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Midurethral sling

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https://www.readbyqxmd.com/read/28971224/prospective-and-randomized-clinical-trial-comparing-transobturator-versus-retropubic-sling-in-terms-of-efficacy-and-safety
#1
Claudia Cristina Palos, Ana P Maturana, Frederico R Ghersel, Cesar E Fernandes, Emerson Oliveira
INTRODUCTION AND HYPOTHESIS: The midurethral sling is the most commonly performed surgical procedure for stress urinary incontinence (SUI). We compared the efficacy of transobturator tape (TOT) and retropubic (RP) slings by evaluating objective and subjective cure rates at 12 months postsurgery and evaluate the impact on quality of life (QoL) and record intra- and postoperative complications. METHODS: This was a randomized, controlled, prospective, clinical trial with analysis of noninferiority...
October 2, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28941138/prolapse-surgery-with-or-without-incontinence-procedure-a-systematic-review-and-meta-analysis
#2
REVIEW
J Marinus van der Ploeg, Annemarie van der Steen, Sandra Zwolsman, C Huub van der Vaart, Jan-Paul W R Roovers
BACKGROUND: To reduce the risk of postoperative stress urinary incontinence (POSUI) prolapse repair might be combined with incontinence surgery. OBJECTIVES: Compare efficacy and safety of prolapse surgery with and without incontinence surgery. SEARCH STRATEGY: Including our earlier review a systematic search in PubMed, EMBASE, the Cochrane Library and the Register of Current Controlled Trials was performed from 1995 to 2017. SELECTION CRITERIA: Randomised trials comparing prolapse surgery with a midurethral sling (MUS) or Burch colposuspension...
September 22, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28922303/perioperative-outcomes-complications-and-efficacy-of-robotic-assisted-prolapse-repair-a-single-institution-study-of-196-patients
#3
Priyanka Gupta, Michael Ehlert, Jamie Bartley, Jason Gilleran, Kim A Killinger, Judith A Boura, Pradeep Nagaraju, Melissa Fischer
Abdominal pelvic organ prolapse repair is efficacious for uterovaginal and apical prolapse. We describe the safety and efficacy of robotic prolapse repair in a large teaching institution. METHODS: Consecutive robotic-assisted prolapse repairs at a single institution between 2006 and 2014 were retrospectively reviewed for patient characteristics, operative information, and outcomes. RESULTS: A total of 196 women (mean age, 61 ± 9 years) underwent robotic prolapse repair (189 sacrocolpopexy, 6 sacrohysteropexy, 1 enterocele repair)...
September 15, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28877362/trends-in-urodynamic-testing-prior-to-midurethral-sling-placement-what-was-the-value-of-the-value-trial
#4
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/28871439/one-normal-void-and-residual-following-mus-surgery-is-all-that-is-necessary-in-most-patients
#5
Paul Ballard, Sami Shawer, Colette Anderson, Aethele Khunda
INTRODUCTION AND HYPOTHESIS: There is considerable variation worldwide on how the assessment of voiding function is performed following midurethral sling (MUS) surgery. There is potentially a financial cost, and reduction in efficiency when patient discharge is delayed. Using our current practice of two normal void and residual (V&R) readings before discharge, the aim of this retrospective study was to evaluate the likelihood of an abnormal second V&R test if the first V&R test was normal in order to determine if a policy of discharge after only one satisfactory V&R test is reasonable...
September 4, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28852790/informed-consent-checklists-for-midurethral-slings-a-common-sense-approach
#6
G Alessandro Digesu, Steven Swift, Victoria Handley
INTRODUCTION AND HYPOTHESIS: Following the US Food and Drug Administration's (FDA's) warning about the use of transvaginal mesh to treat pelvic organ prolapse (POP) and the use of single-incision slings to treat incontinence, the number of lawsuits for medical negligence regarding the use of any polypropylene mesh in the vagina has increased tremendously. METHODS: This same FDA document did not question the use of polypropylene midurethral slings and polypropylene for sacrocolpopexies...
August 29, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28834564/the-predictive-value-of-demonstrable-stress-incontinence-during-basic-office-evaluation-and-urodynamics-in-women-without-symptomatic-urinary-incontinence-undergoing-vaginal-prolapse-surgery
#7
J Marinus van der Ploeg, Sandra E Zwolsman, Selina Posthuma, Hylco S Wiarda, C Huub van der Vaart, Jan-Paul W R Roovers
AIMS: Women with pelvic organ prolapse without symptoms of urinary incontinence (UI) might demonstrate stress urinary incontinence (SUI) with or without prolapse reduction. We aimed to determine the value of demonstrable SUI during basic office evaluation or urodynamics in predicting SUI after vaginal prolapse repair in these women. METHODS: Women included in the CUPIDO trials without bothersome UI or UI more than once a week were eligible if they had undergone prolapse repair without incontinence surgery...
August 23, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28821472/surgical-findings-and-outcomes-in-premenopausal-breast-cancer-patients-undergoing-oophorectomy-a-multicenter-review-from-the-fellows-pelvic-research-network
#8
Lara F B Harvey, Vandana G Abramson, Jimena Alvarez, Christopher Destephano, Hye-Chun Hur, Katherine Lee, Patricia Mattingly, Beau Park, Carolyn Piszczek, Farinaz Seifi, Mallory Stuparich, Amanda Yunker
STUDY OBJECTIVE: To describe the procedures performed, intra-abdominal findings, and surgical pathology in a cohort of women with premenopausal breast cancer who underwent oopherectomy. DESIGN: Multicenter retrospective chart review (Canadian Task Force classification II-3). SETTING: Nine US academic medical centers participating in the Fellows' Pelvic Research Network (FPRN). PATIENTS: One hundred twenty-seven women with premenopausal breast cancer undergoing oophorectomy between January 2013 and March 2016...
August 15, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28817925/re-incontinence-rates-after-midurethral-sling-revision-for-vaginal-exposure-or-pain
#9
Alan J Wein
No abstract text is available yet for this article.
September 2017: Journal of Urology
https://www.readbyqxmd.com/read/28801396/the-sims-trial-adjustable-anchored-single-incision-mini-slings-versus-standard-tension-free-midurethral-slings-in-the-surgical-management-of-female-stress-urinary-incontinence-a-study-protocol-for-a-pragmatic-multicentre-non-inferiority-randomised-controlled
#10
Mohamed Abdel-Fattah, Graeme MacLennan, Mary Kilonzo, R Phil Assassa, Kirsty McCormick, Tracey Davidson, Alison McDonald, James N'Dow, Judith Wardle, John Norrie
INTRODUCTION: Single-incision mini-slings (SIMS) represent the third generation of midurethral slings. They have been developed with the aim of offering a true ambulatory procedure for treatment of female stress urinary incontinence (SUI) with reduced morbidity and earlier recovery while maintaining similar efficacy to standard midurethral slings (SMUS). The aim of this study is to determine the clinical and cost-effectiveness of adjustable anchored SIMS compared with tension-free SMUS in the surgical management of female SUI, with 3-year follow-up...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28791224/midurethral-slings-in-the-mesh-litigation-era
#11
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/28780649/de-novo-overactive-bladder-following-midurethral-sling-procedures-a-systematic-review-of-the-literature-and-meta-analysis
#12
REVIEW
Vasilios Pergialiotis, Zini Mudiaga, Despina N Perrea, Stergios K Doumouchtsis
INTRODUCTION AND HYPOTHESIS: De novo overactive bladder (OAB) is a known complication of midurethral sling surgery for the treatment of stress urinary incontinence. To date, differences in the incidence of de novo OAB following the use of different types of midurethral sling remain relatively unknown. The purpose of the present systematic review was to evaluate this incidence and summarize current evidence. METHODS: We systematically searched the literature using the MEDLINE, Embase, Scopus, ClinicalTrials...
August 5, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28770296/a-systematic-review-on-vaginal-laser-therapy-for-treating-stress-urinary-incontinence-do-we-have-enough-evidence
#13
REVIEW
Vasilios Pergialiotis, Anastasia Prodromidou, Despina N Perrea, Stergios K Doumouchtsis
INTRODUCTION AND HYPOTHESIS: Current treatment strategies for stress urinary incontinence (SUI) raise concerns about safety and efficacy. The purpose of this systematic review was to present available evidence related to vaginal laser therapy as a treatment option for SUI. METHODS: We searched the MEDLINE (1966-2017), Scopus (2004-2017), Clinicaltrials.gov (2008-2017) and Cochrane Central Register of Controlled Trials (CENTRAL) (1999-2017) databases for relevant studies in this field...
August 2, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28753896/reoperations-for-female-stress-urinary-incontinence-a-finnish-national-register-study
#14
Kaisa Kurkijärvi, Riikka Aaltonen, Mika Gissler, Juha Mäkinen
BACKGROUND: Subjective and objective cure rates after primary surgery for female stress urinary incontinence are good. Still, some women will undergo repeated operations for incontinence. OBJECTIVE: To study the reoperation rate after incontinence surgery and to compare the reoperation rates between different surgery types. DESIGN, SETTING, AND PARTICIPANTS: This national register-based study included all Finnish women who had surgery for stress urinary incontinence during a 23-yr study period (1987-2009), both in inpatient and outpatient hospital settings...
June 10, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28746921/effects-of-transobturator-midurethral-sling-surgery-on-sexual-functions-one-year-follow-up
#15
Ergul Aslan, Funda Gungor Ugurlucan, Dilek Bilgic, Onay Yalcin, Nezihe Kizilkaya Beji
AIM: To evaluate sexual functions of women having stress urinary incontinence (SUI) preoperatively and 6 months and 12 months after undergoing a transobturator tape (TOT) ± pelvic organ prolapse (POP) surgery. METHODS: One hundred-ninety-five women with SUI ± POP were recruited and 150 sexually active women who had clinical ± urodynamic SUI and underwent TOT ± POP surgery were included in this prospective study. Urogynecologic symptoms were evaluated preoperatively, at 6 months, and 12 months by Female Sexual Function Index (FSFI)...
July 27, 2017: Gynecologic and Obstetric Investigation
https://www.readbyqxmd.com/read/28723719/clinical-application-of-a-transurethral-holmium-laser-excision-of-exposed-polypropylene-mesh-at-lower-urinary-tract-single-surgeon-experience-with-long-term-follow-up
#16
Chan Ho Lee, Ja Yoon Ku, Kyoung Lee, Jeong Zoo Lee, Dong Gil Shin
PURPOSE: The aim of this study was to evaluate the clinical application of a transurethral holmium laser excision of exposed polypropylene mesh as an effective minimally invasive surgical approach in patients with lower urinary tract mesh erosion following the transvaginal placement of polypropylene mesh. METHODS: A retrospective analysis was conducted on the data of 22 patients with exposed polypropylene mesh in the lower urinary tract that was managed using the transurethral holmium laser technique...
July 19, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28723384/clinical-case-discussion-failure-of-a-midurethral-sling-procedure-for-stress-urinary-incontinence-in-a-female-patient
#17
Alice Drain, Victor W Nitti
The patient should have an autologous fascia sling as her next procedure because she has recurrent stress urinary incontinence after two prior transobturator synthetic slings, current urethral erosion, and intrinsic sphincter deficiency.
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723383/clinical-case-discussion-repeat-sling-surgery-should-we-offer-a-second-sling
#18
Femke Vandercruysse, Dirk De Ridder, Frank Van der Aa
Advantages of secondary sling surgery for persistent or recurrent stress urinary incontinence include low complexity and short operation time, low blood loss, and short hospitalization. Rates of perioperative complications, erosion, and postoperative voiding difficulties are comparable with primary sling surgery. The presence of urethral (hyper)mobility after primary midurethral sling seems to be an important factor affecting success rates of repeat sling surgery.
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723382/case-presentation-failure-of-a-midurethral-sling-procedure-for-stress-urinary-incontinence-in-a-female-patient
#19
George R Kasyan, Dmitry Y Pushkar
A clinical case of recurrent stress urinary incontinence after two subsequent synthetic midurethral tapes with protrusion into the urethra is presented.
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28694151/liposomal-bupivacaine-decreases-pain-following-retropubic-sling-placement-a-randomized-placebo-controlled-trial
#20
Donna Mazloomdoost, Rachel N Pauls, Erin N Hennen, Jennifer Y Yeung, Benjamin C Smith, Steven D Kleeman, Catrina C Crisp
BACKGROUND: Midurethral slings are commonly used to treat stress urinary incontinence. Pain control, however, may be a concern. Liposomal bupivacaine is a local anesthetic with slow release over 72 hours, demonstrated to lower pain scores and decrease narcotic use postoperatively. OBJECTIVE: The purpose of this study was to examine the impact of liposomal bupivacaine on pain scores and narcotic consumption following retropubic midurethral sling placement. STUDY DESIGN: This randomized, placebo-controlled trial enrolled women undergoing retropubic midurethral sling procedures with or without concomitant anterior or urethrocele repair...
July 8, 2017: American Journal of Obstetrics and Gynecology
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