The Correction of Type 2 Stress Incontinence With a Polytetrafluoroethylene Patch Sling: 5-Year Mean Followup

Yamada, Terumasa; Arai, Gaku; Masuda, Hitoshi; Tsukamoto, Tetsuro; Nagahama, Katsushi; Nagamatsu, Hideki

doi:10.1016/s0022-5347(01)62774-5

Cited by 21 publications

(11 citation statements)

References 12 publications

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“…Most authors consider the woman's opinion of the surgery and quote a subjective cure rate. However, the methods used to assess this are variable, with some reports giving no information 4,8,14,23,34,48–52 , while others use chart review 43,53 , patient interviews or questionnaires that have not been validated 7,10,15,16,18,19,21,25–27,29,33,37–39,54,55 . Some authors feel that subjective cure is unimportant and report only objective cure as assessed by one‐hour pad test 56 , urodynamics 6,20,35,41,57–59 , or provocative testing with varying amounts in the bladder 5,9,17,40 .…”

Section: Discussionmentioning

confidence: 99%

“…Papers referring to the recently introduced TVT procedure were not included. Of these references we identified 26 that included women followed up for more than 60 months 4–29 . These articles are summarised in Table 1, and it is apparent that variable definitions of success are used and the timing of failure of surgery is often not stated.…”

Section: Introductionmentioning

confidence: 99%

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Long term follow up of the cruciate fascial sling for women with genuine stress incontinence

Hawkins

Taylor

Hughes-Nurse³

2002

BJOG

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long term follow up of the cruciate fascial sling for women with genuine stress incontinence

Hawkins

Taylor

Hughes-Nurse³

2002

BJOG

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“…However, there seem to be some difficulties in selecting the proper suspension tightness for all types of stress urinary incontinence. Many reports indicate that setting the sling with little or no tension provides the best surgical results, [7][8][9][10][11][12] although there has been no standardized method of adjusting the tightness of suspension. Falconer et al tightened the sling to the extent that urine leakage under straining faded out.…”

Section: Discussionmentioning

confidence: 99%

“…Details of the operative technique of the pubovaginal sling procedure have been previously reported, 10 so we only briefly describe it in the current report. Two small incisions are made in the anterior vaginal wall 20 mm lateral from the central line at the urethrovesical junction.…”

Section: Methodsmentioning

confidence: 99%

Polytetrafluoroethylene patch sling for type 2 or type 3 stress urinary incontinence

et al. 2001

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Background: Surgical success rates and complications of anti-incontinence surgery were evaluated according to the type of stress incontinence and the type of surgery. Methods: From 1989 to 1998, we treated 137 women for stress urinary incontinence with antiincontinence surgery. Of the 137 patients, 110 had type 2 stress urinary incontinence and 27 had type 3 stress urinary incontinence. Of 110 patients with type 2 stress urinary incontinence, 57 underwent pubovaginal sling procedure and 53 were treated with the Gittes procedure. All of the patients with type 3 stress urinary incontinence underwent the pubovaginal sling procedure. Results: Cure rates with the pubovaginal sling procedure were 82% in type 2 incontinence and 70% in type 3 incontinence. Cure rates with the Gittes procedure were 56%. The occurrence of de novo urge symptom and pelvic pain was low and bore no relation to either operative method or type of stress incontinence. Conclusions:The pubovaginal sling procedure using the polytetrafluoroethylene patch was effective for type 2 or 3 stress urinary incontinence.

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“…There were no urethral or bladder erosions reported. Yamada et al [27] reported 5-year data on the correction of type II SUI using a synthetic sling material (polytetrafluoroethylene); 32 of 38 patients were considered cured at a mean follow-up of almost 66 months. An additional four patients were improved for a cure/improved rate of 94.7%.…”

Section: Bladder Neck Suspensions Slings and Laparoscopymentioning

confidence: 99%

Treatment of urinary incontinence

Rovner

2000

Curr Urol Rep

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The treatment of urinary incontinence is a dynamic and evolving field. New therapies, techniques, and procedures, as well as some subtle refinements in treatments currently used, offer hope for the millions of people suffering from this condition. Recent attention has been directed toward reevaluating the efficacy and durability of some standard treatments for stress urinary incontinence, including pelvic floor exercise, bladder neck suspensions, and pubovaginal slings. Occlusive or supportive devices have evolved into a suitable alternative in some patients. Extracorporeal magnetic therapy and alternative periurethral injectable agents may offer additional treatment strategies for the relief of symptomatic stress urinary incontinence. New drugs for the treatment of overactive bladder and urge urinary incontinence have been introduced recently and, in combination with neuromodulation, offer the first new treatments for this condition in over 25 years. Yet, as rapidly as new therapies become available for the treatment of urinary incontinence, problems have become evident with some that were introduced just a short time ago. Thus, cautious skepticism regarding these "new and improved" treatments should be maintained until long-term data become available with respect to safety, efficacy, and durability.

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The Correction of Type 2 Stress Incontinence With a Polytetrafluoroethylene Patch Sling: 5-Year Mean Followup

Cited by 21 publications

References 12 publications

Long term follow up of the cruciate fascial sling for women with genuine stress incontinence

Long term follow up of the cruciate fascial sling for women with genuine stress incontinence

Polytetrafluoroethylene patch sling for type 2 or type 3 stress urinary incontinence

Treatment of urinary incontinence

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