Navigation Links
Device is effective in managing incontinence after surgery
Date:6/21/2012

MAYWOOD, Ill. - A device used to prevent incontinence in women who undergo a common pelvic-floor surgery reduces symptoms but increases side effects in these patients. These findings were published in the latest issue of the New England Journal of Medicine.

Women in this study underwent surgery for pelvic organ prolapse. Prolapse occurs when the pelvic organs fall and cause the vaginal wall to protrude outside of the body. About 1 in 5 women will undergo this surgery in her lifetime. Those who undergo surgery for this disorder are at risk for urinary incontinence following the procedure. As a result, surgeons commonly add a midurethral sling at the time of surgery to prevent this disorder.

"One-quarter of women develop incontinence after prolapse surgery, so it is critical that we have an effective option to manage this issue," said Kimberly Kenton, MD, MS, FACOG, FACS, study co-author and director of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Health System (LUHS).

"Slings do come with risks though, so one approach might be to only treat patients who develop incontinence after surgery," she said.

This study evaluated 322 women at three months and 12 months following surgery. Half of the women received a midurethral sling and the other half received sham incisions. At three months, the rate of urinary incontinence was 23.6 percent in the sling group and 49.4 percent in the sham group. At 12 months, urinary incontinence was present in 27.3 percent and 43 percent, respectively. However, the rates of side effects were higher in the sling group. These included bladder perforations (6.7 versus 0 percent), urinary-tract infections (31 versus 18.3 percent), major bleeding complications (3.1 versus 0 percent) and incomplete bladder emptying six weeks following surgery (3.7 versus 0 percent). There were no significant differences between groups in changes in overall health, other pelvic-floor symptoms, sexual function and pain.

"Slings continue to be a valuable option for certain women, but we should avoid using them with all patients undergoing a procedure for pelvic-organ prolapse," Dr. Kenton said. "This research reinforces the importance of counseling women on the risks and benefits of prolapse surgery prior to the procedure."


'/>"/>

Contact: Nora Dudley
nodudley@lumc.edu
708-216-6268
Loyola University Health System
Source:Eurekalert

Related medicine news :

1. Oakworks Medical, a Division of Oakworks Inc., Oakworks.com, Manufacturer of Medical Tables and Positioning Devices Announces ISO 13485 Certification
2. US Drug Watchdog Now Offers To Help All Recipients Of A DePuy Pinnacle Or Recalled DePuy ASR Hip Implant Get To The Best Attorneys Regardless If Their Device Has Failed
3. Device implanted in brain has therapeutic potential for Huntingtons disease
4. New device warns workers of high levels of airborne metals in minutes rather than weeks
5. Biochip-based device for cell analysis
6. In Rat Study, Eye Device Shows Promise for Restoring Sight
7. Nano-devices that cross blood-brain barrier open door to treatment of cerebral palsy
8. Pediatric regime of chemotherapy proves more effective for young adults
9. Chemotherapy effective for patients with resected SCLC or large-cell neuroendocrine carcinoma
10. Quality of life study shows stereotactic ablative radiotherapy effective treatment; stage I NSCLC
11. Nevirapine-based treatment is effective in African women, but not optimal
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/3/2016)... ... ... Each year, about 800,000 people suffer from cerebral vascular accidents, or strokes. ... for one death every four minutes. Many people who survive a stroke are ... a video series called “Your Brain,” in conjunction with its medical journal “Balance,” in ...
(Date:5/3/2016)... Toronto, ON (PRWEB) , ... May 03, 2016 ... ... been recognized as one of Canada’s top Information and Communication Technology (ICT) companies ... top Canadian and Multinational ICT companies operating in Canada, as ranked by revenue. ...
(Date:5/3/2016)... (PRWEB) , ... May 03, 2016 , ... Branches, Inc. ... its Grow & Climb children and youth programs in South Miami. Macy’s is a ... , The Grow Program provides afterschool tutoring, mentoring, enrichment and academic support to ...
(Date:5/3/2016)... ... May 03, 2016 , ... ... healthcare organizations, especially medium and small physician practices, to better grasp and implement ... step-by-step approach that guides practices on a well-defined, expert-created path to compliance. HIPAA ...
(Date:5/2/2016)... Denver, CO (PRWEB) , ... May 02, 2016 , ... ... will serve as the keynote speaker for five events throughout the month of May. ... for a number of national news outlets. He also frequently appears on the Science ...
Breaking Medicine News(10 mins):
(Date:4/29/2016)... Glycotope GmbH, a clinical-stage immuno-oncology ... appointment of Dr. Alfredo Zurlo as Chief ... with many years clinical experience and a proven track ... role was at Mologen AG where he was Chief ... Dr. Zurlo held various positions at F Hoffmann La ...
(Date:4/28/2016)... , April 28, 2016  Marking its ... accessible breast and ovarian cancer risk test, ... analyzing 30 genes that highly impact the most ... Available today, the Color Test analyzes hereditary cancer ... stomach, and uterine cancers. The Color Test is ...
(Date:4/28/2016)... Dr. Vivek Ahuja , ... Ste phen Schmidt Join the ... software solutions for life sciences, today announced key new leaders have ... insight to a growing business.  This will bolster the company,s safety ... joined ArisGlobal in the position of Vice President - Safety. ...
Breaking Medicine Technology: