Imaging of slings and meshes
نویسندگان
چکیده
The popularity of imaging in pelvic floor medicine continues to increase. Among the various modalities, ultrasound is superior as it is cheap, safe, easily accesible and simple, resulting in high patient compliance. It is the only technique that allows imaging of modern wide-weave polypropylene sling or mesh implants, and imaging of such implants is commonly required due to the popularity of surgical techniques that involve the placement of slings and meshes. This review article will discuss the role of translabial ultrasound in the evaluation of synthetic implants used in the treatment of urinary incontinence and pelvic organ prolapse.
منابع مشابه
Minimally invasive surgery for stress urinary incontinence - mesh complications.
Currently, the most commonly performed surgeries for stress urinary incontinence (SUI) are mesh midurethral slings (MUS). They are minimally invasive outpatient procedures, and they are as effective as traditional suburethral slings, open retropubic colposuspension (Burch, Marshall-Marchetti), and laparoscopic retropubic colposuspension. They have a short operative time and fewer postoperative ...
متن کاملAutologous pubovaginal slings: back to the future or a lost art?
Stress urinary incontinence (SUI) is an under-diagnosed problem affecting up to 50% of women worldwide. SUI is a source of psychological distress to the individual and also imposes a financial burden to the individual and the health care system. The role of surgery in the treatment in SUI has evolved steadily in the last two decades. The synthetic mid-urethral sling and its different insertion ...
متن کاملDynamic evaluation of pelvic floor reconstructive surgery using radiopaque meshes and three-dimensional helical CT.
PURPOSE This prospective study was performed to achieve visualization of the reestablishment of anatomy after reconstructive surgery in the different pelvic compartments with non-absorbable radiopaque meshes, providing valuable anatomic information for surgeons implanting meshes. MATERIALS AND METHODS A total of 30 female patients with stress urinary incontinence (SUI), anterior and posterior...
متن کاملOpinion: Yes
Nowadays, synthetic meshes are widely used in reconstructive surgeries of the pelvic floor. However, since the publication of the FDA warning about associated complications in 2011 (1), several discussions and contrary opinions have been published about its usefulness. The fear of court lawsuits related to side effects, common in some settings, has contributed to the widening of global discussi...
متن کاملStructural and thermal properties of polypropylene mesh used in treatment of stress urinary incontinence.
Besides material biocompatibility, it is possible to infer that both vaginal and urethral erosion rates associated with sub-urethral synthetic slings may be related to the mechanical properties of the meshes and also to their other properties. With the aim of understanding what distinguishes the different polypropylene meshes, used for the treatment of the stress urinary incontinence (SUI), the...
متن کامل