Autologous and synthetic urethral slings for female incontinence

Tension-free vaginal tape versus tension-free vaginal tape obturator (inside-outside) in the surgical treatment of female stress urinary incontinence

“…The TVT procedure is more safe and effective surgical treatment of female stress urinary incontinence showing good effectiveness (18)(19)(20)(21)(22), but the TVT procedure is associated with various perioperative complications (23)(24)(25)(26).…”

“…Several suburethral tape insertion procedures such as tension-free transobturator tape (TOT) either from outside to inside or inside to outside have been described (2,26,27). One retrospective comparative study investigating retropubic and outside-in transobturator sling demonstrated that these procedures were equally efficacious to treat female stress urinary incontinence with a cure rate of 90% and 84% for TOT and TVT, respectively (3).…”

The pubovaginal sling: Reintroducing an old friend

“…Biological and synthetic graft materials are used primarily to reduce operative time, morbidity, pain, and hospital stay. 9 The risk of transmitting disease or infection from allograft or xenograft is extremely low.…”

“…9 De novo urgency and urgency incontinence ranged from 2-20%. 9 Patients with de novo or worsening storage symptoms should be managed with overactive bladder therapy and followed closely to determine if they resolve or persist.…”

“…9 De novo urgency and urgency incontinence ranged from 2-20%. 9 Patients with de novo or worsening storage symptoms should be managed with overactive bladder therapy and followed closely to determine if they resolve or persist. In cases of de novo or worsening storage symptoms either initially or in the early postoperative period, bladder outlet obstruction from the sling being too tight must be considered.…”