Abstract
Surgical management of stress urinary incontinence (SUI) has evolved over the last 20 years. Numerous procedures have been introduced and modifications to established procedures have been reported in the literature. Our understanding of the female continence mechanism has evolved as well. Currently, female SUI is attributed to urethral hypermobility, intrinsic sphincteric deficiency (ISD), or a combination of both conditions. This chapter focuses on the surgical management of SUI due to ISD.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
McGuire EJ, Lytton B, Kohorn EI, Pepe V. The value of urodynamic testing in stress urinary incontinence. J Urol 1980;124:256–258.
Ghoniem GM, Elgamasy AN, Elsergany R, Kapoor DS. Grades of intrinsic sphincteric deficiency (ISD) associated with female stress urinary incontinence. Int Urogynecol J 2002;13:99–105.
Haab F, Zimmern PE, Leach GE. Female stress urinary incontinence due to intrinsic sphincteric deficiency: recognition and management. J Urol 1996;156:3–17.
Bergman A, McCarthy TA, Ballard CA, Yanai J. Role of the Q-tip test in evaluating stress urinary incontinence. J Reprod Med 1987;32:273–275.
Kayigil O, Ahmed SI, Metin A. The coexistence of intrinsic sphincter deficiency with type II stress incontinence. J Urol 1999;162:1365–1366.
McGuire EJ, Fitzpatrick CC, Wan J, et al. Clinical assessment of urethral sphincter function. J Urol 1993;150:1452–1454.
McGuire EJ. Urodynamic findings in patients after failure of stress incontinence operations. Prog Clin Biol Res 1981;78:351–360.
Sand PK, Bowen LW, Panganiban R, Ostergard DR. The low pressure urethra as a factor in failed retropubic urethropexy. Obstet Gynecol 1987;69:399–402.
Bump RC, Elser DM, McClish DK. Valsalva leak point pressures in women with genuine stress incontinence: reproducibility, effect of catheter caliber, and correlations with other measures of urethral resistance. Am J Obstet Gynecol 1995;173:551–557.
DeLancey JO. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 1994;170:1713–1723.
Francis LN, Sand PK, Hamrang K, et al. A urodynamic appraisal of success and failure after retropubic urethropexy. J Reprod Med 1987;32:693–699.
Deming CL. Transplantation of the gracilis muscle for incontinence of urine. JAMA 1926;86:822.
Goebell R. Zur operativen beseitigunug der angebornen incontinentia vesicae. Ztschr Gynak 1910;2: 187.
Aldridge AH. Transplantation of rectus fascia for the relief of urinary stress incontinence. Am J Obstet Gynecol 1942;44:398.
Chaikin DC, Rosenthal J, Blaivas JG. Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis. J Urol 1998;160:1312–1316.
Morgan TO, Westney OL, McGuire EJ. Pubovaginal sling: 4-year outcome analysis and quality of life assessment. J Urol 2000;163:1845–1848.
McGure EJ, Bennett CJ, Konnak JA, et al. Experience with pubovaginal slings for urinary incontinence at the University of Michigan. J Urol 1987;138:525–526.
Leach GE, Dmochowski RR, Appell RA, et al. Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence. J Urol 1997;158:875–880.
Blaivas JG. Pubovaginal sling. In: Kursh ED, McGuire EJ, eds. Female Urology. Philadelphia: JB Lippincott, 1994:239.
Latini JM, Lux MM, Kreder KJ. Efficacy and morbidity of autologous fascia lata sling cystourethropexy. J Urol 2004;171:1180–1184.
Kohli N, Karram MM. Surgery for genuine stress incontinence: vaginal procedures, injections, and the artificial urinary sphincter. In: Walters MD, Karram MM, eds. Urogynecology and Reconstructive Pelvic Surgery, 2nd ed. St. Louis: Mosby, 1999:181.
McGuire EJ, O’Connell HE. Surgical treatment of intrinsic urethral dysfunction: slings. Urol Clin North Am 1985;22(3):657–664.
Zaragoza MR. Expanded indications for the pubovaginal sling: treatment of type 2 or 3 stress incontinence. J Urol 1996;156:1620–1622.
Kreder KJ, Austin CA. Treatment of stress urinary incontinence in women with urethral hypermobility and intrinsic sphincteric deficiency. J Urol 1996;156:1995–1998.
Cross CA, Cespedes RD, McGuire EJ. Our experience with pubovaginal slings in patients with stress urinary incontinence. J Urol 1998;159:1195–1198.
Wilson TS, Lemack GE, Zimmern PE. Management of intrinsic sphincteric deficiency in women. J Urol 2003;169:1662–1669.
Kubricht WS III, Williams BJ, Eastham JA, Venable DD. Tensile strength of cadaveric fascia lata compared to small intestine submucosa using suture pull through analysis. J Urol 2001;165:486–490.
Lemer ML, Chaikin DC, Blaivas JG. Tissue strength analysis of autologous and cadaveric allografts for the pubovaginal sling. Neurourol Urodyn 1999;18:497–503.
Brown SL, Govier FE. Cadaveric versus autologous fascia lata for the pubovaginal sling: surgical outcome and patient satisfaction. J Urol 2000;164:1633–1637.
Flynn BJ, Yap WT. Pubovaginal sling using allograft fascia lata versus autograft fascia for all types of stress urinary incontinence: 2-year minimum follow-up. J Urol 2002;167:608–612.
Carbone JM, Kavaler E, Hu JC, Raz S. Pubovaginal sling using cadaveric fascia and bone anchors: disappointing early results. J Urol 2001;165:1605–1611.
Fitzgerald MP, Mollenhauer J, Brubaker L. Failure of allograft suburethral slings. BJU Int 1999;84:785–788.
Elliot DS, Boone TB. Is fascia lata allograft material trustworthy for pubovaginal sling repair? Urology 2000;56:772–776.
Dora CD, Dimarco DS, Zobitz ME, et al. Time dependent variations in biochemical properties of cadaveric fascia, porcine dermis, porcine small intestine submucosa, polypropylene mesh and autologous fascia in the rabbit model: implications for sling surgery. J Urol 2004;171:1970–1973.
Hathaway JK, Choe JM. Intact genetic material is present in commercially processed cadaver allografts used for pubovaginal slings. J Urol 2002;168:1040–1043.
Duckett JR, Constatine G. Complications of silicone sling insertion for stress urinary incontinence. J Urol 2000;163:1835–1837.
Kobashi KC, Dmochowski RR, Mee SL, et al. Erosion of woven polyester pubovaginal sling. J Urol 1999;162:2070–2072.
Ulmsten U, Henriksson L, Johnson P, et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 1996;7:81–85.
Nilsson CG, Kuuva N, Falconer C, et al. Long-term results of tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2001;12:S5.
Rezapour M, Falconer C, Ulmsten U. Tension-free vaginal tape (TVT) in stress incontinent women with intrinsic sphincter deficiency (ISD)-a long-term follow-up. Int Urogynecol J Pelvic Floor Dysfunct 2001;suppl 12:S12.
Delorme E, Droupy S, de Tayrac R, et al. Transobturator tape (Uratape): a new minimally-invasive procedure to treat female urinary incontinence. Eur Urol 2004;45:203–207.
de Tayrac R, Deffieux X, Droupy S, et al. A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstet Gynecol 2004;190:602–608.
Kobashi KC, Mee SL, Leach GE. A New technique for cystocele repair and transvaginal sling: the cadaveric prolapse repair and sling (CaPS). Urology 2000;56(suppl 6A):9–14.
Carbone A, Palleschi G, Ciavarella P, et al. Experience with a bone anchor sling for treating stress urinary incontinence: outcome at 30 months. BJU Int 2004;93:780–787.
Giberti C, Rovida S. Transvaginal bone-anchored synthetic sling for the treatment of stress urinary incontinence: an outcomes analysis. Urology 2000;56:956–961.
Schrepferman CG, Griebling TL, Nygaard IE, et al. Resolution of urge symptoms following sling urethropexy. J Urol 2000;164:1628–1631.
Meschia M, Pifarotti P, Bernasconi F, et al. Tensionfree vaginal tape: analysis of outcomes and complications in 404 stress incontinent women. Int Urogynecol J Pelvic Floor Dysfunct 2001;12:S24–27.
Leboeuf L, Tellez CA, Ead D, et al. Complication of bowel perforation during insertion of tension-free vaginal tape. J Urol 2003;170:1310–1311.
Kobashi KC, Govier FE. Perioperative complications: the first 140 polypropylene pubovaginal slings. J Urol 2003;170(5):1918–1922.
Peyrat L, Boutin JM, Bruyere F, et al. Intestinal perforation as a complication of tension-free vaginal tape procedure for urinary incontinence. Eur Urol 2001;39:603–605.
Bent A. Sling and bulking agent placement procedures. Rev Urol 2004;6(suppl 5):26–46.
Frederick RW, Leach GE. Osseous complications following transvaginal bone anchor fixation in female pelvic reconstructive surgery: a report from the single largest prospective series and review of the literature. Urology 2004;64(4):669–674.
Rackley RR, Abdelmalak JB, Madjar S, et al. Bone anchor infections in female pelvic reconstructive procedures: a literature review of series and case reports. J Urol 2001;165:1975–1978.
Murless BC. The injection treatment of stress incontinence. J Obstet Gynaecol Br Emp 1938;45:521–524.
Quackles R. Deux incontinences après adenomectomie gueries par injection de paraffine dans le perinee. Acta Urol Belg 1955;23:259–262.
Sachse S. Treatment of urinary incontinence with sclerosing solutions: indications, results, complications. Urol Int 1963;15:225–229.
Berg S. Polytef augmentation urethroplasty. Correction of surgically incurable urinary incontinence by injection technique. Arch Surg 1973;107:379–381.
Shortliffe LM, Freiha FS, Kessler R, et al. Treatment of urinary incontinence by periurethral implantation of glutaraldehyde cross-linked collagen. J Urol 1989;141:538–541.
Lightner D, Calvosa C, Andersen R, et al. A new injectable bulking agent for the treatment of stress urinary incontinence: results of a multicenter, randomized, controlled, double-blind study of Durasphere. Urology 2001;58:12–15.
Appell RA. Injection therapy for urinary incontinence. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ, eds. Campbell’s Urology, 8th ed. Philadelphia: WB Saunders, 2002:1172–1186.
Monga AK, Robinson D, Stanton SL. Periurethral collagen injections for genuine stress incontinence: a 2-year follow-up. Br J Urol 1995;76:156–160.
Herschorn S, Steele DJ, Radomski SB. Follow-up of intraurethral collagen for female stress urinary incontinence. J Urol 1996;156:1305–1309.
Steele AC, Kohli N, Karram MM. Periurethral collagen injection for stress incontinence with and without urethral hypermobility. Obstet Gynecol 2000;95:322–331.
Bent AE, Foote J, Siegel S, et al. Collagen implant for treating stress urinary incontinence in women with urethral hypermobility. J Urol 2001;166:1354–1357.
Collet JP, Shapiro S, Echick E, et al. Surgery vs. collagen for the treatment of female stress urinary incontinence (SUI): results of a multicentric randomized trial. J Urol 2001;165(suppl 5):198(abstr 819).
Faerber GJ, Belville WD, Ohl DA, et al. Comparison of transurethral versus periurethral collagen injection in women with intrinsic sphincter deficiency. Tech Urol 1998;4(3):124–127.
Dmochowski RR, Appell RA. Injectable agents in the treatment of stress urinary incontinence in women: where are we now? Urology 2000;56(suppl 6A):32–40.
Gonzalez GS, Jimeno C, York M, et al. Endoscopic autotransplantation of fat tissue in the treatment of urinary incontinence in the female [in French]. J Urol (Paris) 1989;95:363–366.
Horl HW, Feller AM, Bierner E. Technique for liposuction fat reimplantation and long-term volume evaluation by magnetic resonance imaging. Ann Plast Surg 1991;26:248–258.
Bartynski J, Marion MS, Wang TD. Histopathologic evaluation of adipose autografts in a rabbit ear model. Otolaryngology 1990;102:314–321.
Nguyen A, Pasyk KA, Bouvier TN. Comparative study of survival of autologous adipose tissue taken and transplanted by different techniques. Plast Reconstr Surg 1990;85:378–386.
Kershen RT, Dmochowski RR, Appell RA. Beyond collagen: injectable therapies for the treatment of female stress urinary incontinence in the new millennium. Urol Clin North Am 2002;29:559–574.
Pannek J, Brands FH, Senge T. Particle migration after transurethral injection of carbon-coated beads for stress urinary incontinence. J Urol 2001;166:1350–1353.
Malizia AA, Reiman HM, Myers RP, et al. Migration and granulomatous reaction after periurethral injection of polytef (Teflon). JAMA 1984;251:3277–3281.
Mittleman RE, Marraccini JV. Pulmonary Teflon granulomas following periurethral Teflon injection for urinary incontinence. Arch Pathol Lab Med 1983;107:611–612.
McKinney CD, Gaffey MJ, Gillenwater JY. Bladder outlet obstruction after multiple PTEE injections. J Urol 1995;153(1):149–151.
Claes H, Stroobants D, Van Meerbeek J, et al. Pulmonary migration following periurethral polytetrafluoroethyelne injection for urinary incontinence. J Urol 1989;142:821–822.
Buckley JF, Lingham K, Meddings RN, et al. Injectable silicone macroparticles: a new treatment for female stress incontinence. J Urol 1992;147:280A.
Henly DR, Barrett DM, Weiland TL, et al. Particulate silicone for use in periurethral injections: local tissue effects and search for migration. J Urol 1995;153:2039–2043.
Lylyk P, Vinuela F, Vinters HV, et al. Use of a new mixture for embolization of intracranial vascular malformations. Preliminary experimental experience. Neuroradiology 1990;32:304–310.
Haab F, Zimmern PE, Leach GE. Urinary stress incontinence due to intrinsic sphincteric deficiency: experience with fat and collagen periurethal injections. J Urol 1997;157:1283–1286.
Chrouser KL, Fick F, Goel A, et al. Carbon coated zirconium beads in ?-glucan gel and bovine glutaraldehyde cross-linked collagen injections for intrinsic sphincteric deficiency: continence and satisfaction after extended followup. J Urol 2004;171:1152–1155.
Stothers L, Goldenberg SL. Delayed hypersensitivity and systemic arthralgia following transurethral collagen injection for stress urinary incontinence. J Urol 1998;159:1507–1509.
Sweat SD, Lightner DJ. Complications of sterile abscess formation and pulmonary embolism following periurethral bulking agents. J Urol 1999;161:93–96.
Hartano VH, Lightner DJ, Nitti VW. Endoscopic evacuation of Durasphere. Urology 2003;62:135–137.
Selahattin B, Kilciler M, Ozgok Y, et al. Long-term complication due to dextranomer based implant: granuloma causing urinary obstruction. J Urol 2004;172:247–248.
Harris RL, Cundiff GW, Coates KW, et al. Urethral prolapse after collagen injection. Am J Obstet Gynecol 1998;178:614–615.
Wainstein MA, Klutke CG. Periurethral pseudocyst following cystoscopic collagen injection. Urology 1998;51:835–836.
Scott F, Bradley W, Timm G. Treatment of urinary incontinence by an implantable prosthetic sphincter. Urology 1973;1:252–259.
Thomas K, Venn SN, Mundy AR. Outcome of the artificial urinary sphincter in female patients. J Urol 2002;167:1720–1722.
Appell RA. Techniques and results in the implantation of the artificial urinary sphincter in women with type III stress urinary incontinence by a vaginal approach. Neurourol Urodynam 1988;7:613–619.
Hadley R, Loisides P, Dickinson M. Long-term followup (2-5 years) of transvaginally placed artificial urinary sphincters by an experienced surgeon. J Urol 1985;153(part 2):432A(abstr 816).
Venn SN, Greenwell TJ, Mundy AR. The long-term outcome of artificial urinary sphincters. J Urol 2000;164(3 pt 1):702–706.
Duncan HJ, Nurse DE, Mundy AR. Role of the artificial urinary sphincter in the treatment of stress incontinence in women. Br J Urol 1992;69:141–143.
Mason RC, Roach M. Modified pubovaginal sling for treatment of intrinsic sphincteric deficiency. J Urol 1996;156:1991–1994.
Barbalias G, Liatsikos E, Barbalias D. Use of slings made of indigenous and allogenic material (Goretex) in type III urinary incontinence and comparison between them. Eur Urol 1997;31:394–400.
Barbalias GA, Liatsikos EN, Athanasopoulos A. Goretex sling urethral suspension in type III female urinary incontinence: clinical results and urodynamic changes. Int Urogynecol J 1997;8:344–350.
Hassouna ME, Ghoneim GM. Long-term outcome and quality of life after modified pubovaginal sling for intrinsic sphincteric deficiency. Urology 1999;53:287–291.
Wright EJ, Iselin CE, Carr LK, et al. Pubovaginal sling using cadaveric allograft fascia for the treatment of intrinsic sphincteric deficiency. J Urol 1998;160:759–762.
Richter HE, Varner E, Sanders E, et al. Effects of pubovaginal sling procedure on patients with urethral hypermobility and intrinsic sphincteric deficiency: Would they do it again? Am J Obstet Gynecol 2001;184:14–19.
Govier FE, Gibbons RP, Correa RJ, et al. Pubovaginal slings using fascia lata for the treatment of intrinsic sphincter deficiency. J Urol 1997;157:117–121.
Staskin DR, Choe JM, Breslin DS. The Gore-tex sling procedure for female sphincteric incontinence: indications, technique, and results. World J Urol 1997;15(5):295–299.
Yamada T, Kamata S, Nagahama K, et al. Polytetra-fluoroethylene patch sling for type 2 or 3 stress urinary incontinence. Int J Urol 2001;8:675–680.
Morgan JE, Farrow GA, Stewart FE. The Marlex sling operation for the treatment of recurrent stress urinary incontinence: a 16-year review. Am J Obstet Gynecol 1985;151:224–226.
Ruiz H, Amundsen CL, Webster G. Cadaveric fascia slings. Atlas Urol Clin North Am 2000;8:41–50.
Trockman BA, Leach GE. Surgical treatment of intrinsic urethral dysfunction: injectables (fat). Urol Clin North Am 1995;22:665–671.
Winters JC, Appell RA. Periurethral injection of collagen in the treatment of intrinsic sphincteric deficiency in the female patient. Urol Clin North Am 1995;22:673–678.
Richardson TD, Kennelly MJ, Faerber GJ. Endoscopic injection of glutaraldehyde cross-linked collagen for the treatment of intrinsic sphincteric deficiency in women. Urology 1995;46:378–381.
Homma Y, Kawabe K, Kageyama S. Injection of glutaraldehyde cross-linked collagen for urinary incontinence: two-year efficacy by self-assessment. Int J Urol 1996;3:124–127.
Smith DN, Appell RA, Winters JC, et al. Collagen injection therapy for female intrinsic sphincteric deficiency. J Urol 1997;157:1275–1278.
Swami S, Batista JE, Abrams P. Collagen for female genuine stress incontinence after a minimum 2-year follow-up. Br J Urol 1997;80:757–760.
Corcos J, Fournier C. Periurethral collagen injection for the treatment of female stress urinary incontinence: 4-year follow-up results. Urology 1999;54:815–818.
Politano VA. Periurethral polytetrafluoroethylene injection for urinary incontinence. J Urol 1982;127:439–442.
Lopez AE, Padron OF, Patsias G, et al. Transurethral polytetrafluoroethylene injection in female patients with urinary incontinence. J Urol 1993;150:856–858.
Herschorn S, Glazer AA. Early experience with small volume periurethral polytetrafluoroethylene for female stress urinary incontinence. J Urol 2000;163:1838–1842.
Harriss D, Iacovou J, Lemberger R. Peri-urethral silicone microimplants (Macroplastique) for the treatment of genuine stress incontinence. Br J Urol 1996;78:722–725.
Barranger E, Fritel X, Kadoch O, et al. Results of transurethral injection of silicone microimplants for females with intrinsic sphincteric deficiency. J Urol 2000;164(5):1619–1622.
Radley SC, Chapple CR, Mitsogiannis IC, et al. Transurethral implantation of macroplastique for the treatment of female stress urinary incontinence secondary to urethral sphincter deficiency. Eur Urol 2001;39:383–389.
Tamanini JT, D’Ancona CA, Tadini V, et al. Macroplastique implantation system for the treatment of female stress urinary incontinence. J Urol 2003;169(6):2229–2233.
Mayer R, Lightfoot M, Jung I. Preliminary evaluation of calcium hydroxylapatite as a transurethral bulking agent for stress urinary incontinence. Urology 2001;57:434–438.
Stenberg AM, Larsson G, Johnson P. Urethral injection for stress urinary incontinence: long-term results with dextranomer/hyaluronic acid copolymer. Int Urogynecol J 2003;14:335–338.
Scott FB. The use of the artificial sphincter in the treatment of urinary incontinence in the female patient. Urol Clin North Am 1985;12:305–315.
Donovan MG, Barrett DM, Furlow WL. Use of the artificial urinary sphincter in the management of severe incontinence in females. Gynecol Obstet 1985;161:17–20.
Diokno AC, Hollander JB, Alderson TP. Artificial urinary sphincter for recurrent female urinary incontinence: indications and results. J Urol 1987;138:778–780.
Parulkar BG, Barrett DM. Application of the AS-800 artificial sphincter for intractable urinary incontinence in females. Gynecol Obstet 1990;171:131–138.
Webster GD, Perez LM, Khoury JM, et al. Management of type III stress urinary incontinence using artificial urinary sphincter. Urology 1992;39:499–503.
Costa P, Mottet N, Rabut B, et al. The use of an artificial urinary sphincter in women with type III incontinence and a negative Marshall test. J Urol 2001;165:1172–1176.
Amundsen CL, Visco AG, Ruiz H, et al. Outcome in 104 pubovaginal slings using freeze-dried allograft fascia lata from a single tissue bank. Urology 2000;56(6 suppl 1):2–8.
Bedir S, Kilciler M, Ozgok Y, et al. Long-term complication due to dextranomer based implant: granuloma causing urinary obstruction. J Urol 2004;172:247–248.
Dora CD, Dimarco DS, Zobitz ME, et al. Time dependent variations in biomechanical properties of cadaveric fascia, porcine dermis, porcine small intestine submucosa, polypropylene mesh, and autologous facia in the rabbit model: implications for sling surgery. J Urol 2004;171:1970–1973.
Elliot DS, Barrett DM. The artificial urinary sphincter in the female: indications for use, surgical approach and results. Int Urogynecol J 1998;9:409–415.
Haab F, Trockman BA, Zimmern PE, et al. Results of pubovaginal sling for the treatment of intrinsic sphincteric deficiency determined by questionnaire analysis. J Urol 1997;158:1738–1741.
McGuire EJ, Clemens JQ. Pubovaginal slings. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ, eds. Campbell’s Urology, 8th ed. Philadelphia: WB Saunders, 2002:1151–1171.
Stothers L, Goldenberg SL, Leone EF. Complications of periurethral collagen injection for stress urinary incontinence. J Urol 1995;159:806–807.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Springer-Verlag London Limited
About this chapter
Cite this chapter
Frederick, R.W., Leach, G.E. (2006). Stress Urinary Incontinence Secondary to Intrinsic Sphincteric Deficiency. In: Zimmern, P.E., Norton, P.A., Haab, F., Chapple, C.C.R. (eds) Vaginal Surgery for Incontinence and Prolapse. Springer, London. https://doi.org/10.1007/978-1-84628-346-8_9
Download citation
DOI: https://doi.org/10.1007/978-1-84628-346-8_9
Publisher Name: Springer, London
Print ISBN: 978-1-85233-912-8
Online ISBN: 978-1-84628-346-8
eBook Packages: MedicineMedicine (R0)