Redo midurethral synthetic sling for female stress urinary incontinence

Alexander Tsivian; Menahem Neuman; Evgeny Yulish; Avraham Shtricker; Samuel Levin; Shmuel Cytron; A. Ami Sidi

doi:10.1007/s00192-006-0113-y

Redo midurethral synthetic sling for female stress urinary incontinence

Alexander Tsivian, Menahem Neuman, Evgeny Yulish, Avraham Shtricker, Samuel Levin, Shmuel Cytron, A. Ami Sidi

Barzilai University Medical Center

Research output: Contribution to journal › Article › peer-review

40 Scopus citations

Abstract

Tension-free transvaginal tape (TVT) placement has recently become the preferred therapeutic approach for female stress urinary incontinence (SUI) in some centers. There are, however, no clearcut guidelines of how to treat patients in whom the procedure has failed. We describe our experience with repeat midurethral synthetic sling (MUS) implantation after a failed similar procedure. Twelve women (mean age 64.3 years) who had undergone a MUS procedure [TVT - 9, intravaginal sling (IVS) - 2, transobturator tape (TOT) - 1] for SUI underwent a repeat MUS (TVT - 5, IVS - 4, TOT- 3) due to persistent or recurrent SUI. The time from the first to the second procedure was 1-48 months. Eleven out of 12 patients (91.7%) achieved full continence (mean follow-up of 23.2 months, range 14-44). We conclude that a repeat MUS for persistent or recurrent SUI is a viable option for patients after an unsuccessful MUS procedure.

Original language	English
Pages (from-to)	23-26
Number of pages	4
Journal	International Urogynecology Journal
Volume	18
Issue number	1
DOIs	https://doi.org/10.1007/s00192-006-0113-y
State	Published - 1 Jan 2007

Keywords

Redo antiincontinence procedure
Stress urinary incontinence
TVT

ASJC Scopus subject areas

Obstetrics and Gynecology
Urology

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10.1007/s00192-006-0113-y

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title = "Redo midurethral synthetic sling for female stress urinary incontinence",

abstract = "Tension-free transvaginal tape (TVT) placement has recently become the preferred therapeutic approach for female stress urinary incontinence (SUI) in some centers. There are, however, no clearcut guidelines of how to treat patients in whom the procedure has failed. We describe our experience with repeat midurethral synthetic sling (MUS) implantation after a failed similar procedure. Twelve women (mean age 64.3 years) who had undergone a MUS procedure [TVT - 9, intravaginal sling (IVS) - 2, transobturator tape (TOT) - 1] for SUI underwent a repeat MUS (TVT - 5, IVS - 4, TOT- 3) due to persistent or recurrent SUI. The time from the first to the second procedure was 1-48 months. Eleven out of 12 patients (91.7%) achieved full continence (mean follow-up of 23.2 months, range 14-44). We conclude that a repeat MUS for persistent or recurrent SUI is a viable option for patients after an unsuccessful MUS procedure.",

keywords = "Redo antiincontinence procedure, Stress urinary incontinence, TVT",

author = "Alexander Tsivian and Menahem Neuman and Evgeny Yulish and Avraham Shtricker and Samuel Levin and Shmuel Cytron and Sidi, {A. Ami}",

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AU - Tsivian, Alexander

AU - Neuman, Menahem

AU - Yulish, Evgeny

AU - Shtricker, Avraham

AU - Levin, Samuel

AU - Cytron, Shmuel

AU - Sidi, A. Ami

PY - 2007/1/1

Y1 - 2007/1/1

N2 - Tension-free transvaginal tape (TVT) placement has recently become the preferred therapeutic approach for female stress urinary incontinence (SUI) in some centers. There are, however, no clearcut guidelines of how to treat patients in whom the procedure has failed. We describe our experience with repeat midurethral synthetic sling (MUS) implantation after a failed similar procedure. Twelve women (mean age 64.3 years) who had undergone a MUS procedure [TVT - 9, intravaginal sling (IVS) - 2, transobturator tape (TOT) - 1] for SUI underwent a repeat MUS (TVT - 5, IVS - 4, TOT- 3) due to persistent or recurrent SUI. The time from the first to the second procedure was 1-48 months. Eleven out of 12 patients (91.7%) achieved full continence (mean follow-up of 23.2 months, range 14-44). We conclude that a repeat MUS for persistent or recurrent SUI is a viable option for patients after an unsuccessful MUS procedure.

AB - Tension-free transvaginal tape (TVT) placement has recently become the preferred therapeutic approach for female stress urinary incontinence (SUI) in some centers. There are, however, no clearcut guidelines of how to treat patients in whom the procedure has failed. We describe our experience with repeat midurethral synthetic sling (MUS) implantation after a failed similar procedure. Twelve women (mean age 64.3 years) who had undergone a MUS procedure [TVT - 9, intravaginal sling (IVS) - 2, transobturator tape (TOT) - 1] for SUI underwent a repeat MUS (TVT - 5, IVS - 4, TOT- 3) due to persistent or recurrent SUI. The time from the first to the second procedure was 1-48 months. Eleven out of 12 patients (91.7%) achieved full continence (mean follow-up of 23.2 months, range 14-44). We conclude that a repeat MUS for persistent or recurrent SUI is a viable option for patients after an unsuccessful MUS procedure.

KW - Redo antiincontinence procedure

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Redo midurethral synthetic sling for female stress urinary incontinence

Abstract

Keywords

ASJC Scopus subject areas

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