title: Results of collagen sling placement following the partial removal of a synthetic midurethral sling.
abstract: OBJECTIVE
  To assess results of placement of the Pelvilace collagen sling following partial removal of a primary synthetic sling because of late complications.
  
  
  METHODS
  A retrospective study was undertaken of patients with late complications after midurethral sling surgery who underwent placement of a Pelvilace sling at a center in the Netherlands between January 2006 and January 2011. A postoperative questionnaire was used to evaluate the continence status and continence-related quality of life. Patients scoring 0 in the Urogenital Distress Inventory stress symptoms section were considered cured. The subjective improvement or deterioration in symptoms was scored using the Patient Global Impression of Improvement (PGI-I).
  
  
  RESULTS
  The questionnaire was completed and returned by 32 (84%) of 38 patients after a mean follow-up of 54.3 months. Nine (28%) patients were deemed cured. Among 29 patients who had not undergone a third surgery, the PGI-I showed a postoperative improvement in 14 (48%). The other 15 patients rated their postoperative situation as little improved, unchanged, or deteriorated. Further subanalysis showed clear differences in postoperative results between the different types of late complications (erosion and/or displacement).
  
  
  CONCLUSIONS
  The concomitant placement of a collagen sling following partial removal of a primary polypropylene sling shows reasonable results for specific complications.
authors.affiliation: Department of Urology, Leiden University Medical Center, Leiden, The Netherlands. Electronic address: c.r.c.hogewoning@lumc.nl.
authors.forename: Cornelis R C
authors.initials: CR
authors.lastname: Hogewoning
authors.affiliation: Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Henk W
authors.initials: HW
authors.lastname: Elzevier
authors.affiliation: Department of Urology, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: Rob C M
authors.initials: RC
authors.lastname: Pelger
authors.affiliation: Department of Gynecology, Albert Schweitzer Medical Center, Dordrecht, The Netherlands.
authors.forename: Cornelis J A
authors.initials: CJ
authors.lastname: Hogewoning
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003094:Collagen; D005260:Female; D006801:Humans; D008875:Middle Aged; D009426:Netherlands; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012086:Reoperation; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*
chemical_list: D003094:Collagen
keywords: Complications; Midurethral sling surgery; Pelvilace; Stress urinary incontinence; Tension-free vaginal tape; Vaginal meshes