Long-term follow-up of intravaginal slingplasty operation for urinary stress incontinence

Glavind, Karin; Larsen, Thomas Stauffer

doi:10.1007/s00192-008-0579-x

Cited by 11 publications

(12 citation statements)

References 11 publications

(20 reference statements)

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“…Surgical procedures to remedy stress urinary incontinence aim to lift or support the urethro-vesical junction. The choice of procedure is often influenced by other pelvic floor problems, co-existent medical co-morbidities, and surgical preference, including mid-urethral tapes, retropubic bladder neck suspensions, and bladder neck injectables [49][50][51][52].…”

Section: Stress Urinary Incontinencementioning

confidence: 99%

Complex pelvic floor failure and associated problems

Elneil¹

2009

Best Practice & Research Clinical Gastroenterology

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Section: Stress Urinary Incontinencementioning

confidence: 99%

Complex pelvic floor failure and associated problems

Elneil¹

2009

Best Practice & Research Clinical Gastroenterology

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“…In a recent long-term follow-up study, out of 25 operated patients, seven patients experienced erosion up to 5 years after the primary operations [7]. All of these patients experienced purulent vaginal discharge.…”

Section: Discussionmentioning

confidence: 98%

Recurrent suprapubic abscess and vaginal fistula after anterior intravaginal slingplasty

Gungor¹,

Yalçın

2009

Open Medicine

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AbstractAnterior intravaginal slingplasty is a widely used procedure for the treatment of stress urinary incontinence. After the operation, defective wound healing, infection, and fistula formation may follow. We present an unusual complication of anterior IVS that is recurrent suprapubic abscess and vaginal fistula formation in a 72-year-old woman. Fistulography was obtained and revealed a fistula tract extending from the suprapubic incision through the entire length of the mesh. Removal of the mesh and obliteration of the fistula tract was performed. Although the symptoms were relieved, the patient started to have episodes of stress urinary incontinence three weeks after the procedure.

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“…We found no cases of tape extrusion or erosion. However, from previous experience with the intravaginal slingplasty tape, we find it important to inform the patients about consulting their doctor or the department in case of hematuria, excess vaginal discharge or recurrent urinary tract infections [12,13].…”

Section: Discussionmentioning

confidence: 99%

Long-term subjective results of tension-free vaginal tape operation for female urinary stress incontinence

Glavind

Fenger‐Grøn

2011

Int Urogynecol J

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Urological Survey 795 Editorial CommentWe do not yet have a urethral stent that is ready for broad application. The authors describe their experience with Memotherm. This is a stent that contracts in cold water and expands after being placed in the urethra at body temperature. Removing it is fairly easy after irrigating the urethra with cold water. This is a big improvement over the Urolume stent which is very difficult to extract. Still the results reported herein show that there is still much room for improvement in the design of urethral stents, or that stents hold limited promise in urethral stricture management. Approximately half of the patients required secondary procedures for restenosis or "hyperplastic ingrowth" inside the stent. The true future of stents likely lies in drug-eluting stents or temporary stents acting as scaffolds for engineered tissue ingrowth. Introduction and Hypothesis: The aim of the study was to evaluate the subjective outcome between 1 and 5 years after tension-free vaginal tape (TVT) operation and the need for follow-up. Methods: A prospective questionnaire study was performed including questions about incontinence, urinary tract infection, emptying problems, the wish for a clinical control and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Results: One hundred seventy-three patients were included. There were more patients with subjective recurrent stress incontinence over the years, but ICIQ-SF was unchanged. There was no rise in patients reporting urge incontinence over the years. Only 11.4% of the patients wished for a clinical control at some time. Conclusion: The TVT operation showed a slight degree of subjective deterioration between 1 and 5 years after the operation; however, the ICIQ-SF was unchanged. There seems to be no need for long-term follow-up at the operating department.

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Long-term follow-up of intravaginal slingplasty operation for urinary stress incontinence

Cited by 11 publications

References 11 publications

Complex pelvic floor failure and associated problems

Complex pelvic floor failure and associated problems

Recurrent suprapubic abscess and vaginal fistula after anterior intravaginal slingplasty

Long-term subjective results of tension-free vaginal tape operation for female urinary stress incontinence

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