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How do urogynaecologists treat failed suburethral slings? Experience from the British Society of Urogynaecology database and literature review.
J Obstet Gynaecol. 2011 Aug; 31(6):514-7.JO

Abstract

Midurethral urethral sling (MUS) procedures have high success and satisfaction rates. A small percentage of MUS operations will fail and most centres have limited experience of treating this outcome. The aim of this study was to review the British Society of Urogynaecology (BSUG) database for women who underwent repeat anti-incontinence surgery after failed MUS. A total of 313 repeat surgical procedures were identified. For any failed MUS, the commonest second surgical intervention was a repeat retropubic MUS and was used in 54% (170/313) of repeat procedures. Bladder neck injections were the second commonest repeat procedure (43/313 cases: 14%). TVT-Os were used as repeat surgery in 12% (38/313) and TOTs in 8% (25/313). Small numbers of colposuspensions (20/313, 6%) and Aldridge slings (6/313, 2%) were also used. A variety of different surgical treatments are used for failed MUSs. From the BSUG database review, the commonest second surgical intervention was a repeat retropubic MUS.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, Medway NHS Foundation Trust, Gillingham, Kent, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

21823853

Citation

Patil, A, et al. "How Do Urogynaecologists Treat Failed Suburethral Slings? Experience From the British Society of Urogynaecology Database and Literature Review." Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, vol. 31, no. 6, 2011, pp. 514-7.
Patil A, Moran P, Duckett J, et al. How do urogynaecologists treat failed suburethral slings? Experience from the British Society of Urogynaecology database and literature review. J Obstet Gynaecol. 2011;31(6):514-7.
Patil, A., Moran, P., & Duckett, J. (2011). How do urogynaecologists treat failed suburethral slings? Experience from the British Society of Urogynaecology database and literature review. Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology, 31(6), 514-7. https://doi.org/10.3109/01443615.2011.581319
Patil A, et al. How Do Urogynaecologists Treat Failed Suburethral Slings? Experience From the British Society of Urogynaecology Database and Literature Review. J Obstet Gynaecol. 2011;31(6):514-7. PubMed PMID: 21823853.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How do urogynaecologists treat failed suburethral slings? Experience from the British Society of Urogynaecology database and literature review. AU - Patil,A, AU - Moran,P, AU - Duckett,J, AU - ,, PY - 2011/8/10/entrez PY - 2011/8/10/pubmed PY - 2012/1/20/medline SP - 514 EP - 7 JF - Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology JO - J Obstet Gynaecol VL - 31 IS - 6 N2 - Midurethral urethral sling (MUS) procedures have high success and satisfaction rates. A small percentage of MUS operations will fail and most centres have limited experience of treating this outcome. The aim of this study was to review the British Society of Urogynaecology (BSUG) database for women who underwent repeat anti-incontinence surgery after failed MUS. A total of 313 repeat surgical procedures were identified. For any failed MUS, the commonest second surgical intervention was a repeat retropubic MUS and was used in 54% (170/313) of repeat procedures. Bladder neck injections were the second commonest repeat procedure (43/313 cases: 14%). TVT-Os were used as repeat surgery in 12% (38/313) and TOTs in 8% (25/313). Small numbers of colposuspensions (20/313, 6%) and Aldridge slings (6/313, 2%) were also used. A variety of different surgical treatments are used for failed MUSs. From the BSUG database review, the commonest second surgical intervention was a repeat retropubic MUS. SN - 1364-6893 UR - https://www.unboundmedicine.com/medline/citation/21823853/How_do_urogynaecologists_treat_failed_suburethral_slings_Experience_from_the_British_Society_of_Urogynaecology_database_and_literature_review_ L2 - https://www.tandfonline.com/doi/full/10.3109/01443615.2011.581319 DB - PRIME DP - Unbound Medicine ER -