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Redo midurethral synthetic sling for female stress urinary incontinence

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Abstract

Tension-free transvaginal tape (TVT) placement has recently become the preferred therapeutic approach for female stress urinary incontinence (SUI) in some centers. There are, however, no clearcut guidelines of how to treat patients in whom the procedure has failed. We describe our experience with repeat midurethral synthetic sling (MUS) implantation after a failed similar procedure. Twelve women (mean age 64.3 years) who had undergone a MUS procedure [TVT—9, intravaginal sling (IVS)—2, transobturator tape (TOT)—1] for SUI underwent a repeat MUS (TVT—5, IVS—4, TOT—3) due to persistent or recurrent SUI. The time from the first to the second procedure was 1–48 months. Eleven out of 12 patients (91.7%) achieved full continence (mean follow-up of 23.2 months, range 14–44). We conclude that a repeat MUS for persistent or recurrent SUI is a viable option for patients after an unsuccessful MUS procedure.

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Authors and Affiliations

  1. Department of Urologic Surgery, The Edith Wolfson Medical Center, Holon, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Alexander Tsivian, Avraham Shtricker, Samuel Levin & A. Ami Sidi

  2. Urogynecology, Department of Gynecology, Shaare-Zedek Medical Center, Ben Gurion University of the Negev, Jerusalem, Israel

    Menahem Neuman

  3. Department of Urology, Barzilai Medical Center, Ben Gurion University of the Negev, Ashkelon, Israel

    Evgeny Yulish & Shmuel Cytron

Authors
  1. Alexander Tsivian
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  2. Menahem Neuman
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  3. Evgeny Yulish
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  4. Avraham Shtricker
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  5. Samuel Levin
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  6. Shmuel Cytron
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  7. A. Ami Sidi
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Correspondence to Alexander Tsivian.

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Tsivian, A., Neuman, M., Yulish, E. et al. Redo midurethral synthetic sling for female stress urinary incontinence. Int Urogynecol J 18, 23–26 (2007). https://doi.org/10.1007/s00192-006-0113-y

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  • DOI: https://doi.org/10.1007/s00192-006-0113-y

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