Long-term outcomes and quality of life effects of single incision mini sling procedure in stress urinary incontinence patients

Publication date: Available online 6 January 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Ceren Gölbaşı, Cüneyt Eftal Taner, Hakan GölbaşiABSTRACTObjectiveWe aimed to evaluate the long-term outcomes and quality of life of patients who underwentsingle incision minisling (SIMS)procedure.Study Design62 patients who were diagnosed with stress urinary incontinence (SUI) and received treatment with SIMS procedure (Ophira, Promedon, Argentina) were included in the study. Mean age was 50.73 ± 9.28 years and mean follow-up duration after surgery was 30.68 ± 7.52 months. Preoperative urological and gynecological features of the patients were recorded. Gynecological examination, pelvic ultrasonography, stress test, Q-tip test, cystometry were performed and incontinence and quality oflife questionnaires (ICIQ-SF, IIQ-7, UDI-6, VAS-QOL, FSFI) were completed by all patients before and after the operation.ResultsStress urinary incontinence was observed in all patients during pre-op evaluations. 62 patients aged between 35-85 (mean age 50.73 ± 9.28) years were included and follow up duration ranged between 12-44 (average 30.68 ± 7.52) months. In regard to patient evaluations,27 patients (43.5%) felt that the surgery was very effective,25 (40.3%) felt surgery was effective and 10 (16.1%) did not report any difference after surgery. In the long-...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research

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Authors: Onuk Ö Abstract Introduction: Mid-urethral slings, including transobturator tape (TOT), tension-free vaginal tape (TVT), tension-free vaginal tape-obturator (TVT-O), and a single incision sling, are the most popular procedures for the treatment of stress urinary incontinence (SUI). Although the classical TOT procedure is a minimally invasive technique, we believe that this technique can be further improved. Aim: To determine whether there was a difference in success and complication rates between the classical TOT technique and a novel technique called "modified transobturator tape" (mTO...
Source: Videosurgery and Other Miniinvasive Techniques - Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research
Publication date: Available online 11 July 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Haider Jan, Vishalli Ghai, Ranee ThakarABSTRACTStudy ObjectiveTo demonstrate laparoscopic colposuspension for recurrent stress incontinence after failed tension-free vaginal tape (TVT).DesignA technical video showing laparoscopic colposuspension for previously surgically treated stress incontinence (Canadian Task Force classification III).SettingA university hospital.PatientA 58-year-old woman with previous TVT presents with recurrent stress urinary incontinence.Measurements and Main ResultsMidurethral slings have equi...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
DiscussionMid-urethral slings (MUS) have equivalent cure rates to the more invasive colposuspension. They are preferentially used for stress urinary incontinence (SUI) despite a mesh erosion rate of 3.5% with 2.5% requiring further surgery, sling removal, or revision over 9 years. 1, 2 Recent negative publicity concerning synthetic mesh tape has led to a resurgence of interest in mesh free alternatives, including urethral bulking agents, rectus fascia slings and colposuspension. Laparoscopic colposuspension is a well-established minimally-invasive surgery that avoids synthetic mesh, with a quicker recovery, less scarring, ...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionsOur study recommend TOT as the optimal regimen for SUI with high efficacy and moderate safety when compared with TVT, TVT‐O, TVT‐S, and Ajust interventions. However, with the limitation of our study, additional high‐quality studies are needed to further evaluate the outcomes.
Source: Neurourology and Urodynamics - Category: Urology & Nephrology Authors: Tags: REVIEW ARTICLE Source Type: research
CONCLUSION: The basic IT message: repair the structure (ligaments) and you will restore the function is true for all pelvic floor ligaments. PMID: 29071395 [PubMed - as supplied by publisher]
Source: Der Urologe. Ausg. A - Category: Urology & Nephrology Authors: Tags: Urologe A Source Type: research
ConclusionsThe combined procedures shown proved to be an effective and safe procedure to treat concomitant SUI and cystocele.
Source: Neurourology and Urodynamics - Category: Urology & Nephrology Authors: Tags: ORIGINAL CLINICAL ARTICLE Source Type: research
Conclusions Correction of SUI using TOT appears to have a positive effect on female sexual function.
Source: Arab Journal of Urology - Category: Urology & Nephrology Source Type: research
CONCLUSIONS: Mid-urethral sling operations have been the most extensively researched surgical treatment for stress urinary incontinence (SUI) in women and have a good safety profile. Irrespective of the routes traversed, they are highly effective in the short and medium term, and accruing evidence demonstrates their effectiveness in the long term. This review illustrates their positive impact on improving the quality of life of women with SUI. However, a brief economic commentary (BEC) identified three studies suggesting that transobturator may be more cost-effective compared with retropubic. Fewer adverse events occur wit...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: TVT-Secur is inferior to standard mid-urethral slings for the treatment of women with stress incontinence and has already been withdrawn from clinical use. Not enough evidence has been found on other single-incision slings compared with retropubic or transobturator slings to allow reliable comparisons. A brief economic commentary (BEC) identified two studies which reported no difference in clinical outcomes between single-incision slings and transobturator mid-urethral slings, but single-incision slings may be more cost-effective than transobturator mid-urethral slings based on one-year follow-up. Additional a...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: TVT implantation offered good and stable functional long-term outcomes. This procedure enhanced quality-of-life and had low morbidity. LEVEL OF EVIDENCE: 3. PMID: 28651995 [PubMed - as supplied by publisher]
Source: Progres en Urologie - Category: Urology & Nephrology Tags: Prog Urol Source Type: research
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