Double-sling procedure for the surgical management of stress urinary incontinence with concomitant anterior vaginal wall prolapse

Abstract

Double-sling procedure is feasible, efficient, and safe. Reducing the mesh size did not have a detrimental effect on the outcomes of SUI treatment and simultaneous AVWP repair.

Transobturator four arms mesh in the surgical management of stress urinary incontinence with cystocele

“…These data matched with our results as we had cure rate of 96% based on SUI sum, according to ICIQ-SF. Also, the anatomical success rate in our study was 96%, according to POP classification similar to that found in the study by Yonguc et al [20] which was 96% in medium term follow-up with double sling procedure. This outcome was better than that was found in another study [13] in which anatomical and subjective success rates were 87.5% and 92.1%, respectively.…”

“…[31,32] At follow-up visits 4 (8%) patients developed dyspareunia that was improved on local estrogen cream which was in accordance with the results of Palma et al [29] who used the Nazca-Tc mesh kit and the rate of dyspareunia in their study was reportedly 2.7%. In a study by Sharifiaghdas et al [13] 68.9% of the patients who were sexually active reported improvement in their sexual function after surgery and only 6.8% of them complained of worsening of dyspareunia, similarly Yonguc et al [20] reported that their 2 patients developed dyspareunia.…”

“…Likewise, no patient required blood transfusion as the mean blood loss was (83.6±62.7) mL which was in concordance with the study by Moez and Fethi. [23] In other studies performed by Moore et al [24] and Yonguc et al [20] one case in each study required blood transfusions. On the other hand, in a study by Sharifiaghdas et al [13] two patients had required one unit of blood postoperatively.…”

“…Blood transfusions during POP repair were required due to lateral vaginal wall dissection not related to the passage of the needle. [24] Vaginal mesh erosion is one of the most common complications after POP repair whose incidence rtates ranged from 4% to 30% [13,21,22,[25][26][27][28][29] while in the study done by Yonguc et al [20] any mesh erosion had not been observed. In our study, vaginal mesh erosion was observed in one patient (2%) that was improved on local estrogen cream without operative intervention.…”

Efficacy of anchoring the four-arm transvaginal mesh to the mid-urethra vs original surgery as a surgical correction for stress urine incontinence in coexisting anterior vaginal prolapse grades II and III: study protocol for a randomized controlled trial

“…Common complications include mesh extrusion, chronic pelvic pain, dyspareunia, and infection [ 7 – 10 ]. The anti-SUI efficacy of the prosthetic placement is barely 72–83% [ 11 – 13 ]; however, it is assumed that a combination of a synthetic mesh with the sling operation [ 5 , 14 – 16 ] will substantially increase the cure rate for concomitant SUI.…”