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Tape-Releasing Suture with “Long Loop” on Mid-Urethral Sling: A Novel Procedure for Management of Iatrogenic Urethral Obstruction

Background: To report our experiences of a tape-releasing suture with “long-loop” in women with iatrogenic urethral obstruction following the mid-urethral sling procedure. Methods: A total of 149 women underwent a tape-releasing suture with “Long Loop” during the operation. Post-void residual volume...

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Autores principales: Long, Cheng-Yu, Chang, Chieh-Yu, Liu, Yi-Yin, Loo, Zi-Xi, Yeh, Chang-Lin, Wu, Ming-Ping, Lin, Kun-Ling, Tang, Feng-Hsiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10299281/
https://www.ncbi.nlm.nih.gov/pubmed/37373634
http://dx.doi.org/10.3390/jcm12123938
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author Long, Cheng-Yu
Chang, Chieh-Yu
Liu, Yi-Yin
Loo, Zi-Xi
Yeh, Chang-Lin
Wu, Ming-Ping
Lin, Kun-Ling
Tang, Feng-Hsiang
author_facet Long, Cheng-Yu
Chang, Chieh-Yu
Liu, Yi-Yin
Loo, Zi-Xi
Yeh, Chang-Lin
Wu, Ming-Ping
Lin, Kun-Ling
Tang, Feng-Hsiang
author_sort Long, Cheng-Yu
collection PubMed
description Background: To report our experiences of a tape-releasing suture with “long-loop” in women with iatrogenic urethral obstruction following the mid-urethral sling procedure. Methods: A total of 149 women underwent a tape-releasing suture with “Long Loop” during the operation. Post-void residual volume was evaluated after Foley removal. Lower urinary tract symptoms and urodynamic studies were assessed before and six months postoperatively. Results: Nine women out of 149 who underwent mid-urethral sling surgery were found to have iatrogenic urethral obstruction post-operatively based on their urinary symptoms and ultrasound findings. There was no apparent difference between tested groups in mid-urethral sling products and concomitant procedures. 77.8% had successful releases after the first Long-loop manipulation procedure, and 22.2% required two or more releases. However, the SUI cure rate is similar in groups receiving the Long-loop manipulation or not (88.9% and 87.1%, respectively). Conclusions: We are convinced of the practicability and efficacy of the tape-releasing suture “Long-loop.” We adopted subjective and objective means to evaluate both groups before and after a six-month follow-up. The Long-loop manipulation procedure can successfully resolve the iatrogenic urethral obstruction without compromising the effectiveness of mid-urethral sling for the treatment of SUI.
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spelling pubmed-102992812023-06-28 Tape-Releasing Suture with “Long Loop” on Mid-Urethral Sling: A Novel Procedure for Management of Iatrogenic Urethral Obstruction Long, Cheng-Yu Chang, Chieh-Yu Liu, Yi-Yin Loo, Zi-Xi Yeh, Chang-Lin Wu, Ming-Ping Lin, Kun-Ling Tang, Feng-Hsiang J Clin Med Article Background: To report our experiences of a tape-releasing suture with “long-loop” in women with iatrogenic urethral obstruction following the mid-urethral sling procedure. Methods: A total of 149 women underwent a tape-releasing suture with “Long Loop” during the operation. Post-void residual volume was evaluated after Foley removal. Lower urinary tract symptoms and urodynamic studies were assessed before and six months postoperatively. Results: Nine women out of 149 who underwent mid-urethral sling surgery were found to have iatrogenic urethral obstruction post-operatively based on their urinary symptoms and ultrasound findings. There was no apparent difference between tested groups in mid-urethral sling products and concomitant procedures. 77.8% had successful releases after the first Long-loop manipulation procedure, and 22.2% required two or more releases. However, the SUI cure rate is similar in groups receiving the Long-loop manipulation or not (88.9% and 87.1%, respectively). Conclusions: We are convinced of the practicability and efficacy of the tape-releasing suture “Long-loop.” We adopted subjective and objective means to evaluate both groups before and after a six-month follow-up. The Long-loop manipulation procedure can successfully resolve the iatrogenic urethral obstruction without compromising the effectiveness of mid-urethral sling for the treatment of SUI. MDPI 2023-06-09 /pmc/articles/PMC10299281/ /pubmed/37373634 http://dx.doi.org/10.3390/jcm12123938 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Long, Cheng-Yu
Chang, Chieh-Yu
Liu, Yi-Yin
Loo, Zi-Xi
Yeh, Chang-Lin
Wu, Ming-Ping
Lin, Kun-Ling
Tang, Feng-Hsiang
Tape-Releasing Suture with “Long Loop” on Mid-Urethral Sling: A Novel Procedure for Management of Iatrogenic Urethral Obstruction
title Tape-Releasing Suture with “Long Loop” on Mid-Urethral Sling: A Novel Procedure for Management of Iatrogenic Urethral Obstruction
title_full Tape-Releasing Suture with “Long Loop” on Mid-Urethral Sling: A Novel Procedure for Management of Iatrogenic Urethral Obstruction
title_fullStr Tape-Releasing Suture with “Long Loop” on Mid-Urethral Sling: A Novel Procedure for Management of Iatrogenic Urethral Obstruction
title_full_unstemmed Tape-Releasing Suture with “Long Loop” on Mid-Urethral Sling: A Novel Procedure for Management of Iatrogenic Urethral Obstruction
title_short Tape-Releasing Suture with “Long Loop” on Mid-Urethral Sling: A Novel Procedure for Management of Iatrogenic Urethral Obstruction
title_sort tape-releasing suture with “long loop” on mid-urethral sling: a novel procedure for management of iatrogenic urethral obstruction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10299281/
https://www.ncbi.nlm.nih.gov/pubmed/37373634
http://dx.doi.org/10.3390/jcm12123938
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