Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs. multifilament polypropylene tape

Prien-Larsen, Jens Christian; Hemmingsen, Lars

doi:10.1007/s00192-009-0844-7

Cited by 14 publications

(12 citation statements)

References 25 publications

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“…Meshes out of multifilaments were not tested according to their higher rate of complications. 18,19 The analyzed anchors are MiniArc V R [MA] from AMS and PelFix [PF] from FEG Textiltechnik. Both comply to the standards set by the ICS/IUGA 2010.…”

Section: Anchoring Systemsmentioning

confidence: 99%

New measurements to compare soft tissue anchoring systems in pelvic floor surgery

et al. 2012

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Suburethral slings as well as different meshes are widely used treating stress urinary incontinence and prolaps in women. With the development of MiniSlings and special meshes using less alloplastic material anchorage systems become more important to keep devices in place and to put some tension especially on the MiniSlings. To date, there are many different systems of MiniSlings of different companies on the market which differ in the structure of the used meshes and anchors. A new objective measurement method to compare different properties of MiniSling systems (mesh and anchor) is presented in this article. Ballistic gelatine acts as soft tissue surrogate. Significant differences in parameters like pull-out strength of anchors or shrinkage of meshes under loading conditions have been determined. The form and size of the anchors as well as the structural stability of the meshes are decisive for a proper integration. The tested anchorings sytems showed markedly different mechanical function at their respective load bearing capacity. As the stable fixation of the device in tissue is a prerequisite for a permanet reinforcement, the proposed test system permits further optimisation of anchor and mesh devices to improve the success of the surgical treatment.

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Section: Anchoring Systemsmentioning

confidence: 99%

New measurements to compare soft tissue anchoring systems in pelvic floor surgery

et al. 2012

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“…It uses a type III multifilament polypropylene tension-free tape to create an artificial uterosacral neoligament thus anchoring the apex of the prolapsed vaginal vault 1. Cure rates show wide variation, being reported to be between 71% and 91% 2–4. Likewise complication rates show great variability.…”

Section: Discussionmentioning

confidence: 99%

“…Although reports of fistula formation following this procedure are rare, several different types have been reported, including rectovaginal,5 urethral-vaginal2 and ischiorecto-vaginal 6. Only a few cases of gluteo-vaginal fistulas have been described.…”

Section: Discussionmentioning

confidence: 99%

Gluteo-vaginal fistula: a long-term complication of posterior intravaginal slingplasty

Sivarajah

Bello²,

Yiu³

et al. 2011

Case Reports

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A 67-year-old lady presented to the surgical outpatient clinic with a 4 month history of recurrent purulent discharge from her left buttock. Four years and 4 months prior to this she underwent a posterior intravaginal slingoplasty for vaginal prolapse and urinary stress incontinence. An MRI demonstrated a long gluteo-vaginal fi stula tract from the posterior wall of the vaginal vault through the left ischiorectal fossa to the skin. An examination under anaesthesia revealed that the fi stulous tract was surrounding the intact mesh used for the posterior intravaginal slingoplasty. The mesh was removed, the fi stula tract excised and the perineal wound marsupialised. The patient was discharged 5 days later. The wound healed within 4 weeks and she remains sepsis free 2 years on.

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“…Midurethral tape operations have revolutionized the treatment of female stress urinary incontinence; however, the intravaginal slingplasty (IVS) operation has been abandoned as it frequently caused vaginal erosions and infections due to the multifilament polypropylene tape [1][2][3]. Despite the fact that nowadays only monofilament slings are used, previously inserted multifilament slings remain a clinical problem.…”

Section: Introductionmentioning

confidence: 99%

Abdominovaginal fistula after incomplete removal of an intravaginal slingplasty

2014

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Long-term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs. multifilament polypropylene tape

Cited by 14 publications

References 25 publications

New measurements to compare soft tissue anchoring systems in pelvic floor surgery

New measurements to compare soft tissue anchoring systems in pelvic floor surgery

Gluteo-vaginal fistula: a long-term complication of posterior intravaginal slingplasty

Abdominovaginal fistula after incomplete removal of an intravaginal slingplasty

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