PD05-06 SAFETY OF AUTOLOGOUS FASCIAL PUBOVAGINAL SLINGS VERSUS SYNTHETIC MID-URETHRAL SLINGS

Voiding dysfunction following removal of eroded synthetic mid urethral slings.

PURPOSE Voiding dysfunction following genitourinary erosion of synthetic mid urethral slings is not clearly reported. We investigated the incidence of voiding dysfunction in patients following sling excision due to vaginal, urethral or intravesical mesh erosion. MATERIALS AND METHODS Retrospective review identified 19 patients with genitourinary erosion of polypropylene mesh slings. Comprehen...

Preoperative Valsalva leak point pressure may not predict outcome of mid-urethral slings. Analysis from a randomized controlled trial of retropubic versus transobturator mid-urethral slings.

OBJECTIVE To test the hypothesis that preoperative Valsalva leak point pressure (VLPP) predicts long-term outcome of mid-urethra slings for female stress urinary incontinence (SUI). MATERIALS AND METHODS One hundred and forty-five patients with SUI were prospectively randomized to two mid-urethra sling treatments: Tension free vaginal tape (TVT) or transobturator tape (TOT). They were followe...

The fate of synthetic mid-urethral slings in 2013: A turning point

INTRODUCTION Since the introduction of the first retropubic tension-free synthetic sling to treat stress urinary incontinence (SUI), newer approaches, different techniques and new devices have been created. Transobturator and single-incision sling (SIS) techniquespara-were developed with the goal of diminishing the rate of complications andspeeding the recovery phase. METHODS For this review ...

Laparoscopic Removal of Pubovaginal Polypropylene Tension-Free Tape Slings

OBJECTIVES Complications of polypropylene pubovaginal tension-free tape slings (TVT, SPARC, and others), such as erosion into the bladder or chronic pain attributed to the mesh sling are rare events; however, when they occur, it may necessitate removal of the sling. To date, removal through a laparotomy incision or by operative cystoscopy has been the most common approach. We present 5 cases of...

Mid-urethral slings for treatment of stress urinary incontinence : long- and mid-term follow-up