Which sling for which patient?

15636937

ENDOSCOPIC SUSPENSION OF VAGINAL PROLAPSE

27345145

Global Postural Re-education: an alternative approach for stress urinary incontinence?

Objective: The aim of this study was to evaluate the impact of Global Postural Re-education (GPR) on stress urinary incontinence symptoms and to compare it to Pelvic Floor Muscle Training (PFMT). Study design: Fifty-two women with stress urinary incontinence were distributed into two groups: Group 1 (G1) was submitted to weekly sessions of GPR for three months and Group 2 (G2) performed Pelvic Floor Muscle Training four times a week for three months. Patients were evaluated through the King's Health Questionnaire, a three-day voiding diary including daily pad use and a Functional Evaluation of the Pelvic Floor (FEPF), before treatment (T0), at the end of treatment (T1) and six months after treatment (T2). Results: The number of leaking episodes dropped significantly in both groups at the end of treatment and at six months follow-up, with a significantly greater decrease in G1. Daily pad use dropped significantly in both groups. At the end of treatment, 72% of the patients in G1 and 41% of the patients in G2 needed no pads and at six-month follow-up, 84% and 50%, respectively. FEPF improved significantly in both groups, with no significant difference between the groups (P=0.628). The King's Health Questionnaire demonstrated significant improvement in both groups and in all domains. The GPR group presented higher adherence to treatment, with no dropouts. Conclusions: GPR could represent an alternative method to treat stress urinary incontinence in women, should the results be long lasting. (C) 2010 Elsevier Ireland Ltd. All rights reserved.152221822

Urethral pseudolipoma: A complication of periurethral lipo-injection for stress urinary incontinence in a woman

155264664

Repeated lipoinjections for stress urinary incontinence

A total of 30 women with stress incontinence underwent periurethral injection of autologous fat under spinal anesthesia, The fat was harvested from the abdominal wall by liposuction, Preoperative evaluation consisted of history, physical examination, and urodynamic evaluation, For study purposes, some patients also underwent bladder and urethral ultrasonography and magnetic resonance imaging studies, The first 13 patients received a single periurethral lipoinjection, and the following 17 patients received sequential injections when needed at 3-month intervals, Results were assessed by subjective questionnaire performed at 3 and 12 months. All patients had intrinsic sphincteric deficiency, Of the first group, there were only four patients (31%) cured after 1 year of follow-up, On the other hand, in the group that received repeated injections, there were 11 patients (64%) cured with a mean of two injections at 1-year follow-up. Our results show that this procedure warrants continued clinical investigation because it may be useful in selected cases of urinary stress incontinence.o TEXTO COMPLETO DESTE ARTIGO, ESTARÁ DISPONÍVEL À PARTIR DE AGOSTO DE 2015.111677

PERCUTANEOUS NEPHRECTOMY IN NONFUNCTIONING KIDNEYS - A PRELIMINARY-REPORT

144496696

STAGHORN CALCULI - PERCUTANEOUS VERSUS ANATROPHIC NEPHROLITHOTOMY

154167191

Stress urinary incontinence 3 years after pregnancy: correlation to mode of delivery and parity

The aim was to estimate the incidence of stress urinary incontinence 3 years after delivery and its correlation to mode of delivery and parity. A longitudinal cohort study was conducted with 120 women at the Antenatal Clinic at the State University of Campinas. There was a significant difference in the incidence of postpartum stress urinary incontinence (SUI) among patients with SUI during pregnancy (p > 0.0001). Women that were asymptomatic during pregnancy and had vaginal delivery developed SUI 2.4 times more frequently than after c-section (19.2% and 8.0%, respectively). The incidence of SUI after delivery dropped significantly in the primiparous (p = 0.0073) and multiparous 2-3 (p < 0.0001), but not in the multiparous with four or more deliveries (66.7% to 60.0%) (p = 0.5637). A significant correlation has been observed between parity and SUI (p = 0.0299). Pregnancy possibly predisposes to SUI 3 years after delivery as well as parity. No significant correlation has been demonstrated between mode of delivery and SUI.20328128