Advertisement

Alloplastic Implants for the Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse

  • T. Kavvadias
  • U. Klinge
  • B. Schuessler

Abstract

Stress urinary incontinence (SUI) is the complaint of involuntary leakage with effort or exertion or with sneezing or coughing [1]. Urethral hypermobility, which permits urethral opening during stress, as well as insufficiency of the urethral sphincter seem to be the two main contributing factors that lead to the above mentioned symptoms [2]. Pelvic organ prolapse (POP)—which is defined as protrusion of the anterior vaginal wall, the vaginal cuff, and the posterior vaginal wall, thus including the bladder, enterocele, or rectumoften shows a strong correlation with lower urinary tract symptoms in women [3]. Apart from the objective findings, symptoms of POP are heaviness, a dragging sensation, and the need to digitally replace the prolapse in order to defecate or micturate [1]. POP development is multifactorial; vaginal childbirth, advancing age, and increased body mass index seem to be the most consistent risk factors [4].

Keywords

Stress Urinary Incontinence Pelvic Organ Prolapse Lower Urinary Tract Symptom Anterior Vaginal Wall Vaginal Cuff 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, Van Kerrebroeck, Victor A, Wein A. Standardisation Sub-Committee of the International Continence Society. The standardisation of terminology in lower urinary tract symptoms; report from the standardisation sub-committee of the International Continence Society. Urology 2003;61(1):37–49CrossRefPubMedGoogle Scholar
  2. 2.
    Abrahams P, Cardozo L, Khoury S, Wein A. Incontinence. Health Publications, Plymouth, UK, 2005Google Scholar
  3. 3.
    Buchsbaum GM. Urinary incontinence and pelvic organ prolapse, Minerva Urol Nefrol 2006;58(4):311–19PubMedGoogle Scholar
  4. 4.
    Jelovsek J, Maher C, Barber M. Pelvic organ prolapse. Lancet 2007 24;369(9566):1027–38CrossRefPubMedGoogle Scholar
  5. 5.
    Minassian V, Drutz H, Al-Badr A. Urinary incontinence as worldwide problem. Int J Gynaecol Obstet 2003;82(3): 327–38CrossRefPubMedGoogle Scholar
  6. 6.
    Barber M, Neubauer N, Klein-Olarte V. Can we screen for pelvic organ prolapse without a physical examination in epidemiologic studies? Am J Obstet Gynecol 2006;195(4):942–8CrossRefPubMedGoogle Scholar
  7. 7.
    Ulmsten U, Petros P. Intravaginal slingplasty: an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 1995;29(1):75–82CrossRefPubMedGoogle Scholar
  8. 8.
    Ward K, Hilton P; UK and Ireland TVT Trial Group. Tension-free vaginal tape versus colposuspension for primary urodynamic stress incontinence: 5-year follow up. BJOG 2008;115(2):226–33CrossRefPubMedGoogle Scholar
  9. 9.
    Ward K, Hilton P; UK and Ireland TVT Trial Group. Prospective multicenter randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. BMJ 2002;325(7355):67CrossRefPubMedGoogle Scholar
  10. 10.
    Freeman R, Holmes D, Smith P, Hillard T, Yang Q, Agur W, Abrams P. Is transobturator tape (TOT) as effective as tension-free vaginal tape (TVT) in the treatment of women with urodynamic stress urinary incontinence? Results of a multicentric RTC [ICS abstract]. Neurourol Urodyn 2008;27(7):573–4Google Scholar
  11. 11.
    Kuuva N, Nilsson C. Long-term results of the tension-free vaginal tape operation in an unselected group of 129 stress incontinent women. Acta Obstet Gynecol Scand 2006;85(4):482–7CrossRefPubMedGoogle Scholar
  12. 12.
    Werner M, Najjari L, Schuessler B. Transurethral resection of tension-free vaginal tape penetrating the urethra. Obstet Gynecol 2003;102(5 Pt 1):1034–6CrossRefPubMedGoogle Scholar
  13. 13.
    Meschia M, Pifaroti P, Bernasconi F, Magatti F, Vigano R, Bertozzi R, Barbacini P. Tension free vaginal tape and intravaginal slingplasty for stress urinary incontinence: a multicenter randomised trial. Am J Obstet Gynecol 2007; 195(5):1338–42Google Scholar
  14. 14.
    Baessler K, Hewson A, Tunn R, Schuessler B, Maher C. Severe mesh complications following intravaginal sling-plasty. Obstet Gynecol 2005;106(4):713–6PubMedGoogle Scholar
  15. 15.
    Kuschel S, Schuessler B. Results on function and safety of the Safyre-t, a hybrid transobturator vaginal sling for the treatment of stress urinary incontinence. Neurourol Urodyn 2008;27(5):403–6CrossRefPubMedGoogle Scholar
  16. 16.
    Kavvadias T, Kaemmer D, Klinge U, Kuschel S, Schuessler B. Foreign body reaction in vaginally eroded and non eroded polypropylene tension free sub-urethral tapes in the human female: a case series. In: Abstracts from the 33rd Annual Meeting of the International Urogynecological Association 2008;19(Suppl 1):13Google Scholar
  17. 17.
    Klinge U, Binneboessel M, Kuschel S, Schuessler B. Demands and properties of alloplastic implants for the treatment of stress urinary incontinence. Expert Rev Med Devices 2007;4(3):349–59CrossRefPubMedGoogle Scholar
  18. 18.
    Maher C, Baessler K, Glazener C, Adams E, Hagen S. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 2004 18;(4):CD004014Google Scholar
  19. 19.
    Hiltunen R, Nieminen K, Takala T, Heiskanen E, Merikari M, Niemi K, Heinonen P. Low-weight polypropylene mesh for anterior vaginal wall prolapse: a randomized controlled trial. Obstet Gynecol 2007;110(2 Pt 2):455–62PubMedGoogle Scholar
  20. 20.
    Collinet P, Belot F, Debodinance P, Ha Duc E, Lucot J, Cosson M. Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J Pelvic Floor Dysfunct 2006;17(4):315–20CrossRefPubMedGoogle Scholar
  21. 21.
    Abdel-Fattah M, Ramsey I, West of Scotland Study Group. Retrospective multicentre study of the new minimally invasive mesh repair devices for pelvic organ prolapse. BJOG 2008;115(1):22–30CrossRefPubMedGoogle Scholar
  22. 22.
    Altman D, Vayrynen T, Engh M, Axelsen S, Falconer C, Nordic Transvaginal Mesh Group. Short-term outcome after transvaginal mesh repair of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2008;19(6):787–93CrossRefPubMedGoogle Scholar
  23. 23.
    de Tayrac, Devoldere G, Renaudie J, Villard P, Guilbaud O, Eglin G, French Ugytex Study Group. Prolapse repair by vaginal route using a new protected low-weight polypropylene mesh: 1 year functional and anatomical outcome in a prospective multicentre study. Int Urogynecol J Pelvic Floor Dysfunct 2007;18(3):251–6CrossRefPubMedGoogle Scholar
  24. 24.
    Wu J, Wells E, Hundley A, Connolly A, Williams K, Visco A. Mesh erosion in abdominal sacral colpopexy with and without concomitant hysterectomy. Am J Obstet Gynecol 2006;194(5):1418–22CrossRefPubMedGoogle Scholar
  25. 25.
    Konsensuspapier der Operateure der Prolift-Trainingszentren. Empfehlungen zur Rekonstruktion von Beckenbodendefekten mit Prolift. Gynaekologie Aktuell; Ein Supplement zum Frauenarzt, April 2008Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • T. Kavvadias
    • 1
  • U. Klinge
    • 2
  • B. Schuessler
  1. 1.Department of Obstetrics and GynaecologyLucerne Cantonal HospitalLucerneSwitzerland
  2. 2.Institute for Applied Medical Engineering Helmholtz Institute for Applied Medical TechnologyRWTH Aachen UniversityAachenGermany

Personalised recommendations