Study Objective: To assess the efficacy of radiofrequency electrothermal energy to treat genuine stress incontinence (GSI).
Design: Multicenter, prospective, single-arm, longitudinal study (Canadian Task Force classification II-1).
Setting: Six North American university-affiliated and private clinic sites.
Patients: Ninety-four women undergoing laparoscopic treatment for GSI.
Intervention: Radiofrequency bipolar treatment of paravaginal tissue to induce tissue shrinkage causing bladder neck elevation.
Measurements And Main Results: Patients underwent complete urogynecologic evaluations, with urodynamic testing, including Valsalva leak point pressure, to confirm the diagnosis of GSI. Paravaginal tissue was treated lateral from the urethra and bladder neck out to the arcus white line, with bipolar electrothermal energy to shrink bladder-supporting connective tissue. Treatment resulted in 30% shrinkage in paravaginal endopelvic fascia surface area by direct measurement. At 1 year the objective cure rate was 79% by urodynamic testing, improvement in quality of life by questionnaire was 81%, decrease in leaking episodes and pad use was significant (p <0.001), and patient satisfaction was 83%. Complications (7%) were secondary to laparoscopy. There were no injuries from the radiofrequency probe.
Conclusion: Radiofrequency bipolar electrothermal energy appears to be a safe an efficient means of treating mild to moderate GSI. It results in shrinkage and elevation of paravaginal connective tissue, stabilizing the urethra and bladder neck, thereby restoring continence. Long-term follow-up is necessary.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s1074-3804(05)60525-7 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Comparative Study on the Clinical Outcomes of Bipolar Radiofrequency Thermotherapy Versus Transurethral Resection of the Prostate in Storage Symptoms Associated With Benign Prostatic Obstruction.
Int Neurourol J
December 2024
Department of Urology, Lokman Hekim University, Ankara, Turkey.
Purpose: The aim of the study was to compare the results of radiofrequency (RF) thermotherapy and transurethral resection of the prostate (TURP) in patients who required benign prostatic obstruction (BPO) surgery and had storage symptoms.
Methods: The results of patients who had undergone TURP and RF thermotherapy procedures between December 2019 and 2022 were compared before and after the procedure. Patients' International Prostate Symptom Scores, maximum flow rate (Qmax), postvoiding residues, and overactive bladder validated 8 scores (OAB-V8) at 3 and 6 months were analyzed.
Pushing the Boundaries of Minimally Invasive Surgery: Fully Laparoscopic Left Hepatectomy Extended to Segment 8 for Bilobar Colorectal Liver Metastases.
Cureus
November 2024
Department of Hepatobiliary and Pancreatic Surgery, Pontificia Universidad Católica de Chile, Santiago, CHL.
The surgical management of hepatic metastases from colorectal cancer may range from segmental resections to major or extended hepatectomies. The aim is to achieve complete removal of metastatic lesions while preserving adequate liver function. We present the case of a 42-year-old male patient with a history of glucose intolerance who presented with altered bowel movements and abdominal pain.
View Article and Find Full Text PDFIntegration of a surgical bipolar ablation device within an electroanatomical mapping system during epicardial ventricular tachycardia ablation via video-assisted thoracoscopic surgery: a case report.
Eur Heart J Case Rep
December 2024
Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, William Henry Duncan Building, 6 W Derby St, Liverpool L7 8TX, UK.
Background: Epicardial ventricular tachycardia (VT) ablation is an established approach in patients with epicardial arrhythmogenic foci and is most commonly performed via percutaneous access. An alternative approach is via video-assisted thoracoscopic surgery (VATS), although reports of this technique are limited to the use of catheter-based technologies for radiofrequency ablation delivery.
Case Summary: A 55-year-old man with non-ischaemic cardiomyopathy presented with recurrent VT despite medical therapy.
Efficacy of Nonablative Bipolar Radiofrequency in the Treatment of Fingernail Psoriasis.
Dermatol Surg
December 2024
Department of Dermatology, Kasr Al-Ainy Psoriasis Unit, Faculty of Medicine, Cairo University, Giza, Egypt.
Background: Psoriasis is a common chronic systemic disease affecting the skin, nails, and joints. Nails are commonly associated with a greater severity of the disease. Radiofrequency (RF) is a nonionizing radiation that provides energy originating from electric current to generate heat inside the dermis with anti-inflammatory effects.
View Article and Find Full Text PDFRadiofrequency and Cryoablation as Energy Sources in the Cox-Maze Procedure: A Meta-Analysis of Rhythm Outcomes.
Heart Lung Circ
January 2025
Department of Cardiac Surgery, Spedali Civili di Brescia, University of Brescia, Brescia, Italy.
Article Synopsis
- The study examines the effectiveness of different energy sources used in the Cox-maze IV surgical procedure for treating atrial fibrillation (AF), specifically comparing bipolar radio-frequency (BRF), cryoenergy (Cryo), and a combination of both.
- Results indicate that patients who underwent cryoablation had significantly lower rates of AF recurrence after both 6 months (6.73% for Cryo) and 4 years (6.14% for Cryo) compared to those treated with BRF and the combined method.
- The findings suggest that cryoablation may lead to better long-term sinus rhythm restoration in patients undergoing AF ablation compared to bipolar radiofrequency ablation alone.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!