Influence of anterior vaginal mesh with concomitant mid‐urethral sling surgery on stress urinary incontinence: clinical and sonographic outcome

Lo, Tsia‐Shu; Tan, Yiap Loong; Cortes, Eileen Feliz M.; Lin, Yi‐Hao; Wu, Pei‐Ying; Pue, Leng Boi

doi:10.1111/ajo.12397

Cited by 8 publications

(4 citation statements)

References 26 publications

(35 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most published studies show equal efficacy of TOT used as a single procedure or combined with prolapse surgery [18][19][20][21]. Only the results of 2 studies revealed a better outcome for sling performed concomitantly with prolapse surgery [22,23].…”

Section: Discussionmentioning

confidence: 99%

Outcome of transobturator sling for treatment of female stress urinary incontinence applied as a single procedure or concomitantly with pelvic organ prolapse surgery

Banaś¹,

Jankiewicz²,

Rechberger³

et al. 2023

Ann Agric Environ Med.

View full text Add to dashboard Cite

Introduction and Objective.The aim of the study was to check the safety and efficacy of transobturator tape (TOT) combined with various prolapse procedures. The results were compared with outcomes of sling performed as an alone surgery. Risk factors for TOT failure were also identified. Materials and method. The study comprised 219 patients with sling alone (Group SUI) and 221 after TOT combined with concomitant prolapse surgery (Group POP/SUI). Medical records were carefully reviewed to obtain demographic and clinical data, details of surgery, including intra-and postoperative complications. Results. Subjective cure rate was slightly, but statistically significantly, higher in POP/SUI group (89.6% vs 82.6%; ch 2 = 4.44; p = 0.035). There was no significant difference in sling efficacy dependant of type of POP surgery. Post-operative urine retention was more frequent in POP/SUI group compared to SUI group (18.6% vs 3.2%; ch 2 = 34.36; p < 0.001). Logistic regression showed that age, BMI and prolonged pos-operative urine retention are independent factors affecting TOT outcome. Age ≥65years and BMI ≥30kg,m 2 more than doubled the risk of failure: OR 2.348, CI 95% (1.330-4.147); p = 0.003 and 2.030, (95% CI 1.148-3.587); p = 0.015; respectively. Interestingly, post-operative urine retention appeared to be a positive prognostic factor OR 0.145, (95% CI 0.019-1.097); p < 0.05. Conclusions. Subjective efficacy of TOT used concomitantly with POP procedures is slightly higher than TOT alone. Better sling outcomes can be expected both for POP procedures involving both the anterior and posterior compartments. Age and obesity are independent factors of TOT failure, whereas prolonged post-operative urine retention is a positive predictive factor of TOT success.

show abstract

Section: Discussionmentioning

confidence: 99%

Outcome of transobturator sling for treatment of female stress urinary incontinence applied as a single procedure or concomitantly with pelvic organ prolapse surgery

Banaś¹,

Jankiewicz²,

Rechberger³

et al. 2023

Ann Agric Environ Med.

View full text Add to dashboard Cite

show abstract

“…Therefore, poor bladder mobility after transvaginal mesh surgery may explain the lesser compressive effect of the sling during the Valsalva maneuver. Lo et al [20] reported that the mobility of the mesh and/or bladder neck had an important role in determining the success rate of middle urethral sling surgery in sonography findings. In the current study, the lesser compressive effect was reflected in the short axis of the proximal urethra in the sling and mesh group.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic Assessment with Three-Dimensional Mode of the Urethral Compression Effect following Sling Surgery with and without Mesh Surgery

Lin

Juan

Chou

et al. 2019

BioMed Research International

View full text Add to dashboard Cite

Background The aim of this study was to assess anatomical changes in the urethra at rest and during straining following sling surgery with and without transvaginal mesh surgery (TVM) in women with stress urinary incontinence (SUI) with or without pelvic organ prolapse (POP) using three-dimensional ultrasonography. Methods 76 women with SUI with or without pelvic organ prolapse after sling surgery. They underwent sling surgery alone (S group, n=36) or concomitant TVM (M group, n=40). All patients underwent urinalysis, pelvic examinations, urodynamic study, 3D perineal ultrasonography, and personal interviews before and 1 year after surgery. The urethral area was calculated from the axial plane of perineal ultrasonography by multiplying π by the long and short axes of the urethral lumen. Results The axial area of the middle and distal urethra during straining was significantly smaller than at rest in both groups (P<0.001). In addition, the length of the short axis of the proximal urethra was significantly shorter in those undergoing sling surgery alone during straining compared with those undergoing concomitant sling and mesh surgery (P<0.001). Conclusions There was a greater impact on the proximal urethra in women who underwent sling surgery alone than those who underwent sling and TVM surgery together.

show abstract

“…A hálóműtétek relatíve alacsony kiújulás mellett (2-4,8%) [8,14] viszonylag magas szövődményrátával bírtak. Így a háló eróziója, mint a leggyakoribb és a betegek számára a legtöbb szenvedést okozó eltérés, 3,8-43,6% között [8,14,[16][17][18][19], visszatérő húgyúti infekciók az esetek 2,9%ában [20], de novo urge incontinentia (DNUS) 8,7-17%ban [8,20] fordult elő. Dyspareunia hüvelyi hálóműtéteket követően az esetek 28,6%-ában lépett fel, ugyanakkor érdekes tény, hogy a hüvelyi és a has felől behelyezett hálók között szignifikáns eltérés e téren nem volt megfigyelhető [21,22].…”

Section: A Hálóműtétek Szövődményeiunclassified

“…Ebben a csoportban a legsúlyosabb szövődményt, a háló kilökődését a betegek 8,3%-ánál tapasztaltuk. Az általunk észlelt kilökődés (8,3%) és DNUS-előfordulás (11,9%) a nemzetközi irodalommal (3,8-43,6% és 8,7-17%) teljesen megegyezik [8,14,[16][17][18]20].…”

Section: Megbeszélésunclassified

Hüvelyi hálóműtétek gyakorlata az amerikai korlátozó figyelmeztetés után. Merjem, vagy ne merjem?

2018

View full text Add to dashboard Cite

show abstract

Influence of anterior vaginal mesh with concomitant mid‐urethral sling surgery on stress urinary incontinence: clinical and sonographic outcome

Abstract: Among women who had MUS, there were no differences in the ultrasound and clinical outcome between those who had AVM or otherwise.

Cited by 8 publications

References 26 publications

Outcome of transobturator sling for treatment of female stress urinary incontinence applied as a single procedure or concomitantly with pelvic organ prolapse surgery

Outcome of transobturator sling for treatment of female stress urinary incontinence applied as a single procedure or concomitantly with pelvic organ prolapse surgery

Ultrasonographic Assessment with Three-Dimensional Mode of the Urethral Compression Effect following Sling Surgery with and without Mesh Surgery

Hüvelyi hálóműtétek gyakorlata az amerikai korlátozó figyelmeztetés után. Merjem, vagy ne merjem?

Contact Info

Product

Resources

About