Rapid Communication: Externally Readjustable Device to Regulate Sling Tension in Stress Urinary Incontinence: Preliminary Results

Sousa-Escandón, Alejandro; Grille, J. Lema; Gómez, José Ignacio Rodríguez; Tallón, L Ríos; González, Carlos Uribarri; Marqués-Queimadelos, Antonio

doi:10.1089/089277903769013702

Cited by 13 publications

(11 citation statements)

References 28 publications

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“…low complication rates; however, they still cause problems due to either an excess or a lack of tension that produces voiding difficulties or urinary leakage persistence, respectively [4] .…”

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confidence: 99%

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Sharifiaghdas

Mortazavi²

2008

Med Princ Pract

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Objectives: To compare two different procedures, tension-free vaginal tape (TVT) and autologous rectus fascia sling, according to their medium-term subjective and objective outcomes and satisfaction rates in the treatment of urinary stress incontinence in women. Subjects and Methods: One hundred women with type II urinary stress incontinence were randomized to be treated with either TVT or autologous rectus fascia sling. They were evaluated by means of a cough-induced stress test, 1-hour pad test, Incontinence Impact Questionnaire (IIQ), and urodynamic study. They were reevaluated postoperatively every 6 months, and the collected data of more than 1 year’s follow-up were compared with preoperative assessments. Results: All patients completed the full 6-month postoperative assessment. However, of the 100 patients, only 61 (25 in the TVT and 36 in the sling group) were followed for more than 1 year. Mean follow-up time was 38.5 and 40 months in the TVT and sling group, respectively. Objective cure was achieved in 22 (88%) of the TVT group and in 30 (83%) of the sling group (p = 0.78) using a cough-induced stress test, and in 76 and 75% of the women in the TVT versus sling group (p = 0.83), respectively, using a 1-hour pad test. Postoperative mean IIQ scores were 44.3 (range 35.5–61.5) and 48.5 (range 38.5–69.7) in the TVT versus sling group (p = 0.46). Five (20%) and 11 (30%) of the TVT and sling group, respectively, reported some changes in the voiding pattern or posture at more than 1 year’s follow-up. Conclusion: There is no significant difference between the TVT and autologous rectus fascia sling procedures in the treatment of urinary stress incontinence at medium-term follow-up. There were changes in the voiding pattern for patients in both groups at more than 1 year postoperatively, which were not evident at early follow-up.

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confidence: 99%

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Sharifiaghdas

Mortazavi²

2008

Med Princ Pract

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“…A total of 6 studies were conducted in a multicenter setting. Thirteen of the studies described were published in peer reviewed journals; the other studies were either unpublished or not publicly available (Tables 2, 3) [1,[9][10][11][12][13][14][15][16][17][18][19]. Two studies were orally presented at an international conference.…”

Section: Resultsmentioning

confidence: 99%

The introduction of mid-urethral slings: an evaluation of literature

et al. 2014

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“…Early reports from the literature [26] on the Remeex procedure showed a subjective success rate of 90%. The most common postoperative complication is de novo overactive bladder (4.7-12.5%); wound infections (3.5%) and vaginal erosion (0.8%) are also reported.…”

Section: Discussionmentioning

confidence: 99%

Readjustable Sling Procedure for the Treatment of Female Stress Urinary Incontinence with Intrinsic Sphincter Deficiency: Preliminary Report

Yoo

Noh

2010

Korean J Urol

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PurposeThe Remeex (Mechanical External Regulation) sling is a mid-urethral sling that allows adjustment of the sling tension in the postoperative period. We evaluated the early outcomes of the procedure in patients in whom the success rate of tension-free slings is low, such as with intrinsic sphincter deficiency (ISD).Materials and MethodsWe included 17 women with urodynamically proven stress urinary incontinence (SUI) who underwent the Remeex procedure and were followed for at least 12 months. The patients were considered to have ISD on the basis of a Valsalva leak point pressure (VLPP) <60 cmH2O or a maximum urethral closure pressure (MUCP) <20 cmH2O. We analyzed parameters including history taking, urodynamic study (UDS), and postoperative clinical outcomes. Patient's success and satisfaction rates were evaluated after the procedure. Also, we asked about lower urinary tract symptoms (LUTSs) with a questionnaire, and the severity of LUTSs was assessed with the Visual Analog Scale (VAS) before and 12 months after the operation.ResultsThe patients' mean age was 55.6±9.58 years. Four (23.5%) patients had mixed incontinence. Five patients (29.4%) had undergone previous surgery for SUI. At a mean follow-up of 13.3 months (range, 12-16 months), 14 patients (82.3%) were cured and 3 patients (17.6%) were improved. Four patients (23.5%) answered very satisfied and 13 patients (76.4%) answered satisfied on the satisfaction questionnaire. Also, LUTSs were improved except voiding pain (p<0.05).ConclusionsThis procedure provides high cure and satisfaction rates. Our results demonstrate that the Remeex procedure is suitable for women with SUI with ISD.

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Rapid Communication: Externally Readjustable Device to Regulate Sling Tension in Stress Urinary Incontinence: Preliminary Results

Abstract: This new minimally invasive treatment allows readjustment of sling tension at the immediate or mid-term postoperative period. It is applicable to primary and recurrent SUI and has shown encouraging results.

Cited by 13 publications

References 28 publications

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

The introduction of mid-urethral slings: an evaluation of literature

Readjustable Sling Procedure for the Treatment of Female Stress Urinary Incontinence with Intrinsic Sphincter Deficiency: Preliminary Report

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