| An inelastic retropubic suburethral sling in women with intrinsic sphincter deficiency. | |
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MedLine Citation:
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PMID: 23229420 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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INTRODUCTION AND HYPOTHESIS: We evaluated outcomes of an inelastic retropubic sling in patients with intrinsic sphincteric deficiency (ISD). METHODS: This is a retrospective review of women diagnosed with ISD according to urodynamic parameters who underwent a retropubic suburethral sling surgery using a tape with minimal elasticity. All patients in the study where followed up at 2, 6, and 24 weeks and yearly. Outcome measures included self-assessed satisfaction, daily incontinence episodes and pad usage, standardized stress test, postvoid residual volume, and surgical complications. RESULTS: Two hundred and forty-seven patients were involved in this study, with a median follow-up of 43 [interquartile range (IQR) 22-77] weeks and a minimum of 12 weeks. Two patients (0.008 %) had a positive stress test postoperatively. There was a decrease in daily incontinence events (median 1.5-0) (p < 0.001) and pad usage per day (median 1.5-0) (p < 0.001). Two hundred and sixteen (87.4 %) patients reported subjective improvement in symptoms. Urinary retention was found in 18 (7.2 %) patients, and 19 (7.7 %) patients required reintervention, mostly with bulking agent injections for persistent incontinence. No tape-related mesh exposures were reported. CONCLUSION: Retropubic suburethral inelastic slings represent a good option for treating patients with ISD, with satisfactory continent rates and low postoperative complications. |
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Authors:
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Alfredo Jijon; Aparna Hegde; Beatriz Arias; Vivian Aguilar; G Willy Davila |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-12-11 |
Journal Detail:
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Title: International urogynecology journal Volume: - ISSN: 1433-3023 ISO Abbreviation: Int Urogynecol J Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-12-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101567041 Medline TA: Int Urogynecol J Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Gynecology, Urogynecology & Reconstructive Pelvic Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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