Publications by authors named "Laurence Donon"
Article Synopsis
- The clinical trial aimed to evaluate TENSI+, a novel device for transcutaneous posterior tibial nerve stimulation (TNS) in treating overactive bladder (OAB), involving 78 participants across seven centers in France.
- Participants were monitored over 6 months, with a majority showing significant improvement in OAB symptoms; specifically, 67% of patients experienced treatment success and 38% reported both objective improvement and high satisfaction.
- Despite the positive results, some limitations were noted, including the small sample size and the lack of identifiable predictive factors for successful treatment outcomes, although TENSI+ was deemed safe with minimal adverse effects.
Article Synopsis
- The French National Authority for Health reviewed literature on complications from pelvic organ prolapse (POP) surgery using synthetic mesh, which are rare but can severely impact women's quality of life, leading to multidisciplinary clinical practice recommendations with graded levels of evidence.
- Patients must be adequately informed about the risks of POP surgery, with specific guidelines suggesting against certain practices like vaginal packing and requiring alternative surgical techniques in complex cases.
- For bladder injuries during surgery, recommended practices include suturing and monitoring ureter permeability, with potential use of a prosthetic mesh post-repair for better outcomes.
Objectives: Transcutaneous posterior tibial nerve stimulation (TC-PTNS) is a validated option for lower urinary tract symptoms (LUTS) management, with a short-term success rate of around 60% and few adverse events. Our goal was to report the efficacy and safety results of TC-PTNS using the newly issued device TENSI+ for LUTS management.
Patients And Methods: A multicenter, retrospective study was conducted in 7 urology departments in France.
Introduction: Multidisciplinary team meetings (MTMs) in the field of pelvic floor diseases in women tend to generalize, as they are required as mandatory before mid-urethral sling implantation or sacrocolpopexy by recent decrees published by the French health authorities. However, access to these meetings is variable in the French territory. The goal of the present study was to describe the existence and the settings of these kinds of meetings in France.
View Article and Find Full Text PDFThe clinical evaluation of a prolapse has several components: a precise interrogation, a careful clinical examination, the evaluation of its maintenance on the quality of life. It must take into account the urinary, genital and anorectal spheres. From this clinical evaluation will depend the choice and interpretation of paraclinical investigations that may be requested.
View Article and Find Full Text PDFBackground Context: Sacral anterior root stimulation (SARS) and posterior sacral rhizotomy restores the ability to urinate on demand with low residual volumes, which is a key for preventing urinary complications that account for 10% of the causes of death in patients with spinal cord injury with a neurogenic bladder. Nevertheless, comparative cost-effectiveness results on a long time horizon are lacking to adequately inform decisions of reimbursement.
Purpose: This study aimed to estimate the long-term cost-utility of SARS using the Finetech-Brindley device compared with medical treatment (anticholinergics+catheterization).