Repeat retropubic suburethral sling procedure is effective for recurrent female stress urinary incontinence

2018 ◽  
Vol 11 (2) ◽  
pp. O89-O92 ◽  
Author(s):  
Hueih Ling Ong ◽  
Yuan‐Hong Jiang ◽  
Hann‐Chorng Kuo
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Suburethral Sling ◽  
Female Stress Urinary Incontinence ◽  
Sling Procedure

Learning curve for the single-incision suburethral sling procedure for female stress urinary incontinence

2017 ◽  
Vol 139 (3) ◽  
pp. 363-367 ◽  
Author(s):  
Federico Spelzini ◽  
Matteo Frigerio ◽  
Cristina Regini ◽  
Stefania Palmieri ◽  
Stefano Manodoro ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Learning Curve ◽  
Single Incision ◽  
Suburethral Sling ◽  
Female Stress Urinary Incontinence ◽  
Sling Procedure

scholarly journals Transobturator tension-free “inside-to-out” suburethral sling procedure for the treatment of stress urinary incontinence

2012 ◽  
Vol 140 (1-2) ◽  
pp. 47-50
Author(s):  
Darko Laketic ◽  
Andrej Veljkovic ◽  
Vesna Laketic
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Health Centre ◽  
Suburethral Sling ◽  
Abdominal Pressure ◽  
Sudden Increase ◽  
Voiding Function ◽  
Sling Procedure ◽  
Tension Free ◽  
Significant Difference

Introduction. Stress urinary incontinence is an involuntary leakage of urine on a sudden increase of intra-abdominal pressure by physical activity, exercise, coughing, sneezing or laughing. Objective. To assess symptoms, functional and anatomical status of voiding function, complications and short term success of a novel procedure, tension-free vaginal tape obturator technique (TVT-O) in the treatment of stress urinary incontinence. Methods. A prospective study was performed on 40 female patients who underwent the TVT-O suburethral sling at the Urology Department of the Health Centre in Prokuplje and Urology Hospital in Nis between May 2009 and February 2010. The mean patients? age was 58 years (range 34-84 years). Preoperative evaluation included a detailed history and gynaecologic examination including urodynamic testing and voiding studies.UDI-6 and UIQ-7 score testing was performed before, and six months after surgery. All patients who demonstrated stress urinary incontinence with a Q-tip test-angle during maximal straining were included into the study. Postoperatively, outcomes evaluation included voiding function, anatomical parameters, complications, as well as subjective success rates. Results. In 30 patients surgery was performed under spinal and in ten under general anaesthesia. The average intraoperative blood loss during the TVT-O was minimal (<50 ml). There were no vascular, bladder, bowel, and neurological injuries. Thirty-eight patients (95%) were discharged voiding satisfactorily. There was a statistically significant difference in symptoms between UDI-6 and UIQ-7 before and after surgery. Conclusion. Initial experience with TVT-O suburethral sling is promising. The TVT-O differs from retropubic procedures by resulting in lower postoperative morbidity, intraoperative and postoperative complications.

V271 SPIRAL SLING PROCEDURE FOR RECURRENT FEMALE STRESS URINARY INCONTINENCE

2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Sinasi Yavuz Onol ◽  
Osman Sevket ◽  
Mehmet Remzi Erdem ◽  
Fikret Fatih Onol ◽  
Abdulkadir Tepeler ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Female Stress Urinary Incontinence ◽  
Sling Procedure

scholarly journals Transvaginal subfascial synthetic mesh sling in female stress urinary incontinence: A Novel technique

2021 ◽  
Vol 32 (1) ◽  
Author(s):  
Abdul Rouf Khawaja ◽  
Farzana Bashir ◽  
Arif Bhat ◽  
Yaser Dar ◽  
Sajad Malik ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Urge Incontinence ◽  
Stress Test ◽  
Synthetic Mesh ◽  
Female Stress Urinary Incontinence ◽  
Base Line ◽  
Sling Procedure ◽  
Novel Technique

The object of this paper is to assess the treatment outcome and overall efficacy of a novel technique of transvaginal subfascial synthetic mesh for female stress urinary incontinence. The study included 53 patients of female stress urinary incontinence managed at our institution between March 2005 and December 2015. Preoperative evaluation included a detailed history, base-line investigations and cystoscopic examination including stress test, uroflometry with residual urine was done in all cases. Lower urinary tract imaging and urodynamic evaluation was done in selected cases . patients with concomitant pelvic organ prolapse and severe BMI were excluded from the study. All patients underwent a transvaginal subfascial sling procedure under regional anesthesia. Urethral catheter was removed the day after procedure. Post procedure results were assessed in terms of improvement in stress urinary incontinence, procedure related complications, and overall satisfaction of the patient. Mean age of the patients was 43.5 years (25-63 years). All patients were multiparous. Complete resolution of symptoms in 49 patients (92.4%) while in 4 patients (7.5%) had some degree of SUI. Urinary retention in 3 (5.6%), increased frequency in 5 (9.4%) patients and urge incontinence in 2 (3.7%) One (1.8%) had mesh erosion at 3 months after the procedure. None of the patient had any sexual dysfunction on follow up. Overall success rate of the procedure was around 93%.However patients with preoperatively urge incontinence needs anticholinergics in post operative period for 1-2 months. Operative time was 30-45 minutes. Three patients (5.6%) who experience transient postoperative retention had no symptoms of SUI on follow up. Transvaginal subfascial sling is a modification of the original mid urethral sling procedure with an advantage of being less invasive, simpler to learn and achieve similar results compared to other sling procedures.

Sign in / Sign up

Export Citation Format

Share Document