ArticleCentral European journal of urology2018
Retention of urine in women is alleviated by uterosacral ligament repair: implications for Fowler's syndrome.
Article in Central European journal of urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 24 citations in OpenAlex.
- A gynecological perspective of interstitial cystitis/bladder pain syndrome may offer cure in selected cases.Central European journal of urology · 2022Trial
- The Integral Theory, Pelvic Floor Biomechanics, and Binary Innervation.International neurourology journal · 2024Article
- A Critical Examination of Ligamentous Pathogenesis of Bladder Pain/Lower Urinary Tract Symptoms Using the UEDA Criteria.International neurourology journal · 2024Article
- A brief physiology and pathophysiology of the anorectum based on the Integral Theory paradigm.Annals of translational medicine · 2024Review
- Underactive bladder, Fowler's syndrome are potentially curable by uterosacral ligament repair.Annals of translational medicine · 2024Review
- Simulated operations (SOs) apply mechanical support to structures to confirm symptom causation.Annals of translational medicine · 2024Review
- Squatting-based exercises cure bedwetting in children and improve pain and bladder symptoms in premenopausal women.Annals of translational medicine · 2024Review
- Tension-free artisan tape: a low-cost option for cure of pelvic organ prolapse and stress incontinence.Annals of translational medicine · 2024Review
- A comparison of native vaginal and ligament surgery for cure of pelvic organ prolapse and overactive bladder.Annals of translational medicine · 2024Review
- Peripheral muscle force balance/imbalance in neurological binary control of bladder function and dysfunction.Annals of translational medicine · 2024Review
- Defining urge as an uncontrolled micturition explains pathogenesis, informs cure and helps solve the burgeoning OAB crisis.Neurourology and urodynamics · 2022Review
- THE CASE AGAINST urethral failure is not a critical factor in female urinary incontinence. Now what? The integral theory system.Neurourology and urodynamics · 2022Article
- An anatomical pathogenesis of lower urinary tract definitions from the 2002 ICS report symptoms, conditions, syndromes, urodynamics.Neurourology and urodynamics · 2022Review
- Non-Hunner's Interstitial Cystitis Is Different from Hunner's Interstitial Cystitis and May Be Curable by Uterosacral Ligament Repair.Urologia internationalis · 2022Review
- Tissue Fixation System ligament repair cures major pelvic organ prolapse in ageing women with minimal complications - a 10-year Japanese experience in 960 women.Central European journal of urology · 2021Article
- Pelvic ligament repair with slings - a foundation stone for solution of the ageing crisis in female pelvic urology.Central European journal of urology · 2021Article
- A watershed paper for surgical cure of overactive bladder and nocturia.Central European journal of urology · 2021Article
- Mechanically Supporting Uterosacral Ligaments for the Relief of Provoked Vulvodynia: A Randomized Pilot Trial.Journal of pain research · 2021Article
- Involuntary cough is superior to voluntary cough for identifying stress urinary incontinence.Central European journal of urology · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe aim of this study was to independently evaluate idiopathic urinary retention and other known Fowler's syndrome (FS) descriptions in 24 women treated for posterior fornix syndrome (PFS) by reinforcement of the uterosacral ligaments (USL) using the tissue fixation system (TFS). MATERIAL AND
methodsThe main inclusion criterion was: idiopathic urinary retention with post-void residual urines (PVR) >100 ml.
resultsThe mean patient age was 63 years (range 32-87). Except for peak urine flow, features typical of FS were statistically improved (p 0.015 to <0.0001), pre-op mean with post-op mean in brackets: PVR 272 ml (34 ml); abnormal emptying symptoms n = 24 (18/24 cured or 80% improved); natural bladder volume 598 ml (301 ml); emptying time 50 seconds (20 seconds): peak flow 42 ml/sec (37 ml/sec); chronic pelvic pain n = 18 (14/18 >80% improved); maximal urethral closure pressure >90 cm (n = 4) 93 cm H
conclusionsFunctional disorders typical of FS, also present in posterior fornix syndrome, principally idiopathic urinary retention, were cured/improved by USL sling repair. Suggested anatomical pathway: lax USLs weaken the backward muscular forces, unbalancing bladder neck and urethral closure. Compensatory forward-acting closure muscles narrow the distal urethra, causing urinary flow difficulties, and retention. This functional imbalance can be relieved by posterior sling repair. We suggest that, rather than spasm from the (weak) rhabdosphincter (Fowler's syndrome), USL weakness is the most likely cause of idiopathic urinary retention in women.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.