The Experts below are selected from a list of 17859 Experts worldwide ranked by ideXlab platform

Linda Brubaker - One of the best experts on this subject based on the ideXlab platform.

  • burch colposuspension versus fascial sling to reduce urinary Stress Incontinence
    The New England Journal of Medicine, 2007
    Co-Authors: Michael E Albo, Linda Brubaker, Holly E. Richter, Halina M. Zyczynski, Philippe E. Zimmern, Peggy Norton, Stephen R Kraus, Toby C Chai, Ananias C Diokno, Sharon L Tennstedt
    Abstract:

    Background Many surgical procedures are available for women with urinary Stress Incontinence, yet few randomized clinical trials have been conducted to provide a basis for treatment recommendations. Methods We performed a multicenter, randomized clinical trial comparing two procedures — the pubovaginal sling, using autologous rectus fascia, and the Burch colposuspension — among women with Stress Incontinence. Women were eligible for the study if they had predominant symptoms associated with the condition, a positive Stress test, and urethral hypermobility. The primary outcomes were success in terms of overall urinary-Incontinence measures, which required a negative pad test, no urinary Incontinence (as recorded in a 3-day diary), a negative cough and Valsalva Stress test, no self-reported symptoms, and no retreatment for the condition, and success in terms of measures of Stress Incontinence specifically, which required only the latter three criteria. We also assessed postoperative urge Incontinence, voidi...

  • Abdominal Sacrocolpopexy with Burch Colposuspension to Reduce Urinary Stress Incontinence
    The New England journal of medicine, 2006
    Co-Authors: Linda Brubaker, Paul Fine, Geoffrey W. Cundiff, Ingrid Nygaard, Holly E. Richter, Anthony G. Visco, Halina M. Zyczynski, Morton B. Brown, Anne M. Weber
    Abstract:

    BackgroundWe designed this trial to assess whether the addition of standardized Burch colposuspension to abdominal sacrocolpopexy for the treatment of pelvic-organ prolapse decreases postoperative Stress urinary Incontinence in women without preoperative symptoms of Stress Incontinence. MethodsWomen who did not report symptoms of Stress Incontinence and who chose to undergo sacrocolpopexy to treat prolapse were randomly assigned to concomitant Burch colposuspension or to no Burch colposuspension (control) and were evaluated in a blinded fashion three months after the surgery. The primary outcomes included measures of Stress Incontinence (symptoms, Stress testing, or treatment) and measures of urge symptoms. Enrollment was stopped after the first interim analysis because of a significantly lower frequency of Stress Incontinence in the group that underwent the Burch colposuspension. ResultsOf 322 women who underwent randomization, 157 were assigned to Burch colposuspension and 165 to the control group. Thre...

Sharon L Tennstedt - One of the best experts on this subject based on the ideXlab platform.

  • burch colposuspension versus fascial sling to reduce urinary Stress Incontinence
    The New England Journal of Medicine, 2007
    Co-Authors: Michael E Albo, Linda Brubaker, Holly E. Richter, Halina M. Zyczynski, Philippe E. Zimmern, Peggy Norton, Stephen R Kraus, Toby C Chai, Ananias C Diokno, Sharon L Tennstedt
    Abstract:

    Background Many surgical procedures are available for women with urinary Stress Incontinence, yet few randomized clinical trials have been conducted to provide a basis for treatment recommendations. Methods We performed a multicenter, randomized clinical trial comparing two procedures — the pubovaginal sling, using autologous rectus fascia, and the Burch colposuspension — among women with Stress Incontinence. Women were eligible for the study if they had predominant symptoms associated with the condition, a positive Stress test, and urethral hypermobility. The primary outcomes were success in terms of overall urinary-Incontinence measures, which required a negative pad test, no urinary Incontinence (as recorded in a 3-day diary), a negative cough and Valsalva Stress test, no self-reported symptoms, and no retreatment for the condition, and success in terms of measures of Stress Incontinence specifically, which required only the latter three criteria. We also assessed postoperative urge Incontinence, voidi...

E. Caspi - One of the best experts on this subject based on the ideXlab platform.

Jerry G. Blaivas - One of the best experts on this subject based on the ideXlab platform.

  • Pubovaginal sling procedure for Stress Incontinence. Commentary
    The Journal of Urology, 2002
    Co-Authors: Edward J. Mcguire, B Lytton, Jerry G. Blaivas
    Abstract:

    Urinary Stress Incontinence associated with poor urethral sphincter function and indicated by a urethral pressure of less than 10 cm. water was treated in 52 cases with a pubovaginal autogenous fascial sling. No urethral sphincter function could be measured in 7 patients. Of these 52 patients 42 had undergone a previous operation for Stress Incontinence. The uninhibited detrusor dysfunction that accompanied the Stress Incontinence in 29 cases ceased after operation in 20 but persisted in 9. Postoperative urethral pressure measurements indicated that while the sling increased urethral pressure it did not cause an obstruction during voiding, since there was a measurable decrease in urethral pressure during a detrusor contraction. Urodynamic determinations were useful in patient selection, in the adjustment of sling tension at operation and in the assessment of reasons for failure. A satisfactory result with good urinary control was obtained in 50 cases and the procedure was a failure in 2.

Halina M. Zyczynski - One of the best experts on this subject based on the ideXlab platform.

  • burch colposuspension versus fascial sling to reduce urinary Stress Incontinence
    The New England Journal of Medicine, 2007
    Co-Authors: Michael E Albo, Linda Brubaker, Holly E. Richter, Halina M. Zyczynski, Philippe E. Zimmern, Peggy Norton, Stephen R Kraus, Toby C Chai, Ananias C Diokno, Sharon L Tennstedt
    Abstract:

    Background Many surgical procedures are available for women with urinary Stress Incontinence, yet few randomized clinical trials have been conducted to provide a basis for treatment recommendations. Methods We performed a multicenter, randomized clinical trial comparing two procedures — the pubovaginal sling, using autologous rectus fascia, and the Burch colposuspension — among women with Stress Incontinence. Women were eligible for the study if they had predominant symptoms associated with the condition, a positive Stress test, and urethral hypermobility. The primary outcomes were success in terms of overall urinary-Incontinence measures, which required a negative pad test, no urinary Incontinence (as recorded in a 3-day diary), a negative cough and Valsalva Stress test, no self-reported symptoms, and no retreatment for the condition, and success in terms of measures of Stress Incontinence specifically, which required only the latter three criteria. We also assessed postoperative urge Incontinence, voidi...

  • Abdominal Sacrocolpopexy with Burch Colposuspension to Reduce Urinary Stress Incontinence
    The New England journal of medicine, 2006
    Co-Authors: Linda Brubaker, Paul Fine, Geoffrey W. Cundiff, Ingrid Nygaard, Holly E. Richter, Anthony G. Visco, Halina M. Zyczynski, Morton B. Brown, Anne M. Weber
    Abstract:

    BackgroundWe designed this trial to assess whether the addition of standardized Burch colposuspension to abdominal sacrocolpopexy for the treatment of pelvic-organ prolapse decreases postoperative Stress urinary Incontinence in women without preoperative symptoms of Stress Incontinence. MethodsWomen who did not report symptoms of Stress Incontinence and who chose to undergo sacrocolpopexy to treat prolapse were randomly assigned to concomitant Burch colposuspension or to no Burch colposuspension (control) and were evaluated in a blinded fashion three months after the surgery. The primary outcomes included measures of Stress Incontinence (symptoms, Stress testing, or treatment) and measures of urge symptoms. Enrollment was stopped after the first interim analysis because of a significantly lower frequency of Stress Incontinence in the group that underwent the Burch colposuspension. ResultsOf 322 women who underwent randomization, 157 were assigned to Burch colposuspension and 165 to the control group. Thre...