Adverse events after first, single, mesh and non-mesh surgical procedures for stress urinary incontinence and pelvic organ prolapse in Scotland, 1997–2016: a population-based cohort study

Morling, Joanne R; McAllister, David A; Agur, Wael; Fischbacher, Colin; Glazener, Cathryn; Guerrero, Karen; Hopkins, Leanne; Wood, Rachael

doi:10.1016/s0140-6736(16)32572-7

Cited by 122 publications

(112 citation statements)

References 22 publications

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“…The FDA issued a series of statements concluding that serious complications associated with transvaginal mesh for pelvic organ prolapse (POP) repair and are not un-common nevertheless they emphasized that this does not apply to use of mesh for SUI or abdominal surgery. However, very recently, a Scottish population-based study, demonstrated that mesh surgical procedures for SUI were associated with lower risk of early postoperative complications and subsequent prolapse surgery, as well as similar risks of further incontinence surgery and later complications, as compared with open colposuspension [7]. I n late 2015, various working groups worldwide reported on the use of transvaginal mesh in Scotland, England, and Europe (SCENIHR) in surgi cal t reat ment of SUI and P OP [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Updated Systematic Review and Meta-analysis of the Comparative Data on Colposuspensions, Pubovaginal Slings, and Midurethral Tapes in the Surgical Treatment of Female Stress Urinary Incontinence

et al. 2017

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CONTEXT: Retropubic (RT-TVT) and transobturator miurethral (TO-TVT) mid-urethral sling (MUS) are popular surgical treatments for female stress urinary incontinence (SUI). The long-term efficacy and safety of the procedures is still a topic of intense clinical research and several randomized controlled trials (RCTs) have been published in the last years OBJECTIVE: To evaluate the efficacy and safety of MUS compared with other surgical treatments for female SUI. EVIDENCE ACQUISITION:A systematic review and meta-analysis of the literature was performed using the Medline, Scopus, and Web of Science databases to update our previously published analyses. EVIDENCE SYNTHESIS:Twenty-eight RCTs were identified. In total, the meta-analyses CONCLUSIONS:The present analysis confirms the superiority of MUS over BC. The studies comparing insertion of RT-TVT and TO-TVT showed higher subjective and objective cure rates for the RP-TVT but at the cost of higher risks of some complications and voiding LUTS. Efficacy of 3 inside-out and outside-in techniques of TO-TVT insertion was similar, although the risk of vaginal perforation was lower in the inside-to-out TO-TVT. PATIENT SUMMARY:Retropubic and transobturator midurethral slings are a popular treatment for female stress urinary incontinence. The available literature suggest that those slings are either more effective or safer than other older surgical procedures. Retropubic tapes are followed with slightly higher continence rates as compared with the transobturator tapes but are associated with higher risk of intra-and postoperative complications. TAKE-HOME MESSAGESThe present analysis confirms the superiority of MUS over Burch colposuspension. The studies comparing insertion of RT-TVT and TO-TVT showed higher subjective and objective cure rates for the RP-TVT but at the cost of higher risks of some complications and voiding LUTS. Efficacy of inside-out and outside-in techniques of TO-TVT insertion was similar, although the risk of vaginal perforation was lower in the inside-to-out TO-TVT 4

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Section: Introductionmentioning

confidence: 99%

Updated Systematic Review and Meta-analysis of the Comparative Data on Colposuspensions, Pubovaginal Slings, and Midurethral Tapes in the Surgical Treatment of Female Stress Urinary Incontinence

et al. 2017

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“…Research on stress urinary incontinence (SUI) is usually conducted in high-income countries, with more emphasis on surgical interventions [1]. The current mainstay for surgical treatment of SUI is the minimally invasive procedure using a vaginal mesh sling.…”

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confidence: 99%

“…In recent years, following reports of mesh complications, international authorities have issued alerts regarding the use of mesh, while the controversy has garnered significant media attention [2][3][4]. Accruing evidence shows that mesh is safe in the case of SUI [1,5]. However, what is missing from the bigger picture is that these results mean very little to low-and middle-income countries, where surgical interventions for SUI are either not commonly available or may not be performed due to sociocultural barriers.…”

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confidence: 99%

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Leaking in silence: women with stress urinary incontinence who do not have access to or refuse surgery

2018

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“…7 A recent study comparing the risks of mesh midurethral slings and traditional non-mesh SUI procedures demonstrated that early surgical complications are lower after midurethral sling and late complications requiring reoperation are similar. 8 Transvaginal mesh slings should not be used in women with urethral diverticulum, urethrovaginal fistula, urethral injury, or prior transvaginal mesh complication (such as pain or mesh erosion).…”

mentioning

confidence: 99%

Canadian Urological Association position statement on the use of transvaginal mesh

Welk

Carlson

Baverstock

et al. 2017

CUAJ

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Stress incontinence (SUI) and pelvic organ prolapse (POP) are common conditions. There is high-level evidence that midurethral mesh slings for stress incontinence are effective and safe; however, the rare but serious potential risks of this surgery must be discussed with the patient. The use of transvaginal mesh for prolapse repair does not appear to be supported by the current evidence, and its use should be restricted to specialized pelvic floor surgeons and specific clinical situations.

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Adverse events after first, single, mesh and non-mesh surgical procedures for stress urinary incontinence and pelvic organ prolapse in Scotland, 1997–2016: a population-based cohort study

Abstract: Background

Cited by 122 publications

References 22 publications

Updated Systematic Review and Meta-analysis of the Comparative Data on Colposuspensions, Pubovaginal Slings, and Midurethral Tapes in the Surgical Treatment of Female Stress Urinary Incontinence

Updated Systematic Review and Meta-analysis of the Comparative Data on Colposuspensions, Pubovaginal Slings, and Midurethral Tapes in the Surgical Treatment of Female Stress Urinary Incontinence

Leaking in silence: women with stress urinary incontinence who do not have access to or refuse surgery

Canadian Urological Association position statement on the use of transvaginal mesh

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