Extraperitoneal laparoscopic bladder neck suspension using hernia mesh and tacker

Soygür, Tarkan; Şafak, Mut; Yeşi̇lli̇, Çeti̇n; Arıkan, Nihat; Göğüş, Orhan

doi:10.1016/s0090-4295(00)00552-5

Cited by 11 publications

(7 citation statements)

References 16 publications

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“…The use of small trocar ports minimizes patient discomfort and hence significantly reduces hospital stay. Similar findings were reported previously [6,8,12,13,18,19].…”

Section: Discussionsupporting

confidence: 93%

“…The helical configuration of the titanium tack allows secure anchoring of the mesh in place [13]. The polypropylene mesh is inert, non‐allergenic and withstands infection [20].…”

Section: Discussionmentioning

confidence: 99%

“…The open procedure was performed as described by Stanton [15]. In the laparoscopic approach, the cave of Retzius was entered either using the transperitoneal route as described by Liu [5] or extraperitoneally using balloon dissection of the cave of Retzius [9,13]. In both approaches, the bladder neck was elevated using polypropylene hernia mesh (Prolene mesh PMS3, Ethicon, Edinburgh, UK) and a surgical tacking device using titanium tacks (Origin Tacker, Origin Medsystems, Inc., Menlo Park, CA).…”

Section: Methodsmentioning

confidence: 99%

“…Modified laparoscopic techniques fixing strips of hernia mesh to the paraurethral tissue and Cooper's ligament using surgical staples or a tacking device were described to replace endoscopic suture suspension [8–10]. These new developments were proposed to reduce the technical complexity of laparoscopic colposuspension while still maintaining a high success rate [10–13].…”

Section: Introductionmentioning

confidence: 99%

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The efficacy of laparoscopic mesh colposuspension: results of a prospective controlled study

El-Toukhy

Davies

2001

BJU International

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Objective To investigate the ef®cacy of laparoscopic mesh colposuspension as an equivalent approach to the`gold standard' open Burch colposuspension. Patients and methods A prospective controlled study of laparoscopic mesh colposuspension was conducted over 2 years; 87 patients with genuine stress incontinence (GSI) were recruited. The preoperative evaluation included a history, examination, midstream urine analysis, urinary voiding diary, a Urilos pad test, and twin-channel subtracted cystometry, including urethral pro®lometry and measurement of the postvoid residual volume. The study included patients who had undergone previous incontinence surgery, but those with detrusor instability or neurogenic bladder were excluded. The patients were assessed at 6 weeks, 6 months and 1 year after surgery and then yearly thereafter. The urodynamic assessment was repeated 3 months after surgery. Results Forty-nine patients underwent laparoscopic colposuspension using Prolene mesh and titanium tacks to elevate the bladder neck, while 38 patients had open Burch colposuspension. There was no difference between the groups in age, parity, body mass index, menopausal status, medical history, previous bladder neck surgery and prolapse. At 6 weeks the cure rate was similarly high in the two groups (91% laparoscopic and 94% open). After a mean follow-up of 32 months, both groups showed a decline in ef®cacy, which was more marked in the laparoscopic group. Cure rates were 62% for laparoscopy and 79% for open surgery, and the improvement rates were 77% and 89%, respectively (P<0.05). Conclusion Laparoscopic colposuspension using a mesh and tacker technique reduces the technical dif®culty and operating time of the endoscopic procedure, but the long-term cure rates are inferior to open Burch colposuspension.

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“…The use of small trocar ports minimizes patient discomfort and hence significantly reduces hospital stay. Similar findings were reported previously [6,8,12,13,18,19].…”

Section: Discussionsupporting

confidence: 93%

“…The helical configuration of the titanium tack allows secure anchoring of the mesh in place [13]. The polypropylene mesh is inert, non‐allergenic and withstands infection [20].…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The efficacy of laparoscopic mesh colposuspension: results of a prospective controlled study

El-Toukhy

Davies

2001

BJU International

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“…In urological practice various types of synthetic material are used for laparoscopic colposuspension [1], cystocele and rectocele repair [2], urinary tract reconstruction [3] and sling operations for stress incontinence [4]. Animal experiments show that synthetic mesh induces an initial inflammatory reaction that is regulated by the chemical nature of the implanted material, physical features (e.g.…”

Section: Introductionmentioning

confidence: 99%

Early tissue reactions in the rat bladder wall after contact with three different synthetic mesh materials

Samli¹,

Demirbaş²,

Güler³

et al. 2004

BJU International

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The rat bladder wall had a similar early response to all three types of mesh materials. Penetration was more marked with polypropylene mesh than with the other materials. This nonabsorbable material persists in tissue and is currently widely used for clinical applications. These results for penetration suggest that the use of polypropylene mesh risks serious postoperative complications, e.g. urethral tissue erosion.

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Laparoscopic treatment of urinary incontinence

Kung

2004

Obstetrics and Gynecology Clinics of North America

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Extraperitoneal laparoscopic bladder neck suspension using hernia mesh and tacker

Cited by 11 publications

References 16 publications

The efficacy of laparoscopic mesh colposuspension: results of a prospective controlled study

The efficacy of laparoscopic mesh colposuspension: results of a prospective controlled study

Early tissue reactions in the rat bladder wall after contact with three different synthetic mesh materials

Laparoscopic treatment of urinary incontinence

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