What do we do when a midurethral tape fails? Rediscovery of open colposuspension as a salvage continence operation

Giarenis, Ilias; Mastoroudes, Heleni; Cardozo, Linda; Robinson, Dudley

doi:10.1007/s00192-012-1720-4

Cited by 19 publications

(11 citation statements)

References 33 publications

(41 reference statements)

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“…Seven studies on Burch colposuspension for recurrent SUI have reported in a total of 276 cases, with a 76% overall success rate (95% CI AE5.04) (15)(16)(17)(18)(19)(20)(21). According to Amaye-Obu et al, who studied 26 patients, the Burch procedure had a cure rate of 81% (95% CI AE15.08) when it was carried out after one previous failed procedure (any procedure), 25% when it was done after two previous surgeries, and 0% after three previous procedures at a 2-year follow up.…”

Section: Burch Colposuspensionmentioning

confidence: 99%

“…In two small retrospective studies of 13 and 16 patients who underwent open and laparoscopic Burch colposuspension after failed suburethral tape procedures, the objective cure rates were 77 and 54%, at a median follow up of 1 year or 24.5 months, respectively (19,20). Nitahara et al studied 60 patients with repeat Burch colposuspension procedure.…”

Section: Burch Colposuspensionmentioning

confidence: 99%

See 1 more Smart Citation

The surgical management of recurrent stress urinary incontinence: a systematic review

Nikolopoulos

Betschart

Doumouchtsis

2015

Acta Obstet Gynecol Scand

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Section: Burch Colposuspensionmentioning

confidence: 99%

Section: Burch Colposuspensionmentioning

confidence: 99%

The surgical management of recurrent stress urinary incontinence: a systematic review

Nikolopoulos

Betschart

Doumouchtsis

2015

Acta Obstet Gynecol Scand

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“…Recent evidence suggests that subjective cure rates of 85% can be achieved when open colposuspension is used after an unsuccessful primary tape procedure although the development of de novo detrusor overactivity, known to be increased in patients undergoing repeat surgery, can be as high as 30%. 6…”

Section: Dear Sirmentioning

confidence: 99%

The management of urogynaecological problems in pregnancy and the early postpartum period

Divers

Radon

2013

The Obstetric & Gynaecologis

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Please note that letters and emails to the editor should be no more than 500 words with a maximum of five references.The management of urogynaecological problems in pregnancy and the early postpartum period Dear Sir Given that pregnancy alters both physiological and anatomical parameters, it is pleasing to read an article on urogynaecological problems specifically relating to pregnancy and the puerperium. 1 We were concerned that the section on success rates following repeat colposuspension after failed primary surgery lacks clarity. The figure of 81% after the first procedure refers not to the primary colposuspension but after the first repeat procedure and the figure of 25% after the second repeat (third colposuspension) procedure.2 Robinson and Cardozo summarise nine studies on the objective outcome of redo colposuspension 3 suggesting cure rates of between 65 and 86% following repeat colposuspension. Similar success rates have also been reported following repeat midurethral sling procedures. Rezapour and Ulmsten 4 report an 82% cure rate following the retropubic tension-free vaginal tape procedure in the treatment of recurrent urinary stress incontinence, with success also being reported in women with more than one prior procedure. Whilst retropubic tape procedures demonstrate similar continence rates after failed procedures, transobturator tapes appear less successful. Stav et al.5 report a statistically greater subjective cure rate in women who underwent the retropubic sling as a repeat procedure compared with the transobturator sling, irrespective of previous procedure (71% vs 48%, P = 0.04). Recent evidence suggests that subjective cure rates of 85% can be achieved when open colposuspension is used after an unsuccessful primary tape procedure although the development of de novo detrusor overactivity, known to be increased in patients undergoing repeat surgery, can be as high as 30%. Mike DiversNobles Hospital, Isle of Man Chrissy RadonNobles Hospital, Isle of Man Authors' reply Dear SirWe would like to thank our colleague for clarification on the efficacy of repeat colposuspension after a primary, secondary or tertiary procedure. A recently published Cochrane review of Burch colposuspension found insufficient data to comment on redo surgery. 1 However, the study published by Robinson et al., quoted by our colleague, states success rates of 65-86% for repeat colposuspension. 2 We would agree that similar results are obtained with mid urethral slings for redo surgery. A recent review of the management of recurrent stress incontinence specifically after a failed mid urethral sling suggests a cure rate of up to 70% for a secondary sling. Furthermore, an evaluation of risk factors for failed surgery suggests that multiple vaginal deliveries is the main risk factor for repeat surgery, but that synthetic slings at index surgery may be associated with lower risk of failure.

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“…The options that are available include a repeat mid urethral sling (either retropubic or transobturator), urethral bulking agents, autologous fascial slings and re‐do colposuspension . A re‐do colposuspension is a sensible choice that is likely to achieve a better success rate than a second tape procedure.…”

Section: Introductionmentioning

confidence: 99%

“…The options that are available include a repeat mid urethral sling (either retropubic or transobturator), urethral bulking agents, autologous fascial slings and re-do colposuspension. 5,6 A re-do colposuspension is a sensible choice that is likely to achieve a better success rate than a second tape procedure. Although, colposuspension is an operation that most gynaecologists have now become deskilled in and rarely perform, mainly due to the popularity of tapes.…”

Section: Introductionmentioning

confidence: 99%

Narrated video of a re‐do colposuspension

Cardozo

Robinson

Shakir

2016

Neurourology and Urodynamics

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A re-do colposuspension is a sensible choice that is likely to achieve a better success rate than a second tape procedure. Although, colposuspension is an operation that most gynaecologists have now become deskilled in and rarely perform, mainly due to the popularity of tapes. This video demonstrates a re-do colposuspension, with particular attention to the specific nuances that can results in a successful operation.

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What do we do when a midurethral tape fails? Rediscovery of open colposuspension as a salvage continence operation

Abstract: Open colposuspension is an effective option for treating persistent or recurrent stress urinary incontinence after failed midurethral tape, with a high success rate.

Cited by 19 publications

References 33 publications

The surgical management of recurrent stress urinary incontinence: a systematic review

The surgical management of recurrent stress urinary incontinence: a systematic review

The management of urogynaecological problems in pregnancy and the early postpartum period

Narrated video of a re‐do colposuspension

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