Sling procedures for urinary incontinence in women

Kassardjian, Z

doi:10.1111/j.1464-410x.2003.04691.x

Cited by 20 publications

(11 citation statements)

References 45 publications

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“…The long-term data suggest that overall success rates differ from 60 to 98% for CFL sling [5,8,14,[17][18][19][20][21]] . There appears to be a longer term material failure rate from fascia lata allografts in the excess of 20% [5,13] .…”

Section: Discussionmentioning

confidence: 99%

“…These data come from a limited number of centers and they report a cure rate ranging from 75 to 91% [8][9][10][11] . In our study, the low cure rate of the IVS procedure could be due to the insufficient tissue reaction of the polypropylene implant (70.8%).…”

Section: Discussionmentioning

confidence: 99%

“…From the original tension-free urethropexy, the prototype midurethral sling operations described by Petros and Ulmsten, two procedures have been developed, the intravaginal slingplasty (IVS) and the tension-free vaginal tape (TVT) procedure [7][8][9][10][11] . After the first publication, IVS gained popularity owing to its simplicity, the ability to perform the procedure under local anesthesia, decreased operative time, short recovery time and good outcomes, with a limited number of studies published in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Cadaveric Fascia Lata versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates

Başok

Yıldırım²,

Atsu³

et al. 2008

Urol Int

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Background: A wide variety of surgical procedures has been used to treat female stress urinary incontinence (SUI). The purpose of this study was to compare cadaveric fascia lata (CFL) sling with intravaginal slingplasty (IVS) in the surgical treatment of SUI. Methods: One hundred and thirty-nine women with SUI were randomly assigned to either CFL sling (n = 67) or IVS (n = 72). Concomitant urinary urge incontinence was present in 49 patients (73%) in the CFL sling and 44 patients (61%) in the IVS group. Daily mean pad usage was 4.1 ± 3.5 in the CFL sling and 2.9 ± 1.7 in the IVS group. The objective cure rate was evaluated by the pad test, and patient satisfaction rate was assessed by a subjective questionnaire. Results: The surgical results of both procedures with a follow-up 12 months were documented. The overall success rate was 79% in the CFL sling and 70.8% in the IVS (p = 0.261). In contrast patient satisfaction rates were 82 and 87.5%, respectively (p = 0.210). Comparison of the CFL sling with IVS showed persistent urinary urge incontinence in 67 and 25% (p = 0.0001) and de novo urinary urge incontinence in 22 and 6.9%, respectively (p = 0.009). The groups did not differ significantly with respect to intraoperative and postoperative complications. Conclusions: There is no statistical difference in the overall success, satisfaction and complication rates in either group. In our series, both procedures were found to be effective, durable and significantly improved quality of life in patients with SUI but long-term results are awaited.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cadaveric Fascia Lata versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates

Başok

Yıldırım²,

Atsu³

et al. 2008

Urol Int

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“…We believe there is room for its use in SUI relapsing from conventional techniques 21,23 and in cases of rejection of synthetic materials or selected patients, considering that the ideal treatment for female SUI is yet to come 28 . In conclusion, the retropubic placement of aponeurotic sling with direct visualization proved to be safe as for the risk of bladder or urethral injuries, with objective cure rate and improved quality of life.…”

Section: Results Results Results Resultsmentioning

confidence: 99%

Modified pubovaginal sling technique in the surgical management of female stress urinary incontinence

Frade¹,

Frade²,

Leite³

et al. 2015

Rev. Col. Bras. Cir.

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Methods Methods: we applied the Kings Health Questionnaire (KHQ) for quality of life, gynecological examination, urinalysis I and urine culture approximately seven days prior to the urodynamic study (UDS) and the one-hour PAD test in patients undergoing making aponeurotic sling with its passing through the retropubic route with direct visualization of the needle, PAD test and King's Helth Questionnaire before and after surgery. Results Results ResultsResults Results: The mean age was 50.6 years, BMI of 28 and Leak Pressure (LP) 58,5cm H 2 O; 89% were Caucasian. Forty-six of them were monitored for three and six months, 43 for 12 months. The objective cure rate at 12 months postoperatively was approximately 93.5%. In evaluating quality of life, we observed a significant improvement in 12 months postoperatively compared with the preoperative period. There was no no urethral/bladder injury. As adverse results, we had one persistent urinary retention (2.3%), who was submitted to urethrolysis, currently without incontinence. Conclusion Conclusion Conclusion Conclusion Conclusion: The proposed procedure is safe as for the risk of bladder or urethral injuries, promoting significant improvement in quality of life and objective cure.

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“…Various new surgical treatments that are safe, convenient, and less invasive have been introduced (6)(7)(8). In particular, the mid-urethral sling surgeries (MUSSs) substitute for other previous treatments and have emerged as the new gold standard (9). The MUSS was initially described as a Tension-free vaginal tape (TVT) procedure by Ulmsten et al in 1995 (6).…”

Section: Introductionmentioning

confidence: 99%

Patients lost to follow-up after midurethral sling surgery: How are they?

et al. 2014

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ARTICLE INFO ______________________________________________________________ ______________________Purpose: To assess the ratio of patients lost to follow-up (FU) after midurethral sling surgery, to evaluate their success rate and current status, and to identify the reasons for FU loss. Materials and Methods: Two-hundred thirty-eight patients who received trans-obturator tape (TOT) surgery were reviewed. For patients lost to FU within 3 months, Stamey's outcome questionnaire and questions regarding the reasons for FU loss were submitted via phone interview. Results: One hundred forty-three (60.1%) patients (FU loss group) were lost to FU within 3 months postoperatively. In the FU loss group, phone interviews were conducted with 117 (81.8%) patients. Aside from the urgency rate (59.3% vs. 72.3%, p=0.049), there were no significant statistical differences in preoperative profiles between two group. The success rate of the FU loss group (80.3%, 94 of 117 patients) was lower than that of the FU group (95.8%, 91 of 95 patients) (p=0.001). The success rates in the FU loss group with mixed urinary incontinence (MUI) were significantly lower than in the FU group with MUI. As for the reason for FU loss, 74 patients (62.7%) were lost due to incontinence improvement, 19 patients (16.1%) cited personal problems, and 5 patients forgot the next follow-up date. Only 10 patients gave up further treatment despite their persisting incontinence. Conclusions: In our study, more than half of patients were lost to follow-up after midurethral sling surgery. The FU loss group showed a lower surgical success rate, particularly with MUI. Close FU is recommended for better consultation of patients' incontinence.

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Sling procedures for urinary incontinence in women

Cited by 20 publications

References 45 publications

Cadaveric Fascia Lata versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates

Cadaveric Fascia Lata versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates

Modified pubovaginal sling technique in the surgical management of female stress urinary incontinence

Patients lost to follow-up after midurethral sling surgery: How are they?

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