NDLI: Plicature de la bandelette sous-urétrale comme traitement de l'incontinence urinaire d'effort persistante ou récidivante.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Feyeux, C. Mourtialon, P. Guyomard, A. Astruc, K. Douvier, S. Delorme, E.
Description	Country affiliation: France Author Affiliation: Feyeux C ( Service de gynécologie-obstétrique, médecine fÅtale et stérilité conjugale, CHU de Dijon, rue du Professeur-Marion, Dijon, France. cecile.feyeux@gmail.com)
Abstract	OBJECTIVE OF THE STUDY: Feasibility and efficiency study of mesh readjustment in suburethral slings by overcoat plication in case of persisting of recurring stress urinary incontinence in patients with suburethral slings. METHODS: Retrospective and monocentric study including patients that present with a failure or recurring incontinency after suburethral slings surgery. The eligibility was evaluated after a complete clinical and paraclinical statement, proving the recurrence of the incontinence and its mechanism. Surgery consisted in a plication in an overcoat. RESULTS: Nineteen patients were included. The medium delay between initial surgery and the plication was 23.4months (ds=25.5). Results were evaluated subjectively by the MHU questionnaire and objectively by the urodynamic appraisal. The medium survey was 27.2months (ds=37.3). The procedure lasts about 30minutes. According to MHU, 73.7% of patients were cured and for 10.3% the symptoms were lessened. The difference in the MHU score of stress urinary incontinence before and after mesh readjustment was significant (P=0.0005) and get down from 2.31 (ds=0.75) to 0.56 (ds=0.92) as an average. There was no complication during surgery. There were two cases of postoperative acute urinary retention which were reoperated by simply cutting a thread allowing the sling to relax without losing the benefit of the plicature. There was no significant increase in urge incontinence or dysuria. CONCLUSION: The results of this study confirmed the feasibility, the efficiency and the low morbidity of mesh readjustment for the suburethral sling.
File Format	HTM / HTML
ISSN	11667087
Issue Number	16
Volume Number	22
Journal	Progr`es en Urologie
Language	French
Publisher	Elsevier
Publisher Date	2012-12-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Urinary Incontinence, Stress Recurrence Reoperation Therapy Adverse Effects Urologic Surgical Procedures Discipline Urology Humans Middle Aged Male Treatment Outcome English Abstract Journal Article Feasibility Studies Urodynamics Suburethral Slings Quality Of Life Surgery Questionnaires Female Retrospective Studies Diagnosis
Alternative Title	Plication of suburethral slings as treatment of persisting or recurring stress urinary incontinence
Content Type	Text
Resource Type	Article
Subject	Urology

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