• The use of a suburethral sling via a trans-obturator percutaneous route is a new approach to treat female stress urinary incontinence. (scielo.edu.uy)
  • 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)
  • Retropubic versus transobturatormidurethral slings for stress incontinence. (ijrcog.org)
  • Latthe PM, Foon R, Toozs-Hobson P. Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. (ijrcog.org)
  • This paper describes the unique risks of 'Extrapelvic Pain' caused by the arms of polypropylene retropubic and transobturator slings. (vignalawgroup.com)
  • The Joint Position is important as it is the first time AUGS has recognized the serious neurological injuries caused by transobturator polypropylene devices used in the treatment of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) and neurological injuries caused by retropubic slings. (vignalawgroup.com)
  • AUGS 2020 cited the key authoritative articles from 2010 and 2012 that described the mechanism of injury to the pudendal and obturator nerves caused by transobturator and retropubic slings and those serious neurological injuries, in a significant majority, occur in properly positioned devices. (vignalawgroup.com)
  • Dr. Vigna adds, "I believe the FDA will change the risk classification of transobturator slings to a Class 3 Device from a Class 2 and keep retropubic slings a Class 2. (vignalawgroup.com)
  • Ultimately, I expect that transobturator slings will be banned by the FDA, like POP polypropylene devices, and retropubic slings will become more costly related to ongoing litigation related to these devices as serious injuries occur. (vignalawgroup.com)
  • consider using a retropubic mid-urethral mesh sling colored for high visibility, for ease of insertion and revision. (vignalawgroup.com)
  • 1.5.10 Do not offer a transobturator approach unless there are specific clinical circumstances (for example, previous pelvic procedures) in which the retropubic approach should be avoided. (vignalawgroup.com)
  • 1.5.11 Do not use the 'top-down' retropubic mid-urethral mesh sling approach or single-incision sub-urethral short mesh sling insertion except as part of a clinical trial. (vignalawgroup.com)
  • Needles were used to set a suburethral sling made of polypropylene. (scielo.edu.uy)
  • The Vigna Law Group has serious injury cases filed across the country caused by transvaginal mesh used for POP and polypropylene slings used for the treatment of SUI. (vignalawgroup.com)
  • Vaginal/urethral sling is a procedure used to manage stress urinary incontinence (SUI), which is an underdiagnosed and underreported medical problem. (medscape.com)
  • The aim of this study was to evaluate the effectiveness and safety of stress urinary incontinence surgery by the trans-obturator tape method (minimally invasive). (ac.ir)
  • 10. Ogah J, Cody JD, Rogerson L. Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women. (ac.ir)
  • Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. (ijrcog.org)
  • Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial. (ijrcog.org)
  • A brief discussion on urinary incontinence - the sling and exercises are not as effective as you may think. (caringmedical.com)
  • Coloplast launched the Virtue Male Sling in Summer 2009. (medscape.com)
  • Several sling options have been described and are used in current practice, including autologous fascial slings and mid-urethral synthetic mesh sling. (medscape.com)
  • In this study, trans-obturator tape placement was found to be a safe, effective and low-complication method. (ac.ir)
  • Transvaginal Obturatriz Tape (TOT) en el tratamiento de la incontinencia urinaria de esfuerzo femenina . (scielo.edu.uy)
  • In 34 cases, only Transvaginal Obturator Tape (TOT) was performed, while in 36 TOT was performed within another surgery. (scielo.edu.uy)
  • The present study aimed to evaluate the efficacy of transobturator tape (TOT) in patients with urodynamic stress incontinence (USI) and advanced genital prolapsed with various modes of Hysterectomy. (ijrcog.org)
  • Combined pelvic reconstructive surgery and transobturator tape (monarc) in women with advanced prolapse and urodynamic stress incontinence: a case control series. (ijrcog.org)
  • Patients who continue to have significant incontinence after placement of the suburethral sling may still be candidates for an artificial urinary sphincter (ie, prior placement of a sling is not a contraindication to placement of the artificial urinary sphincter). (medscape.com)
  • [ 2 ] As with the InVance, patients in whom AdVance sling placement fails are still candidates for the artificial urinary sphincter. (medscape.com)
  • 12. Leanza V, Zanghì G, Vecchio R, Leanza G. How to prevent mesh erosion in transobturator Tension-Free Incontinence Cystocoele Treatment (TICT): a comparative survey. (ac.ir)
  • Dr. Vigna is a California and Washington DC lawyer with Martin Baughman, PLLC, a national pharmaceutical injury law firm in Dallas, focusing on the neurological injuries caused by transvaginal mesh devices including pudendal neuralgia, obturator neuralgia, ilioinguinal neuralgia, and Complex Regional Pain Syndrome. (vignalawgroup.com)
  • [ 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)
  • 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)
  • 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)
  • The male sling is not as effective as the artificial urinary sphincter and is therefore indicated only for patients with mild-to-moderate stress incontinence due to intrinsic sphincteric dysfunction and patients with significant incontinence who are not candidates for the artificial urinary sphincter. (medscape.com)
  • The AdVance sling is indicated for men with mild to moderate stress incontinence, as is the InVance male sling. (medscape.com)
  • Also placed through a perineal approach, the Virtue has four arms, two of which are passed prepubic, and two through the obturator foramen. (medscape.com)
  • The AdVance sling has shown excellent short-term results. (medscape.com)
  • There is clearly a disconnect between what has been published in the literature over the past 10 years regarding the serious neurological pain syndromes caused by mid-urethral slings and what implanting physicians in the fields of urology, urogynecology, and gynecologist actually know. (vignalawgroup.com)
  • There is clearly a disconnect between what has been published in the past decade regarding the serious neurological pain syndromes caused by mid-urethral slings and what implanting physicians know. (vignalawgroup.com)
  • Dr. Greg Vigna, practicing physician, national pharmaceutical injury attorney, and certified life care planner states, "We are filing cases on behalf of severely injured women suffering from disabling pain caused by the Coloplast Altis and the Boston Scientific Solyx sling. (vignalawgroup.com)
  • Explore the journey from initiating the conversation to seeing lives impacted by the Solyx™ Single-Incision Sling in this short video series featuring Dr. Kevin Benson, a urogynecologist from Sanford Health, and two patients, AJ and Chandra. (bostonscientific.com)
  • Hear why he often recommends the Solyx™ Single-Incision Sling including his focus on patient outcomes and recovery time. (bostonscientific.com)
  • Hear what drove them to take the next step and how Dr. Kevin Benson, a urogynecologist, evaluates patients like them to see if the Solyx™ Single-Incision Sling may be a good fit. (bostonscientific.com)
  • When patients choose the Solyx™ Single-Incision Sling, Dr. Kevin Benson says they remark that their only regret is that they didn't do it sooner. (bostonscientific.com)
  • Six weeks after having the Solyx™ Single-Incision Sling placed, Chandra says it was "like starting my life over," and AJ recalls her "self-esteem was back up. (bostonscientific.com)
  • The RLPP test is repeated to ensure proper tensioning, with adjustments to sling tension by moving the sutures more medially (tighter) or laterally (looser) until RLPP of 60 cm is achieved. (medscape.com)
  • The contralateral sutures are passed through the corresponding side of the sling and secured with a single throw of the suture over a silk safety tie. (medscape.com)
  • On March 12, 2021 Coloplast Corporation was hit with a lawsuit filed by a woman who sustained injuries caused by the Altis Single Incision Sling System transvaginal mesh (TVM) device used for the treatment of stress urinary incontinence (SUI). (vignalawgroup.com)
  • There is no reliable evidence that these single incision mini-slings prevent chronic leg and chronic groin pain when compared with full-length transobturator slings. (vignalawgroup.com)
  • The lack of safety compared with full length transobturator slings is supported by the fact that the National Institute for Health and Care Excellence in England (NICE) recommendation for physicians is "do not use… single-incision sub-urethral short mesh sling insertion except as part of a clinical trial. (vignalawgroup.com)
  • The mesh assembly is designed to be placed away from critical structures, such as the obturator bundle, and the carrier snap-fit on the delivery device tip is designed to facilitate control during placement. (bostonscientific.com)
  • After placement of the bone screws, the sutures are cut, and a 4x7 cm sling graft composed of synthetic or biologic material, trimmed into a trapezoidal shape, is first secured to one side. (medscape.com)