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Surgical Implantation of the Synthetic Sling (The 6-Point Fixation Technique and Weight-Adjusted Spacing Nomogram): Technique and Results

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Bladder Disease, Part A
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Abstract

The pubovaginal sling may be used to correct symptomatic Type I, II, and III female stress urinary incontinence.4 Autologous, synthetic, and cadaver allografts have been utilized as the supporting material.5,13,16,23,24 The most feared complication of pubovaginal slings is urethral obstruction; intractable de novo urge incontinence is a close second. Literature reports that the current incidence of urethral obstruction ranges from 5 to 10%, even in the hands of the most experienced surgeons.3-5,13,14,16,23,24 Complications unique to synthetic slings include urethral erosion, vaginal granulation tissue formation, and sling infection.

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References

  1. Benderev TV: A modified percutaneous outpatient bladder neck suspension system. J. Urol., 152:2316, 1994.

    PubMed  CAS  Google Scholar 

  2. Bent AE, Ostergard DR, Zwick-Zaffuto M: Tissue reaction to expanded polytetrafluoroethylene suburethral sling for urinary incontinence: clinical and histologic study. Am J Obstet Gynecol, 169:1198, 1993.

    PubMed  CAS  Google Scholar 

  3. Blaivas JG, Jacobs BZ: Pubovaginal sling for the treatment of stress urinary incontinence. J Urol, 145:1214, 1991.

    PubMed  CAS  Google Scholar 

  4. Chaikin DC, Rosenthal J, Blaivas JG: Pubovaginal fascial sling for all types of stress urinary incontinence. J Urol, 160:1312, 1998.

    Article  PubMed  CAS  Google Scholar 

  5. Choe JM, Staskin DR: Gore-Tex patch sling: 7 years later. Urology, 54:641, 1999.

    Article  PubMed  CAS  Google Scholar 

  6. Cholhan HJ, Stevenson KR: Sling transection of urethra: a rare complication. Int Urogynecol J Pelvic Floor Dysfunct, 7:331, 1996.

    Article  PubMed  CAS  Google Scholar 

  7. Cross CA, Cespedes RD, English SF, McGuire EJ: Transvaginal urethrolysis for urethral obstruction after anti-incontinence surgery. J Urol, 159:1199, 1998.

    Article  PubMed  CAS  Google Scholar 

  8. Cross CA, Cespedes RD, McGuire EJ: Our experience with pubovaginal slings in patients with stress urinary incontinence. J Urol, 159:1195, 1998.

    Article  PubMed  CAS  Google Scholar 

  9. Handa VL, Jensen JK, Ostergard DR: The effect of patient position on proximal urethral mobility. Obstet-Gynecol, 86:273, 1995.

    Article  PubMed  CAS  Google Scholar 

  10. Juma S, Little NA, Raz S: Vaginal wall sling: four years later Urology, 39:424, 1992.

    CAS  Google Scholar 

  11. Kobashi KC, Dmochowski R, Mee SL, Mostwin J, Nitti VW, Zimmern PE, Leach GE: Erosion of woven polyester pubovaginal sling. J Urol, 162:2070, 1999.

    Article  PubMed  CAS  Google Scholar 

  12. Langer R, Ron-El R, Newman M, Herman A, Caspi E: Detrusor instability following colposuspension for urinary stress incontinence. Br J Obstet Gynaecol, 95:607, 1988.

    Article  PubMed  CAS  Google Scholar 

  13. McGuire EJ, Lytton B: Pubovaginal sling for stress incontinence. J Urol, 119:82, 1978.

    PubMed  CAS  Google Scholar 

  14. McLennan MT, Melick CF, Bent AE: Clinical and urodynamic predictors of delayed voiding after fascia lata suburethral sling. Obstet Gynecol, 92:608, 1998.

    Article  PubMed  CAS  Google Scholar 

  15. Melnick I, Lee RE: Delayed transection of urethra by mersilene tape. Urology, 8:580, 1976.

    Article  PubMed  CAS  Google Scholar 

  16. Morgan JE, Farrow GA, Stewart FE: The Marlex sling operation for the treatment of recurrent stress urinary incontinence: a 16-year review. Am J Obstet Gynecol, 151:224, 1985.

    PubMed  CAS  Google Scholar 

  17. Nichols DH: The Mersilene mesh gauze-hammock for severe urinary stress incontinence. Obstet Gynecol, 41:88, 1973.

    PubMed  CAS  Google Scholar 

  18. Noblett KL, Jensen JK, Ostergard DR: The relationship of body mass index to intraabdominal pressure as measured by multichannel cystometry. Int Urogynecol J Pelvic Floor Dysfunct, 8:323, 1997.

    Article  PubMed  CAS  Google Scholar 

  19. Ogundipe A, Rosenzweig BA, Karram MM, Blumenfeld D, Bhatia NN: Modified suburethral sling procedure for treatment of recurrent or severe stress urinary incontinence. Surg Gynecol and Obstet, 175:173, 1992.

    CAS  Google Scholar 

  20. Rovner ES, Ginsberg DA, Raz S: A method for intraoperative adjustment of sling tension: prevention of outlet obstruction during vaginal wall sling. Urology, 50:273, 1997.

    Article  PubMed  CAS  Google Scholar 

  21. Sears FW, Zemansky MW, Young HD: College Physics, sixth edition, Addison-Wesley Publishing Company, p. 123, 1985.

    Google Scholar 

  22. Sears FW, Zemansky MW, Young HD: College Physics, sixth edition, Addison-Wesley Publishing Company, p. 207, 1985.

    Google Scholar 

  23. Stanton SL, Brindley GS, Holmes DM: Silastic sling for urethral sphincter incompetence in women. Br J Obstet Gynaecol, 92:747, 1985.

    Article  PubMed  CAS  Google Scholar 

  24. Wright EJ, Iselin CE, Carr LK, Webster GD: Pubovaginal sling using cadaveric allograft fascia for the treatment of intrinsic sphincter deficiency. J Urol, 160:759, 1998.

    Article  PubMed  CAS  Google Scholar 

  25. Yamada T, Arai G, Masuda H, Tsukamoto T, Nagahama K, Nagamatsu H: The correction of type 2 stress incontinence with a polytetrafluoroethylene patch sling: 5-year mean followup. J Urol, 160:746, 1998.

    Article  PubMed  CAS  Google Scholar 

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Choe, J.M. (2003). Surgical Implantation of the Synthetic Sling (The 6-Point Fixation Technique and Weight-Adjusted Spacing Nomogram): Technique and Results. In: Atala, A., Slade, D. (eds) Bladder Disease, Part A. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-8889-8_34

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  • DOI: https://doi.org/10.1007/978-1-4419-8889-8_34

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-4707-1

  • Online ISBN: 978-1-4419-8889-8

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