VALSALVA VOIDERS ARE AT INCREASED RISK OF URINARY RETENTION AFTER MID-URETHRAL SLING PLACEMENT FOR STRESS URINARY INCONTINENCE

2009 ◽  
Vol 181 (4) ◽  
pp. 562
Author(s):  
R. Corey O'Connor ◽  
Khanh Pham ◽  
Nicole Topp ◽  
Sumana Koduri ◽  
Julianne Newcomer ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Urinary Retention ◽  
Increased Risk ◽  
Sling Placement

scholarly journals Management of recurrent stress urinary incontinence and urinary retention following midurethral sling insertion in women

2012 ◽  
Vol 94 (7) ◽  
pp. 517-522 ◽  
Author(s):  
H Hashim ◽  
TR Terry
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Urinary Retention ◽  
Expert Opinion ◽  
Midurethral Sling ◽  
Transobturator Tape ◽  
Bulking Agents ◽  
Clinical Scenarios ◽  
Management Of Complications ◽  
The Uk

INTRODUCTION Synthetic midurethral slings are the most common operations performed for women with stress urinary incontinence (SUI). However, there is only very scarce evidence regarding the management of complications from these operations. The aim of this survey was to canvass expert opinion regarding the management of recurrent SUI and urinary retention following insertion of these slings. METHODS Expert urologists and urogynaecologists in the UK with an interest in SUI were identified. Three clinical scenarios on recurrent SUI and one on urinary retention following midurethral sling placements were emailed twice to the experts. RESULTS The majority of the experts chose a repeat synthetic midurethral retropubic transvaginal tape (TVT) as the procedure of choice for recurrent SUI in patients who had had a previous TVT or midurethral transobturator tape inserted. In patients who continued to suffer SUI after a failed second TVT, there were mixed results with experts choosing fascial slings, colposuspension and bulking agents as their preferred method of treatment. In women who develop urinary retention following a TVT, tape pull-down within two weeks was the preferred method among the experts. However, division of the tape within two to six weeks following the procedure was also popular. CONCLUSIONS Based on expert opinion, it is difficult to make a recommendation as to the best method of treating recurrent SUI or urinary retention following tape insertion. There is an urgent requirement for well conducted, multicentre, randomised clinical trials to look at the management of these complications and also the tools used to assess the patient before salvage surgical management.

scholarly journals Clinical and urodynamic outcomes of tension: Free vaginal tape procedure

2004 ◽  
Vol 51 (3) ◽  
pp. 57-60 ◽  
Author(s):  
Jovan Hadzi-Djokic ◽  
J. Stoiljkovic ◽  
Dragoslav Basic ◽  
B. Basic ◽  
G. Petrovic ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Urinary Retention ◽  
Female Stress Urinary Incontinence ◽  
Tension Free ◽  
Tension Free Vaginal Tape ◽  
Tvt Procedure ◽  
Invasive Method ◽  
Cure Rates

The tension - free vaginal tape procedure (TVT) has been regarded as a safe, minimally invasive method for the treatment of female stress urinary incontinence. In a prospective multicenter study we evaluated safety and efficacy of TVT procedure for the treatment of female stress incontinence. From 1998. to 2003, a total of 42 patients, mean age 60 years (range 34-76) with urodynamically verified stress urinary incontinence underwent the TVT procedure. The mean follow-up period was 28 months (range 14 to 32). Intra- and postoperative complications were few, including bladder perforations (4.7%), vaginal hematoma (2.4%), complete urinary retention (2.4%), transient urinary retention (19%) and urinary tract infection (7.1%). Postoperatively, voiding time and functional urethral length significant increased. The subjective and objective cure rates were 85.7% and 90.5%, respectively. We conclude that the TVT procedure is associated with high cure rate and low morbidity.

scholarly journals Risk factors of recurrence of stress urinary incontinence after single-incision sling at 5 years

2020 ◽  
Vol 11 (4) ◽  
Author(s):  
Sonia de Miguel Manso ◽  
García García E ◽  
Gobernado Tejedor J ◽  
Viruega Cuaresma D ◽  
Badillo Bercebal CE ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Area Under The Curve ◽  
Personal Factors ◽  
Risk Of Recurrence ◽  
Single Incision Sling ◽  
Increased Risk ◽  
History Of ◽  
Risk Of Relapse ◽  
Mini Sling

Introduction and hypothesis: Stress urinary incontinence (SUI) affects 5-35% of women, especially at menopause. In severe cases or when conservative treatment fails, a tensión-free suburethral band is indicated. Similar short-medium term cure rates have been reported with mini-sling (SIS) compared to retropubic and transobturator band. But the long-term information is scarce and it seems that the risk of recurrence is not negligible (4-37%). There is little literatura that studies the posible predisposing factors for the recurrence of SUI after SIS. The objective is to identify factors associated with the risk of relapse of SUI at 5 years, after SIS. Methods: A prospective five-years follow-up observational study (2015-2019) was performed in women who underwent SUI using SIS. The sample was 115 patients with relapse of SUI. Statistics: T-Student or U-Mann and ROC for quantitative variables, Chi-Squared and OR for qualitative variables. Results: L25 patients (21.74%) had recurrence during the study period. Of all the variables analyzed, they only showed a significant association with the recurrence of SUI: height, weigth and BMI, a history of fetal macrosomia and the number of compresses used. The patients who presented recurrence of SUI had a lower heigth, greater weight, and therefore a higher BMI. The obstetrics history of a vaginal delivery with a fetus >4 kg, was associated with a higher risk of recurrence (OR: 4.05, IC 95%=1.09-15.03), and the use of a greater number of compresses was also associated with an increased risk of relapse, obtaining an area under the curve of 0.659. Conclusion: The 5-year recurrence rateo f SUI after mini-sling in our setting was 21.74%. A lower height, a greater weight and BMI, macrosomic delivery and greater number of purses have shown a significant association with the risk of relapse of SUI after mini-sling at 5 years. Therefore, it is essential to adecuately advise patients according to their personal factors of the potencial risk of recurrence after SIS.

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