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Mid urethral sling

Nahid Punjani, Jennifer Winick-Ng, Blayne Welk
OBJECTIVE: To determine if post-operative urinary retention and urinary tract infections (UTI) were predictors of future mesh complications requiring surgical intervention after midurethral sling (MUS). METHODS: Administrative data in Ontario, Canada between 2002 and 2013 was used to identify all women who underwent a mesh-based MUS. The primary outcome was revision of the transvaginal mesh sling (including mesh erosion/removal, fistula or urethrolysis). Two potential risk factors were analyzed: post-operative retention (within 30 days of procedure) and number of post-operative emergency room visits or hospital admissions for UTI symptoms...
October 20, 2016: Urology
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
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
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
C Russman, J Long, C Pugh, S Martz
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
L Zhu, X Song, J Ding
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
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
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
OBJECTIVES: To determine contemporary trends, patient characteristics, and outcomes for mid-urethral sling placement (MUS) at inpatient and ambulatory facilities from a national database. METHODS: Using the American College of Surgeons National Surgical Quality Improvement Program data base, we identified 7,767 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...
September 23, 2016: Urology
Alan J Wein
No abstract text is available yet for this article.
September 2016: Journal of Urology
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
Michael J Ehlert, Priyanka Gupta, Jonathan Park, Larry T Sirls
OBJECTIVES: To evaluate the hospital realized cost difference between transvaginal mesh prolapse repair and robot assisted sacrocolpopexy. METHODS: Consecutive transvaginal mesh prolapse surgery and robot assisted sacrocolpopexy cases from 1/2012 to 12/2013 were evaluated. Patient clinical and operative data were recorded. The total institutional costs (direct and indirect) for each procedure were obtained and sub-categorized by area. Independent samples t-test and Chi squared analysis were performed...
August 2, 2016: Urology
David Habashy, Giovanni Losco, Vincent Tse, Ruth Collins, Lewis Chan
PURPOSE: To determine mid-term durability of the AdVance sling for post-prostatectomy incontinence (PPI) and impact of prior radiotherapy and storage dysfunction. METHOD: Eighty men undergoing AdVance sling for PPI during 2008-2013 were reviewed. Pre-op urodynamics, pre and post-op pad usage, prior radiotherapy, and PGI-I scores were recorded. RESULT: Mean follow-up was 36 months (range 14-72). Twelve men had radiotherapy pre-op, 10 had detrusor overactivity (DO), and 20 reduced compliance...
July 26, 2016: Neurourology and Urodynamics
Daniele Castellani, Pietro Saldutto, Vikiela Galica, Stefano Masciovecchio, Giuseppe Paradiso Galatioto, Carlo Vicentini
PURPOSE: Severe and life-threatening bleeding has been reported in the literature after retropubic mid-urethral slings procedure, due to corona mortis damage. The aim of this study is to evaluate safety of transobturator passage of the tape in stress-urinary incontinence (SUI) correction and anchoring the mesh in pelvic-organ prolapse (POP) repair in the presence of corona mortis. MATERIALS AND METHODS: Thirteen women with a pre-operatory contrast-enhanced abdominal multidetector computed tomography were prospectively enrolled in the study between January 2009 and December 2014...
June 6, 2016: Urologia
Tomasz Rechberger, Łukasz Nowakowski, Ewa Rechberger, Alicja Ziętek, Izabela Winkler, Paweł Miotła
OBJECTIVES: Due to prolonged life expectancy, regardless of the fact that elderly women are more likely to suffer from comorbidities, urogynaecologists worldwide should expect a growing demand for counseling and effective treatment for patients with pelvic floor defects. The aim of the study was to investigate the incidence of popular comorbidities among urogynaecological patients. MATERIAL AND METHODS: The retrospective analysis included clinical data of 4,065 consecutive female patients who under-went surgical treatment in the 2nd Department of Gynaecology at the Medical University of Lublin due to urogynaecological disorders between January 2005 and December 2014...
2016: Ginekologia Polska
Ali A Al-Zahrani, Jerzy Gajewski
AIM: The aim of this study was to report long-term patient outcomes after retropubic and transobturator mid-urethral slings for female stress urinary incontinence. METHODS: Women who underwent mid-urethral sling for stress urinary incontinence between 2000 and 2010 were invited to participate in a survey regarding their overall improvement. Patients' outcomes were assessed using the International Consultation on Incontinence Questionnaire - Short Form and the Global Response Assessment Scale...
September 2016: Journal of Obstetrics and Gynaecology Research
Liv Rimstad Moksnes, Rune Svenningsen, Hjalmar A Schiøtz, Kjartan Moe, Anne C Staff, Sigurd Kulseng-Hanssen
OBJECTIVE: To compare intermittent catheterization, sling mobilization, and sling transection for treatment of urinary retention after mid-urethral sling surgery. METHODS: Data registered in the Norwegian Female Incontinence Registry from 1998 to 2013 were analyzed in this cohort study to compare subjective and objective outcomes after intermittent catheterization, sling mobilization, and sling transection as management of postoperative urinary retention after mid urethral sling surgery...
May 31, 2016: Neurourology and Urodynamics
Hyeong Gon Kim, Hyoung Keun Park, Sung Hyun Paick, Woo Suk Choi
BACKGROUND: The aim of this study was to compare the two types of mid-urethral slings for stress urinary incontinence (SUI) with intrinsic sphincter deficiency (ISD). METHODS: This retrospective study included patients who underwent tension-free vaginal tape (TVT) procedure or transobturator tape (TOT) procedure by a single surgeon for SUI with ISD, defined as Valsalva leak point pressure (VLPP) < 60 cmH2O in a urodynamic study. Cases of neurogenic bladder, previous SUI surgery, and concomitant cystocele repair were excluded...
2016: PloS One
J Kranz, S Schmidt
No abstract text is available yet for this article.
May 2016: Der Urologe. Ausg. A
A Alwaal, X Tian, Y Huang, L Zhao, L Ma, G Lin, D Deng
The aim of our study was to describe the impact of mid-urethral sling procedure for the treatment of stress urinary incontinence (SUI) on female sexual function. We used PubMed (updated March 2015) to conduct a literature electronic search that included peer-reviewed English language articles. We analyzed the studies about the impact of mid-urethral slings on female sexual function. There are different and contradictory results of the effects of mid-urethral sling on female sexual function. However, more papers show that women undergoing mid-urethral sling procedures report that their sexual function is improved or remains unchanged...
July 2016: International Journal of Impotence Research
Lauren N Siff, J Eric Jelovsek, Matthew D Barber
BACKGROUND: Depression has been associated with symptom amplification, functional impairment, and lower incontinence-specific quality of life in women with urinary incontinence. Although depression has been shown to impact both subjective and objective outcomes after many different surgeries, there are limited data on the effects of major depression on postoperative outcomes after antiincontinence surgery. OBJECTIVE: The purpose of this study was to determine whether major depression affects urinary incontinence severity and quality of life after midurethral sling surgery...
October 2016: American Journal of Obstetrics and Gynecology
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