Sling exposure after treatment of urinary incontinence with sub-urethral transobturator slings

Bourdy, Cédric; Lucot, Jean-Philippe; Giraudet, Géraldine; Ferdynus, Cyril; Cosson, Michel

doi:10.1016/j.ejogrb.2014.02.002

Cited by 2 publications

(3 citation statements)

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“…). The characteristics of each eligible study are listed in Table . These studies were published between 2005 and 2014.…”

Section: Resultsmentioning

confidence: 99%

“…patients related to SUI only; and the remaining 2 533 patients in 11 studies [13,14,18,21,24,[31][32][33]36,37,41] had POP/SUI, with 1 105 of them receiving both POP and SUI procedures concomitantly. Of all eligible studies, two were randomised controlled trials (RCTs) [16,39], four were prospective cohort studies [23,32,34,35], one study consisted of a RCT and a prospective cohort study [17], three were retrospective casecontrol studies [18,21,42], and 15 were retrospective cohort studies [13][14][15]19,20,22,24,30,31,33,[36][37][38]40,41]. Of the 25 studies, nine were conducted in the USA; three in France; three in China; two each in the UK, Australia, and Turkey; one each in Chinese Taipei, Sweden, Switzerland, and the Netherlands.…”

Section: Statistics Analysismentioning

confidence: 99%

“…1). The characteristics of each eligible study are listed in Table 1 [ [13][14][15][16][17][18][19][20][21][22][23][24][30][31][32][33][34][35][36][37][38][39][40][41][42]. These studies were published between 2005 and 2014.…”

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confidence: 99%

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Risk factors for mesh erosion after female pelvic floor reconstructive surgery: a systematic review and meta‐analysis

et al. 2015

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ObjectivesTo explore the risk factors for mesh erosion after female pelvic floor reconstructive surgery based on published literature. Materials and MethodsA systematic literature search of the PubMed, Embase, Cochrane Library, Chinese Biomedical Literature (CBM), China National Knowledge Infrastructure (CNKI) and Chinese Science and Technology Periodical (VIP) databases was performed to identify studies related to the risk factors for mesh erosion after female pelvic floor reconstruction published before December 2014. Summary unadjusted odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to assess the strength of associations between the factors and mesh erosion. ResultsIn all, 25 studies containing 7 084 patients were included in our systematic review and meta-analysis. Statistically significant differences in mesh erosion after female pelvic floor reconstruction were found in older vs younger patients (OR 0.96, 95% CI 0.94-0.98), more parities vs less parities (OR 1.27, 95% CI 1.07-1.51), the presence of premenopausal/ oestrogen replacement therapy (ERT) (OR 1.36, 95% CI 1.03-1.79), diabetes mellitus (OR 1.87, 95% CI 1.35-2.57), smoking (OR 2.35, 95% CI 1.80-3.08), concomitant pelvic organ prolapse (POP) surgery (OR 0.37, 95% CI 0.16-0.84), concomitant hysterectomy (OR 1.46, 95% CI 1.03-2.07), preservation of the uterus at surgery (OR 0.22, 95% CI 0.08-0.63), and surgery performed by senior vs junior surgeons (OR 0.42,). ConclusionOur study indicates that younger age, more parities, premenopausal/ERT, diabetes mellitus, smoking, concomitant hysterectomy, and surgery performed by a junior surgeon were significant risk factors for mesh erosion after female pelvic floor reconstructive surgery. Moreover, concomitant POP surgery and preservation of the uterus may be the potential protective factors for mesh erosion.

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“…). The characteristics of each eligible study are listed in Table . These studies were published between 2005 and 2014.…”

Section: Resultsmentioning

confidence: 99%

Section: Statistics Analysismentioning

confidence: 99%

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Risk factors for mesh erosion after female pelvic floor reconstructive surgery: a systematic review and meta‐analysis

et al. 2015

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The short life cycle of a surgical device – Literature analysis using McKinlay׳s 7-stage model

Ross

Robert

Ducey

2015

Health Policy and Technology

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Objective: In 1981 McKinlay described "Seven Stages in the Career of a Medical Innovation". We wished to examine whether the model fits a modern device life cycle, and to comment on device manufacturers' influence on the life cycle. We chose to study the complete life cycle of TVT Secur, a mesh kit for surgical treatment of stress urinary incontinence in women, from its marketing in 2006 to device discontinuation for commercial reasons in March 2013. Methods: A PubMed review was undertaken to identify all published literature related to TVT Secur from 2006 to November 2014. Each publication was classified according to McKinlay's seven stages.Results: Eighty-three relevant publications from 22 countries were identified: 4 promising reports, 1 professional adoption, 0 third-party endorsement, 34 standard procedure, 19 randomised controlled trials (RCTs) from 2010 and mainly describing comparisons with other TVT family members), 0 professional denunciation of RCT findings, and 4 erosion and discreditation. Conclusions:McKinlay's seven stages model was useful to describe TVT Secur's truncated life cycle. TVT Secur, fully approved and licensed according to all jurisdictional requirements, generated many descriptive cohort studies but more rigorous RCT evidence appeared only half way through its life cycle. Device discontinuation meant that the stage of erosion and discreditation described by McKinlay occurred after TVT Secur was no longer available.

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Sling exposure after treatment of urinary incontinence with sub-urethral transobturator slings

Cited by 2 publications

References 30 publications

Risk factors for mesh erosion after female pelvic floor reconstructive surgery: a systematic review and meta‐analysis

Risk factors for mesh erosion after female pelvic floor reconstructive surgery: a systematic review and meta‐analysis

The short life cycle of a surgical device – Literature analysis using McKinlay׳s 7-stage model

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