V172 COMPLEX PELVIC RECONSTRUCTION WITH TRANSOBTURATOR MESH KIT AND SINGLE-INCISION ADJUSTABLE TENSIONLESS TAPE

Abstract

You have accessJournal of UrologyFemale Voiding Dysfunction (Pelvic Reconstruction & Incontinence)1 Apr 2010V172 COMPLEX PELVIC RECONSTRUCTION WITH TRANSOBTURATOR MESH KIT AND SINGLE-INCISION ADJUSTABLE TENSIONLESS TAPE Loren Jones, Simone Crivellaro, Lorenzo Tosco, Bruno Frea, and Ervin Kocjancic Loren JonesLoren Jones Chicago, IL More articles by this author , Simone CrivellaroSimone Crivellaro Udine, Italy More articles by this author , Lorenzo ToscoLorenzo Tosco Udine, Italy More articles by this author , Bruno FreaBruno Frea Udine, Italy More articles by this author , and Ervin KocjancicErvin Kocjancic Chicago, IL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.227AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Pelvic-organ prolapse (POP) is often associated with stress urinary incontinence (SUI) and can present challenges in surgical repair. We review our experience and technique of complex pelvic reconstruction using both an adjustable single-incision tape and a transobturator mesh kit for correction of SUI and POP. METHODS Between June 2007 and November 2008, five patients with POP and SUI underwent complex pelvic reconstruction with a transobturator mesh kit and an adjustable mid-urethral sling by one surgeon. Data was collected prospectively to assess outcomes. RESULTS 5 patients with a mean age of 64.4 years (range: 49-76) with cystocele (median POPQ grade 3) and stress urinary incontinence (median 3 pads/day) underwent complex pelvic reconstruction with the adjustable single-incision sling and the anterior transobturator mesh kit. All five patients remain continent at follow-up, two patients had transient post-operative urgency which resolved within one month, and there is no evidence of mesh erosion in any case at the most recent follow-up. CONCLUSIONS Tensionless tape and transobturator mesh have been shown to be effective treatments for stress urinary incontinence and cystocele, respectively. We have presented our experience with a combined operation utilizing both techniques and show it to be a safe and effective procedure in selected patients. Patient Birth Year Pre-op SUI Pads/Day POP DOS Post-op SUI Post-op Urge Erosion C.R. 1944 YES 2 3 13-Jun-07 NONE NONE NONE R.S. 1935 YES 3 2 8-Nov-08 NONE FOR 1 MONTH NONE B.I. 1932 YES 4 3 28-Nov-08 NONE FOR 1 MONTH NONE F.P. 1959 YES 4 3 25-Jun-08 NONE NONE NONE B.L. 1947 YES 3 2 6-Sep-08 NONE NONE NONE © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e69 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Loren Jones Chicago, IL More articles by this author Simone Crivellaro Udine, Italy More articles by this author Lorenzo Tosco Udine, Italy More articles by this author Bruno Frea Udine, Italy More articles by this author Ervin Kocjancic Chicago, IL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...