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suburethral sling

Donna Mazloomdoost, Rachel N Pauls
No abstract text is available yet for this article.
November 2016: International Urogynecology Journal
Alexandriah Alas, Orawee Chinthakanan, Luis Espaillat, Leon Plowright, Vivian Aguilar, G Willy Davila
INTRODUCTION AND HYPOTHESIS: We aimed to evaluate the success of suburethral slings in women ≥70 years of age. METHODS: This was a retrospective cohort study of women who underwent suburethral sling placement. Subjects were separated into three groups: ≤50 years of age (group 1), 51 to 69 years of age (group 2), and ≥70 years of age (group 3). The primary aim was to evaluate success as defined by ≥ improved on a validated patient improvement satisfaction score and a negative postoperative standardized stress test...
September 15, 2016: International Urogynecology Journal
Sonè van der Walt, Frans J van Wijk, Zeelha Abdool, Anna C Oettlé
INTRODUCTION AND HYPOTHESIS: To avoid injury to the perineal branches of the pudendal nerve during urinary incontinence sling procedures, a thorough knowledge of the course of these nerve branches is essential. The dorsal nerve of the clitoris (DNC) may be at risk when performing the retropubic (tension-free vaginal tape) procedure as well as the inside-out and outside-in transobturator tape procedures. The purpose of this study was to identify the anatomical relationships of the DNC to the tapes placed during the procedures mentioned and to determine the influence of body variations...
August 22, 2016: International Urogynecology Journal
M Denancé, E Quiboeuf, C Hocké
OBJECTIVE: To assess at 6 months the efficiency, the safety and the satisfaction of a lightweight polypropylene mesh used for the transvaginal repair of cystocele by bilateral anterior sacrospinous ligament fixation (NUVIA™ SI). MATERIEL AND METHODS: A prospective cohort study was performed from January 2014 to June 2015. Preoperative assessment included an evaluation using the Pelvic Organ Prolapse Quantification system (POP-Q) and 3 questionnaires about symptoms, quality of life and quality of sex life (PFDI-20, PFIQ7, PISQ-12)...
September 2016: Progrès en Urologie
V Navalón-Monllor, F Ordoño-Domínguez, Y Pallás-Costa, L A Vilar-Castro, M E Monllor-Peidro, J Juan-Escudero, P Navalón-Verdejo
OBJECTIVES: To relate our experience in treating postprostatectomy stress urinary incontinence (SUI) with the male Remeex system (MRS). We also list the elements that comprise this system, the implantation technique and its proper adjustment. Similarly, we attempt to determine whether the latest changes made to this device, which constitute the MRS-II, have resulted in fewer mesh readjustments. MATERIAL AND METHOD: From March 2007 to March 2014, we operated on 24 men with postprostatectomy SUI between the ages of 55 and 78 years (mean, 67 years), through the placement of a Remeex suburethral tension-adjustable sling...
May 26, 2016: Actas Urologicas Españolas
Jesús Salinas-Casado, Santiago Méndez-Rubio, Laura Pesquera-Ortega, Miguel Vírseda-Chamorro, Pablo Gutiérrez-Martín, Luis Resel-Folkersma, Manuel Esteban-Fuertes, Jesús Moreno-Sierra
OBJECTIVE: The urodynamic results in suburethral slings (SS), are contradictory. We evaluate a series on patients with stress urinary incontinence (associated or not with bladder hyperactivity) that underwent suburethral slings (SS) operations. METHODS: 42 women (age 62±12 years) with urinary incontinence underwent suburethral slings (86% TOT, 12% TVT, 2% others), 36% of them with simultaneous pelvic organ prolapse correction. Medical history and a pre and postsurgery urodynamic studies (according to ICS instructions, except when specified) were performed...
May 2016: Archivos Españoles de Urología
Nima M Shah, Cynthia D Hall
BACKGROUND: Midurethral slings are an effective treatment method for stress urinary incontinence (SUI). Although success rates can be as high as 90%, the remaining patients with disappointing results may require further surgical intervention. In particular, those patients with persistent SUI may need further revision of the existing sling. Literature is limited in the optimal treatment of these patients. CASE SERIES: Five patients who underwent midurethral slings for SUI and had subsequent sling revision were included in this analysis...
July 2016: Female Pelvic Medicine & Reconstructive Surgery
Claudio Giberti, Fabrizio Gallo, Pierluigi Cortese, Francesco Visalli
AIMS: To retrospectively report our mid- to long-term results following suburethral tension adjustable sling (Remeex system) implantation for stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD). METHODS: Fifty female patients with severe SUI due to ISD underwent Remeex system positioning between May 2002 and March 2013 (mean follow-up 83.8 months, median follow-up 85.4 months). Before surgery, patients were evaluated by physical examination, translabial ultrasonography, cystoscopy, urodynamics, 1 hr pad test and compilation of quality-of-life questionnaire...
April 15, 2016: Neurourology and Urodynamics
R Betari, J Meynier, T Forzini, T François, F Hakami, F Saint
OBJECTIVES: Suburethral sling is the gold standard treatment for stress urinary incontinence (SUI). Short-term cure rates are high, but only few studies are available for longer assessment after transobturator tape procedure. The objectives of this study were to assess mid-term functional outcome for Monarc(®) transobturator tape after initial success, and to identify risk factors for recurrence. MATERIAL AND METHODS: We conducted a single centre retrospective study (2004-2013) on consecutive women with SUI who underwent Monarc(®) transobturator tape procedure and were initially cured at the postoperative medical consultation...
June 2016: Progrès en Urologie
Jordi Sabadell, Francisco Larrain, Ana Gracia-Perez-Bonfils, Anabel Montero-Armengol, Sabina Salicrú, Antonio Gil-Moreno, Jose L Poza
Aims Evaluate the effectiveness and safety of polyvinylidene fluoride (PVDF) transobturator suburethral slings/tapes (TOTs) in the treatment of stress urinary incontinence, and compare them to polypropylene (PP) slings. Material and Methods A retrospective cohort study was performed on women treated with a TOT procedure at Vall d'Hebron Hospital between February 2010 and May 2013. A PVDF sling was used in surgeries on 23 women. A comparison group was randomly selected among all women treated with a PP sling in a 1:4 ratio (n = 92)...
March 2016: Journal of Obstetrics and Gynaecology Research
Carlos A Medina, Elisabetta Costantini, Eckhard Petri, Sherif Mourad, Ajay Singla, Silvia Rodríguez-Colorado, Oscar Contreras Ortiz, Stergios K Doumouchtsis
AIMS: To review available evidence regarding evaluation and treatment of stress urinary incontinence (SUI) and provide recommendations for management of urinary incontinence under specific conditions determined by the International Federation of Gynecology and Obstetrics (FIGO) Working Group. METHODS: The FIGO Working Group discussed the management of SUI during meetings and assessed the evidence. The search of evidence was performed using MEDLINE(®) and Cochrane databases as well as additional searches from societies and major organizations for additional guidelines and recommendations and hand searches from bibliographies...
March 7, 2016: Neurourology and Urodynamics
Antonio Luigi Pastore, Giovanni Palleschi, Yazan Al Salhi, Lucia Riganelli, Andrea Fuschi, Domenico Autieri, Vincenzo Petrozza, Antonio Carbone
OBJECTIVE: The aim of this study is to investigate the change in quality of life (QoL) and sexual function in women treated for pure stress urinary incontinence (SUI) using tension-free transobturator suburethral tape (TVT-O) and single-incision sling (SIS) procedures. MATERIALS AND METHODS: From December 2013 to January 2015, a total of 48 female patients with pure SUI and normotonic urethra were consecutively enrolled and randomized into two treatment groups: TVT-O versus SIS...
April 2016: Journal of Women's Health
Marie Carmela M Lapitan, June D Cody
BACKGROUND: Urinary incontinence is a common and potentially debilitating problem. Open retropubic colposuspension is a surgical treatment which involves lifting the tissues near the bladder neck and proximal urethra in the area behind the anterior pubic bones to correct deficient urethral closure to correct stress urinary incontinence. OBJECTIVES: The review aimed to determine the effects of open retropubic colposuspension for the treatment of urinary incontinence in women...
2016: Cochrane Database of Systematic Reviews
Sônia Maria Coelho, Elizabeth de La Trinidad Castro Perez, Cynthia Dantas de Macedo Lins, Mariano Tamura Vieira Gomes, Zsuzsanna Illona Katalin de Jármy Di Bella, Marina de Paula Andres, Sergio Podgaec
OBJECTIVE: To evaluate the epidemiological profile and the operative complications of patients undergoing gynecological operations for benign diseases in a tertiary public hospital in the state of Roraima, Brazil. METHODS: We conducted a retrospective survey through the analysis of 518 records of patients submitted to gynecological operations between January and June 2012. We included the three major operations during this period (n = 175): hysterectomy, colpoperineoplasty and suburethral sling placement...
November 2015: Revista do Colégio Brasileiro de Cirurgiões
Amanda Chung, Naomi Noguchi, Lewis Chan, Vincent Tse
PURPOSE OF REVIEW: Voiding dysfunction in older men is an important health issue, with significant morbidity and biosocioeconomic burden. Treatment decisions are increasingly complex as many older men also suffer concurrent comorbidities and polypharmacy. A relatively sparse number of publications specifically examine this relevant topic. RECENT FINDINGS: Common geriatric voiding syndromes include overactive bladder (OAB) and underactive bladder, with nocturia and incontinence often the most bothersome lower urinary tract symptoms, and may represent a falls risk together with OAB and incontinence...
March 2016: Current Opinion in Urology
Emrah Töz, Cağdaş Sahin, Nesin Apaydin, Aykut Ozcan, Cüneyt E Taner
OBJECTIVES: The Burch colposuspension, which was regarded as the gold standard treatment for stress urinary incontinence for several years, has been replaced by minimally invasive sling devices. Although these procedures are simple and minimally invasive, they are associated with complications such as infection, mesh erosion, chronic pain, and de novo detrusor overactivity, which may necessitate surgical resection or tape removal. The aim of the study was to assess urinary function outcomes including continence, after partial resection of suburethral tapes...
July 2015: Ginekologia Polska
X Biardeau, M Zanaty, F Aoun, S Benbouzid, B Peyronnet
INTRODUCTION: We aim to assess the complications associated with different approaches used in female suburethral sling surgery. METHOD: We performed a research on Medline using the following keywords: "suburethral slings", "complications", "safety" and "randomized". Only randomized clinical trials including women and reporting intra- and postoperative complications associated with the retropubic (RP) approach; TOT and/or TVT-O were included. The meta-analysis was conducted using the Review Manager (RevMan 5...
March 2016: Progrès en Urologie
Katharina Jundt, Ursula Peschers, Heribert Kentenich
BACKGROUND: 25% of all women report involuntary loss of urine, and 7% may require treatment. METHODS: This review is based on a selection of pertinent literature, including guidelines and Cochrane reviews. RESULTS: The assessment of pelvic floor dysfunction in women begins with a basic evaluation that is followed by special diagnostic tests if indicated. The physician taking the clinical history should inquire about the patient's behavior, personality, social and other stressors, and eating and drinking habits, as well as any mental disorders that may be present, including anxiety disorders, depression, somatization disorders, and disorders of adaptation...
August 17, 2015: Deutsches Ärzteblatt International
Abdol-Mohammad Kajbafzadeh, Sarah Mozafarpour
No abstract text is available yet for this article.
October 2015: International Urology and Nephrology
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