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Transobturator sling

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https://www.readbyqxmd.com/read/28096921/a-sequential-comparison-of-postoperative-voiding-function-between-two-different-transobturator-sling-procedures
#1
Don Kyoung Choi, Ha Bum Jung, Young Goo Lee, Ki Kyung Kim, Sung Tae Cho
INTRODUCTION: We evaluated sequential postoperative voiding function of two types of sling procedures (Monarc(®) and ALIGN(®)) in patients with stress urinary incontinence. METHODS: Ninety-one women diagnosed with urodynamic stress incontinence were randomly assigned to the study. All enrolled patients underwent Monarc or ALIGN procedure. They were postoperatively evaluated at one day, one week, one month, three months, 12 months, and 24 months. The voiding function was evaluated with uroflowmetry and post-void residual urine...
November 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28043113/long-term-outcome-of-the-retrourethral-transobturator-male-sling-after-transurethral-resection-of-the-prostate
#2
Alexander Kretschmer, Alexander Buchner, Benedikt Leitl, Markus Grabbert, Anne Sommer, Wael Khoder, Christian Gozzi, Christian G Stief, Ricarda M Bauer
PURPOSE: To evaluate long-term outcomes of AdVance and AdVanceXP male slings in patients with persistent stress urinary incontinence (SUI) after transurethral resection of the prostate (TURP). METHODS: A total of 18 consecutive patients received AdVance (n=14) or AdVanceXP (n=4) male sling implantation between 2007 and 2013. Continence was determined by pad use, 24-hour pad testing and validated questionnaires (International Consultation on Incontinence Questionnaire Short Form, ICIQ-SF)...
December 2016: International Neurourology Journal
https://www.readbyqxmd.com/read/28025686/contasure-needleless%C3%A2-compared-with-monarc%C3%A2-for-the-treatment-of-stress-urinary-incontinence
#3
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/28025681/dynamic-assessment-of-sling-function-on-transperineal-ultrasound-does-it-correlate-with-outcomes-1%C3%A2-year-following-surgery
#4
Aparna Hegde, Mayte Nogueiras, Vivian C Aguilar, G Willy Davila
INTRODUCTION AND HYPOTHESIS: To correlate dynamic assessment of sling function using 2D and 3D transperineal ultrasound with outcomes following transobturator sling surgery. METHODS: This is an unmatched case-control study of 100 patients who underwent transobturator sling surgery at our center between 2009 and 2012. Group A (n = 50) patients had successful outcomes and group B (n = 50) patients had suboptimal outcomes 1 year following surgery. The patients underwent 2D dynamic and 3D transperineal ultrasound...
December 26, 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
#5
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...
December 5, 2016: 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
#6
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...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27793540/-long-term-results-and-satisfaction-of-the-mid-urethral-slings-among-women
#7
F Story, T Tricard, P Mouracadé, C Saussine
OBJECTIVE: The mid urethral sling (MUS) has become as the gold standard treatment for stress urinary incontinence (SUI) in female. The aim of this study was to assess the outcome of the SUI Transobturator Tape after 10 years follow-up. METHODS: Retrospective study of 73 patients who underwent a mid urethral sling-transoburator tape (MUS-TOT) between November 2002 and November 2004. These patients were followed up by phone call and by mail, 10 years after the surgery...
December 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27780347/indications-and-complications-associated-with-the-removal-of-506-pieces-of-vaginal-mesh-used-in-pelvic-floor-reconstruction-a-multicenter-study
#8
John R Miklos, Orawee Chinthakanan, Robert D Moore, Deborah R Karp, Gladys M Nogueiras, G Willy Davila
STUDY OBJECTIVE: Synthetic mesh utilized to treat stress urinary incontinence (SUI) and pelvic organ prolapse (POP) can often result in postoperative complications. The objectives of this study were to determine: 1) the most common indications for mesh removal; 2) the incidences of the removal of specific mesh procedures (such as suburethral sling [SUS], transvaginal mesh [TVM], or sacrocolpopexy); and 3) the idences and types of surgical complications associated with mesh removal. DESIGN: This was a retrospective study...
October 26, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27780346/the-indication-and-surgical-treatment-of-286-midurethral-synthetic-sling-complications-a-multicenter-study
#9
Orawee Chinthakanan, John R Miklos, Robert D Moore, Deborah R Karp, Gladys M Nogueiras, G Willy Davila
INTRODUCTION AND HYPOTHESIS: 1) Evaluate the most common indication for sling removal in patients with synthetic mesh slings; 2) identify the location of pain for each of the three types of synthetic sling procedures including retropubic (RP) sling, transobturator (TOT) sling, and single incision slings (SIS), and 3) describe the surgical approach to each of the above and its associated complications. MATERIALS AND METHODS: A retrospective chart review of all patients who underwent surgical removal of a sling due to a mesh-related complications from 2011 to 2013 at three referral centers...
October 26, 2016: Surgical Technology International
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
#10
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/27729812/dorsal-clitoral-nerve-injury-following-transobturator-midurethral-sling
#11
Chailee F Moss, Lynn A Damitz, Richard H Gracely, Alice C Mintz, Denniz A Zolnoun, A Lee Dellon
INTRODUCTION: Transobturator slings can be successfully used to treat stress urinary incontinence and improve quality of life through a minimally invasive vaginal approach. Persistent postoperative pain can occur and pose diagnostic and therapeutic dilemmas. Following a sling procedure, a patient complained of pinching clitoral and perineal pain. Her symptoms of localized clitoral pinching and pain became generalized over the ensuing years, eventually encompassing the entire left vulvovaginal region...
2016: Journal of Pain Research
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
#12
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/27714435/transobturator-versus-single-incision-slings-1-year-results-of-a-randomized-controlled-trial
#13
Aimee L Tieu, Aparna Hegde, Peter A Castillo, G Willy Davila, Vivian C Aguilar
INTRODUCTION AND HYPOTHESIS: To compare 1-year surgical outcomes following transobturator (TO) sling placement and single incision (SI) sling placement for the treatment of stress urinary incontinence (SUI). METHODS: We performed a randomized trial at a single institution. Patients with urodynamically proven SUI were offered participation and randomized to placement of a TO sling (Monarc™) or a SI sling (MiniArc™) between 2008 and 2011. The primary outcome measure was urinary leakage during standardized cough stress test (CST)...
October 6, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27686569/five-years-after-midurethral-sling-surgery-for-stress-incontinence-obesity-continues-to-have-an-impact-on-outcomes
#14
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
https://www.readbyqxmd.com/read/27679304/comparing-the-clinical-outcome-of-transobturator-sling-monarc-%C3%A2-and-single-incision-sling-miniarc-%C3%A2
#15
L-Y Wu, K-H Huang, F-C Chuang, F-T Kung, T-H Yang
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678141/outcome-of-coexistent-overactive-bladder-symptoms-in-women-with-urodynamic-urinary-incontinence-following-anti-incontinence-surgery
#16
Ching-Chung Liang, Wu-Chiao Hsieh, LuLu Huang
INTRODUCTION AND HYPOTHESIS: The objective was to investigate the outcome of stress urinary incontinence (SUI) and overactive bladder (OAB) symptoms in women with urodynamic stress incontinence (USI) after transobturator sling procedures (TOTs). METHODS: We evaluated 109 consecutive patients with USI, who had undergone TOT in a tertiary hospital between 2012 and 2014. All patients received evaluations, including structured urogynecological questionnaires and pelvic organ prolapse quantification examination before, and 3 and 12 months after surgery...
September 27, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27641921/the-impact-of-midurethral-sling-surgery-on-sexual-activity-and-function-in-women-with-stress-urinary-incontinence
#17
Bianca B Mengerink, Sanne A L Van Leijsen, Mark E Vierhout, Joanna Inthout, Ben W J Mol, Alfredo L Milani, Jan-Paul W R Roovers, Hugo W F Van Eijndhoven, Carl H Van Der Vaart, Iris Van Gestel, Francis E Hartog, John F A Heesakkers, Kirsten B Kluivers
INTRODUCTION: Stress urinary incontinence has a negative impact on sexual function. AIM: To assess the effect of midurethral sling surgery on sexual activity and function in women with stress urinary incontinence. METHODS: This is a secondary analysis of the Value of Urodynamics Prior to Stress Incontinence Surgery (VUSIS-II) study, which assessed the value of urodynamics in women with (predominantly) stress urinary incontinence. Patients who underwent retropubic or transobturator sling surgery were included in the present study if information was available on sexual activity before and 12 months after surgery...
October 2016: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/27636218/identifying-gaps-and-inconsistencies-in-urogynecologic-surgical-training-of-obstetrics-and-gynecology-residents
#18
Emily E Weber LeBrun, Hazel Asumu, Anne M Richardson, LouAnn A Cooper, John D Davis
OBJECTIVE: This study aims to determine the expectations of Obstetrics and Gynecology (ObGyn) residency and Female Pelvic Medicine & Reconstructive Surgery (FPMRS) fellowship program directors (FPDs) for the independent performance of urogynecologic procedures during residency and to compare these expectations with the Council on Resident Education in Obstetrics and Gynecology (CREOG) educational objectives. MATERIALS AND METHODS: Two parallel, anonymous surveys were distributed simultaneously to all directors of accredited ObGyn residency and FPMRS fellowship programs in the United States...
November 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27619784/effect-on-sexual-function-of-patients-and-patients-spouses-after-midurethral-sling-procedure-for-stress-urinary-incontinence-a-prospective-single-center-study
#19
Young Hwii Ko, Chang-Hyun Song, Ji Woong Choi, Hee Chang Jung, Phil Hyun Song
OBJECTIVES: To evaluate the effect on sexual function of patients and their spouses after transobturator tape (TOT) procedure, prospectively. Midurethral sling procedure has been widely performed for treatment of urinary incontinence; however, little has been reported regarding sexual function after surgery. METHODS: Between September 2012 and June 2013, 65 patients undergoing TOT and their sexual partners were enrolled. An investigation was conducted using validated, self-administered questionnaires, Female Sexual Function Index (FSFI) and satisfaction domain on Male Sexual Health Questionnaire (MSHQ) for evaluation of couple's sexual function...
September 2016: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/27584161/narrated-video-of-a-re-do-colposuspension
#20
Linda Cardozo, Dudley Robinson, Fevzi Shakir
AIMS: To present a narrated video designed to demonstrate the steps involved in an open re-do colposuspension. METHODS: This was in a 70-year-old woman who presented with recurrent severe stress urinary incontinence. Urodynamics confirmed severe urodynamic stress incontinence, with no detrusor over activity. Her maximum urethral closure pressure (MUCP) was 8 cm/water. She previously had a total abdominal hysterectomy (TAH), bilateral salpingo-oophorectomy (BSO) and colposuspension in 1998...
September 1, 2016: Neurourology and Urodynamics
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