Long-term Rate of Mesh Sling Removal Following Midurethral Mesh Sling Insertion Among Women With Stress Urinary Incontinence.

Importance: There is concern about outcomes of midurethral mesh sling insertion for women with stress urinary incontinence. However, there is little evidence on long-term outcomes.

Objective: To examine long-term mesh removal and reoperation rates in women who had a midurethral mesh sling insertion for stress urinary incontinence.

Minimum standards for continence care in the UK.

Aim: This paper reports on the publication of a joint statement on minimum standards for continence care in the UK.

Methods: A multidisciplinary working party were tasked with creating standards for both training and education in continence care, as well as explicit standards for a framework of service delivery. This was done through a process of extensive consultation with relevant professional bodies.

Pelvic floor muscle training as an adjunct to prolapse surgery: a randomised feasibility study.

Introduction And Hypothesis: There is evidence that in nonsurgical populations, pelvic floor muscle training (PFMT) and lifestyle advice improves symptoms and stage of pelvic organ prolapse (POP). Some women, however, require surgery, after which de novo symptoms can develop or additional surgery is required due to recurrence. Robust evidence is required as to the benefit of perioperative PFMT in the postsurgery reduction of symptoms and POP recurrence.

Minimum standards for urodynamic practice in the UK.

Aim: This paper reports on the recent publication and wide distribution of a joint statement on minimum standards for urodynamic practice in the UK.

Methods: A multidisciplinary working party were tasked with creating standards for both training and certification in urodynamics, as well as explicit standards for a framework of service delivery. This was done through a process of extensive consultation with relevant professional bodies.

RCT of urethral versus suprapubic catheterization.

Objective: To compare the use of intermittent urethral catheterization with indwelling suprapubic catheterization in women undergoing surgery for urodynamic stress incontinence or uterovaginal prolapse.

Design: Randomized controlled trial.

Setting: Tertiary referral urogynaecology unit.

Obstetric risk factors and pelvic floor dysfunction 20 years after first delivery.

Introduction And Hypothesis: Intrapartum events at first delivery and subsequent childbearing are associated with long-term pelvic floor dysfunction (PFD).

Methods: Primigravidae delivered between 1983-1986 were identified; current addresses traced through the UK National Health Service database (N = 3002). Women completed screening and Sheffield Pelvic Floor Questionnaires (Sheffield-PAQ).

Randomized comparison of vaginal and rectal measurement of intra-abdominal pressure during subtracted dual-channel cystometry.

Objectives: To compare the rectal (Prec) and vaginal (Pvag) measurement of intra-abdominal pressure during cystometry in women by assessment of patient acceptability and cystometrogram quality control.

Methods: Of 136 consecutive women undergoing cystometrography, 100 were randomized to measurement of Prec or Pvag. The patients' experience was measured using visual analogue scales of anticipated and actual discomfort and embarrassment before and after the procedure.

A study of quality of life in primigravidae with urinary incontinence.

This study aimed to establish the prevalence and effect of urinary incontinence on quality of life during pregnancy and after parturition. A prospective cohort of primigravidae was recruited. The Kings Health Questionnaire (KHQ) was self-administered antenatally (34 weeks to term) and postnatally (3 months after delivery).

Congenital vesicovaginal fistula in association with hypoplastic kidney and uterus didelphys.

Abnormalities of the lower urinary and genital tracts commonly coexist, although congenital vesicovaginal fistula is extremely rare. We report the first case of congenital vesicovaginal fistula and hypoplastic kidney in association with uterine didelphys. Despite extensive investigation throughout childhood, a definitive diagnosis was not made until 16 years of age.

Opening detrusor pressure and the influence of age on success following colposuspension.

Objective: Women with urodynamic stress incontinence (USI) have lower opening and closing detrusor pressures than women without USI. This study was undertaken to determine whether a change occurs in opening and closing detrusor pressures after colposuspension, whether cure is associated with change, and whether age influences cure.

Design: Retrospective cohort study.

Stress incontinence and pelvic floor neurophysiology 15 years after the first delivery.

Unlabelled: HEADLINE: This is a longitudinal study of a cohort of primigravidae recruited between 1985 and 1987 and followed up 7 and 15 years later. Pelvic floor neurophysiology was performed and questionnaires were administered to determine the natural history of stress incontinence and to establish whether pelvic floor denervation after the first delivery is associated with symptoms of stress urinary incontinence in the future.

Objectives: To study the natural history of stress urinary incontinence arising during the first pregnancy, to determine whether postnatal pelvic floor denervation progresses with time and whether it predisposes to stress urinary incontinence in the future.