NEW ASPECTS IN THE TREATMENT OF THE FEMALE URINARY INCONTINENCE
Abstract
Background. The article describes the problem of female urinary incontinence. The types of urinary incontinence are analized. The different etiology of stress and urge incontinence is stressed and the treatment of each is discussed. The description of the advantages of minimally invasive surgery is presented and the introduction of two new basic approaches in the surgical technique, the use of implants and the tension free technique are presented.Downloads
References
Abrams P, Blavas JG, Stanton SL, Andersen JT. The standardisation of terminology of lower urinary tract function. Scand J Urol Nephrol 1988; 114: 5–18.
Kralj B, Lazarevski M. Stresna inkontinencija mokraće u žene. In: Kurjak et al. Ginekologija i perinatologija.Varaždinske toplice: Golden times 1995; 452–3.
Kralj B. Epidemiology of female urinary incontinences. Clasification of urinary incontinence, urinary incontinence in elderly woman. Eur J Obstet Gynecol Reprod Biol 1994; 55: 39–41.
Thomas TM, Plymat KR, Blannin J, Meade TW. Prevalence of urinary incontinence. Br Med J 1980; 281: 1243–5.
Thomas TM. Epidemiology of micturition disorders. In: Stanton SL ed. Clinical Gynaecologic Urology. St.Louis, Toronto: The C. V. Mosby Company, 1984; 35–44.
Sandvik H, Hunskaar S, Vanvik A, Bratt H, Seim A, Hermstad R. Diagnostic clasification of female urinary incontinence: An epidemiological survey for validity. J Clin Epidemiol 1995; 48: 339–43.
Fischer W. Epidemiologie der Harninkontinenz. In: Fischer W, Kolbl H eds. Urogynaekologie in Praxis und Klinik. Berlin, New York: Walter de Gruyter, 1995; 192–203.
Summitt RL Jr., Bent AE. Genuine stress incontinence: An overview. In: Ostergard DR, Bent AE eds. Urogynaecology and urodynamics. Theory and Practice. 4th Edition: Baltimore, London, Los Angeles, Sydney: Williams and Wilkins, 1996; 493–504.
Keanne PD, Seumas DE, Abrams P. Surgical treatment and complications of urinary incontinence. Current Opinion in Obstetrics and Gynecology 1992; 4: 559–64.
Bo K. Pelvic floor muscle exercise for the treatment of stress incontinence: An exercise physiology perspective. Int Urogynecol J 1995; 6: 282–91.
Lukanovič A, Kralj B. Treatment of female urinary incontinence with functional electrical stimulation: The experience of the Dept. of Gyn. and Obst.. of Ljubljana. In: Pajntar M ed. Zbornik prispevkov. Ljubljana: Slovensko zdravniško društvo, Ginekološka sekcija 1996, 264–7.
Kralj B. The treatment of female urinary incontinence by functional electrical stimulation. In: Ostergard DR, Bent AE eds. Urogynecology and urodynamics. Baltimore: Wiliams and Wilkins, 1991: 508–17.
Šuhel P, Kralj B. Treatment of urinary incontinence using functional electrical stimulation. In: Shlomo R ed. Female urology. Philadelphia: W.B. Saunders Company, 1983: 189–228.
Lukanovič A. Zdravljenje urinske inkontinence pri ženski. Obzor Zdr N 1994; 28: 157–63.
Kralj B, Lukanovič A. Hirurški pristup u lečenju stresne urinske inkontinence – izbor operativne tehnike. In: Četvrti jugoslavenski simpozium za neurologiju i urodinamiku. Zbornik radova. Novi Sad: 1991: 69–9.
Vancaille TG, Schuessler W. Laparoscopic bladder neck suspension. J Laparoscopic Surg 1991: 169–73.
Dorsey JH, Cundiff G. Laparoscopic procedures for incontinence and prolapse. Current Opinion in Obstetrics and Gynecology 1994, 6: 223–30.
Tamussino K, Živkovič F, Lang PFJ, Ralph G. Unrecognized perforation of the cecum at needle suspension of the bladder neck: a case report. Int Urogynecol J 1995; 6: 355–6.
Raboy A et al. Extraperitoneal endoscopic vesicourethral suspension. J Laparoendoscopie Surg 1993; 3: 305–8.
Nezhat CH et al. Laparoscopic retropubic cystourethropexy. J Am Ass Gynecol Laparosc 1994; 1: 339–49.
Hill DJ et al. Laparoscopic retroperitoneal Burch colposuspension. Gyn Endoscopy 1994; 3: 155–7.
Ross JW. Laparoscopic Burch repair compared to laparatomy Burch for cure of urinary stress incontinence. Int Urogynecol J 1995; 6: 323–8.
Liu CY, Pack W. Laparoscopic retropubic colposuspension. J Am Assoc Gynecol Laparosc 1993; 1: 31–5.
Ulmsten U, Petros P. Intravaginal slingplasty: An ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 1995; 29: 75 –82.
Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for the treatment of female urinary incontinence. Int Urogynecol J 1996; 7: 81–6.
Ulmsten U, Falzoner C, Johnson P et al. A Multicentre study of TVT (tension free vaginal tape) for surgical treatment of stress urinary incontinence. Int Urogynecol J 1998; 9: 210–13.
DeLancey JOL. Structural aspects of the extrinsic continence mechanism. Obstet Gynecol 1988; 72: 296–301.
DeLancey JOL, Cullen Richardson A. Anatomy of genital support. In: Hurt GW ed. Urogynecologic surgery. New York: Raven Press, 1992: 19–33.
Dixon JS, Gosling JA. The role of the pelvic floor in female urinary incontinence. Int Urgynecol J 1990; 1: 212–7.
Jarvis GJ. Stress incontinence eds. Urodynamics Principles Practice and Application. Edinburgh, London, Madrid, Melbourne, New York, Tokyo. In: Mundy AR, Stephenson TP, Wein AJ: Churchill Livingstone,1994: 299–326.
McGuire EJ. Active and passive factors in urethral continence function. Int Urogynecol J 1992; 3: 54–60.
Huisman AB. Aspects on the anatomy of the female urethra with special relation to urinary continence. Contrib Gynecol Obstet 1983, 10: 1–1.
Rud T, Anderson KE, Asmussen M, Hunting A, Ulmsten U. Factors maintaining the intraurethral pressure in women. Invest Urol 1980; 17: 343–7.
McGuire EJ. Urodynamic findings in patients after failure of stress incontinence operations. Prog Clin Biol Res 1981; 78: 351–60.
Versi E, Cardozo L, Studd JWW, Brincat M, O’Dowd TM, Cooper DJ. Internal urinary sphincter in maintenance of female continence. Br Med J 1986; 292: 166–7.
Gosling JA, Dixon JS, Critchley HOD, Thompson SA. A comparative study of the human external sphincter and periurethral levator ani muscles. Brit Urol 1981; 53: 35–41.
Gosling J. The structure of the bladder and urethra in relation to function. Urol Clin North America 1979; 6: 31–8.
DeLancey JOL. Pubovesical ligament: a separate structure from the urethral supports (»Pubo-urethral ligamets«). Neurol Urodyn 1989; 8: 53–61.
DeLancey JOL. Structural support of the urethra as it relates to stress urinary incontinence: The hammock hypothesis. Am J Obstet Gynecol 1994; 170: 1713–23.
Walters MD, Jackon, GM. Urethral mobility and its relationship to stress incontinence in women. J Repr Med 1990; 35(8): 777–84.
DeLancey JOL. Anatomy of the female bladder and urethra. In: Ostergard DR, Bent AE eds. Urogynecology and urodinamics. 3rd ed. New York, London: William & Wilkins, 1991: 3–18.
DeLancey JOL. Functional anatomy of the pelvic floor and urinary continence mechanism. In: Schussler B, Laycock J, Norton P, Stanton S eds. Pelvic floor re-education. Principles and practice. London, Berlin, Heidelberg: Springer Verlag, 1994: 9–21.
Gilpin SA, Gosling JA, Smith ARB, Warrell DW. The pathogenesis of genitourinary prolapse and stress incontinence of urine. A histological and histochemical study. Br J Obstet Gynecol 1989; 96: 15–23.
Kondo A, Narushima M, Yoshikawa Y, Hayashi H. Pelvic fascia strength in women with stress urinary incontinence in comparison with those who are continent. Neurourol Urodyn 1994; 13: 507–13.
DeLancey JOL. Anatomy and physiology of urinary continence. Clin Obst Gyn 1990; 33, 2: 298–306.
Wilson PD, Dixon JS, Brown ADG, Gosling JA. Posterior pubo-urethral ligaments in normal and genuine stress incontinent woman. J Urol 1983; 130: 802–5.
DeLancey JOL, Starr RA. Histology of connection between the vagina and lavator anni muscles. J Repr Med 1990; 35, 8: 765–71.
Ulmsten U. The basic understanding and clinical results of tension-free vaginal tape for stress urinary incontinence. Urologie A 2001; 40: 269–73.
Peschers U et all. Neue Entwicklungen bei spannungsfreien Urethraschlingen. In: Frauenartz 2002; 43: 2–4.
Klutke JJ, Klutke CG. The tension free vaginal tape procedure: inovative surgery for incontinence. Curr Opin Obstet Gynecol 2001; 13: 529–32.
Petri E. New developments in vaginal repair of incontinence. Gynekologe 2002; 35: 164–70.
Carta G, Cerrone L, Iovenitti P. Tension free vaginal tape procedure for the treatment of SUI: subjective and objective efficacy evaluation. Clin Exp Obst&Gyn 2002; 4: 247–50.
Falconer C, Ekman-Ordeberg G, Malmstrom A, Ulmsten U. Clinical outcome and changes in connective tissue metabolism after intravaginal slingplasty in stress incontinent women. Int Urogynecol J 1996; 7: 133–7.
Koelbl H. Ultrasound. In: Schussler B, Laycock J, Norton P, Stanton S eds. Pelvic floor re-education. Principles and practice. London, Berlin, Heidelberg: Springer Verlag, 1994: 64–74.
Lukanovič A, Kralj B. Zdravljenje urgentne urinske inkontinence z novimi antimuskarinskimi zdravili. In: Kralj B ed. II. kongres ginekologov in porodničarjev Slovenije z mednarodno udeležbo. Zbornik. Ljubljana: Združenje ginekologov in porodničarjev Slovenije, 2000: 123–5.
Kralj B, Lazarevski M. Ginekološka urologija. In: Kurjak A ed. Ginekologija i perinatologija. Varaždinske Toplice: Golden Time, 1995: 439–510.
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