Simultaneous Treatment of Female Urethral Diverticulum and Stress Urinary Incontinence with Urethral Diverticulectomy and Suburethral Synthetic Mesh Sling.
Low Urin Tract Symptoms. 2010 Apr; 2(1):22-6.LU

Abstract

OBJECTIVES

Pubovaginal fascial sling along with urethral diverticulectomy has been advised as the most appropriate anti-incontinence procedure for female stress urinary incontinence (SUI) with concomitant urethral diverticula (UD). We believe that suburethral synthetic mesh tape sling can also be safely used in some patients with concomitant SUI and UD. Herein, we present our experience for simultaneous treatment of UD and SUI with urethral diverticulectomy and suburethral synthetic mesh tape sling.

METHODS

From 2003 to 2008, there are three patients with UD and SUI in our institution. They received transvaginal urethral diverticulectomy and suburethral synthetic mesh tape sling simultaneously. Videourodynamics was done before and three months after the surgery.

RESULTS

Preoperative pelvis magnetic resonance imaging and videourodynamic study showed UD over distal urethra and SUI in all three patients. Urinalysis disclosed mild pyuria in two of the patients, and they both received intravenous antibiotics treatment to eradicate the infection prior to the surgery. They all underwent urethral diverticulectomy with suburethral synthetic mesh tape sling. The postoperative videourodynamic study showed no recurrence of UD and SUI. With a mean follow up of 33.3 months, there was no infection or exposure of synthetic mesh tape.

CONCLUSIONS

In patients with UD and SUI, suburethral sling using synthetic mesh can be as effective and safe as facial sling in selected patients.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Chang YL

Division of Urology, Department of Surgery, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Urology, School of Medicine, National Yang-Ming University, Taipei, TaiwanDivision of Urology, Taoyuan General Hospital, Department of Health, Executive Yuan, Taoyuan, Taiwan.

Lin AT

Chen KK

Chang LS

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26676215

Citation

Chang, Yu-Lung, et al. "Simultaneous Treatment of Female Urethral Diverticulum and Stress Urinary Incontinence With Urethral Diverticulectomy and Suburethral Synthetic Mesh Sling." Lower Urinary Tract Symptoms, vol. 2, no. 1, 2010, pp. 22-6.

Chang YL, Lin AT, Chen KK, et al. Simultaneous Treatment of Female Urethral Diverticulum and Stress Urinary Incontinence with Urethral Diverticulectomy and Suburethral Synthetic Mesh Sling. Low Urin Tract Symptoms. 2010;2(1):22-6.

Chang, Y. L., Lin, A. T., Chen, K. K., & Chang, L. S. (2010). Simultaneous Treatment of Female Urethral Diverticulum and Stress Urinary Incontinence with Urethral Diverticulectomy and Suburethral Synthetic Mesh Sling. Lower Urinary Tract Symptoms, 2(1), 22-6. https://doi.org/10.1111/j.1757-5672.2009.00058.x

Chang YL, et al. Simultaneous Treatment of Female Urethral Diverticulum and Stress Urinary Incontinence With Urethral Diverticulectomy and Suburethral Synthetic Mesh Sling. Low Urin Tract Symptoms. 2010;2(1):22-6. PubMed PMID: 26676215.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Simultaneous Treatment of Female Urethral Diverticulum and Stress Urinary Incontinence with Urethral Diverticulectomy and Suburethral Synthetic Mesh Sling. AU - Chang,Yu-Lung, AU - Lin,Alex T L, AU - Chen,Kuang-Kuo, AU - Chang,Luke S, Y1 - 2010/01/11/ PY - 2015/12/18/entrez PY - 2010/4/1/pubmed PY - 2010/4/1/medline KW - female urethral diverticulum KW - stress urinary incontinence KW - suburethral synthetic mesh tape sling KW - transvaginal urethral diverticulectomy SP - 22 EP - 6 JF - Lower urinary tract symptoms JO - Low Urin Tract Symptoms VL - 2 IS - 1 N2 - OBJECTIVES: Pubovaginal fascial sling along with urethral diverticulectomy has been advised as the most appropriate anti-incontinence procedure for female stress urinary incontinence (SUI) with concomitant urethral diverticula (UD). We believe that suburethral synthetic mesh tape sling can also be safely used in some patients with concomitant SUI and UD. Herein, we present our experience for simultaneous treatment of UD and SUI with urethral diverticulectomy and suburethral synthetic mesh tape sling. METHODS: From 2003 to 2008, there are three patients with UD and SUI in our institution. They received transvaginal urethral diverticulectomy and suburethral synthetic mesh tape sling simultaneously. Videourodynamics was done before and three months after the surgery. RESULTS: Preoperative pelvis magnetic resonance imaging and videourodynamic study showed UD over distal urethra and SUI in all three patients. Urinalysis disclosed mild pyuria in two of the patients, and they both received intravenous antibiotics treatment to eradicate the infection prior to the surgery. They all underwent urethral diverticulectomy with suburethral synthetic mesh tape sling. The postoperative videourodynamic study showed no recurrence of UD and SUI. With a mean follow up of 33.3 months, there was no infection or exposure of synthetic mesh tape. CONCLUSIONS: In patients with UD and SUI, suburethral sling using synthetic mesh can be as effective and safe as facial sling in selected patients. SN - 1757-5664 UR - https://www.unboundmedicine.com/medline/citation/26676215/Simultaneous_Treatment_of_Female_Urethral_Diverticulum_and_Stress_Urinary_Incontinence_with_Urethral_Diverticulectomy_and_Suburethral_Synthetic_Mesh_Sling_ DB - PRIME DP - Unbound Medicine ER -

Tags

Simultaneous Treatment of Female Urethral Diverticulum and Stress Urinary Incontinence with Urethral Diverticulectomy and Suburethral Synthetic Mesh Sling.Low Urin Tract Symptoms. 2010 Apr; 2(1):22-6.LU