Comparative study of polyvinylidene fluoride and polypropylene suburethral slings in the treatment of female stress urinary incontinence

Sabadell, Jordi; Larrain, F; Gracia-Perez-Bonfils, Ana; Montero-Armengol, Anabel; Salicrú, Sabina; Poza, José Luis Lucena de la

doi:10.1111/jog.12899

Cited by 8 publications

(13 citation statements)

References 18 publications

(39 reference statements)

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“…The amount of foreign body reaction and the consequent mesh contraction 13,22 could explain some cases of de novo UUI. In addition, the overall rates of de novo UUI are similar to those described previously 15,23 . On the contrary, we have not found the differences in obstructive events observed previously, 15 nor in other complications.…”

Section: Discussionsupporting

confidence: 89%

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Polypropylene and polyvinylidene fluoride transobturator slings for the treatment of female stress urinary incontinence: 1‐Year outcomes from a multicentre randomized trial

Sabadell

Pereda-Núñez

Ojeda-de-Los-Santos

et al. 2020

Neurourology and Urodynamics

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Section: Discussionsupporting

confidence: 89%

“…In a previous descriptive clinical study we found similar effectiveness and complications with PP and PVDF slings, although more obstructive events were observed in the PP group 15 . However, to date there are no clinical trials comparing those materials in suburethral slings.…”

Section: Introductionsupporting

confidence: 50%

Polypropylene and polyvinylidene fluoride transobturator slings for the treatment of female stress urinary incontinence: 1‐Year outcomes from a multicentre randomized trial

Sabadell

Pereda-Núñez

Ojeda-de-Los-Santos

et al. 2020

Neurourology and Urodynamics

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“…There is a paucity of data in literature regarding the use of PVDF slings in urinary incontinence procedures. While Padilla-Fernandez et al reported less tolerance and less success rates of PVDF slings in TOT procedures (35), Sabadell et al demonstrated similar efficacy and safety of PVDF slings with polypropylene slings (36). Currently, there are no studies that compare PVDF with polypropylene SIS.…”

Section: Discussionmentioning

confidence: 99%

Long term outcomes of Burch colposuspension and transobturator tape and single incision needleless (DynaMesh ® - SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy

Akdemir

Dincer

Buyukuysal

et al. 2020

Preprint

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Background: Women with stress urinary incontinence (SUI) often require combined pelvic reconstructive surgeries because of shared risk factors of pelvic organ prolapse The purpose of this study is to evaluate the efficacies of Burch colposuspension, the transobturator tape (TOT), and single-incision needleless (DynaMesh®- SIS minor) procedures in patients with SUI who also underwent combined pelvic reconstructive surgery or hysterectomy. Methods: We performed this prospective cohort study that comprising 142 patients who either underwent Burch colposuspension (n:43), TOT(n:40), or SIS(n:39) procedures along with pelvic reconstructive surgery or hysterectomy between January 2010 and July 2018. During the clinical follow-up, we analyzed the objective and subjective cure rates, improvement rates, along with failure and surgical success rates of SUI surgery. We assessed quality of life and symptom severity by Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), Sandvik Severity Index (SSI), Surgical Satisfaction Questionnaire (SSQ-8), Overactive Bladder Questionnaire V8 (OAB-V8), and Patient Global Impression of Improvement (PGI-I) scale scores. The primary outcome was surgical success, which was established when there was an improvement in patients or when the patients achieved objective or subjective cure, whereas secondary outcomes included intraoperative bladder injury, sling extrusion, de novo urgency, voiding dysfunction, length of hospital stay, and patient-reported outcomes in the quality of life questionnaires. Results: Surgical success rates were higher in the Burch group than the SIS group and also higher in the TOT group than in the SIS group (88.4% vs 61.5% and 87.5% vs 61.5% respectively, p=0.003) The complaints of urinary incontinence were higher and quality of life was lower in the SIS group than in the Burch group. In terms of IIQ-7, UDI-6, OAB-V8, SSI, and SSQ-8 scores, no difference was observed between Burch and TOT groups, and TOT and SIS groups.Conclusions: Both Burch and TOT are safe and effective procedures in patients with SUI who require additional pelvic surgeries. Although the surgical outcomes of SIS procedure in patients with SUI who underwent concomitant pelvic surgeries in our study were not promising, further randomized studies are needed to clarify these observations due to unclear data.

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“…We resorted to PVDF because we already used it for a commonly associated procedure (rectopexy) and prolapse surgery . PVDF is also used for hernia repair and urinary slings . There are several theoretical advantages of PVDF over PP, yet comparative clinical data are scarce.…”

Section: Discussionmentioning

confidence: 99%

Medium‐term outcome of laparoscopic sacrocolpopexy using polivinylidene fluoride as compared to a hybrid polyglecaprone and polypropylene mesh: A matched control study

Callewaert

Housmans

Cattani

et al. 2019

Neurourology and Urodynamics

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Aim: To compare 2-year outcomes of laparoscopic sacrocolpopexy (LSCP) either with polyvinylidene fluoride (PVDF) or hybrid polypropylene containing a resorbable polyglecaprone (PP+ PG) mesh. Materials and methods: Retrospective audit on 105 consecutive patients undergoing LSCP a with PVDF-mesh (DynaMesh, FEG Textiltechniken), matched by prolapse stage and cervicopexy or vault suspension to 105 controls undergoing LSCP with a hybrid PP + PG-mesh (Ultrapro, Ethicon). Patients are part of an ongoing prospective study. The primary outcome measure was the Patient GlobalImpression of Change score (PGIC), the coprimary variable was failure rate at the vault (≤1 cm). Other outcomes were intraoperative and postoperative complications within 3 months categorized by the Clavien-Dindo classification, reinterventions, graft-related complications (GRCs) and functional outcomes. All assessments were performed by an independent assessor. Data are reported as median (interquartile range) number and percent as appropriate, the Mann-Whitney U, χ 2 , or Fisher exact were used for comparison. Results: Patient satisfaction in the PVDF group, as measured with the PGIC, was high (90.9% PGIC, ≥4) as well as was the anatomical success (97.3%) at a follow-up of 26 months. These outcomes were comparable to those of PP + PG-patients (84.8% PGIC, ≥4; 94.9% anatomical success). There were five patients (2.4%) with Dindo-III or higher complications and three patients had GRCs (1.5%), without differences between mesh type. Level-II posterior defects (Bp ≥ −1) were less likely in PVDF patients (34.1% vs 50% for PP + PG-patients; P = .003). Women in the PVDF group also were less bothered by prolapse (7.5% vs 26.4%; P = .001), yet they complained more of constipation (15.0% vs 9.0%; P = .01).Conclusion: There were no differences in patient satisfaction and anatomical outcomes after LSCP either with PVDF or PP + PG mesh. K E Y W O R D S laparoscopy, pelvic organ prolapse, sacrocolpopexy, vault prolapse

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Comparative study of polyvinylidene fluoride and polypropylene suburethral slings in the treatment of female stress urinary incontinence

Cited by 8 publications

References 18 publications

Polypropylene and polyvinylidene fluoride transobturator slings for the treatment of female stress urinary incontinence: 1‐Year outcomes from a multicentre randomized trial

Polypropylene and polyvinylidene fluoride transobturator slings for the treatment of female stress urinary incontinence: 1‐Year outcomes from a multicentre randomized trial

Long term outcomes of Burch colposuspension and transobturator tape and single incision needleless (DynaMesh ® - SIS minor) for the surgical treatment of female stress urinary incontinence patients who underwent combined pelvic reconstructive surgery or hysterectomy

Medium‐term outcome of laparoscopic sacrocolpopexy using polivinylidene fluoride as compared to a hybrid polyglecaprone and polypropylene mesh: A matched control study

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