410 results match your criteria Pubovaginal Sling


Long-term unexpected single polyprolene suture complication following traditional pubovaginal sling: Suprapubic skin fistula

J Turk Ger Gynecol Assoc 2019 Jan 28. Epub 2019 Jan 28.

Department of Urology, Hacettepe University Faculty of Medicine, Ankara, Turkey

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http://dx.doi.org/10.4274/jtgga.2018.0149DOI Listing
January 2019
1 Read

Transvaginal Retropubic Urethropexy Versus Pubovaginal Sling for Treatment of Postrepair Urinary Incontinence.

Female Pelvic Med Reconstr Surg 2018 Oct 12. Epub 2018 Oct 12.

National Obstetric Fistula Centre, Abakaliki, Nigeria.

Objectives: The aim of this study was to compare the success rates of transvaginal retropubic urethropexy with fascia lata pubovaginal sling (PV sling) for treatment of postrepair urinary incontinence at a fistula center in Nigeria.

Methods: This was a retrospective review of 60 patients who had transvaginal retropubic urethropexy and 46 patients who had PV sling on account of postrepair incontinence at National Obstetric Fistula Centre, Abakaliki, Nigeria, between January 2014 and December 2016. Data were retrieved from the hospital records. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000626DOI Listing
October 2018
1 Read

Autologous rectus fascia sling for treatment of stress urinary incontinence in women: A review of the literature.

Neurourol Urodyn 2018 Dec 7. Epub 2018 Dec 7.

Chief Division of Female Urology, Pelvic Reconstructive Surgery & Voiding Dysfunction, Department of Urology | UC Irvine Health, Orange, California.

Aims: Stress urinary incontinence (SUI) is common in the adult females. Surgical treatment options include synthetic mid-urethral sling (MUS), autologous sling, bulking agents, and Burch colposuspension. The autologous pubovaginal sling (PVS) has re-emerged in response to complications of synthetic MUSs and FDA communications regarding the use of vaginal mesh. Read More

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http://dx.doi.org/10.1002/nau.23878DOI Listing
December 2018
1 Read

Surgical management of urinary stress incontinence - Where are we now?

Best Pract Res Clin Obstet Gynaecol 2019 Jan 30;54:31-40. Epub 2018 Oct 30.

Mercy Hospital for Women, Melbourne, Australia. Electronic address:

Mid-urethral sling procedures (MUS) have been the surgical option of choice for most gynaecologists and urologists treating stress urinary incontinence (SUI) in women around the world for almost 20 years, since their introduction in the late 1990s. The evidence suggests that the long-term effectiveness of the MUS is good and similar to the Burch Colposuspension and the fascial pubovaginal slings. The bulking agents are now being put forward as another minimally invasive option for the surgical treatment of SUI. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.10.003DOI Listing
January 2019
2 Reads

Salvage autologous fascial sling after failed anti-incontinence surgeries: Long term follow up.

Urol J 2018 Nov 21. Epub 2018 Nov 21.

Shahid Labbafi Nejad Medical Center, Urology and Nephrology Research Center (UNRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Objective: To evaluate long term outcomes of autologous pubovaginal fascial sling (AFPVS) as a salvage procedure following different types of failed anti-incontinence surgeries.

Materials And Methods: We retrospectively reviewed medical records of patients who had undergone salvage AFPVS after any kind of anti-incontinence surgery from 2005-2015 at our medical center. Patients were contacted by telephone. Read More

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http://dx.doi.org/10.22037/uj.v0i0.3934DOI Listing
November 2018
17 Reads

Surgery for Stress Urinary Incontinence: Autologous Fascial Sling.

Urol Clin North Am 2019 Feb;46(1):41-52

Department of Surgery, SUNY Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.

This article describes the operative technique of autologous fascial pubovaginal sling (AFPVS) surgery, examines the senior author's outcomes with AFPVS, compares these outcomes with those of other large studies and meta-analyses, and compares the safety and efficacy of AFPVS with those of the synthetic midurethral sling (SMUS). Recently, the SMUS has become the treatment of choice for most surgeons. The efficacy of the SMUS remains unchallenged and comparable with that of AFPVS, but SMUS are associated with more severe complications. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.08.014DOI Listing
February 2019
12 Reads

Surgical Treatment for Stress Urinary Incontinence in Women: A Systematic Review and Meta-analysis.

Rev Bras Ginecol Obstet 2018 Aug 24;40(8):477-490. Epub 2018 Aug 24.

Department of Gynecology, Paulista School of Medicine, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Objective:  To compare surgical treatments for stress urinary incontinence in terms of efficiency and complications.

Data Sources:  We searched the MEDLINE and COCHRANE databases using the terms , and .

Selection Of Studies:  Forty-eight studies were selected, which amounted to a total of 6,881 patients with scores equal to or higher than 3 in the Jadad scale. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667184
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http://dx.doi.org/10.1055/s-0038-1667184DOI Listing
August 2018
15 Reads

Long-term outcomes of anti-incontinence surgery and subsequent transvaginal sling incision for urethral obstruction.

Int Urogynecol J 2018 Aug 6. Epub 2018 Aug 6.

Department of Urology, Buddhist Tzu Chi General Hospital, 707 Chung-Yang Road, Section 3, Hualien, Taiwan, 970.

Introduction And Hypothesis: The suburethral sling procedure has been widely used as the first-line treatment for stress urinary incontinence (SUI) in women. Although the success rate is high, difficult urination and urine retention can occur in a small portion of patients. A transvaginal sling incision can solve this problem but recurrent SUI may occur. Read More

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http://dx.doi.org/10.1007/s00192-018-3733-0DOI Listing
August 2018
3 Reads

Contemporary diagnostics and treatment options for female stress urinary incontinence.

Asian J Urol 2018 Jul 14;5(3):141-148. Epub 2017 Sep 14.

Department of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.

Stress urinary incontinence is not a deadly disease, but for the large population of women suffering from it, it is a very important issue. Especially in the continuously aging population all over the world, there is more and more need for treatment of this serious medical condition. Treatment of female stress urinary incontinence exists already for ages. Read More

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http://dx.doi.org/10.1016/j.ajur.2017.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033196PMC
July 2018
7 Reads

An Internet-based survey to evaluate the comfort and need for further pubovaginal sling training.

Int Urogynecol J 2018 Jul 3. Epub 2018 Jul 3.

Department of Obstetrics and Gynecology, University of California, Irvine, 333 City Blvd. West, Suite 1400, Orange, CA, 92868, USA.

Introduction And Hypothesis: The pubovaginal sling (PVS) dates to the 1940s as an efficacious surgical treatment for stress urinary incontinence (SUI). Recently, it has been replaced by the midurethral sling (MUS). Since 2008, international regulatory agencies increased regulation and issued warnings on vaginal mesh for repair of pelvic organ prolapse (POP), which has led to increased scrutiny of the MUS. Read More

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http://dx.doi.org/10.1007/s00192-018-3695-2DOI Listing
July 2018
2 Reads

Management of female congenital short patulous urethra with urethral tapering and pubovaginal sling: A report of two cases.

Indian J Urol 2018 Apr-Jun;34(2):149-151

Department of Urology, PGIMER and Dr. RML Hospital, New Delhi, India.

Congenital short patulous urethra is a rare entity and may be associated with developmental anomalies of mullerian ducts or urogenital sinus. We report the management of two cases of congenital short patulous urethra with stress urinary incontinence (SUI). Both the patients presented with SUI; one was diagnosed with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome and the other had uterus didelphys with longitudinally septated vagina. Read More

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http://dx.doi.org/10.4103/iju.IJU_272_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894289PMC
April 2018
6 Reads

Autologous rectus fascia sling placement in the management of female stress urinary incontinence.

Int Urogynecol J 2018 09 11;29(9):1403-1405. Epub 2018 Apr 11.

Department of Urology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Introduction And Hypothesis: Autologous pubovaginal sling placement remains a treatment option in index patients, given high, long-term success rates. This video reviews the technical considerations for performing an autologous rectus fascia sling.

Methods: The patient is a 47-year-old woman with stress urinary incontinence (SUI) refractory to conservative management. Read More

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http://dx.doi.org/10.1007/s00192-018-3643-1DOI Listing
September 2018
2 Reads

Re: Renaissance of the autologous pubovaginal sling.

Authors:
Wael Agur

Int Urogynecol J 2018 04 12;29(4):615. Epub 2018 Mar 12.

NHS Ayrshire & Arran, Scotland, Kilmarnock, UK.

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http://link.springer.com/10.1007/s00192-018-3591-9
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http://dx.doi.org/10.1007/s00192-018-3591-9DOI Listing
April 2018
12 Reads

Surgical treatment for urinary incontinence in women - Danish nationwide cohort studies
.

Dan Med J 2018 Feb;65(2)

This PhD thesis is based on three original articles. The studies were performed at the Department of Obstetrics and Gynaecology, Herlev University Hospital and at the Center for Clinical Epidemiology, Odense University Hospital. 
Urinary incontinence (UI) is a frequent disorder among women, which for the individual can have physical, psychological and social consequences. Read More

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February 2018
7 Reads

Volume at First Leak Is Associated With Sling Failure Among Women With Stress Urinary Incontinence.

Female Pelvic Med Reconstr Surg 2018 Jan 30. Epub 2018 Jan 30.

Introduction: Stress urinary incontinence at a low bladder volume is a clinically observed phenomenon that is not well studied with regard to treatment outcomes. The primary aim of our study was to determine if the volume at first leak is associated with sling outcome.

Methods: This is a retrospective cohort study evaluating whether urodynamic stress urinary incontinence observed at low volumes is associated with sling failure using the Synthetic Derivative database. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000549DOI Listing
January 2018
5 Reads

Female Sexual Function Following Surgical Treatment of Stress Urinary Incontinence: Systematic Review and Meta-Analysis.

Sex Med Rev 2018 04 28;6(2):224-233. Epub 2017 Dec 28.

ABC Medical School, Santo André, SP, Brazil.

Introduction: The impact of surgery for stress urinary incontinence (SUI) on female sexual function has received attention in the medical literature, but not in a structured manner.

Aim: To assess the most recent evidence on the impact of surgical management for female SUI on female sexual function.

Methods: The review and meta-analysis of available articles published in Medline, Cochrane, LILACS, SCOPUS, Web of Science, CINHAL, and EMBASE included prospective randomized and non-randomized studies that assessed patients who underwent surgical treatment for UI through 2 validated questionnaires: the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Female Sexual Function Index (FSFI). Read More

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http://dx.doi.org/10.1016/j.sxmr.2017.10.005DOI Listing
April 2018
11 Reads

Renaissance of the autologous pubovaginal sling.

Int Urogynecol J 2018 02 22;29(2):177-178. Epub 2017 Nov 22.

Department of Obstetrics and Gynecology, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.

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http://link.springer.com/10.1007/s00192-017-3521-2
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http://dx.doi.org/10.1007/s00192-017-3521-2DOI Listing
February 2018
13 Reads

Surgical management of female pelvic organ prolapse with and without urinary incontinence: A single center experience.

Medicine (Baltimore) 2017 Sep;96(39):e7914

Department of Urology and Renal Transplantation, University of Foggia, Foggia, Italy.

The study reports a single center experience with surgical management of female pelvic organ prolapse (POP) with and without urinary incontinence.Between January 2006 and July 2016, 93 consecutive patients with anterior and/or apical symptomatic POP underwent abdominal sacrocolpopexy (ASC) or laparoscopic sacrocolpopexy (LSC) or pubovaginal cystocele sling (PCS); 25 patients had concomitant stress urinary incontinence (SUI). Subjective outcome was assessed by the Pelvic Floor Impact Questionnaire (short form) (PFIQ-7) investigating bladder, bowel and vaginal functions, sexual activity, and daily life. Read More

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http://dx.doi.org/10.1097/MD.0000000000007914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626256PMC
September 2017
20 Reads

An in-house Composix™-based pubovaginal sling trial for female stress urinary incontinence: Five-year comparative followup to tension-free and transobturator vaginal tapes.

Can Urol Assoc J 2017 Aug;11(8):275-280

Division of Urology, CHU de Québec, Université Laval, Quebec City, QC, Canada.

Introduction: We compared the efficacy of three slings in the long-term treatment of stress urinary incontinence (SUI): tension-free vaginal tape (TVT), vaginal tape-obturator (TVT-O), and an in-house two-layered polypropylene mesh with a submicronic polytetrafluoroethylene (Composix™). Our primary endpoint was the objective measurement of continence (24-hour pad test). Secondarily, we measured the satisfaction and complication rates. Read More

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http://dx.doi.org/10.5489/cuaj.4243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5542838PMC
August 2017
14 Reads

The pubovaginal sling: Reintroducing an old friend.

Can Urol Assoc J 2017 Jun;11(6Suppl2):S147-S151

Section of Urology, Department of Surgery, University of Calgary, Calgary, AB; Canada.

The surgical management of female stress urinary incontinence (SUI) has evolved over the past century, using various techniques of retropubic colposuspensions and sling procedures. In the past two decades, the sling has become the mainstay of surgical treatment of SUI, with the synthetic midurethral sling (MUS) leading the way. With the recent concerns raised by the U. Read More

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http://dx.doi.org/10.5489/cuaj.4611DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461149PMC
June 2017
7 Reads

Choosing the right sling for your patient.

Can Urol Assoc J 2017 Jun;11(6Suppl2):S132-S134

Department of Urology, Dalhousie University, Halifax, NS; Canada.

Recent data has demonstrated a one in five lifetime risk of a woman requiring stress urinary incontinence (SUI) surgery. Currently, most women opt for a synthetic midurethral sling (MUS), with over 3.6 million placed worldwide. Read More

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http://dx.doi.org/10.5489/cuaj.4635DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461145PMC
June 2017
5 Reads

Updated Systematic Review and Meta-analysis of the Comparative Data on Colposuspensions, Pubovaginal Slings, and Midurethral Tapes in the Surgical Treatment of Female Stress Urinary Incontinence.

Eur Urol 2017 10 4;72(4):567-591. Epub 2017 May 4.

Department of Surgery, Oncology, and Gastroenterology, Urology Clinic, University of Padua, Padua, Italy. Electronic address:

Context: Retropubic (RP-TVT) and transobturator miurethral (TO-TVT) midurethral sling (MUS) are popular surgical treatments for female stress urinary incontinence. The long-term efficacy and safety of the procedures is still a topic of intense clinical research and several randomised controlled trials (RCTs) have been published in the last years OBJECTIVE: To evaluate the efficacy and safety of MUS compared with other surgical treatments for female stress urinary incontinence.

Evidence Acquisition: A systematic review and meta-analysis of the literature was performed using the Medline, Scopus, and Web of Science databases to update our previously published analyses. Read More

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http://dx.doi.org/10.1016/j.eururo.2017.04.026DOI Listing
October 2017
19 Reads

Two cases of female urethral reconstruction with acellular porcine urinary bladder matrix.

Int Urogynecol J 2017 Aug 13;28(8):1257-1260. Epub 2017 Jan 13.

Division of Female Pelvic Medicine and Reconstructive Surgery, University of Cincinnati, Cincinnati, OH, USA.

Introduction And Hypothesis: Female urethral reconstruction via the traditional routes can be limiting for various reasons. Current literature on the use of acellular biologic grafts derived from viscera for female urethral reconstruction is limited. We present two cases of women with complete loss of their posterior urethra presenting for urethral reconstruction. Read More

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http://link.springer.com/10.1007/s00192-016-3262-7
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http://dx.doi.org/10.1007/s00192-016-3262-7DOI Listing
August 2017
15 Reads

Long-term results of tension-free vaginal tape and pubovaginal sling in the treatment of stress urinary incontinence in female patients.

Clin Exp Obstet Gynecol 2017 ;44(1):44-47

Objectives: To report the long-term outcome of tension-free vaginal tape (TVT) and pubovaginal sling (PVS) in the treatment of stress urinary incontinence (SUI) in female patients.

Materials And Methods: The long-term objective and subjective results of female patients who were previously randomized in a single blind study to two arms, TVT or PVS, between 2000 and 2004, were evaluated. The patients were asked if they were satisfied with the results of the procedure and if they would recommend it to a friend or relative. Read More

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May 2018
4 Reads

Outcomes of Surgical Management in Patients with Stress Urinary Incontinence and/or Neovesicovaginal Fistula after Orthotopic Neobladder Diversion.

J Urol 2016 11 8;196(5):1478-1483. Epub 2016 Jun 8.

Department of Urology, Mayo Clinic, Rochester, Minnesota. Electronic address:

Purpose: To our knowledge there are no guidelines for the evaluation and management of incontinence in women with an orthotopic neobladder. We propose a treatment algorithm based on our experience with treating this patient population.

Materials And Methods: We identified women in whom orthotopic neobladder diversion and surgery for incontinence were performed from January 1, 1995 to January 1, 2014. Read More

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http://dx.doi.org/10.1016/j.juro.2016.06.009DOI Listing
November 2016
20 Reads

Reconstruction of Female Urethra with Tubularized Anterior Vaginal Flap.

J Clin Diagn Res 2016 Jul 1;10(7):PC01-3. Epub 2016 Jul 1.

Senior Registrar, Department of Urology, Lokmanya Tilak Municipal Medical College (LTMMC) , Mumbai, India .

Introduction: Female urethral injury is a rare disease. Causes of urethral injuries are prolonged obstructed labour, gynaecological surgeries like vaginoplasty and post traumatic urethral injuries. The present study was conducted to evaluate outcome of female urethral reconstruction using tubularized anterior vaginal wall flap covered with fibroadipose martius flap and autologous fascia sling in patients with urethral loss. Read More

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http://dx.doi.org/10.7860/JCDR/2016/19502.8088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5020221PMC
July 2016
19 Reads

Concomitant repair of stress urinary incontinence with proximal urethrovaginal fistula: Our experience.

Indian J Urol 2016 Jul-Sep;32(3):229-31

Department of Urology, Andhra Medical College, King George Hospital, Visakhapatnam, Andhra Pradesh, India.

Introduction: Proximal urethrovaginal fistula (UVF) located close to the bladder neck may cause extensive sphincter damage and is usually associated with continuous incontinence, which may mask the associated stress urinary incontinence (SUI). Simultaneous correction of SUI avoids a second surgery for SUI, which needs dissection in ischemic fields and carries a high risk of failure. The aim of this study is to describe our technique of concomitant repair of SUI with proximal UVF and our results. Read More

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http://www.indianjurol.com/text.asp?2016/32/3/229/185097
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http://dx.doi.org/10.4103/0970-1591.185097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4970396PMC
August 2016
21 Reads

Stress urinary incontinence surgery trends in academic female pelvic medicine and reconstructive surgery urology practice in the setting of the food and drug administration public health notifications.

Neurourol Urodyn 2017 04 26;36(4):1155-1160. Epub 2016 Jul 26.

Department of Urology, Medical University of South Carolina, Charleston, South Carolina.

Aims: To investigate the possible effects of the Food and Drug Administration (FDA) Public Health Notifications in 2008 and 2011 regarding surgical trends in transvaginal mesh (TVM) placement for stress urinary incontinence (SUI) and related mesh revision surgery in Female Pelvic Medicine & Reconstructive Surgery (FPMRS) practice in tertiary care academic medical centers in the United States.

Methods: Surgical volume for procedures performed primarily by FPMRS surgeons at eight academic institutions across the US was collected using Current Procedural Terminology (CPT) codes for stress urinary incontinence repair and revision surgeries from 2007 to 2013. SAS statistical software was used to assess for trends in the data. Read More

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http://dx.doi.org/10.1002/nau.23080DOI Listing
April 2017
34 Reads
2 Citations
2.873 Impact Factor

Surgicel granuloma mimicking ovarian cancer: A case report.

Oncol Lett 2016 Aug 8;12(2):1083-1084. Epub 2016 Jun 8.

Department of Urology and Renal Transplantation, University of Foggia, Foggia I-71100, Italy.

Surgicel is an absorbable sterile mesh composed of oxidized cellulose that is used to control intraoperative capillary or venous bleeding, due to its capacity to bind hemoglobin, thus allowing the formation of an artificial clot. In the present study, a large granuloma mimicking ovarian cancer, which developed following placement of a Surgicel sponge during a combined pubovaginal sling procedure and cystocele repair, is reported. The aim of the present case report is to emphasize the fact that hemostatic measures should be removed following their use, and to alert surgeons to the risk of using and leaving oxidized cellulose. Read More

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http://dx.doi.org/10.3892/ol.2016.4689DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4950800PMC
August 2016
19 Reads

Outcomes of Autologous Fascia Pubovaginal Sling for Patients with Transvaginal Mesh Related Complications Requiring Mesh Removal.

J Urol 2016 Aug 17;196(2):484-9. Epub 2016 Mar 17.

Department of Urology, Medical University of South Carolina, Charleston, South Carolina. Electronic address:

Purpose: We reviewed the outcomes of the autologous fascial pubovaginal sling as a salvage procedure for recurrent stress incontinence after intervention for polypropylene mesh erosion/exposure and/or bladder outlet obstruction in patients treated with prior transvaginal synthetic mesh for stress urinary incontinence.

Materials And Methods: In a review of surgical databases at 2 institutions between January 2007 and June 2013 we identified 46 patients who underwent autologous fascial pubovaginal sling following removal of transvaginal synthetic mesh in simultaneous or staged fashion. This cohort of patients was evaluated for outcomes, including subjective and objective success, change in quality of life and complications between those who underwent staged vs concomitant synthetic mesh removal with autologous fascial pubovaginal sling placement. Read More

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http://dx.doi.org/10.1016/j.juro.2016.02.2976DOI Listing
August 2016
10 Reads

Evaluation and surgery for stress urinary incontinence: A FIGO working group report.

Neurourol Urodyn 2017 02 7;36(2):518-528. Epub 2016 Mar 7.

Department of Obstetrics and Gynaecology, St George's University Hospital NHS Foundation Trust, London, United Kingdom.

Aims: To review available evidence regarding evaluation and treatment of stress urinary incontinence (SUI) and provide recommendations for management of urinary incontinence under specific conditions determined by the International Federation of Gynecology and Obstetrics (FIGO) Working Group.

Methods: The FIGO Working Group discussed the management of SUI during meetings and assessed the evidence. The search of evidence was performed using MEDLINE and Cochrane databases as well as additional searches from societies and major organizations for additional guidelines and recommendations and hand searches from bibliographies. Read More

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http://dx.doi.org/10.1002/nau.22960DOI Listing
February 2017
28 Reads
5 Citations
2.873 Impact Factor

Cross-sectional imaging following surgical interventions for stress urinary incontinence in females.

Abdom Radiol (NY) 2016 06;41(6):1178-86

Department of Radiology, University of California, Irvine School of Medicine, Orange, CA, USA.

Stress urinary incontinence (SUI) is a condition in which the weakness of the pelvic floor muscles causes unintentional loss of urine. For patients who are unable to achieve symptomatic improvement from lifestyle modification and pharmacotherapy, surgical placement of the pelvic slings or the use of urethral bulking agents has been shown to provide tremendous symptomatic improvement. Learning to recognize the pelvic slings and to identify their complications on imaging is invaluable; however, this is challenging because of the change in the local anatomy after surgical placement of the sling. Read More

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http://dx.doi.org/10.1007/s00261-016-0684-0DOI Listing
June 2016
18 Reads

Autologous pubovaginal slings: back to the future or a lost art?

Res Rep Urol 2016 18;8:11-20. Epub 2016 Jan 18.

Department of Urology, Queen Elizabeth Hospital, Birmingham, UK.

Stress urinary incontinence (SUI) is an under-diagnosed problem affecting up to 50% of women worldwide. SUI is a source of psychological distress to the individual and also imposes a financial burden to the individual and the health care system. The role of surgery in the treatment in SUI has evolved steadily in the last two decades. Read More

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http://dx.doi.org/10.2147/RRU.S96957DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4723033PMC
February 2016
22 Reads

Modified pubovaginal sling technique in the surgical management of female stress urinary incontinence.

Rev Col Bras Cir 2015 Nov-Dec;42(6):377-81

Faculdade de Ciências Médicas, Santa Casa de São Paulo, Brasil.

Objective: To assess the application of aponeurotic sling by a modified technique with direct visualization of needles in patients with stress urinary incontinence.

Methods: we applied the Kings Health Questionnaire (KHQ) for quality of life, gynecological examination, urinalysis I and urine culture approximately seven days prior to the urodynamic study (UDS) and the one-hour PAD test in patients undergoing making aponeurotic sling with its passing through the retropubic route with direct visualization of the needle, PAD test and King's Health Questionnaire before and after surgery.

Results: The mean age was 50. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/0100-69912015006005DOI Listing
September 2017
7 Reads

Change in urinary storage symptoms following treatment for female stress urinary incontinence.

Int Urogynecol J 2016 Aug 21;27(8):1169-74. Epub 2016 Jan 21.

Department of Urology, Louisiana State University Health-Shreveport, 1501 Kings Highway, Shreveport, LA, 71130, USA.

Introduction And Hypothesis: Sling surgery is common for stress urinary incontinence (SUI). Yet many women have stress-predominant mixed urinary incontinence (MUI). The change in urgency/urge urinary incontinence (U/UUI) following treatment is not well documented. Read More

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http://dx.doi.org/10.1007/s00192-016-2951-6DOI Listing
August 2016
30 Reads

Experimental use of a cellulosic biopolymer as a new material for suburethral sling in the treatment of stress urinary incontinence.

Int Braz J Urol 2015 Nov-Dec;41(6):1148-53

Nucleo de Cirurgia Experimental do Departamento de Cirurgia da Universidade Federal de Pernambuco, Recife, Pernambuco, Brasil.

Purpose: To analyze the interaction between the cellulose exopolysaccharide (CEC) and urethral tissue when used as a pubovaginal sling.

Materials And Methods: Forty Wistar rats were divided into four groups. In groups A and B the cellulose exopolysaccharide (CEC) was implanted around the urethral tissue (bladder neck below the upper margin) and the rats were sacrificed at 30 and 90 days. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4756941PMC
http://dx.doi.org/10.1590/S1677-5538.IBJU.2014.0155DOI Listing
May 2016
9 Reads

Urethral diverticulum in the female: a meta-analysis of modern series.

Authors:
Anne P Cameron

Minerva Ginecol 2016 Apr 6;68(2):186-210. Epub 2015 Nov 6.

University of Michigan, Ann Arbor, MI, USA -

Introduction: Urethral diverticula are a complex problem for the female pelvic surgeon. Given the rarity of the condition most published series are small and single institutional. This is a review article and a meta-analysis including all case series of female urethral diverticulum from the year 2000 to 2015 including only those case series with a minimum of ten subjects. Read More

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April 2016
22 Reads

Female Urethral Reconstruction.

J Urol 2016 Mar 23;195(3):557-67. Epub 2015 Oct 23.

Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey. Electronic address:

Purpose: Female urethral reconstruction can be used successfully to treat a heterogeneous group of urethral disorders through an expanding number of unique approaches. Understanding the diverse etiologies of female urethral stricture and loss is essential in evaluating and diagnosing patients. Although there is an appreciable body of literature addressing female urethral reconstruction individually, there is a paucity of resources that approach this issue holistically. Read More

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http://dx.doi.org/10.1016/j.juro.2015.07.124DOI Listing
March 2016
25 Reads

Prepubic abscess related to retropubic sling sutures placed 18 years earlier.

Int Urogynecol J 2016 Feb 17;27(2):321-2. Epub 2015 Oct 17.

Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Q10, Cleveland, OH, 44195, USA.

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http://dx.doi.org/10.1007/s00192-015-2867-6DOI Listing
February 2016
8 Reads

Mini Sling (Ophira) versus Pubovaginal Sling for Treatment of Stress Urinary Incontinence: A Medium-term Follow-up.

Prague Med Rep 2015 ;116(3):210-8

Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran.

To compare two different procedures, mid-urethral mini sling (Ophira) and autologous rectus fascia sling, according to their medium-term subjective and objective outcome and satisfaction rates in the treatment of stress urinary incontinence in women. One hundred women with the main complaint of stress urinary incontinence were randomized to be treated with either mini sling (Ophira) or autologous rectus facia pubovaginal sling. Preoperative evaluation consisted of: physical examination, blood biochemistry urine analysis and culture, urinary tract ultrasound scan, conventional multi-channel urodynamic study, cystourethroscopy, cough induced stress test and Incontinence Impact Questionnaire (IIQ). Read More

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http://dx.doi.org/10.14712/23362936.2015.60DOI Listing
December 2015
12 Reads

Reoperation for urinary incontinence: a nationwide cohort study, 1998-2007.

Am J Obstet Gynecol 2016 Feb 5;214(2):263.e1-263.e8. Epub 2015 Sep 5.

Center for Clinical Epidemiology, South, Odense University Hospital, and Research Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.

Background: The synthetic midurethral slings were introduced in the 1990s and were rapidly replaced the Burch colposuspension as the gold standard treatment for urinary incontinence. It has been reported that the retropubic midurethral tape has an objective and subjective cure rate of 85% at 5 years of follow-up, but the rate of reoperation after retropubic midurethral tape at the long-term follow-up is less well described. The existing literature specifies an overall lifetime rate of reoperation of about 8-9% after an initial operation for urinary incontinence. Read More

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http://dx.doi.org/10.1016/j.ajog.2015.08.069DOI Listing
February 2016
23 Reads

Pubovaginal sling materials and their outcomes.

Turk J Urol 2014 Dec;40(4):233-9

Department of Urology, Vanderbilt University, Nashville, USA.

Stress urinary incontinence (SUI) is the most common type of urinary incontinence, and approximately 200 different methods have been described for its surgical management. A better understanding of the pathophysiology of SUI has led to the development of surgical therapies focused on creating a strong suburethral supportive layer and urethral resistance. The most important advantage of the pubovaginal sling (PVS) procedure is that it restores urethral resistance during stress maneuvers to prevent incontinence, while improving urethral coaptation at rest and allowing for spontaneous micturition. Read More

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http://dx.doi.org/10.5152/tud.2014.57778DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4548367PMC
December 2014
17 Reads

Female Urethral Diverticulum: Current Diagnosis and Management.

Curr Urol Rep 2015 Oct;16(10):71

Glickman Kidney and Urological Institute Cleveland Clinic, Lerner College of Medicine, 9500 Euclid Ave, Q10-1, Cleveland, OH, 44195, USA,

While urethral diverticulum (UD) affects less than 20 per 1,000,000 women overall, it is thought to represent 1.4% of women with incontinence presenting to urology practices. It is hypothesized to evolve from periurethral glands that become obstructed, infected, and dilated over time, and patients typically present with dyspareunia, bothersome lower urinary tract symptoms (LUTS), and/or recurrent UTIs. Read More

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http://dx.doi.org/10.1007/s11934-015-0540-8DOI Listing
October 2015
25 Reads

Change in Overactive Bladder Symptoms After Surgery for Stress Urinary Incontinence in Women.

Obstet Gynecol 2015 Aug;126(2):423-30

University of Pittsburgh, Magee-Womens Research Institute, Pittsburgh, Pennsylvania; the University of California San Diego Health Systems, San Diego, California; Cleveland Clinic, Cleveland, Ohio; the University of Texas Southwestern, Dallas, Texas; William Beaumont Hospital, Royal Oak, Michigan; Loyola University Chicago Stritch School of Medicine, Maywood, Illinois; the University of Utah, Salt Lake City, Utah; the University of Alabama at Birmingham, Birmingham, Alabama; and New England Research Institutes, Watertown, Massachusetts.

Objective: To assess change in overactive bladder (OAB) symptoms up to 5 years after surgery and to identify associated predictors of change from baseline.

Methods: This is a secondary analysis of data from three multicenter urinary incontinence (UI) surgical trials of women with stress-predominant mixed UI assigned to Burch colposuspension, autologous fascial sling, or retropubic or transobturator midurethral slings. The primary outcome was improvement of 70% or greater from baseline in symptoms measured by the Urinary Distress Inventory-Irritative subscale. Read More

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http://dx.doi.org/10.1097/AOG.0000000000000929DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4526119PMC
August 2015
10 Reads

Comparison of retropubic synthetic mid-urethral slings to fascia pubovaginal slings following failed sling surgery.

Neurourol Urodyn 2016 09 14;35(7):851-4. Epub 2015 Jul 14.

Department of Urology, The University of Kansas Medical Center, Kansas City, Kansas.

Aims: Mid-urethral slings are considered first-line surgical treatment of stress urinary incontinence. However, there is a paucity of data regarding the use of mid-urethral slings (MUS) for patients who have failed a prior sling procedure.

Materials And Methods: After receiving IRB approval, a multi-institutional retrospective review of 224 consecutive patients undergoing placement of a retropubic MUS (n = 153) or autologous rectus fascia (ARF) pubovaginal sling (n = 71) for prior failed sling surgery is conducted. Read More

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http://dx.doi.org/10.1002/nau.22819DOI Listing
September 2016
14 Reads

Transvaginal Excision of Bilateral Single Ureteral Stumps of Refluxing Ectopic Ureters in an Adult Female With Urinary Incontinence.

Urology 2015 Jul;86(1):192-5

Department of Urology, University of California, Irvine, Orange, CA. Electronic address:

Objective: To report a novel surgical technique of transvaginal excision of bilateral refluxing single ureteral stumps in an adult female, with emphasis on the technique, the difficulties of the procedure, and other surgical consideration such as bladder neck reconstruction and use of pubovaginal sling in patients with these congenital anomalies.

Methods: The procedure starts with cystoscopy for identification and catheterization of the orifices of remnant ectopic ureters. This is important to facilitate close dissection of ureteral stumps without the risk of vascular and visceral injury. Read More

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http://dx.doi.org/10.1016/j.urology.2015.04.016DOI Listing
July 2015
14 Reads