title: The Outcome of Repeated Mid Urethral Sling in SUI Treatment after Vaginal Excisions of Primary Failed Sling: Preliminary Study.
abstract: Mid urethral sling is the standard in SUI treatment. Nevertheless, the risk of reoperation reaches 9%. There is no consensus as to the best treatment option for complications. A question is raised: what is the optimal way to achieve the best result in patients after primary failure? The aim of the study was to evaluate the outcomes of repeat MUS surgery in patients after excision of the sling with recurrent SUI. We compared its effectiveness with uncomplicated cases treated with TVT. 27 patients who underwent the repeated MUS and 50 consecutive patients after primary TVT were enrolled in the study. After 6 months, we have found that 24 (88.46%) patients from repeat sling group and 48 (96%) patients after primary sling were dry (1-hour pad test, 2 g or less). The difference between groups was not significant. We showed statistically significant improvement of quality of life in both groups. In conclusion, we showed that repeated sling after MUS excision is almost as effective as primary MUS. We postulate that sling excision and repeated MUS may be the best option for persistent SUI and/or complications after MUS procedures. Further multicenter observations are ongoing as to provide results on bigger group of cases.
authors.affiliation: Evangelisches Krankenhaus Hagen-Haspe, Hagen, Germany.
authors.forename: Jacek
authors.identifier: 0000-0002-0286-9944
authors.initials: J
authors.lastname: Kociszewski
authors.affiliation: 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Majkusiak
authors.affiliation: 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Pomian
authors.affiliation: 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.
authors.forename: Paweł
authors.initials: P
authors.lastname: Tomasik
authors.affiliation: 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.
authors.forename: Edyta
authors.initials: E
authors.lastname: Horosz
authors.affiliation: Evangelisches Krankenhaus Hagen-Haspe, Hagen, Germany.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kuszka
authors.affiliation: 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, 1/3 Starynkiewicza Sq., 02-015 Warsaw, Poland.
authors.forename: Ewa
authors.identifier: 0000-0002-1289-9442
authors.initials: E
authors.lastname: Barcz
mesh_terms: D000359:Aftercare; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011475:Prosthesis Failure; D011788:Quality of Life; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery