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https://www.readbyqxmd.com/read/27718284/two-new-mini-slings-compared-with-transobturator-tension-free-vaginal-tape-for-treatment-of-stress-urinary-incontinence-a-1-year-follow-up-randomized-controlled-trial
#1
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...
October 8, 2016: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/27670709/complete-mesh-infection-following-repeat-retropubic-tension-free-vaginal-tape
#2
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
https://www.readbyqxmd.com/read/26852994/re-tvt-versus-laparoscopic-mesh-colposuspension-5-year-follow-up-results-of-a-randomized-clinical-trial
#3
Alan J Wein
No abstract text is available yet for this article.
February 2016: Journal of Urology
https://www.readbyqxmd.com/read/26571316/double-tension-adjustments-with-novel-modification-on-tension-free-vaginal-tape
#4
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
https://www.readbyqxmd.com/read/26506925/does-applying-postoperative-suprapubic-catheterisation-in-urogynecology-benefit-patients
#5
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
https://www.readbyqxmd.com/read/26167464/urethral-complications-after-tension-free-vaginal-tape-procedures-a-surgical-management-case-series
#6
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
https://www.readbyqxmd.com/read/26085881/delayed-sigmoid-colon-perforation-and-enterocutaneous-fistula-due-to-tension-free-transvaginal-tape-operation-for-stress-urinary-incontinence
#7
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
https://www.readbyqxmd.com/read/26032699/decreasing-transobturator-sling-groin-pain-without-decreasing-efficacy-using-tvt-abbrevo
#8
COMPARATIVE STUDY
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
https://www.readbyqxmd.com/read/25970958/urogenital-prolapse-current-methods-of-surgical-treatment
#9
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
https://www.readbyqxmd.com/read/25956167/surgeon-tailored-polypropylene-mesh-as-a-tension-free-vaginal-tape-obturator-versus-original-tvt-o-for-the-treatment-of-female-stress-urinary-incontinence-a-long-term-comparative-study
#10
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
https://www.readbyqxmd.com/read/25827665/how-to-prevent-mesh-erosion-in-transobturator-tension-free-incontinence-cystocoele-treatment-tict-a-comparative-survey
#11
COMPARATIVE STUDY
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
https://www.readbyqxmd.com/read/25733928/transvaginal-retropubic-sling-systems-efficacy-and-patient-acceptability
#12
REVIEW
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
https://www.readbyqxmd.com/read/25560104/removing-a-misplaced-retropubic-midurethral-sling-from-the-urethra-and-bladder-neck-using-ear-nose-and-throat-instruments
#13
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
https://www.readbyqxmd.com/read/25532090/minimally-invasive-surgery-for-stress-urinary-incontinence-mesh-complications
#14
COMPARATIVE STUDY
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)
https://www.readbyqxmd.com/read/25437731/diagnosis-and-surgical-treatment-of-stress-urinary-incontinence
#15
REVIEW
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
https://www.readbyqxmd.com/read/25352073/low-cost-transobturator-vaginal-tape-inside-out-procedure-for-the-treatment-of-female-stress-urinary-incontinence-using-ordinary-polypropylene-mesh
#16
Mohammed S ElSheemy, Ragheb Elsergany, Ahmed ElShenoufy
INTRODUCTION AND HYPOTHESIS: The aim of this study is to describe the use of ordinary polypropylene mesh and our modified helical passers through a transobturator vaginal tape inside-out technique (TVT-O) as a low-cost alternative to available commercial kits in the treatment of stress urinary incontinence (SUI) with evaluation of its long-term safety and efficacy. This is important in developing countries due to limited health care resources. METHODS: Tailored (11 × 1...
April 2015: International Urogynecology Journal
https://www.readbyqxmd.com/read/25315169/midurethral-slings-versus-the-standard-pubovaginal-slings-for-women-with-neurogenic-stress-urinary-incontinence
#17
COMPARATIVE STUDY
Ahmed S El-Azab, Sherif A El-Nashar
INTRODUCTION AND HYPOTHESIS: Preliminary reports show promising data on tension-free vaginal tape (TVT) in women with lower motor neuron lesion (LMNL) presenting with stress urinary incontinence (SUI). We compared efficacy and safety of TVT to pubovaginal sling (PVS) in treating SUI in women with LMNL. METHODS: This was a pilot, nonrandomized clinical trial evaluating women with SUI associated with pathology at or below S2 spinal segment. Failure was defined as leakage of urine during cough test at 250 ml bladder volume...
March 2015: International Urogynecology Journal
https://www.readbyqxmd.com/read/25313358/coating-of-mesh-grafts-for-prolapse-and-urinary-incontinence-repair-with-autologous-plasma-exploration-stage-of-a-surgical-innovation
#18
Dimitri Barski, Holger Gerullis, Evangelos Georgas, Andreas Bär, Bernhard Lammers, Albert Ramon, Dirk Ysebaert, Bernd Klosterhalfen, Mihaly Boros, Thomas Otto
PURPOSE: Optimized biocompatibility is a major requirement for alloplastic materials currently applied for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) repair. In the preliminary studies the mesh modification by coating with autologous plasma resulted in the increased adherence score in vitro and improved biocompatibility in an animal model. The first use of plasma coated meshes in human is presented. MATERIALS AND METHODS: Between 04/2013 and 05/2014, 20 patients with the indication for SUI and POP repair were selected in a single institution...
2014: BioMed Research International
https://www.readbyqxmd.com/read/25224146/laparoscopic-repair-of-recurrent-lateral-enterocele-and-rectocele
#19
Ellen R Solomon, Tyler M Muffly, Tracy Hull, Marie Fidela R Paraiso
It is difficult to determine what types of procedures should be attempted in patients who have recurrent prolapse. We present a case of recurrent lateral enterocele and rectocele after the patient had undergone multiple surgeries for pelvic organ prolapse (POP), including a vaginal hysterectomy, bladder-neck suspension, anterior colporrhaphy, site-specific rectocele repair, apical mesh implant, iliococcygeus vault suspension, and transobturator suburethral sling procedure. With recurrence, the patient underwent robot-assisted laparoscopic sacral colpopexy, tension-free vaginal tape transobturator sling insertion, rectocele repair, and perineorrhaphy with cystoscopy...
January 2015: International Urogynecology Journal
https://www.readbyqxmd.com/read/25056766/tvt-versus-laparoscopic-mesh-colposuspension-5-year-follow-up-results-of-a-randomized-clinical-trial
#20
RANDOMIZED CONTROLLED TRIAL
A Valpas, S Ala-Nissilä, E Tomas, C G Nilsson
INTRODUCTION AND HYPOTHESIS: Before the introduction of the tension-free vaginal tape (TVT) procedure for the treatment of female stress urinary incontinence, the colposuspension operation was regarded as the "gold standard" procedure. The laparoscopic variant of the colposuspension was introduced as a less invasive operation. The aim of the present trial was to compare the new minimally invasive TVT procedure with laparoscopic mesh colposuspension (LCM). METHODS: A multicenter randomized clinical trial conducted in six public hospitals in Finland including primary cases of stress incontinence...
January 2015: International Urogynecology Journal
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