Pubovaginal Sling Procedure for Stress Incontinence

McGuire, Edward J.; Lytton, Bernard

doi:10.1016/s0022-5347(17)57390-5

Cited by 383 publications

(95 citation statements)

References 3 publications

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“…4 After several modifications were reported in the years that followed, it was McGuire and Lytton who popularized the procedure in 1978. 5 In 1988, Blavais and Olson placed emphasis on positioning the sling at the bladder neck level in an effort to correct urethral hypermobility. 6 Delancey proposed his "hammock hypothesis" in 1994, which has further contributed to the understanding of how a sling functions to compress the urethra with increased intra-abdominal pressure when placed at the bladder neck.…”

Section: Introductionmentioning

confidence: 99%

The pubovaginal sling: Reintroducing an old friend

Bailly

Carlson

2017

CUAJ

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The surgical management of female stress urinary incontinence (SUI) has evolved over the past century, using various techniques of retropubic colposuspensions and sling procedures. In the past two decades, the sling has become the mainstay of surgical treatment of SUI, with the synthetic midurethral sling (MUS) leading the way. With the recent concerns raised by the U.S. Food and Drug Administration (FDA) and Health Canada about the safety of vaginal surgery using mesh implants, including the MUS, urologists and gynecologists should be familiar with suitable alternatives, including the pubovaginal sling (PVS), which often incorporates autologous fascia. Surgeons should be expected to discuss the surgical options to patients in more detail so that an informed decision can be made by both parties on which surgery to choose. Despite the MUS still being considered the "gold standard" by many, both the urologist and gynecologist who manage SUI should understand the indications for a PVS with autologous fascia, as well as its surgical technique and outcomes. This knowledge is required to aid in the decision-making of both the patient and her surgeon. In this article, the role of the PVS and the description of its surgical technique are presented.

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Section: Introductionmentioning

confidence: 99%

The pubovaginal sling: Reintroducing an old friend

Bailly

Carlson

2017

CUAJ

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“…Previously PVT and similar sling surgeries were recommended, especially for type III SUI. But recently, the success of sling applications have changed the algorithm, and become the 'Gold Standart' treatment option for all SUI cases, regardless of the sub group [11][12][13]. Different studies have reported success rates of PVT, and similar loose suspension surgeries between 75-100%, making PVT and similar sling surgeries the perfect treatment alternatives for stress urinary incontinence with these results [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Vaginal Tape Surgery at Stress Urinary Incontinence: Our Medium-Term Results

İrkılata¹

2016

Ann Clin Anal Med

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Anahtar KelimelerGerilimsiz Vajinal Tape; Subüretral Sling; Stres Üriner İnkontinans; Ürodinami Abstract Aim: Percutaneous vaginal tape surgery is a cheap and effective choice among stress urinary incontinence surgeries. It is aimed to evaluate the characteristics and the treatment results of patients who underwent percutaneous vaginal tape surgery in this study. Material and Method: The clinical characteristics of 48 patients who underwent percutaneous vaginal tape surgery were retrospectively investigated. The patients were asked about ability to hold urine and quality of life during clinical check-ups and by telephone. Results: The average age of the 48 patients was 51.17±9.96 years. The average cystometric capacity was 445±107.08 ml and average Q max values before and after the operation were 31.10±11.38 ml/s and 23.20±14.27 ml/s (p=0.23). The general patient results after an average of over six months were 79.2% cure, 18.75% improvement and 2.05% unsuccessful. Of the 19 patients who remained for monitoring, after an average 58.4 month followup 16 (84.2%) patients fully cure, and 3 (15.8%) reported renewal of complaints after initial improvement. Discussion: Currently, application simplicity, short and medium-term successful results, and acceptable low complication rates make percutaneous vaginal tape surgery is a good treatment alternative that can be chosen for stress urinary incontinence cases.

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“…In these women with low urethral closure pressures good results have been achieved after fascial sling procedures. 15 Therefore sling procedures may be the treatment of choice for those with preoperative evidence of poor urethral sphincter function. Women with hypermobility and coexistent ISD will benefit from a sling procedure, even if hypermobility is the only clinical feature, because the sling will correct the ISD that these women have.…”

Section: Indications and Benefitsmentioning

confidence: 99%

Risks and benefits of sling procedures

Chaliha

Stanton²

2004

The Obstetric & Gynaecologis

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Over the past century over 150 operations have been described for the treatment of urodynamic stress incontinence. The spectrum of operative approaches that are used reflect its variety of causes. Classical sling procedures provide bladder neck support, permitting urethral compression or kinking with increases in intra‐abdominal pressure and decreasing voiding dysfunction. There are well‐documented complications associated with sling procedures. Modifications of operative technique and sling materials, in particular the tension‐free vaginal tape, have lowered complication rates and operative morbidity. This article discusses potential benefits and risks associated with different surgical options, to aid selection of the most appropriate treatment for any individual.

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Pubovaginal Sling Procedure for Stress Incontinence

Cited by 383 publications

References 3 publications

The pubovaginal sling: Reintroducing an old friend

The pubovaginal sling: Reintroducing an old friend

Percutaneous Vaginal Tape Surgery at Stress Urinary Incontinence: Our Medium-Term Results

Risks and benefits of sling procedures

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