Symptomatic stress urinary incontinence not demonstrated clinically: survey of practice patterns

被引:0
|
作者
Mamienski, Thaddeus D. [1 ,2 ]
Fischer, John R. [1 ,2 ]
Gehrich, Alan [3 ]
Zahn, Christopher M. [1 ,2 ]
机构
[1] Walter Reed Army Med Ctr, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, Washington, DC 20307 USA
[2] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA
[3] Tripler Army Med Ctr, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, Honolulu, HI 96859 USA
关键词
Military physicians; Subjective urinary incontinence; Surgical management; CONTINENT WOMEN; HISTORY; COSTS;
D O I
10.1007/s00192-008-0725-5
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The aim of this study was to survey obstetrician/gynecologists and urologists regarding management of women undergoing hysterectomy with complaints of stress urinary incontinence (SUI) not demonstrated clinically. A survey was distributed electronically to military healthcare system OB/GYN and urologist physicians. Overall descriptive data and responses analyzed according to respondent demographics and the presence or absence of pelvic organ prolapse are reported. Two-hundred forty-two responses were obtained (44% response rate). Without prolapse, only 32% would perform an anti-incontinence procedure, more often by urologists than OB/GYN physicians. With prolapse, more respondents would perform an anti-incontinence procedure (32% increasing to 59%, p<0.001). A mid-urethral sling was the most common procedure that was offered. Trainee versus attending status and teaching versus non-teaching responsibilities did not affect responses. There is no consensus among military obstetricians/gynecologists and urologists regarding management of women otherwise undergoing pelvic surgery with subjective SUI. The presence of prolapse influences this decision.
引用
收藏
页码:39 / 44
页数:6
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