Vol 86, No 7 (2015)
ARTICLES
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).
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which was regarded as the gold standard treatment for stress urinary incontinence for several years, has been replaced by minimally invasive sling devices.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which was regarded as the gold standard treatment for stress urinary incontinence for several years, has been replaced by minimally invasive sling devices.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.
Keywords
midurethral slings, resection of suburethral tape, urinary stress incontinence
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)
Page views
791
Article views/downloads
781
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