Autologous Fascial Sling vs Polypropylene Tape at Short-Term Followup: A Prospective Randomized Study

Wadie, Bassem; Edwan, Ayman; Nabeeh, Adel

doi:10.1097/01.ju.0000169492.96167.fe

Cited by 65 publications

(33 citation statements)

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“…There are many studies evaluating TVT and sling methods, but the majority are retrospective observational studies and not randomized controlled trials [18][19][20] . However, there are a few randomized studies comparing TVT with other procedures [21][22][23][24] . AbdelFattah et al [21] have compared TVT with pelvicol pubovaginal sling in 142 patients and reported equal success rates (90%) in the 3-year follow-up for both, but one main criticism of the study was the subjective assessment of the success rate from a questionnaire answered by patients.…”

Section: Discussionmentioning

confidence: 99%

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Sharifiaghdas

Mortazavi²

2008

Med Princ Pract

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Objectives: To compare two different procedures, tension-free vaginal tape (TVT) and autologous rectus fascia sling, according to their medium-term subjective and objective outcomes and satisfaction rates in the treatment of urinary stress incontinence in women. Subjects and Methods: One hundred women with type II urinary stress incontinence were randomized to be treated with either TVT or autologous rectus fascia sling. They were evaluated by means of a cough-induced stress test, 1-hour pad test, Incontinence Impact Questionnaire (IIQ), and urodynamic study. They were reevaluated postoperatively every 6 months, and the collected data of more than 1 year’s follow-up were compared with preoperative assessments. Results: All patients completed the full 6-month postoperative assessment. However, of the 100 patients, only 61 (25 in the TVT and 36 in the sling group) were followed for more than 1 year. Mean follow-up time was 38.5 and 40 months in the TVT and sling group, respectively. Objective cure was achieved in 22 (88%) of the TVT group and in 30 (83%) of the sling group (p = 0.78) using a cough-induced stress test, and in 76 and 75% of the women in the TVT versus sling group (p = 0.83), respectively, using a 1-hour pad test. Postoperative mean IIQ scores were 44.3 (range 35.5–61.5) and 48.5 (range 38.5–69.7) in the TVT versus sling group (p = 0.46). Five (20%) and 11 (30%) of the TVT and sling group, respectively, reported some changes in the voiding pattern or posture at more than 1 year’s follow-up. Conclusion: There is no significant difference between the TVT and autologous rectus fascia sling procedures in the treatment of urinary stress incontinence at medium-term follow-up. There were changes in the voiding pattern for patients in both groups at more than 1 year postoperatively, which were not evident at early follow-up.

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Section: Discussionmentioning

confidence: 99%

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Sharifiaghdas

Mortazavi²

2008

Med Princ Pract

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“…Nuestros datos están en conformidad con la literatura, como lo demuestra Wadie et al con 92,9% de tasa de éxito con cabestrillo de polipropileno y 92% con fascias autólogas 3 . Este resultado es apoyado por el resultado del cuestionario ICQ-SF, mostrando mejoría en comparación con la evaluación preoperatoria, con 93% de las pacientes reportando mejoría de los síntomas urinarios después de la cirugía.…”

Section: Discussionunclassified

“…Los Materiales sintéticos tiene la ventaja de ser biológicamente inertes, de presentar una mayor resistencia frente a materiales biológicos, de permitir un mínimo de disección y evitan que la paciente sea sometida a una incisión abdominal 3 . En consecuencia, las pacientes permanecen hospitalizadas por un menor período de tiempo y regresan pronto a sus actividades regulares.…”

Section: Discussionunclassified

“…Desde los primeros informes de procedimientos de Cabestrillo vaginal sintético, éste se ha convertido en el estándar de oro en el tratamiento de la incontinencia urinaria de esfuerzo (IUE) 2 . El uso de la fascia autóloga implica un procedimiento más invasivo que clínicamente se traduce en un mayor tiempo operatorio, con aumento de la morbilidad y por lo tanto, complicaciones, tales como dolor, sangrado y la formación de cicatriz 3 .…”

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Procedimiento Cabestrillo Autólogo versus Sintético: Tasa de éxito y frecuencia de obstrucción del tracto urinario inferior

et al. 2009

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ResumenIntroducción: Disfunción en el vaciamiento y retención urinaria son complicaciones frecuentes del cabestrillo. Recientemente se han incluido en el arsenal para el soporte sub-uretral, suministros sintéticos tales como la malla de polipropilenol. Métodos: Se llevó a cabo un Estudio prospectivo no aleatorizado. El procedimiento cabestrillo se realizó en 436 pacientes consecutivos con IUE (Incontinencia Urinaria de Esfuerzo). Las pacientes fueron divididas en grupos según el tipo de malla, en autólogos 210 y 226 sintéticos. Las pacientes fueron evaluadas en cuanto a condición de vaciamiento, continencia y satisfacción. Los resultados quirúrgicos fueron evaluados en función de la clasificación de Blaivas. Se consideró significativo p<0,05. Resultados: La media de edad fue 48,4 años. El tiempo medio operatorio para los Cabestrillo autólogos fue de 107,6 minutos frente a 20,6 min para el sintético. El promedio de hospitalización fue de 36 horas para autólogos frente a 24 horas para los sintéticos y la media de seguimiento fue de 25 meses. Se encontró 87,1% y 92,9% de las pacientes continentes en los grupos autólogos y sintéticos, respectivamente. Fallo en el procedimiento se presentó en un 7% en el grupo autólogo y 4,8% en el sintético (p=0,1961). La tasa global de obstrucción del tracto urinario inferior fue de 4,5% (20/436), cuando se analizó por grupos, encontramos en el grupo autólogo una tasa de 8,5% (18/210), en comparación con el 0,9% en el grupo sintético (2/226) (p=0,000126). Conclusiones: Cabestrillos autólogos y sintéticos presentan las tasas de éxito comparables, sin embargo la obstrucción del tracto urinario inferior fue más común entre las pacientes tratadas con fascias autólogas.Palabras claves: Cabestrillo. Sling, autólogo Sintético. Malla. Incontinencia urinaria. Autologous versus Synthetic sling procedure: Success rate and bladder outlet obstruction rates AbstractObjectives: Voiding dysfunction and urinary retention were frequent complications of sling. More recently synthetic supplies such as polypropylene mesh have been included in the armamentarium for sub urethral support. Methods: A prospective non randomized study was conducted. Sling procedure was performed in 436 consecutive patients with SUI. Patients were divided in groups according to mesh type, being 210 on autologous and 226 on synthetic. Patients were surveyed on voiding condition, continence and satisfaction. Surgical results were assessed according to Blaivas classification. Results were considered significant p<0.05. Results: Mean patient age was 48,4years. Mean operative time for autologous sling was of 107,6 min versus 20,6min for synthetic. Mean hospitalization was 36h on autologous versus 24h on synthetic and mean follow up was 25 months. We found 87,1% and 92,9% of patients continent in autologous and synthetic group, respectively. Failure was presented by 7% in autologous and 4,8 % in synthetic group (p=0.1961). The global rate of BOO was of 4,5 % (20/436), when analysed by groups we found on autologous a rate of 8.5% (1...

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“…In a study comparing tension-free vaginal tape (TVT) and PVS procedures, Wadie et al [36] reported a 92% success rate in 25 patients who underwent the autologous PVS procedure and a 92.9% success rate in 28 patients who underwent the TVT procedure. They performed prolonged urinary catheterization for one more week in seven patients in the PVS group and in three patients in the TVT group.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2014

Turkish Journal of Urology

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Stress urinary incontinence (SUI) is the most common type of urinary incontinence, and approximately 200 different methods have been described for its surgical management. A better understanding of the pathophysiology of SUI has led to the development of surgical therapies focused on creating a strong suburethral supportive layer and urethral resistance. The most important advantage of the pubovaginal sling (PVS) procedure is that it restores urethral resistance during stress maneuvers to prevent incontinence, while improving urethral coaptation at rest and allowing for spontaneous micturition. Various autologous, allograft, xenograft and synthetic materials have been used for the PVS. The autologous PVS procedure for the treatment of SUI offers the highest success rate and is the most commonly used PVS surgical method. Unlike xenograft and allograft materials, the autologous procedure does not result in a tissue reaction and is associated with a low rate of material-related complications.

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Autologous Fascial Sling vs Polypropylene Tape at Short-Term Followup: A Prospective Randomized Study

Cited by 65 publications

References 13 publications

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Procedimiento Cabestrillo Autólogo versus Sintético: Tasa de éxito y frecuencia de obstrucción del tracto urinario inferior

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