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Recent News and Articles on the Keywords: incontinence + procedure + quick  Related to the article below (Last Update: 8/5/2008)


TheMedGuru
PSA test: Don't do it, say angry men
Los Angeles Times, CA -
The dilemma for men diagnosed with the PSA test is that it often steers far too many men to treatment that can result in impotence and incontinence. ...
US Panel Questions Prostate Screening Washington Post
all 281 news articles »
Rowan doctor helping patients find treatment south of the border
Salisbury Post, NC - Aug 3, 2008
Japanese researchers found a .6 percent incontinence rate and incidents of impotence in the low 20 percents with the ultrasound procedure. ...
Fourth International Consultation On Incontinence (ICI) - Surgery ...
Medical News Today (press release), UK - Jul 26, 2008
She noted the quick adoption of new technologies and procedures that are not evidence based. She conveyed the committee's disappointment that pressing ...
Fourth International Consultation On Incontinence (ICI) - Surgery ... Medical News Today (press release)
Fourth International Consultation On Incontinence (ICI) - Surgery ... Medical News Today (press release)
Fourth International Consultation On Incontinence (ICI ... Medical News Today (press release)
all 4 news articles »
Robot Dreams
Barron's - Jul 27, 2008
In a narrow area, the doctor must do a lot of precision work to avoid rendering the patient incontinent and impotent. Those possibilities scare guys into ...
ORLive Presents: New Male Sling Helps Prostate Cancer Survivors ...
MarketWatch - Jul 21, 2008
"This is a breakthrough development for men suffering from urinary incontinence." The minimally invasive procedure takes less than an hour and results in ...
Perioperative Complications And Early Follow-up With 100 TVT-SECUR ...
Medical News Today (press release), UK - Jul 31, 2008
Since surgical procedures are more likely to cure stress urinary incontinence rather than non-surgical procedures, Delorme first and then de Leval adapted ...
A Journey to Continence: A Case Study of Overactive Bladder Syndrome
RedOrbit, TX - Jul 23, 2008
Managing acute and chronic urinary incontinence. Clinical practice guideline. Quick reference guide for clinicians (No. 2, 1996 Update). ...
Stress Urinary Incontinence: An Overview of Diagnosis and ... RedOrbit
Urinary Incontinence in the Childbearing Woman RedOrbit
Stress Urinary Incontinence RedOrbit
all 4 news articles »
EU Panel Backs GSK's Pre-Pandemic Influenza Vaccine
CNNMoney.com - Jul 25, 2008
The CHMP finalised a procedure under Article 107 of the Community code on human medicinal products (Directive 2001/83/EC as amended) for oral ...
Oops, I wet my pants: The messy problem of incontinence
Jakarta Post, Indonesia - Jul 15, 2008
Surgery is advisable for women suffering from severe stress incontinence. There is now a minimally invasive procedure that uses the TVT (tension-free tape) ...
Interest of retro-anal levator plate myorrhaphy in selected cases ...
7thSpace Interactive (press release), NY - Jul 30, 2008
This surgical procedure seems to improve stress urinary incontinence, frequency, nocturia, urgency, dysuria, anal incontinence, dyschesia, dyspareunia, ...
Source: Google News

… Antegrade Colonic Enema Enhances the Quality of Life in Children Undergoing Urological Incontinence … -
PI Ellsworth, HW Webb, JM Crump, MA Barraza, PS … - The Journal of Urology, 1996 - Elsevier
... Quick Search Title, abstract, keywords Author eg js ... The antegrade colonic enema
procedure may not be ... as first line treatment for fecal incontinence in children ...

… -Year Follow-up of the Tension-Free Vaginal Tape Procedure for Treatment of Urinary Incontinence -
CG Nilsson, C Falconer, M Rezapour - acogjnl, 2004 - acogjnl.highwire.org
... ORIGINAL RESEARCH. Seven-Year Follow-up of the Tension-Free Vaginal Tape
Procedure for Treatment of Urinary Incontinence. Carl Gustaf ...

TRANSVAGINAL URETHROLYSIS FOR URETHRAL OBSTRUCTION AFTER ANTI-INCONTINENCE SURGERY -
CA CROSS, RD CESPEDES, SF ENGLISH, EJ McGUIRE - The Journal of Urology, 1998 - Elsevier
... Quick Search Title, abstract, keywords Author eg js smith Search tips (Opens ... Urethral
obstruction following a stress incontinence procedure occurs in 5 to 20 ...

… Tape (Uratape?): A New Minimally-Invasive Procedure to Treat Female Urinary Incontinence -
E Delorme, S Droupy, R de Tayrac, V Delmas - European Urology, 2004 - Elsevier
... Quick Search Title, abstract, keywords Author eg js smith Search ... O); 5 patients
presented with recurrent urinary incontinence after Burch procedure or TVT ...

Complications and Untoward Effects of the Tension-Free Vaginal Tape Procedure -
MM Karram, JL Segal, BJ Vassallo, SD Kleeman - acogjnl, 2003 - acogjnl.highwire.org
... closure of the urethrotomy and subsequently redeveloped stress incontinence. ... The
TVT procedure has rapidly become a widely ... repairs in that it is quick and can ...

… sling procedure with polytetrafluoroethylene for the treatment of genuine stress incontinence in … -
NS Horbach, JS Blanco, DR Ostergard, AE Bent, JL … - acogjnl, 1988 - acogjnl.highwire.org
... A SUBURETHRAL SLING PROCEDURE WITH POLYTETRAFLUOROETHYLENE FOR THE TREATMENT OF
GENUINE STRESS INCONTINENCE IN PATIENTS WITH LOW URETHRAL CLOSURE PRESSURE. ...

PREDICTING THE NEED FOR ANTI-INCONTINENCE SURGERY IN CONTINENT WOMEN UNDERGOING REPAIR OF SEVERE … -
DC CHAIKIN, A GROUTZ, JG BLAIVAS - The Journal of Urology, 2000 - Elsevier
... Quick Search Title, abstract, keywords Author eg js smith Search ... underwent anterior
colporrhaphy and no additional anti-incontinence procedure was performed. ...

… Technique for the Treatment of Female Stress Urinary Incontinence: Transobturator Vaginal Tape … -
J de Leval - European Urology, 2003 - Elsevier
... the treatment of female stress urinary incontinence (SUI) and ... Results: The procedure
was carried out in 107 ... for treating SUI is feasible, accurate, and quick. ...

Vascular Injury During Tension-Free Vaginal Tape Procedure for Stress Urinary Incontinence -
MD Walters, PK Tulikangas, C LaSala, TW Muir - acogjnl, 2001 - acogjnl.highwire.org
... CASE REPORTS. Vascular Injury During Tension-Free Vaginal Tape Procedure
for Stress Urinary Incontinence. Mark D. Walters, MD , Paul ...

The Polypropylene Pubovaginal Sling for the Treatment of Recurrent Stress Urinary Incontinence -
JE Morgan, DM Heritz, FE Stewart, JC Connolly, GA … - The Journal of Urology, 1995 - Elsevier
... Quick Search Title, abstract, keywords Author eg js smith Search tips ... EJ McGuire
and B. Lytton, Pubovaginal sling procedure for stress incontinence, J. Urol ...

Source: Google Scholar
 

Quick, Innovative Procedure Helps Men Minimize Incontinence After Prostatectomy

Modified Surgery Is Easily Incorporated Into Standard Care, Say Researchers at NewYork-Presbyterian/Weill Cornell

NEW YORK (May 11, 2007) — Thousands of men facing surgical removal of the prostate due to cancer may someday have one less thing to worry about: post-surgical urinary incontinence.

That's because a team of expert urologic surgeons at NewYork-Presbyterian Hospital/Weill Cornell Medical Center has devised a simple, effective means of reconstructing key anatomical structures that ensure continence.

They describe the success of the procedure in the journal Urology.

"Modifying existing tissues, our technique added only a few minutes to standard robotic prostatectomy, yet attained a 95 percent continence rate among patients 16 weeks after their surgeries," explains lead researcher Dr. Ashutosh K. Tewari, director of robotic prostatectomy and outcomes research at NewYork-Presbyterian/Weill Cornell and the Ronald P. Lynch Associate Professor of Urologic Oncology at Weill Cornell Medical College.

Article continues below and (thank you)
 
"This is a real breakthrough in prostate cancer care, as a significant number of patients have post-prostatectomy urinary incontinence," adds senior researcher Dr. E. Darracott Vaughan, attending urologist at NewYork-Presbyterian/Weill Cornell and The James J. Colt Professor of Urology at Weill Cornell Medical College. He is also Weill Cornell's senior associate dean for clinical affairs.

"Too often, the threat of incontinence can be a key factor in a patient's decision for or against prostatectomy," Dr. Vaughan adds. "A simple intervention like this could make that choice a lot easier."

Prostatectomy involves the excision of the prostate gland, as well as some adjacent tissue, depending on the extent and aggressiveness of the tumor. "Unfortunately, this can weaken structures that control the retention and release of urine from the bladder, such as the puboprostatic ligaments, related muscle and other key anatomy," Dr. Tewari explains. "Together, these structures form a kind of sphincter that must remain strong and supported to maintain urinary continence."

Numerous attempts have been made to modify prostatectomy and preserve continence, but none have proven ideal. Trying to find a better way, Drs. Tewari and Vaughan reviewed 3-D videos that detailed the urological anatomy of patients who had retained full continence after prostatectomy. "We were trying to figure out what went right in those cases," Dr. Vaughan says.

Armed with those insights, they devised the new technique, modeling it first in cadaver tissues. They then tested the new procedure in 50 consecutive patients scheduled to undergo robot-guided prostatectomy for the treatment of localized prostate cancer.

The procedure added just two to five minutes to the standard prostate-removing operation.

"Our technique uses tissues that would normally remain behind after prostatectomy — tissues that we can flip around and support to our advantage," Dr. Tewari explains. "We reconstruct the anterior and posterior parts of the sphincter and surgically join the bladder and the anastomosis (the gap in tissues left by prostatectomy) with the surrounding structures. In doing so, we reconstruct the major anatomical players controlling urinary continence."

The post-surgical results were impressive. One week after patients first had their urinary catheters removed, 29 percent were already fully continent; by six weeks, that figure rose to 62 percent; by eight weeks, 88 percent of the men were fully continent; and by 16 weeks, 95 percent had achieved continence.

The researchers stressed that the men involved in the study had all been diagnosed with non-aggressive, localized cancers. "With more aggressive tumors, surgeons must often excise the tissues that we need for reconstruction, so the technique is not useful in those cases," Dr. Vaughan says.

"But those cases are relatively uncommon, so most patients who undergo prostatectomy stand to benefit from the procedure," says co-author Dr. Alexis Te, director of the Brady Prostate Center at NewYork-Presbyterian/Weill Cornell and associate professor of urology at Weill Cornell Medical College.

"The technique entails no extra cost and very little added time in the OR, although surgeons would have to be trained, of course," Dr. Tewari says. "We're confident the procedure will enhance post-prostatectomy recovery, sparing men the significant loss in quality of life that chronic urinary incontinence can bring."

The Urology study was funded by the Ronald P. Lynch Oncologic Endowment and the Brady Urologic Research Foundation at Cornell University. Dr. Tewari is the principal investigator of a separate research study supported by Intuitive Surgical, Inc., makers of the da Vinci Surgical System, the surgical robot used in the current study.

Additional co-authors include Dr. Kevin Bigelow, Dr. Sandaya Rao, Dr. Atsushi Takenaka and Dr. Nasr El-Tab — all of the Department of Urology at NewYork-Presbyterian Hospital/Weill Cornell Medical Center and Weill Cornell Medical College.

For more information, patients may call (866) NYP-NEWS.


Competitive Awards Program Grant for Dr. Tewari


In related news, the Prostate Cancer Foundation has selected Dr. Tewari as the recipient of a prestigious Competitive Awards Program grant for his work in developing procedures that would allow men to retain full sexual function after radical prostatectomy. The foundation praised Dr. Tewari's pioneering efforts as "significant contributions toward accelerating the end of death and suffering from prostate cancer."


NewYork-Presbyterian Hospital/Weill Cornell Medical Center


NewYork-Presbyterian Hospital/Weill Cornell Medical Center, located in New York City, is one of the leading academic medical centers in the world, comprising the teaching hospital NewYork-Presbyterian and its academic partner, Weill Cornell Medical College. NewYork-Presbyterian/Weill Cornell provides state-of-the-art inpatient, ambulatory and preventive care in all areas of medicine, and is committed to excellence in patient care, research, education and community service. NewYork-Presbyterian, which is ranked sixth on the U.S.News & World Report's list of top hospitals, also comprises NewYork-Presbyterian Hospital/Columbia University Medical Center. For more information, visit www.nyp.org.

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