Skip to main content

Advertisement

SpringerLink
Log in

Midurethral sling shortening for persistent stress urinary incontinence

  • Case Report
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

We describe techniques and objective and subjective outcomes for women who underwent midurethral sling (MUS) shortening for persistent stress urinary incontinence (SUI). This is a case series of women who underwent MUS shortening for SUI within 8 weeks of initial MUS placement. Objective and subjective findings including Urinary Distress Inventory (UDI)-6 and Urinary Impact Questionnaire (UIQ)-7 scores are reported, and shortening techniques are described. Between June 2007 and June 2010, three women underwent MUS shortening for persistent SUI within 8 weeks of initial MUS placement. Shortening was performed with either midline plication or mesh excision and reapproximation. Five months postoperative to shortening, one woman reported subjective improvement in SUI symptoms, and two had subjective and objective resolution of SUI. All showed improvement from baseline in UDI-6 and UIQ-7 scores. There were no erosions. MUS shortening may offer a safe and effective option for management of persistent SUI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Nilsson CG, Palva K, Rezapour M, Falconer C (2008) Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 19:1043–1047

    Article  PubMed  CAS  Google Scholar 

  2. Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–86

    Article  CAS  Google Scholar 

  3. Neuman M (2004) Transvaginal tape readjustment after unsuccessful tension-free vaginal tape operation. Neurourol Urodynam 23:282–283

    Article  Google Scholar 

  4. Paick JS, Ku JH, Shin JW, Park KJ, Kim SW, Oh SJ (2004) Shortening of tension-free vaginal tape for the treatment of recurrent incontinence. J Urol 172:1634

    Article  Google Scholar 

  5. Lo TS, Wang AC, Liang CC, Long CY, Lee SJ (2006) Treatment for unsuccessful tension-free vaginal tape operation by shortening pre-implanted tape. J Urol 175:2196–2200

    Article  PubMed  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Women and Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University, 101 Dudley St., Providence, RI, 02905, USA

    Jeannine M. Miranne, Brittany Star Hampton & Vivian W. Sung

  2. 104 Cole Ave. #3, Providence, RI, 02906, USA

    Jeannine M. Miranne

Authors
  1. Jeannine M. Miranne
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Brittany Star Hampton
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vivian W. Sung
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jeannine M. Miranne.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Miranne, J.M., Hampton, B.S. & Sung, V.W. Midurethral sling shortening for persistent stress urinary incontinence. Int Urogynecol J 23, 805–807 (2012). https://doi.org/10.1007/s00192-011-1617-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-011-1617-7

Keywords

Search

Navigation