The Long-Term Results of Pubovaginal Sling Surgery Using Acellular Cross-Linked Porcine Dermis in the Treatment of Urodynamic Stress Incontinence

Purpose Either autogenous or allograft fascia lata frontal sling procedures can be used for the treatment of severe ptosis. We retrospectively evaluated the late outcomes of both approaches. Methods Medical records of patients who underwent frontal sling ptosis surgery between 1978 and 2000, with a follow-up of one year or more were included in the study. Success rates and the complications of the surgery for autogenous and allograft fascia lata were recorded. The results were compared statistically. Results Surgeries were performed with 82 autogenous or 43 allograft fascia lata. At last follow-up there were 71 eyes (86.6%) with good, 8 eyes (9.7%) with moderate, 3 eyes (3.7%) with poor results after autogenous fascia lata and 35 (81.4%), 3 (7%) and 5 (11.6%) after the allograft fascia lata frontal sling procedure. There was no significant difference between the two groups. Repeat surgery was carried out on three patients after autogenous and five after allograft fascia lata surgery. Two cases of preseptal cellulitis were observed, one abscess after autogenous and one lagophthalmus after allograft fascia lata sling surgery. All patients had slight edema early after surgery which resolved in a few days. Only one patient developed a hematoma at the site of the leg incision. Conclusions Although the long-term success rate with the autogenous fascia lata is slightly higher and this remains the first choice, allograft fascia lata is a good alternative in patients in whom fascia could not be harvested.

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Outcomes of urodynamic mixed urinary incontinence and urodynamic stress incontinence with urgency after mid-urethral sling surgery

International Urogynecology Journal ◽

10.1007/s00192-019-04213-3 ◽

2020 ◽

Vol 31 (9) ◽

pp. 1949-1957

Author(s):

Tsia-Shu Lo ◽

Yiap Loong Tan ◽

Leng Boi Pue ◽

Sandy Chua ◽

Ming-Ping Wu ◽

...

Keyword(s):

Urinary Incontinence ◽

Stress Incontinence ◽

Urodynamic Stress Incontinence ◽

Mixed Urinary Incontinence ◽

Sling Surgery

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The Stamey Procedure for Stress Incontinence: Long-Term Results

European Urology ◽

10.1159/000019751 ◽

1998 ◽

Vol 34 (4) ◽

pp. 339-343 ◽

Cited By ~ 11

Author(s):

Ofer N. Gofrit ◽

Ezekiel H. Landau ◽

Amos Shapiro ◽

Dov Pode

Keyword(s):

Stress Incontinence ◽

Long Term Results ◽

Stamey Procedure

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Predictors for de novo stress urinary incontinence following pelvic reconstruction surgery with transvaginal single-incisional mesh

Scientific Reports ◽

10.1038/s41598-019-55512-0 ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 2

Author(s):

Pei-Chi Wu ◽

Chin-Hu Wu ◽

Kun-Ling Lin ◽

Yiyin Liu ◽

Zixi Loo ◽

...

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Stress Incontinence ◽

De Novo ◽

Previous History ◽

Urodynamic Stress Incontinence ◽

Exact Test ◽

Mesh Surgery ◽

Sling Surgery ◽

De Novo Sui

AbstractThe study aims to identify predictors for de novo stress urinary incontinence (SUI) following Elevate mesh surgery. A total of 164 women who underwent Elevate mesh surgeries between November 2011 and February 2014 in a single center were included. Seventy-three women were excluded due to preoperative incontinence or concomitant mid-urethral sling surgery. Fourteen others were excluded due to incomplete medical records. Fisher’s exact test and χ2 test were applied. The univariate logistic regression was used for odds ratios. Of the 77 continent women, 24 (31.2%) experienced de novo SUI after the operation. Significantly more women with de novo SUI were over the age of 64 years (75.0% vs. 47.2%, p = 0.023, OR 3.36, 95% CI 1.15–9.79). Preoperative occult urodynamic stress incontinence (29.2% vs. 3.8%, p = 0.003, OR 10.0, 95% CI 2.0–50.0) and previous SUI history (41.7% vs. 7.6%, p = 0.001, OR 9.1, 95% CI 2.38–33.3) were 2 other predictors of de novo SUI postoperatively. In conclusion, age over 64 years old, occult urodynamic stress incontinence, and previous history of SUI are 3 significant predictors for de novo SUI following the single-incision mesh surgeries.

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