Impact of concomitant anterior vaginal reconstructive surgery on transobturator suburethral tape procedures

Abstract

Objective

Influence of anterior vaginal mesh with concomitant mid‐urethral sling surgery on stress urinary incontinence: clinical and sonographic outcome

“…The objective and subjective cure of SUI was 90.0% versus 86.0% and 78.9% versus 80%, respectively. This study showed consistent short‐term outcomes with other studies who had SSF with TOT either with AC or in combination with TVM although the study by Huang et al . (2012) only reported 3 months of follow‐up.…”

“…reported that concomitant prolapse surgery decreased the likelihood of surgical failure after MUS (OR, 0.6). Huang et al . on the other hand, reported similar short‐term postoperative SUI rates, SUI severity and SUI‐related QoL scores among women who had received TOT procedures in isolation or in combination with either anterior colporrhaphy or TVM procedures.…”

“…Sample size was based on the study of Huang et al ,. urethral kinking rate in the AVM group was 60% and in the group without mesh was 30%.…”

Ultrasonographic Assessment with Three-Dimensional Mode of the Urethral Compression Effect following Sling Surgery with and without Mesh Surgery

“…Consistent with the findings of Huang et al [21], the success rate of treating SUI was comparable in the sling and sling and transvaginal mesh groups, although in ultrasound findings there was a higher incidence of proximal urethral compression from rest to straining in the women who only underwent sling surgery. We also found that a lesser compressive effect was detected in the short axis of the proximal urethra in the failed treatment group compared to the successful treatment group.…”

Mesh in prolapse surgery: an imaging perspective

“…Initially there was some concern about simultaneous insertion, especially if both implants use a transobturator path. However, there are generally no technical difficulties, and the two different procedures (suburethral sling and anterior compartment mesh) seem to have very little, if any, effect on each other, as shown in a paper published in this issue of the journal. The only exception seems to be cases where both mesh and sling are inserted through the same anterior vaginal incision, which can either be deliberate or a result of inadvertent extension of one incision to the other.…”