Vaginal/urethral sling is a procedure used to manage stress urinary incontinence (SUI), which is an underdiagnosed and underreported medical problem. (medscape.com)
Persistent or recurrent stress urinary incontinence (SUI) after a midurethral sling (MUS) may result from incorrect location of the sling relative to the midurethra. (unboundmedicine.com)
Ogah J, Cody JD, Rogerson L. Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. (ijrcog.org)
Novara G, Ficarra V, Boscolo-Berto R, Secco S, Cavalleri S, Artibani W. Tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials of effectiveness. (ijrcog.org)
2. A retrospective review of surgical morbidity and long-term patient satisfacction with two sub-urethral slings for stress urinary incontinence: TVT-O versus Contasure Needleless (Single incision TOT). (neomedic.com)
3. Contasure-Needleless® single incision sling compared with transobturator TVT-O® for the treatment of stress urinary incontinence: long-term results. (neomedic.com)
Urinary Incontinence5
Sling procedures to treat male urinary incontinence are indicated for bothersome mild-to-moderate urinary incontinence due to irreversible intrinsic sphincter deficiency (ISD). (medscape.com)
The synthetic midurethral slings were introduced in the 1990s and were rapidly replaced the Burch colposuspension as the gold standard treatment for urinary incontinence. (unboundmedicine.com)
We used the Danish National Patient Registry to identify women who had surgery for urinary incontinence from 1998 through 2007 and the outcome was a reoperation within 5 years. (unboundmedicine.com)
Kaplan-Meier curves were used to estimate the rate of reoperation for 6 types of surgery for urinary incontinence (retropubic midurethral tape, transobturator tape, urethral injection therapy, Burch colposuspension, pubovaginal slings, and miscellaneous operations). (unboundmedicine.com)
A brief discussion on urinary incontinence - the sling and exercises are not as effective as you may think. (caringmedical.com)
Vaginal4
OBJECTIVE: The objective of the study was to compare apical support anatomic outcomes following vaginal mesh procedure (VMP) (Prolift) to uterosacral ligament suspension (USLS) and abdominal sacrocolpopexy (ASC). (umassmed.edu)
Primary composite outcome of 'surgical success' was defined as no prolapse beyond the hymen, point C ≤ -2/3 total vaginal length, no bothersome bulge symptoms, and no retreatment at 24 months. (duke.edu)
Twelve Month Outcomes of Pelvic Organ Prolapse Surgery in Patients With Uterovaginal or Posthysterectomy Vaginal Prolapse Enrolled in the Multicenter Pelvic Floor Disorders Registry. (uchicago.edu)
Outcomes of vaginal and laparoscopic hysterectomy with concomitant pelvic reconstructive surgery. (uchicago.edu)
Synthetic3
Several sling options have been described and are used in current practice, including autologous fascial slings and mid-urethral synthetic mesh sling. (medscape.com)
Almost all (99.5%) of the 259 respondents reported using synthetic mesh, including 93% of those physicians who perform sacrocolpopexy and 93% of those who perform suburethral slings. (urologytimes.com)
Among these women, 5820 (67%) received a synthetic midurethral sling at baseline. (unboundmedicine.com)
Oncological outcomes3
In this regard, our narrative review aimed to analyze the most recent literature in this field, providing an overview of both the diagnostic accuracy measures and the oncological outcomes of SNB. (bvsalud.org)
It has shown a lower complication rate than ePLND with similar oncological outcomes at short-term follow-up. (bvsalud.org)
Total meso-rectal excision has improved oncological outcomes, decreasing locoregional recurrence rates and impacting overall survival. (bvsalud.org)
Anatomic2
Operative reports at re-exploration provided the anatomic location of the sling. (unboundmedicine.com)
Similarly, there were no differences between groups in anatomic outcomes of any individual compartment (anterior, apical, or posterior) at 24 months. (duke.edu)
Retropubic midurethral1
After urodynamic testing and clinical examination, the retropubic midurethral sling was recommended. (hindawi.com)
Minimally1
Although the placement of midurethral sling is a minimally invasive surgery, good diagnostic skills, proper evaluation of indications, safe performance of the procedure, and thorough postsurgical monitoring are paramount for safe and effective outcome of the surgery. (hindawi.com)
Mesh1
I was impressed by how many surgeons use mesh, and by the relative comfort demonstrated with mesh for suburethral sling,' Dr. Pulliam noted. (urologytimes.com)
Pubovaginal2
Von Giordano is usually credited with performing the first pubovaginal sling operation in 1907, using a gracilis muscle graft around the urethra. (medscape.com)
[ 12 ] Adopting these earlier techniques, McGuire was the first to describe a modern version of the pubovaginal sling (PVS) in the 1970s, using a strip of rectus fascia that remained attached laterally on one side. (medscape.com)
Surgery5
Whatever sling surgery is performed, one should use the technique that produces the best outcomes in the hands of that particular surgeon. (medscape.com)
Lead-pipe urethra (Figure a) converted to normal urethra with excellent mucosal coaptation (Figure b) by means of proper sling surgery. (medscape.com)
Abstract Objective To critically evaluate sling outcomes and revisit the realistic goals of anti-incontinence surgery. (academicconcepts.net)
Functional Outcomes for Incontinence and Prolapse Surgery. (ijrcog.org)
Perioperative outcomes of patients undergoing urological elective surgery during the COVID-19 pandemic: a national overview across 28 Italian institutions. (urologiasavona.it)
Autologous1
x000D_ Sling suture was made from autologous vas deferens. (auanet.org)
Procedure4
[ 11 ] In 1914, Frangenheim modified the Goebel's procedure by incorporating the aponeurosis of the abdominal rectus muscles into the sling of the pyramidalis muscles. (medscape.com)
Severe incontinence that is not likely to be resolved with a sling procedure (A prospective study of 62 postprostatectomy patients with incontinence found that men with less than 423 g of daily leakage on a pad weight test prior to bone-anchored perineal sling placement were 6 times more likely to have a patient-defined successful outcome than those with higher pad weights. (medscape.com)
Assessment of bladder capacity, compliance, and contractility is required when considering a sling procedure. (medscape.com)
Postoperative complications related to sling procedure were not detected. (auanet.org)
Excision1
Patients undergoing sling excision for other indications (eg, outlet obstruction, urinary tract erosion) were excluded. (unboundmedicine.com)
Incontinence5
Placement of midurethral sling became a preferred and highly effective method of surgical treatment of stress incontinence [ 1 ]. (hindawi.com)
Main outcome measure, Subjective assessment of overall improvement on a 4-point scale followed by scoring of short forms of the urogenital distress inventory and incontinence impact questionnaire. (academicconcepts.net)
Urge incontinence at presentation was associated with treatment failure (P= 0.001) as was nocturia (P= 0.04), but urodynamic variables were not associated with outcome. (academicconcepts.net)
Retropubic versus transobturatormidurethral slings for stress incontinence. (ijrcog.org)
Slings , injectable agents and other devices are better suited to men experiencing mild to moderate stress incontinence. (urinaryhealthtalk.com)
Procedures5
Many of us are concerned about long-term outcomes and complications of these procedures. (urologytimes.com)
Conclusion As surgeons, we must constantly reevaluate the outcomes and purposes of the procedures we perform on our patients. (academicconcepts.net)
Candidates for sling procedures usually require more workup as part of surgical planning. (medscape.com)
Via Half a year to 3 decades, fine-tuned complete variants height and weight ended up modest (roughly Many of us try to appraise the complications related to various techniques employed in women suburethral chuck medical procedures. (kinasepathway.com)
For other surgical procedures, such as male sling, ProACT system, other bulking agents and stemcell therapy, the search identified only nonrandomised studies. (urinaryhealthtalk.com)
Prolapse2
Rates of concomitant anterior prolapse repair did not differ according to sling location. (unboundmedicine.com)
Individual outcome measures of prolapse recurrence (bothersome bulge symptoms, prolapse beyond the hymen, or retreatment for prolapse) also did not differ by group. (duke.edu)
Clinical2
Objective, To evaluate the long-term clinical outcome in women with idiopathic detrusor overactivity (IDO) and to identify significant prognostic factors. (academicconcepts.net)
Surgeons utilise testosterone (T) to increase penile size and glans width to try and improve clinical outcomes. (uk.com)
Apical1
MATERIALS AND METHODS: This secondary analysis of Operations and Pelvic Muscle Training in the Management of Apical Support Loss (OPTIMAL) trial compared 24-month outcomes in 190 participants who had a posterior repair (posterior repair group) and 184 who did not (no posterior repair group) at the time of sacrospinous ligament fixation or uterosacral ligament suspension. (duke.edu)
Ligaments2
Avoiding the sling and focusing on weakened pelvic ligaments and weakened tendon attachments. (caringmedical.com)
Then, both ends of the sling were transfixed to Cooper ligaments bilaterally with adequate sling suspension. (auanet.org)
Radical2
We modified the previously reported Milan vas deferens sling technique by adding reinforcement of under-anastomosis layers during robot-assisted radical prostatectomy, which significantly accelerates early recovery of postoperative urinary continence in cases without nerve-sparing. (auanet.org)
x000D_ Despite a small sample size in the single-institution study, this sling technique may improve early urinary continence recovery after robot-assisted radical prostatectomy even without nerve-sparing. (auanet.org)
Posterior1
The patients were classified into two groups: 15 using the sling technique (sling group) and 20 using the non-sling technique with simple posterior reconstruction (nonsling group). (auanet.org)
Anterior1
After putting the vas deferens sling on the sub-urethral perirectal fat, three independent layers were constructed below the urethrovesical anastomosis, and a single anterior layer was made. (auanet.org)
Placement2
The surgeon was an experienced specialist with proper training in midurethral sling placement. (hindawi.com)
Previous AUS placement (However, slings do not preclude future placement of an AUS. (medscape.com)
Prospective1
Materials and Methods A review of an Institutional Review Board-approved prospective database revealed the outcomes of four different sling techniques that are utilized at our institution. (academicconcepts.net)
Abdominal1
The sling augments the resting urethral closure pressure with increases in intra-abdominal pressure that happen with "stress maneuvers" such as coughing, sneezing, and laughing. (medscape.com)
Women1
Women with BN or proximal sling location were equally likely to have an open (4/8 patients) or closed BN (4/8 patients) at rest on filling cystography. (unboundmedicine.com)
Patients2
MUSs found at the BN or proximal were more likely to be retropubic slings (7/8 patients). (unboundmedicine.com)
Results Four hundred ninety-eight patients had a mean follow-up varying from 9 to 24 months (range 6,50) after undergoing one of four different sling techniques utilized at our institution. (academicconcepts.net)
Patient4
Three patient-reported outcome (PRO) measures assessed symptom improvement and treatment satisfaction: the Patient Perception of Bladder Condition (PPBC) scale, a Visual Analogue Scale (VAS), the Overactive Bladder Questionnaire (OAB-q). (academicconcepts.net)
outcomes, and overall patient satisfaction is acceptable for both groups. (neomedic.com)
The Advanix Biliary Stent is specifically designed to maximize flow rate, improve deliverability of the stent and enhance procedural control and efficiency to improve patient outcome. (bostonscientific.com)
Antimicrobial resistance remains a threat to patient safety and healthcare outcomes and largely arises from inappropriate antimicrobial prescriptions. (bvsalud.org)
Data1
other slings with those data available. (neomedic.com)
Months1
Urinary continence rate significantly improved in the sling group (60.0%, p=0.0365) as compared to the nonsling group (25.0%) at 1 month despite no difference at 3 months (86.7% in the sling group vs. 65.0% in the nonsling group, p=0.1467) postoperatively. (auanet.org)