The effects of “unilateral midurethral sling cut down” in women with voiding dysfunctions after anti-incontinence surgery

Ngo, Yeh Giin; Huang, Kuo‐Tung; Kung, Fu‐Tsai; Wu, Ling-ying; Chu, Li-Ching; Yang, Tsai-Hwa; Chuang, Fei‐Chi

doi:10.1007/s11255-019-02219-w

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…Of the four patients with persistent bladder outlet obstruction, mesh sling transection was performed 4-8 months later with 100% resolution. Comparative and single-group studies 3,14,17,19,20,23,[26][27][28][29][30][31][32]39,41,[43][44][45]52,54 demonstrated no difference in bladder outlet obstruction outcomes between total and partial mesh excision; both techniques showed an associated improvement in bladder outlet obstruction symptoms.…”

Section: Resultsmentioning

confidence: 99%

Surgical Removal of Midurethral Sling in Women Undergoing Surgery for Presumed Mesh-Related Complications

Doyle

Grimes

Balk

et al. 2022

Obstetrics &Amp; Gynecology

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To assess whether some, or all, of the mesh needs to be removed when a midurethral sling is removed for complications.DATA SOURCES: A systematic review and meta-analysis was conducted. MEDLINE, Cochrane, and ClinicalTrials. gov databases from January 1, 1996, through May 1, 2021, were searched for articles that met the eligibility criteria with total, partial, or a combination of anti-incontinence mesh removal. METHODS OF STUDY SELECTION:All study designs were included (N$10), and a priori criteria were used for acceptance standards. Studies were extracted for demographics, operative outcomes, and adverse events. Meta-analysis was performed when possible.

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Section: Resultsmentioning

confidence: 99%

Surgical Removal of Midurethral Sling in Women Undergoing Surgery for Presumed Mesh-Related Complications

Doyle

Grimes

Balk

et al. 2022

Obstetrics &Amp; Gynecology

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“…5 However, some conflicting reports suggested that combination therapy causes more intraoperative complications and postoperative voiding dysfunction, which may justify a two-stage approach. 6,7 Another reason that supports a delayed approach is to avoid unnecessary surgery in a number of patients. Unnecessary surgeries could occur when there is no SUI postoperatively or even when SUI persists or develops postoperatively but is not overly bothersome for the patient to require antiincontinence surgery.…”

Section: Introductionmentioning

confidence: 99%

Short‐term results of stress urinary incontinence in women undergoing laparoscopic sacrocolpopexy with and without midurethral sling

Huang

Chang

Ngo

et al. 2021

LUTS

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Objectives: This study aimed to assess the short-term results of stress urinary incontinence (SUI) in women undergoing laparoscopic sacrocolpopexy (LSC) with and without midurethral sling (MUS). Methods: This retrospective study was conducted from July 2012 to December 2017. Women with stage 3 or 4 in the Pelvic Organ Prolapse Quantification (POP-Q) who underwent LSC were recruited. Multichannel urodynamic studies were performed in all women. Assessment included pre-and postoperative POP-Q stages, urodynamic parameters, peri-and postoperative complications, and symptoms. Results: One hundred and eighteen patients met the inclusion criteria in total. A total of 19.5% (23/118) of them had concomitant MUS. The mean follow-up duration was 16.9 ± 16.0 (range 3-69) months. Meanwhile, 33.9% (40/118) of the patients were diagnosed with overt SUI, and 50% (20/40) underwent MUS. In the concomitant MUS group, the rate of having postoperative SUI was only 5% (1/20). Patients diagnosed with SUI and without concomitant MUS had a 45% rate (9/20), and 25% of them (5/20) received MUS later. Preoperatively, 16.1% (19/118) of the patients were diagnosed with occult SUI. Among the patients without anti-incontinence sling during prolapse surgery, 25% (4/16) of them complained about having SUI during the follow-up. However, none of the women required subsequent anti-incontinence surgery. Postoperative de novo SUI occurred to 13.6% (16/118) of them. None of the patients received further operation. Based on the preoperative and postoperative urodynamic studies in the combination surgery group, a significant improvement was observed in the pad test.Conclusions: The combination of LSC with MUS procedure is likely to be beneficial in selected patients.

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Comparison of early loosening vs delayed section of mid-urethral slings for postoperative voiding dysfunction

et al. 2022

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The effects of “unilateral midurethral sling cut down” in women with voiding dysfunctions after anti-incontinence surgery

Cited by 3 publications

References 26 publications

Surgical Removal of Midurethral Sling in Women Undergoing Surgery for Presumed Mesh-Related Complications

Surgical Removal of Midurethral Sling in Women Undergoing Surgery for Presumed Mesh-Related Complications

Short‐term results of stress urinary incontinence in women undergoing laparoscopic sacrocolpopexy with and without midurethral sling

Comparison of early loosening vs delayed section of mid-urethral slings for postoperative voiding dysfunction

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