Single-incision sling operations for urinary incontinence in women.

CONCLUSIONS: TVT-Secur is inferior to standard mid-urethral slings for the treatment of women with stress incontinence and has already been withdrawn from clinical use. Not enough evidence has been found on other single-incision slings compared with retropubic or transobturator slings to allow reliable comparisons. A brief economic commentary (BEC) identified two studies which reported no difference in clinical outcomes between single-incision slings and transobturator mid-urethral slings, but single-incision slings may be more cost-effective than transobturator mid-urethral slings based on one-year follow-up. Additional adequately powered and high-quality trials with longer-term follow-up are required. Trials should clearly describe the fixation mechanism of these single-incisions slings: It is apparent that, although clubbed together as a single group, a significant difference in fixation mechanisms may influence outcomes. PMID: 28746980 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research

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BACKGROUND: Complex anal fistula is one of the challenging anorectal conditions. Several treatments have been proposed for complex anal fistula, yet none proved to be ideal. OBJECTIVE: This randomized trial aimed to assess the efficacy of external anal sphincter–sparing seton in comparison with the conventional drainage seton in the treatment of complex anal fistula. DESIGN: This was a prospective, randomized, single-blind controlled study. SETTINGS: The study was conducted at the Colorectal Surgery Unit of Mansoura University Hospitals. PATIENTS: Adult patients of both sexes with complex anal fistula w...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research
Abdülkadir Kandemir, Mehmet Giray SönmezUrology Annals 2019 11(3):310-313 Ureteral catheters are frequently used in urology clinics for intrinsic or extrinsic pathologies which cause ureteral obstruction to provide urinary drainage from the kidney to the bladder. With the increase in stent use, an increase is observed in complications occurring due to ureteral stents in direct proportion with this increase, and ureteral double-J (DJ) stents forgotten in the urinary system are observed commonly in urological cases when the patients do not refer to a health institution in this condition and may cause severe proble...
Source: Urology Annals - Category: Urology & Nephrology Authors: Source Type: research
This study consisted of a retrospective analysis of 49 consecutive cases.SettingThis study was set at the Third Affiliated Hospital of Guangzhou Medical University from October 2016 to November 2017.PatientsThe population for this study consisted of women with stage II to IV POP who met eligibility criteria for laparoscopic surgery.InterventionsS-LSC included the use of V-loc barbed suture and retroperitoneal tunneling, in addition to standard single-incision laparoscopic surgery techniques. All 49 cases were successfully completed. All cases included concomitant procedures; 42 (85.7%) had removal of the uterus and adnexa....
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Back pain and incontinence can occur at the same time due to a single underlying condition, such as cauda equina syndrome. If they suddenly occur at the same time, it may signal a medical emergency. At other times, the conditions may develop for two separate reasons. Learn more about causes and treatment options here.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Back Pain Source Type: news
There have been lots of new developments in the world of the liquid biopsy and I have blogged about some of the most recent (see, for example:Grail Picks Specific Method for Liquid Biopsy Clinical Trials;Study Concludes That Liquid Biopsies Can Help Guide Cancer Treatment). However a recent article caught my attention because it involved urine as the required specimen rather than blood and also involvedexosomes which are extracellular vesicles (EVs) produced in the endosomal compartment of most eukaryotic cells as well as cancer cells (see:Bio-Techne nets FDA breakthrough ticket in prostate cancer liquid biopsy). Exos...
Source: Lab Soft News - Category: Laboratory Medicine Authors: Tags: Clinical Lab Industry News Clinical Lab Testing Diagnostics Genomic Testing Healthcare Innovations Lab Industry Trends Medical Research Source Type: blogs
CONCLUSIONS: There was statistically significant increased groin pain in the early period in TOT procedures performed by the residents. However, the complications observed in both groups did not affect the success rate or patient satisfaction. PMID: 31223130 [PubMed - in process]
Source: Archivos Espanoles de Urologia - Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research
Conclusion: No treatment seems to be required for asymptomatic and small vaginal mesh exposures after prolapse or incontinence surgery.Urol Int
Source: Urologia Internationalis - Category: Urology & Nephrology Source Type: research
Abstract PURPOSE: To evaluate the long-term outcome of synthetic mesh use in the treatment of women with Pelvic organ prolapse (POP). MATERIALS AND METHODS: We evaluated the outcome of synthetic mesh implantation by vaginal surgery method in 153 women (mean age of 53.66±9.31 years) with POP grade>2 in the anterior compartment. Demographic findings, baseline symptoms as well as subjective and objective outcome were recorded during the follow-up period of 36.89±11.33 months.   Results: POP relapse occurred in 3.3% indicative of 96.7% anatomical success rate. Patients' common baseline ...
Source: Urology Journal - Category: Urology & Nephrology Authors: Tags: Urol J Source Type: research
Authors: Ma DM, Hu W, Wang YH, Luo Q Abstract We conducted a large-sample study in six midwifery centres to estimate the effectiveness of Moderate Perineal Protection technique during spontaneous delivery. 31,249 women accepted the traditional technique were selected as control group, and 57,056 women accepted the Moderate Perineal Protection technique as the observation group. There was no significant difference in demographic characteristics between the two groups. The perineal episiotomy rate decreased (22.913% vs. 32.161%, p 
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
Can you diagnose this patient with  low back pain, right lower extremity paraesthesias, and incontinence?
Source: Diagnostic Imaging - Category: Radiology Authors: Tags: Image IQ Source Type: news
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