Skip to main content

Buttress Procedures and Tension-free Slings for the Treatment of Prolapse and Stress Incontinence

  • Chapter
  • 517 Accesses

Abstract

There is incredible diversity in the number of procedures that have been developed for the treatment of stress incontinence in women. This fact alone tells us that there is no perfect operation which is suitable for all patients and which has no risk of recurrence of symptoms. Most of the procedures for stress incontinence can be grouped under the headings of anterior repairs, needle suspensions, retropubic urethropexies and slings. Within each of these groups there are variations in technique between centers and individual surgeons. These standard procedures are discussed in the appropriate chapters of this text. This chapter will discuss examples of other surgical procedures that cannot be included in the previously mentioned groups and fall under a classification which includes significant modifications of the anterior repair and nonanchored slings.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Black NA, Downs SH. The effectiveness of surgery for stress incontinence in women: A systematic review. Br J Urol 1996;78:497–510.

    PubMed  CAS  Google Scholar 

  2. Beck RP, McCormick S, Nordstrom L. A 25-year experience with 519 anterior colporrhaphy procedures. Obstet Gynecol 1991;78(6):1011–18.

    PubMed  CAS  Google Scholar 

  3. van Geelen JM, Theeuvew AG, Eskes TK, Martin CB Jr. The clinical and urodynamic effects of anterior vaginal repair and Burch colposuspension. Am J Obstet Gynecol 1988;159(1):137–44.

    PubMed  Google Scholar 

  4. Bump RC, Hurt WG, Theofrastous JP, Addision WA, Fantl JA, Wyman JF, McClish DK. Randomized prospective comparison of needle colposuspension versus endopelvic fascia plication for potential stress incontinence prophylaxis in women undergoing vaginal reconstruction for stage III or IV pelvic organ prolapse. Am J Obstet Gynecol 1996;175:326–35.

    Article  PubMed  CAS  Google Scholar 

  5. Kohli N, Sze EHM, Roat TW, Karram MM. Incidence of recurrent cystocele after anterior colporrhaphy with and without concomitant transvaginal needle suspension. Am J Obstet Gynecol 1996;175:1476–82.

    Article  PubMed  CAS  Google Scholar 

  6. Shull BL, Benn SJ, Kuehl TJ. Surgical management of prolapse of the anterior vaginal segment: an analysis of support defects, operative morbidity, and anatomical outcome. Am J Obstet Gynecol 1994;171(6):1429–36.

    PubMed  CAS  Google Scholar 

  7. Colombo M, Milani R, Vitobello D, Maggioni A. A randomized comparison of Burch colposuspension and abdominal paravaginal defect repair for female stress urinary incontinence. Am J Obstet Gynecol 1996;175(1):78–84.

    Article  PubMed  CAS  Google Scholar 

  8. Petros PEP, Ulmsten UI. The tuck procedure: a simplified vaginal repair for treatment of female urinary incontinence. Acta Obstet Gynecol Scand 1990;69(suppl 153):41–2.

    Google Scholar 

  9. Petros PEP, Ulmsten UI. An integral theory of female urinary incontinence. Acta Obstet Gynecol Scand 1990;69(suppl 153):7–31.

    Google Scholar 

  10. Lazarevski MB. Suburethral duplication of the vaginal wall — An original operation for urinary stress incontinence in women. Int Urogynecol J Pelvic Floor Dysfunct 1995;6:73–9.

    Article  Google Scholar 

  11. Leach GE, Dmochowski RR, Appell RA, Blaivas JG, Hadley HR, Luber KM et al. Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence. J Urol 1997;158:875–80.

    Article  PubMed  CAS  Google Scholar 

  12. Myers DL, LaSala CA. Conservative surgical management of Mersilene mesh suburethral sling erosion. Am J Obstet Gynecol 1998;179(6 Pt 1):1424–8.

    Article  PubMed  CAS  Google Scholar 

  13. Safir MH, Gousse A, Rovner ES, Ginsberg DA, Raz S. 4-defect repair of grade 4 cystocele. J Urol 1999; 161:587–94.

    Article  PubMed  CAS  Google Scholar 

  14. Flood CG, Drutz HP, Waja L. Anterior colporrhaphy reinforced with Marlex mesh for the treatment of cystoceles. Int Urogynecol J Pelvic Floor Dysfunct 1998;9:200–4.

    Article  PubMed  CAS  Google Scholar 

  15. Smith KM, Al-Badr AH, Drutz HP. Suburethral buttress with Marlex mesh with or without Lazarevski procedure for treatment of cystocele, overt and latent stress incontinence: A cohort study (submitted).

    Google Scholar 

  16. Nicita G. A new operation for genitourinary prolapse. J Urol 1998;160:741–5.

    Article  PubMed  CAS  Google Scholar 

  17. Migliari R, Usai E. Treatment results using a mixed fiber mesh in patients with grade IV cystocele. J Urol 1999;161:1255–8.

    Article  PubMed  CAS  Google Scholar 

  18. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthetic for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1996;7(2):81–5.

    Article  PubMed  CAS  Google Scholar 

  19. Ulmsten U, Johnson P, Rezapour M. A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol 1999;106:345–50.

    PubMed  CAS  Google Scholar 

  20. Falconer C, Ekman-Orderberg G, Malmstrom A, Ulmsten U. Clnical outcome and changes in connective tissue metabolism after intravaginal slingplasty in stress incontinent women. Int Urogynecol J Pelvic Floor Dysfunct 1996;7(3):133–7.

    Article  PubMed  CAS  Google Scholar 

  21. Ulmsten U, Falconer C, Johnson P, Jomaa M, 6Lanner L, Nilsson CG, Olsson I. A multicenter study of tension-free vaginal tape (TVT) for surgical treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1998;9(4):210–13.

    Article  PubMed  CAS  Google Scholar 

  22. Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for the treatment of female urinary incontinence. Scand J Urol Nephrol 1995;29:75–82.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag London Limited

About this chapter

Cite this chapter

Jabs, C.F.I., Drutz, H.P., Currie, I. (2003). Buttress Procedures and Tension-free Slings for the Treatment of Prolapse and Stress Incontinence. In: Drutz, H.P., Herschorn, S., Diamant, N.E. (eds) Female Pelvic Medicine and Reconstructive Pelvic Surgery. Springer, London. https://doi.org/10.1007/1-84628-238-1_30

Download citation

  • DOI: https://doi.org/10.1007/1-84628-238-1_30

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-237-9

  • Online ISBN: 978-1-84628-238-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics