Intrinsic sphincter dysfunction. What is the role of urethral hypermobility in management?

Authors

  • Alejandra Salazar-González
  • Luis Guillermo Echavarría-Restrepo

DOI:

https://doi.org/10.18597/rcog.80

Keywords:

Stress urinary incontinence, urethra, urodynamics, suburethral sling
Abstract Authors References How to Cite Downloads

Abstract

Objective: To reflect on the importance of diagnosing urethral hypermobility in the surgical management of intrinsic urethral sphincter dysfunction, and on the assessment of hypermobility carried out in the studies that have evaluated the different techniques used for addressing the problem.

Conclusion: Only a few studies in patients diagnosed with intrinsic sphincter dysfunction have evaluated cure rates and percentage of post-operative complications in patients taken to surgery with TVT and TOT slings, taking into account the presence or absence of urethral hypermobility.

Author Biographies

Alejandra Salazar-González

Ginecoobstetra, Universidad Pontificia Bolivariana, Unidad Materno-Infantil, Clínica Universitaria Pontificia Bolivariana, Medellín, Colombi

Luis Guillermo Echavarría-Restrepo

Profesor titular Ginecología y Obstetricia, Universidad Pontificia Bolivariana. Magíster en Salud Pública, Universidad de Antioquia. Magíster en Epidemiología, Universidad CES. Ginecoobstetra, coordinador de posgrado en Ginecología y Obstetricia, Universidad Pontificia Bolivariana, Medellín, Colombia. Líder científico Unidad Materno-Infantil, Clínica Universitaria Pontificia Bolivariana, Medellín, Colombia

References

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Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4-20.

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Petros PE, Ulmsten UI. The combined intravaginal sling and tuck operation. An ambulatory procedure for cure of stress and urge incontinence. Acta Obstet Gynecol Scand Suppl. 1990;153:53-9.

Poza JL, Pla F, Sabadell J, Sánchez-Iglesias JL, Martínez-Gómez X, Xercavins J. Trans-obturator suburethral tape for female stress incontinence: a cohort of 254 women with 1-year to 2-year follow-up. Acta Obstet Gynecol Scand. 2008;87:232-9.

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Torres G, Lujan M, Martín C, García A, Rodríguez N, Berenguer A. [TVT and TOT for surgical correction of female stress urinary incontinence. Comparison between techniques]. Arch Esp Urol. 2008;61:861-5. 78

Stavros C, Ioannis V, Vasileios SI, Gkotsi AC, Georgios S, Papathanasiou A, et al. Comparison of TVT, TVT-O/ TOT and mini slings for the treatment of female stress urinary incontinence: 30 months follow up in 531 patients. Arch Ital Urol Androl. 2012;84:129-36.

Schierlitz L, Dwyer PL, Rosamilia A, Murray C, Thomas E, De Souza A, et al. Effectiveness of tensionfree vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency: a randomized controlled trial. Obstet Gynecol. 2008;112:1253-61.

How to Cite

1.
Salazar-González A, Echavarría-Restrepo LG. Intrinsic sphincter dysfunction. What is the role of urethral hypermobility in management?. Rev. colomb. obstet. ginecol. [Internet]. 2014 Mar. 30 [cited 2024 May 17];65(1):75-8. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/80

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Published

2014-03-30

Issue

Vol. 65 No. 1 (2014): ENERO-MARZO 2014

Section

Reflection Article

License

Copyright (c) 2015 Revista Colombiana de Obstetricia y Ginecología

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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