"77 – Surgical Treatment of Pelvic Organ Prolapse and Overactive Bladder: A Systematic Review and Meta-Analysis","authors":"Michele Pierro,&nbsp;Silvia Perossini,&nbsp;Lorenzo Vacca,&nbsp;Daniela Caramazza,&nbsp;Andrea Lombisani,&nbsp;Aniello Foresta,&nbsp;Monia Marturano,&nbsp;Alfredo Ercoli,&nbsp;Giuseppe Campagna","doi":"10.1016/j.cont.2026.102414","DOIUrl":"10.1016/j.cont.2026.102414","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"17 ","pages":"Article 102414"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148565982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"7 - Autonomic dysfunction and sexual dysfunction in Sjögren's disease, what's the link? Case series","authors":"Fabrizio D’Urso ,&nbsp;Sara Clelia Longo","doi":"10.1016/j.cont.2026.102344","DOIUrl":"10.1016/j.cont.2026.102344","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"17 ","pages":"Article 102344"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148415277","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}

{"title":"25: Predictors of Treatment Failure After Water Vapor Thermal Therapy (Rezūm™) for Benign Prostatic Hyperplasia: Results from a Prospective Multicenter Stud","authors":"Manfredi Bruno Sequi ,&nbsp;Andrea Fuschi ,&nbsp;Paolo Pietro Suraci ,&nbsp;Fabio Maria Valenzi ,&nbsp;Damiano Graziani ,&nbsp;Yazan Al Salhi ,&nbsp;Filippo Gianfrancesco ,&nbsp;Giuseppe Candita ,&nbsp;Paolo Benanti ,&nbsp;Riccardo Lombardo ,&nbsp;Cosimo De Nunzio ,&nbsp;Luca Erra ,&nbsp;Giovanni Di Gregorio ,&nbsp;Antonio Carbone ,&nbsp;Antonio Luigi Pastore","doi":"10.1016/j.cont.2026.102362","DOIUrl":"10.1016/j.cont.2026.102362","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"17 ","pages":"Article 102362"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148416764","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}

{"title":"65 - Comparison of Early and Late Complications After Δ-Shaped vs Y-Shaped Robotic Intracorporeal Orthotopic Neobladder Reconstruction","authors":"Sabrina Titti De Cillis ,&nbsp;Alberto Quarà ,&nbsp;Federico Piramide ,&nbsp;Alberto Piana ,&nbsp;Marco Colombo ,&nbsp;Cecilia Gatti ,&nbsp;Federica Pini ,&nbsp;Alexandru Turcan ,&nbsp;Davide Garino ,&nbsp;Francesco Rosi ,&nbsp;Giulia Trapella ,&nbsp;Luca Ferrando ,&nbsp;Michele Ortenzi ,&nbsp;Bianca Sabrina Ribolzi ,&nbsp;Alessandro Ercolani ,&nbsp;Dalia Cidda ,&nbsp;Valentina Garzena ,&nbsp;Daniele Amparore ,&nbsp;Matteo Manfredi ,&nbsp;Francesco Porpiglia ,&nbsp;Cristian Fiori","doi":"10.1016/j.cont.2026.102402","DOIUrl":"10.1016/j.cont.2026.102402","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"17 ","pages":"Article 102402"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148322240","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}

{"title":"27: EVALUATION OF A NEW INTRAVESICAL COMPOUND CONTAINING PURIFIED COLOSTRUM AND CHONDROITIN SULFATE IN THE MANAGEMENT OF BLADDER PAIN SYNDROME: A PILOT NON-INFERIORITY STUDY.","authors":"Fabrizio Fanara,&nbsp;Andrea Grasso,&nbsp;Nunzia Abbate,&nbsp;Valeria Feliciangeli,&nbsp;Giacomo Martin,&nbsp;Chiara Cusumano,&nbsp;Livia Mollo,&nbsp;Enrico Finazzi Agrò","doi":"10.1016/j.cont.2026.102364","DOIUrl":"10.1016/j.cont.2026.102364","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"17 ","pages":"Article 102364"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148587743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"28: Risk factors for postpartum urinary incontinence after delivery: results from a prospective longitudinal study.","authors":"Silvia Perossini,&nbsp;Daniela Caramazza,&nbsp;Lorenzo Vacca,&nbsp;Andrea Lombisani,&nbsp;Monia Marturano,&nbsp;Chiara Ferraro,&nbsp;Vittoria Rizzitelli,&nbsp;Alfredo Ercoli,&nbsp;Giuseppe Campagna","doi":"10.1016/j.cont.2026.102365","DOIUrl":"10.1016/j.cont.2026.102365","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"17 ","pages":"Article 102365"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148587744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"84 - Long-Term Outcomes of Robotic and Laparoscopic Sacrocolpopexy: A 9-Year Extended Follow-Up of a Randomized Study","authors":"Ester Illiano,&nbsp;Manfredi Gioè,&nbsp;Giordano Polisini,&nbsp;Elisabetta Costantini","doi":"10.1016/j.cont.2026.102421","DOIUrl":"10.1016/j.cont.2026.102421","url":null,"abstract":"","PeriodicalId":72702,"journal":{"name":"Continence (Amsterdam, Netherlands)","volume":"17 ","pages":"Article 102421"},"PeriodicalIF":1.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148587749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}