AI Article Synopsis

  • - The study investigates the risk factors for residual stress urinary incontinence after successful closure of vesico-vaginal fistula (VVF), noting that previous findings on predictors have been inconsistent.
  • - Conducted over seven years with women from multiple centers, it involved a cough test at three months post-operation to assess urinary continence, finding that 16.3% of patients had residual incontinence despite successful fistula closure.
  • - Key predictors for residual incontinence identified included urethro-vesical junction involvement, previous fistula repair, and type 3 classifications of Goh's system, highlighting the need for better management of urinary incontinence post-surgery.

Article Abstract

Background: Previous studies have identified predictors for residual urinary incontinence after successful closure of fistula. However, these findings remain uncertain because the predictors vary from one study to another. The present study aimed to examine the risk of residual stress urinary incontinence after successful closure of vesico-vaginal fistula (VVF).

Materials And Methods: We conducted a multicenter retrospective cohort study over 07-years period, from 1st January, 2010 to 31 December, 2016. We included women who underwent VVF repair in one of the seven fistula centers. At three months postoperatively, a cough test was performed among patients who had their fistula successfully closed. The predicted outcome was the urinary continence status after sussessful closure of the fistula and was categorized as (Residual stress urinary incontinence and No Residual stress urinary incontinence). Multivariable binary logistic regression model was performed to analyze association between outcome and predictors.

Results: Overall fistula closure rate at 3 months was 88.6% (404/456). Of the patients who had their fistula successfully closed, 16.3% (66/404) experienced a residual stress urinary incontinence. Risk factors for residual stress urinary incontinence in univariate analysis were: urethro-vesical junction involvement, circumferential fistula, Goh type 3, fistula size greater than 3cm, previous fistula repair, urethra involvement. Three independent predictors have been identified: urethro-vesical junction involvement, previous fistula repair and type 3 of Goh's classification.

Conclusion: This study showed that the rate of residual stress urinary incontinence is high in our setting. The involvement of sphincteric mechanism is the main predictor.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.fjurol.2024.102794DOI Listing

Publication Analysis

Top Keywords

urinary incontinence
32
residual stress
28
stress urinary
28
fistula
12
fistula repair
12
urinary
9
risk factors
8
residual
8
incontinence
8
vesico-vaginal fistula
8

Similar Publications

Introduction And Hypothesis: Polyacrylamide hydrogel (PAHG) is a bulking agent used in treatment of stress urinary incontinence (SUI) in women. Some women experience an improvement or cure in stress urinary incontinence (SUI) symptoms lasting only a few weeks after the injection of the bulking agent. The aim of this study was to use three-dimensional ultrasound (3DUS) to describe the changes in volume, number of deposits and echogenicity of the bulking agent 3 months after PAHG injection.

View Article and Find Full Text PDF

Herbal prescription Siryeongtang and acupuncture treatment for gait disturbance due to idiopathic normal pressure hydrocephalus: A case report.

Explore (NY)

December 2024

Department of Clinical Korean Medicine, Graduate school, Kyung Hee University, Seoul 02447, Republic of Korea; Department of Cardiology and Neurology, Kyung Hee University College of Korean Medicine, Kyung Hee University Medical Center, Seoul 02447, Republic of Korea.

Background: Idiopathic normal-pressure hydrocephalus (iNPH), characterized by unexplained normal-pressure hydrocephalus, primarily presents with symptoms such as gait disturbances, cognitive impairment, and urinary incontinence. Currently, cerebrospinal fluid (CSF) drainage via shunting is the only effective treatment for iNPH.

Case Presentation: A 56-year-old Asian woman visited our hospital with a worsening gait disturbance and a history of recurrent falls over the past 2 years.

View Article and Find Full Text PDF

Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women.

Cochrane Database Syst Rev

December 2024

Rehabilitation Teaching and Research Unit, Department of Medicine, University of Otago, Wellington, New Zealand.

Background: Pelvic floor muscle training (PFMT) is a recommended treatment for female stress, urgency, and mixed urinary incontinence. Training varies in exercise type (pelvic floor muscles contracting with and without other muscles), dose, and delivery (e.g.

View Article and Find Full Text PDF

The pelvic floor muscles, integral to urinary, bowel, and sexual function, can cause various symptoms when impaired, including pelvic pain, bowel and bladder dysfunction, incontinence, pelvic organ prolapse, and sexual dysfunction. This chapter explores pelvic floor anatomy, symptoms, and associated diagnoses. It provides screening tools for OBGYNs to use in practice, language to help address patient fears around sexual dysfunction, and emphasizes the role of pelvic floor physical and occupational therapy in treating these conditions.

View Article and Find Full Text PDF

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!