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  • 1
    Electronic Resource
    Electronic Resource
    Concurrent genuine stress incontinence and detrusor instability (1990)
    Springer
    International urogynecology journal 1 (1990), S. 128-131 
    Details
    ISSN: 1433-3023
    Keywords: Genuine stress incontinence ; Detrusor instability
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Forty-six patients with both genuine stress incontinence (GSI) and detrusor instability (DI), as determined by urodynamic evaluation, were treated with medication or surgery and followed for 6 months. It was found that 60% responded favorably to medical therapy with imipramine hydrochloride, oxybutynin chloride, or dicyclomine hydrochloride. Surgery for stress incontinence was performed in 24 patients, including 17 started initially on medication. Surgical cure was achieved in 38% of these 24 patients, and a further 29% of the surgical group were cured with additional drug therapy. Overall, 85% of patients responded favorably to medication and/or surgery. Patients with combined GSI and DI require detailed urodynamics and may be candidates for surgery, in spite of the coexistent DI.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00376595
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Suburethral sling procedure for genuine stress incontinence and low urethral closure pressure. A continued experience (1992)
    Springer
    International urogynecology journal 3 (1992), S. 18-21 
    Details
    ISSN: 1433-3023
    Keywords: Genuine stress incontinence ; Low urethral closure pressure ; Suburethral sling
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Forty-eight patients with genuine stress incontinence and low urethral closure pressure have undergone a suburethral sling procedure using polytetrafluoroethylene. Forty-five of the 48 patients have been followed up beyond 3 months, allowing assessment of postoperative complications. Ten patients required intermittent self-catheterization, 6 continuing beyond 3 months secondary to obstructed voiding or vesical dysfunction. Six slings were removed due to graft infection and/or vaginal mucosa erosion. All patients who were continent prior to removal remained so afterwards. Two slings were loosened secondary to obstructed voiding (1 patient experienced improved voiding, the other continued intermittent catheterization). Sixty-two per cent (28/45) of the patients followed, developed at least one documented urinary tract infection. Thirty-four of the 45 patients followed, underwent postoperative multichannel urodynamic testing. Ten patients (29%) demonstrated postoperative detrusor instability (5 were new onset, 5 were persistent). Six improved with medication and bladder retraining drills. Twenty-eight of the 34 patients tested (82.4%) were objectively cured of genuine stress incontinence. In spite of the complications noted, this suburethral sling procedure offers a high success rate and is a viable alternative in treating patients with genuine stress incontinence and low urethral closure pressure. Modifications in surgical technique have been made to reduce postoperative complications in the future.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00372643
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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