Self-created transobturator tape treatment of stress urinary incontinence without prior urodynamic investigation

Ignjatović, Ivan; Potic, Milan; Bašić, Dragoslav; Dinić, Ljubomir; Medojevic, N.; Laketić, Darko; Skakic, A.; Mihajlović, M

doi:10.1016/j.ejogrb.2014.08.030

Cited by 4 publications

(6 citation statements)

References 29 publications

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“…Loss of follow-up in the study (37%) may have been seen as an inherent limitation, but similar rates have been previously reported by Kuprasertkul and Zimmern, who demonstrated rates of loss ranging from 10 to 49% over 10 years follow-up (19). A limited number of publications have studied Safyre™ and all of them used a transobturator approach, with bladder perforation rates varying between 0 -4.2% (1,9,10). Risk factors for bladder injury in this context may include previous pelvic surgeries (cesarean section, colposuspension, rectocele), inexperienced surgeons, local anesthesia, younger patient age and lower body mass index (BMI) (4,20).…”

Section: Discussionsupporting

confidence: 70%

“…The HMS was performed with a standardized technique by cutting a 80mm long and 15mm wide rectangle from monofilament and macroporous polypropylene mesh (Parietene™ Standard -Medtronic, Minneapolis, USA) 75g/m2, attached with polyglycolic acid sutures at its edges (10), and using a resterilized Safyre™ needle. The 15mm-wide cut had the objective of leaving the mesh edge with complete braiding, and without denting, to maintain its integrity and reduce tissue damage during its traction.…”

Section: Methodsmentioning

confidence: 99%

“…However, commercial kits can be expensive, especially in developing countries, restricting their access, particularly in the public health system (8)(9)(10)(11)(12). Therefore, low-cost hand-made synthetic slings (HMS) have been proposed as an alternative to expand their access (8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

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Incontinence outcomes in women undergoing retropubic mid-urethral sling: a retrospective cohort study comparing Safyre™ and handmade sling

et al. 2022

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Purpose: This study examined and compared efficacy, safety, satisfaction, and complications of the retropubic Safyre™ sling and a retropubic hand-made synthetic sling (HMS) in a short-, mid-and long-term follow-up. Methods: We retrospectively reviewed a prospectively maintained database of women who underwent Safyre™ or HMS between March 7 ths 2005 and December 27 ths , 2017. Patients had first assessment (7-10 days), second (40-45 days), and third (sixth month) postoperatively. Between September and December 2018, patients who completed at least one year of surgery, received a telephone call. Follow-up compared quartiles of follow-up time to determine complications (Clavien-Dindo), success rates (International Consultation on Incontinence Modular Questionnaire for Urinary Incontinence Short Form -ICIQ-UI SF), and patient satisfaction. Results: Three hundred fifty-one patients underwent surgery and 221 (63%) were evaluated after a median of 78.47 (± 38.69) months, 125 (55%) in the HMS, and 96 (45%) in the Safyre™ group. Higher intraoperative bladder injury was observed with Safyre™ (0% vs. 4.2%, p=0.034), and a tendency for urinary retention, requiring indwelling urinary catheter over 24 hours (2.4% vs. 8.3%, p=0.061). Both HMS (p<0.001) and Safyre™ (p<0.001) presented improvements on ICIQ-UI SF. There were no differences in satisfaction, subjective cure rates, ICIQ-UI SF, or complications between groups. Conclusions: Both HMS and Safyre™ have similar satisfaction and subjective cure rates, with marked ICIQ-UI SF score improvement. Higher rates of intraoperative bladder injury were seen in patients who received Safyre™ retropubic sling.

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Section: Discussionsupporting

confidence: 70%

Section: Methodsmentioning

confidence: 99%

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Incontinence outcomes in women undergoing retropubic mid-urethral sling: a retrospective cohort study comparing Safyre™ and handmade sling

et al. 2022

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“…Our vaginal extrusion is only one (2.9%) in the acceptable range in the literature. Ignjatovic and colleagues used self-created and commercial slings in 67 and 47 patients, respectively [24]. They reported vaginal extrusion in 1.4% and 4.2% of the self-created and commercial groups, respectively.…”

Section: Success Of Custommade Transobturator Slingsmentioning

confidence: 99%

Success of Custommade Transobturator Slings Prepared From Conventional Polypropylene Mesh in the Treatment of Stress Urinary Incontinence in Women

et al. 2020

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Objective: To observe the outcome of the transobturator tape, using custommade slings prepared from conventional polypropylene mesh in women in management of SUI. Materials and Methods: This prospective observational study was carried out from June 2010 to April 2015 among 35 patients who underwent the TOT procedure using handmade (polypropylene monofilament) slings; and complete at least the 12 month follow up period. Medical history, demographic characteristics, body mass indexes (BMI), menopausal status of patients, operation time, cost of sling, success of operation and complications were recorded. Before the operation, all patients were confirmed SUI through physical examination, urinalysis, urodynamic studies and ultrasonography. Placement of the sling to the midurethra was done in manner as described by Delorme. All the data were analyzed. Results: There were 35 patients with mean age 51.23 ± 5.63years, BMI 26.14 ± 3.70 kg/m². Twenty of the patients post were menopausal. The cost of the sling was 1200 BDT (15 USD). The success rate of TOT 12 months after surgery and at the last follow up was 91.5% and 88.6% respectively. Postoperative obstruction was noted in 2 patients, vaginal extrusion occurred in one case, de novo urgency and urinary tract infection (UTI) occurred in 2 patients. All of them were managed successfully with conservative treatments. There was no other early or late postoperative complication. There was significant improvement of the QoL and statistically no significant decrease in the Q max during the follow up period. Conclusion: Custommade mesh is a reasonable option in TOT surgery with good efficacy and cost effectiveness and complication like vaginal extrusion is also minimum. Bangladesh Journal of Urology, Vol. 18, No. 2, July 2015 p.49-55

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“…There are few previous reports describing the success of using self-created tape to treat SUI. In a review of the literature, one study that reported results with self-created tension-free supra-pubic sling [3] and two that reported the use of self-created transobturator tape [4,5] were retrieved. The cost of the SCMS was 21fold less than comparable commercial slings.The present study presents a practical approach for the treatment of patients with SUI in low-income countries.…”

mentioning

confidence: 99%

Tunisian experience of low‐cost self‐created transobturator tape for the treatment of stress urinary incontinence

Bouzid

Khlifi

Salhi

et al. 2016

Intl J Gynecology & Obste

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Self-created transobturator tape treatment of stress urinary incontinence without prior urodynamic investigation

Cited by 4 publications

References 29 publications

Incontinence outcomes in women undergoing retropubic mid-urethral sling: a retrospective cohort study comparing Safyre™ and handmade sling

Incontinence outcomes in women undergoing retropubic mid-urethral sling: a retrospective cohort study comparing Safyre™ and handmade sling

Success of Custommade Transobturator Slings Prepared From Conventional Polypropylene Mesh in the Treatment of Stress Urinary Incontinence in Women

Tunisian experience of low‐cost self‐created transobturator tape for the treatment of stress urinary incontinence

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