Results of collagen sling placement following the partial removal of a synthetic midurethral sling.

Autor: Hogewoning CR; Department of Urology, Leiden University Medical Center, Leiden, The Netherlands. Electronic address: c.r.c.hogewoning@lumc.nl., Elzevier HW; Department of Urology, Leiden University Medical Center, Leiden, The Netherlands., Pelger RC; Department of Urology, Leiden University Medical Center, Leiden, The Netherlands., Hogewoning CJ; Department of Gynecology, Albert Schweitzer Medical Center, Dordrecht, The Netherlands.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2016 Sep; Vol. 134 (3), pp. 286-9. Date of Electronic Publication: 2016 Jun 04.
DOI: 10.1016/j.ijgo.2016.03.022
Abstrakt: Objective: To assess results of placement of the Pelvilace collagen sling following partial removal of a primary synthetic sling because of late complications.
Methods: A retrospective study was undertaken of patients with late complications after midurethral sling surgery who underwent placement of a Pelvilace sling at a center in the Netherlands between January 2006 and January 2011. A postoperative questionnaire was used to evaluate the continence status and continence-related quality of life. Patients scoring 0 in the Urogenital Distress Inventory stress symptoms section were considered cured. The subjective improvement or deterioration in symptoms was scored using the Patient Global Impression of Improvement (PGI-I).
Results: The questionnaire was completed and returned by 32 (84%) of 38 patients after a mean follow-up of 54.3 months. Nine (28%) patients were deemed cured. Among 29 patients who had not undergone a third surgery, the PGI-I showed a postoperative improvement in 14 (48%). The other 15 patients rated their postoperative situation as little improved, unchanged, or deteriorated. Further subanalysis showed clear differences in postoperative results between the different types of late complications (erosion and/or displacement).
Conclusion: The concomitant placement of a collagen sling following partial removal of a primary polypropylene sling shows reasonable results for specific complications.
(Copyright © 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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