Functional outcomes for surgical revision of synthetic slings performed for voiding dysfunction: a retrospective study

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Gerard AgnewJoseph K Lee

Abstract

To determine the functional outcomes after synthetic sling revision surgery performed for voiding dysfunction. A retrospective review of 63 women who underwent surgical revision of a synthetic sling (SS) over an 11 year period between 2000 and 2010 inclusive, for the treatment of voiding dysfunction. Voiding dysfunction was defined as a persistently raised post-void residual of >150 ml. Patient review included demographics, a comprehensive medical history, all surgical reports and a detailed proforma with details of lower urinary tract symptoms, physical findings and bladder diaries. Variables were compared between methods of sling revision using the Fisher exact test (Freeman-Halton extension) with a 2 by 3 contingency table. Statistical significance is defined as P ≤ 0.05. Sixty-three women underwent SS revision for voiding dysfunction with an overall success rate of 87%. Three types of surgical revision were performed; simple SS division (46/63, 73%), partial excision of SS material (13/63, 21%) and either division or excision but with a concomitant procedure to prevent recurrent SUI (4/63, 6%). Persistent voiding dysfunction following revision in each of the three groups was 5/46 (10.9%), 1/13 (7.7%) and 2/4 (50%) respectiv...Continue Reading

References

Jul 14, 2001·International Urogynecology Journal and Pelvic Floor Dysfunction·K TamussinoUNKNOWN Austrian Urogynecology Working Group
Sep 5, 2003·International Urogynecology Journal and Pelvic Floor Dysfunction·Michel CossonAnne Ego
Sep 20, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Frances de Boer
Mar 3, 2009·American Journal of Obstetrics and Gynecology·Mary M T SouthCindy L Amundsen
Oct 23, 2009·American Journal of Obstetrics and Gynecology·R Marijn HouwertHarry A M Vervest

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Citations

Jul 10, 2016·Journal of Minimally Invasive Gynecology·Alison M PardenHolly E Richter
Nov 12, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·F BaekelandtJ Ampe
Oct 18, 2016·Female Pelvic Medicine & Reconstructive Surgery·Jonathan ShawCharles Rardin
Mar 8, 2017·The Journal of Urology·Nirmish SinglaPhilippe E Zimmern
Jun 11, 2019·Expert Review of Medical Devices·Dominic Lee, Philippe E Zimmern
Dec 9, 2014·Expert Review of Medical Devices·Dominic LeePhilippe E Zimmern
May 23, 2018·Female Pelvic Medicine & Reconstructive Surgery·Alice DrainBenjamin M Brucker
Oct 10, 2020·International Urogynecology Journal·Claudia R KowalikJan-Paul W R Roovers

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