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[Results of repeat midurethral sling for the treatment of recurrent female stress urinary incontinence].
Prog Urol. 2013 Jun; 23(7):464-9.PU

Abstract

OBJECTIVE

To evaluate the results of a second midurethral sling (MUS) implantation after immediate or late recurrence of stress urinary incontinence (SUI) in women following a first MUS implantation.

PATIENTS AND METHODS

We performed a retrospective study of 36 patients who have had a second MUS between 2000 and 2011. All patients had preoperative urodynamic assessment using French validated scales (measurement of urinary handicap [MUH] and Ditrovie's scale) a correction of SUI by Ulmsten's test. The second tape was placed in the usual way without removal of the first one. The therapeutic results were evaluated by the presence or the absence of leaks as measured by MUH and Ditrovie's scale, and classified as "success" in the absence of leaks or the presence of small leaks without needing protection, "improvement" if significant decrease in urine leakage at subjective patient interview and "failed" in other cases.

RESULTS

The mean age of 36 patients was 64 ± 9.6 years. Thirty patients had a tension-free vaginal tape (TVT) as second tape and six patients had a transobturator tape. At 3 months, success rate was 74.3% (n=26). Six patients had partial improvement (17.1%) and three patients had no improvement (8.6%). One was lost sight. After a follow-up of 5 years, these results remained unmodified for the ten patients reviewed.

CONCLUSION

The implantation of a second MUS was a good option for women with persistence or recurrence of SUI after a first MUS implantation.

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Authors+Show Affiliations

Charles T
Service de chirurgie urologique, nouvel hôpital civil, hôpitaux universitaires de Strasbourg, 67091 Strasbourg, France. charlesthomas@live.fr
Sow Y
No affiliation info available
Saussine C
No affiliation info available

MeSH

FemaleHumansMiddle AgedRecurrenceRetreatmentRetrospective StudiesSuburethral SlingsUrinary Incontinence, Stress

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

23721706

Citation

Charles, T, et al. "[Results of Repeat Midurethral Sling for the Treatment of Recurrent Female Stress Urinary Incontinence]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 23, no. 7, 2013, pp. 464-9.
Charles T, Sow Y, Saussine C. [Results of repeat midurethral sling for the treatment of recurrent female stress urinary incontinence]. Prog Urol. 2013;23(7):464-9.
Charles, T., Sow, Y., & Saussine, C. (2013). [Results of repeat midurethral sling for the treatment of recurrent female stress urinary incontinence]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 23(7), 464-9. https://doi.org/10.1016/j.purol.2013.02.009
Charles T, Sow Y, Saussine C. [Results of Repeat Midurethral Sling for the Treatment of Recurrent Female Stress Urinary Incontinence]. Prog Urol. 2013;23(7):464-9. PubMed PMID: 23721706.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Results of repeat midurethral sling for the treatment of recurrent female stress urinary incontinence]. AU - Charles,T, AU - Sow,Y, AU - Saussine,C, Y1 - 2013/04/08/ PY - 2012/10/03/received PY - 2013/02/25/revised PY - 2013/02/27/accepted PY - 2013/6/1/entrez PY - 2013/6/1/pubmed PY - 2014/3/13/medline SP - 464 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 - 7 N2 - OBJECTIVE: To evaluate the results of a second midurethral sling (MUS) implantation after immediate or late recurrence of stress urinary incontinence (SUI) in women following a first MUS implantation. PATIENTS AND METHODS: We performed a retrospective study of 36 patients who have had a second MUS between 2000 and 2011. All patients had preoperative urodynamic assessment using French validated scales (measurement of urinary handicap [MUH] and Ditrovie's scale) a correction of SUI by Ulmsten's test. The second tape was placed in the usual way without removal of the first one. The therapeutic results were evaluated by the presence or the absence of leaks as measured by MUH and Ditrovie's scale, and classified as "success" in the absence of leaks or the presence of small leaks without needing protection, "improvement" if significant decrease in urine leakage at subjective patient interview and "failed" in other cases. RESULTS: The mean age of 36 patients was 64 ± 9.6 years. Thirty patients had a tension-free vaginal tape (TVT) as second tape and six patients had a transobturator tape. At 3 months, success rate was 74.3% (n=26). Six patients had partial improvement (17.1%) and three patients had no improvement (8.6%). One was lost sight. After a follow-up of 5 years, these results remained unmodified for the ten patients reviewed. CONCLUSION: The implantation of a second MUS was a good option for women with persistence or recurrence of SUI after a first MUS implantation. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/23721706/[Results_of_repeat_midurethral_sling_for_the_treatment_of_recurrent_female_stress_urinary_incontinence]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1166-7087(13)00072-9 DB - PRIME DP - Unbound Medicine ER -