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TVT Mesh

N A Kravtsova, T G Melkoniants, M Yu Gvozdev, V A Krutova
OBJECTIVE: Urinary stress incontinence considerably decreases the life quality of women, which makes search for effective methods of treatment essential. The research presents results of surgical treatment of 230 patients with stress urinary incontinence between 2011 and 2014. MATERIALS AND METHODS: Efficiency of treatment of urinary incontinence in women, using Tension-free Vaginal Tape (TVT-O) and mini-sling Ophira was presented. The evaluation was made out of complaints and physical examination in target groups, including patients with concurrent genital prolapse and mixed urinary incontinence...
August 2016: Urologii︠a︡
Phil Hyun Song, Dae Hyeon Kwon, Young Hwii Ko, Hee Chang Jung
OBJECTIVES: To evaluate the long-term outcomes from the tension-free vaginal tape (TVT) procedure, we investigated the data from a minimum 13-year follow-up and predictive risk factors affecting efficacy for treatment of female stress urinary incontinence (SUI). METHODS: A total of 206 (mean age, 59.2 ± 8.8 years) women who underwent the TVT procedure for SUI were selected and followed up for at least 13 years (mean, 162.4 months; range, 156-174) after TVT procedure...
January 2017: Lower Urinary Tract Symptoms
David E Rapp, Mary Ellen Dolat, Joshua Wiley, Bruce Rowe
OBJECTIVES: A variety of pelvic organ prolapse (POP) surgeries are performed concomitant to midurethral sling (MUS) placement. It is unknown whether differing POP surgeries may affect stress urinary incontinence outcomes after MUS placement. METHODS: We performed a retrospective cohort analysis of patients undergoing TVT obturator system in conjunction with a variety of POP repair (cystocele with mesh graft, cystocele with cadaveric fascia, colpocleisis, and sacrocolpopexy)...
January 18, 2017: Female Pelvic Medicine & Reconstructive Surgery
Y Q Wang, X Yang, J L Wang
Objective: To investigate clinical treatment and outcome of mesh-related pain after pelvic floor reconstruction. Methods: Twelve patients were referred to Peking University People's Hospital for post-operation pain related to polypropylene mesh or tape used in pelvic floor reconstruction and received reoperation from January 2007 to December 2014. The demographic characteristics, clinical manifestation, operation method and follow-up outcome were retrospectively analyzed, and current literature was also reviewed...
December 25, 2016: Zhonghua Fu Chan Ke za Zhi
F Natale, E Costantini, C La Penna, E Illiano, R Balsamo, A Carbone, M Cervigni
OBJECTIVE: Primary objective of this study was to assess the effects of trocar-guided transvaginal mesh surgery (TVM) on cure and prevention rates for incontinence, without concomitant surgery for Stress Urinary Incontinence (SUI). Our secondary objectives were anatomical outcomes, relief of symptoms and effect on quality of life (QoL). STUDY DESIGN: This prospective observational study evaluated women who underwent TVM for symptomatic stage >2 Pelvic Organ Prolapse (POP)...
March 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Mohamed E Gaber, Tamer Borg, Hazem Samour, Mai Nawara, Ahmed Reda
AIM: The aim of this study was to compare the outcome of two single-incision mini-slings (the Contasure-Needleless [C-NDL] and the endopelvic free anchorage) with the standard midurethral transobturator tension-free vaginal tape (TVT-O) procedure. METHODS: A double blind randomized controlled study was conducted at Ain Shams University Maternity Hospital from August 2014 until July 2015. A total of 209 patients were randomized into three groups. The first group underwent the TVT-O procedure, the second group underwent the endopelvic free anchorage procedure and the third group underwent the C-NDL procedure...
December 2016: Journal of Obstetrics and Gynaecology Research
Laura Didomizio, Hisham Khalil, Dante Pascali
BACKGROUND: Midurethral slings are the most widely used surgical treatment for stress urinary incontinence. Complications include bladder injury, voiding dysfunction, mesh exposure/erosion, dyspareunia, and failure to correct the incontinence. Complete mesh infection is rare. CASE: A 48-year-old woman underwent a repeat retropubic tension-free vaginal tape (TVT) procedure for stress urinary incontinence. She presented eight weeks postoperatively with a tender suprapubic mass and urinary retention...
September 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Alan J Wein
No abstract text is available yet for this article.
February 2016: Journal of Urology
Mahmoud Mustafa
OBJECTIVE: To evaluate the results of novel modifications on tension- free vaginal tape (TVT) for the treatment of women with stress urinary incontinence (SUI). MATERIALS AND METHODS: Sixteen female patients (average age 49.29 years, range: 31-78) who underwent anti-incontinence surgery to correct their SUI in the period between June 2010 and August 2014 were included in the study. In situ anterior vaginal wall sling was prepared, and monofilament polypropylene tape passed below the in situ-sling and standard TVT procedure was performed...
September 2015: Urology Journal
Andreas Gild, Birgitt Schoenfisch, Markus Huebner, Sara Brucker, Diethelm Wallwiener, Christl Reisenauer
PURPOSE: The aim of this study was to define groups of women that are at particular risk for postoperative voiding dysfunction (PVD) after surgery for stress urinary incontinence (SUI) and/or pelvic organ prolapse (POP) and to focus on the question if these specific groups would benefit from suprapubic catheter (SPC) insertion. Complications associated with SPC were identified. METHODS: Between 06/2005 and 01/2013, the medical records of N = 4463 patients who underwent POP and/or SUI surgery were reviewed for suprapubic bladder drainage, duration of suprapubic catheterisation and SPC associated complications...
May 2016: Archives of Gynecology and Obstetrics
Fotios Sergouniotis, Björn Jarlshammar, Per-Göran Larsson
AIM: To analyze the clinical features, diagnostic modalities, and the surgical management of urethral complications after tension-free vaginal tape procedures. METHODS: This study encompasses a retrospective review of nine patients presented with urethral complications after midurethral sling procedures. The patients underwent the procedures during a period from 1999 to 2012 in three different regional hospitals in the southwest part of Sweden. The time from sling placement to diagnosis, the risk factors, clinical features, diagnosis, surgical management, and functional outcome are presented...
July 6, 2015: World Journal of Nephrology
In Kyu Lee, Dong Wan Sohn
A 56-year-old female patient presented with sustained sigmoid colon perforation at the time of a tension-free vaginal tape (TVT) procedure and subsequently developed enterocutaneous fistula and subcutaneous abscess. She came to our emergency department complaining of left lower abdominal tenderness and swelling for 2 weeks previously. Her right thigh also was tender and swollen. A foreign body in sigmoid colon and subcutaneous abscess were found on computed tomography scan. We diagnosed the perforation of sigmoid colon and enterocutaneous fistula by TVT mesh...
March 2015: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Jonathan S Shaw, Peter C Jeppson, Charles R Rardin
INTRODUCTION AND HYPOTHESIS: Groin pain following a transobturator (TO) midurethral sling is not uncommon and can be difficult to manage. We sought to determine if decreasing the mesh burden in the groin would decrease pain. The primary objective was to compare the incidence of post-operative groin pain following placement of full-length TVT-Obturator versus the shorter TVT-Abbrevo. Secondarily, we aimed to compare the efficacy between both devices 6 months after surgery. METHODS: This is a retrospective cohort study of all women who underwent a TO midurethral sling by the division of urogynecology at one institution between 1 January 2007 and 31 October 2013...
September 2015: International Urogynecology Journal
Mihaela-Camelia Tirnovanu, Monica Holicov Luţuc, Angelica Ciucanu Mătrescu, M Onofriescu, Ecaterina Dalas
UNLABELLED: Several combined surgical procedures have been described, but connective tissue deficiency required the use of some "prostheses" instead of conventional methods based exclusively on correction by suture. AIM: Assessment of the techniques used for the repair of stress urinary incontinence (SUI) and anterior vaginal wall prolapse, as well as the incidence of intraoperative and postoperative incidents and complications. MATERIAL AND METHOD: The study was conducted between January 2007 and December 2011 at the 1st Clinic of Obstetrics and Gynecology Iaşi...
January 2015: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Mohammed S ElSheemy, Hesham Fathy, Hussein A Hussein, Ragheb Elsergany, Eman A Hussein
INTRODUCTION AND HYPOTHESIS: The objective of the study was to compare the safety and efficacy of surgeon-tailored polypropylene mesh (STM) through tension-free vaginal tape-obturator (TVT-O) versus original TVT-O in the treatment of stress urinary incontinence (SUI) aiming to decrease the cost of treatment. This is important in developing countries due to limited health care resources. METHODS: A retrospective cohort study was done at the Urology and Gynecology Departments (dual-center), Cairo University from May 2007 to June 2010...
October 2015: International Urogynecology Journal
V Leanza, G Zanghì, R Vecchio, G Leanza
BACKGROUND: Tension-Free Incontinence Cystocoele Treatment (TICT) was introduced by Leanza-Gasbarro-Caschetto in 2001, on the basis of experimental and clinical investigations to obtain a physiologic mechanism of closure and opening of the urethra in the event of genuine stress urinary incontinence (S.U.I.) and cistocoele. TICT took origin from the previous retropubic tension-free vaginal tape (TVT) based on the integral theory according which mid-urethra has a main role for urinary continence but differs in that the former restores the anatomy and physiology of the entire anterior compartment...
January 2015: Il Giornale di Chirurgia
Christina P Moldovan, Michelle E Marinone, Andrea Staack
Stress urinary incontinence is a common, disabling, and costly medical problem that affects approximately 50% of women with urinary incontinence. Suburethral retropubic slings have been developed as a minimally invasive and effective surgical option, and they have been used as a first-line treatment for stress urinary incontinence since 1995. However, complications including vaginal extrusion, erosion, pain, bleeding, infections, lower urinary tract symptoms, urinary retention, and incontinence have been reported with use of the slings...
2015: International Journal of Women's Health
Ellen R Solomon, J Eric Jelovsek
BACKGROUND: The retropubic tension-free vaginal tape (TVT) procedure is a common procedure with complications attributed to voiding dysfunction, bladder perforation, and bleeding. We present a case of successful removal of a retropubic midurethral sling from the urethra using a head lamp and a combination of ear, nose, and throat instruments. CASE: A 63-year-old woman presented to our clinic with the symptom of gross hematuria after having undergone a TVT procedure...
January 2015: Obstetrics and Gynecology
Vasil N Iliev, Irena T Andonova
Currently, the most commonly performed surgeries for stress urinary incontinence (SUI) are mesh midurethral slings (MUS). They are minimally invasive outpatient procedures, and they are as effective as traditional suburethral slings, open retropubic colposuspension (Burch, Marshall-Marchetti), and laparoscopic retropubic colposuspension. They have a short operative time and fewer postoperative complications. In the paper we present results from a prospective study of 214 patients with SUI who underwent midurethral sling placement: 68 patients with retropubic slings (TVT) and 146 patients with transobturator slings (TVT-O) followed over 12 months...
2014: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
Alan D Garely, Nabila Noor
Stress urinary incontinence (SUI) is a major problem affecting more than 20% of the nation's female population, with increasing prevalence as our population continues to age. Incontinence places a great burden on individuals, and the economic effect is large. Stress urinary incontinence occurs when there is involuntary leakage of urine during coughing, laughing, sneezing, or physical activity. It can be diagnosed during physical examination and by using low-cost office diagnostics. Although nonsurgical treatments provide some benefit, surgical interventions have demonstrated superiority with respect to subjective and objective cure and better long-term improvement...
November 2014: Obstetrics and Gynecology
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