Tension-releasing suture appendage on single-incision sling device: A novel approach to postoperative voiding dysfunctions
Objective: Voiding dysfunction following a midurethral sling procedure is still a relevant consequence that can affect patients' quality of life. Various invasive methods have been described to manage this problem. We hypothesize that we if we could diagnose the condition early using noninvasiv...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-08-01
|
| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455916300687 |
| _version_ | 1818245785775505408 |
|---|---|
| author | Tsia-Shu Lo Leng Boi Pue Yiap Loong Tan Cheng-Yu Long Yi-Hao Lin Pei-Ying Wu |
| author_facet | Tsia-Shu Lo Leng Boi Pue Yiap Loong Tan Cheng-Yu Long Yi-Hao Lin Pei-Ying Wu |
| author_sort | Tsia-Shu Lo |
| collection | DOAJ |
| description | Objective: Voiding dysfunction following a midurethral sling procedure is still a relevant consequence that can affect patients' quality of life. Various invasive methods have been described to manage this problem. We hypothesize that we if we could diagnose the condition early using noninvasive tools, we would be able to offer appropriate effective management. We sought to study the effectiveness of attaching a tension-releasing suture on a single-incision sling (SIS) tape as a prophylactic measure for the treatment of immediate postoperative voiding dysfunctions, and secondarily, to evaluate the objective and subjective cure rates of the treatment for stress urinary incontinence.
Materials and Methods: It is a prospective observational study. A tension-releasing suture was prepared by appending a polyglactin suture to one end of the MiniArc sling tip fiber, which could be used to manipulate the sling tip when postoperative voiding dysfunction was identified. Primary outcome measure was the number of patients requiring tension-releasing suture manipulation to treat postoperative voiding dysfunctions successfully.
Results: Twelve of the 131 (9.2%) patients who underwent SIS procedure for urodynamic stress incontinence surgery required tension-releasing suture manipulation due to voiding dysfunction during the immediate postoperative period with a good outcome. Postoperative overall objective and subjective cure rates were 90.5% and 88.9% (126 available patients at 1-year follow up, mean 19.2 ± 8.0 months), respectively. The subanalysis of the objective and subjective cure rates of the group with tension-releasing suture manipulation were 91.7% (11/12) and 91.7% (11/12), and those of the group without tension-releasing suture manipulation were 90.4% (103/114) and 88.6% (101/114), respectively, at 1-year follow up.
Conclusion: Tension-releasing suture is effective in the management of immediate postoperative voiding dysfunction in an SIS procedure. SIS operation has good short-term objective and subjective cure rates for female urodynamic stress incontinence. |
| first_indexed | 2024-12-12T14:38:26Z |
| format | Article |
| id | doaj.art-59e8a55fec8d4808b56e3cdd80c14ed8 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-12T14:38:26Z |
| publishDate | 2016-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-59e8a55fec8d4808b56e3cdd80c14ed82022-12-22T00:21:19ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592016-08-0155451952410.1016/j.tjog.2015.12.019Tension-releasing suture appendage on single-incision sling device: A novel approach to postoperative voiding dysfunctionsTsia-Shu Lo0Leng Boi Pue1Yiap Loong Tan2Cheng-Yu Long3Yi-Hao Lin4Pei-Ying Wu5Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung, Medical Center, Keelung, TaiwanDepartment of Obstetrics and Gynecology, Hospital Serdang, Kajang, Selangor, MalaysiaDivision of Urogynecology, Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Linkou, Taoyuan, TaiwanGraduate Institute of Medicine, Center of Excellence for Environmental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Urogynecology, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Linkou, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung, Medical Center, Keelung, TaiwanObjective: Voiding dysfunction following a midurethral sling procedure is still a relevant consequence that can affect patients' quality of life. Various invasive methods have been described to manage this problem. We hypothesize that we if we could diagnose the condition early using noninvasive tools, we would be able to offer appropriate effective management. We sought to study the effectiveness of attaching a tension-releasing suture on a single-incision sling (SIS) tape as a prophylactic measure for the treatment of immediate postoperative voiding dysfunctions, and secondarily, to evaluate the objective and subjective cure rates of the treatment for stress urinary incontinence. Materials and Methods: It is a prospective observational study. A tension-releasing suture was prepared by appending a polyglactin suture to one end of the MiniArc sling tip fiber, which could be used to manipulate the sling tip when postoperative voiding dysfunction was identified. Primary outcome measure was the number of patients requiring tension-releasing suture manipulation to treat postoperative voiding dysfunctions successfully. Results: Twelve of the 131 (9.2%) patients who underwent SIS procedure for urodynamic stress incontinence surgery required tension-releasing suture manipulation due to voiding dysfunction during the immediate postoperative period with a good outcome. Postoperative overall objective and subjective cure rates were 90.5% and 88.9% (126 available patients at 1-year follow up, mean 19.2 ± 8.0 months), respectively. The subanalysis of the objective and subjective cure rates of the group with tension-releasing suture manipulation were 91.7% (11/12) and 91.7% (11/12), and those of the group without tension-releasing suture manipulation were 90.4% (103/114) and 88.6% (101/114), respectively, at 1-year follow up. Conclusion: Tension-releasing suture is effective in the management of immediate postoperative voiding dysfunction in an SIS procedure. SIS operation has good short-term objective and subjective cure rates for female urodynamic stress incontinence.http://www.sciencedirect.com/science/article/pii/S1028455916300687MiniArcsingle-incision slingurinary stress incontinenceultrasonographyvoiding dysfunction |
| spellingShingle | Tsia-Shu Lo Leng Boi Pue Yiap Loong Tan Cheng-Yu Long Yi-Hao Lin Pei-Ying Wu Tension-releasing suture appendage on single-incision sling device: A novel approach to postoperative voiding dysfunctions Taiwanese Journal of Obstetrics & Gynecology MiniArc single-incision sling urinary stress incontinence ultrasonography voiding dysfunction |
| title | Tension-releasing suture appendage on single-incision sling device: A novel approach to postoperative voiding dysfunctions |
| title_full | Tension-releasing suture appendage on single-incision sling device: A novel approach to postoperative voiding dysfunctions |
| title_fullStr | Tension-releasing suture appendage on single-incision sling device: A novel approach to postoperative voiding dysfunctions |
| title_full_unstemmed | Tension-releasing suture appendage on single-incision sling device: A novel approach to postoperative voiding dysfunctions |
| title_short | Tension-releasing suture appendage on single-incision sling device: A novel approach to postoperative voiding dysfunctions |
| title_sort | tension releasing suture appendage on single incision sling device a novel approach to postoperative voiding dysfunctions |
| topic | MiniArc single-incision sling urinary stress incontinence ultrasonography voiding dysfunction |
| url | http://www.sciencedirect.com/science/article/pii/S1028455916300687 |
| work_keys_str_mv | AT tsiashulo tensionreleasingsutureappendageonsingleincisionslingdeviceanovelapproachtopostoperativevoidingdysfunctions AT lengboipue tensionreleasingsutureappendageonsingleincisionslingdeviceanovelapproachtopostoperativevoidingdysfunctions AT yiaploongtan tensionreleasingsutureappendageonsingleincisionslingdeviceanovelapproachtopostoperativevoidingdysfunctions AT chengyulong tensionreleasingsutureappendageonsingleincisionslingdeviceanovelapproachtopostoperativevoidingdysfunctions AT yihaolin tensionreleasingsutureappendageonsingleincisionslingdeviceanovelapproachtopostoperativevoidingdysfunctions AT peiyingwu tensionreleasingsutureappendageonsingleincisionslingdeviceanovelapproachtopostoperativevoidingdysfunctions |