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A safety and quality of life analysis of intravaginal slingplasty in female stress incontinence: a prospective, open label, multicenter, and observational study

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Abstract

This prospective, open label, multicenter, and observational study was performed to determine the efficacy, safety, and the impact of this procedure on the current quality of life (QOL). One hundred three women underwent the intravaginal slingplasty (IVS) procedure. The postoperative evaluation consisted of clinical examination, Incontinence Quality of Life (I-QOL) questionnaire, 3-day consecutive frequency volume chart, free flowmetry, and measurement of post void residual. At 12 months, 83 patients have completed follow-up and are included in this analysis. Patient assessment of continence revealed 89.2% (74/83) cure rate. During follow-up period, one patient (1.2%) has presented with vaginal erosion of the sling material. The I-QOL showed significant improvement in total and three subscale scores at 12 months of follow-up period. This study demonstrated that the IVS procedure provides a safe and effective means for the treatment of female stress incontinence and improvement of QOL.

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References

  1. Bemelmans BL, Chapple CR (2003) Are slings now the gold standard treatment for the management of female urinary stress incontinence and if is so what technique? Curr Opin Urol 13:301–307

    Article  PubMed  Google Scholar 

  2. Amid PK (1997) Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1:15–21

    Article  Google Scholar 

  3. Lim YN, Muller R, Corstiaans A, Dietz HP, Barry C, Rane A (2005) Suburethral slingplasty evaluation study in North Queensland, Australia: the SUSPEND trial. Aust N Z J Obstet Gynaecol 45:52–59

    Article  PubMed  Google Scholar 

  4. Rechberger T, Rzezniczuk K, Skorupski P et al (2003) A randomized comparison between monofilament and multifilament tapes for stress incontinence surgery. Int Urogynecol J Pelvic Floor Dysfunct 14:432–436

    Article  PubMed  Google Scholar 

  5. Abrams P, Cardozo L, Fall M et al (2002) The standardization of terminology of lower urinary tract function: report from the Standardisation Sub-Committee of the International Continence Society. Am J Obstet Gynecol 187:116–126

    Article  PubMed  Google Scholar 

  6. Petros PE, Ulmsten UI (1993) An integral theory and its method for the diagnosis and management of female urinary incontinence. Scand J Urol Nephrol 153(Suppl 1):1093

    Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  8. Stamey TA (1980) Endoscopic suspension of the vesical neck for urinary incontinence in females. Report on 203 consecutive patients. Ann Surg 192:465–471

    Article  PubMed  CAS  Google Scholar 

  9. Young SB, Howard AE, Baker SP (2001) Mersilene mesh sling: short- and long-term clinical and urodynamic outcomes. Am J Obstet Gynecol 185:32–40

    Article  PubMed  CAS  Google Scholar 

  10. Weinberger MW, Ostergard DR (1995) Long-term clinical and urodynamic evaluation of the polytetrafluoroethylene suburethral sling for treatment of genuine stress incontinence. Obstet Gynecol 86:92–96

    Article  PubMed  CAS  Google Scholar 

  11. Giberti C, Rovida S (2000) Transvaginal bone-anchored synthetic sling for the treatment of stress urinary incontinence: an outcomes analysis. Urology 56:956–961

    Article  PubMed  CAS  Google Scholar 

  12. Petros PP (1999) Medium-term follow-up of the intravaginal slingplasty operation indicates minimal deterioration of urinary continence with time. Aust N Z J Obstet Gynaecol 39:354–356

    PubMed  CAS  Google Scholar 

  13. Meschia M, Pifarotti P, Bernasconi F et al (2006) Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence: a multicenter randomized trial. Am J Obstet Gynecol 195:1338–1342

    PubMed  Google Scholar 

  14. Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29:75–82

    Article  PubMed  CAS  Google Scholar 

  15. Ward KI, Hilton P, UK and Ireland TVT trial group (2004) A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two years follow-up. Am J Obstet Gynecol 190:324–331

    Article  PubMed  Google Scholar 

  16. Dietz HP, Vancaillie P, Svehla M, Walsh W, Steensma AB, Vancaille TG (2003) Mechanical properties of urogynecologic implant materials. Int Urogynecol J Pelvic Floor Dysfunct 14:239–243

    Article  PubMed  CAS  Google Scholar 

  17. Segal JL, Vassallo B, Kleeman S, Silva WA, Karram MM (2004) Prevalence of persistent and de novo overactive bladder symptoms after the tension-free vaginal tape. Obstet Gynecol 104:1263–1269

    PubMed  Google Scholar 

  18. Nilsson CG, Falconer C, Rezapour M (2004) Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 104:1259–1262

    PubMed  Google Scholar 

  19. Levin I, Groutz A, Gold R, Pauzner D, Lessing JB, Gordon D (2004) Surgical complications and medium-term outcome results of tension-free vaginal tape: a prospective study of 313 consecutive patients. Neurourol Urodyn 23:7–9

    Article  PubMed  Google Scholar 

  20. Glavind K, Sander P (2004) Erosion, defective healing and extrusion after tension-free urethropexy for the treatment for stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 15:179–182

    Article  PubMed  Google Scholar 

  21. Siegel AL, Kim M, Goldstein M, Levey S, Ilbeigi P (2005) High incidence of vaginal mesh extrusion using the intravaginal slingplasty sling. 174:1308–1311

  22. Papadimitriou J, Petros P (2005) Histological studies of monofilament and multifilament polypropylene mesh implants demonstrate equivalent penetration of macrophages between fibrils. Hernia 9:75–78

    Article  PubMed  Google Scholar 

  23. Blaivas JG, Appell RA, Fantl JA et al (1997) Standards of efficacy for evaluation of treatment outcomes in urinary incontinence: recommendations of the Urodynamic Society. Neurourol Urodyn 16:145–147

    Article  PubMed  CAS  Google Scholar 

  24. Oh SJ, Ku JH (2006) Is a generic quality of life instrument helpful for evaluating women with urinary incontinence? Qual Life Res 15:493–501

    Article  PubMed  Google Scholar 

  25. Oh SJ, Park HG, Lim SH et al (2002) Translation and linguistic validation of Korean version of the Incontinence Quality of Life (QoL) instrument. J Korean Continence Soc 6:10–23

    Google Scholar 

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Correspondence to Myung-Soo Choo.

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Kim, J.C., Chung, B.S., Choi, J.B. et al. A safety and quality of life analysis of intravaginal slingplasty in female stress incontinence: a prospective, open label, multicenter, and observational study. Int Urogynecol J 18, 1331–1335 (2007). https://doi.org/10.1007/s00192-007-0327-7

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  • DOI: https://doi.org/10.1007/s00192-007-0327-7

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