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[Repeat mid-urethral sling procedure for recurrent female urinary stress incontinence after previous mid-urethral sling].
Prog Urol. 2013 Apr; 23(4):262-9.PU

Abstract

INTRODUCTION

There are few data concerning the results of the treatment of recurrent stress urinary incontinence (SUI) after redo mid-urethral sling (MUS) procedure.

METHODS

Retrospective study concerning 34 patients presenting with recurrent SUI following the placement of a first MUS procedure and who have undergone a second MUS procedure. Results were evaluated objectively (cough stress test) and subjectively using international consultation on incontinence questionnaire-short form (ICIQ-SF).

RESULTS

The surgical technique for the placement of the first MUS was a retropubic approach in seven (20.5%) cases and a transobturator approach in 27 (79.5%) cases. Concerning the redo MUS procedure, a retropubic procedure was performed in 25 (73.5%) patients and a transobturator procedure in nine (26.5%) patients. Among the 34 patients, 32 (94%) were re-examined at 2 months follow-up, and contacted through telephone after 1-year follow-up. Post-operatively, the cough stress test revealed no urine leakage in 27/32 (84%) patients. Median follow-up was 15.5 months. ICIQ-SF score was 0 (complete continence) in 19/32 (59%) patients; between 4 and 12 in 11/32 (34%) and between 13 and 20 in 2/32 (6%) patients. A bladder injury was diagnosed during the surgical procedure in two patients. A reintervention was required in 2/34 (5%) patients because of postoperative urinary retention or bladder outlet obstruction. A partial sling resection was required in 2/34 (5%) patients because of vaginal exposure of the synthetic sling.

CONCLUSION

In this study, redo MUS procedure was associated with good functional results despite a high rate of complications.

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Authors+Show Affiliations

Thubert T
Service de gynécologie-obstétrique et médecine de la reproduction, hôpital Antoine-Béclère, AP-HP, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France. thibault.thubert@gmail.com
Ait Hammou-Sadi F
No affiliation info available
Faivre E
No affiliation info available
Trichot C
No affiliation info available
Fernandez H
No affiliation info available
Deffieux X
No affiliation info available

MeSH

AgedFemaleHumansMiddle AgedRecurrenceReoperationRetreatmentRetrospective StudiesSuburethral SlingsUrinary Incontinence, Stress

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

23544984

Citation

Thubert, T, et al. "[Repeat Mid-urethral Sling Procedure for Recurrent Female Urinary Stress Incontinence After Previous Mid-urethral Sling]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 23, no. 4, 2013, pp. 262-9.
Thubert T, Ait Hammou-Sadi F, Faivre E, et al. [Repeat mid-urethral sling procedure for recurrent female urinary stress incontinence after previous mid-urethral sling]. Prog Urol. 2013;23(4):262-9.
Thubert, T., Ait Hammou-Sadi, F., Faivre, E., Trichot, C., Fernandez, H., & Deffieux, X. (2013). [Repeat mid-urethral sling procedure for recurrent female urinary stress incontinence after previous mid-urethral sling]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 23(4), 262-9. https://doi.org/10.1016/j.purol.2013.01.020
Thubert T, et al. [Repeat Mid-urethral Sling Procedure for Recurrent Female Urinary Stress Incontinence After Previous Mid-urethral Sling]. Prog Urol. 2013;23(4):262-9. PubMed PMID: 23544984.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Repeat mid-urethral sling procedure for recurrent female urinary stress incontinence after previous mid-urethral sling]. AU - Thubert,T, AU - Ait Hammou-Sadi,F, AU - Faivre,E, AU - Trichot,C, AU - Fernandez,H, AU - Deffieux,X, Y1 - 2013/03/13/ PY - 2013/01/15/received PY - 2013/01/25/revised PY - 2013/01/28/accepted PY - 2013/4/3/entrez PY - 2013/4/3/pubmed PY - 2013/10/1/medline SP - 262 EP - 9 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 23 IS - 4 N2 - INTRODUCTION: There are few data concerning the results of the treatment of recurrent stress urinary incontinence (SUI) after redo mid-urethral sling (MUS) procedure. METHODS: Retrospective study concerning 34 patients presenting with recurrent SUI following the placement of a first MUS procedure and who have undergone a second MUS procedure. Results were evaluated objectively (cough stress test) and subjectively using international consultation on incontinence questionnaire-short form (ICIQ-SF). RESULTS: The surgical technique for the placement of the first MUS was a retropubic approach in seven (20.5%) cases and a transobturator approach in 27 (79.5%) cases. Concerning the redo MUS procedure, a retropubic procedure was performed in 25 (73.5%) patients and a transobturator procedure in nine (26.5%) patients. Among the 34 patients, 32 (94%) were re-examined at 2 months follow-up, and contacted through telephone after 1-year follow-up. Post-operatively, the cough stress test revealed no urine leakage in 27/32 (84%) patients. Median follow-up was 15.5 months. ICIQ-SF score was 0 (complete continence) in 19/32 (59%) patients; between 4 and 12 in 11/32 (34%) and between 13 and 20 in 2/32 (6%) patients. A bladder injury was diagnosed during the surgical procedure in two patients. A reintervention was required in 2/34 (5%) patients because of postoperative urinary retention or bladder outlet obstruction. A partial sling resection was required in 2/34 (5%) patients because of vaginal exposure of the synthetic sling. CONCLUSION: In this study, redo MUS procedure was associated with good functional results despite a high rate of complications. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/23544984/[Repeat_mid_urethral_sling_procedure_for_recurrent_female_urinary_stress_incontinence_after_previous_mid_urethral_sling]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1166-7087(13)00040-7 DB - PRIME DP - Unbound Medicine ER -