Transobturator midurethral slings were introduced to avoid retropubic complications such as bladder, urethra, bowel, and major vessel injuries. However, complications are not completely eliminated. We present a urethral injury presenting with urge predominant mixed incontinence. The sling was removed transvaginally. Urethral injuries are now less common than they originally were owing to advances in operative technique and product innovation. However, it is incumbent on physicians to evaluate product characteristics that may affect outcomes in their patients. We further reiterate that thorough cystoscopy with urethroscopy is an essential step when performing transobturator midurethral slings.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/SPV.0b013e31824824ff | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A randomized comparison of a single-incision needleless (Contasure-needleless®) mini-sling versus a mid-urethral sling (Contasure-KIM®): 60-month follow-up results.
Eur J Obstet Gynecol Reprod Biol
January 2025
Acıbadem Kartal Hospital, Clinics of Obstetrics and Gynecology, Pelvic Floor and Cosmetic Gynecology Association (PET-KOZ), Istanbul, Turkey.
Objectives: Mid-urethral sling (MUS) insertion is the gold standard approach to treat stress urinary incontinence (SUI) and adaptable single-incision mini-slings (SIMSs) aim to reduce complications. A previous study of our team has found that SIMSs were comparable to transobturator slings in cure rates after 24 months of follow-up. This study aims to compare the rates of cure, complications and re-intervention of both slings over a long-term follow-up of 5 years.
View Article and Find Full Text PDFTransvaginal Retropubic Versus Transobturator Midurethral Sling in the Treatment of Recurrent Stress Urinary Incontinence.
Cureus
December 2024
Gynecology, Unidade Local de Saúde de Coimbra, Coimbra, PRT.
Introduction: Transvaginal retropubic (TVT-R) and transobturator (TVT-O) midurethral slings are the main surgical options for stress urinary incontinence (SUI). Surgical indications for each of them are defined by clinical and history presentation. These techniques play a particular role in SUI recurrence after a previous urinary incontinence surgery, although there are few studies comparing their efficacy.
View Article and Find Full Text PDFTransobturator hybrid tape versus synthetic tape in treatment of female stress urinary incontinence: A prospective randomized clinical study.
Urologia
November 2024
Urology Department, Zagazig University, Zagazig, Egypt.
Objective: To compare the clinical and operative outcomes of transobturator hybrid tape versus synthetic tapes during mid-urethral sling in treating female stress urinary incontinence (SUI).
Patients And Methods: This prospective randomized study included 63 women with SUI. Patients were categorized into two groups: Group I included 32 patients who underwent midurethral sling procedure using hybrid tape; and Group II included 31 patients that had synthetic sling, using transobturator tape approach (TOT) in both groups.
Predictors and outcomes of Mid-urethral sling continence surgeries for stress urinary incontinence among Taiwanese women: What works best?
Taiwan J Obstet Gynecol
November 2024
Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medicine, Mackay Medical College, New Taipei City, Taiwan.
Mid urethral sling (MUS) surgery is a widely accepted and safe procedure performed for stress urinary incontinence (SUI) with excellent cure rate besides its minimal complications. There are various types of MUS which can be offered. In this review we collated published data on MUS surgery performed among Taiwanese women with SUI in search for the best techniques and its outcome.
View Article and Find Full Text PDFOutcomes of primary transobturator mid-urethral sling surgery in women of different ages.
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Obstetrics and Gynaecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Department of Obstetrics and Gynaecology, Cathay General Hospital, Taipei, Taiwan; Department of Obstetrics and Gynaecology, Sijhih Cathay General Hospital, New Taipei, Taiwan; School of Medicine, National Tsing Hua University, Hsinchu, Taiwan. Electronic address:
Article Synopsis
- Older age is linked to higher rates of urinary incontinence, and this study examines how age affects outcomes of transobturator mid-urethral sling (TOS) surgery in women with stress urinary incontinence.
- A total of 464 women, categorized by age groups, were analyzed for clinical and ultrasound outcomes one year post-surgery, indicating that older women often reported more urinary incontinence issues post-surgery.
- The study concluded that TOS surgery is generally effective and safe for women of all ages, but older women may experience a looser and higher position of the sling post-op.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!