title: Sling exposure after treatment of urinary incontinence with sub-urethral transobturator slings.
abstract: OBJECTIVE
  Sub-urethral slings are the "gold standard" when treating female urinary incontinence, but placing the prosthetic material has its own specific complication, exposure.
  
  
  METHODS
  A retrospective study was performed on all patients who had a sub-urethral sling (TVT-O or TVT Secur) in Lille University Hospital Centre from 2006 to 2008. Follow-up was undertaken to look for re-intervention and to try to determine the risk factors.
  
  
  RESULTS
  A total of 386 patients were studied with a median follow-up of 4 years. The rate of exposure was 4.32%. TVT Secur gave rise to more exposures (13.79%) than TVT-O (3.51%) (p=0.0203). Association with Prolift for cure of prolapse significantly reduced the rate of exposure of sub-urethral slings (p=0.0161).
  
  
  CONCLUSIONS
  It seems important not to use mini-slings of the TVT Secur type as they induce a higher rate of prosthetic exposure. Cure of urinary incontinence may be done with cure of prolapse at the same surgical operation without higher risk of exposure.
authors.affiliation: Service de chirurgie gynécologique, Hopital Jeanne de Flandre, Centre hospitalier Régional Universitaire de Lille, Lille, France. Electronic address: cedric.bourdy@gmail.com.
authors.forename: Cédric
authors.initials: C
authors.lastname: Bourdy
authors.affiliation: Service de chirurgie gynécologique, Hopital Jeanne de Flandre, Centre hospitalier Régional Universitaire de Lille, Lille, France.
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Lucot
authors.affiliation: Service de chirurgie gynécologique, Hopital Jeanne de Flandre, Centre hospitalier Régional Universitaire de Lille, Lille, France.
authors.forename: Géraldine
authors.initials: G
authors.lastname: Giraudet
authors.affiliation: Unité de Soutien Méthodologique, CHU La Réunion, Saint-Denis, F-97400, France.
authors.forename: Cyril
authors.initials: C
authors.lastname: Ferdynus
authors.affiliation: Service de chirurgie gynécologique, Hopital Jeanne de Flandre, Centre hospitalier Régional Universitaire de Lille, Lille, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Cosson
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D053825:Suburethral Slings / Q000009:adverse effects*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology*; D014550:Urinary Incontinence, Stress / Q000601:surgery*
keywords: Erosion; Exposure; Reintervention; Stress incontinence; Sub-urethral sling