Ten-year follow-up after the tension-free vaginal tape procedure

Aigmueller, Thomas; Trutnovsky, Gerda; Tamussino, Karl; Kargl, Julia; Wittmann, Anna; Surtov, Milana; Kern, Petra; Frudinger, Andrea; Riss, P.; Bjelic‐Radisic, Vesna

doi:10.1016/j.ajog.2011.07.010

Cited by 36 publications

(29 citation statements)

References 21 publications

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“…9,261 In addition, the qualifiers persistent or de novo 261 were often used. De novo OAB, indicating the occurrence of OAB after sling surgery, was reported in 0-48% of patients in various studies (REFS 17,18,20,26,39,(46)(47)(48)(50)(51)(52)(53)55,(57)(58)(59)61,62,66,67,70,(73)(74)(75)(76)(77)79,83,87,88,91,92,96,97,99,140,152,153,155,157,159,161,163,164,(166)(167)(168)(170)(171)…”

Section: Oab Symptomsmentioning

confidence: 98%

“…46,61,100,176 Urethral strictures caused by mesh erosions are even rarer than urethral erosions. 314 A number of different aetiologies of urethral erosion have been postulated, including surgical transgressions (excessive sling tension, unrecognized urethral perforation and passage of the sling through the urethral wall), urethral dilatation, 281 postoperative contraction of the sling, 315 infection, inflammation and immunological reactions.…”

Section: Mesh Erosions In the Urethramentioning

confidence: 98%

“…9,40,107,312,326 Fistulas Urethrovaginal and vesicovaginal fistulas are rare SMUS-related complications, with a reported incidence of <1%. 46,48,66,98,173,178,212,217,334 These fistulas are most frequently associated with bladder or urethral erosion of the sling and patients can present in a variety of ways, and as late as 6 years after the initial surgery. 41,43,44,[335][336][337][338] Despite their low reported incidence, the possibility of fistulas should be considered when patients present with recurrent incontinence, OAB, pain and/or voiding dysfunction after mesh surgery.…”

Section: Reviewsmentioning

confidence: 99%

“…Compression from the sling is by far the most common cause of urethral obstruction, and at least one case of urethral stricture accompanied by urethral erosion has been reported. 9 The incidence of urethral obstruction requiring surgical intervention ranges from 0% to 8.9% in patients fitted with RP slings and from 0% to 21.3% for those with TOT slings (REFS 17,18,20,21,23,26,30,(46)(47)(48)(50)(51)(52)(53)(54)(55)(56)58,59,(61)(62)(63)(64)(66)(67)(68)(69)71,74,77,(80)(81)(82)(83)(86)(87)(88)(89)(90)(91)(92)(97)(98)(99)148,159,163,166,…”

Section: Oab Symptomsmentioning

confidence: 99%

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Safety considerations for synthetic sling surgery

et al. 2015

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Implantation of a synthetic midurethral sling (SMUS) is the most commonly performed anti-incontinence operation in women worldwide. The effectiveness of the SMUS is comparable to that of the historical gold standards--autologous fascial slings and the Burch colposuspension. Much controversy, however, has evolved regarding the safety of this type of sling. Overall, the quality of the studies with respect to assessing risks of SMUS-associated complications is currently poor. The most common risks in patients with SMUS include urethral obstruction requiring surgery (2.3% of patients with SMUS), vaginal, bladder and/or urethral erosion requiring surgery (1.8%) and refractory chronic pain (4.1%); these data likely represent the minimum risks. In addition, the failure rate of SMUS implantation surgery is probably at least 5% in patients with stress urinary incontinence (SUI). Furthermore, at least one-third of patients undergoing sling excision surgery develop recurrent SUI. Considering the additional risks of refractory overactive bladder, fistulas and bowel perforations, among others, the overall risk of a negative outcome after SMUS implantation surgery is ≥15%.

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Section: Oab Symptomsmentioning

confidence: 98%

Section: Mesh Erosions In the Urethramentioning

confidence: 98%

Section: Reviewsmentioning

confidence: 99%

Section: Oab Symptomsmentioning

confidence: 99%

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Safety considerations for synthetic sling surgery

et al. 2015

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“…In the past 3 years, one multicenter, randomized, controlled trial and seven prospective cohort studies have been published analyzing the outcome of the retropubic/TVT procedures [13,[15][16][17][18][19][20]. These published prospective studies of the retropubic TVT are of 30 to 173 women with 5 to 10 years follow-up (REFS).…”

Section: Retropubic Midurethral Slingsmentioning

confidence: 99%

Recent Developments in the Surgical Management of Urinary Stress Incontinence

Ahn

Alvarez

Dwyer

2013

Curr Obstet Gynecol Rep

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Surgical management continues to be the mainstay of treatment for patients with moderate to severe stress urinary incontinence who are nonresponsive to conservative measurements. In the past, the Burch colposuspension was considered the first line of treatment; however, since the introduction of mid-urethral slings in the mid 1990s the retropubic sling has become the "gold standard." Tension-free vaginal tape (TVT) is the original retropubic procedure with good long-term efficacy and safety data available. However, in an attempt to decrease the risk of retropubic complications, such as vascular, bowel, or bladder injury, the transobturator and single incision minislings have been described. In this review, we give an overview on the recent data available on conventional anti-incontinence procedures as well as other more recently developed procedures. Recent studies with more than 10 years of follow-up continue to confirm the effectiveness of the TVT sling in the long-term, which the other approaches need to match.

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Long-term Rate of Mesh Sling Removal Following Midurethral Mesh Sling Insertion Among Women With Stress Urinary Incontinence

Gurol‐Urganci

Geary

Mamza

et al. 2018

JAMA

100

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IMPORTANCE There is concern about outcomes of midurethral mesh sling insertion for women with stress urinary incontinence. However, there is little evidence on long-term outcomes. OBJECTIVE To examine long-term mesh removal and reoperation rates in women who had a midurethral mesh sling insertion for stress urinary incontinence. DESIGN, SETTING, AND PARTICIPANTS This population-based retrospective cohort study included 95 057 women aged 18 years or older who had a first-ever midurethral mesh sling insertion for stress urinary incontinence in the

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Ten-year follow-up after the tension-free vaginal tape procedure

Cited by 36 publications

References 21 publications

Safety considerations for synthetic sling surgery

Safety considerations for synthetic sling surgery

Recent Developments in the Surgical Management of Urinary Stress Incontinence

Long-term Rate of Mesh Sling Removal Following Midurethral Mesh Sling Insertion Among Women With Stress Urinary Incontinence

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