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Mid urethral sling

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https://www.readbyqxmd.com/read/28930367/adjustable-single-incision-sling-ajust-the-effects-of-first-operations-controlled-by-pelvic-floor-sonography
#1
Tomasz Kluz, Edyta Wlaźlak, Andrzej Wróbel, Wiktor Wlaźlak, Michał Pazdrak, Grzegorz Surkont
OBJECTIVE: The aim of this study is to evaluate using PFS-TV the mid-term results of our first operative experience with implanting a single incision sling - Ajust™. MATERIAL AND METHODS: One and the same surgeon has operated all the patients with symptoms of stress urinary incontinence. Ajust was the only performed procedure. Postoperative evaluation consisted of: a standardized interview and examination, a cough test and a PFS-TV for evaluation of urinary continence and tape location...
2017: Ginekologia Polska
https://www.readbyqxmd.com/read/28929543/does-the-suburethral-sling-change-its-location
#2
Wojciech Majkusiak, Andrzej Pomian, Paweł Tomasik, Edyta Horosz, Aneta Zwierzchowska, Jacek Kociszewski, Ewa Barcz
OBJECTIVES: To ascertain whether a phenomenon of sling migration exists after suburethral sling placement, whether this might be responsible for suboptimal sling location and persistent incontinence, and whether a link exists between sling dislocation or migration and risk factors, such as obesity or age. METHODS: The present prospective cohort study was carried out in a group of 244 patients who underwent retropubic sling implantation. Sling location was determined by means of pelvic floor ultrasound, and calculated relative to the individual patient's urethral length measured before the procedure...
September 20, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28889173/the-impact-of-fellowship-surgical-training-on-operative-time-and-patient-morbidity-during-robotics-assisted-sacrocolpopexy
#3
Charelle M Carter-Brooks, Angela L Du, Michael J Bonidie, Jonathan P Shepherd
INTRODUCTION AND HYPOTHESIS: Abdominal sacrocolpopexy is commonly performed for the surgical correction of pelvic organ prolapse (POP) in the USA. Over the last decade, fellowship programs have increased the number of these procedures performed robotically. Currently, there is a paucity of literature exploring the impact of fellowship training on outcomes of robotic-assisted sacrocolpopexy (RASC). We sought to explore the impact of an expert surgeon operating alone versus with a fellow on operative time and perioperative morbidity associated with RASC...
September 9, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28888751/female-outlet-obstruction-after-anti-incontinence-surgery
#4
REVIEW
Henry Tran, Matthew Rutman
Numerous surgical options are available for management of stress urinary incontinence in women, including urethral bulking agents, pubo-vaginal slings, retropubic bladder neck suspensions, mid-urethral slings, and even artificial urinary sphincters. We discuss the incidence, etiology, diagnosis, evaluation, and management of bladder outlet obstruction (BOO) after anti-incontinence surgery in females. This problem presents with a wide range of symptoms. Urodynamic evaluation is not always diagnostic, but can be helpful...
September 6, 2017: Urology
https://www.readbyqxmd.com/read/28877362/trends-in-urodynamic-testing-prior-to-midurethral-sling-placement-what-was-the-value-of-the-value-trial
#5
Jessica C Lloyd, Elodi Dielubanza, Howard B Goldman
BACKGROUND: Many urologists use urodynamic testing (UDS) to assist clinical decision-making. The VALUE study, a multi-institutional, randomized controlled trial published in 2012, demonstrated that UDS prior to midurethral sling placement for uncomplicated stress urinary incontinence (SUI) did not change management. We sought to determine whether use of UDS for evaluation of SUI diminished thereafter. METHODS: Records of patients who underwent isolated mid-urethral sling surgery at our tertiary-care referral center from 2008 to 2009 (pre-VALUE) and 2014 to 2016 (post-VALUE) were reviewed...
September 6, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28847028/pelvic-floor-3d-ultrasound-of-women-with-a-tvt-tvt-o-or-tvt-s-for-stress-urinary-incontinence-at-the-three-year-follow-up
#6
Claudinei A Rodrigues, Ana Maria H M Bianchi-Ferraro, Eliana Viana Monteiro Zucchi, Marair G F Sartori, Manoel J B C Girão, Zsuzsanna I K Jarmy-Di Bella
Objective Using three-dimensional ultrasound (3D-US), we aimed to compare the tape position and the angle formed by the sling arms in different techniques of mid-urethral sling insertion for the surgical treatment of stress urinary incontinence, three years after surgery. In addition, we examined the correlations between the US findings and the clinical late postoperative results. Methods A prospective cross-sectional cohort study of 170 patients who underwent a sling procedure between May 2009 and December 2011 was performed...
September 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28816280/-analysis-of-outcomes-of-tension-free-mid-urethral-sling-procedure-in-women-with-mixed-urinary-incontinence
#7
W Y Zhang, X P Zhang, H Hu, J W Chen, X H Liu, K X Xu
OBJECTIVE: To evaluate the medium and long term outcomes of tension-free mid-urethral sling in the treatment of female patients with mixed urinary incontinence (MUI). METHODS: Twenty-six patients who underwent the tension-free mid-urethral sling procedure for MUI from April, 2010 to September, 2016, were followed up. Four of the 26 patients underwent retropubic tension free mid-urethral sling (TVT), and 22 of them underwent transurethral middle obturator sling (TOT)...
August 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28815547/adjustable-mini-sling-compared-to-conventional-mid-urethral-slings-in-women-with-urinary-incontinence-a-randomized-controlled-trial
#8
Martin Rudnicki, Katarina von Bothmer-Ostling, Anja Holstad, Claes Magnusson, Memona Majida, Constanze Merkel, Jens Prien, Ulf Jakobsson, Pia Teleman
INTRODUCTION: The primary aim was to compare the objective and subjective outcomes and short-term complication rates of an adjustable single-incision mini-sling (SIMS) versus standard mid-urethral slings (SMUS). The secondary aim was reporting pain perception and complications at one-year follow-up. MATERIAL AND METHODS: The study was designed as a multicenter prospective randomized trial where women were included by eight centers in Denmark, Norway and Sweden. The trial was registered at ClinicalTrials...
August 16, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28791224/midurethral-slings-in-the-mesh-litigation-era
#9
REVIEW
John Chang, Dominic Lee
Stress urinary incontinence (SUI) has always been a major health issue for women. With the progression of technology and surgical techniques, mid urethral slings (MUS) used in both transvaginal and transobturator routes have become the gold standard in the treatment of SUI. There is ample short to mid-term data confirming the efficacy and safety in using MUS in treating SUI in women. However, long-term data supporting the use of MUS in women to treat SUI is scarce. There has been much controversy surrounding the US Food and Drug Administrations' (FDA) public notification of potential complications surrounding the use of transvaginal mesh, which has been magnified and generalised by the media; but despite this there has still been substantial growth and uptake of MUS for treating SUI...
July 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28756647/mid-urethral-sling-operations-for-stress-urinary-incontinence-in-women
#10
REVIEW
Abigail A Ford, Lynne Rogerson, June D Cody, Patricia Aluko, Joseph A Ogah
BACKGROUND: Urinary incontinence is a very common and debilitating problem affecting about 50% of women at some point in their lives. Stress urinary incontinence (SUI) is a predominant cause in 30% to 80% of these women imposing significant health and economic burden on society and the women affected. Mid-urethral sling (MUS) operations are a recognised minimally invasive surgical treatment for SUI. MUS involves the passage of a small strip of tape through either the retropubic or obturator space, with entry or exit points at the lower abdomen or groin, respectively...
July 31, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28746980/single-incision-sling-operations-for-urinary-incontinence-in-women
#11
REVIEW
Arjun Nambiar, June D Cody, Stephen T Jeffery, Patricia Aluko
BACKGROUND: Urinary incontinence has been shown to affect up to 50% of women. Studies in the USA have shown that up to 80% of these women have an element of stress urinary incontinence. This imposes significant health and economic burden on society and the women affected. Colposuspension and now mid-urethral slings have been shown to be effective in treating patients with stress incontinence. However, associated adverse events include bladder and bowel injury, groin pain and haematoma formation...
July 26, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28738443/urethral-injection-therapy-for-urinary-incontinence-in-women
#12
REVIEW
Vivienne Kirchin, Tobias Page, Phil E Keegan, Kofi Om Atiemo, June D Cody, Samuel McClinton, Patricia Aluko
BACKGROUND: Urinary incontinence imposes a significant health and economic burden to society. Periurethral or transurethral injection of bulking agents is a minimally invasive surgical procedure used as one the surgical treatments of stress urinary incontinence (SUI) in adult women. OBJECTIVES: To assess the effects of periurethral or transurethral injection therapy on the cure or improvement of urinary incontinence in women. SEARCH METHODS: We searched the Cochrane Incontinence Group Specialised Trials Register (searched 8 November 2010) and the reference lists of relevant articles...
July 25, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28721282/structural-differences-and-architectural-features-of-two-different-polypropylene-slings-tvt-o-and-i-stop-have-no-impact-on-biocompatibility-and-tissue-reactions
#13
Mikolaj Przydacz, Oussama El Yazami Adli, Wally Mahfouz, Oleg Loutochin, Louis R Bégin, Jacques Corcos
INTRODUCTION: To evaluate the impact of design features of the synthetic mid-urethral slings on tissue integrity and inflammatory responses. MATERIAL AND METHODS: In total 30 female Sprague-Dawley rats were implanted with type I monofilamentous, macroporous polypropylene meshes: Gynecare TVT-Obturator tape(®) (Ethicon Inc., Johnson & Johnson, Somerville, NJ, USA) and I-STOP(®) (CL Medical Inc., Lyon, France). All animal groups were sacrificed at set time intervals - 6 weeks, 3 months, 6 months, 9 months and 12 months - and the abdominal wall was harvested with mesh strips for histological evaluation...
June 30, 2017: Central European Journal of Urology
https://www.readbyqxmd.com/read/28657139/complications-following-the-insertion-of-two-synthetic-mid-urethral-slings-and-subsequent-removal
#14
Dominic Lee, Chasta Bacsu, Benjamin Dillon, Philippe E Zimmern
OBJECTIVE: To determine outcomes after removal of two synthetic mid-urethral slings (MUS) at a tertiary care center. METHODS: Following IRB approval, a retrospective chart review of non-neurogenic, symptomatic women requiring re-operation after ≥2 MUS was performed. Data reviewed by a third party included: demographics, prior anti-incontinence surgery, complications, pelvic/urinary symptoms, subsequent investigations, surgical repair and outcomes (including UDI-6/IIQ-7 questionnaires) at a minimum 6 months follow-up...
June 28, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28594776/surgical-pain-after-transobturator-and-retropubic-midurethral-sling-placement
#15
RANDOMIZED CONTROLLED TRIAL
Tonya N Thomas, Lauren N Siff, J Eric Jelovsek, Matthew Barber
OBJECTIVE: To compare prevalence and severity of any surgical pain between transobturator and retropubic slings; secondary aims were to compare pain at anatomic locations, pain medication use, and pain resolution between transobturator and retropubic slings and to compare pain between types of transobturator slings. METHODS: This is a secondary analysis of the Trial of Mid-Urethral Slings, which compared retropubic and transobturator sling outcomes and included 597 participants from 2006 to 2008...
July 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28547273/case-distribution-and-complications-of-mid-urethral-sling-surgery-in-a-canadian-city-before-and-after-the-health-canada-advisory-on-pelvic-floor-mesh
#16
Kevin Carlson, Richard Baverstock, Andrea Civitarese, R Trafford Crump
INTRODUCTION AND HYPOTHESIS: Increased incidences of complications related to the use of mid-urethral slings (MUS) for the treatment of stress urinary incontinence resulted in both the Food and Drug Administration (FDA) and Health Canada issuing advisories in 2008 and 2010 respectively. The purpose of this study was to assess the effect these advisories had on the number of surgeons performing MUS surgery and post-surgical complications in Calgary, Canada. METHODS: In this study, we conducted a retrospective analysis of administrative data between 2006 and 2011...
May 25, 2017: International Urogynecology Journal
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
#17
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
#18
Patkawat Ramart, A Lenore Ackerman, Seth A Cohen, Ja-Hong Kim, Shlomo Raz
OBJECTIVE: We sought to examine the risk of recurrent stress urinary incontinence (SUI) after suburethral sling mesh removal or excision. MATERIALS AND METHODS: We conducted a retrospective cohort study of patients who were continent before removal or excision of synthetic midurethral 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...
August 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
#19
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
#20
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
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