Tolerance of synthetic tissues in touch with vaginal scars: review to the point of 287 cases

Debodinance, P.; Cosson, Michel; Burlet, G.

doi:10.1016/s0301-2115(99)00068-8

Cited by 49 publications

(39 citation statements)

References 26 publications

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“…This maneuver not only prolongs the operative time, but increases postoperative pain and discomfort with increased risk of hemorrhage and infection. Synthetic materials have a large risk of erosion and rejection if they become infected [5]. Allograft cadaver fascia does not have these drawbacks as confirmed by this study and recent experimental work [6].…”

Section: Discussionsupporting

confidence: 72%

Cadaver Fascia lata Sling in the Treatment of Intrinsic Sphincter Weakness

Vereecken¹,

Lechat²

2001

Urol Int

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Eight older women with stress incontinence caused by intrinsic urethral weakness underwent sling surgery with allogenic fascia lata. The tolerance of the material was excellent. In 1 case a secondary release of the fixation on the pecten was necessary because of too much tension; in the other cases the evolution was uneventful and resulted in perfect continence lasting for at least 2 years of follow-up.

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Section: Discussionsupporting

confidence: 72%

Cadaver Fascia lata Sling in the Treatment of Intrinsic Sphincter Weakness

Vereecken¹,

Lechat²

2001

Urol Int

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“…In contrast to these studies, a large series examined by Debodinance et al [16] evidenced considerable intolerance to various foreign materials. The rejection rate was particularly high for Gore-Tex (30.3%) and particularly low for Lyodura.…”

Section: Discussionmentioning

confidence: 86%

Transvaginal Bone Anchors in Female Stress Urinary Incontinence: Poor Results

Schostak

Miller²,

Mûller³

et al. 2002

Gynecol Obstet Invest

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Objective: This study evaluates the results of a minimally invasive technique for correcting female stress urinary incontinence by transvaginal implantation of pubic bone anchors. Patients and Methods: Female stress urinary incontinence was treated by fixing a gelatin-coated Dacron sling between two miniature titanium anchors with Prolene sutures. Results: A total of 26 patients (median age 57.2 years) underwent the sling procedure. The follow-up examination was performed after 11.4 months on average. Stress incontinence showed a median improvement from grade 2 to grade 0.5 (p = 0.01), although only 16 of the 26 patients were completely continent. Urethral pressure and functional length were not significantly influenced. Impaired vaginal wound healing was seen in 14 of the 26 patients (53.8%), and 13 of them underwent revision. All patients affected (15/26, 57.7%) as well as 1 with uneventful healing showed sensory urge symptoms or detrusor instability (7/26, 26.9%). The correlation between impaired wound healing and detrusor instability was highly significant (p < 0.003). 17 of the 26 patients (65.3%) were dissatisfied or very dissatisfied with the intervention. The unfavorable results did not significantly correlate with the patients’ age, the number of previous operations, or the surgeon’s skill. Conclusion: In view of the poor vaginal wound healing and the resultant irritative symptoms, transvaginal bone anchoring with fixation of a Dacron sling must be regarded as an unsuitable technique.

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“…Urethral erosion is more likely to be secondary to excessive sling tension or unrecognised urethral injury at the time of the procedure.The reported rate of sling erosion into the vagina or urethra varies from 0.3-23%. [31][32][33] The expanded polytetrafluoroethylene (Gore-tex) sling has a particularly high rate of erosion of 23%. 32 With other synthetic slings the reported erosion rates vary from 0-11%.…”

Section: Sling Erosionmentioning

confidence: 99%

“…32 With other synthetic slings the reported erosion rates vary from 0-11%. Debodinance et al 33 reviewed 287 cases where either Gore-tex or Dacron were used for vaginal surgery. They found erosion rates of 30% and 25% respectively, which were related to the surface area of the material used.…”

Section: Sling Erosionmentioning

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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Tolerance of synthetic tissues in touch with vaginal scars: review to the point of 287 cases

Cited by 49 publications

References 26 publications

Cadaver Fascia lata Sling in the Treatment of Intrinsic Sphincter Weakness

Cadaver Fascia lata Sling in the Treatment of Intrinsic Sphincter Weakness

Transvaginal Bone Anchors in Female Stress Urinary Incontinence: Poor Results

Risks and benefits of sling procedures

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