Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

Long-term Efficacy Of The Pubovaginal Mersilene Mesh Sling.

S. B. Young, A. Howard, D. Illanes, E. W. Weber Lebrun, J. R. Hardy, S. Kambiss, Katharine K. O’Dell, Y. Zhang
Published 2009 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Share
OBJECTIVE The objective of the study was to determine the efficacy of the pubovaginal Mersilene mesh sling (PVMMS) for complicated urodynamic stress incontinence (USI). STUDY DESIGN Between 1990 and 2008, patients with USI plus an at-risk diagnosis underwent a PVMMS by a single surgeon. They were followed up with urodynamics (UDE) and Pelvic Floor Distress Inventory-short form 20 (PFDI-20). Stratification was in an at-risk hierarchy: intrinsic sphincter deficiency (ISD) greater than recurrent USI (RUSI) greater than USI with chronically increased intraabdominal pressure (CI-IAP). A cough stress test determined objective cure. PFDI question 17 assessed subjective cure. RESULTS Three hundred six patients with ISD (43.5%), RUSI (26.8%), and CI-IAP (29.7%) had objective cure rates of 89.2% in the short term, 86.7% in the intermediate term, and 91.2% in the long term. A group of 48 patients with both short- and long-term UDEs showed cures of 100% and 91.7%. Long-term objective cure rates were: ISD, 90.5% (n = 21); RUSI, 84.2%, (n = 19); CI-IAP, 100% (n = 17). The mean score of postoperative PFDI question 17 was 0.57 (n = 119). Mean symptom improvement was -2.98 (n = 52; P < .0001). CONCLUSION We demonstrated PVMMS to be subjectively and objectively effective in long-term treatment of complicated forms of USI.
This paper references
10.1097/AOG.0b013e31818db391
Effectiveness of Tension-Free Vaginal Tape Compared With Transobturator Tape in Women With Stress Urinary Incontinence and Intrinsic Sphincter Deficiency: A Randomized Controlled Trial
L. Schierlitz (2008)
10.1067/MOB.2001.116370
Mersilene mesh sling: short- and long-term clinical and urodynamic outcomes.
S. B. Young (2001)
10.1080/00031305.1996.10473544
A COMPARISON OF APPROXIMATE INTERVAL ESTIMATORS FOR THE BERNOULLI PARAMETER
Lawrence M Leemis (1993)
10.1007/s00192-008-0666-z
Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence
C. Nilsson (2008)
10.1214/AOMS/1177730491
On a Test of Whether one of Two Random Variables is Stochastically Larger than the Other
H. B. Mann (1947)
Urogynecology and Reconstructive Pelvic Surgery
M. D. Walters (2006)
10.1016/J.AJOG.2006.07.011
Is transobturator tape as effective as tension-free vaginal tape in patients with borderline maximum urethral closure pressure?
Jay-James R. Miller (2006)
10.1016/J.EURURO.2007.08.033
The long term (5-years) objective TVT success rate does not depend on predictive factors at multivariate analysis: a multicentre retrospective study.
K. Lee (2008)
10.1016/j.ajog.2007.09.003
The expectations of patients who undergo surgery for stress incontinence.
V. Mallett (2008)
10.1016/J.AJOG.2004.12.025
Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7).
M. Barber (2005)
10.1002/NAU.1930140206
Short forms to assess life quality and symptom distress for urinary incontinence in women: The incontinence impact questionnaire and the urogenital distress inventory
J. S. Uebersax (1995)
10.1016/B978-0-323-02902-5.50022-8
Sling Procedures for Stress Urinary Incontinence
M. D. Walters (2007)
10.1016/S0889-8545(05)70040-1
Pathophysiology of female lower urinary tract dysfunction.
D. Robinson (1998)
10.1111/j.1471-0528.1968.tb00113.x
THE GAUZE‐HAMMOCK OPERATION
J. Moir (1968)
10.1185/030079906X162845
Treatment options for patients with suboptimal response to surgery for stress urinary incontinence
R. Appell (2007)
10.1007/s00192-008-0664-1
Long-term efficacy of tension-free vaginal tape in the management of stress urinary incontinence in women: efficacy at 5- and 7-year follow-up
A. Liapis (2008)
10.1002/NAU.10121
Clinical and urodynamic features of intrinsic sphincter deficiency
C. Pajoncini (2003)
The Mersilene mesh gauze-hammock for severe urinary stress incontinence.
Nichols Dh (1973)
10.1007/BF00460317
Sub-urethral slings for treatment of stress urinary incontinence
G. Ghoniem (2004)
10.1016/j.ajog.2007.11.060
Comparison of the treatment outcome of pubovaginal sling, tension-free vaginal tape, and transobturator tape for stress urinary incontinence with intrinsic sphincter deficiency.
Myung-Jae Jeon (2008)
10.1159/000058369
Q-Tip Test and Tension-Free Vaginal Tape in the Management of Female Patients with Genuine Stress Incontinence
P. Bakas (2002)
Q‐Tip Test: A Study of Continent and Incontinent Women
M. D. Walters (1987)
10.1002/14651858.CD001754.pub3
Traditional suburethral sling operations for urinary incontinence in women.
H. Rehman (2011)
10.1016/0002-9378(95)90416-6
The Mersilene mesh suburethral sling: a clinical and urodynamic evaluation.
S. B. Young (1995)
Q-tip test in stress urinary incontinence.
Crystle Cd (1971)



This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar