Modified pubovaginal sling technique in the surgical management of female stress urinary incontinence

Frade, Armando Brites; Frade, Camila Luz; Leite, Thäis Gentil; Domenich, Thalita Russo; Auge, Antônio Pedro Flores

doi:10.1590/0100-69912015006005

Cited by 3 publications

(2 citation statements)

References 28 publications

(20 reference statements)

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“…28 Findings were promising; however, prospective studies are necessary. To avoid lower urinary tract injury, Frade et al 29 modified the surgical technique of autologous sling by retropubic placement of aponeurotic sling with direct visualization, which completely eliminated the risk of bladder/urethral injury while maintaining objective cure rate and improving QoL. These modified AFS techniques expand the feasibility of autologous graft and should be re-explored.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Resurgence of Autologous Fascial Slings in a Challenging Climate for Sling Surgery: A 20-Year Review of Comparative Data

Chen

Jean-Michel

2022

Obstetrical &Amp; Gynecological Survey

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Importance: Since the US Food and Drug Administration's 2016 ban of transvaginal mesh use in vaginal prolapse surgery, there has been growing public scrutiny over the use of synthetic mesh slings (SSs) for the surgical management of female stress urinary incontinence (SUI). Although long considered the mainstay of current practice, interest in biological alternatives has grown.Objectives: This article reviews the last 20 years of data comparing the success of autologous fascial slings (AFSs) and SSs in the treatment of female SUI.Evidence Acquisition: We reviewed the literature for randomized controlled trials comparing autologous pubovaginal sling and SS for the primary surgical treatment of female SUI using several search engines and databases between January 1, 2000, and March 31, 2020.Study Appraisal and Synthesis Methods: Data were retrieved and compared across studies. Trials were evaluated for study setting, type, population characteristics, sample size, success definition and rate, recurrence rate, operative time, length of hospital stay, complications, and quality of life.Results: Of the 1382 articles reviewed, 8 met eligibility criteria, representing 6 distinct cohorts and 726 subjects. Synthetic slings available for review were either tension-free vaginal tape (TVT) or minisling. The vast majority of studies demonstrated similar short-and long-term success rates of AFS and SS procedures utilizing a range of outcome measures. Both AFS and TVT sling had low recurrence rates in short-and long-term followup. However, AFS had significantly longer operative time, and longer hospital stay. Bladder perforation, on the other hand, occurred more commonly in TVT sling. Health-related quality-of-life scores, including sexual function, were similar between groups.Conclusions: Autologous fascial sling and SS are both highly effective surgical procedures for the treatment of female SUI. Although success rates are comparable, AFS is associated with less favorable operative measures.Relevance: This review supports the effectiveness of AFS in treating female SUI as concerns over the use of synthetic materials in vaginal surgery rise. However, clinicians must weigh the risks conferred by this nonsynthetic alternative.Target Audience: Obstetricians and gynecologists, family physicians Learning Objectives: After participating in this activity, the learner should be better able to compare the benefits and drawbacks of available sling types for the surgical management of female stress urinary incontinence; discuss complication rates related to each sling type; and explain their impact on quality of life. This study has not been presented in any meeting prior to this submission.All authors, faculty, and staff have no relevant financial relationships with any ineligible organizations regarding this educational activity.

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Section: Comparison With Existing Literaturementioning

confidence: 99%

Resurgence of Autologous Fascial Slings in a Challenging Climate for Sling Surgery: A 20-Year Review of Comparative Data

Chen

Jean-Michel

2022

Obstetrical &Amp; Gynecological Survey

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“…nessa.vcm45@gmail.com, monna.aragao@gmail.com, sabrinna.amorim7@gmail.com, amandapereirasilva17@outlook.com, sylvia.clg@gmail.com, kryziaazevedo@gmail.com, willsilva16. 29…”

Section: -7mentioning

confidence: 99%

A prevalência da incontinência urinária em mulheres praticantes de exercícios físicos de alto impacto

Mesquita¹,

Aragão

Correia

et al. 2020

Rev Pesq Fisio

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INTRODUÇÃO: A IU atinge cerca de 10 milhões de brasileiros de todas as idades, sendo duas vezes mais comum no sexo feminino, de acordo com a Sociedade Brasileira de Urologia (SBU). Considerada qualquer perda involuntária de urina de acordo com a ICS, podendo ser classificadas em IUU, IUE e IUM. O tratamento para a IU pode ser cirúrgico, farmacológico ou fisioterapêutico. OBJETIVO: Identificar a prevalência de incontinência urinária em mulheres praticantes de exercício físico de alto impacto, em comparação com mulheres que não praticam atividade física. MATERIAIS E MÉTODOS: O estudo foi do tipo transversal, onde se realizou um estudo de caso, sobre a perda involuntária de urina por mulheres, durante o exercício físico de impacto. As participantes foram divididas dois grupos: Grupo 1, mulheres praticantes de exercícios físicos de alto impacto e Grupo 2, mulheres não praticantes de exercícios físicos. As voluntárias realizaram o Pad Test de uma hora, padronizado pela ICS. Além disso, todas responderam o questionário Internacional Consultation on Incontinence Questionnaire – Short Form (ICIQ-SF). RESULTADOS: Houve a presença de sintomas de IUE em ambos os grupos investigados. Entretanto, foi possível comprovar que no grupo onde as mulheres praticavam exercícios de alto impacto a perda de urina foi bem maior em quantidade e em qualidade, observando-se resultados superiores a 60% nas praticantes de exercícios de alto impacto. CONCLUSÃO: As mulheres praticantes de exercícios de alto impacto apresentaram maior perda urinária comprovada pelo Pad Test e uma maior interferência desses sintomas urinários na qualidade de vida comprovada pelo ICIQ-SF.

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Surgery for Stress Urinary Incontinence

Blaivas

Simma‐Chiang

Gul

et al. 2019

Urologic Clinics of North America

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Modified pubovaginal sling technique in the surgical management of female stress urinary incontinence

Cited by 3 publications

References 28 publications

Resurgence of Autologous Fascial Slings in a Challenging Climate for Sling Surgery: A 20-Year Review of Comparative Data

Resurgence of Autologous Fascial Slings in a Challenging Climate for Sling Surgery: A 20-Year Review of Comparative Data

A prevalência da incontinência urinária em mulheres praticantes de exercícios físicos de alto impacto

Surgery for Stress Urinary Incontinence

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