Removal or Revision of Vaginal Mesh Used for the Treatment of Stress Urinary Incontinence

Welk, Blayne; Al-Hothi, Hana’a; Winick-Ng, Jennifer

doi:10.1001/jamasurg.2015.2590

Cited by 90 publications

(75 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It was therefore not possible to capture complications managed in outpatient or primary care settings, an issue other studies have also struggled to address. (29) We developed an inclusive code list designed to capture all immediate and later complications.…”

Section: Limitationsmentioning

confidence: 99%

“…(29) Currently available trials on surgical management of prolapse are generally small, of moderate quality at best, and provide information on short term outcomes only. (12,33) The available trial evidence suggests that vaginal mesh surgery for prolapse of the anterior compartment is more effective (in terms of objective repair of the compartment operated on) over the short term than similar non-mesh surgery, but is associated with a higher risk of subsequent development of prolapse of other compartments and/or incontinence.…”

Section: Interpretation In Light Of Other Evidencementioning

confidence: 99%

“…Welk (29) and Kelly(34) examined the incidence of repeat surgery for mesh complications/erosions following mesh surgery for incontinence and prolapse respectively using routinely available healthcare data on Ontario. The cumulative repeat surgery rate was found to be 3% and 5% by 10 years after index incontinence and prolapse procedures …”

Section: Interpretation In Light Of Other Evidencementioning

confidence: 99%

See 2 more Smart Citations

Adverse events after first, single, mesh and non-mesh surgical procedures for stress urinary incontinence and pelvic organ prolapse in Scotland, 1997–2016: a population-based cohort study

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Limitationsmentioning

confidence: 99%

Section: Interpretation In Light Of Other Evidencementioning

confidence: 99%

Section: Interpretation In Light Of Other Evidencementioning

confidence: 99%

See 1 more Smart Citation

Adverse events after first, single, mesh and non-mesh surgical procedures for stress urinary incontinence and pelvic organ prolapse in Scotland, 1997–2016: a population-based cohort study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…To give readers an idea of the denominator, Welk recently reviewed 59 887 patients who underwent SUI treatment with mesh during a 10-year period in Ontario alone. 8 In regards to medical negligence and MUS procedures, a provincial court recently found two doctors to be negligent when they perforated a patient's bowel during a tension-free vaginal tape procedure (TVT) to treat the patient's SUI. A staff urogynecologist and an obstetrics and gynecology resident performed the procedure.…”

Section: Canadian Content: Canadian Medical Protective Association Camentioning

confidence: 99%

Medicolegal basics and update on transvaginal mesh in Canada

Hengel

Welk

Baverstock

2017

CUAJ

Self Cite

View full text Add to dashboard Cite

In recent years, midurethral slings (MUS) and transvaginal mesh procedures have experienced blazing growth and popularity. However, the US Food and Drug Administration (FDA) and Health Canada regulatory advisories threw water on that fire and created a confusing environment surrounding their continued usage. MUS usage has continued in Canada and transvaginal mesh kits for pelvic organ prolapse have become a rarity. Several large organizations (the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction [SUFU], the American Urogynecologic Society [AUGS], and the Canadian Urological Association [CUA]) have developed “mesh statements” to clarify the issues surrounding mesh for patients and medical professionals; however, often the legal system sees things differently in either individual cases or class action lawsuits. In this update, some medicolegal basics are outlined and Canadian context on legal proceedings are highlighted. This summary does not constitute legal advice and physicians should contact experts in legal matters for help with consents, complaints, litigation, or questions.

show abstract

“…Inúmeros são os fatores de risco associados ao desenvolvimento da IU, destacando-se: o avançar da idade, multiparidade, fatores hereditários, menopausa, histerectomia, obesidade, tabagismo, doenças crônicas, constipação, entre outros (9) . Sabe-se que o tratamento para IU pode ser conservador (10) , cirúrgico (11) ou farmacológico (12) . Apesar de o procedimento cirúrgico ser recorrente, um estudo recente demonstrou que a incidência cumulativa de reoperação, após qualquer tratamento cirúrgico para IU foi de 10% (13) , não obstante, os resultados do tratamento medicamentoso são controversos (12) .…”

Section: Introductionunclassified

Eficácia Da Dinâmica De Grupo Em Educação Em Saúde Em Mulheres Com Incontinência Urinária

Kaestner¹,

Roza²,

Virtuoso³

et al. 2016

ACS

View full text Add to dashboard Cite

Conflito de interesses: Não Contribuição dos autores:KTK concepção e planejamento do projeto de pesquisa e obtenção dos dados. TDR redação e revisão crítica e interpretação dos dados. JFV análise e interpretação dos dados. SCTDL concepção e planejamento do projeto de pesquisa, redação e revisão crítica. Contato para correspondência: Thuane da Roza E-mail: thuaneroza@yahoo.com. AbstractIntroduction: Group dynamics is reported as a viable and cost-effective way to for promotion and health education among women. Objectives: Determine the level of knowledge about urinary incontinence among women who use the Public Health Network; verify the effectiveness of a health education protocol using group dynamics toward this population. Patients and Methods: We carried out a pilot study with application of a pre-and post-tests in six incontinent women. As a research instrument, we designed a health education and urinary incontinence questionnaires. We applied the questionnaires in late and immediate pre-and post-intervention periods. The meetings were based on an open group dynamics using lectures and recreational activities on topics related to urinary incontinence. Results: In the pre-intervention period, issues related to modifiable factors for the urinary incontinence treatment, as well as those related to the types of therapies used by physical therapists to treat incontinence of urine showed the highest percentage of error (83.3% of women). The participants showed a significant improvement in the level of knowledge regarding urinary incontinence from the pre-intervention moment to the immediate post-intervention moment (p = 0.005), as well as from the pre-intervention moment to the late post-intervention moment (p = 0.009). Conclusion: The present study showed that an open group dynamics using the proposed protocol was effective to improve the level of knowledge regarding urinary incontinence in women users of the Public Health Network in late and immediate post-intervention periods.

show abstract

Removal or Revision of Vaginal Mesh Used for the Treatment of Stress Urinary Incontinence

Cited by 90 publications

References 33 publications

Adverse events after first, single, mesh and non-mesh surgical procedures for stress urinary incontinence and pelvic organ prolapse in Scotland, 1997–2016: a population-based cohort study

Adverse events after first, single, mesh and non-mesh surgical procedures for stress urinary incontinence and pelvic organ prolapse in Scotland, 1997–2016: a population-based cohort study

Medicolegal basics and update on transvaginal mesh in Canada

Eficácia Da Dinâmica De Grupo Em Educação Em Saúde Em Mulheres Com Incontinência Urinária

Contact Info

Product

Resources

About