scholarly journals The Outcome of a Single-Incision Sling versus Trans-Obturator Sling in Overweight and Obese Women with Stress Urinary Incontinence at 3-Year Follow-Up

2019 ◽  
Vol 8 (8) ◽  
pp. 1099
Author(s):  
Hui-Hsuan Lau ◽  
Sugarmaa Enkhtaivan ◽  
Tsung-Hsien Su ◽  
Wen-Chu Huang
Keyword(s):  
Single Incision ◽  
Obese Women ◽  
Cure Rate ◽  
Pad Test ◽  
Single Incision Sling ◽  
Wound Pain ◽  
Urine Leakage ◽  
Assess Quality ◽  
Subjective Cure

Background: Being overweight or obese is a risk factor for incontinence and has negative impacts on the surgical outcomes. Compared with trans-obturator sling (TOS), single incision sling (SIS) is a new generation of anti-incontinence surgery. However, the data on SIS in overweight and obese women remains limited. Methods: This retrospective study analyzed the objective and subjective cure rate of overweight and obese women who underwent sling surgeries. Other evaluations included valid questionnaires to assess quality of life and 1-hour pad test to quantify urine leakage. Surgical characteristics and adverse events were also analyzed. Results: A total of 217 patients were analyzed with a median follow-up period of 37.3 months (range, 9–84 months). For overweight and obese patients, the objective and subjective cure rate were comparable (all p > 0.05). However, the SIS group had worse post-operative incontinence-related symptom distress (p < 0.001) and 1-hour pad test (p = 0.047). On the other hand, SIS had a shorter surgery time (p = 0.017) and lower pain score (p < 0.001). Conclusions: Compared with TOS, SIS had non-significant cure rates in the overweight and obese women. SIS had worse urine leakage and incontinence symptoms, but less surgical and wound pain in obese women. Thorough pre-operative counseling is necessary.

scholarly journals Treatment of female stress urinary incontinence with transobturator suburetral band compared with single incision sling: 7-year follow-up

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Carmen E Badillo-Bercebal ◽  
Sonia De-Miguel-Manso ◽  
Elena García-García ◽  
Dakota Viruega-Cuaresma ◽  
Julio A Gobernado-Tejedor ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Single Incision ◽  
Pelvic Organ ◽  
Female Stress Urinary Incontinence ◽  
Complication Rates ◽  
Post Surgery ◽  
Single Incision Sling ◽  
Subjective Cure

Objetives: Compare the efficacy and post-surgical complications of single-incision sling (SIS) and transobturator band (TO) for the treatment of stress urinary incontinence (SUI) over 7 years’ follow up. Methods: This is a prospective observational study that included 289 women with SUI who went under surgical treatment, either TO (109) or SIS (180). Patients were evaluated pre- and postoperatively through anamnesis, physical examination and ultrasound. Epidemiological information, complications and surgical time were recorded. The primary outcomes were total continence, objective and subjective cure rates at 7-year follow-up. Statistics: T-Student or U-Mann-Whitney for quantitative variables, Chi-Square for qualitative variables. Results: The groups were similar regarding demographic and medical history parameters, except for age and arterial hypertension, which were higher in TO group, and that SIS patients were more physically active tan TO patients. The TO band compared to SIS associated with increased frequency repair of pelvic organ prolapse. Depending on the type of urinary incontinence, pure SUI was more frequent in SIS and mixed in TO. The duration of the surgery was shorter with SIS. During the 7-year follow up there were no differences in the objective cure, subjective cure and complication rates. Conclusion: After 7-years follow-up, no significant differences were found with regard to subjective and objective outcomes, and post-surgery complication rates between the single incisión sling and the transobturator band.

Three-year follow-up in patients with urinary stress incontinence treated with Altis® single-incision sling

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Gloria D'alessandro ◽  
Maurizio Leone ◽  
Jacopo Antolini ◽  
Simone Ferrero ◽  
Paolo Sala ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Single Incision ◽  
Urinary Stress Incontinence ◽  
Single Incision Sling

TVT SECUR Single-Incision Sling After 5 Years of Follow-Up: The Promises Made and the Promises Broken

2012 ◽  
Vol 62 (4) ◽  
pp. 737-738 ◽  
Author(s):  
Jean-Nicolas Cornu ◽  
Daphné Lizée ◽  
Philippe Sèbe ◽  
Laurence Peyrat ◽  
Calin Ciofu ◽  
...  
Keyword(s):  
Single Incision ◽  
Single Incision Sling

scholarly journals Does Previous Pelvic Organ Prolapse Surgery Influence the Effectiveness of the Sub-Urethral Sling Procedure

2020 ◽  
Vol 9 (3) ◽  
pp. 653
Author(s):  
Edyta Horosz ◽  
Andrzej Pomian ◽  
Aneta Zwierzchowska ◽  
Wojciech Majkusiak ◽  
Paweł Tomasik ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Control Group ◽  
Study Group ◽  
Complication Rates ◽  
Cure Rate ◽  
Incontinence Surgery ◽  
Tvt Procedure ◽  
Pad Test ◽  
Subjective Cure

Pelvic organ prolapse (POP) often co-occurs with stress urinary incontinence. There is no consensus on whether prolapse repair and anti-incontinence surgery should be performed concomitantly or separately, in a two-step manner. The present study evaluated the effects of the tension-free vaginal tape (TVT) procedure in patients who had previously undergone pelvic floor repair (study group), compared to women who underwent TVT insertion only (control group). The study group comprised 84 patients who underwent the TVT procedure but had previously also undergone surgical POP repair. The control group consisted of 250 women in whom the TVT was inserted. The primary objective was to compare the objective cure rate and the secondary objective was to compare the subjective cure rate in both groups. Negative pad test was achieved in over 91% in both groups. Objective and subjective cure rates were compared, as well as complication rates. Significant improvement was observed in the postoperative 1-h pad test in all patients. In all patients, we observed significant improvement in the quality of life, with no differences between the groups. No differences were found in the occurrence of postoperative urinary retention, urgency and frequency of daytime micturition, or vaginal erosion between the groups. The current results demonstrate that the two-step approach to pelvic reconstruction and anti-incontinence surgery is as safe and effective as primary TVT implantation.

scholarly journals A retrospective evaluation after insertion of the MicroGYNious single incision sling in cases of stress urinary incontinence

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Sabine Schütze ◽  
Ulf Göretzlehner ◽  
Elisabeth Mian ◽  
Fabienne Schochter ◽  
Wolfgang Janni ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Single Incision ◽  
Single Incision Sling ◽  
Grade Ii ◽  
Good Treatment Option ◽  
Continence Rate ◽  
One Year ◽  
Lost To Follow Up

In the literature the rate of stress incontinence is reported between 29-75%. Compared to the established tension free vaginal tapes, the question arises, whether stabilization of the urethra can also be achieved by minimally invasive single incision slings. The aim of this retrospective analysis is to evaluate the cure rate after insertion of MicroGYNious sling. The study was carried out on 115 patients, who received a MicroGYNious sling. It was used both as a single operation for stress urinary incontinence and as a combined procedure. The degree of incontinence preoperatively and continence rate postoperatively with follow-ups (6 weeks, 6 months, one year, two years and three years) were recorded. Due to a high number of lost to follow-up after one year, only the data up to one year postoperative were included in the analysis. Preoperatively, grade I incontinence was found in 6.1%, grade II 35.7%, grade III 58.3% of the operated women. The continence rate was 96.7% postoperatively, 90 % after 6 weeks, 87.2 % after 6 months, 86.7% after one year. In terms of continence rates, the MicroGYNious sling shows similar results compared to the established procedures. Therefore, this sling provides a good treatment option for the stress urinary incontinence. These good results must be confirmed in prospective randomized trials.

scholarly journals Efficacy and safety of the trans-obturator tape for female stress urinary incontinence

2017 ◽  
Vol 6 (6) ◽  
pp. 2427
Author(s):  
Priyankur Roy ◽  
Bivas Biswas ◽  
Shaheen Hokabaj ◽  
Ruchika Garg ◽  
Sujatha M. S.
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Invasive Procedure ◽  
Female Stress Urinary Incontinence ◽  
Cure Rate ◽  
Concomitant Procedure ◽  
Operative Evaluation ◽  
The Mean ◽  
Subjective Cure

Background: To assess the safety and efficacy of Trans-obturator tape (TVT-O) for female stress urinary incontinence (SUI).Methods: A cohort of 35 cases of SUI and underwent TVT-O procedure over a period of 4 years. Pre-operative evaluation included pelvic examination, one hour pad test, urodynamic study, urinary diary and baseline haematological tests. Post-operatively all women had post-void residual volume and were followed up for 3 years.Results: The mean age of the patients was 47±9.5 years. TVT-O alone was done in 58.1% of cases. 41.9% of cases had TVT-O done as a concomitant procedure. The median duration of follow-up was 48 months. The overall objective and subjective cure rate was 92.3% with failure rate of 7.7%, 12.9% of women reported post-operative thigh pain and 6.5% patients had immediate post-operative urinary retention. 16.1% of the patients had post-operative voiding dysfunction. No major complications were encountered in these patients.Conclusions: TVT-O is a safe, easy and effective minimally invasive procedure for female SUI with minimal acceptable complications.

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