Mini–slings – an option in stress urinary incontinence treatment. Case studies

Abstract

IntroductionStress urinary incontinence (SUI) is a social disease caused by numerous contributing factors such as natural childbirth, obesity, hormonal deficiencies and changes in collagen fibers, to name a few. Currently, mini–slings, among all the surgical treatment methods, have gained significance. The aim of this study was to establish the effectiveness of this method.Material and methodsFrom 2008 to 2012, one hundred sixty women suffering from SUI underwent surgical procedures to implant mini–slings under the middle part of the urethra and 140 (87.5%) of them remained under observation. In 65 cases, Johnson & Johnson's TVT–Secur was used; in 70 cases, BARD's Adjust mini–sling was used; and in 5 cases, AMS Mini–Arc mini–sling was used. The average period of hospitalization was 3 days per admission, operation and discharge day.ResultsIn 82 cases, patients urinated well after the removal of the catheter, and had full urine continence. Fourteen patients showed great improvement, and in four cases temporary urine retention was observed. In two cases vaginal bleeding was observed, yet there was no need for wound revision. Evaluation of the ‘quality of life improvement’ was done using the Visual Analog Scale (VAS).ConclusionsThe obtained results allowed the conclusion that the implantation of mini–slings is a low invasive, relatively safe and effective procedure for the treatment of SUI even in cases of recurrence. Almost full recovery was achieved in all the cases of this study. The mini–sling has become an important element in modern urogynecology.

Is the Visual Analogue Scale inferior to the Pelvic Organ Prolapse Distress Inventory for assessing symptom bother of pelvic organ prolapse?

“…Not surprisingly, the VAS is increasingly used in urogynaecology both for assessment of symptom bother and for the evaluation of impact on quality of life. [15][16][17][18] The performance of individual POPDI items and of the POPDI-6 composite score for the prediction of POP does not seem to be superior to VAS. This is not unexpected given that most items either do not address symptoms specific to POP, affecting specificity (items one and two), or address symptoms not commonly experienced by women with POP in general, affecting sensitivity (items four to six).…”

The Effect of Pelvic Floor Muscle Training On Incontinence Problems After Radical Prostatectomy

“…Studies have reported a particularly high risk of prostate cancer in male subjects with elevated leptin hormone, insulin, and IGF-1 ( Nishimura et al, 2012 ; Sharma et al, 2014 ). Blewniewski, Markowski, Kliś, and Różański (2015) investigated stress urinary incontinence and obesity and reported that high BMI increases urinary incontinence ( Blewniewski et al, 2015 ). Matsushita et al (2015) investigated continence after RP and reported that high BMI has an adverse impact on continence ( Matsushita et al, 2015 ).…”

Urethral Mesh Assessment in Cancer Patients

“…The mesh should be free of any Some cancer patients tend to be followed up by CT, which is why it is necessary to recognize and assess the urethral mesh and, if necessary, refer for further MR evaluation. On non-contrast CT images, TVT and TOT meshes appear as thin, linear structures in the pelvis, with low attenuation due to their synthetic composition [20]. The mesh should be wellpositioned under the mid-urethra and extending towards anterior abdominal wall (TVT) or laterally through the obturator foramen (TOT).…”