Complications érosives des bandelettes sous-urétrales (BSU) : 10ans d’expérience chirurgicale

Forzini, T.; Viart, L.; Saint, F.

doi:10.1016/j.purol.2014.12.007

Cited by 18 publications

(8 citation statements)

References 29 publications

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“…Tape extrusion is another common complication seen. [ 28 ] It has been reported to occur even up to 18 months postsurgery. [ 23 ] Tape extrusion was seen in one (1.49%) patient in our series.…”

Section: Discussionmentioning

confidence: 99%

A study of transobturator tape in stress urinary incontinence

et al. 2017

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Background:Stress urinary incontinence (SUI) is commonly encountered in gynecological practice. Nowadays, midurethral sling surgeries in the form of transobturator tape (TOT) surgery are recommended in its treatment.Aims and Objectives:To assess the outcome and patient satisfaction of TOT surgery in the treatment of SUI.Materials and Methods:A prospective study was undertaken for patients of SUI who underwent TOT surgery by the outside in method and followed up for 5 years. The patients were assessed clinically and by the Patient Global Impression of Improvement (PGI-I) preoperatively and at postoperative day 3, discharge and 3 months follow-up.Results:Successful surgical treatment with TOT was seen in all patients at the time of discharge. There was no recurrence of SUI seen up to 1 year, but at 5-year follow-up two patients had a recurrence of SUI on examination though they did not complain of SUI. Urinary retention, tape extrusion, and groin stitch infection were the commonly seen complications following surgery. On subjective assessment, 61 patients were completely satisfied at day 3, and all patients were completely satisfied at discharge and 3 months follow-up as per the PGI-I score.Conclusion:TOT gives an excellent outcome in the treatment of SUI.

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Section: Discussionmentioning

confidence: 99%

A study of transobturator tape in stress urinary incontinence

et al. 2017

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“…Overall, 23 14–23,25–27,30–32,36,38–41,47,48 single-group studies that evaluated partial mesh removal, four 3,44–46 single-group studies that looked at total mesh removal, and four comparative studies support an association between improvement in lower urinary tract symptoms after surgery, regardless of mesh removal amount.…”

Section: Resultsmentioning

confidence: 95%

“…Of the 35 single-group studies that report partial mesh removal surgeries, 14–41 nine assessed the outcomes of sling transection 15–17,19,20,24,28,31,32 and four studied mesh mobilization. 27,29,39,42 The five total mesh removal studies 3,43–46 looked at a combination of retropubic and transobturator slings, with the exception of Coskun, 42 who report only on mini-slings.…”

Section: Resultsmentioning

confidence: 99%

Surgical Removal of Midurethral Sling in Women Undergoing Surgery for Presumed Mesh-Related Complications

Doyle

Grimes

Balk

et al. 2022

Obstetrics &Amp; Gynecology

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To assess whether some, or all, of the mesh needs to be removed when a midurethral sling is removed for complications.DATA SOURCES: A systematic review and meta-analysis was conducted. MEDLINE, Cochrane, and ClinicalTrials. gov databases from January 1, 1996, through May 1, 2021, were searched for articles that met the eligibility criteria with total, partial, or a combination of anti-incontinence mesh removal. METHODS OF STUDY SELECTION:All study designs were included (N$10), and a priori criteria were used for acceptance standards. Studies were extracted for demographics, operative outcomes, and adverse events. Meta-analysis was performed when possible.

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“…Vaginal tape erosion without other problems can be treated in a conservative way, such as prointravaginal estrogen administration [5,11]. When conservative treatments fail, partial or complete tape removal is recommended [5,11,12]. For the correction of recurrent SUI, retropubic TVT tape is recommended for high priority with encouraging success [13].…”

Section: Discussionmentioning

confidence: 99%

Case report of vaginal erosion and recurrence of stress urinary incontinence due to shallow placement of tension-free vaginal tape

Huang

2022

BMC Urol

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Background Suburethral sling with tension-free vaginal tape (TVT) has become a popular treatment for stress urinary incontinence (SUI). Erosion of the tape into the vaginal is rare. Very few patients present with vaginal tape erosion and recurrence of SUI. Case presentation A 49-year-old female patient with stress urinary incontinence was treated with a retropubic suburethral TVT sling. 2 months later, recurrent symptoms of SUI developed. 6 months later, the patient complained of repeated vaginal discharge and foreign body sensation. Body physical examination revealed a 1-cm-long tape extrusion at the left anterior vaginal wall beside the midline. Cystourethroscopy revealed no urethral mesh erosion. Surgical removal of the extrusion tape revealed that the left arm of the tape was in the vaginal mucosa layer rather than between the whole thickness of the vaginal mucosa and urethral. The tape around the urethral was dissected and removed. A new retropubic tape was placed simultaneously. At the 8-months follow-up after surgery, the patient was continent without tape vaginal exposure. Conclusions Vaginal mesh erosion should be considered in a patient who presents with sustained vaginal discharge after being treated with a suburethral sling. It is important to place the tape between the whole thickness of the vaginal mucosa and the urethral in SUI surgery. A shallow placement of the tape may lead to vaginal tape erosion and recurrence of SUI. These complications can be avoided by following the correct manipulation procedure and referring to the tissue layer anatomy.

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Complications érosives des bandelettes sous-urétrales (BSU) : 10ans d’expérience chirurgicale

Cited by 18 publications

References 29 publications

A study of transobturator tape in stress urinary incontinence

A study of transobturator tape in stress urinary incontinence

Surgical Removal of Midurethral Sling in Women Undergoing Surgery for Presumed Mesh-Related Complications

Case report of vaginal erosion and recurrence of stress urinary incontinence due to shallow placement of tension-free vaginal tape

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