Online ISSN: 2515-8260

Keywords : urinary incontinence

Comparing the Efficacy of the Contasure-Needleless Sling Technique with a Conventional Midurethral Sling in the Surgical Management of Female Stress Urinary Incontinence

Abd El-moneim Abd El-Aziz Saleh; Mahmoud Ahmed Ghareb; Diab Alsayed Mohamed Ibrahiem; Walid Mohamed Elnagar; Mohammed Hassan Elsayed Barakat

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 709-719

Objective: This study aimed to compare the efficacy of the Contasure-Needleless (C-NDL) technique with the Transvaginal Tension Free Vaginal Tape-Obturator (TVT-O) technique in the surgical management of stress urinary incontinence (SUI).
Methods: This prospective observational study was performed on adult women with urodynamic proved SUI who failed or declined conservative treatment between August 2017 to October 2019. The cough Stress test was performed for all patients, and they underwent urodynamic evaluation preoperatively. Follow-up visits were performed at one month, six months, and 12 months after surgery. For statistical analysis, we used the Statistical Packages for Software Sciences (SPSS) version 21.
Results: Forty patients were divided equally into two groups (TVT-O subgroup and C-NDL subgroup). Regarding the operative time and pain scale, there were no significant differences between both groups (p= 0.078 and 0.054). A higher blood loss was observed in the TVT-O group than the C-NDL group (p= 0.001). At three, six, and 12 months of follow-up, no significant difference was observed in terms of the cough test (p= 0.4708, 0.7256, and 0.6644). Moreover, there was no significant difference in terms of complications (all p>0.05). Regarding the relationship between Valsalva leak-point pressure and cough stress reflex at the last follow-up visit, we detected a significant difference among the studied patients (p= 0.001).
Conclusions: C-NDL is a promising technique for treating SUI cases, with low complication rates and a good patient satisfaction level. Furthermore, the procedure's efficacy holds encouraging results that need to be affirmed and tested by long-term outcomes.



European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 3895-3913

BACKGROUND:One of the leading cause for disability and morbidity in India is Stroke.Among the stroke survivors, Urinary Incontinence (UI) is the most common condition that is more associated to disability and mortality. A study stated that among the continent stroke survivors 35% of them had an incidence of UI in a week.The ―Vagus nerve stimulation‖ is a generalized term describing any method of stimulation of Vagus nerve. OBJECTIVE:To Find out the Effectiveness of Transcutaneous Electrical Nerve Stimulation of Vagus nerve in post stroke urinary incontinence . METHODOLOGY:The study design is experimental,study type was Single Blinded Randomized type, Sampling method was Random sampling Method with 30 subjects and Study duration was 8 weeks,Studysetting was SRM Medical College Hospital and Research Centre, Kattankulathur A total of 30 subjects were taken randomly ,Group-A subjects were given transcutaneous Vagus Nerve Stimulation (tVNS) and Kegel’s exercise. Group-B control group was given Kegel’s exercise alone. OUTCOME MEASURES:Barthel Index Score (BIS) and Overactive Bladder Symptom Score (OBSS) RESULTS: There is a significantly more improvement in the control of urinary bladder in Group-A than Group-B CONCLUSION: tVNS shows an increase in the bladder control in post stroke urinary incontinence patients.