A safety and quality of life analysis of intravaginal slingplasty in female stress incontinence: a prospective, open label, multicenter, and observational study

Kim, Joon Chul; Chung, Byung Soo; Choi, Jong Bo; Lee, Ji Youl; Lee, Kyu‐Sung; Park, ﻿Won Hee; Choo, Myung‐Soo

doi:10.1007/s00192-007-0327-7

Cited by 11 publications

(12 citation statements)

References 26 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In several studies of the MUS procedure, the I-QoL questionnaire has been used to assess the QoL of incontinent patients and changes in QoL after the procedure. Campeau et al reported an increment of 38.7 points in the I-QoL after the TVT procedure (from 57.8 to 96.5 points) [2], and Kim et al reported an increment of 32.9 points in the I-QoL after the IVS procedure (from 61.5 to 94.4 points) [3]. Also, Kocjancic et al reported an increment of 40 points in the I-QoL after the TOT procedure (50.6 to 90.6 points) [12].…”

Section: Discussionmentioning

confidence: 99%

Impact of the Midurethral Sling Procedure on Quality of Life in Women with Urinary Incontinence

et al. 2010

View full text Add to dashboard Cite

Purpose: This study was designed to objectively assess the impediment of incontinence to quality of life (QoL) in females and its improvement by the midurethral sling (MUS) procedure. Materials and Methods: From June 2006 to June 2007, 93 female patients underwent the MUS procedure at our institute because of urinary incontinence. The incontinence quality of life (I-QoL) questionnaire was administered to measure the QoL of the incontinent patients before and 1 and 12 months after the MUS procedure. Preoperative data and urodynamic factors were analyzed retrospectively by I-QoL scores to identify factors that may affect the QoL of incontinent patients. Results:The average preoperative I-QoL score of the 93 patients was 61.1±21.0 points. At 1 year after surgery, the average I-QoL score was found to have improved to 98.4±20.7 points. There were no significant differences between stress and mixed urinary incontinence in terms of cure and satisfaction (p＞0.05). I-QoL scores of the cured and improved patients increased at 1 year after surgery (p＜0.01). There were no statistically significant differences in the increment of I-QoL between cured and improved patients (p＞0.05). Although urinary urgency and large urine leak amounts significantly reduced preoperative QoL in incontinent patients, the MUS procedure effectively improved the QoL regardless of these factors. Conclusions: Preoperative I-QoL assessment revealed a significant impairment of QoL in incontinent women, but the MUS procedure effectively improved these women's QoL.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of the Midurethral Sling Procedure on Quality of Life in Women with Urinary Incontinence

et al. 2010

View full text Add to dashboard Cite

show abstract

“…9,261 In addition, the qualifiers persistent or de novo 261 were often used. De novo OAB, indicating the occurrence of OAB after sling surgery, was reported in 0-48% of patients in various studies (REFS 17,18,20,26,39,(46)(47)(48)(50)(51)(52)(53)55,(57)(58)(59)61,62,66,67,70,(73)(74)(75)(76)(77)79,83,87,88,91,92,96,97,99,140,152,153,155,157,159,161,163,164,(166)(167)(168)(170)(171)…”

Section: Oab Symptomsmentioning

confidence: 98%

“…In patients with SMUS-related infections, removal of the complete mesh is particularly important. Of course, many more serious infectious complications are likely to arise from the 'minor' ones listed above, 113 [132][133][134]140,145,146,148,[151][152][153]156,158,162,163,167,168,171,173,[176][177][178][179][181][182][183][184], or bowel) perforation at the time of trocar passage has been reported to occur in 0-16% of sling surgery procedures (0-14% for RP sling implantation and 0-16% for TOT sling implantation). In most reports, the authors usually downplay any substantial implications of pelvic organ perforations.…”

Section: Reviews Infectionmentioning

confidence: 99%

Safety considerations for synthetic sling surgery

et al. 2015

View full text Add to dashboard Cite

Implantation of a synthetic midurethral sling (SMUS) is the most commonly performed anti-incontinence operation in women worldwide. The effectiveness of the SMUS is comparable to that of the historical gold standards--autologous fascial slings and the Burch colposuspension. Much controversy, however, has evolved regarding the safety of this type of sling. Overall, the quality of the studies with respect to assessing risks of SMUS-associated complications is currently poor. The most common risks in patients with SMUS include urethral obstruction requiring surgery (2.3% of patients with SMUS), vaginal, bladder and/or urethral erosion requiring surgery (1.8%) and refractory chronic pain (4.1%); these data likely represent the minimum risks. In addition, the failure rate of SMUS implantation surgery is probably at least 5% in patients with stress urinary incontinence (SUI). Furthermore, at least one-third of patients undergoing sling excision surgery develop recurrent SUI. Considering the additional risks of refractory overactive bladder, fistulas and bowel perforations, among others, the overall risk of a negative outcome after SMUS implantation surgery is ≥15%.

show abstract

“…In a randomized trial comparing tension-free vaginal tape and intravaginal slingplasty (IVS), 9% of women treated with IVS required removal of the tape for erosions [5]. Other studies describe the erosion rate after type III mesh for the treatment of female urinary incontinence from 1.2 to 17% [6,7]. Posterior slingplasty is a technique used for the treatment of apical prolapse [8].…”

Section: Introductionmentioning

confidence: 99%

Gluteo-vaginal sinus formation complicating posterior intravaginal slingplasty followed by successful IVS removal. A case report and review of the literature

et al. 2007

View full text Add to dashboard Cite

Posterior intravaginal slingplasty (IVS) is a technique used for the treatment of apical prolapse. Type III meshes have been mostly used with this technique. In this article, a case of bilateral gluteo-vaginal sinus tract formation that complicated a posterior vaginal slingplasty with a type III mesh is presented. At 3 months follow-up, the patient complained for bulking through the vagina, continuous offensive vaginal discharge, and constant pain at the buttocks. She had prolapse recurrence, and there was defective healing at the gluteal entry points of the posterior IVS. Ten months after the initial surgery, she underwent a laparotomic subtotal hysterectomy and sacrocervicopexy with prolene type I mesh. At the same time, the posterior mesh was removed allowing the surgeon to discover communication of the canal of the mesh extending from gluteal incisions to the vagina epithelium. The sinus tract was managed surgically with excision of the surrounding tissues. There was no recurrence or other complications at 2 months follow-up.

show abstract

A safety and quality of life analysis of intravaginal slingplasty in female stress incontinence: a prospective, open label, multicenter, and observational study

Cited by 11 publications

References 26 publications

Impact of the Midurethral Sling Procedure on Quality of Life in Women with Urinary Incontinence

Impact of the Midurethral Sling Procedure on Quality of Life in Women with Urinary Incontinence

Safety considerations for synthetic sling surgery

Gluteo-vaginal sinus formation complicating posterior intravaginal slingplasty followed by successful IVS removal. A case report and review of the literature

Contact Info

Product

Resources

About