CONTEXT There are several controversies about which is the best form of surgical treatment for stress urinary incontinence in women. The vaginal wall sling in its original and modified form were presented by Raz as new options for treatment of these conditions, but there is a lack of comparative clinical trials using both techniques. OBJECTIVE To compare the effectiveness of the original and ...

PURPOSE We studied the influence of preoperative bladder outlet obstruction (BOO) on postoperative continence rates and patient satisfaction after the midurethral sling procedure. METHODS A total of 159 women who underwent the midurethral sling procedure were evaluated. Using the Blaivas-Groutz nomogram, we assigned the patients were assigned to Group I (n=37, no obstruction), Group II (n=89,...

BACKGROUND AND PURPOSE Slings have been successful in the treatment of male stress urinary incontinence (SUI). However, in many situations, the sling may have either an excess of or inadequate tension, producing voiding difficulties or urinary leakage, respectively. The effectiveness of a readjustable sling for the treatment of male SUI has been evaluated. PATIENTS AND METHODS Between October...

INTRODUCTION AND OBJECTIVES: We present a video of a novel transobturator approach to autologous urethral sling placement. METHODS: A 55-year old female presented with worsening pure stress urinary incontinence. She had significant bother from her leakage and after discussion of potential management options preferred an autologous urethral sling, however did not want an intra-abdominal portion ...

PURPOSE To evaluate the functional and cosmetic results after frontalis sling repair for unilateral ptosis associated with either poor levator function or synkinesis. METHODS Preoperative and postoperative photographs and records of 127 patients who underwent unilateral frontalis sling ptosis repair were retrospectively reviewed. An eyelid crease incision was used in all cases, with suturing ...

OBJECTIVE The aim of this study was to compare a modified Burch procedure with a suburethral sling for the treatment of stress incontinence complicated by a low-pressure urethra. STUDY DESIGN Thirty-six women with stress incontinence, low-pressure urethra, and urethral hypermobility (straining cotton swab angle >/=30 degrees ) were randomly assigned to undergo either a modified Burch procedur...

In hospitals many horizontal transfers (from stretcher to bed etc.) are performed from the moment a patient is admitted (f.e. with an ambulance) through examination departments all the way to the wards. These transfers can be very strenuous and solutions may be to use a special lifting device that accompanies the patient on this route: a stretcher sling This is a specially designed disposable l...

Nowadays midurethral sling are considered as a gold standard for stress urinary incontinence [1][Fig.1]. Traditionally, this technique has been followed by hospitalization and short inpatient convalescence. From both patient and physician perspective, this technique became increasingly popular due to very high clinical effectiveness, fast recovery, no need of painful incisions or overnight hosp...

AIMS To evaluate the outcomes, complications, and quality of life of patients after a Remeex re-adjustable sling for recurrent stress urinary incontinence (SUI) and intrinsic sphincteric deficiency (ISD) indications. METHODS One hundred twenty-five patients with SUI were prospectively evaluated following a re-adjustable sling in a single tertiary academic Center. Patients were classified by Q...

PURPOSE Some women choose to undergo posterior colporrhaphy (PC) concurrently with procedures for SUI to regain sexual confidence and improve sexual function. We determine the effect of PC on sexual function in women requiring a midurethral sling for SUI. MATERIALS AND METHODS A total of 119 women were retrospectively reviewed 81 women had the midurethral sling alone (Group A), and 38 women v...