Urinary tract erosions after synthetic pubovaginal slings: diagnosis and management strategy

Clemens, J. Quentin; DeLancey, John O.L.; Faerber, Gary J.; Westney, O; McGuire, Edward J.

doi:10.1016/s0090-4295(00)00740-8

Cited by 148 publications

(83 citation statements)

References 7 publications

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“…3,4 Our case differs from other reports in the literature in that there was no tape erosion and the tape had caused a pseudo-tumour of inflammatory tissue to form, which masqueraded as a muscle invasive bladder tumour. These types of pubovaginal slings are no longer used for urinary SUI due to the above-mentioned complications and are no longer commercially available.…”

Section: Discussioncontrasting

confidence: 73%

Late chronic inflammatory reaction post-silastic sling insertion masquerading as an invasive bladder tumour

Ahmad

Aslam

Thorpe

2013

CUAJ

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Section: Discussioncontrasting

confidence: 73%

Late chronic inflammatory reaction post-silastic sling insertion masquerading as an invasive bladder tumour

Ahmad

Aslam

Thorpe

2013

CUAJ

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“…23 Relativamente à erosão da fita, as taxas descritas, variam entre 0,3 a 23%. 24 No nosso estudo detectaram-se 2,8% de erosões da mucosa, tendo-se verificado uma maior taxa no grupo submetido à técnica inside-out (oito doentes) e apenas dois casos no grupo outside-in.…”

Section: Discussionunclassified

Técnicas Transobturadoras na Incontinência Urinária de Esforço Feminina

et al. 2014

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). Ambas as técnicas foram concebidas com o intuito de evitar a passagem no espaço retropúbico, reduzindo assim o número de complicações. Conclusão: As taxas de cura para as abordagens transobturadoras oscilam entre 80 e 95%. A taxa de cura aumenta quando o mecanismo responsável pela incontinência urinária de esforço é a hipermobilidade da uretra, contudo não é alterada quando são realizadas concomitantemente outras cirurgias vaginais. Palavras-chave: Incontinência Urinária de Esforço; Slings Suburetrais. ABSTRACTIntroduction: Stress urinary incontinence affects about 20-40% of women. Treatment with transobturator mid-urethral slings is consensually accepted nowadays. The goal of this study was to evaluate the success rate and most frequent complications of surgical treatment with transobturator mid-urethral slings in stress urinary incontinence. Material and Methods:This study evaluated 363 patients who underwent correction of stress urinary incontinence with a transobturator tape in Hospitais da Universidade de Coimbra between January 1st 2008 and July 1st 2010. Results:The mean age of patients was 56 . In 13.5% of women, the correction of stress urinary incontinence was associated with other vaginal surgery. The majority of these women (95.3%) had urethral hypermobility. Only 0.8% of women suffered of perioperative complications, 5.2% of immediate postoperative complications and 15.7% of late postoperative complications. The global success rate was 93.7%. The success rate in patients with fixed urethra was lower (77.8%) comparing with the results of those with urethral hypermobility, being successful in 94.5% (p = 0.02). The success rate was similar in patients with or without vaginal surgeries. Discussion: Treatment with transobturator mid-urethral slings has high success rates and it became the first treatment chosen to stress urinary incontinence, even if they were treated with the technique outside-in (TOT. Both techniques were conceived to avoid passing through the retropubic space, decreasing the complicate matters number. Conclusions: The cure rates for the transobturator surgical approach range between 80 and 95%. The cure rate increases when the mechanism responsible for the urinary incontinence is urethral hypermobility, although it is not modified when are performed other vaginal surgeries concomitantly.

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“…In our study,this rate was 6.94%. The reported extrusion incidence varies from 0.3% to 23% with higher rates when synthetic sling material was used [20]. Several factors contribute to the wide range of extrusion rates, including specific properties of the sling material, local ischemia, poor mesh incorporation, and basic tissue compatibility [1].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness and Complications of Double-Forced Sling Method in Stress Incontinence Surgery

Okulu¹,

Ener²,

Aldemir³

et al. 2013

Ann Clin Anal Med

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and Boney test, supine stress test, and urination diary, 24-hour pad test, cystoscopy and urodymanics measurements (cystometry and Valsalva leak point pressure) were recorded for each patient. The patients filled out ICIQ-SF and Korman questionnaires for urinary incontinence.The data of the patients and the success of the operation were evaluated based on 24hr pad test, ICIQ-SF scoring,and Korman questionnaire analysis. Results: The mean age of the patients was 49.7 ± 8.7 years (range: 31-75 years). None of the patients suffered intraoperational complications. In all of the patients, the postoperative 6th,12th, and 48th months ICIQ-SF scores, pad counts and pad test were reached to the statistically significant lower than those of the preoperative period (p<0.05)Postoperatively, in the 48th month, 135 patients (93.75%) had continence rate and the patient satisfaction rates for all patients were as 125 patients (86.8%). Four patients (2.77%) had vaginal extrusion, and 2 patients (1.38%) had urethral extrusion. Four patients (2.77%) had suture granuloma and ten patients (6.94%) had de novo urgency. Discussion: Broad based double forced sling is an effective technique in the treatment of stress urinary incontinence and type of the mesh used in sling surgery is very critical point and further clinical and experimental studies are needed.

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Urinary tract erosions after synthetic pubovaginal slings: diagnosis and management strategy

Cited by 148 publications

References 7 publications

Late chronic inflammatory reaction post-silastic sling insertion masquerading as an invasive bladder tumour

Late chronic inflammatory reaction post-silastic sling insertion masquerading as an invasive bladder tumour

Técnicas Transobturadoras na Incontinência Urinária de Esforço Feminina

The Effectiveness and Complications of Double-Forced Sling Method in Stress Incontinence Surgery

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