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https://www.readbyqxmd.com/read/28503734/retropubic-tissue-fixation-system-tensioned-mini-sling-carried-out-under-local-anesthesia-cures-stress-urinary-incontinence-and-intrinsic-sphincter-deficiency-1-year-data
#1
Ryoko Nakamura, Masahiro Yao, Yoshiko Maeda, Akiko Fujisaki, Yuki Sekiguchi
OBJECTIVES: To assess the outcomes of the tissue fixation system midurethral sling for the treatment of intrinsic sphincter deficiency. METHODS: We retrospectively studied a total of 96 intrinsic sphincter deficiency patients treated with the tissue fixation system midurethral sling at Yokohama Motomachi Women's Clinic from 2006 to 2015. We evaluated intraoperative and 1-year postoperative results. Regarding the cure rate, we divided patients into three groups: (i) patients with maximum urethral closure pressure <20 and Valsalva leak point pressure <65 combined (n = 17); (ii) patients with maximum urethral closure pressure <20 (n = 55); and (iii) patients with Valsalva leak point pressure <65 (n = 47)...
May 14, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28479203/updated-systematic-review-and-meta-analysis-of-the-comparative-data-on-colposuspensions-pubovaginal-slings-and-midurethral-tapes-in-the-surgical-treatment-of-female-stress-urinary-incontinence
#2
REVIEW
Ferdinando Fusco, Mohamed Abdel-Fattah, Christopher R Chapple, Massimiliano Creta, Sabrina La Falce, David Waltregny, Giacomo Novara
CONTEXT: Retropubic (RP-TVT) and transobturator miurethral (TO-TVT) midurethral sling (MUS) are popular surgical treatments for female stress urinary incontinence. The long-term efficacy and safety of the procedures is still a topic of intense clinical research and several randomised controlled trials (RCTs) have been published in the last years OBJECTIVE: To evaluate the efficacy and safety of MUS compared with other surgical treatments for female stress urinary incontinence. EVIDENCE ACQUISITION: A systematic review and meta-analysis of the literature was performed using the Medline, Scopus, and Web of Science databases to update our previously published analyses...
May 4, 2017: European Urology
https://www.readbyqxmd.com/read/28213799/the-hybrid-technique-of-pelvic-organ-prolapse-treatment-apical-sling-and-subfascial-colporrhaphy
#3
Dmitry Shkarupa, Nikita Kubin, Alexey Pisarev, Anastasiya Zaytseva, Ekaterina Shapovalova
INTRODUCTION AND HYPOTHESIS: The majority of patients with cystocele undergoing reconstructive surgery have combined defects of pubocervical fascia and uterosacral/cardinal ligament complex. In this regard, the simultaneous correction of both defects is rational. Furthermore, decreasing the use of synthetic materials in pelvic floor surgery is an important goal. The aim was to evaluate the objective and subjective cure rate of a hybrid technique: bilateral sacrospinous fixation using modern monofilament synthetic tape (apical sling) combined with the original technique of subfascial colporrhaphy...
February 17, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28213797/long-term-outcomes-of-tot-and-tvt-procedures-for-the-treatment-of-female-stress-urinary-incontinence-a-systematic-review-and-meta-analysis
#4
REVIEW
Umberto Leone Roberti Maggiore, Enrico Finazzi Agrò, Marco Soligo, Vincenzo Li Marzi, Alex Digesu, Maurizio Serati
INTRODUCTION AND HYPOTHESES: One of the most relevant topics in the field of pelvic floor dysfunction treatment is the long-term efficacy of surgical procedures, in particular, the use of prosthesis. Hence, a systematic review and meta-analysis was conducted to evaluate the long-term effectiveness and safety of midurethral sling (MUS) procedures for stress urinary incontinence (SUI), as reported in randomised controlled trials (RCTs) and non-randomised studies. METHODS: This systematic review is based on material searched and obtained via PubMed/Medline, Scopus, and the Cochrane Library between January 2000 and October 2016...
February 17, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28168811/transobturator-tape-operation-for-the-treatment-of-stress-urinary-incontinence-in-postmenopausal-women-aged-over-65%C3%A2-years
#5
Cenk Yasa, Funda Gungor Ugurlucan, Ozlem Dural, Harika Yumru, Cansu Gunaydin, Onay Yalcin
OBJECTIVE: We compared success rates and complication rates in women aged less then and equal to or more than 65 years who had undergone transobturator tape (TOT) surgery for stress urinary incontinence (SUI). METHODS: This was a retrospective cohort study that included patients who underwent surgery to treat SUI. We separated patients into two groups according to age: younger than 65 years and equal to or older than 65 years. Exclusion criteria were patients with history of incontinence surgery, history of radical pelvic surgery, concomitant pelvic organ prolapse repair, detrusor overactivity, and less than 1 year of postoperative follow-up...
February 6, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28139863/role-of-intrinsic-sphincter-deficiency-with-and-without-urethral-hypomobility-on-the-outcome-of-tape-insertion
#6
Edyta Wlaźlak, Volker Viereck, Jacek Kociszewski, Andrzej Kuszka, Oliver Rautenberg, Claudia Walser, Grzegorz Surkont, Marianne Gamper, Mathias K Fehr
AIMS: Intrinsic sphincter deficiency (ISD) is a known risk factor for therapy failure after tension-free vaginal tape (TVT) insertion. The purpose of this study was to investigate if the severity of ISD alone or other factors such as urethral mobility and tape localization influence outcomes. METHODS: One hundred and nine women with urodynamically determined ISD, a TVT insertion, and a 6-month follow-up visit were included. Urethral length, mobility, and tape localization were evaluated by pelvic floor sonography...
January 31, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28128907/minimally-invasive-treatment-of-female-stress-urinary-incontinence-with-the-adjustable-single-incision-sling-system-ajust-%C3%A2-in-an-elderly-and-overweight-population
#7
Ralf Anding, Manuel Schoen, Ruth Kirschner-Hermanns, Christian Fisang, Stefan C Müller, Stefan Latz
INTRODUCTION: The prevalence of urinary incontinence is increasing. Two major risk factors are overweight and age. We present objective and subjective cure rates of elderly and overweight patients treated with an adjustable single-incision sling system (AJUST™, C.R. BARD, Inc.). MATERIALS AND METHODS: Between 04/2009 and 02/2012 we treated 100 female patients with the single incision sling. Patients were retrospectively evaluated by Stamey degree of incontinence, cough test, pad use, and overall satisfaction...
March 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28123243/to-evaluate-the-safety-and-efficacy-of-the-tvt-secur-procedure-in-the-treatment-of-stress-urinary-incontinence-in-women
#8
J S Sandhu, S C Karan, G D Maiti, Puja Dudeja
BACKGROUND: The prevalence of stress urinary incontinence (SUI) in the middle-aged Indian women is around 16%. The use of transvaginal tapes (TVTs) has revolutionised the surgical management of SUI. Patients who undergo placement of the tape via the transobturator route often complain of persistent thigh pain at the site of trocar insertion. The use of minimally invasive tapes with a single suburethral incision reduces surgical trauma by eliminating thigh incisions, while maintaining the cure achieved by conventional TVTs...
January 2017: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/28120448/the-long-term-outcomes-of-the-tension-free-vaginal-tape-procedure-for-treatment-of-female-stress-urinary-incontinence-data-from-minimum-13%C3%A2-years-of-follow-up
#9
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
https://www.readbyqxmd.com/read/28097269/recurrence-rate-of-stress-urinary-incontinence-in-females-with-initial-cure-after-transobturator-tape-procedure-at-3-year-follow-up
#10
Taeyong Jun, Hyun Sik Yoon, Hyung Suk Kim, Jeong Woo Lee, Jungbum Bae, Hae Won Lee
PURPOSE: To assess recurrence rates of urinary incontinence in women with initial cure after transobturator tape (TOT) procedure at 3-year follow-up. MATERIALS AND METHODS: Between June 2006 and May 2013, a total of 402 consecutive patients underwent the TOT procedure for female stress urinary incontinence (SUI) at Dongguk University Ilsan Hospital. Of the 402 patients, 223 had sufficient medical records for analysis. Therefore, they were followed-up for 3 years postoperatively...
January 2017: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/28058715/body-mass-index-based-evaluation-of-6-year-outcomes-after-transobturator-tension-free-vaginal-tape-for-female-urinary-incontinence
#11
Ahmet Salvarcı, Recai Gurbuz
INTRODUCTION: The long-term results will be presented according to the body mass index (BMI) rates for transobturator tension-free vaginal. METHODS: Three hundred nineteen female patients were evaluated (2008-2014). Their incontinence was classified according to the Stamey classification. The International Consultation on Incontinence Questionnaire-Short form was filled in before and after surgery. The Pelvic Organ Prolapse quantification system was utilized. The Female Sexual Function Index and the International Index of Erectile Functions were asked to be filled in...
February 3, 2017: Urologia
https://www.readbyqxmd.com/read/28028822/long-term-outcomes-for-transobturator-tension-free-vaginal-tapes-in-women-with-urodynamic-mixed-urinary-incontinence
#12
REVIEW
Mohamed Abdel-Fattah, Gabriel Cao, Alyaa Mostafa
AIMS: To assess the long-term patient reported outcomes following transobturator tension-free vaginal tapes (TO-TVT) in women with urodynamic mixed urinary incontinence (MUI). METHODS: A secondary analysis of the 9-year follow-up of the E-TOT study: 341 women with predominant stress urinary incontinence symptoms were randomized to undergo either inside-out or outside-in TO-TVT between April 2005 and April 2007. Forty-eight women had preoperative urodynamic MUI and were available for 9-year follow-up...
April 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28025686/contasure-needleless%C3%A2-compared-with-monarc%C3%A2-for-the-treatment-of-stress-urinary-incontinence
#13
Sergi Fernandez-Gonzalez, Eva Martinez Franco, Xinxin Lin Miao, Lluis Amat Tardiu
INTRODUCTION AND HYPOTHESIS: For the treatment of stress urinary incontinence (SUI), various retropubic and transobturator techniques have demonstrated high cure rates. Single-incision tapes, such as Contasure-Needleless® (C-NDL), have demonstrated similar cure rates to the inside-out transobturator sling (TVT-O®). The aim of this study was to analyse if C-NDL® is equally as effective as an outside-in transobturator sling (Monarc®) for the treatment of SUI. METHODS: We carried out a prospective, single-centre, randomised trial...
December 26, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27966178/long-term-efficacy-and-safety-of-tension-free-vaginal-tape-in-a-historic-cohort-of-463-women-with-stress-urinary-incontinence
#14
Armand Chevrot, Stéphane Droupy, Gregoire Coffin, Laurent Soustelle, Michel Boukaram, Brigitte Fatton, Renaud de Tayrac, Laurent Wagner, Pierre Costa
INTRODUCTION AND HYPOTHESIS: We report retrospective data on the long-term safety and efficacy of the retropubic midurethral sling (MUS) in a large series of women with stress urinary incontinence. METHODS: In all, 517 patients were treated during the period January 2005 to June 2012 at a single centre in France. The Urinary Symptoms Profile score was used to identify women who were subjectively cured or improved or in whom treatment had failed. The rates of peroperative, and early (<30 days) and late postoperative complications were recorded...
December 13, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27921162/multicentre-randomized-trial-of-the-ajust%C3%A2-single-incision-sling-compared-to-the-align%C3%A2-transobturator-tape-sling
#15
Jordi Sabadell, Marta Palau-Gené, Eva Huguet, Anabel Montero-Armengol, Sabina Salicrú, Jose L Poza
INTRODUCTION AND HYPOTHESIS: Tension-free suburethral tapes have become the first-line surgical treatment for female stress urinary incontinence. Single-incision midurethral slings (SIMS) were introduced with the aim of offering similar efficacy with reduced morbidity, particularly postoperative pain. The objective of this study was to compare the effectiveness and complications of the Ajust™ SIMS and the Align™ transobturator tape sling. METHODS: We performed a randomized controlled trial with a noninferiority design...
July 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/27897018/-ultrasound-comparison-of-adjustable-single-incision-ajust-and-transobturator-tapes-to-assess-post-operative-fixation-and-function-and-clinical-efficacy
#16
RANDOMIZED CONTROLLED TRIAL
F Farhat, K Švabík, P Hubka, A Martan, J Mašata
OBJECTIVE: The aim of this study was to compare fixation and mobility of adjustable single-incision (Ajust) and standard transobturator midurethral sling (TVT-O) tapes based on postoperative ultrasound monitoring of the position of the tape at rest and at maximal Valsava (tape descent). The hypothesis was that fixation of SIMS Ajust is comparable to that achieved by the standard transobturator midurethral sling. SETTING: Gynecology and Obstetrics Department, GUH and 1st Charles University Prague; Gynecology and Obstetrics Department Masarykova nemocnice Ústí nad Labem...
December 0: Ceská Gynekologie
https://www.readbyqxmd.com/read/27894032/clinical-outcomes-in-women-undergoing-laparoscopic-hysteropexy-a-systematic-review
#17
REVIEW
R Nair, K I Nikolopoulos, L S Claydon
OBJECTIVES: To systematically review the current evidence on the anatomic and functional outcomes in women undergoing laparoscopic hysteropexy. STUDY DESIGN: An electronic database search was undertaken (2000-2016). Keywords were: "laparoscopy", "hysteropexy", "cervicopexy", "uterine suspension", "uterosacral plication". References of identified studies as well as abstracts from conferences were considered. We restricted the search to humans, female patients and currently used surgical procedures...
January 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27759469/a-comperative-study-for-short-term-surgical-outcomes-of-midurethral-sling-procedures-in-obese-and-non-obese-women-with-stress-urinary-incontinence
#18
Mahmut Kuntay Kokanalı, Sabri Cavkaytar, Demet Kokanalı, Orhan Aksakal, Melike Doganay
There is little data comparing the surgical outcomes of tension-free vaginal tape (TVT) and transobturator tape (TOT) procedures in obese women. Therefore, we aimed to compare the surgical outcomes of TOT and TVT procedures among obese women with a diagnosis of stress urinary incontinence (SUI). One hundred and eighty-nine women who underwent TVT or TOT procedures due to pure SUI were included. Women in whom the body mass index (BMI) was ≥30 kg/m(2) were considered as obese, while <30 kg/m(2) were non-obese...
November 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
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
#19
RANDOMIZED CONTROLLED TRIAL
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
https://www.readbyqxmd.com/read/27686569/five-years-after-midurethral-sling-surgery-for-stress-incontinence-obesity-continues-to-have-an-impact-on-outcomes
#20
Erin A Brennand, Selphee Tang, Colin Birch, Magnus Murphy, Sue Ross, Magali Robert
INTRODUCTION AND HYPOTHESIS: The objective was to evaluate the impact of preoperative body mass index ≥30 on objective and subjective cure rates 5 years after midurethral sling surgery. METHODS: Secondary analysis of the 5-year results of a randomized clinical trial evaluating tension-free vaginal tape vs transobturator tape surgery. Women (n = 176) were classified as obese or non-obese based on preoperative height and weight. Women self-reported symptoms and quality of life, and underwent standardized physical examinations and pad-testing...
September 29, 2016: International Urogynecology Journal
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