Mini-invasive collagen sling in the treatment of urinary incontinence due to sphincteric incompetence

Taskinen, Seppo; Fagerholm, Riitta; Rintala, Risto

doi:10.1590/s1677-55382007000300014

Cited by 6 publications

(3 citation statements)

References 19 publications

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“…We are aware of only one published report of the effectiveness of Pelvilace, a case series of patients (male and female) with neuropathic urinary incontinence. Improvement was noted in 9 of 11 at 12 months, but none was completely dry [3].…”

Section: Introductionmentioning

confidence: 94%

Midurethral sling outcomes: tension-free vaginal tape versus Pelvilace

et al. 2008

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We sought to compare the complications and efficacy of tension-free vaginal tape (TVT) and Pelvilace. Chart reviews and telephone questionnaires documented complications, urinary symptoms [Urogenital Distress Inventory short form (UDI-6) and Patient Global Impression of Improvement (PGII)], and re-operations. Failure was defined as PGII > or = 4 (no change or worse) or reoperation for urinary incontinence. There were 91 TVT and 22 Pelvilace slings. The TVT group had lower rates of urinary retention beyond 1 week (8% vs. 43%, p < 0.001) and reoperation for retention (1% vs. 19%, p < 0.001). Median changes in UDI-6 scores were -33.3 for the TVT group and -29.6 for the Pelvilace group (p = 0.21). Median PGII scores were 1 for the TVT group and 2 for the Pelvilace group (p = 0.024). Ten percent of the TVT group and 24% of the Pelvilace group (p = 0.095) were failures. Urinary retention was more common after Pelvilace than TVT slings. Symptomatic outcomes and failure rates were similar.

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Section: Introductionmentioning

confidence: 94%

Midurethral sling outcomes: tension-free vaginal tape versus Pelvilace

et al. 2008

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“…Data on the outcome of the mini-sling procedure is still sparse. Tasinen et al (8) have reported very poor results one year after surgery using a mini-invasive collagen sling to treat neurogenic urinary incontinence. Neuman has reported a failure rate of 7% in a study of 100 women who underwent TVT-SECUR insertion (9) in 13 hospitals.…”

Section: Neurourology Neurourologymentioning

confidence: 99%

The Miniarc® sling system in the treatment of female stress urinary incontinence

Gauruder-Burmester

Popken

2009

Int. braz j urol.

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Aims:To assess the technical feasibility of a new mini-invasive sling procedure (MiniArc®) and present short-term results in the treatment of female urinary incontinence. Materials and Methods: A total of 97 women with mixed or stress urinary incontinence (SUI) were treated by placement of the new single-incision sling. Pelvic organ prolapse was graded using the POP-Q system (pelvic organ prolapse quantification system). Preoperative workup included urodynamic evaluation, cough stress test and introital ultrasound. Postoperatively, introital ultrasound was performed to determine residual urine and check tape position. Quality of life was measured using King's Health Questionnaire. A voiding diary and pad count served to verify the patients' subjective complaints. Results: The MiniArc® single-incision sling procedure was the initial intervention in 37 (38.2%) patients and the second intervention in 60 (61.7%) patients with recurrent incontinence. The cough stress test was negative in 79 (83.1%) women 6 weeks after the sling procedure and in 74 (77.8%) at 12 months. De novo urge occurred in 32 (36.8%) women. Quality of life was significantly improved at 12-month follow-up in 65 (69.1%) patients (p < 0.001). The number of pads decreased significantly from 2.2 to 0.6 (p < 0.001) after the procedure. One patient developed an hematoma and bladder perforation occurred in another. Conclusions: Our short-term clinical results suggest that the MiniArc® is a safe and effective minimally invasive sling procedure for treating female SUI. Randomized comparative controlled trials and long-term results are still required to define the role of the new sling system in comparison to established mid-urethral tape techniques for treating incontinence.

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“…Synthetic meshes can also be used for urinary sphincter incontinence. Taskinen compared mesh versus ECM from PD and followed up cases at 1, 6 and 12 months after surgery 10 . Although the surgical technique is easy, it involves high risks when working on normal pelvic anatomy and the results in neuropathic incontinence are promising, the 12-month postoperative data collected were not satisfying at all.…”

Section: Introductionmentioning

confidence: 99%