Document Detail


Suburethral sling materials: best outcome with autologous tissue.
MedLine Citation:
PMID:  16325625     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study was undertaken to assess the outcome of suburethral slings by type of sling material. STUDY DESIGN: A retrospective review of women who underwent a suburethral sling between January 1997 and January 2003 with autograft, allograft or xenograft materials. Objective failure was defined as urinary leakage with cough stress testing at any time after 3 months, postoperatively. Objective cure was defined as no leakage with a standing cough stress test with at least 200 mL bladder volume at a minimum of 12 months postoperatively. Data were analyzed using Student t, Wilcoxon rank sum, and Kaplan-Meier survival tests. RESULTS: A total of 241 women were included in this study: 78 received autograft, 80 received allograft, and 83 received xenograft. Objective failure was 36% and 46% for allograft and xenograft, respectively compared with 13% for autograft (P < .001). CONCLUSION: Autograft has a significantly higher cure rate when used for suburethral slings.
Authors:
Amanda J Simsiman; Curt R Powell; Ryan R Stratford; Shawn A Menefee
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  193     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-05     Completed Date:  2006-03-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2112-6     Citation Subset:  AIM; IM    
Affiliation:
Division of Female Pelvic Medicine and Reconstructive Surgery, Kaiser Permanente Medical Center, San Diego, CA 92120, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Fascia / transplantation*
Female
Humans
Middle Aged
Prostheses and Implants
Retrospective Studies
Swine
Transplantation, Autologous
Transplantation, Heterologous
Transplantation, Homologous
Urinary Incontinence, Stress / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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