Outcome in 104 pubovaginal slings using freeze-dried allograft fascia lata from a single tissue bank

Amundsen, Cindy L.; Visco, Anthony G.; Ruiz, Henry E.; Webster, George D.

doi:10.1016/s0090-4295(00)00673-7

Cited by 72 publications

(20 citation statements)

References 22 publications

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“…The failure rate ascribed to CFL sling is largely from the series reported by Fitzgerald et al [17] . However, this was not replicated in the data reported by Elliot et al [18] , Amundsen et al [19] , Brown and Govier [20] and Wright et al [21] . There seems to be wide variability in the quality of tissue, depending on its source and processing that may lead to inconsistent results.…”

Section: Discussionmentioning

confidence: 81%

Cadaveric Fascia Lata versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates

Başok

Yıldırım²,

Atsu³

et al. 2008

Urol Int

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Background: A wide variety of surgical procedures has been used to treat female stress urinary incontinence (SUI). The purpose of this study was to compare cadaveric fascia lata (CFL) sling with intravaginal slingplasty (IVS) in the surgical treatment of SUI. Methods: One hundred and thirty-nine women with SUI were randomly assigned to either CFL sling (n = 67) or IVS (n = 72). Concomitant urinary urge incontinence was present in 49 patients (73%) in the CFL sling and 44 patients (61%) in the IVS group. Daily mean pad usage was 4.1 ± 3.5 in the CFL sling and 2.9 ± 1.7 in the IVS group. The objective cure rate was evaluated by the pad test, and patient satisfaction rate was assessed by a subjective questionnaire. Results: The surgical results of both procedures with a follow-up 12 months were documented. The overall success rate was 79% in the CFL sling and 70.8% in the IVS (p = 0.261). In contrast patient satisfaction rates were 82 and 87.5%, respectively (p = 0.210). Comparison of the CFL sling with IVS showed persistent urinary urge incontinence in 67 and 25% (p = 0.0001) and de novo urinary urge incontinence in 22 and 6.9%, respectively (p = 0.009). The groups did not differ significantly with respect to intraoperative and postoperative complications. Conclusions: There is no statistical difference in the overall success, satisfaction and complication rates in either group. In our series, both procedures were found to be effective, durable and significantly improved quality of life in patients with SUI but long-term results are awaited.

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Section: Discussionmentioning

confidence: 81%

Cadaveric Fascia Lata versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates

Başok

Yıldırım²,

Atsu³

et al. 2008

Urol Int

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“…SUI can be treated by various surgical procedures including suburethral sling placement. Although complications have been reported after autologous sling placement, synthetic sling placement has been the source of a higher rate of complications including defective healing and erosions [3,4].…”

Section: Introductionmentioning

confidence: 99%

Urethral erosion after suburethral synthetic slings: risk factors, diagnosis, and functional outcome after surgical management

et al. 2008

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Urethral erosion (UE) is an uncommon but potentially severe complication after suburethral synthetic slings. We aimed to identify the risk factors and diagnostic modalities of UE and also functional outcome after UE surgical management. We retrospectively analyzed eight cases of UE managed in our department between 1997 and 2007. The main presumptive risk factors of UE were excessive sling tensioning (six of eight) and postoperative urethral dilation (four of eight). The most frequent symptoms included voiding difficulties (five of eight), storage symptoms (three of eight), pain (three of eight), and recurrent stress incontinence (three of eight). UE diagnosis was accessible to introital ultrasound (five of five) and confirmed by urethroscopy (eight of eight). Surgical management was performed in seven cases and included transvaginal sling removal with urethral repair (two of seven), endoscopic transurethral sling resection (four of seven), and combined approach (one of seven). All the approaches provided good functional outcomes. Transurethral endoscopy is a mini-invasive treatment of UE and should be tried first in selected cases.

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“…Repeated procedures for incontinence are known to increase the risk of surgical failure after incontinence surgery [21,22]. Although it might be expected that recurrent incontinence could result from previous incontinence surgery, none of our patients with a recurrence of SUI after sling procedure had had any prior incontinence surgery, and the preoperative MUCP did not differ among the groups [23].…”

Section: Discussionmentioning

confidence: 70%

Patient satisfaction after retropubic and transobturator slings: first assessment using the Incontinence Outcome Questionnaire (IOQ)

et al. 2011

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Outcome in 104 pubovaginal slings using freeze-dried allograft fascia lata from a single tissue bank

Cited by 72 publications

References 22 publications

Cadaveric Fascia Lata versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates

Cadaveric Fascia Lata versus Intravaginal Slingplasty for the Pubovaginal Sling: Surgical Outcome, Overall Success and Patient Satisfaction Rates

Urethral erosion after suburethral synthetic slings: risk factors, diagnosis, and functional outcome after surgical management

Patient satisfaction after retropubic and transobturator slings: first assessment using the Incontinence Outcome Questionnaire (IOQ)

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