The Experts below are selected from a list of 226485 Experts worldwide ranked by ideXlab platform
Fred E. Govier - One of the best experts on this subject based on the ideXlab platform.
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Transvaginal bone-anchored sling for the treatment of female stress urinary incontinence: effect of Valsalva leak Point Pressure and prior pelvic surgery on outcomes
International Urogynecology Journal, 2008Co-Authors: David E. Rapp, Tanya M. Nazemi, Kathleen C. Kobashi, Fred E. GovierAbstract:The effect of lower Valsalva leak Point Pressure (VLPP) and previous pelvic surgery on outcomes following sling surgery is controversial. We assessed outcomes following bone-anchored sling (BAS) placement in patients with intrinsic sphincteric deficiency (ISD) and previous pelvic surgery. A retrospective review of 149 patients undergoing BAS placement was performed. Patients were stratified by VLPP (≥60,
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transvaginal bone anchored sling for the treatment of female stress urinary incontinence effect of valsalva leak Point Pressure and prior pelvic surgery on outcomes
International Urogynecology Journal, 2008Co-Authors: David E. Rapp, Tanya M. Nazemi, Kathleen C. Kobashi, Fred E. GovierAbstract:The effect of lower Valsalva leak Point Pressure (VLPP) and previous pelvic surgery on outcomes following sling surgery is controversial. We assessed outcomes following bone-anchored sling (BAS) placement in patients with intrinsic sphincteric deficiency (ISD) and previous pelvic surgery. A retrospective review of 149 patients undergoing BAS placement was performed. Patients were stratified by VLPP (≥60, 0.2, all comparisons). Lower rates of patients achieving <1 episode of incontinence per week (50%; p = 0.07) and worse UDI/IIQ scores (p = 0.02) were associated with patients with ≥2 prior surgeries. Whereas results are similar following BAS in patients with or without varying degrees of ISD, worse outcomes are associated with prior surgery.
David E. Rapp - One of the best experts on this subject based on the ideXlab platform.
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Transvaginal bone-anchored sling for the treatment of female stress urinary incontinence: effect of Valsalva leak Point Pressure and prior pelvic surgery on outcomes
International Urogynecology Journal, 2008Co-Authors: David E. Rapp, Tanya M. Nazemi, Kathleen C. Kobashi, Fred E. GovierAbstract:The effect of lower Valsalva leak Point Pressure (VLPP) and previous pelvic surgery on outcomes following sling surgery is controversial. We assessed outcomes following bone-anchored sling (BAS) placement in patients with intrinsic sphincteric deficiency (ISD) and previous pelvic surgery. A retrospective review of 149 patients undergoing BAS placement was performed. Patients were stratified by VLPP (≥60,
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transvaginal bone anchored sling for the treatment of female stress urinary incontinence effect of valsalva leak Point Pressure and prior pelvic surgery on outcomes
International Urogynecology Journal, 2008Co-Authors: David E. Rapp, Tanya M. Nazemi, Kathleen C. Kobashi, Fred E. GovierAbstract:The effect of lower Valsalva leak Point Pressure (VLPP) and previous pelvic surgery on outcomes following sling surgery is controversial. We assessed outcomes following bone-anchored sling (BAS) placement in patients with intrinsic sphincteric deficiency (ISD) and previous pelvic surgery. A retrospective review of 149 patients undergoing BAS placement was performed. Patients were stratified by VLPP (≥60, 0.2, all comparisons). Lower rates of patients achieving <1 episode of incontinence per week (50%; p = 0.07) and worse UDI/IIQ scores (p = 0.02) were associated with patients with ≥2 prior surgeries. Whereas results are similar following BAS in patients with or without varying degrees of ISD, worse outcomes are associated with prior surgery.
Kathleen C. Kobashi - One of the best experts on this subject based on the ideXlab platform.
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Transvaginal bone-anchored sling for the treatment of female stress urinary incontinence: effect of Valsalva leak Point Pressure and prior pelvic surgery on outcomes
International Urogynecology Journal, 2008Co-Authors: David E. Rapp, Tanya M. Nazemi, Kathleen C. Kobashi, Fred E. GovierAbstract:The effect of lower Valsalva leak Point Pressure (VLPP) and previous pelvic surgery on outcomes following sling surgery is controversial. We assessed outcomes following bone-anchored sling (BAS) placement in patients with intrinsic sphincteric deficiency (ISD) and previous pelvic surgery. A retrospective review of 149 patients undergoing BAS placement was performed. Patients were stratified by VLPP (≥60,
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transvaginal bone anchored sling for the treatment of female stress urinary incontinence effect of valsalva leak Point Pressure and prior pelvic surgery on outcomes
International Urogynecology Journal, 2008Co-Authors: David E. Rapp, Tanya M. Nazemi, Kathleen C. Kobashi, Fred E. GovierAbstract:The effect of lower Valsalva leak Point Pressure (VLPP) and previous pelvic surgery on outcomes following sling surgery is controversial. We assessed outcomes following bone-anchored sling (BAS) placement in patients with intrinsic sphincteric deficiency (ISD) and previous pelvic surgery. A retrospective review of 149 patients undergoing BAS placement was performed. Patients were stratified by VLPP (≥60, 0.2, all comparisons). Lower rates of patients achieving <1 episode of incontinence per week (50%; p = 0.07) and worse UDI/IIQ scores (p = 0.02) were associated with patients with ≥2 prior surgeries. Whereas results are similar following BAS in patients with or without varying degrees of ISD, worse outcomes are associated with prior surgery.
Tanya M. Nazemi - One of the best experts on this subject based on the ideXlab platform.
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Transvaginal bone-anchored sling for the treatment of female stress urinary incontinence: effect of Valsalva leak Point Pressure and prior pelvic surgery on outcomes
International Urogynecology Journal, 2008Co-Authors: David E. Rapp, Tanya M. Nazemi, Kathleen C. Kobashi, Fred E. GovierAbstract:The effect of lower Valsalva leak Point Pressure (VLPP) and previous pelvic surgery on outcomes following sling surgery is controversial. We assessed outcomes following bone-anchored sling (BAS) placement in patients with intrinsic sphincteric deficiency (ISD) and previous pelvic surgery. A retrospective review of 149 patients undergoing BAS placement was performed. Patients were stratified by VLPP (≥60,
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transvaginal bone anchored sling for the treatment of female stress urinary incontinence effect of valsalva leak Point Pressure and prior pelvic surgery on outcomes
International Urogynecology Journal, 2008Co-Authors: David E. Rapp, Tanya M. Nazemi, Kathleen C. Kobashi, Fred E. GovierAbstract:The effect of lower Valsalva leak Point Pressure (VLPP) and previous pelvic surgery on outcomes following sling surgery is controversial. We assessed outcomes following bone-anchored sling (BAS) placement in patients with intrinsic sphincteric deficiency (ISD) and previous pelvic surgery. A retrospective review of 149 patients undergoing BAS placement was performed. Patients were stratified by VLPP (≥60, 0.2, all comparisons). Lower rates of patients achieving <1 episode of incontinence per week (50%; p = 0.07) and worse UDI/IIQ scores (p = 0.02) were associated with patients with ≥2 prior surgeries. Whereas results are similar following BAS in patients with or without varying degrees of ISD, worse outcomes are associated with prior surgery.
Victor W Nitti - One of the best experts on this subject based on the ideXlab platform.
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a new quadratic sling for male stress incontinence retrograde leak Point Pressure as a measure of urethral resistance
The Journal of Urology, 2011Co-Authors: Craig V Comiter, Victor W Nitti, Christopher Elliot, Eugene P RheeAbstract:Purpose: Objective methods are essential for evaluating post-prostatectomy incontinence. While symptom score and pad weight may be the most useful methods to evaluate preoperative vs postoperative continence, neither is useful for guiding intraoperative sling tension. The Virtue quadratic sling (Coloplast, Humlebaek, Denmark) is a new device for treating post-prostatectomy incontinence that combines a transobturator and prepubic surgical approach. We examined urethral resistance by measuring retrograde leak Point Pressure during key portions of the surgery.Materials and Methods: A total of 22 consecutive men who elected to undergo Virtue sling surgery were evaluated with retrograde leak Point Pressure before and during the surgery. Retrograde leak Point Pressure was measured via perfusion sphincterometry at baseline, after transobturator tensioning, after prepubic tensioning, and after transobturator and prepubic arms were secured in place.Results: Mean patient age was 70 years. Mean baseline retrograde l...
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correlation of valsalva leak Point Pressure with subjective degree of stress urinary incontinence in women
The Journal of Urology, 1996Co-Authors: Victor W Nitti, Andrew J CombsAbstract:AbstractPurpose: We correlated symptoms of stress urinary incontinence in women with intrinsic urethral function, as measured by Valsalva leak Point Pressure. In addition, we assessed the effects of urethral hypermobility, baseline resting abdominal Pressure, patient age and menopausal status on Valsalva leak Point Pressure.Materials and Methods: We evaluated 64 consecutive women (mean age 50 years, range 20 to 79) with complaints of stress urinary incontinence. Initially the patient history was obtained and the subjective degree of stress urinary incontinence was graded as 1, 2 or 3 according to the SEAPI-QMN classification. Multichannel video urodynamics were then performed. At a volume of 150 to 200 ml. (or half bladder capacity when functional capacity was less than 150 ml.) filling was stopped. Resting, coughing and progressive Valsalva maneuvers were performed to determine Valsalva leak Point Pressure and the presence of urethral hypermobility. Valsalva leak Point Pressure was defined as the minimum...
