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More cystotomies seen when sling is combined with reconstructive surgery.(Gynecology)
RANCHO MIRAGH, CALIF. -- The risk of cystotomy while placing a tension-free transvaginal tape suburethral sling tripled when surgeons performed concomitant pelvic floor reconstructive surgery, according to a review of 106 sling procedures.
"I'm not sure why that was the case. It certainly has not been reported very prominently in other series" and may be related to the relative inexperience of the 14 community physicians who performed the procedures, compared with surgeons in earlier reports, Michael J. Bonidie, M.D., said during the annual meeting of the Society of Gynecologic Surgeons.
Cystotomy rates also tripled in patients whose surgeons had done fewer than 10 tension-free transvaginal tape (TVT) sling procedures, compared with physicians who had done more than 10.
Only 3 physicians performed more than 10 TVT sling procedures, and 11 physicians did fewer than 10 of the sling surgeries during the study's 3-year period, reported Dr. Bonidie and Neeka L. Sanders, M.D., both of the Western Pennsylvania Hospital, Pittsburgh.
Cystotomies occurred in 6 of 60 patients (10%) who underwent sling surgery alone and 13 of 46 patients (28%) who underwent sling and pelvic floor reconstruction surgery, said Dr. Bonidie, director of urogynecology at the hospital.
Cystotomy rates were markedly higher among the ...
- Suburethral sling treats occult stress urinary incontinence.(Gynecology)
- Magazine article from: OB GYN News Brunk, Doug October 1, 2004 700+ words
SAN DIEGO -- Suburethral sling treatment of occult stress urinary incontinence and intrinsic...who underwent concurrent pelvic reconstructive surgery and a suburethral sling with Mersilene mesh for severe vaginal prolapse between January...
- Expert praises suburethral sling for stress urinary incontinence. (Downplays...
- Magazine article from: OB GYN News Jancin, Bruce November 15, 2002 700+ words
...early 1990s Dr. Kovac developed a procedure of his own for primary treatment of stress urinary incontinence. It is a suburethral sling attached to the posterior inferior aspect of the pubic bone, which he termed "the ideal fixation point" for restoration...
- Research from University of Bern in the area of dyspareunia described.(Report)
- Magazine article from: Women's Health Weekly April 2, 2009 700+ words
...the report 'Sexual function after suburethral sling removal for dyspareunia.' "Impact...sexual function before and after suburethral sling removal due to postoperative female...complained of de novo dyspareunia after suburethral sling insertion for urinary stress incontinence...
- New findings from Brown University in the area of incontinence described.
- Magazine article from: Women's Health Weekly April 23, 2009 700+ words
...of 772 women underwent placement of a MersileneA (R) suburethral sling. We identified 62 women that underwent surgical revision...Journal (Postoperative erosions of the MersileneA(R) suburethral sling mesh for antiincontinence surgery. International Urogynecology...
- Reports from V. Misrai and colleagues advance knowledge in incontinence.
- Magazine article from: Women's Health Weekly June 4, 2009 700+ words
...In rare women who experience crippling symptoms after suburethral sling implantation urologists must be aware that the decision...study in the Journal of Urology (Surgical Resection for Suburethral Sling Complications After Treatment for Stress Urinary Incontinence...
- Reports from Chang-Gung University advance knowledge in gynecology.
- Magazine article from: Women's Health Weekly September 4, 2008 700+ words
...urge symptoms (DNUS) and to evaluate the efficacy of suburethral sling excision for relieving the urgency. In a period of 40...eight women with DNUS were included after exclusion. The suburethral sling of 24 of the 68 women needed to be excised because of refractory...
- Postoperative voiding dysfunction occurs frequently, is difficult to predict.
- Magazine article from: Women's Health Weekly August 5, 2004 700+ words
...three continence operations." They reviewed "charts of women undergoing tension-free vaginal tape (TVT), Burch, or suburethral sling. Early postoperative VD was defined as urinary retention or postvoid residual (PVR) >200 ml at discharge." Incidence...
- Incontinence, cervical pathology, 3-D imaging in focus at ACOG.
- Newspaper article from: The BBI Newsletter GERWER, ALEX August 1, 2000 700+ words
...stress test and positive maximal closure pressure on cough. One alternative to the vaginal patch sling is a rectus muscle suburethral sling, where a pedicled rectus muscle flap is moved through the space of Retzius, under the urethra, and then attached to...
- Newer techniques better manage condition than vesical colposuspension.
- Newspaper article from: Biotech Week March 12, 2003 700+ words
...surgical treatment of female stress urinary incontinence (SUI)," stated B.N. Ngninkeu and coauthors, Paris. "New suburethral sling techniques have been available for several years, such as TVT SPARC, IVS or, even more recently, URATAPE. These new...
- Stress incontinence subtypes respond to TVT. (Cough Stress Test Not Necessary).
- Magazine article from: OB GYN News Boschert, Sherry February 1, 2003 700+ words
...investigators reported at the annual meeting of the American Urogynecologic Society. The tension-free vaginal tape (TVT) suburethral sling is predominantly used to treat patients with anatomic stress urinary incontinence, typically defined as a change of less...
Source: HighBeam Research, More cystotomies seen when sling is combined with reconstructive...