Randomized trial of a single incision versus an outside-in transobturator midurethral sling in women with stress urinary incontinence: 12 month results

2015 ◽  
Vol 213 (1) ◽  
pp. 35.e1-35.e9 ◽  
Author(s):  
Joseph K.-S. Lee ◽  
Anna Rosamilia ◽  
Peter L. Dwyer ◽  
Yik N. Lim ◽  
Reinhold Muller
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Randomized Trial ◽  
Midurethral Sling ◽  
Single Incision ◽  
Transobturator Midurethral Sling

A randomized, nonblinded extension study of single-incision versus transobturator midurethral sling in women with stress urinary incontinence

2017 ◽  
Vol 29 (1) ◽  
pp. 37-44 ◽  
Author(s):  
René P. Schellart ◽  
Sandra E. Zwolsman ◽  
Jean-Philippe Lucot ◽  
Dirk J. M. K. de Ridder ◽  
Marcel G. W. Dijkgraaf ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Midurethral Sling ◽  
Single Incision ◽  
Extension Study ◽  
Transobturator Midurethral Sling

A Randomized Comparison of a Single-incision Midurethral Sling and a Transobturator Midurethral Sling in Women with Stress Urinary Incontinence: Results of 12-mo Follow-up

2014 ◽  
Vol 66 (6) ◽  
pp. 1179-1185 ◽  
Author(s):  
René P. Schellart ◽  
Katrien Oude Rengerink ◽  
Frank Van der Aa ◽  
Jean-Philippe Lucot ◽  
Bart Kimpe ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Midurethral Sling ◽  
Single Incision ◽  
Transobturator Midurethral Sling

Surgical Treatment of Female Stress Urinary Incontinence: Midurethral Slings

2019 ◽  
Author(s):  
Priyanka Gupta ◽  
Natalie Gaines ◽  
Kenneth M Peters ◽  
Larry T Sirls
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Midurethral Sling ◽  
Single Incision ◽  
Female Stress Urinary Incontinence ◽  
Midurethral Slings ◽  
Transobturator Sling ◽  
Single Incision Sling ◽  
Different Types ◽  
Single Incision Slings

Stress urinary incontinence (SUI) is the loss of urine caused by increased physical activity such as coughing or exercise. In this review, the anatomy and pathophysiology of SUI are discussed, particularly the presence of a hypermobile urethra. This specific anatomic finding allows the midurethral sling to be a viable surgical option. The evolution and different types of midurethral slings, including retropubic, transobturator, and single-incision slings, are described. We then discuss outcomes of the different types of slings in patients with SUI and special populations, including elderly and obese patients. Finally, we review the complications associated with midurethral slings. This review contains 7 figures, 3 tables, and 110 references. Keywords: complications, elderly, incontinence, intrinsic sphincter deficiency, meshexposure, midurethral sling, mixed incontinence, outcomes, retropubic sling, single-incision sling, stress urinary incontinence, transobturator sling

Retropubic Versus Transobturator Midurethral Slings for Stress Incontinence

2021 ◽  
pp. 221-226
Author(s):  
Giulia I. Lane ◽  
Colby A. Dixon ◽  
M. Louis Moy ◽  
Cynthia S. Fok
Keyword(s):  
Adverse Event ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Stress Incontinence ◽  
Midurethral Sling ◽  
Treatment Success ◽  
Midurethral Slings ◽  
Neurologic Symptoms ◽  
Retropubic Midurethral Sling ◽  
Transobturator Midurethral Sling

This chapter summarizes the results of the Trial of Mid Urethral Slings (TOMUS), in which women with stress urinary incontinence were randomized to a retropubic midurethral sling versus a transobturator sling. Bladder perforations and voiding dysfunction occurred only in the retropubic sling group; neurologic symptoms (weakness and numbness) were significantly more common in the transobturator group. Both objective and subjective measures of treatment success at 12 months were similar. Based on this and subsequent studies, retropubic and transobturator midurethral sling approaches appear to have similar outcomes at 12 months for the treatment of stress urinary incontinence. However, the approaches differ in their adverse-event profiles.

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