open access

Vol 86, No 7 (2015)
ARTICLES
Get Citation

Functional outcomes of polypropylene midurethral sling resection for treatment of mesh exposure/extrusion: Does it lead to a relapse of incontinence?

Emrah TÖZ, Çağdaş Şahin, Nesin Apaydın, Aykut Özcan, Cüneyt Eftal Taner
DOI: 10.17772/gp/57816
·
Ginekol Pol 2015;86(7).

open access

Vol 86, No 7 (2015)
ARTICLES

Abstract

Objectives The Burch colposuspension, which was regarded as the gold standard treatment for stress urinary incontinence for several years, has been replaced by minimally invasive sling devices. Although these procedures are simple and minimally invasive, they are associated with complications such as infection, mesh erosion, chronic pain, and de novo detrusor overactivity, which may necessitate surgical resection or tape removal.The aim of the study was to assess urinary function outcomes including continence, after partial resection of suburethral tapes. Material and methods Patients were admitted for resection of tape due to extrusion/exposure , between 2011 and 2014.Patients were evaluated with physical examination, transvaginal ultrasound, cough stress test, 24-hour bladder diary, Incontinence Impact Questionnairre-7 form and Urogenital Distress Inventory-6 form. Results Minimum followup time was 2 months after treatment of the tape complication (mean 20, range 2 to 38).Recurrence of incontinence after partial tape resection was observed in 9% (3/32) cases.In two patients due to stress urinary incontinence recurrence repeat anti-incontinence surgery was necessary.Although one patient had suffered from incontinence after resection of tape, she did not desire operation. Conclusions The results of this study indicated that preservation of the anti-incontinence effects of slings might not be dependent on the intactness of the sling.Recurrence of incontinence after partial tape resection is uncommon and in the majority of cases this stress incontinence is minimally and does not require repeat operation.

Abstract

Objectives The Burch colposuspension, which was regarded as the gold standard treatment for stress urinary incontinence for several years, has been replaced by minimally invasive sling devices. Although these procedures are simple and minimally invasive, they are associated with complications such as infection, mesh erosion, chronic pain, and de novo detrusor overactivity, which may necessitate surgical resection or tape removal.The aim of the study was to assess urinary function outcomes including continence, after partial resection of suburethral tapes. Material and methods Patients were admitted for resection of tape due to extrusion/exposure , between 2011 and 2014.Patients were evaluated with physical examination, transvaginal ultrasound, cough stress test, 24-hour bladder diary, Incontinence Impact Questionnairre-7 form and Urogenital Distress Inventory-6 form. Results Minimum followup time was 2 months after treatment of the tape complication (mean 20, range 2 to 38).Recurrence of incontinence after partial tape resection was observed in 9% (3/32) cases.In two patients due to stress urinary incontinence recurrence repeat anti-incontinence surgery was necessary.Although one patient had suffered from incontinence after resection of tape, she did not desire operation. Conclusions The results of this study indicated that preservation of the anti-incontinence effects of slings might not be dependent on the intactness of the sling.Recurrence of incontinence after partial tape resection is uncommon and in the majority of cases this stress incontinence is minimally and does not require repeat operation.
Get Citation

Keywords

midurethral slings, resection of suburethral tape, urinary stress incontinence

About this article
Title

Functional outcomes of polypropylene midurethral sling resection for treatment of mesh exposure/extrusion: Does it lead to a relapse of incontinence?

Journal

Ginekologia Polska

Issue

Vol 86, No 7 (2015)

DOI

10.17772/gp/57816

Bibliographic record

Ginekol Pol 2015;86(7).

Keywords

midurethral slings
resection of suburethral tape
urinary stress incontinence

Authors

Emrah TÖZ
Çağdaş Şahin
Nesin Apaydın
Aykut Özcan
Cüneyt Eftal Taner

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl