OBJECTIVE: Sub-urethral slings are the "gold standard" when treating female urinary incontinence, but placing the prosthetic material has its own specific complication, exposure.
STUDY DESIGN: A retrospective study was performed on all patients who had a sub-urethral sling (TVT-O or TVT Secur) in Lille University Hospital Centre from 2006 to 2008. Follow-up was undertaken to look for re-intervention and to try to determine the risk factors.
RESULTS: A total of 386 patients were studied with a median follow-up of 4 years. The rate of exposure was 4.32%. TVT Secur gave rise to more exposures (13.79%) than TVT-O (3.51%) (p=0.0203). Association with Prolift for cure of prolapse significantly reduced the rate of exposure of sub-urethral slings (p=0.0161).
CONCLUSIONS: It seems important not to use mini-slings of the TVT Secur type as they induce a higher rate of prosthetic exposure. Cure of urinary incontinence may be done with cure of prolapse at the same surgical operation without higher risk of exposure.
Written by:
Bourdy C, Lucot JP, Giraudet G2, Ferdynus C3, Cosson M. Are you the author?
Service de chirurgie gynécologique, Hopital Jeanne de Flandre, Centre hospitalier Régional Universitaire de Lille, Lille, France; Unité de Soutien Méthodologique, CHU La Réunion, Saint-Denis, F-97400, France.
Reference: Eur J Obstet Gynecol Reprod Biol. 2014 Feb 15. pii: S0301-2115(14)00071-2.
doi: 10.1016/j.ejogrb.2014.02.002
PubMed Abstract
PMID: 24630571
UroToday.com Stress Urinary Incontinence Section
