Tags

Type your tag names separated by a space and hit enter

Outcomes following repeat mid urethral synthetic sling after failure of the initial sling procedure: rediscovery of the tension-free vaginal tape procedure.
J Urol. 2007 Oct; 178(4 Pt 1):1370-4; discussion 1374.JU

Abstract

PURPOSE

We evaluated outcomes of the repeat mid urethral sling to treat recurrent or persistent stress urinary incontinence after failure of an initial mid urethral sling.

MATERIALS AND METHODS

We retrospectively analyzed data on patients who underwent the repeat mid urethral sling procedure due to persistent or recurrent stress urinary incontinence. Repeat slings were placed without removal of the previous sling. All patients were followed at least 1 year after the second mid urethral sling.

RESULTS

Of the 31 female patients with a repeat mid urethral sling 29 were followed, including 13 with a retropubic and 16 with a transobturator sling. For the first mid urethral sling 17 patients received a retropubic sling (tension-free vaginal tape) and 12 received a transobturator sling (6 inside out and 6 outside in procedures). Cure and improvement rates irrespective of the approach were 75.9% (22 of 29 patients) and 6.9% (2 of 29), respectively. Cure rates for the retropubic and transobturator slings were 92.3% (12 of 13 patients) and 62.5% (10 of 16), respectively, a difference that did not quite attain statistical significance (p = 0.089).

CONCLUSIONS

The repeat mid urethral sling for persistent or recurrent stress urinary incontinence has a lower cure rate than the initial sling. However, the retropubic approach tends to have a higher cure rate than the transobturator approach in repeat sling cases.

Authors+Show Affiliations

Lee KS
Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Doo CK
No affiliation info available
Han DH
No affiliation info available
Jung BJ
No affiliation info available
Han JY
No affiliation info available
Choo MS
No affiliation info available

MeSH

AdultAgedFemaleFollow-Up StudiesHumansKoreaMiddle AgedOutcome and Process Assessment, Health CarePostoperative ComplicationsRecurrenceReoperationSuburethral SlingsUrinary Incontinence, Stress

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17706716

Citation

Lee, Kyu-Sung, et al. "Outcomes Following Repeat Mid Urethral Synthetic Sling After Failure of the Initial Sling Procedure: Rediscovery of the Tension-free Vaginal Tape Procedure." The Journal of Urology, vol. 178, no. 4 Pt 1, 2007, pp. 1370-4; discussion 1374.
Lee KS, Doo CK, Han DH, et al. Outcomes following repeat mid urethral synthetic sling after failure of the initial sling procedure: rediscovery of the tension-free vaginal tape procedure. J Urol. 2007;178(4 Pt 1):1370-4; discussion 1374.
Lee, K. S., Doo, C. K., Han, D. H., Jung, B. J., Han, J. Y., & Choo, M. S. (2007). Outcomes following repeat mid urethral synthetic sling after failure of the initial sling procedure: rediscovery of the tension-free vaginal tape procedure. The Journal of Urology, 178(4 Pt 1), 1370-4; discussion 1374.
Lee KS, et al. Outcomes Following Repeat Mid Urethral Synthetic Sling After Failure of the Initial Sling Procedure: Rediscovery of the Tension-free Vaginal Tape Procedure. J Urol. 2007;178(4 Pt 1):1370-4; discussion 1374. PubMed PMID: 17706716.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes following repeat mid urethral synthetic sling after failure of the initial sling procedure: rediscovery of the tension-free vaginal tape procedure. AU - Lee,Kyu-Sung, AU - Doo,Chin Kyung, AU - Han,Deok Hyun, AU - Jung,Byung Joo, AU - Han,Ji-Yeon, AU - Choo,Myung-Soo, Y1 - 2007/08/16/ PY - 2007/02/04/received PY - 2007/8/21/pubmed PY - 2007/10/20/medline PY - 2007/8/21/entrez SP - 1370-4; discussion 1374 JF - The Journal of urology JO - J Urol VL - 178 IS - 4 Pt 1 N2 - PURPOSE: We evaluated outcomes of the repeat mid urethral sling to treat recurrent or persistent stress urinary incontinence after failure of an initial mid urethral sling. MATERIALS AND METHODS: We retrospectively analyzed data on patients who underwent the repeat mid urethral sling procedure due to persistent or recurrent stress urinary incontinence. Repeat slings were placed without removal of the previous sling. All patients were followed at least 1 year after the second mid urethral sling. RESULTS: Of the 31 female patients with a repeat mid urethral sling 29 were followed, including 13 with a retropubic and 16 with a transobturator sling. For the first mid urethral sling 17 patients received a retropubic sling (tension-free vaginal tape) and 12 received a transobturator sling (6 inside out and 6 outside in procedures). Cure and improvement rates irrespective of the approach were 75.9% (22 of 29 patients) and 6.9% (2 of 29), respectively. Cure rates for the retropubic and transobturator slings were 92.3% (12 of 13 patients) and 62.5% (10 of 16), respectively, a difference that did not quite attain statistical significance (p = 0.089). CONCLUSIONS: The repeat mid urethral sling for persistent or recurrent stress urinary incontinence has a lower cure rate than the initial sling. However, the retropubic approach tends to have a higher cure rate than the transobturator approach in repeat sling cases. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/17706716/Outcomes_following_repeat_mid_urethral_synthetic_sling_after_failure_of_the_initial_sling_procedure:_rediscovery_of_the_tension_free_vaginal_tape_procedure_ DB - PRIME DP - Unbound Medicine ER -