Results of collagen sling placement following the partial removal of a synthetic midurethral sling

Abstract

ObjectiveTo assess results of placement of the Pelvilace collagen sling following partial removal of a primary synthetic sling because of late complications. MethodsA retrospective study was undertaken of patients with late complications after midurethral sling surgery who underwent placement of a Pelvilace sling at a center in the Netherlands between January 2006 and January 2011. A postoperative questionnaire was used to evaluate the continence status and continence-related quality of life. Patients scoring 0 in the Urogenital Distress Inventory stress symptoms section were considered cured. The subjective improvement or deterioration in symptoms was scored using the Patient Global Impression of Improvement (PGI-I). ResultsThe questionnaire was completed and returned by 32 (84%) of 38 patients after a mean follow-up of 54.3 months. Nine (28%) patients were deemed cured. Among 29 patients who had not undergone a third surgery, the PGI-I showed a postoperative improvement in 14 (48%). The other 15 patients rated their postoperative situation as little improved, unchanged, or deteriorated. Further subanalysis showed clear differences in postoperative results between the different types of late complications (erosion and/or displacement). ConclusionThe concomitant placement of a collagen sling following partial removal of a primary polypropylene sling shows reasonable results for specific complications.