Biomaterial Database

[Female stress urinary incontinence first line surgical treatment]. 2009

P Debodinance, and J-F Hermieu, and J-P Lucot

CH Dunkerque, Service de gynécologie obstétrique, avenue de la Polyclinique,59760 Grande-Synthe, France. philippe.debodinance@ch-dunkerque.fr

The sub uretral slings (SUS) have supplanted all other techniques in the treatment of stress urinary incontinence in first-line both at ease, results, consequences and cost. However the results are comparable with the abdominal retropubic colposuspension. The elective indication for BSU is stress incontinence. In the mixed incontinence, the results are satisfactory and depend on the degree of urge incontinence. The intrinsic sphincter deficiency with mobile uretra can be used in indications laying BSU. Only a BMI ≥ 35 is a pejorative factor on the outcome of the SUS. Currently, all routes retro pubic or obturator may be used without one being superior to another. For lack of comparative studies, using mini strips is currently under reserve. No recommendation can be given regarding the installation of urinary catheter in per and post operative. The relevance of cystoscopy for all routes used with the SUS is not formal. The SUS can be raised as an outpatient, but the patient must choose. It is the same type of anesthesia that is free and does not affect the results. The peri-urethral injections have no place as first choice because they offer a lower success rate. The SUS should be knitted polypropylene monofilament. Users should require the manufacturer that implants meet the AFNOR standard.

UI	MeSH Term	Description	Entries
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000075202	Contraindications	A condition or factor associated with a recipient that makes the use of a drug, procedure, or physical agent improper or inadvisable. Contraindications may be absolute (life threatening) or relative (higher risk of complications in which benefits may outweigh risks).	Contraindications, Physical Agent,Medical Contraindications,Agent Contraindication, Physical,Agent Contraindications, Physical,Contraindication,Contraindication, Medical,Contraindication, Physical Agent,Contraindications, Medical,Medical Contraindication,Physical Agent Contraindication,Physical Agent Contraindications
D013520	Urologic Surgical Procedures	Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available.	Procedure, Urologic Surgical,Procedures, Urologic Surgical,Surgical Procedure, Urologic,Surgical Procedures, Urologic,Urologic Surgical Procedure,Urological Surgical Procedures,Procedure, Urological Surgical,Procedures, Urological Surgical,Surgical Procedure, Urological,Surgical Procedures, Urological,Urological Surgical Procedure
D014549	Urinary Incontinence	Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.	Incontinence, Urinary
D017410	Practice Guidelines as Topic	Works about directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.	Clinical Guidelines as Topic,Best Practices,Best Practice
D053825	Suburethral Slings	Support structures, made from natural or synthetic materials, that are implanted below the URETHRA to treat URINARY STRESS INCONTINENCE.	Male Slings,Male Urethral Slings,Mid-Urethral Slings,Midurethral Slings,Tension-Free Vaginal Tape,Tensionless Vaginal Tape,Trans-Obturator Tape,Transobturator Suburethral Tape,Transobturator Tape,Urethral Slings,Male Sling,Male Urethral Sling,Mid Urethral Slings,Mid-Urethral Sling,Midurethral Sling,Sling, Male,Sling, Male Urethral,Sling, Mid-Urethral,Sling, Midurethral,Sling, Suburethral,Sling, Urethral,Slings, Male,Slings, Male Urethral,Slings, Mid-Urethral,Slings, Midurethral,Slings, Suburethral,Slings, Urethral,Suburethral Sling,Suburethral Tape, Transobturator,Suburethral Tapes, Transobturator,Tape, Tension-Free Vaginal,Tape, Tensionless Vaginal,Tape, Trans-Obturator,Tape, Transobturator,Tape, Transobturator Suburethral,Tapes, Tension-Free Vaginal,Tapes, Tensionless Vaginal,Tapes, Trans-Obturator,Tapes, Transobturator,Tapes, Transobturator Suburethral,Tension Free Vaginal Tape,Tension-Free Vaginal Tapes,Tensionless Vaginal Tapes,Trans Obturator Tape,Trans-Obturator Tapes,Transobturator Suburethral Tapes,Transobturator Tapes,Urethral Sling,Urethral Sling, Male,Urethral Slings, Male,Vaginal Tape, Tension-Free,Vaginal Tape, Tensionless,Vaginal Tapes, Tension-Free,Vaginal Tapes, Tensionless