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• W2073675919 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Female Urology1 Jun 2001COMPLICATIONS AND INITIAL CONTINENCE RATES AFTER A REPEAT PUBOVAGINAL SLING PROCEDURE FOR RECURRENT STRESS URINARY INCONTINENCE STEVEN P. PETROU and IGOR FRANK STEVEN P. PETROUSTEVEN P. PETROU Financial and/or other relationship with Bard, American Medical Systems, Upjohn Pharmacia and Timm Medical. More articles by this author and IGOR FRANKIGOR FRANK More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)66257-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the safety and efficacy of repeat pubovaginal sling procedures for recurrent stress urinary incontinence. Materials and Methods: We retrospectively reviewed the records of 14 patients in whom an initial suburethral sling procedure failed, who then underwent a repeat pubovaginal sling procedure for recurrent stress urinary incontinence at our institution and who were available for followup evaluation. Mean followup after re-operation was 17 months (range 5 to 41). The response to surgery was assessed using the Blaivas-Groutz anti-incontinence surgery response score. Results: There were no intraoperative complications. Mean blood loss was 155 cc (range 50 to 750) and average operative time was 101 minutes (range 80 to 145). Long-term urinary retention developed in 1 of the 14 patients (7%). There were no deaths. Two patients (14%) had postoperative complications, including a pelvic abscess and osteomyelitis pubis in 1 each. Based on the Blaivas-Groutz anti-incontinence scale 7 of the 14 patients (50%) were cured, 1 (7%) had a good response, 4 (29%) had a fair response, 2 (14%) had a poor response and none had treatment failure. Subjectively 12 of the 14 women (86%) considered themselves cured or improved and 2 (14%) considered the operation to have failed. Conclusions: Our data imply that a repeat pubovaginal sling procedure after an initial failed operation is associated with low complication and acceptable continence rates. It should be considered a reasonable treatment option in select women with recurrent stress urinary incontinence. References 1 : Pubovaginal sling procedure for stress incontinence. J Urol1978; 119: 82. Link, Google Scholar 2 : Pubovaginal fascial sling for all types of stress urinary incontinence: long-term analysis. J Urol1998; 160: 1312. Link, Google Scholar 3 : Favorable outcome of pubovaginal slings for geriatric women with stress incontinence. J Urol1997; 157: 125. Link, Google Scholar 4 : Expanded indications for the pubovaginal sling: treatment of type 2 or 3 stress incontinence. J Urol1996; 156: 1620. Link, Google Scholar 5 : An assessment of the surgical outcome and urodynamic effects of the pubovaginal sling for stress incontinence and the associated urge syndrome. J Urol1999; 162: 135. Link, Google Scholar 6 : Our experience with pubovaginal slings in patients with stress urinary incontinence. J Urol1998; 159: 1195. Link, Google Scholar 7 : A simplified urinary incontinence score for the evaluation of treatment outcomes. Neurourol Urodyn2000; 19: 127. Google Scholar 8 : Results of pubovaginal sling for the treatment of intrinsic sphincter deficiency determined by questionnaire analysis. J Urol1997; 158: 1738. Link, Google Scholar 9 : The effect of study methodology on reported success rates of the modified Pereyra bladder neck suspension. J Urol1995; 154: 1732. Link, Google Scholar 10 : A follow up of silastic sling for genuine stress incontinence. Br J Obstet Gynaecol1995; 102: 143. Google Scholar 11 : Vaginal wall sling for anatomical incontinence and intrinsic sphincter dysfunction: efficacy and outcome analysis. J Urol1996; 156: 166. Link, Google Scholar From the Department of Urology, Mayo Clinic, Jacksonville, Florida© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRutman M, Deng D, Shah S, Raz S and Rodríguez L (2018) Spiral Sling Salvage Anti-Incontinence Surgery in Female Patients With a Nonfunctional Urethra: Technique and Initial ResultsJournal of Urology, VOL. 175, NO. 5, (1794-1799), Online publication date: 1-May-2006.CHOE J (2018) Suprapubic Sling Adjustment: Minimally Invasive Method of Curing Recurrent Stress Incontinence After Sling SurgeryJournal of Urology, VOL. 168, NO. 5, (2059-2062), Online publication date: 1-Nov-2002. Volume 165Issue 6 Part 1June 2001Page: 1979-1981 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.Keywordsurinary incontinence, stressurethrareoperationMetricsAuthor Information STEVEN P. PETROU Financial and/or other relationship with Bard, American Medical Systems, Upjohn Pharmacia and Timm Medical. More articles by this author IGOR FRANK More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2073675919 title "COMPLICATIONS AND INITIAL CONTINENCE RATES AFTER A REPEAT PUBOVAGINAL SLING PROCEDURE FOR RECURRENT STRESS URINARY INCONTINENCE" @default.
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