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Mid urethral sling

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https://www.readbyqxmd.com/read/28500515/outpatient-mid-urethral-tissue-fixation-system-sling-for-urodynamic-stress-urinary-incontinence-3-year-surgical-and-quality-of-life-results
#1
Ryoko Nakamura, Masahiro Yao, Yoshiko Maeda, Akiko Fujisaki, Yuki Sekiguchi
INTRODUCTION: To evaluate the clinical effectiveness and quality of life (QOL) of outpatient mid-urethral tissue fixation system sling (TFS) procedures for urodynamic stress urinary incontinence (SUI) at 3-year follow-up. METHODS: We analyzed 50 mid-urethral TFS sling operations between 2007 and 2012 at Yokohama Motomachi Women's Clinic LUNA. The primary outcome was success defined as a negative 24-h pad test, negative cough and Valsalva stress test, and no re-treatment for SUI...
May 12, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28476681/the-risk-of-recurrent-urinary-incontinence-requiring-surgery-after-suburethral-sling-removal-for-mesh-complications
#2
P Ramart, A L Ackerman, S Cohen, J H Kim, S Raz
OBJECTIVES: We sought to examine the risk of recurrent stress urinary incontinence (SUI) after suburethral sling mesh removal or excision. METHODS: We conducted a retrospective cohort study of patients who were continent before removal or excision of synthetic mid-urethral slings; this cohort of 278 subjects was much larger than seen in previous such studies. Patients with preoperative incontinence, additional vaginal mesh placements, prior mesh revision/excision, existing SUI, and prior pelvic radiation or fistula were excluded...
May 2, 2017: Urology
https://www.readbyqxmd.com/read/28452427/results-of-an-innovative-bulking-agent-in-patients-with-stress-urinary-incontinence-who-are-not-optimal-candidates-for-mid-urethral-sling-surgery
#3
Claudia R Kowalik, Fenne M Casteleijn, Hugo W F van Eijndhoven, Sandra E Zwolsman, Jan-Paul W R Roovers
AIMS: To assess the efficacy and safety of peri-urethral bulking injections (PBI) with an innovative bulking material (PDMS-U) in women with stress-urinary incontinence (SUI) who are not optimal candidates for mid-urethral sling surgery. METHODS: A prospective study was performed in women with SUI who, for several reasons, have a relative contraindication for a mid-urethral sling procedure. These reasons include: (i) recurrent SUI after a prior SUI surgical procedure; (ii) a history of oncologic gynaecological surgery; (iii) a history of neurologic disease resulting in voiding problems; (iv) a maximal flow rate of less than 15 mL per second or; (v) women with a contraindication for surgery with general or regional anaesthesia...
April 28, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28405064/anatomic-relation-between-single-incision-slings-and-the-obturator-vessels
#4
Amy L O'Boyle, Christopher P Chung, Wilma Larsen
The risk of arterial vascular injury within the retropubic space is a potentially life-threatening complication associated with mid-urethral sling placement for the treatment of female stress urinary incontinence. To determine the relationship between the major blood vessels and a single incision sling, these slings were placed in 12 fresh female cadavers. Following the insertion of each sling, the retropubic space was dissected and sling placement was observed relative to the obturator neurovascular bundle bilaterally...
April 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28394497/prediction-of-mid-urethral-sling-failure-with-clinical-findings-and-urodynamics
#5
Serdar Aydin, Çağrı Arioğlu Aydin, Fırat Ersan
OBJECTIVE: Mid-urethral slings (MUS) become a standard, minimally invasive surgery to treat urinary stress incontinence. Our aim is to investigate the contribution of preoperative urodynamics to mid-urethral slings success and determine predictors for choosing mid-urethral sling route. METHODS: Women with stress urinary incontinence and who desired surgical correction of their incontinence were included in the study. The selection of the procedure was according to an algorithm used in an institution...
May 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28370305/teaching-mid-urethral-sling-surgery-to-residents-impact-on-operative-time-and-postoperative-outcomes
#6
Ali-Reza Sharif-Afshar, Lauren N Wood, Catherine Bresee, Colby P Souders, Bruno S Gross, Eugene Shkolyar, Jennifer T Anger, Karyn S Eilber
AIMS: The purpose of this study was to determine the impact of resident teaching on outcomes of mid-urethral sling surgery. METHODS: A retrospective review of female patients who underwent an outpatient transobturator (TOT) synthetic mid-urethral sling procedure with and without concomitant prolapse repair by two surgeons (JA, KE) in a tertiary female pelvic medicine practice was performed. Total procedure time (TPT = time from incision to closure including sling placement and any prolapse procedure), estimated blood loss (EBL), and postoperative complications including urinary retention, mesh exposure, reoperation, vaginal bleeding, and leg pain were compared between cases with and without the presence of a resident...
March 31, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27999787/the-outcome-of-repeated-mid-urethral-sling-in-sui-treatment-after-vaginal-excisions-of-primary-failed-sling-preliminary-study
#7
Jacek Kociszewski, Wojciech Majkusiak, Andrzej Pomian, Paweł Tomasik, Edyta Horosz, Andrzej Kuszka, Ewa Barcz
Mid urethral sling is the standard in SUI treatment. Nevertheless, the risk of reoperation reaches 9%. There is no consensus as to the best treatment option for complications. A question is raised: what is the optimal way to achieve the best result in patients after primary failure? The aim of the study was to evaluate the outcomes of repeat MUS surgery in patients after excision of the sling with recurrent SUI. We compared its effectiveness with uncomplicated cases treated with TVT. 27 patients who underwent the repeated MUS and 50 consecutive patients after primary TVT were enrolled in the study...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27845114/re-safety-and-efficacy-of-retropubic-mid-urethral-sling-placement-in-women%C3%A2-who-void-with-valsalva
#8
Alan J Wein
No abstract text is available yet for this article.
December 2016: Journal of Urology
https://www.readbyqxmd.com/read/27833061/long-term-functional-results-after-unilateral-mid-urethral-sling-transection-for-voiding-dysfunction
#9
F Baekelandt, P Van Oyen, C Ghysel, F Van der Aa, J Ampe
OBJECTIVE: To investigate the long-term outcomes of unilateral mid-urethral sling transection to treat voiding dysfunction after synthetic mid-urethral sling placement for stress urinary incontinence. STUDY DESIGN: Twenty-three patients who underwent an unilateral sling transection were analyzed retrospectively. Patient records were analyzed for subjective outcome, and pre- and postoperative flow patterns were used as objective outcome parameters. RESULTS: At the first postoperative follow-up, 77...
December 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27793540/-long-term-results-and-satisfaction-of-the-mid-urethral-slings-among-women
#10
F Story, T Tricard, P Mouracadé, C Saussine
OBJECTIVE: The mid urethral sling (MUS) has become as the gold standard treatment for stress urinary incontinence (SUI) in female. The aim of this study was to assess the outcome of the SUI Transobturator Tape after 10 years follow-up. METHODS: Retrospective study of 73 patients who underwent a mid urethral sling-transoburator tape (MUS-TOT) between November 2002 and November 2004. These patients were followed up by phone call and by mail, 10 years after the surgery...
December 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27773649/postoperative-urinary-retention-and-urinary-tract-infections-predict-midurethral-sling-mesh-complications
#11
Nahid Punjani, Jennifer Winick-Ng, Blayne Welk
OBJECTIVE: To determine if postoperative urinary retention and urinary tract infections (UTIs) were predictors of future mesh complications requiring surgical intervention after midurethral sling (MUS). MATERIALS AND METHODS: Administrative data in Ontario, Canada, between 2002 and 2013 were used to identify all women who underwent a mesh-based MUS. The primary outcome was revision of the transvaginal mesh sling (including mesh removal/erosion/fistula, or urethrolysis)...
January 2017: Urology
https://www.readbyqxmd.com/read/27752749/variability-in-practice-patterns-in-stress-urinary-incontinence-and-pelvic-organ-prolapse-results-of-an-iuga-survey
#12
Dorothy Kammerer-Doak, Kamil Svabik, Tony Bazi
INTRODUCTION AND HYPOTHESIS: Members of the International Urogynecological Association (IUGA) come from different geographic locations and practice settings. A member survey regarding practice patterns provides valuable information for practitioners and researchers alike, and allows the IUGA to discover areas to focus on education and information dissemination. METHODS: A questionnaire was developed by the IUGA Research and Development committee and distributed electronically to IUGA surgeons...
October 17, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27738738/carcinogenic-potential-of-polypropylene-mid-urethral-slings-what-do-we-know-so-far
#13
Eugene Adel, Robert Shapiro, Stanley Zaslau
INTRODUCTION AND HYPOTHESIS: Polypropylene (PP) mesh has come under increased scrutiny owing to previous FDA safety communications regarding the risks of mesh in trans-vaginal surgery and ensuing class action litigation for post-operative complications. Additional concerns have been raised regarding a possible link between implanted PP mesh and the long-term development of malignancy. Until recently, no research was specifically committed to the exploration of such a link. Our objective was to provide an overview of the recent literature focusing on any association between the use of PP mesh for midurethral sling procedures and the development of malignancy...
October 13, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27713793/the-impact-of-teaching-on-the-duration-of-common-urological-operations
#14
Blayne Welk, Jennifer Winick-Ng, Andrew McClure, Chris Vinden, Sumit Dave, Stephen Pautler
INTRODUCTION: The ability of academic (teaching) hospitals to offer the same level of efficiency as non-teaching hospitals in a publicly funded healthcare system is unknown. Our objective was to compare the operative duration of general urology procedures between teaching and non-teaching hospitals. METHODS: We used administrative data from the province of Ontario to conduct a retrospective cohort study of all adults who underwent a specified elective urology procedure (2002-2013)...
May 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/27679298/urinary-tract-infection-after-mid-urethral-sling
#15
C Russman, J Long, C Pugh, S Martz
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678700/the-value-of-the-preoperative-1-hour-pad-test-with-pessary-insertion-to-predict-the-need-for-a-mid-urethral-sling-following-pelvic-prolapse-surgery-a-cohort-study
#16
L Zhu, X Song, J Ding
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678391/post-sling-urinary-retention-in-women
#17
REVIEW
Dominique R Malacarne, Victor W Nitti
As many as 80 % of all women who complain of urine leakage will be diagnosed with stress urinary incontinence (SUI). As the population ages and SUI becomes more widespread, it is imperative to understand how to manage potential complications of the therapies used to treat this condition. As the mid-urethral sling has become the "gold standard" of SUI treatment, it is important to be aware of post-operative complications associated with this procedure. One significant complication of the MUS is subsequent urinary retention...
November 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27669653/national-surgical-trends-and-perioperative-outcomes-of-midurethral-sling-placement-for-stress-urinary-incontinence
#18
Emily A Slopnick, Adonis K Hijaz, Carvell T Nguyen, Robert Abouassaly, Christopher M Gonzalez, Sangeeta T Mahajan, J Welles Henderson, Matthew J Bream, Simon P Kim
OBJECTIVE: To determine contemporary trends, patient characteristics, and outcomes for midurethral sling placement (MUS) at inpatient and ambulatory facilities from a national database. MATERIALS AND METHODS: Using the American College of Surgeons National Surgical Quality Improvement Program database, we identified 7767 women who underwent isolated MUS 2006-2012. We stratified patients by hospitalization type (outpatient vs hospitalization). Primary outcomes were 30-day complications, readmissions, and reoperations...
January 2017: Urology
https://www.readbyqxmd.com/read/27597089/re-mid-urethral-sling-operations-for-stress-urinary-incontinence-in-women
#19
Alan J Wein
No abstract text is available yet for this article.
September 2016: Journal of Urology
https://www.readbyqxmd.com/read/27584161/narrated-video-of-a-re-do-colposuspension
#20
Linda Cardozo, Dudley Robinson, Fevzi Shakir
AIMS: To present a narrated video designed to demonstrate the steps involved in an open re-do colposuspension. METHODS: This was in a 70-year-old woman who presented with recurrent severe stress urinary incontinence. Urodynamics confirmed severe urodynamic stress incontinence, with no detrusor over activity. Her maximum urethral closure pressure (MUCP) was 8 cm/water. She previously had a total abdominal hysterectomy (TAH), bilateral salpingo-oophorectomy (BSO) and colposuspension in 1998...
September 1, 2016: Neurourology and Urodynamics
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