Double-sling procedure for the surgical management of stress urinary incontinence with concomitant anterior vaginal wall prolapse

International Urology and Nephrology
Tarik YongucBülent Gunlusoy

Abstract

To assess the safety, efficacy of double-sling procedure (DS) for the surgical management of stress urinary incontinence (SUI) with concomitant anterior wall prolapse (AVWP) and to identify if less synthetic material implantation will decrease the complication rates without decreasing the high cure rates. We reviewed the women who underwent DS in two institutions from January 2009 to December 2013. In DS, there are two transobturator tapes inserted from two different routes for the surgical management of SUI with concomitant AVWP. POP-Q was used for anatomical evaluation of prolapse. SUI was assessed by cough stress test and ICIQ-SF questionnaire. We accepted that the patient was satisfied if the visual analog scale score was ≥80. The severity of urinary incontinence was classified by ICIQ-SF. The women were evaluated at the 3 and 12 months and annually. A total of 74 women met the requirements for inclusion and had sufficient records for analysis. The mean follow-up period was 35.4 months (range 12-60). Operative time was 33.2 ± 6.2. The objective cure and subjective success rates of SUI were 87.8 and 93.2 %, respectively. The satisfaction from the surgery was also high with 86.5 % rate. The anatomical success in our series wa...Continue Reading

References

Apr 1, 1997·Obstetrics and Gynecology·A L OlsenA L Clark
Jun 18, 2002·American Journal of Obstetrics and Gynecology·Susan L HendrixAnne McTiernan
Dec 20, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·Renaud de TayracHervé Fernandez
Jan 5, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·X DeffieuxH Fernandez
Jun 6, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Ayman MahdyGamal Ghoniem
Oct 8, 2008·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Ajay RaneAudrey Corstiaans
Dec 19, 2008·The Journal of Urology·Katie N BallertVictor W Nitti
Mar 10, 2009·International Urogynecology Journal and Pelvic Floor Dysfunction·Maurizio SeratiPierFrancesco Bolis
Sep 30, 2009·International Urogynecology Journal·Cyril EbouePeter von Theobald
May 19, 2010·The New England Journal of Medicine·Holly E RichterUNKNOWN Urinary Incontinence Treatment Network
May 13, 2011·The New England Journal of Medicine·Daniel AltmanUNKNOWN Nordic Transvaginal Mesh Group
May 20, 2011·BJU International·Alex GomelskyRoger R Dmochowski
Nov 1, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ozren GrgicIvana Maurac
Sep 24, 2013·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Ayman MahdyGamal M Ghoniem
Sep 27, 2013·Obstetrics and Gynecology International·David R Ellington, Holly E Richter

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.