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Published in: International Urogynecology Journal 4/2020

01-04-2020 | Stress Incontinence | Original Article

Credé maneuver to adjust tape tension during trans-obturator tape mid-urethral sling in mixed urinary incontinence

Authors: Hyung Ho Lee, Dae Keun Kim, Jae Won Park, Suk Young Lee, Woo Jin Ko, Young Sig Kim

Published in: International Urogynecology Journal | Issue 4/2020

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Abstract

Introduction and Hypothesis

To evaluate the efficacy of intraoperative extrinsic manual bladder compression (Credé maneuver) for trans-obturator tape adjustment during mid-urethral sling surgery in women with stress urinary incontinence and those with mixed urinary incontinence.

Methods

The study included 148 randomly selected women who underwent mid-urethral sling surgery with trans-obturator tape for stress urinary incontinence between January 2016 and May 2017. Subgroup analysis of 66 women with mixed urinary incontinence included 43 patients from the Credé maneuver group and 23 from the non-Credé maneuver group. In the Credé maneuver group, the pattern of urine leakage was determined during the Credé maneuver, and tape tension was adjusted according to the pattern.

Results

The cure rate was 86.6% and improved rate was 11.9% in the Credé maneuver patients. The cure rate was 50.6% and improved rate was 38.3% in the non-Credé maneuver patients. The success rate was significantly higher in the Credé than in the non-Credé maneuver group (p = 0.023). In subgroup analysis of patients with mixed urinary incontinence, the cure rate was 81.4% and improved rate was 16.3% in the Credé maneuver group. The cure rate was 43.5% and improved rate was 47.8% in the non-Credé maneuver group. The cure rate was significantly higher in the Credé maneuver group (p = 0.007).

Conclusions

Intraoperative trans-obturator tape adjustment using the Credé maneuver to identify the leaking pattern significantly improved the success rate in women with mixed urinary incontinence, and Credé maneuver-directed adjustment significantly improved the cure rate.
Literature
1.
go back to reference Wu JM, Matthews CA, Conover MM, Pate V, Jonsson Funk M. Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol. 2014;123(6):1201–6.PubMedPubMedCentralCrossRef Wu JM, Matthews CA, Conover MM, Pate V, Jonsson Funk M. Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol. 2014;123(6):1201–6.PubMedPubMedCentralCrossRef
2.
go back to reference Brubaker L, Norton PA, Albo ME, Chai TC, Dandreo KJ, Lloyd KL et al (2011) Adverse events over two years after retropubic or transobturator midurethral sling surgery: findings from the Trial of Midurethral Slings (TOMUS) study. Am J Obstet Gynecol 205(5):498.e491-496. Brubaker L, Norton PA, Albo ME, Chai TC, Dandreo KJ, Lloyd KL et al (2011) Adverse events over two years after retropubic or transobturator midurethral sling surgery: findings from the Trial of Midurethral Slings (TOMUS) study. Am J Obstet Gynecol 205(5):498.e491-496.
3.
go back to reference Murphy M, Culligan PJ, Arce CM, Graham CA, Blackwell L, Heit MH. Is the cough-stress test necessary when placing the tension-free vaginal tape? Obstet Gynecol. 2005;105(2):319–24.PubMedCrossRef Murphy M, Culligan PJ, Arce CM, Graham CA, Blackwell L, Heit MH. Is the cough-stress test necessary when placing the tension-free vaginal tape? Obstet Gynecol. 2005;105(2):319–24.PubMedCrossRef
4.
go back to reference Murphy M, Heit MH, Fouts L, Graham CA, Blackwell L, Culligan PJ. Effect of anesthesia on voiding function after tension-free vaginal tape procedure. Obstet Gynecol. 2003;101(4):666–70.PubMed Murphy M, Heit MH, Fouts L, Graham CA, Blackwell L, Culligan PJ. Effect of anesthesia on voiding function after tension-free vaginal tape procedure. Obstet Gynecol. 2003;101(4):666–70.PubMed
5.
go back to reference Low SJ, Smith KM, Holt EM. Tension free vaginal tape: is the intra-operative cough test necessary? Int Urogynecol J Pelvic Floor Dysfunct. 2004;15(5):328–30.PubMed Low SJ, Smith KM, Holt EM. Tension free vaginal tape: is the intra-operative cough test necessary? Int Urogynecol J Pelvic Floor Dysfunct. 2004;15(5):328–30.PubMed
6.
go back to reference Moore KH, Shahab RB, Walsh CA, Kuteesa WM, Sarma S, Cebola M, et al. Randomized controlled trial of cough test versus no cough test in the tension-free vaginal tape procedure: effect upon voiding dysfunction and 12-month efficacy. Int Urogynecol J. 2012;23(4):435–41.PubMedCrossRef Moore KH, Shahab RB, Walsh CA, Kuteesa WM, Sarma S, Cebola M, et al. Randomized controlled trial of cough test versus no cough test in the tension-free vaginal tape procedure: effect upon voiding dysfunction and 12-month efficacy. Int Urogynecol J. 2012;23(4):435–41.PubMedCrossRef
7.
go back to reference Lazarou G, Miller C, Gupta N, Islam S, Vetere P. Intraoperative Crede maneuver for tape adjustment during transobturator sling placement: does it improve continence? Female Pelvic Med Reconstr Surg. 2013;19(6):369–73.PubMedCrossRef Lazarou G, Miller C, Gupta N, Islam S, Vetere P. Intraoperative Crede maneuver for tape adjustment during transobturator sling placement: does it improve continence? Female Pelvic Med Reconstr Surg. 2013;19(6):369–73.PubMedCrossRef
8.
go back to reference Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167–78.PubMedCrossRef Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167–78.PubMedCrossRef
9.
go back to reference Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J. Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology. 2001;58(5):697–701.PubMedCrossRef Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J. Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology. 2001;58(5):697–701.PubMedCrossRef
10.
go back to reference Nguyen JN. Tape mobilization for urinary retention after tension-free vaginal tape procedures. Urology. 2005;66(3):523–6.PubMedCrossRef Nguyen JN. Tape mobilization for urinary retention after tension-free vaginal tape procedures. Urology. 2005;66(3):523–6.PubMedCrossRef
11.
go back to reference Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol. 1995;29(1):75–82.PubMedCrossRef Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol. 1995;29(1):75–82.PubMedCrossRef
12.
go back to reference Abdel-Fattah M, Cao G, Mostafa A. Long-term outcomes for transobturator tension-free vaginal tapes in women with urodynamic mixed urinary incontinence. Neurourol Urodyn. 2017;36(4):902–8.PubMedCrossRef Abdel-Fattah M, Cao G, Mostafa A. Long-term outcomes for transobturator tension-free vaginal tapes in women with urodynamic mixed urinary incontinence. Neurourol Urodyn. 2017;36(4):902–8.PubMedCrossRef
13.
go back to reference Serati M, Sorice P, Bogani G, Braga A, Cantaluppi S, Uccella S, et al. TVT for the treatment of urodynamic stress incontinence: Efficacy and adverse effects at 13-year follow-up. Neurourol Urodyn. 2017;36(1):192–7.PubMedCrossRef Serati M, Sorice P, Bogani G, Braga A, Cantaluppi S, Uccella S, et al. TVT for the treatment of urodynamic stress incontinence: Efficacy and adverse effects at 13-year follow-up. Neurourol Urodyn. 2017;36(1):192–7.PubMedCrossRef
14.
go back to reference Serati M, Braga A, Athanasiou S, Tommaselli GA, Caccia G, Torella M, et al. Tension-free vaginal tape-obturator for treatment of pure urodynamic stress urinary incontinence: Efficacy and adverse effects at 10-year follow-up. Eur Urol. 2017;71(4):674–9.PubMedCrossRef Serati M, Braga A, Athanasiou S, Tommaselli GA, Caccia G, Torella M, et al. Tension-free vaginal tape-obturator for treatment of pure urodynamic stress urinary incontinence: Efficacy and adverse effects at 10-year follow-up. Eur Urol. 2017;71(4):674–9.PubMedCrossRef
15.
go back to reference Hong B, Park S, Kim HS, Choo MS. Factors predictive of urinary retention after a tension-free vaginal tape procedure for female stress urinary incontinence. J Urol. 2003;170(3):852–6.PubMedCrossRef Hong B, Park S, Kim HS, Choo MS. Factors predictive of urinary retention after a tension-free vaginal tape procedure for female stress urinary incontinence. J Urol. 2003;170(3):852–6.PubMedCrossRef
16.
go back to reference Karram MM, Segal JL, Vassallo BJ, Kleeman SD. Complications and untoward effects of the tension-free vaginal tape procedure. Obstet Gynecol. 2003;101(5 Pt 1):929–32.PubMed Karram MM, Segal JL, Vassallo BJ, Kleeman SD. Complications and untoward effects of the tension-free vaginal tape procedure. Obstet Gynecol. 2003;101(5 Pt 1):929–32.PubMed
17.
go back to reference Bianchi-Ferraro AM, Jarmy-DiBella ZI, de Aquino CR, Bortolini MA, Sartori MG, Girao MJ. Randomized controlled trial comparing TVT-O and TVT-S for the treatment of stress urinary incontinence: 2-year results. Int Urogynecol J. 2014;25(10):1343–8.PubMedCrossRef Bianchi-Ferraro AM, Jarmy-DiBella ZI, de Aquino CR, Bortolini MA, Sartori MG, Girao MJ. Randomized controlled trial comparing TVT-O and TVT-S for the treatment of stress urinary incontinence: 2-year results. Int Urogynecol J. 2014;25(10):1343–8.PubMedCrossRef
18.
go back to reference Bianchi-Ferraro AM, Jarmy-Di Bella ZI, Castro Rde A, Bortolini MA, Sartori MG, Girao MJ. Single-incision sling compared with transobturator sling for treating stress urinary incontinence: a randomized controlled trial. Int Urogynecol J. 2013;24(9):1459–65.PubMedCrossRef Bianchi-Ferraro AM, Jarmy-Di Bella ZI, Castro Rde A, Bortolini MA, Sartori MG, Girao MJ. Single-incision sling compared with transobturator sling for treating stress urinary incontinence: a randomized controlled trial. Int Urogynecol J. 2013;24(9):1459–65.PubMedCrossRef
19.
go back to reference Simsek A, Kirecci SL, Bayar G, Horasanli K, Ozgor F, Gurbuz ZG. Evaluation of per-operative cough stress test during transobturator mid-urethral sling surgery. Arch Ital Urol Androl. 2017;89(3):222–5.PubMedCrossRef Simsek A, Kirecci SL, Bayar G, Horasanli K, Ozgor F, Gurbuz ZG. Evaluation of per-operative cough stress test during transobturator mid-urethral sling surgery. Arch Ital Urol Androl. 2017;89(3):222–5.PubMedCrossRef
20.
go back to reference Davila GW, Johnson JD, Serels S. Multicenter experience with the Monarc transobturator sling system to treat stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(5):460–5.PubMedCrossRef Davila GW, Johnson JD, Serels S. Multicenter experience with the Monarc transobturator sling system to treat stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(5):460–5.PubMedCrossRef
21.
go back to reference Kim JH, Shin SH, Oh MM, Park JY, Lee JG, Bae JH. Factors affecting transient urinary retention after transobturator tape mid-urethral sling surgery for female patients with stress urinary incontinence: a single center experience. Eur J Obstet Gynecol Reprod Biol. 2013;168(1):107–11.PubMedCrossRef Kim JH, Shin SH, Oh MM, Park JY, Lee JG, Bae JH. Factors affecting transient urinary retention after transobturator tape mid-urethral sling surgery for female patients with stress urinary incontinence: a single center experience. Eur J Obstet Gynecol Reprod Biol. 2013;168(1):107–11.PubMedCrossRef
22.
go back to reference Borazjani A, Pizarro-Berdichevsky J, Li J, Goldman HB. Surgeons’ views on sling tensioning during surgery for female stress urinary incontinence. Int Urogynecol J. 2017;28(10):1489–95.PubMedCrossRef Borazjani A, Pizarro-Berdichevsky J, Li J, Goldman HB. Surgeons’ views on sling tensioning during surgery for female stress urinary incontinence. Int Urogynecol J. 2017;28(10):1489–95.PubMedCrossRef
23.
go back to reference Jain P, Jirschele K, Botros SM, Latthe PM. Effectiveness of midurethral slings in mixed urinary incontinence: a systematic review and meta-analysis. Int Urogynecol J. 2011;22(8):923–32.PubMedCrossRef Jain P, Jirschele K, Botros SM, Latthe PM. Effectiveness of midurethral slings in mixed urinary incontinence: a systematic review and meta-analysis. Int Urogynecol J. 2011;22(8):923–32.PubMedCrossRef
24.
25.
go back to reference Duckett RA, Grapsas P, Eaton M, Basu M. The effect of spinal anaesthesia on urethral function. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(2):257–60.PubMedCrossRef Duckett RA, Grapsas P, Eaton M, Basu M. The effect of spinal anaesthesia on urethral function. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(2):257–60.PubMedCrossRef
26.
go back to reference Takacs P, Medina CA. Tension-free vaginal tape: poor intraoperative cough test as a predictor of postoperative urinary retention. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(12):1445–7.PubMedCrossRef Takacs P, Medina CA. Tension-free vaginal tape: poor intraoperative cough test as a predictor of postoperative urinary retention. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(12):1445–7.PubMedCrossRef
27.
go back to reference Kleeman S, Goldwasser S, Vassallo B, Karram M. Predicting postoperative voiding efficiency after operation for incontinence and prolapse. Am J Obstet Gynecol. 2002;187(1):49–52.PubMedCrossRef Kleeman S, Goldwasser S, Vassallo B, Karram M. Predicting postoperative voiding efficiency after operation for incontinence and prolapse. Am J Obstet Gynecol. 2002;187(1):49–52.PubMedCrossRef
Metadata
Title
Credé maneuver to adjust tape tension during trans-obturator tape mid-urethral sling in mixed urinary incontinence
Authors
Hyung Ho Lee
Dae Keun Kim
Jae Won Park
Suk Young Lee
Woo Jin Ko
Young Sig Kim
Publication date
01-04-2020
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 4/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-019-04160-z

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