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Transobturator sling

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https://www.readbyqxmd.com/read/29776405/adjustable-single-incision-mini-slings-ajust%C3%A2-versus-other-slings-in-surgical-management-of-female-stress-urinary-incontinence-a-meta-analysis-of-effectiveness-and-complications
#1
Fuding Bai, Jimin Chen, Zhewei Zhang, Yichun Zheng, Jiaming Wen, Xiawa Mao, Nan Zhang
BACKGROUND: Adjustable single-incision mini-sling (SIMS) is a new category of SIMS for stress urinary incontinence (SUI). The aim of this study was to compare the efficacy and safety of adjustable single-incision mini-sling with other slings. METHODS: Literature search in databases such as Pubmed, and Conchrane Library was performed up to December, 2015. The outcomes including cure rate, operation time, postoperative pain score and complications were reanalyzed...
May 18, 2018: BMC Urology
https://www.readbyqxmd.com/read/29725708/outcomes-of-stress-urinary-incontinence-in-women-undergoing-tot-versus-burch-colposuspension-with-abdominal-sacrocolpopexy
#2
George Lazarou, Evelyn Minis, Bogdan Grigorescu
INTRODUCTION AND HYPOTHESIS: To compare postoperative rates of stress urinary incontinence (SUI) in patients with pelvic organ prolapse and SUI undergoing abdominal sacrocolpopexy (ASC) with Burch colposuspension or a transobturator tape (TOT) sling. METHODS: In this retrospective cohort study, medical records of 117 patients who underwent ASC with Burch (n = 60) or TOT (n = 57) between 2008 and 2010 at NYU Winthrop Hospital were assessed. Preoperative evaluation included history, physical examination, cough stress test (CST), and multichannel urodynamic studies (MUDS)...
May 3, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29717511/refined-nomogram-incorporating-standing-cough-test-improves-prediction-of-male-transobturator-sling-success
#3
Nabeel A Shakir, Joceline S Fuchs, Maxim J McKibben, Boyd R Viers, Travis J Pagliara, Jeremy M Scott, Allen F Morey
AIMS: To develop a decision aid in predicting sling success, incorporating the Male Stress Incontinence Grading Scale (MSIGS) into existing treatment algorithms. METHODS: We reviewed men undergoing first-time transobturator sling for stress urinary incontinence (SUI) from 2007 to 2016 at our institution. Patient demographics, reported pads per day (PPD), and Standing Cough Test (SCT) results graded 0-4, according to MSIGS, were assessed. Treatment failure was defined as subsequent need for >1 PPD or further procedures...
May 1, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29681051/voluminous-urethral-stone-a-very-rare-complication-after-male-suburethral-sling-surgery-as-a-result-of-sling-erosion-into-proximal-urethra
#4
Ioan Scarneciu, Cristian Andrei, Camelia Scarneciu, Aura Mihaela Lupu, Ovidiu Gabriel Bratu, Sorin Lupu
Male sling for urinary incontinence is usually accompanied by very good results, with a small number of complications,but, when appear, they may be redundant. Voluminous urethral stone developed on suburethral sling as a result of sling erosion into the proximal urethra is an extremely rare complication (following the analysis of cases published on the internet, the authors of this article no longer identified another similar case). We present the case of a patient who presented in our clinic for severe and permanent urinary incontinence, perineal discomfortand pain that was influenced by position...
April 21, 2018: Urology Journal
https://www.readbyqxmd.com/read/29680005/the-transobturator-suburethral-sling-a-safe-and-effective-option-for-all-degrees-of-post-prostatectomy-urinary-incontinence
#5
John F Sullivan, Paul N Stassen, Diarmuid Moran, Eva M Bolton, Lisa G Smyth, Cliodhna M Browne, James C Forde, Raanan Tal, Thomas H Lynch
INTRODUCTION: Male stress urinary incontinence (SUI) after radical prostatectomy (RP) is common. The surgical standard of care traditionally has been placement of an artificial urinary sphincter (AUS) but since its introduction the transobturator male sling has been shown to have particular unique advantages. Our aim was to assess outcomes of a consecutive series of suburethral sling insertions in men presenting with all degrees of post RP SUI. MATERIALS AND METHODS: A consecutive cohort of men undergoing AdVance sling insertion following RP were studied...
April 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29673676/did-surgical-failure-and-complications-affect-incontinence-related-quality-of-life-in-women-after-transobturator-sling-procedure
#6
Wen-Chu Huang, Hui-Hsuan Lau, Tsung-Hsien Su
OBJECTIVE: To report the objective outcome, subjective measurement of incontinence-related quality of life (QoL) for female urodynamic stress incontinence (USI) after transobturator sling surgery (TVT-O) and to evaluate the effects of surgical failure and complications on QoL. MATERIALS AND METHODS: We analyzed the data from women who underwent TVT-O for USI and completed two validated QoL questionnaires, the Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) preoperatively and at least 12 months postoperatively...
April 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29649817/overactive-bladder-symptoms-after-transobturator-sling-surgery-for-pure-stress-urinary-incontinence-a-cross-sectional-comparative-study
#7
Ricardo Pereira E Silva, Vanessa Gomes Olival, Carolina Ponte, José Palma Dos Reis, João Colaço, Isabel Grilo, Filomena Nunes
INTRODUCTION: Transobturator tape (TOT) surgery has been associated with increased overactive bladder (OAB) although much controversy exists. METHODS: In a cross-sectional study, women who underwent TOT surgery for pure stress incontinence (MonarcTM) answered the 6 questions of the symptom bother (SB) subscale of the OAB questionnaire - short form (OABq-SF) and an additional question regarding whether symptoms began after surgery. Women with SB score over the 4th quartile (≥30/100) were reassessed after a longer follow-up...
April 12, 2018: Urologia Internationalis
https://www.readbyqxmd.com/read/29642348/re-transobturator-sling-for-post-prostatectomy-incontinence-radiation-s-effect-on-efficacy-satisfaction
#8
Allen F Morey
No abstract text is available yet for this article.
April 2018: Journal of Urology
https://www.readbyqxmd.com/read/29620645/a-systematic-review-and-meta-analysis-of-single-incision-mini-slings-miniarc-versus-transobturator-mid-urethral-slings-in-surgical-management-of-female-stress-urinary-incontinence
#9
Binbin Jiao, Shicong Lai, Xin Xu, Meng Zhang, Tongxiang Diao, Guan Zhang
BACKGROUND: To assess the current evidence of effectiveness and safety of single-incision mini-slings (MiniArc) versus transobturator midurethral slings in the management of female stress urinary incontinence (SUI). METHODS: A systematic search was performed from the electronic databases including PubMed, EMBASE, and Cochrane Library by November 2017. Using RevMan5.3 statistical software, the primary outcomes including subject and objective cure rates at 6 to 24 months follow-up were evaluated...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29617084/functional-outcomes-and-quality-of-life-after-transobturatory-slings-hand-made-vs-commercial-slings
#10
Danilo Budib Lourenço, Fernando Korkes, José Eduardo Vetorazzo, Silvia da Silva Carramão, Antônio Pedro Flores Auge, Luis Gustavo Morato de Toledo
Surgical correction is the most efficient treatment for stress urinary incontinence (SUI), and transobturator sling (TO) has optimal results. The high cost of commercially available sling kits makes it difficult the access in most Brazilian public health services. Hand-made polypropylene slings, on the other hand, have been previously reported. The aim of the present study was to compare the effectiveness and safety of commercial vs. hand-made polypropylene mesh slings. Data from 57 women who underwent consecutive TO sling surgery to treat SUI were pros-pectively collected between 2012 and 2014, and divided in two groups for further comparison...
February 28, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29573029/place-of-surgery-in-the-management-of-post-operative-chronic-pain-after-placement-of-prosthetic-material-based-on-a-series-of-107-cases
#11
Grégoire Leonard, Marie-Aimée Perrouin-Verbe, Amélie Levesque, Thibault Riant, Loïc Le Normand, Jean-Jacques Labat, Jérôme Rigaud
AIMS: The objective of this study was to evaluate the efficacy of surgical removal of prosthetic material, possibly combined with nerve release, on chronic postoperative pain following placement of prosthetic material. MATERIAL AND METHODS: Single-tertiary-centre study on 107 patients managed between November 2004 and April 2016 for removal of prosthetic material responsible for postoperative chronic pain: retropubic suburethral sling (n = 32), transobturator suburethral sling (n = 50), prolapse mesh (n = 16), and hernia mesh (n = 9)...
March 23, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29564509/cystourethroscopy-following-midurethral-slings-is-it-always-necessary
#12
Jerome Melon, Erin C Kelly, Kim W M van Delft
Midurethral slings are the mainstay of treatment for stress urinary incontinence. The role of cystourethroscopy to detect lower urinary tract injury following retropubic midurethral slings is well-established; however, its role following transobturator or single-incision sling placement remains controversial. Some advocate "routine" whereas others advocate for "selective" cystourethroscopy. This paper reviews the arguments for and against cystourethroscopy to detect lower urinary tract injury following transobturator and single-incision slings...
March 21, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29549394/a-randomized-comparison-of-a-single-incision-needleless-contasure-needleless%C3%A2-mini-sling-versus-an-inside-out-transobturator-contasure-kim%C3%A2-mid-urethral-sling-in-women-with-stress-urinary-incontinence-24-month-follow-up-results
#13
Ozan Dogan, Aski Ellibes Kaya, Cigdem Pulatoglu, Alper Basbug, Murat Yassa
INTRODUCTION AND HYPOTHESIS: There is a shortage of reliable data on the efficiency of the under-investigated mini-slings to treat stress urinary incontinence (SUI). We aimed to compare the effectiveness of the single-incision needleless mini-sling (SIMS) with the transobturator inside-out mid-urethral sling (TOT). MATERIALS AND METHODS: Two hundred one women with clinically proven SUI were included in this single-center prospective randomized trial. The patients were randomly allocated to the groups...
March 16, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29501713/titanized-transobturator-sling-placement-for-male-stress-urinary-incontinence-using-an-inside-out-single-incision-technique-minimum-12-months-follow-up-study
#14
Emilio Sacco, Carlo Gandi, Luigi Vaccarella, Salvatore Recupero, Marco Racioppi, Francesco Pinto, Angelo Totaro, Nazario Foschi, Giuseppe Palermo, Francesco Pierconti, Pierfrancesco Bassi
OBJECTIVE: To evaluate prospectively midterm outcomes of a new titanium-coated fixed polypropylene sling for male stress urinary incontinence. MATERIALS AND METHODS: From January 2013 to June 2016, 44 consecutive patients with incontinence caused by radical prostatectomy (39) or transurethral resection of prostate (5) underwent transobturator 2-arm titanium-coated sling (TiLOOP Male) implantation with an inside-out, single-incision technique, leaving the bulbourethral muscle in place...
March 1, 2018: Urology
https://www.readbyqxmd.com/read/29452779/management-of-female-stress-urinary-incontinence-a-care-pathway-and-update
#15
REVIEW
Giampiero Capobianco, Massimo Madonia, Sonia Morelli, Francesco Dessole, Davide De Vita, Pier Luigi Cherchi, Salvatore Dessole
Stress urinary incontinence (SUI) is a condition characterized by an involuntary loss of urine occurring as result of an increase in intra-abdominal pressure due to effort or exertion or on sneezing or coughing. Estimates of its prevalence in the female population range from 10% to 40%. A literature search of the Medline, Cochrane library, EMBASE, NLH, ClinicalTrials.gov and Google Scholar databases was done up to July 2017, restricted to English-language articles, using terms related to SUI, medical therapy, surgical therapy and treatment options...
March 2018: Maturitas
https://www.readbyqxmd.com/read/29384748/volume-at-first-leak-is-associated-with-sling-failure-among-women-with-stress-urinary-incontinence
#16
Bryan Hill, Sarah Fletcher, Jeffrey Blume, Rony Adam, Renée Ward
INTRODUCTION: Stress urinary incontinence at a low bladder volume is a clinically observed phenomenon that is not well studied with regard to treatment outcomes. The primary aim of our study was to determine if the volume at first leak is associated with sling outcome. METHODS: This is a retrospective cohort study evaluating whether urodynamic stress urinary incontinence observed at low volumes is associated with sling failure using the Synthetic Derivative database...
January 30, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29331033/the-efficacy-and-safety-comparison-of-surgical-treatments-for-stress-urinary-incontinence-a-network-meta-analysis
#17
REVIEW
Pan Song, Yibo Wen, Chuiguo Huang, Wancong Wang, Naijun Yuan, Yinliang Lu, Qingwei Wang, Tao Zhang, Jianguo Wen
AIMS: Stress urinary incontinence (SUI) is a common problem worldwide. Mainstream surgical procedures include tension-free vaginal tape (TVT), transobturator tape (TOT), tension-free vaginal tape-obturator (TVT-O), tension-free vaginal tape SECUR (TVT-S), and adjustable single-incision sling (Ajust). The aim of this study was to compare the efficacy and safety of these surgical procedures and assess which surgery is most optimal for SUI by adopting a network meta-analysis (NMA). METHODS: Electronic databases including PubMed, Cochrance Library, and Embase database were researched systematically, until March 21, 2017...
January 13, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29289535/female-sexual-function-following-surgical-treatment-of-stress-urinary-incontinence-systematic-review-and-meta-analysis
#18
REVIEW
Maria Cláudia Bicudo-Fürst, Pedro Henrique Borba Leite, Felipe Placco Araújo Glina, Willy Baccaglini, Rafael Vilhena de Carvalho Fürst, Carlos Alberto Bezerra, Sidney Glina
INTRODUCTION: The impact of surgery for stress urinary incontinence (SUI) on female sexual function has received attention in the medical literature, but not in a structured manner. AIM: To assess the most recent evidence on the impact of surgical management for female SUI on female sexual function. METHODS: The review and meta-analysis of available articles published in Medline, Cochrane, LILACS, SCOPUS, Web of Science, CINHAL, and EMBASE included prospective randomized and non-randomized studies that assessed patients who underwent surgical treatment for UI through 2 validated questionnaires: the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Female Sexual Function Index (FSFI)...
April 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29242958/impact-of-radical-hysterectomy-on-the-transobturator-sling-pathway-a-retrospective-three-dimensional-magnetic-resonance-imaging-study
#19
Jinyang Chen, Chunlin Chen, Yige Li, Lan Chen, Juan Xu, Ping Liu
INTRODUCTION AND HYPOTHESIS: Morphological and functional anomalies of the urethra may cause stress urinary incontinence after radical hysterectomy (RH). We introduce a novel three-dimensional (3D) magnetic resonance imaging (MRI) technique to assess the impact of RH on the transobturator sling pathway. METHODS: 3D-MRI reconstruction models were retrospectively developed for the measurement of various parameters before and after RH, including puncture angle, orientation and distance from the midurethral puncture site to the obturator membrane (DUO), in 31 patients with cervical cancer...
December 14, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/29177542/adjustable-transobturator-sling-for-the-treatment-of-primary-stress-urinary-incontinence
#20
Dmitry Shkarupa, Nikita Kubin, Olga Staroseltseva, Ekaterina Shapovalova
INTRODUCTION AND HYPOTHESIS: The purpose of the study was to evaluate the rate of postoperative voiding dysfunction after the insertion of an adjustable transobturator sling for the treatment of primary stress urinary incontinence (SUI). The secondary aim was to assess the objective and subjective cure rates and the impact of the surgery on quality of life. METHODS: This prospective study included 171 patients with primary SUI who underwent insertion of an adjustable transobturator tape...
November 25, 2017: International Urogynecology Journal
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