Synthetic sling options for stress urinary incontinence

Bukkapatnam, Satish T. S.; Rodríguez, Larissa V.

doi:10.1007/s11934-004-0087-6

Cited by 8 publications

(3 citation statements)

References 48 publications

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“…Autologous tissue slings generally are well tolerated, but the use of such materials requires an additional procedure and potentially longer recovery times. In a recent review of the literature by Bukkapatnam and Rodriguez [8], it was found that slings derived from human or animal donors had less durability than synthetic slings. Slings derived from humans and animals also carry the theoretical risk of transmission of infectious agents.…”

Section: Surgical Management Of Stress Urinary Incontinencementioning

confidence: 99%

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Urethral slings placed by the transobturator approach: Evolution in the technique and review of the Literature

Shindel

Klutke

2005

Curr Urol Rep

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Midurethral slings have proven to be efficacious in the surgical treatment of stress urinary incontinence (SUI) in women. A relatively new approach to the midurethral sling technique is the transobturator route for placement of the sling. This approach offers the theoretical safety advantage of avoiding the retroperitoneal space. The procedure has been pioneered in Europe and is now being practiced in the United States. In this article, we describe the theory behind urethral slings for SUI, the anatomy of the obturator canal, and early data on the safety and efficacy of transobturator urethral slings in the treatment of SUI.

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Section: Surgical Management Of Stress Urinary Incontinencementioning

confidence: 99%

“…Given these concerns, synthetic materials have emerged as the preferred option for urethral slings. Polypropylene is the most popular synthetic material in use today [8].…”

Section: Surgical Management Of Stress Urinary Incontinencementioning

confidence: 99%

Urethral slings placed by the transobturator approach: Evolution in the technique and review of the Literature

Shindel

Klutke

2005

Curr Urol Rep

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“…At present, the mesh material most commonly used for sling surgery is polypropylene. 2 In 1996, Ulmsten et al were the first to report the use of polypropylene mesh around the mid-urethra. 3 Petros and Ulmsten described the tension-free vaginal tape (TVT) procedure based on the integral theory.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing the Incidence of Mesh Erosion After Transobturator Sling Placement for Stress Urinary Incontinence

Fonseca

Monteiro

Figueiredo

et al. 2013

Journal of Gynecologic Surgery

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Objective: The objective of this study was to identify factors associated with mesh erosion after placement of a transobturator sling for correction of stress urinary incontinence (SUI). Design: Between 2006 and 2008, a consecutive series of patients underwent surgery for SUI. A retrospective analysis was performed and included baseline, surgical, postoperative, and complication data. Materials and Methods: A total of 69 patients underwent surgery for SUI by placement of a polypropylene mesh sling using the transobturator approach. Demographic and medical history data were collected by interview at baseline, 1 month, 6 months, and 1 year after the procedure. A speculum examination to screen for mesh erosion and infection was performed at each postoperative visit. Comparisons between groups were performed using a v 2 and unpaired Student's t-test. The level of significance was set at p < 0.05. Results: There were 5 (7.2%) mesh erosions reported within 1 year of surgery. Forty-two (60.9%) patients had concomitant surgeries. Age, parity, menopause status, hormonal therapy, body mass index, diabetes mellitus, vaginal trophism, previous and concomitant surgery, and perioperative complications were not associated with mesh erosion. Univariate analysis only identified previous surgery for SUI (3.6 versus 33.3%; p = 0.002) and perioperative inadvertent vaginal transfixation (4.5 versus 66.7%; p < 0.001) as significant factors associated with vaginal erosion. Conclusions: Previous surgery for SUI, and perioperative inadvertent vaginal transfixation, are risk factors for vaginal mesh erosion after transobturator sling placement. ( J GYNECOL SURG 29:231)

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