JORGE MILHEM HADDAD
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular, Hospital das Clínicas, Faculdade de Medicina
LIM/58 - Laboratório de Ginecologia Estrutural e Molecular, Hospital das Clínicas, Faculdade de Medicina
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Resultados de Busca
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conferenceObject ANATOMICAL RELATIONSHIP BETWEEN DEVICES TVT-O AND ABREVO IN FRESH CADAVERS(2013) HADDAD, J. M.; FIORELLI, L. R.; FRANCO, V. F.; MATSUOKA, P.; CASENTINI, F.; BARACAT, E. C.bookPart Incontinência urinária de esforço: diagnóstico(2016) ARAZAWA, Lilian Renata Fiorelli; LOCALI, Priscila Katsumi Matsuoka; HADDAD, Jorge MilhemconferenceObject INTRAVESICAL TREATMENTS WITH HYALURONIC ACID AND CHONDROITIN FOR PAINFUL BLADDER SYNDROME: SYSTEMATIC REVIEW AND META-ANALYSIS(2015) MATSUOKA, P. K.; RODRIGUES, F. P.; PACETTA, A. M.; BARACAT, E. C.; HADDAD, J. M.conferenceObject URINARY INCONTINENCE IN FEMALE ATHLETES: SYSTEMATIC REVIEW(2017) LOURENCO, T. R.; MATSUOKA, P. K.; BARACAT, E. C.; HADDAD, J. M.article 0 Citação(ões) na Scopus Should Prophylactic Anti-Incontinence Procedures Be Performed at the Time of Prolapse Repair? Systematic Review(2015) MATSUOKA, Priscila Katsumi; PACETTA, Aparecida Maria; BARACAT, Edmund Chada; HADDAD, Jorge MilhemUrodynamic studies performed prior to prolapse repair in women with high-grade pelvic organ prolapse (POP) have revealed asymptomatic stress urinary incontinence (SUI) in 36% to 80% of these women. The probable explanation for maintenance of continence prior to surgery in these patients may be urethral kinking or compression of the urethra by the genital prolapse. Once the genital prolapse has been repaired, these women are at high risk of postoperative SUI. Although occult SUI and prolapse repair can be corrected during a single surgery, combining both procedures is highly controversial. Some surgeons question the effectiveness of a single surgery to make both repairs and recommend a second surgical procedure after prolapse repair to correct occult incontinence. However, there are risks associated with a new hospitalization and a second surgery. This systematic literature review was conducted to determine whether performing prophylactic anti-incontinence procedures during surgical POP correction in women with severe genital prolapse and no symptoms of incontinence could prevent postoperative SUI. PubMed, EMBASE, Cochrane Library, and Lilacs databases were searched to identify articles published up to January 12, 2014. The search was limited to randomized trials. All participants had severe POP and no symptoms of SUI prior to prolapse surgery. The primary study outcome was the incidence of SUI or the need of treatment for this condition after the surgical procedure. The initial search identified 5618 studies; 66% of these were selected for full text analysis. Only 7 of these trials met the study inclusion and exclusion criteria. Following the systematic review, a meta-analysis was performed with common variables of studies and the same scale of quantification. Performance of any prophylactic anti-incontinence procedure during prolapse repair reduced the incidence of SUI post-operatively; the relative risk was 0.51, with a 95% confidence interval of 0.38 to 0.68. However, the results were different when the types of anti-incontinence procedure used were analyzed separately. The only anti-incontinence procedure that led to a significant reduction in the incidence of UI was retropubic midurethral sling surgery (relative risk, 0.09; 95% confidence interval, 0.02-0.36). These data show that use of the retropubic midurethral sling concomitantly with prolapse repair in women with severe POP is the only prophylactic anti-incontinence procedure that reduces risk of SUI.bookPart Prolapso de parede vaginal anterior: diagnóstico e tratamento(2016) PETERSON, Thais Vilela; LOCALI, Priscila Katsumi Matsuoka; HADDAD, Jorge Milhem- The efficacy and safety of urethral injection therapy for urinary incontinence in women: a systematic review(2016) MATSUOKA, Priscila Katsumi; LOCALI, Rafael Fagionato; PACETTA, Aparecida Maria; BARACAT, Edmund Chada; HADDAD, Jorge MilhemTo evaluate the efficacy and safety of different bulking agents for treating urinary incontinence in women, a systematic review including only randomized controlled trials was performed. The subjects were women with urinary incontinence. The primary outcomes were clinical and urodynamic parameters. The results were presented as a weighted mean difference for non-continuous variables and as relative risk for continuous variables, both with 95% confidence intervals. Initially, 942 studies were identified. However, only fourteen eligible trials fulfilled the prerequisites. Altogether, the review included 1814 patients in trials of eight different types of bulking agents, and all studies were described and analyzed. The measured outcomes were evaluated using a large variety of instruments. The most common complications of the bulking agents were urinary retention and urinary tract infection. Additionally, there were certain major complications, such as one case of death after use of autologous fat. However, the lack of adequate studies, the heterogeneous populations studied, the wide variety of materials used and the lack of long-term follow-up limit guidance of practice. To determine which substance is the most suitable, there is a need for more randomized clinical trials that compare existing bulking agents based on standardized clinical outcomes.
bookPart Fístulas urogenitais(2016) GUIDI, Homero Gustavo de Campos; LOCALI, Priscila Katsumi Matsuoka; HADDAD, Jorge MilhemconferenceObject SHOULD ANTI-INCONTINENCE PROCEDURES BE PERFORMED AT THE TIME OF PROLAPSE REPAIR? SYSTEMATIC REVIEW AND META-ANALYSIS.(2013) MATSUOKA, P. K.; PACETTA, A. M.; BARACAT, E. C.; HADDAD, J. M.bookPart Síndrome da bexiga dolorosa(2016) GUIDI, Homero Gustavo de Campos; LOCALI, Priscila Katsumi Matsuoka; HADDAD, Jorge Milhem