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An overview of surgical interventions for the treatment of urinary incontinence

Published online by Cambridge University Press:  24 February 2011

T Maguire ,
DG Tincello  and
A Mistri
T Maguire
Affiliation:
Leicester Royal Infirmary, UK
DG Tincello
Affiliation:
Leicester Royal Infirmary, UK University of Leicester, UK
A Mistri*
Affiliation:
Leicester Royal Infirmary, UK University of Leicester, UK
*
Address for correspondence: Dr AK Mistri, Senior Lecturer, Department of Cardiovascular Sciences, Robert Kilpatrick Clinical Sciences Building, University of Leicester, Leicester Royal Infirmary, PO Box 65, Leicester LE2 7LX.
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Summary

Urinary incontinence remains a topic that both patients and clinicians find difficult to discuss and manage. Following the NICE guidance published in 2006, a well-defined structure for the management of urinary problems was outlined. Conservative measures are the mainstay for all patients, with anticholinergic drugs playing a major role in the management of over-active bladder and urge incontinence.

Surgical management is an area that continues to grow and develop. The types of procedures offered to patients have changed dramatically in the last 10–15 years, with the advent of tension-free vaginal tapes and more recently the use of botulinum toxin. It is important that health professionals encountering patients with incontinence are aware of the common urological/gynaecological operations available, the place of surgical options in the overall pathway, and the benefits as well as the risks associated with continence surgery. This article provides the non-specialist with an overview of the available surgical options for management of continence.

Keywords

urinary incontinenceurologysurgerysurgical proceduresvaginal tapecolposuspensionbotulinum toxin
Type
Clinical geriatrics
Information
Reviews in Clinical Gerontology , Volume 21 , Issue 3 , August 2011 , pp. 246 - 255
Copyright
Copyright © Cambridge University Press 2011

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References

1Perry, S, McGrother, CW, Turner, K. An investigation of the relationship between anxiety and depression and urge incontinence in women: development of a psychological model. Br J Health Psychol 2006; 11: 463–82.CrossRefGoogle ScholarPubMed
2Wagner, TH, Hu, TW. Economic costs of urinary incontinence in 1995. Urology 1998; 51: 355–61.CrossRefGoogle ScholarPubMed
3Turner, DA, Shaw, C, McGrother, CW, Dallosso, HM, Cooper, NJ. The cost of clinically significant urinary storage symptoms for community dwelling adults in the UK. BJU Int 2004; 93: 1246–52.CrossRefGoogle ScholarPubMed
4Abrams, P, Cardozo, L, Fall, M, Griffiths, D, Rosier, P, Ulmsten, U, van Kerrebroeck, P, Victor, A, Wein, A. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 2002; 21: 167–178.CrossRefGoogle ScholarPubMed
5Thomas, TM, Plymat, KR, Blannin, J, Meade, TW. Prevalence of urinary incontinence. Br Med J 1980; 281: 1243–45.CrossRefGoogle ScholarPubMed
6Perry, S, Shaw, C, Assassa, P, Dallosso, H, Williams, K, Brittain, KR, Mensah, F, Smith, N, Clarke, M, Jagger, C, Mayne, C, Castleden, CM, Jones, J, McGrother, C. An epidemiological study to establish the prevalence of urinary symptoms and felt need in the community: the Leicestershire MRC Incontinence Study. Leicestershire MRC Incontinence Study Team. J Public Health Med 2000; 22: 427–34.CrossRefGoogle ScholarPubMed
7Hannestad, YS, Rortveit, G, Sandvik, H, Hunskaar, S. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol 2000; 53: 1150–57.CrossRefGoogle ScholarPubMed
8National Collaborating Centre for Women's and Children's Health - NICE Clinical Guideline 40. Urinary Incontinence: The management of urinary incontinence in women. October 2006 (www.nice.org.uk/cg40).Google Scholar
9Khong, SY, Jackson, S. Obesity and urinary incontinence. Menopause Int 2008; 14: 53–56.CrossRefGoogle ScholarPubMed
10Subak, LL, Whitcomb, E, Shen, H, Saxton, J, Vittinghoff, E, Brown, JS. Weight loss: a novel and effective treatment for urinary incontinence. J Urol 2005; 174: 190–95.CrossRefGoogle ScholarPubMed
11Subak, LL, Johnson, C, Whitcomb, E, Boban, D, Saxton, J, Brown, JS. Does weight loss improve incontinence in moderately obese women? Int Urogynecol J Pelvic Floor Dysfunct 2002; 13: 40–43.CrossRefGoogle ScholarPubMed
12Elia, G, Dye, TD, Scariati, PD. Body mass index and urinary symptoms in women. Int Urogynecol J Pelvic Floor Dysfunct 2001; 12: 366–69.CrossRefGoogle ScholarPubMed
13Mommsen, S, Foldspang, A. Body mass index and adult female urinary incontinence. World J Urol 1994; 12: 319–22.CrossRefGoogle ScholarPubMed
14Arya, LA, Myers, DL, Jackson, ND. Dietary caffeine intake and the risk for detrusor instability: a case-control study. Obstet Gynecol 2000; 96: 85–89.Google ScholarPubMed
15Creighton, SM, Stanton, SL. Caffeine: does it affect your bladder? Br J Urol 1990; 66: 613–14.CrossRefGoogle ScholarPubMed
16Tomlinson, BU, Dougherty, MC, Pendergast, JF, Boyington, AR, Coffman, MA, Pickens, SM. Dietary caffeine, fluid intake and urinary incontinence in older rural women. Int Urogynecol J Pelvic Floor Dysfunct 1999; 10: 22–28.CrossRefGoogle ScholarPubMed
17Zimmern, P, Litman, HJ, Mueller, E, Norton, P, Goode, P. Effect of fluid management on fluid intake and urge incontinence in a trial for overactive bladder in women. BJU Int 2010; 105: 1680–85.CrossRefGoogle Scholar
18Dumoulin, C, Hay-Smith, J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev 2006; (1): CD005654.CrossRefGoogle Scholar
19Halaska, M, Voigt, R, Sindlár, M, Koleska, T, Martan, A, Stulc, B, Kunath, H. Personal experiences with bladder training in the treatment of urge incontinence in the female. Zentralbl Gynakol 1986; 108: 857–61.Google ScholarPubMed
20Hilton, P. Long-term follow-up studies in pelvic floor dysfunction: the Holy Grail or a realistic aim? BJOG 2008; 115: 135–43.CrossRefGoogle ScholarPubMed
21Duthiel, J, Herbison, P, Wilson, D, Wilson, D. Botulinum toxin injections for adults with overactive bladder syndrome. Cochrane Database Syst Rev 2007; (3): CD005493.CrossRefGoogle Scholar
22Sahai, A, Dowson, C, Khan, MS, Dasgupta, P. Improvement in quality of life after botulinum toxin-A injections for idiopathic detrusor overactivity: results from a randomized double-blind placebo-controlled trial. BJU Int 2009; 103: 1509–15.CrossRefGoogle ScholarPubMed
23Sahai, A, Khan, MS, Dasgupta, P. Efficacy of botulinum toxin-A for treating idiopathic detrusor overactivity: results from a single center, randomized, double-blind, placebo controlled trial. J Urol 2007; 177: 2231–36.CrossRefGoogle ScholarPubMed
24Flynn, MK, Amundsen, CL, Perevich, M, Liu, F, Webster, GD. Outcome of a randomized, double-blind, placebo controlled trial of botulinum A toxin for refractory overactive bladder. J Urol 2009; 181: 2608–15.CrossRefGoogle ScholarPubMed
25Brubaker, L, Richter, HE, Visco, A, Mahajan, S, Nygaard, I, Braun, TM, Barber, MD, Menefee, S, Schaffer, J, Weber, AM, Wei, J. Pelvic Floor Disorders Network. Refractory idiopathic urge urinary incontinence and botulinum A injection. J Urol 2008; 180: 217–22.CrossRefGoogle ScholarPubMed
26Juenemann, KP, Lue, TF, Schmidt, RA, Tanagho, EA. Clinical significance of sacral and pudendal nerve anatomy. J Urol 1988; 139: 74–80.CrossRefGoogle ScholarPubMed
27Brazzelli, M, Murray, A, Fraser, C. Efficacy and safety of sacral nerve stimulation for urinary urge incontinence: a systematic review. J Urol 2006; 175: 835–41.CrossRefGoogle ScholarPubMed
28Siegel, SW, Catanzaro, F, Dijkema, HE, Elhilali, MM, Fowler, CJ, Gajewski, JB, Hassouna, MM, Janknegt, RA, Jonas, U, van Kerrebroeck, PE, Lycklama, A, Nijeholt, AA, Oleson, KA, Schmidt, RA. Long-term results of a multicenter study on sacral nerve stimulation for treatment of urinary urge incontinence, urgency-frequency, and retention. Urology 2000; 56: 87–91.CrossRefGoogle ScholarPubMed
29Smith, A, Dmochowski, R, Hilton, P et al. Surgery for Urinary Incontinence in Women. In Abrams, P, Cardozo, L, Khoury, S, Wein, A (eds). Incontinence – 4th International Consultation. 4th edn. 2009: 1197.Google Scholar
30Burch, JC. Urethrovaginal fixation to Cooper's ligament for correction of stress incontinence, cystocele, and prolapse. Am J Obstet Gynecol 1961; 81: 281–90.CrossRefGoogle ScholarPubMed
31Alcalay, M, Monga, A, Stanton, SL. Burch colposuspension: a 10–20 year follow up. Br J Obstet Gynaecol 1995; 102: 740–45.CrossRefGoogle ScholarPubMed
32Lapitan, M, Cody, D, Grant, A. Open retropubic colposuspension for urinary incontinence in women. Cochrane Database Syst Rev 2003; (2): CD001756.Google Scholar
33Dean, N, Ellis, G, Wilson, P, Herbison, P. Laparoscopic colposuspension for urinary incontinence in women. Cochrane Database Syst Rev 2006; (3): CD002239.Google Scholar
34Ulmsten, U, Henriksson, L, Johnson, P, Varhos, G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1996; 7: 81–85.CrossRefGoogle ScholarPubMed
35Ulmsten, U, Falconer, C, Johnson, P, Jomaa, M, Lannér, L, Nilsson, CG, Olsson, I. A multicenter study of tension-free vaginal tape (TVT) for surgical treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1998; 9: 210–13.CrossRefGoogle ScholarPubMed
36Ward, KL, Hilton, P. Tension-free vaginal tape versus colposuspension for primary urodynamic stress incontinence: 5-year follow up. BJOG 2008; 115: 226–33.CrossRefGoogle Scholar
37Ward, K, Hilton, P. Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. BMJ 2002; 325: 67.CrossRefGoogle ScholarPubMed
38Ward, KL, Hilton, P. A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up. Am J Obstet Gynecol 2004; 190: 324–31.CrossRefGoogle ScholarPubMed
39Nilsson, CG, Palva, K, Rezapour, M, Falconer, C. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2008; 19: 1043–47.CrossRefGoogle ScholarPubMed
40Delorme, E, Droupy, S, de Tayrac, R, Delmas, V. Transobturator tape (Uratape): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 2004; 45: 203–7.CrossRefGoogle ScholarPubMed
41De Leval, J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol 2003; 44: 724–30.CrossRefGoogle ScholarPubMed
42Latthe, PM, Foon, R, Toozs-Hobson, P. Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. BJOG 2007; 114: 522–31.CrossRefGoogle ScholarPubMed
43Berg, S. Polytef augmentation urethroplasty. Correction of surgically incurable urinary incontinence by injection technique. Arch Surg 1973; 107: 379–81.CrossRefGoogle ScholarPubMed
44Keegan, P, Atiemo, K, Cody, J, McClinton, S, Pickard, R. Periurethral injection therapy for urinary incontinence in women. Cochrane Database Syst Rev 2007; (3): CD003881.CrossRefGoogle Scholar
45Ivil, KD, Suresh, G. Review of augmentation ‘clam’ cystoplasy in a district general hospital setting. Int Urol Nephrol 2002; 34: 129–32.CrossRefGoogle Scholar
46Venn, SN, Mundy, AR. Long-term results of augmentation cystoplasty. Eur Urol 1998; 34: 40–42.CrossRefGoogle ScholarPubMed
47Barrington, JW, Fulford, S, Griffiths, D, Stephenson, TP. Tumors in bladder remnant after augmentation enterocystoplasty. J Urol 1997; 157: 482–85.CrossRefGoogle ScholarPubMed
48Filmer, RB, Spencer, JR. Malignancies in bladder augmentations and intestinal conduits. J Urol 1990; 143: 671–78.CrossRefGoogle ScholarPubMed
49Golomb, J, Klutke, CG, Raz, S. Complications of bladder substitution and continent urinary diversion. Urology 1989; 34: 329–38.CrossRefGoogle ScholarPubMed
50Hamid, R, Greenwell, TJ, Nethercliffe, JM, Freeman, A, Venn, SN, Woodhouse, CR. Routine surveillance cystoscopy for patients with augmentation and substitution cystoplasty for benign urological conditions: is it necessary? BJU Int 2009; 104: 392–95.CrossRefGoogle ScholarPubMed
51Bricker, E. Bladder substitution after pelvic evisceration. Surg Clin North Am 1950; 30: 1511–21.CrossRefGoogle ScholarPubMed
52Farnham, SB, Cookson, MS. Surgical complications of urinary diversion. World J Urol 2004; 22: 157–67.CrossRefGoogle ScholarPubMed
53Shaikh, S, Ong, E, Glavind, K, Cook, J, N'Dow, J. Mechanical devices for urinary incontinence in women. Cochrane Database Syst Rev 2006; (3): CD001756.CrossRefGoogle Scholar
54Costa, P, Mottet, N, Rabut, B, Thuret, R, Ben, NK, Wagner, L. The use of an artificial urinary sphincter in women with type III incontinence and a negative Marshall test. J Urol 2001; 165: 1172–76.CrossRefGoogle Scholar