How to prevent mesh erosion in transobturator Tension-Free Incontinence Cystocoele Treatment (TICT): a comparative survey

Abstract

BackgroundStress urinary incontinence (SUI) is involuntary leakage from effort, exertion, sneezing or coughing. SUI is usually associated with cystocele, a medical condition that occurs when the tough fibrous wall between a woman's bladder and her vagina (the pubocervical fascia) is torn by childbirth, allowing the bladder to herniate into the vagina. Shame, depression and anxiety have been found to co-occur in incontinent women. Shame is a negative and self-conscious emotion, described as the sentiment of being exposed, ridiculous and undervalued. It may be elicited by personal perception of cognition according to a specific context (1). The internalization of unworthy or abusing parents (2) may have an important impact in causing such emotion together with other dysfunctional attitudes (i.e. insecure attachment and problematic internet use) (3, 4) and disadaptive disorders (i.e. psychopathic traits) (5). Above all, women of reproductive age are psychologically affected by SUI and cystocele as this factor may have a negative impact on pregnancy, Background. Tension-Free Incontinence Cystocoele Treatment (TICT) was introduced by Leanza-Gasbarro-Caschetto in 2001, on the basis of experimental and clinical investigations to obtain a physiologic mechanism of closure and opening of the urethra in the event of genuine stress urinary incontinence (S.U.I.) and cistocoele. TICT took origin from the previous retropubic tension-free vaginal tape (TVT) based on the integral theory according which mid-urethra has a main role for urinary continence but differs in that the

Case Report: Spontaneous cholecystocutaneous fistula, a rare cholethiasis complication

“…The patient underwent cholecystectomy surgery 10 days after diagnosis, with an open laparotomy with en block aponeurotic muscle, skin and fistula orifice excision. In order to have a good abdominal wall reconstruction, a properly shaped Prolene Prosthesis was placed using fibrin glue 4 – 7 . The patient received broad-spectrum antibiotics after surgery (Piperacillin/Tazobactam 4.5 g, 3 times a day for 5 days via IV).…”

Quality of life and psychological aspects in women suffering from Stress Urinary Incontinence (SUI) evaluated with Stress Psychological Measure (SPM) questionnaires

“…These treatments significantly improve the overall sex life of women with SUI: orgasm incontinence, penetration incontinence, post-coital infections, anxiety and avoidance of sex are all reduced (16)(17)(18)(19)(20). A complete evaluation of the psychosomatic impact of such a disease by means of SPM is the right key not only for correcting the single symptom, but also for improving the well-being of the individual's social and intimate life (21)(22)(23)(24)(25)(26)(27)(28)(29)(30). © C I C E d i z i o n i I n t e r n a z i o n a l i…”

Landmarks in vaginal mesh development: polypropylene mesh for treatment of SUI and POP

“…First, vaginal mesh complications are known to increase when a larger area of the mesh is used 65,100 , for instance more complications occur with prolapse meshes compared to mesh slings. Second, some clinical studies demonstrate that avoiding a vaginal incision suture line being in direct contact with the mesh material could decrease mesh exposure 128,129 . Additionally, avoiding a vaginal incision when implanting a natural scaffold derived from natural extracellular matrix on the vaginal wall of rhesus macaques, in these cases the material was implanted transabdominally rather than through a vaginal incision,was also shown to eliminate the negative effects on overall structure and function of the vagina with increased vaginal stiffness, collagen content and an increased collagen I/ III ratio at 3 months 130 .…”