Clinical outcomes on tension-releasing suture appendage on single-incision sling devices for postoperative voiding dysfunction involving undue tape tension

Lo, Tsia‐Shu; Chua, Sandy; Tseng, Ling-Hong; Long, Cheng‐Yu; Kao, Chuan-Chi; Hsieh, Wu‐Chiao

doi:10.1007/s00192-018-3826-9

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…The inferiority of this outcome may have resulted from the high-resistance properties of the AJUST procedure when compared to TVT-O and TVT [24,25]. Lo et al also reported difficulty while trying to loosen the AJUST sling postoperatively [18].…”

Section: Discussionmentioning

confidence: 99%

“…Initial conservative management includes catheterization, pharmacotherapy, and addressing circumstantial factors (e.g., pain) interfering with normal voiding [6][7][8][9][10]. Various sling loosening procedures performed at a short interval were reported to resolve the problem, and have been associated with minimal morbidity [10,[16][17][18]. For refractory cases, sling revision with incision, excision of slings or extensive urethra-lysis are usually effective; however, these methods have been associated with risk of recurrent SUI in 9-61% of cases [6][7][8][9][10]13,19,20].…”

Section: Introductionmentioning

confidence: 99%

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Continence Is Not Affected after Sling Revision with Transvaginal Tape Elongation for Post-Sling Voiding Dysfunction

Tsai,

Liu,

Yang

et al. 2024

JCM

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Voiding dysfunction (VD) after sling operation is not uncommon. Sling revisions by incision/excision are usually effective; however, they may result in recurrent stress urinary incontinence (SUI). We aimed to evaluate continence status after an innovative sling revision procedure that preserves the integrity of the sling. Patients who underwent either a single-incision (AJUST) or a trans-obturator (TVT-O) mid-urethral sling were studied. Transvaginal tape elongation (i.e., sling midline incision and mesh interposition) was performed on patients with post-sling VD. Factors that may affect recurrent SUI were investigated by statistical analyses. Of 119 patients, 90 (75.6%) (45 AJUST and 45 TVT-O) were available for long-term (median 9; 8–10 years) follow-up. A significantly higher rate (17.2% vs. 3.3%, p = 0.014) of VD was noted after AJUST (N = 10) than after TVT-O (N = 2). After sling revision, four (33%) of the 12 cases reported recurrent SUI, which was not significantly different (p = 1.000) from the rate (37%, 29/78) of patients who did not undergo sling revision. Further statistical analyses revealed no significant predisposing factors affecting the recurrence of SUI. Surgical continence did not seem to be affected by having had sling revision with transvaginal tape elongation for post-sling VD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Continence Is Not Affected after Sling Revision with Transvaginal Tape Elongation for Post-Sling Voiding Dysfunction

Tsai,

Liu,

Yang

et al. 2024

JCM

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“…Lenz et al suggested that the high cure rate of the Solyx single-incision sling is primarily related to the more substantial grip and optimal placement of the obturator internus muscle provided by the automatic anchor bolt [21]. A previous study also demonstrated that the SolyxTM singleincision sling provides greater tension than the Mini-Arc and Ajust sling [22].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Efficacy of SolyxTM Single Incision Sling and TO-TVT for Female Stress Urinary Incontinence

Raj

Xue

et al. 2022

Preprint

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Introduction To compare the efficacy, safety, and complications of the trans-obturator mid-urethral sling (TO-TVT) and SolyxTM single-incision sling for treatment of female SUIMethods The clinical data of 92 patients who underwent urinary incontinence surgery in the Affiliated Hospital of Xuzhou Medical University were retrospectively analyzed. The groups were divided on surgical techniques such as TO-TVT and the Solyx single-incision sling groups. Preoperative evaluation included patient's history, urodynamic evaluation, clinical examination results, I-QOL, and UDI-6 scores. The operative time, intraoperative blood loss, complications, and hospital stay were recorded. At six months follow-up, the patient was re-evaluated for I-QOL, UDI-6 scores, and urodynamics and clinical examinations. The PGI-I questionnaire assessed subjective cure rates at six months postoperatively. Results Patients in the TO-TVT and Solyx single-incision sling groups had similar subject cure rates six months after surgery. There was no statistical significance in intraoperative blood loss, length of hospital stay, I-QOL and UDI-6 scores between the two groups except for operation time .There was no significant difference in the incidence of intraoperative and postoperative complications between the two groups.Conclusion In terms of the effect and complications, the TO-TVT is similar to SolyxTM single incision sling. Nevertheless, SolyxTM single incision sling is shorter in operation time, more minimally invasive, and has a definite curative effect worthy of clinical promotion.

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Ultrasonography and clinical outcomes following anti-incontinence procedures (Solyx™ tape): a 3-year post-operative review

Lo¹,

Hsieh³

et al. 2021

Int Urogynecol J

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Clinical outcomes on tension-releasing suture appendage on single-incision sling devices for postoperative voiding dysfunction involving undue tape tension

Cited by 5 publications

References 18 publications

Continence Is Not Affected after Sling Revision with Transvaginal Tape Elongation for Post-Sling Voiding Dysfunction

Continence Is Not Affected after Sling Revision with Transvaginal Tape Elongation for Post-Sling Voiding Dysfunction

Comparison of Efficacy of SolyxTM Single Incision Sling and TO-TVT for Female Stress Urinary Incontinence

Ultrasonography and clinical outcomes following anti-incontinence procedures (Solyx™ tape): a 3-year post-operative review

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