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International Urogynecology Journal

Published in:

01-10-2013 | Original Article

A prospective study of transobturator tape as treatment for stress urinary incontinence after transvaginal mesh repair

Authors: Hui-Hsuan Lau, Tsung-Hsien Su, Wen-Chu Huang, Ching-Hung Hsieh, Chin-Hui Su, Rhu-Chu Chang

Published in: International Urogynecology Journal | Issue 10/2013

Abstract

Introduction and hypothesis

The transobturator suburethral sling is a common surgical treatment for stress urinary incontinence (SUI). In patients with incontinence after trocar-guided transvaginal mesh repair (Prolift™), data on outcome remain limited. In the present study, we hypothesized that transobturator tape in such cases is assumed to be as effective as surgery alone.

Methods

This was a prospective analysis of outcomes of transobturator slings in women who had undergone transvaginal mesh repair and in those who underwent sling surgery alone (controls). Objective cure was defined as the absence of urinary leakage during the stress test at filling cystometry and a negative cough test during pelvic examination. The success rates were evaluated 3–6 months postoperatively.

Results

One hundred women were recruited for the study. Compared to the control group, women after transvaginal mesh repair had a significantly lower objective success rate (62 vs 86 %, p = 0.005) and poorer bladder neck mobility (0.5 ± 0.8 vs 1.1 ± 0.5 cm, p = 0.001).

Conclusions

The transobturator sling has lower objective success rate in women after transvaginal mesh that may be due to decreased bladder neck mobility. Patients with post-mesh repair SUI who opt for sling surgery should be informed of these less satisfactory outcomes during preoperative counseling.

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Title: A prospective study of transobturator tape as treatment for stress urinary incontinence after transvaginal mesh repair
Authors: Hui-Hsuan Lau
Tsung-Hsien Su
Wen-Chu Huang
Ching-Hung Hsieh
Chin-Hui Su
Rhu-Chu Chang
Publication date: 01-10-2013
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 10/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-2033-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A prospective study of transobturator tape as treatment for stress urinary incontinence after transvaginal mesh repair

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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