Long-Term Durability of the Distal Urethral Polypropylene Sling for the Treatment of Stress Urinary Incontinence: Minimum 11-Year Followup

Rogo-Gupta, Lisa; Baxter, Z. Chad; Le, Ngoc Bich; Raz, Shlomo; Rodríguez, Larissa V.

doi:10.1016/j.juro.2012.07.033

Cited by 9 publications

(5 citation statements)

References 31 publications

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“…Several surgical techniques have been used historically, but mesh slings have gained worldwide acceptance since it is highly effective, technically easy and with low complication rates. The TO sling technique has high success rates whereas offering low complications rates ( 7 , 13 ).…”

Section: Discussionmentioning

confidence: 99%

“…Cure rates after sling surgery vary in the literature from 70 to 100% and are influenced by several factors such as technique modifications, incontinence severity, parity, surgeon's experience, diversity of patients and subjective criteria, which make it difficult to compare results ( 6 ). With polypropylene slings, a 80% efficiency rate in the first five years and 63% after 11 years of follow-up have been demonstrated ( 13 ). For TO slings, Sivasglioglu et al have demonstrated a cure rate of 85% after five years of follow-up ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

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Functional outcomes and quality of life after transobturatory slings: hand - made vs. commercial slings

et al. 2018

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Surgical correction is the most efficient treatment for stress urinary incontinence (SUI), and transobturator sling (TO) has optimal results. The high cost of commercially available sling kits makes it difficult the access in most Brazilian public health services. Hand-made polypropylene slings, on the other hand, have been previously reported. The aim of the present study was to compare the effectiveness and safety of commercial vs. hand-made polypropylene mesh slings.Data from 57 women who underwent consecutive TO sling surgery to treat SUI were pros- pectively collected between 2012 and 2014, and divided in two groups for further compa- rison. In Group-1, 31 women underwent surgery with commercial slings. In Group-2, 26 women underwent hand-made polypropylene slings. Women were compared according to epidemiological data, perioperative evaluation, quality of life, urodynamic study, cure and complication rates. Results were objectively (stress test with Valsalva maneuver, with at least 200mL vesical repletion) and subjectively evaluated by the Patient Global Impression of Improvement(PGI-I), Visual Analog Scale (VAS) and ICIQ-SF. Success was defined as PGI-I, VAS and negative stress test.Group-1 (n=31) and Group-2 (n=26) had a mean age of 60 vs. 58years (p=0.386). All de- mographic data were similar. The mean VLPP was 75.6cmH2O vs. 76.6cmH2O (p=0.88). The mean follow-up was 24.3 vs. 21.5months (p=0.96). Success rates were 74.2% vs. 80.2% (p=0.556), with ICIQ-SF variation of 12.6 vs.15.5 (p=0.139) and PGI-I of 71% vs. 80% (p=0.225). There was only one major complication (urethrovaginal fistula in Group-1). In conclusion, handmade and commercial slings have similar effectiveness and safety. The manufacture technique has important key-points stated in the present manuscript.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Functional outcomes and quality of life after transobturatory slings: hand - made vs. commercial slings

et al. 2018

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“…Different practitioners may keep TVT patients overnight, thus skewing some of the cost assumptions. Another potential limitation with respect to the analysis lies with practitioners who use their own hand‐cut mesh to create a TVT ; this would decrease the cost of the TVT device to below that of the base‐case analysis considered in this study. This variation in cost was addressed with the one‐way sensitivity analysis reported above.…”

Section: Discussionmentioning

confidence: 99%

Cost‐effectiveness analysis of tension‐free vaginal tape vs burch colposuspension for female stress urinary incontinence in the USA

et al. 2013

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Objective• To compare the cost-effectiveness (CE) of tension-free vaginal tape (TVT) with that of burch colposuspension (BC) for the treatment of female stress urinary incontinence (SUI). Materials and Methods• A Markov-chain decision model was created to simulate treatment of SUI with TVT or BC using Treeage Pro 2011 software (Treeage Software Inc., Williamstown, MA, USA).• Costing data were obtained from the Medicare Resource-Based Relative Value Scale. • Data regarding the success of TVT vs BC were obtained from the peer-reviewed literature, as were corresponding utilities for different continence states.• The CE of each procedure was calculated and compared, and sensitivity analyses were performed. Results• At 10-year follow-up, TVT was more cost-effective (CE = $1495/quality-adjusted life year [QALY]) than BC (CE = $1824/QALY).• Sensitivity analysis showed that TVT was more costeffective than BC if the cost of the TVT device was <$3220.• If the probability of success after TVT was <42%, then BC became the more cost-effective strategy (CE = $1827/QALY). Conclusion• Our study showed that TVT was more cost-effective than BC as a treatment for female SUI.• Both cost of TVT device and efficacy of the procedure affect the CE analysis.

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“…103 The midurethral sling is the most studied procedure for SUI, and many studies have shown durability, efficacy, and improvement of quality of life. 104 Although uncommon, when mesh complications such as urinary tract erosion occur or when chronic pain develops, these side effects can be difficult to manage.…”

Section: Prevention and Therapeutic Strategies For Lut Dysfunctionmentioning

confidence: 99%

Expert Panel Recommendations on Lower Urinary Tract Health of Women Across Their Life Span

Losada¹,

Amundsen

Ashton‐Miller

et al. 2016

Journal of Women's Health

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Urologic and kidney problems are common in women across their life span and affect their daily life, including physical activity, sexual relations, social life, and future health. Urological health in women is still understudied and the underlying mechanisms of female urological dysfunctions are not fully understood. The Society for Women's Health Research (SWHR®) recognized the need to have a roundtable discussion where researchers and clinicians would define the current state of knowledge, gaps, and recommendations for future research directions to transform women's urological health. This report summarizes the discussions, which focused on epidemiology, clinical presentation, basic science, prevention strategies, and efficacy of current therapies. Experts around the table agreed on a set of research, education, and policy recommendations that have the potential to dramatically increase awareness and improve women's urological health at all stages of life.

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Long-Term Durability of the Distal Urethral Polypropylene Sling for the Treatment of Stress Urinary Incontinence: Minimum 11-Year Followup

Cited by 9 publications

References 31 publications

Functional outcomes and quality of life after transobturatory slings: hand - made vs. commercial slings

Functional outcomes and quality of life after transobturatory slings: hand - made vs. commercial slings

Cost‐effectiveness analysis of tension‐free vaginal tape vs burch colposuspension for female stress urinary incontinence in the USA

Expert Panel Recommendations on Lower Urinary Tract Health of Women Across Their Life Span

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