Update on complications of synthetic suburethral slings

Gomes, Cristiano Mendes; Carvalho, Fabrício Leite; Bellucci, Carlos Henrique Suzuki; Hemerly, Thiago Souto; Baracat, Fabio; Bessa, José de; Srougi, Miguel; Bruschini, Homero

doi:10.1590/s1677-5538.ibju.2016.0250

Cited by 56 publications

(56 citation statements)

References 99 publications

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“…On the other hand, a similar incidence of de novo urgency has been reported for BC and MUSS (10%), more common after RT than TOT [18,30]. Gomez et al suggested that bladder outlet obstruction, bladder perforation and infection are the major causes of de novo urgency [35]. In our study, no significant change was observed between pre-and post-operative scores of the frequency subsection of ICIQ-FLUTS.…”

Section: Discussionsupporting

confidence: 83%

“…Erosion of mesh into the vagina, bladder, or urethra is a complication of MUSS, which has been reported in 0.7-2% of the cases [2]. No differences were reported among the TOT and RT procedures [18].…”

Section: Discussionmentioning

confidence: 95%

“…In our study, no significant change was observed between pre-and post-operative scores of the frequency subsection of ICIQ-FLUTS. We consider that although MUSS are thought to be tension-free procedures, fibrosis secondary to mesh placement can cause urethral obstruction in the long term; thereby leading to de novo urgency [19,35]. Accordingly, we suggest that autologous graft positioned in the mid-urethral region without tension will not cause de novo urgency.…”

Section: Discussionmentioning

confidence: 96%

“…Mid-urethral sling surgeries (MUSS): transobturator-tape (TOT) and retro-pubic tape (RT) with a non-absorbable synthetic material are the most common surgical procedures for female stress urinary incontinence (SUI) [1]. The advantages of these procedures include a reduced operative time, a favorable outpatient technique and promising long-term outcomes [2]. Nevertheless, a number of unique mesh-related complications such as erosion, migration and mesh site infection have been reported in up to 2% of the cases undergoing MUSS and these complications require surgical intervention to revise or remove the mesh [3,4].…”

Section: Introductionmentioning

confidence: 99%

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Modified autologous transobturator tape surgery — evaluation of short term results

et al. 2020

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Objectives: The aim of this study is to evaluate the short-term outcomes of our modified autologous transobturator tape (aTOT) technique with rectus abdominis muscle fascial graft for the treatment of female stress urinary incontinence (SUI). Material and methods: The data of 22 patients who underwent modified aTOT were recorded. Perioperative data regarding operative time, complications and postoperative visual analogue scores were noted. Patients were assessed 18 months after surgery. The primary endpoints of this study were the improvements in the International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) subscores, one-hour pad test and cough stress test rates as an objective cure as well as the improvements in the PGI-I and ICIQ-FLUTS quality of life scores as a subjective cure. Results: Mean age and the mean follow-up period were 51.7 ± 9.8 years and 20.1 ± 0.9 months, respectively. Urethral hypermobility and a positive cough stress test were detected in all the patients. Mean operative time was 43.8 ± 8.1 min. and the overall complication rate was 9%. Mean VAS scores at postoperative 24 hours were 2.6 ± 1.2. At the postoperative eighteenth month, no patient had a positive cough test and mean PGI-I score was 2 while two patients had moderate urinary incontinence according to the pad test. Pad test results, ICIQ subscores of voiding QoL, incontinence, incontinence QoL, total score and total QoL score at baseline and eighteen months after surgery were 76.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Modified autologous transobturator tape surgery — evaluation of short term results

et al. 2020

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“…This method has many advantages compared to other surgical techniques, in particular shorter operative and hospitalization times, reduced postoperative pain and less voiding dysfunction [4]. The sling is placed under the middle portion of the urethra and on both sides retropubically, leading up to the abdominal skin above the pubis [4]. This technique was first described by Petros and Ulmsten in 1996 [5,6].…”

Section: Introductionmentioning

confidence: 99%

An Unusual Case of Acute Complete Urinary Incontinence 20 Days after Pelvic Floor Surgery and Tension-Free Vaginal Tape Insertion 20 Days after Pelvic Floor Surgery and Tension-Free Vaginal Tape Insertion

Keller¹,

Schmid²,

Haemmerle³

2019

Obstet Gynecol Cases Rev

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FIGO recommendations: Use of midurethral slings for the treatment of stress urinary incontinence

Lau

Davila

Chen

et al. 2023

Intl J Gynecology & Obste

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Background: Stress urinary incontinence (SUI) is a global problem. It can significantly adversely impact a woman's quality of life. The use of synthetic mesh in vaginal surgery is controversial, especially when used for pelvic organ prolapse surgery. Although negative effects have been reported, the synthetic mesh midurethral sling (MUS) is considered to be safe and effective in the surgical treatment of SUI.Objectives: To provide evidence-based data and recommendations for the obstetrician/gynecologist who treats women with SUI and performs or plans to perform MUS procedures. Methods: Academic searches of MEDLINE, the Cochrane Library, Embase, and Google Scholar articles published between 1987 and March 2020 were performed by a subgroup of the Urogynecology and Pelvic Floor Committee, International Federation of Gynecology and Obstetrics (FIGO).Selection Criteria: The obtained scientific data were associated with a level of evidence according to the Oxford University Centre for Evidence-Based Medicine and GRADE Working Group system. In the absence of concrete scientific evidence, the recommendations were made via professional consensus. Results:The FIGO Urogynecology and Pelvic Floor Committee reviewed the literature and prepared this evidence-based recommendations document for the use of MUS for women with SUI.Conclusions: Despite the extensive literature, there is a lack of consensus in the optimal surgical treatment of SUI. These recommendations provide a direction for surgeons to make appropriate decisions regarding management of SUI. The MUS is considered safe and effective in the treatment of SUI, based on many high-quality scientific publications and professional society recommendations. Comprehensive long-term data and systemic reviews are still needed, and these data will become increasingly important as women live longer. These recommendations will be continuously updated through future literature reviews.

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Update on complications of synthetic suburethral slings

Cited by 56 publications

References 99 publications

Modified autologous transobturator tape surgery — evaluation of short term results

Modified autologous transobturator tape surgery — evaluation of short term results

An Unusual Case of Acute Complete Urinary Incontinence 20 Days after Pelvic Floor Surgery and Tension-Free Vaginal Tape Insertion 20 Days after Pelvic Floor Surgery and Tension-Free Vaginal Tape Insertion

FIGO recommendations: Use of midurethral slings for the treatment of stress urinary incontinence

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