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International Urogynecology Journal
Published in: International Urogynecology Journal 1/2007

01-01-2007 | Original article

Redo midurethral synthetic sling for female stress urinary incontinence

Authors: Alexander Tsivian, Menahem Neuman, Evgeny Yulish, Avraham Shtricker, Samuel Levin, Shmuel Cytron, A. Ami Sidi

Published in: International Urogynecology Journal | Issue 1/2007

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Abstract

Tension-free transvaginal tape (TVT) placement has recently become the preferred therapeutic approach for female stress urinary incontinence (SUI) in some centers. There are, however, no clearcut guidelines of how to treat patients in whom the procedure has failed. We describe our experience with repeat midurethral synthetic sling (MUS) implantation after a failed similar procedure. Twelve women (mean age 64.3 years) who had undergone a MUS procedure [TVT—9, intravaginal sling (IVS)—2, transobturator tape (TOT)—1] for SUI underwent a repeat MUS (TVT—5, IVS—4, TOT—3) due to persistent or recurrent SUI. The time from the first to the second procedure was 1–48 months. Eleven out of 12 patients (91.7%) achieved full continence (mean follow-up of 23.2 months, range 14–44). We conclude that a repeat MUS for persistent or recurrent SUI is a viable option for patients after an unsuccessful MUS procedure.
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Metadata
Title
Redo midurethral synthetic sling for female stress urinary incontinence
Authors
Alexander Tsivian
Menahem Neuman
Evgeny Yulish
Avraham Shtricker
Samuel Levin
Shmuel Cytron
A. Ami Sidi
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 1/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-006-0113-y

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