Surgery for Incontinence and Pelvic Dysfunction: Overview for the PCP

  • Miles Murphy
  • Vincent R. Lucente


Although nonsurgical treatments outlined in the preceding chapters are invaluable to countless women, it is an unavoidable fact that at least 11% of women ultimately elect to undergo surgery to correct vaginal prolapse or incontinence.1 When behavioral and pharmacological modalities fail to provide adequate symptom relief, surgery is often the only option available to improve a patient’s quality of life.


Urinary Incontinence Stress Urinary Incontinence Pelvic Organ Prolapse Anal Incontinence Anterior Vaginal Wall 
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  1. 1.
    Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89:501–506.PubMedCrossRefGoogle Scholar
  2. 2.
    Waetjen LE, Subak LL, Shen H, et. al. Stress urinary incontinence surgery in the United States. Obstet Gynecol. 2003;101:671–676.PubMedCrossRefGoogle Scholar
  3. 3.
    Glazener CM, Cooper K. Bladder neck needle suspension for urinary incontinence in women. Cochrane Database of Syst Rev. 2004:CD003636.Google Scholar
  4. 4.
    Marshall VF, Marchetti AA, Krantz KE. The correction of stress urinary incontinence by simple vesicourethral suspension. Surg Gynecol Obstet. 1949;88:509–18.Google Scholar
  5. 5.
    Lapitan MC, Cody DJ, Grant AM. Open retropubic colposuspension for urinary incontinence in women. Cochrane Database of Syst Rev. 2003: CD002912.Google Scholar
  6. 6.
    Burch JC. Urethrovaginal fixation to Cooper’s ligament for correction of stress incontinence, cystocele, and prolapse. Am J Obstet Gynecol. 1961;81: 281.PubMedGoogle Scholar
  7. 7.
    Moehrer B, Carey M, Wilson D. Laparoscopic colposuspension: a systematic review. BJOG. 2003;110: 230–235.PubMedCrossRefGoogle Scholar
  8. 8.
    Ulmsten 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;7:81–86.PubMedCrossRefGoogle Scholar
  9. 9.
    Ward KL, Hilton P, UK and Ireland TVT Trial Group. A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: twoyear follow-up. Am J Obstet Gynecol. 2004;190:324–331.PubMedCrossRefGoogle Scholar
  10. 10.
    Manca A, Sculpher MD, Ward K, Hilton P. A costutility analysis of tension-free vaginal tape versus colposuspension for primary urodynamic stress incontinence. BJOG. 2003;110:255–262.PubMedGoogle Scholar
  11. 11.
    Kilonzo M, Vale L, Stearns SC et al. Cost effectiveness of tension-free vaginal tape for the surgical management of female stress incontinence. Int J Technol Assess Health Care. 2004;20(4):455–463.PubMedGoogle Scholar
  12. 12.
    Paraiso MF, Walters MD, Karram MM, Barber MD. Laparoscopic Burch colposuspension versus tension-free vaginal tape: a randomized trial. Obstet Gynecol. 2004;104:1249–1258.PubMedGoogle Scholar
  13. 13.
    Herrmann V, Arya LA, Myers DL, Jackson ND. GAX collagen for female stress urinary incontinence-where are we now? J Pelvic Surg. 2001;7: 83–89.Google Scholar
  14. 14.
    Lightner D, Calvosa C, Andersen R, et al. A new injectable bulking agent for treatment of stress urinary incontinence: results of a multicenter, randomized, controlled, double-blind study of Durasphere. Urology. 2001;58:12–15.PubMedCrossRefGoogle Scholar
  15. 15.
    Pickard R, Reaper J, Wyness L, Cody DJ, McClinton S, N’Dow J. Periurethral injection therapy for urinary incontinence in women. Cochrane Database Syst Rev. 2003:CD003881.Google Scholar
  16. 16.
    Corcos J, Collet JP, Shapiro S, et al. Surgery vs. collagen for the treatment of female stress urinary incontinence (SUI): results of a multicentric randomized trial. J Urol. 2001;165:198.Google Scholar
  17. 17.
    Hassouna MM, Siegel SW, Nyeholt LA, et al. Sacral neuromodulation in the treatment of urgency-frequency symptoms: a multicenter study on efficacy and safety. J Urol. 2000;163:1849–1854.PubMedCrossRefGoogle Scholar
  18. 18.
    Cappellano F, Bertapelle P, Spinelle M, et al. Quality of life assessment in patients who undergo sacral neuromodulation implantation for urge incontinence: an additional tool for evaluating outcome. J Urol. 2001;166:2277–2280.PubMedCrossRefGoogle Scholar
  19. 19.
    Cruikshank SH, Muniz M. Outcomes study: A comparison of cure rates in 695 patients undergoing sacrospinous ligament fixation alone and with other site-specific procedures-a 16-year study. Am J Obstet Gynecol. 2003;188:1509–1512.PubMedCrossRefGoogle Scholar
  20. 20.
    Shull BL, Bachofen C, Coates KW, Kuehl TJ. A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol. 2000;183: 1365–1373.PubMedCrossRefGoogle Scholar
  21. 21.
    Barber MD, Visco AG, Weidner AC, Amundsen CL, Bump RC. Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia defect repair for treatment of pelvic organ prolapse. Am J Obstet Gynecol. 2000;183:1402–1410.PubMedCrossRefGoogle Scholar
  22. 22.
    Culligan PJ, Miklos JR, Murphy M, et al. The tensile strength of uterosacral ligament sutures: a comparison of vaginal and laparoscopic techniques. Obstet Gynecol. 2003;101:500–503.PubMedCrossRefGoogle Scholar
  23. 23.
    Nygaard IE, McCreery R, Brubaker L, et al. Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol. 2004;104:805–823.PubMedGoogle Scholar
  24. 24.
    von Pechmann WS, Mutone M, Fyffe J, Hale DS. Total colpocleisis with high levator plication for the treatment of advanced pelvic organ prolapse. Am J Obstet Gynecol. 2003;189(1):121–126.CrossRefGoogle Scholar
  25. 25.
    Hoffman MS, Cardosi RJ, Lockhart J, Hall DC, Murphy SJ. Vaginectomy with pelvic herniorrhaphy for prolapse. Am J Obstet Gynecol. 2003;189: 364–70.PubMedCrossRefGoogle Scholar
  26. 26.
    Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993;36:77–97.PubMedCrossRefGoogle Scholar
  27. 27.
    Takahashi T, Garcia-Osogobio S, Valdovinos MA, Belmonte C, Barreto C, Velasco L. Extended two-year results of radio-frequency energy delivery for the treatment of fecal incontinence (the Secca procedure). Dis Colon Rectum. 2003;46:711–715.PubMedCrossRefGoogle Scholar
  28. 28.
    Kenefick NJ, Vaizey CJ, Malouf AJ, Norton CS, Marshall M, Kamm MA. Injectable silicone biomaterial for faecal incontinence due to internal anal sphincter dysfunction. Gut. 2002;51:225–228.PubMedCrossRefGoogle Scholar
  29. 29.
    Jarrett ME, Mowatt G, Glazener CM et al. Systematic review of sacral nerve stimulation for faecal incontinence and constipation. Brit J Surg. 2004;91: 1559–1569.PubMedCrossRefGoogle Scholar
  30. 30.
    Murphy M, Culligan PJ, Arce MA, Graham CA, Blackwell L, Heit MH. Is the cough-stress test necessary when placing the tension-free vaginal tape? Obstet Gynecol. 2005;105:319–324.PubMedGoogle Scholar

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© Springer-Verlag London Limited 2007

Authors and Affiliations

  • Miles Murphy
  • Vincent R. Lucente

There are no affiliations available

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